ArticleAmerican journal of public health2019
Health Policy Performance in 16 Caribbean States, 2010-2015.
Article in American journal of public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Breast cancer screening in the Caribbean: a comparative study across six Caribbean Islands with a transatlantic perspective.BMC public health · 2025Article
- The Historic Elimination of Mother-to-Child HIV and Syphilis Transmission in Puerto Rico.Puerto Rico health sciences journal · 2021Article
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Authors and funding
3 authors.
Funding
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Abstract
objectivesTo determine whether Caribbean states vary in health policy performance in 11 different areas; to explore the association with sociodemographic, economical, and governance determinants; and to estimate the potential health gains of "best-practice" health policies.
methodsWe selected 50 indicators that included data on mortality (latest available, 2010-2015), intermediate outcomes, and policy implementation to calculate a state's health policy performance score. We related this score to country characteristics and calculated the potential number of avoidable deaths if the age-specific mortality rates of best-performer Martinique applied in all states.
resultsWe found large differences in health policy performance among Caribbean states. Martinique, Cuba, and Guadeloupe had the highest performance scores, and Guyana, Belize, and Suriname the lowest. Political affiliation, religious fractionalization, corruption, national income, and population density were associated with health policy performance. If the mortality rates of Martinique applied to all Caribbean states, an overall mortality reduction of 12% would be achieved.
conclusionsDifferences in health outcomes between Caribbean states are partly attributable to variations in health policy implementation. Our results suggest that many deaths can be prevented if Caribbean governments adopt best-practice policies.
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