In a significant advancement for regional public health, the Commonwealth of Dominica has formally endorsed the Pan American Health Organization/World Health Organization’s (PAHO/WHO) Multi-Country Cooperation Strategy (MCCS) for the period 2026–2031. This ratification positions Dominica alongside fellow Eastern Caribbean states in a unified effort to reinforce healthcare infrastructures through a framework built on solidarity, equity, and resilience.
The comprehensive strategy, designed to serve Antigua and Barbuda, Barbados, Dominica, Grenada, Saint Kitts and Nevis, Saint Lucia, and Saint Vincent and the Grenadines, functions as a medium-term roadmap for health promotion and sustainable development. Its formulation followed extensive dialogues with member states, regional bodies, development allies, and civil society organizations, crystallizing a shared vision to confront emerging health crises while championing inclusive and equitable healthcare.
Dr. Kyra Paul L’Homme, Permanent Secretary at Dominica’s Ministry of Health, Wellness and Social Services, emphasized the strategy’s critical importance during the official signing ceremony. She outlined that the MCCS will catalyze the strengthening of Dominica’s health system via several key pillars: bolstering primary healthcare, enhancing emergency readiness, expanding the health workforce, driving digital transformation, and intensifying the fight against both communicable and noncommunicable diseases (NCDs). Dr. L’Homme highlighted the strategy’s role in fortifying national resilience and ensuring equitable access to quality health services amidst a volatile global landscape marked by supply chain disruptions and health security threats.
This collaborative initiative is particularly vital for the Caribbean, a region navigating a complex health environment. Challenges include a high prevalence of NCDs, persistent infectious disease risks, and the escalating impacts of climate change and natural disasters. Health systems are further strained by workforce shortages and financial constraints, which often result in significant out-of-pocket costs for patients.
In response, Eastern Caribbean governments are pursuing reforms focused on reinforcing primary care, advancing national health insurance, integrating health information systems, and investing in climate-resilient infrastructure. Dominica is already realizing benefits from PAHO’s Smart Hospitals Initiative, with completed upgrades to facilities in LaPlaine, Grand Bay, and Portsmouth, and future projects planned for Mahaut and Wesley.
Grounded in the core principles of equity, resilience, and sustainability, the MCCS will utilize established regional platforms like the Organisation of Eastern Caribbean States (OECS) and CARICOM to foster cooperation. The Government of Dominica has expressed its commitment to ongoing collaboration with PAHO/WHO and regional partners to transform this strategic blueprint into actionable measures, aiming to achieve substantial health improvements for its citizens and the wider Eastern Caribbean community.