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How the Caribbean prepares for future pandemics 

October 20, 2023 by Ramiro Guerrero Carvajal Leave a Comment


The support of the Pandemic Fund 

The Caribbean is characterized by small populations with highly interconnected countries and porous borders. When you add the tropical climate to these factors, the region becomes particularly vulnerable to the risk of disease outbreaks due to their rapid spread. This was evident during the spread of COVID-19: its transmission to all Caribbean islands in a short period of time made the vulnerability of the entire region to the proliferation of contagious infections even clearer. 

Latin America and the Caribbean was the most affected region in the world by the COVID-19 pandemic, accounting for 29% of confirmed deaths despite having only 8% of the global population. The pandemic caused a crisis beyond health; it affected the economy and society. The Caribbean experienced a greater impact within the region due to the abrupt reduction in tourism. Consequently, it faced economic contraction, job losses, and increased poverty among many vulnerable families. 

After the COVID-19 health emergency, a clear message remained: it is necessary to prepare for similar future risks. How can this be achieved? In this blog, we will tell you about the Pandemic Fund, a multilateral initiative in which the Inter-American Development Bank (IDB) will be the implementing entity in the Caribbean. 

What is the Pandemic Fund, and what does its support consist of? 

The Pandemic Fund, established in 2022 on the recommendation of the G-20, provides non-repayable resources for preparedness investments against future pandemics in regions and countries with medium or low incomes. It is funded by donations from governments and foundations and channels resources to beneficiaries, including national or regional public health agencies, through implementing entities. The IDB is one of them. 

After issuing a public call and conducting a technical evaluation of the proposals received, the Fund recently announced the allocation of its first donations. Among them is an initiative to reduce the impact of pandemics on public health in the Caribbean. This involves a set of strategic investments totaling US$16 million to enhance prevention, preparedness, and response in Caribbean countries to future pandemics through strengthening integrated capabilities in epidemiological surveillance and early warning, laboratory systems, and the development of the public health workforce. 

The Caribbean Public Health Agency (CARPHA), a beneficiary of the Pandemic Fund, will be the technical partner for this regional initiative.  As an implementing agency of the Pandemic Fund, the IDB will contribute an additional US$140,000 to the project’s financing and provide guidance and supervision through a Technical Cooperation currently in preparation. 

Promoting regional resilience 

The COVID-19 crisis revealed coordination shortcomings among states and territories in the Caribbean, and deficiencies in basic pandemic detection and response capabilities. In this regard, this initiative aims to promote regional resilience through effective coordination, expanding the scope of epidemiological surveillance systems, and strengthening capacities for detecting and responding to infectious diseases. Broadening the scope involves connecting the realms of human health with disease monitoring in the environmental and veterinary sectors. 

Training and capacity development for laboratory operations are fundamental to strengthening epidemiological surveillance and early warning capabilities. These, in turn, are key to public health management, as they enable countries to quickly detect and respond to disease outbreaks, providing greater protection to their populations. In a region like the Caribbean, knowing about the circulation of an infection can contribute not only to a specific territory but to the entire region and beyond. This information and integrated information systems are essential for decision-making and preventing future health crises. 

In this sense, this project is linked to other IDB initiatives: the Digital Integration of Latin America and the Caribbean, which aims to promote connectivity through the provision of physical infrastructure, capacity development for the use and adoption of digital tools, and harmonization of regulatory frameworks that favor integration; and the Pan-American Digital Health Route, which aims to improve the quality, safety, and efficiency of health services that transcend borders. 

By preventing an outbreak from turning into an epidemic and potentially a pandemic, we seek to protect the health of people in the region, as well as the economies and quality of life of current and future generations. The Pandemic Fund is a valuable ally in helping countries prepare for upcoming health crises. 

This article will also be published in Spanish in Gente Saludable.


Filed Under: Health, Uncategorized Tagged With: CARPHA, health crisis, health emergency, pandemic fund, regional resilience

Ramiro Guerrero Carvajal

Ramiro Guerrero is a Sector Principal Specialist of the Social Protection and Health Division at the IDB. Is PhD in economics with experience in research, consultancy, policy making, health, education, journalism. Ramiro worked in Colombia as research associate at Fedesarrollo, and as editor of the business and economics section at Revista Semana. Between 2004 and 2007 he served as Deputy Minister of Social Protection in Colombia, in charge of social sector financing, information systems and planning. He joined the Harvard Initiative for Global Health in 2007 as research fellow, working on health metrics and health system performance evaluation. In August 2010 Ramiro assumed the role of founding Director of PROESA – Research Center for Social Protection and Health Economics at Universidad Icesi in Colombia. In 2016-2017 he was Takemi Fellow in International Health at the Harvard School of Public Health, and in July 2019 was appointed Dean of the School of Economics at Icesi, and has participated in university administration, consultancy and teaching. In the past decade has also served as board member of organizations in the microfinance, social and technology sectors. He has served as Technical Advisor at PAHO and at the Board of WWB Colombia, a foundation that promotes microfinance with a gender perspective.

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We provide unique and timely insights on the Caribbean and its political, social, and economic development. At the IDB, we strive to improve lives in the Caribbean by creating vibrant and resilient economies where people are safe, productive and happy.

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