Nearly a decade after Category 5 Hurricane Irma ripped through the Caribbean and upended everyday life on the small island of Barbuda, local officials are moving forward with long-awaited plans to bring critical maternity care back to the island’s Hannah Thomas Hospital. The policy initiative was formally announced this Thursday at a post-Cabinet press briefing by Maurice Merchant, Director General of Communications, following a detailed presentation to the government body from Health Minister Michael Joseph.
When Irma made landfall in 2017, it flattened much of Barbuda’s critical infrastructure, including the island’s only public hospital’s maternity ward. In the years since the storm, all expectant residents of Barbuda have been required to travel across the water to Antigua, the larger sister island of the Antigua and Barbuda nation, to give birth at the Sir Lester Bird Medical Centre. For many low-income families and people without consistent access to cross-island transportation, this requirement has created significant financial, logistical and emotional barriers to prenatal and obstetric care.
As Merchant explained, the move to rebuild and reopen the Hannah Thomas Hospital maternity department is a core component of the administration’s broader agenda to expand equitable access to essential healthcare for Barbudans. “The restoration of maternity services there forms part of government’s broader commitment to ensuring that residents of the sister island have greater access to essential healthcare services closer to home,” Merchant said during the briefing.
Maternity care is not the only service set for an upgrade at the facility. Cabinet has also signed off on additional improvement projects, including the launch of on-site laboratory testing services. The new lab will boost the hospital’s diagnostic capacity and eliminate the current requirement for Barbudans to make the trip to Antigua for routine blood work and other common medical screenings.
To further streamline care for island residents, the Ministry of Health will partner with the Ministry of Information Technology to roll out a new centralized pre-booking system. The platform will allow Barbuda residents to schedule appointments for specialized diagnostic services, including MRIs and X-rays, at Antiguan facilities before they travel, cutting down on wait times and logistical confusion for off-island care.
When pressed about whether the long-term restoration plan includes capacity to treat high-risk pregnancies on Barbuda, Merchant confirmed that accommodating all types of childbirth is the ultimate end goal. “That is part of the plan to ensure that all matters in relation to childbirth can be dealt with on Barbuda,” he said.