Validating the self-reported annual monitoring grid for the 2007 Caribbean Community Declaration of Port-of-Spain on noncommunicable diseases
Objectives. In 2007, the Caribbean Community (CARICOM) convened the world's first-ever heads of government summit on noncommunicable diseases (NCDs) and issued the landmark Declaration of Port-of-Spain: Uniting to Stop the Epidemic of Chronic NCDs. Since then, ministry of health (MoH) focal poi...
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| Format: | Article |
| Language: | English |
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Pan American Health Organization
2018-12-01
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| Series: | Revista Panamericana de Salud Pública |
| Subjects: | |
| Online Access: | http://iris.paho.org/xmlui/handle/123456789/49667 |
| _version_ | 1811302502747865088 |
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| author | T. Alafia Samuels Madhuvanti M. Murphy Nigel Unwin |
| author_facet | T. Alafia Samuels Madhuvanti M. Murphy Nigel Unwin |
| author_sort | T. Alafia Samuels |
| collection | DOAJ |
| description | Objectives. In 2007, the Caribbean Community (CARICOM) convened the world's first-ever heads of government summit on noncommunicable diseases (NCDs) and issued the landmark Declaration of Port-of-Spain: Uniting to Stop the Epidemic of Chronic NCDs. Since then, ministry of health (MoH) focal points in each country have self-reported annually on their NCD efforts, using a 26-indicator grid created to assess implementation of the Declaration. Our objective was to assess the validity of those grid responses, as compared to information from in-depth interviews and document reviews. Methods. Seven national case studies on policy responses to the Declaration were undertaken in 2015. In-depth, semistructured interviews were conducted with stakeholders from multiple sectors, including the MoH. Policy documents were also identified and reviewed. The results from the 2015 case studies were compared to the 2014 MoH focal point grid responses. Kappa statistics evaluated chance agreement. Results. The information from the grid and from the case studies agreed closely. Out of a total of 182 indicators (26 each for seven countries), there was a lack of agreement on just 9 (4.9%). All the differences were between policy statements and implementation. Except for physical activity, kappa statistics indicated that agreement was good to excellent for all the clusters of the grid and for the grid as a whole, but with wide confidence intervals. Conclusions. In general, the monitoring grid accurately assessed the national situation, but with a possible tendency to overstate performance in some areas. These findings contributed to the design of a new, 50-indicator monitoring grid in 2016. Alongside these improvements, CARICOM countries face a substantial burden from having to complete many other required NCD reports, mainly for the Pan American Health Organization and the World Health Organization. |
| first_indexed | 2024-04-13T07:29:17Z |
| format | Article |
| id | doaj.art-7eb07a9b16114353b8c63ead43362843 |
| institution | Directory Open Access Journal |
| issn | 1020-4989 1680-5348 |
| language | English |
| last_indexed | 2024-04-13T07:29:17Z |
| publishDate | 2018-12-01 |
| publisher | Pan American Health Organization |
| record_format | Article |
| series | Revista Panamericana de Salud Pública |
| spelling | doaj.art-7eb07a9b16114353b8c63ead433628432022-12-22T02:56:24ZengPan American Health OrganizationRevista Panamericana de Salud Pública1020-49891680-53482018-12-014211210.26633/RPSP.2018.189e189Validating the self-reported annual monitoring grid for the 2007 Caribbean Community Declaration of Port-of-Spain on noncommunicable diseasesT. Alafia Samuels0Madhuvanti M. Murphy1Nigel Unwin2George Alleyne Chronic Disease Research Centre, Caribbean Institute for Health Research, University of the West Indies, Bridgetown, BarbadosFaculty of Medical Sciences, Cave Hill campus, University of the West Indies, Bridgetown, BarbadosMRC Epidemiology Unit, University of Cambridge, Cambridge, United KingdomObjectives. In 2007, the Caribbean Community (CARICOM) convened the world's first-ever heads of government summit on noncommunicable diseases (NCDs) and issued the landmark Declaration of Port-of-Spain: Uniting to Stop the Epidemic of Chronic NCDs. Since then, ministry of health (MoH) focal points in each country have self-reported annually on their NCD efforts, using a 26-indicator grid created to assess implementation of the Declaration. Our objective was to assess the validity of those grid responses, as compared to information from in-depth interviews and document reviews. Methods. Seven national case studies on policy responses to the Declaration were undertaken in 2015. In-depth, semistructured interviews were conducted with stakeholders from multiple sectors, including the MoH. Policy documents were also identified and reviewed. The results from the 2015 case studies were compared to the 2014 MoH focal point grid responses. Kappa statistics evaluated chance agreement. Results. The information from the grid and from the case studies agreed closely. Out of a total of 182 indicators (26 each for seven countries), there was a lack of agreement on just 9 (4.9%). All the differences were between policy statements and implementation. Except for physical activity, kappa statistics indicated that agreement was good to excellent for all the clusters of the grid and for the grid as a whole, but with wide confidence intervals. Conclusions. In general, the monitoring grid accurately assessed the national situation, but with a possible tendency to overstate performance in some areas. These findings contributed to the design of a new, 50-indicator monitoring grid in 2016. Alongside these improvements, CARICOM countries face a substantial burden from having to complete many other required NCD reports, mainly for the Pan American Health Organization and the World Health Organization.http://iris.paho.org/xmlui/handle/123456789/49667Noncommunicable diseasespublic health surveillanceWest Indies |
| spellingShingle | T. Alafia Samuels Madhuvanti M. Murphy Nigel Unwin Validating the self-reported annual monitoring grid for the 2007 Caribbean Community Declaration of Port-of-Spain on noncommunicable diseases Revista Panamericana de Salud Pública Noncommunicable diseases public health surveillance West Indies |
| title | Validating the self-reported annual monitoring grid for the 2007 Caribbean Community Declaration of Port-of-Spain on noncommunicable diseases |
| title_full | Validating the self-reported annual monitoring grid for the 2007 Caribbean Community Declaration of Port-of-Spain on noncommunicable diseases |
| title_fullStr | Validating the self-reported annual monitoring grid for the 2007 Caribbean Community Declaration of Port-of-Spain on noncommunicable diseases |
| title_full_unstemmed | Validating the self-reported annual monitoring grid for the 2007 Caribbean Community Declaration of Port-of-Spain on noncommunicable diseases |
| title_short | Validating the self-reported annual monitoring grid for the 2007 Caribbean Community Declaration of Port-of-Spain on noncommunicable diseases |
| title_sort | validating the self reported annual monitoring grid for the 2007 caribbean community declaration of port of spain on noncommunicable diseases |
| topic | Noncommunicable diseases public health surveillance West Indies |
| url | http://iris.paho.org/xmlui/handle/123456789/49667 |
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