In response to critical healthcare workforce shortages plaguing the Caribbean region, Blue Horizon College has emerged as a transformative educational institution dedicated to rebuilding clinical capacity. Founded by registered nurse and public health practitioner Ambika Joseph, the college addresses a severe regional deficit where only 44.3 nurses serve every 10,000 residents—far below the Pan American Health Organization’s recommended threshold of 70.6 per 10,000 for universal healthcare access by 2030.
The institution originated in 2024 as the Care-Transition Clinic School of Nursing before rebranding in 2025 to expand its mission. Now located at Woodlands Commercial Complex in St. George, Grenada, the college has developed targeted programs including a BSc in Nursing, Certificate in Phlebotomy, Associate Degree in Medical Assisting, and specialized degrees in Sonography and Radiology. These offerings were created specifically to meet escalating demands across Grenada’s healthcare facilities.
Joseph’s vision stems from firsthand experience with systemic gaps in clinical training and academic preparation. “I witnessed the gaps in clinical training, academic preparation, and the ongoing workforce shortages that strain our health system,” she explained. The crisis is exacerbated by nurse migration that has left 40% of nursing positions vacant throughout the Caribbean.
The college’s BSc in Nursing program employs a hybrid learning model with specialization tracks in Public Health Nursing or Nursing Administration. The curriculum incorporates simulation labs, virtual modules, and problem-based learning to develop clinical judgment and critical thinking. Students gain practical experience through structured clinical rotations and interdisciplinary collaboration with partner hospitals and clinics.
Admission criteria emphasize compassion, resilience, and community commitment alongside academic capability. The college provides mentorship, workshops, and partial scholarships to support Grenadians pursuing healthcare careers. Looking forward, Joseph plans to integrate digital simulations, virtual clinical experiences, and electronic learning platforms to prepare graduates for evolving healthcare technologies.
Despite challenges including regulatory compliance and faculty recruitment—requiring international instructor sourcing—Joseph remains confident in the institution’s mission. Her five-year vision involves expanding into a university offering advanced degrees in healthcare administration while establishing Grenada as a regional leader in healthcare education.