{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T15:15:13Z","timestamp":1788189313338,"version":"build-2803163510"},"reference-count":26,"publisher":"Pan American Health Organization","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,8,31]]},"abstract":"<title>ABSTRACT<\/title>\n                  <sec>\n                    <title>Objective.<\/title>\n                    <p>Noncommunicable diseases (NCDs) account for approximately 80% of annual mortality in Saint Lucia, with the results of national World Health Organization (WHO) STEPwise approach to NCD risk factor surveillance surveys in 2012 and 2020 indicating increasing prevalences of hypertension, obesity and physical inactivity. In response, the Ministry of Health, Wellness and Nutrition launched the St. Lucia Moves Initiative in 2022, aligned with the Caribbean Moves framework and WHO\u2019s Global Action Plan for the Prevention and Control of Noncommunicable Diseases 2013\u20132030. This study aimed to evaluate the implementation, reach, and early outcomes of the Initiative.<\/p>\n                  <\/sec>\n                  <sec>\n                    <title>Methods.<\/title>\n                    <p>A mixed-methods approach was used to assess program implementation and engagement. This approach combined quantitative and qualitative methods to provide a comprehensive understanding of the Initiative\u2019s reach, visibility and multisectoral integration. The study was guided by the socioecological model of health promotion, which informed both the analytical framework and the interpretation of findings across all levels.<\/p>\n                  <\/sec>\n                  <sec>\n                    <title>Results.<\/title>\n                    <p>Key achievements included increased public awareness of physical activity and wellness, broad cross-sectoral participation, and widespread engagement in fitness walks, media campaigns, school-based activities, and integration of the St. Lucia Moves Initiative into national cultural events. Although at the beginning, awareness of the Initiative was limited, it evolved into a recognized national movement within 2 years, supported by collaboration among government, civil society and community groups.<\/p>\n                  <\/sec>\n                  <sec>\n                    <title>Conclusions.<\/title>\n                    <p>Implementation of the St. Lucia Moves Initiative demonstrates the potential of evidence-based, multisectoral strategies to address the growing burden of NCDs. The program highlights the importance of strong leadership, phased implementation and youth engagement in promoting behavior change. The Initiative provides a promising model for small island developing states seeking to implement coordinated, data-driven approaches to reduce NCD risk factors and improve population health.<\/p>\n                  <\/sec>","DOI":"10.26633\/rpsp.2026.56","type":"journal-article","created":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T14:28:26Z","timestamp":1788186506000},"page":"1","source":"Crossref","is-referenced-by-count":0,"title":["Multisectoral action to prevent noncommunicable diseases in Saint Lucia"],"prefix":"10.26633","volume":"50","author":[{"given":"Shana","family":"Philbert","sequence":"first","affiliation":[{"name":"Ministry of Health, Wellness and Nutrition, Vieux Fort, Saint Lucia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eden H.","family":"Augustus","sequence":"additional","affiliation":[{"name":"eden.augustus@gmail.com"},{"name":"Pan American Health Organization\/World Health Organization Office for the Eastern Caribbean Countries, Bridgetown, Barbados"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Taraleen","family":"Malcolm","sequence":"additional","affiliation":[{"name":"Pan American Health Organization\/World Health Organization Office for the Eastern Caribbean Countries, Bridgetown, Barbados"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"11167","reference":[{"key":"ref1","unstructured":"World Health Organization. Noncommunicable diseases: key facts [Internet]. Geneva: WHO; 2023 [cited 2026 Mar 11]. Available from: https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/noncommunicable-diseases"},{"key":"ref2","unstructured":"World Bank. The growing danger of non-communicable diseases: acting now to reverse course. Washington (DC): World Bank; 2011. https:\/\/documents.worldbank.org\/en\/publication\/documents-reports\/documentdetail\/196871468336643958"},{"key":"ref3","unstructured":"Pan American Health Organization. Noncommunicable diseases: overview [Internet]. Washington (DC): PAHO; 2026 [cited 2026 Mar 11]. Available from: https:\/\/www.paho.org\/en\/topics\/noncommunicable-diseases"},{"key":"ref4","doi-asserted-by":"crossref","unstructured":"Alleyne G, Stuckler D, Alwan A. The hope and the promise of the UN Resolution on non-communicable diseases. Lancet. 2010;378:641\u20132. doi: 10.1186\/1744-8603-6-15","DOI":"10.1186\/1744-8603-6-15"},{"key":"ref5","unstructured":"World Health Organization. Global health estimates: leading causes of death [online database]. Geneva: WHO; 2026 [cited 2026 Mar 11]. Available from: https:\/\/www.who.int\/data\/gho\/data\/themes\/mortality-and-global-health-estimates\/ghe-leading-causes-of-death"},{"key":"#cr-split#-ref6.1","unstructured":"Ministry of Health, Wellness and Nutrition, Saint Lucia. Ministry of Health officially releases the results of the 2019\/2020 STEPS survey [Internet]. Castries: Ministry of Health"},{"key":"#cr-split#-ref6.2","unstructured":"2020. [cited 2026 Mar 11] Available from: https:\/\/www.govt.lc\/news\/ministry-of-health-officially-releases-the-results-of-the-2019-2020-steps-survey"},{"key":"ref7","unstructured":"Pan American Health Organization. Saint Lucia STEPS Survey 2012: fact sheet. Geneva: WHO; 2012. https:\/\/www.who.int\/publications\/m\/item\/2012-steps-fact-sheet-saint-lucia"},{"key":"#cr-split#-ref8.1","unstructured":"World Health Organization. STEPS 2019: Saint Lucia 2019-2020 [online database]. Geneva: WHO"},{"key":"#cr-split#-ref8.2","unstructured":"2020 [cited 2026 Mar 11]. Available from: https:\/\/extranet.who.int\/ncdsmicrodata\/index.php\/catalog\/942"},{"key":"ref9","doi-asserted-by":"crossref","unstructured":"McLeroy KR, Bibeau D, Steckler A, Glanz K. An ecological perspective on health promotion programs. Health Educ Q. 1988;15(4):351\u201377. doi: 10.1177\/109019818801500401","DOI":"10.1177\/109019818801500401"},{"key":"ref10","unstructured":"Caribbean Community. Declaration of Port of Spain: uniting to stop the epidemic of chronic NCDs [Internet]. Georgetown: CARICOM; 2007 [cited 2026 Mar 11]. Available from: https:\/\/caricom.org\/declaration-of-port-of-spain-uniting-to-stop-the-epidemic-of-chronic-ncds\/"},{"key":"ref11","doi-asserted-by":"crossref","unstructured":"Samuels TA, Kirton J, Guebert J. Monitoring compliance with high-level commitments in health: the case of the CARICOM Summit on Chronic Non-Communicable Diseases. Bull World Health Organ. 2014;92(4): 270\u201376B. doi: 10.2471\/BLT.13.126128","DOI":"10.2471\/BLT.13.126128"},{"key":"ref12","unstructured":"World Health Organization, Pan American Health Organization. Bridgetown Declaration on NCDs and mental health. Geneva: WHO; 2023. https:\/\/www.who.int\/publications\/m\/item\/2023-bridgetown-declaration-on-ncds-and-mental-health"},{"key":"ref13","unstructured":"World Health Organization. Global action plan for the prevention and control of noncommunicable diseases 2013\u20132020. Geneva: WHO; 2013. https:\/\/iris.who.int\/handle\/10665\/94384"},{"key":"ref14","unstructured":"Caribbean Community. Caribbean Moves [Internet]. Georgetown: CARICOM; 2018 [cited 2026 Mar 11]. Available from: https:\/\/caricom.org\/tag\/caribbean-moves\/"},{"key":"ref15","unstructured":"Pan American Health Organization. Plan of action for the prevention and control of noncommunicable diseases in the Americas 2013\u20132019. Washington (DC): PAHO; 2014. http:\/\/iris.paho.org\/xmlui\/handle\/123456789\/35009"},{"key":"ref16","unstructured":"World Health Organization. Tackling NCDs: best buys and other recommended interventions for the prevention and control of noncommunicable diseases. 2nd ed. Geneva: WHO; 2024. https:\/\/iris.who.int\/handle\/10665\/376624"},{"key":"ref17","unstructured":"Kickbusch I, Gleicher D. Governance for health in the 21st century. Copenhagen: WHO Regional Office for Europe; 2012. https:\/\/iris.who.int\/handle\/10665\/326429"},{"key":"ref18","doi-asserted-by":"crossref","unstructured":"Rasanathan K, Bennett S, Atkins V, Beschel R, Carrasquilla G, Charles J, et al. Governing multisectoral action for health in low- and middle-income countries. PLoS Med. 2017;14:e1002285. doi:10.1371\/journal.pmed.1002285","DOI":"10.1371\/journal.pmed.1002285"},{"key":"ref19","doi-asserted-by":"crossref","unstructured":"Nugent R. A chronology of global assistance funding for NCD. Glob Heart. 2016;11:371\u20134. doi:10.1016\/j.gheart.2016.10.027","DOI":"10.1016\/j.gheart.2016.10.027"},{"key":"ref20","unstructured":"Pan American Health Organization. In-depth qualitative analysis of noncommunicable diseases: multisectoral action plans in the Caribbean. Washington (DC): PAHO; 2018. https:\/\/iris.paho.org\/handle\/10665.2\/49093"},{"key":"ref21","doi-asserted-by":"crossref","unstructured":"Beaglehole R, Bonita R, Horton R, Adams C, Alleyne G, Asaria P, et al. Priority actions for the non-communicable disease crisis. Lancet. 2011;377:1438\u201347. doi: 10.1016\/S0140-6736(11)60393-0","DOI":"10.1016\/S0140-6736(11)60393-0"},{"key":"ref22","unstructured":"Pan American Health Organization. Rapid mobile phone survey (RaMPS) on noncommunicable diseases (NCDs): Saint Lucia, 2022. Washington (DC): PAHO; 2022."},{"key":"ref23","doi-asserted-by":"crossref","unstructured":"Samuels TA, Guell C, Legetic B, Unwin N. Policy initiatives, culture and the prevention and control of chronic non-communicable diseases (NCDs) in the Caribbean. Ethn Health. 2012;17(6):631\u201349. doi: 10.1080\/13557858.2012.752072","DOI":"10.1080\/13557858.2012.752072"},{"key":"ref24","unstructured":"World Health Organization. Health in all policies: Helsinki statement. Framework for country action. Geneva: World Health Organization; 2014. https:\/\/iris.who.int\/handle\/10665\/112636"}],"container-title":["Revista Panamericana de Salud P\u00fablica"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/iris.paho.org\/bitstreams\/04cf0423-09b4-46f9-b6d0-01e10eaf5360\/download","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T14:28:28Z","timestamp":1788186508000},"score":1,"resource":{"primary":{"URL":"https:\/\/iris.paho.org\/handle\/10665.2\/72106"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,31]]},"references-count":26,"alternative-id":["RPSP.2026.56"],"URL":"https:\/\/doi.org\/10.26633\/rpsp.2026.56","relation":{},"ISSN":["1020-4989","1680-5348"],"issn-type":[{"value":"1020-4989","type":"print"},{"value":"1680-5348","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,31]]}}}