The day-to-day operations of CARPHA is managed through three divisions. These divisions are:

  • Office of the Executive Director
  • Corporate Services
  • Surveillance Disease Prevention and Control

Office of the Executive Director

Policy Planning and Research (PPR)

The Caribbean Public Health Agency (CARPHA) has an important role as the regional focal point for research for health. The PPR Unit of CARPHA is entrusted with the Agency’s Health Research Council functions. This includes the promotion, coordination, guidance and governance of research to inform policy, practice and health programming, with the aim of improving health and facilitating development in the Caribbean. The PPR Unit also plays a supportive and facilitative role as the Member States seek to establish/strengthen their national health research systems to generate, access and use quality research evidence. The Annual Health Research Conference, the Caribbean Network of Research Ethics Committee (CANREC), the Agency’s Research Ethics Committee and the delivery of a suite of Research Skills-Building Workshops are some mechanisms used to achieve the Unit’s mandate.

Corporate Services

Corporate Services Division ensures the efficiency and effectiveness of the Agency’s services and operations. This is accomplished through the provision of corporate-wide services, inclusive of Communications, Budget and Finance, Human Resources Management, Information Technology, Facilities Management and Procurement. Additionally, to support project implementation for the Agency, the Programme Coordination Unit (PCU) is housed under this Division.

Surveillance, Disease, Prevention and Control (SDPC)

Monitoring and Evaluation (M&E)

The key strategic objective of M&E is to provide quality training programmes in public health, progressing to certification and accreditation. This includes ensuring that the CARPHA staff is competent in the core specialties (ex. Epidemiology, Laboratory, Surveillance, Research etc.). M&E can thereby ensure that CARPHA Member States are better equipped to address their public health functions through pre-service and in-service training opportunities.

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Medical Laboratory

CARPHA’s Medical Laboratory Department aims to strengthen sub-regional and national capacities in communicable disease (CD) surveillance and risk assessment. This involves compiling data, with laboratory support, on-air and vector-borne, food and water-borne, sexually transmitted, and vaccine-preventable diseases. The resulting information allows CARPHA Member States (CMS) to plan, implement and evaluate public health practice, thereby preventing and controlling disease outbreaks. In recognition of the limited laboratory testing capacity available in smaller nations, CARPHA can also provide primary testing services, thereby facilitating region-wide advanced laboratory capabilities

Environmental Health and Sustainable Development (EHSD)

The EHSD Department supports the Caribbean’s sustainable development agenda by playing a lead role in environmental management for optimal public health. Embedded within EHSD are a number of programmes and projects geared towards management of the environmental determinants of health and wellbeing:

  • 1. The Caribbean Aqua-Terrestrial Solutions (CATS) project, which advance adaptation to climate change and building resilience in terrestrial and marine and coastal resources using a ridge-to-reef (R2R) approach;
  • 2. The Environmental Health Laboratory (EHL), which provides analytical services and supports the testing and assessments to facilitate implementation of environmental management programmes in the Member States;
  • 3. Awareness and training initiatives in sustainable production and consumption through advocating reduction and reuse of waste products;
  • 4.  Occupational safety and health (OSH) programmes including assessments of indoor environments to detect potential hazards and evaluate the risk to human health.
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Vector Borne Diseases Unit

Vector-Borne Disease (VBD) Unit at CARPHA aims to reduce the morbidity and mortality associated with VBDs by strengthening regional and national capacity for disease detection, prevention and control of key vectors. The strategic approach of the Unit is based primarily on the foundations for Integrated Vector Management (IVM), which involves multi-sectoral approaches geared towards improving human health. The key activities of the Unit are:

  • Epidemiological Disease Surveillance
  • Entomological Surveillance
  • Evaluation of New Vector Control Technologies
  • Climate and Health Research
  • Emergency and Disaster Response

The Unit partners with other areas in CARPHA and external stakeholders to promote: community and behavioural change and partnerships and networks.

Medicines Quality Control and Surveillance Department (MQCSD)

MQCSD’s function is to protect the people of the Caribbean by testing medicines to verify their compliance to international standards for quality, safety and efficacy, supporting the work of national medicines regulatory authorities/ procurement bodies. Through its laboratory services, which include a risk-based post-market surveillance programme and testing for countries based on their regulatory needs, MQCSD helps the Region to confirm the continued good quality of products, build confidence in national and regional supply, and detect substandard or falsified products enabling countries to take appropriate regulatory actions. Ensuring access to competent laboratory services strengthens access to good quality, safe and reliable medicines, in keeping with CARPHA’s mandate to prevent diseases, promote and protect health.

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Health Information, Communicable Disease and Emergency Response (HCE)

This department effectively consists of three sub-divisions:

  • 1.  Health Information: Systematically compiles information on CARPHA Member States (CMS) such as epidemiological surveillance and mortality data. It is analyzed and made available to CMS through feedback using various forums. Read More
  • 2.  Communicable Disease (CD): Monitors CDs through surveillance systems to provide early warning of potential public health threats, from both abroad and within the Region. Through this, it also supports the Regional Coordinating Mechanism on Health Security (RCMHS). Previously, HCE has responded to the Chikungunya and Zika outbreaks and has provided guidance regarding the Yellow Fever threat.. Read More
  • 3.  Emergency Response: If requested, remote or on-field technical assistance can be provided to CMS in controlling outbreaks of infectious diseases. In the past, the HCE has also worked with CDEMA and other agencies in responding to natural disasters (eg. hurricanes in the Bahamas and Dominica) and the threat they pose to public health. Read More

Chronic Disease and Injury

Chronic Diseases and Injury (CDI) Department provides leadership, strategic direction, coordinates and implements technical cooperation activities directed towards the prevention and control of Non-Communicable Disease (NCDs) in CMS. Global, regional, and Sub-Regional commitments provide the framework for action, such as the 2007 Port of Spain Declaration on NCDs, Caribbean Cooperation in Health Phase IV (CCH IV), United Nations (UN) Political Declarations on NCDs and UN SDGs. To prevent and control NCDs, CARPHA carries out its mandate through the following areas of work:

  • NCD Surveillance
  • Disease Prevention and Health Promotion
  • Food Security and Nutrition
  • Injuries Prevention
  • Mental Health and Substance Use
  • Integrated Disease Management
  • Research
  • Training and Capacity Building
  • Policies and Plans