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ICB full page ad<br />

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CHALLENGE TO CHANGE<br />

Vol. 10 No.3 Sept - December 2007<br />

A <strong>Public</strong>ation <strong>of</strong><br />

The <strong>Office</strong> <strong>of</strong> <strong>Public</strong> <strong>Sector</strong> <strong>Reform</strong><br />

E. Humphrey Walcott Building<br />

Cr. Collymore Rock &<br />

Culloden Road<br />

Telephone 467-4400<br />

Fax: 429-6089<br />

E-mail: Feedback@reform.gov.bb<br />

Website: www.reform.gov.bb<br />

Contributors:<br />

Ministry <strong>of</strong> Health<br />

- Denise Carter-Taylor<br />

Network Services Centre<br />

National HIV/AIDS Commission<br />

- Fabian Todd<br />

- Marilyn Sealy<br />

Customs & Excise Department<br />

- Andrew Gittens<br />

- The Performance Review &<br />

Development System Unit<br />

Barbados Fire Service<br />

Marva Hinds<br />

Government Information<br />

Service<br />

Photography:<br />

Nation Publishing Company<br />

Karl Smith<br />

Government Information Service<br />

Layout:<br />

Jennifer Ward -Garnes<br />

Cartoons:<br />

Guy O’Neal<br />

Please keep sending your letters and let us<br />

know what you think about this publication.<br />

Ideas or initiatives are always welcome to<br />

improve the <strong>Public</strong> <strong>Sector</strong> <strong>Reform</strong> process.<br />

Contents<br />

The Challenge to Wellness 4 – 5 & 23<br />

The Employee Assistance Programme<br />

Seeking to address Stress<br />

Management in the workplace 6 – 7<br />

National HIVAIDS Commission<br />

forgoing ahead with its mandate 8 – 9<br />

Why ‘Behaviour Change<br />

Communication’ 10 – 11<br />

The Modernization <strong>of</strong> Customs,<br />

Excise and Value Added Tax Areas 12 – 13<br />

Leading Human Resource<br />

Practitioner retires from the<br />

<strong>Public</strong> Service 14 – 15<br />

The Performance Review &<br />

Development System:<br />

All <strong>You</strong> Need to Know!! 16 - 17<br />

<strong>Public</strong> <strong>Office</strong>rs get Vital<br />

Training in Process<br />

Re-engineering 18<br />

“Operation Reinvention:<br />

Stepping Up and Stepping Out” 18-19<br />

Finally a Procedures Manual<br />

To assist the Registry Function 19<br />

The Challenge <strong>of</strong> Establishing a<br />

Wellness Group in the <strong>Public</strong><br />

Service 20 - 21<br />

Another Government Agency<br />

Making Convenience a Priority 22<br />

“In charity there is<br />

no excess……” 22<br />

Appointments On Promotion 24<br />

3


The Challenge to Wellness<br />

WHAT ARE CNCDs<br />

Of the 190,000 Barbadians aged<br />

20 years and older, 90,000 are<br />

overweight, 38,000 suffer from<br />

hypertension or high blood<br />

pressure, 19,000 are diabetic, and<br />

one person suffers a stroke every<br />

day.<br />

Dr. Hennis, Head <strong>of</strong> the Chronic Disease Research Centre<br />

The chronic non-communicable diseases<br />

are a group <strong>of</strong> medical conditions that include<br />

heart disease, type 2 diabetes, hypertension, or<br />

high blood pressure, obesity, stroke, and some<br />

cancers such as <strong>of</strong> the breast, prostate and cervix.<br />

These conditions share many features. They<br />

develop over relatively long periods initially<br />

without causing any symptoms after which<br />

evidence <strong>of</strong> disease occurs with protracted periods<br />

<strong>of</strong> ill health, impairment <strong>of</strong> quality <strong>of</strong> life, and<br />

premature death. Chronic non-communicable<br />

diseases may be controlled and their onset<br />

delayed. They are partly genetic and lifestyle<br />

related with the diseases occurring in middle or<br />

older age after prolonged exposure to modifiable<br />

lifestyle behaviours and environmental risk<br />

factors. Lack <strong>of</strong> physical activity, high caloric<br />

intake, increased consumption <strong>of</strong> foods high in<br />

fat content, and tobacco smoking all contribute to<br />

large numbers <strong>of</strong> the population being diagnosed<br />

with the above disorders.<br />

ALARMING DEATH RATES<br />

In our region the burden <strong>of</strong> the chronic<br />

non communicable diseases is no less startling,<br />

thus for example the CNCDs account for more<br />

than half <strong>of</strong> all deaths in our region, and <strong>of</strong> these<br />

deaths 30 % are due to heart disease. Heart<br />

disease is the leading cause <strong>of</strong> death in 31 <strong>of</strong> the<br />

35 countries in Latin America and the Caribbean,<br />

and it is estimated that heart disease will cause<br />

3 times more death and disability than infectious<br />

diseases over the next 20 years in this region.<br />

Over the past 50 years here in Barbados,<br />

there has been an epidemiological transition in<br />

the pattern <strong>of</strong> disease, changing from infectious<br />

and communicable disease to that <strong>of</strong> noncommunicable<br />

diseases, which include the 5<br />

leading causes <strong>of</strong> death in our country. The<br />

CNCDs now kill more persons worldwide than<br />

malaria, tuberculosis, HIV/AIDS and several<br />

other infectious diseases combined. Indeed, the<br />

WHO estimates that CNCDs account for 60% <strong>of</strong><br />

deaths globally and almost half (49.5%) <strong>of</strong> the<br />

global burden <strong>of</strong> disease.<br />

DEVELOPMENT COST<br />

The CNCDs have the potential to affect every<br />

individual, every family and every community<br />

directly or indirectly and, by extension, can<br />

impact significantly on the socio-economic<br />

development <strong>of</strong> Barbados.<br />

In terms <strong>of</strong> cost, it is estimated that more than<br />

65% <strong>of</strong> the Queen Elizabeth Hospital’s budget<br />

provides for CNCD care. In the 7 month period<br />

April-October 2004 the Barbados Drug Service<br />

paid out approximately 16 million dollars on<br />

drugs used in the treatment <strong>of</strong> CNCDs. Indirect<br />

costs for diabetes, i.e. loss <strong>of</strong> productivity,<br />

sickness, benefits, and loss <strong>of</strong> earnings due to<br />

4


premature death have been calculated at more<br />

than 138 million US dollars annully.<br />

WHAT NEEDS TO BE DONE<br />

Despite the many challenges, there is,<br />

nevertheless, much that can be done to slow<br />

and delay the epidemic <strong>of</strong> the CNCDs. This<br />

requires two approaches, firstly, a reduction<br />

in the modifiable risk factors for chronic noncommunicable<br />

diseases thus leading to the<br />

postponement <strong>of</strong> these diseases resulting<br />

in healthier older people and, secondly,<br />

establishment <strong>of</strong> cost effective programmes to<br />

treat the chronic non-communicable diseases<br />

when they do occur.<br />

GOVERNMENT ACTION<br />

The Ministry <strong>of</strong> Health has, over the past several<br />

years, attempted to deal with the chronic noncommunicable<br />

diseases by establishing treatment<br />

programmes and addressing the modifiable risk<br />

factors for the Chronic Non-Communicable<br />

Diseases; and, in its Barbados Strategic Plan<br />

for Health, 2002-2010 identified Tackling <strong>of</strong><br />

the Chronic Non-Communicable Diseases as a<br />

national priority. In 2004, the Ministry <strong>of</strong> Health<br />

published a defining document titled Strategy<br />

for the Prevention and Control <strong>of</strong> CNCDs which<br />

called for ,among other things, the establishment<br />

<strong>of</strong> a CNCD Commission. In the following year<br />

the Ministry <strong>of</strong> Health sponsored International<br />

Consultation on a Strategy for the Prevention<br />

and Control <strong>of</strong> Non-Communicable Diseases for<br />

Barbados.<br />

THE ROLE OF THE COMMISSION<br />

In January, the Health Ministry established the<br />

National Chronic Non-Communicable Diseases<br />

Commission which consists <strong>of</strong> 18 members<br />

whose expertise and disciplines are gathered<br />

from a wide cross section <strong>of</strong> the community. The<br />

National CNCD Commission’s mandate will be<br />

to develop and promote well planned strategies<br />

for the control <strong>of</strong> CNCDs with specific emphasis<br />

on an inter-sectoral and multidisciplinary<br />

approach. It will advise the Ministry <strong>of</strong> Health<br />

on CNCD policies and legislation, e.g. in relation<br />

to food availability, workplace issues, measures<br />

to increase participation in physical activity and<br />

tobacco control. The Commission will be the<br />

focal point <strong>of</strong> activity drawing on the expertise and<br />

disciplines from all aspects <strong>of</strong> society; forming<br />

partnerships with the Ministry <strong>of</strong> Education,<br />

<strong>You</strong>th Affairs and Sports, the Ministry <strong>of</strong><br />

Agriculture, the Ministry <strong>of</strong> Finance, Corporate<br />

Barbados, Non-governmental Organisations, the<br />

Audio visual and print media and community<br />

groups. It is anticipated that urgent areas to be<br />

addressed will be risk reduction, evaluation and<br />

planning, education and information systems.<br />

“The Commission has the potential to<br />

serve as a focal point, be an umbrella<br />

body, a national resource, facilitator,<br />

an advocacy body and an instrument<br />

for positive change aimed at slowing<br />

and delaying the onset <strong>of</strong> the epidemic<br />

<strong>of</strong> the chronic non-communicable<br />

diseases.”<br />

Pr<strong>of</strong>essor Trevor Hassell, Chairman <strong>of</strong> the National Chronic<br />

Non-communicable Diseases Commission<br />

A CNCD REGISTRY<br />

In addition to the Commission, the Ministry <strong>of</strong><br />

Health in Barbados is the first in the Eastern<br />

Caribbean to establish a CNCD Registry. By<br />

documenting the incidence, natural history<br />

and outcomes <strong>of</strong> cases <strong>of</strong> CNCDs the Ministry<br />

will be more effective in planning policies and<br />

programmes based on evidence. Within recent<br />

time, there have been major concerns about the<br />

lack <strong>of</strong> sufficient data and information to guide<br />

financial, human resource and social policies.<br />

Other initiatives that have been implemented<br />

include the establishment <strong>of</strong> a Health Promotion<br />

Unit and the creation <strong>of</strong> the post Senior Medical<br />

health <strong>Office</strong>r with responsibility for the<br />

CNCDs.<br />

SMART PARTNERSHIPS<br />

To further strengthen the evidence base for<br />

action on CNCDs, the Ministry <strong>of</strong> Health and<br />

the Barbados Statistical Service (BSS) have<br />

conducted a Behavioural Risk Factor Survey<br />

which investigates lifestyle habits including<br />

diet, physical activity, smoking and other<br />

health seeking behaviours among a sample <strong>of</strong><br />

the population. Through this key alliance with<br />

the BSS, it is anticipated that such data will be<br />

collected on a continuous basis.<br />

Continued on page 23<br />

5


The Employee Assistance Programme<br />

seeking to address Stress Management<br />

in the workplace<br />

Modern Life with its de-emphasis<br />

on community and its emphasis<br />

on individual pursuits and<br />

achievements has resulted in ever<br />

spiralling levels <strong>of</strong> stress on its<br />

unsuspecting subjects.<br />

Stress has become the buzz word in the last two<br />

decades or so with many physical and emotional<br />

problems being linked to it. Medical practitioners<br />

are becoming increasingly more attuned to<br />

the psychological impact <strong>of</strong> environment or<br />

people’s health and, in some cases, are ruling out<br />

physical and physiological causation in favour<br />

<strong>of</strong> exploring the impact <strong>of</strong> stress. The teaching<br />

pr<strong>of</strong>ession has been impacted significantly by the<br />

force <strong>of</strong> modernity which has brought changes<br />

in value system and ushered in an era <strong>of</strong> rights<br />

over responsibility. This has resulted in many<br />

teachers seeking assistance for the high levels<br />

<strong>of</strong> stress either personally or referred by their<br />

medical practitioner. Network Services Centre<br />

in conjunction with the <strong>Office</strong> <strong>of</strong> <strong>Public</strong> <strong>Sector</strong><br />

<strong>Reform</strong> has been conducting Stress Management<br />

workshops for Teachers as a preventative<br />

response to this reality.<br />

Network Services Centre Inc. located at Kingston Terrace,<br />

Welches, St. Michael<br />

These workshops are geared toward a<br />

Behavioural Approach to managing stress and<br />

therefore seek to 1. Help persons to understand<br />

the stress dynamic and its impact on physical/<br />

emotional health; 2. Build an awareness <strong>of</strong> how<br />

our bodies indicate to us when we are under<br />

stress; and 3. Equip the participants with the<br />

relevant tools for dealing with stress.<br />

In understanding the stress dynamics, it is<br />

vitally crucial to recognise and underscore the<br />

role that some jobs and personal issues play in<br />

this stress dynamics. According to Dennis Jaffe<br />

we spend approximately sixty percent <strong>of</strong> our<br />

waking productive lives at work. This being a<br />

truth, it means that work becomes a significant<br />

factor in our stress level. Work is primarily<br />

about “performance”, family life is about<br />

“acceptance and care”. It is our retreat from<br />

work. When work is stressful and family life<br />

is stressful it creates a sandwiching effect<br />

thus reinforcing and increasing our stress<br />

level. Stress impacts our bodies in a similar<br />

way to how fear impacts on us; increased<br />

levels <strong>of</strong> blood pressure and heart rate;<br />

increased perspiration; increased secretion<br />

<strong>of</strong> acids in the stomach, thereby setting <strong>of</strong>f<br />

gastro-intestinal issues and a plethora <strong>of</strong><br />

other responses.<br />

This, therefore, creates tremendous strain<br />

on the heart and circulatory system thereby<br />

creating a greater risk for heart disease in<br />

6


those that are stressed out. Frankly, stress has<br />

the ability to kill.<br />

The second phase <strong>of</strong> the seminar is to build on<br />

awareness <strong>of</strong> how the body signals to us when<br />

we are distressed. The seminar pays attention to<br />

the physical symptoms such as stooped posture,<br />

galvanic issues, as well as muscular and nerve<br />

pains. The emotional warning signals or red<br />

flags are also explored with a view to helping<br />

individuals to identify their stress map or the<br />

conflagration <strong>of</strong> symptoms that indicate when<br />

they are under stress. We recommend that<br />

participants become aware and in tune with<br />

their bodies so that they can identify when their<br />

stress level has moved from Eustress, which is<br />

normative and healthy stress, to Distress, which<br />

is Destructive stress. We also invite participants<br />

to take a number <strong>of</strong> tests to identify their stress<br />

levels.<br />

Having understood what stress is and its impact<br />

on the body, as well as our warning signals, we<br />

then move full throttle into equipping persons<br />

with tools to combat stress. Firstly, it is important<br />

that persons change their paradigm from being<br />

victim to being co-creators.<br />

In my nearly 15 years as a<br />

counsellor I have found that<br />

persons who have a life’s plan<br />

and definite goals are able to<br />

handle the rigors <strong>of</strong> life better.<br />

Persons are challenged in the session to make<br />

a personal evaluation <strong>of</strong> their life by answering<br />

three questions, “who am I”, “what makes me<br />

happy”, “where do I want to go”. The participants<br />

are challenged to make some definite decisions in<br />

their lives to reduce and manage their stress.<br />

There are some stressors which have become<br />

normative in teaching. Therefore, developing<br />

appropriate coping skills become necessary. The<br />

seven R’s for coping with stress are emphasised:<br />

1. Reframing – finding a purpose that<br />

transcends the challenges <strong>of</strong> the job and give<br />

meaning to what you do. As Confucius once<br />

said “Once there is a “why” I can handle the<br />

“what.”<br />

2. Relaxation – creating stress breaks<br />

through the day as well as a buffer zone<br />

between school and other activities.<br />

Breathing and visualisation techniques are<br />

taught.<br />

3. Rest – Adequate rest is <strong>of</strong> necessity to<br />

managing one’s stress level.<br />

4. Resolution – needing to resolve conflict<br />

quickly so that one’s inner life is not<br />

contaminated. Our mental disposition can<br />

create internal stress.<br />

5. Recreation – Exercise actually mitigates<br />

against the effects <strong>of</strong> stress and can result in<br />

a lowering <strong>of</strong> blood pressure and sugar level<br />

in the blood stream. The natural endorphins<br />

that are produced through exercise gives the<br />

mind a sense <strong>of</strong> calm and tranquillity.<br />

6. Relationship – creating at least one<br />

relationship <strong>of</strong> transparency where you can<br />

be honest and share your deepest concerns.<br />

This can be cathartic as you express pent up<br />

feelings.<br />

7. Religion - cultivating faith in God<br />

which creates a sense <strong>of</strong> security and<br />

empowerment.<br />

Our faith gives us meaning and purpose in life but<br />

it <strong>of</strong>ten gives us the strength to handle difficult<br />

Anderson Kellman<br />

Psychologist -<br />

Counsellor<br />

Network Services<br />

Centre Inc.<br />

7


National HIV /AIDS Commission forging<br />

ahead with its mandate<br />

From left to right: Director, Alies Jordan, Fabian Todd, Marilyn Sealy, Ingrid Miller, Rhonda Greenidge,<br />

Claudia Clarke, Deputy Director, Lynn Armstrong and Angela Gibbons.<br />

Since its establishment in 2001, the Barbados<br />

National HIV/AIDS Commission (NHAC) has<br />

remained ever vigilant in executing its mandate <strong>of</strong><br />

creating and strengthening partnerships which, in<br />

turn, foster an expanded response to HIV across all<br />

sectors.<br />

This vision <strong>of</strong> the Prime Minister, to move<br />

the coordination <strong>of</strong> the National AIDS Programme<br />

(NAP) from the Ministry <strong>of</strong> Health to the Prime<br />

Minister’s <strong>Office</strong> and the establishment <strong>of</strong> the<br />

NHAC in 2001, was a signal that AIDS was no<br />

longer being seen as primarily a health issue but one<br />

which affected national development.<br />

No longer should the national response to<br />

HIV be medical in orientation but social, economic,<br />

cultural and legal. No longer was HIV to be regarded<br />

as the sole purview <strong>of</strong> the Health Ministry but <strong>of</strong><br />

each and every Barbadian working towards the<br />

sustainable development <strong>of</strong> our nation. Gone are the<br />

days when the national strategic partners did their<br />

own thing. The national multi-sectoral expanded<br />

response was born.<br />

These partnerships saw the training <strong>of</strong> HIV<br />

coordinators and educators in all government<br />

ministries and over time connecting and sensitising<br />

government, the private sector and civil society<br />

about the shared responsibility <strong>of</strong> mitigating the<br />

impact <strong>of</strong> this epidemic on our population.<br />

The NHAC was now the flagship <strong>of</strong> the<br />

NAP and faced the daunting task <strong>of</strong> harmonising<br />

the various micro-level responses. This difficulty<br />

was further compounded by the diversity <strong>of</strong><br />

programming, agency territoriality, limited<br />

knowledge and understanding <strong>of</strong> HIV and AIDS<br />

and a dearth <strong>of</strong> funds with which to implement<br />

programmes.<br />

The successful harmonisation <strong>of</strong> partners<br />

within the NAP was achieved in a very systematic<br />

way: the formation <strong>of</strong> a coordinating body<br />

representing government, private sector and civil<br />

society including a member <strong>of</strong> the persons living<br />

with HIV (PLHIV) community; development <strong>of</strong> a<br />

8


tiered approach to national involvement <strong>of</strong> partners;<br />

sensitisation <strong>of</strong> in excess <strong>of</strong> 75% <strong>of</strong> government<br />

employees about HIV and related issues; initially<br />

working with eight (8) Ministries to develop and<br />

strengthen their Ministry-level AIDS Programmes<br />

and develop programme monitoring tools and an<br />

monitoring and evaluation plan, with the gradual<br />

extension <strong>of</strong> the programme to all Ministries; ongoing<br />

training in programme planning, implementation,<br />

monitoring and evaluation to build capacity to<br />

enable strategic partners to engage in programming<br />

activities; and monthly HIV Coordinators’ meetings<br />

which create a forum for idea and information<br />

sharing, programme planning and coordination,<br />

problem resolution and general NAP feedback.<br />

NHAC notable milestones<br />

Much has been achieved by the Commission<br />

since its inception. The most recent being the<br />

2007 – Cricket World Cup HIV Prevention Mass<br />

Media Campaign. The objectives <strong>of</strong> this intensive<br />

programme was to remind persons participating in<br />

cricketing events that they should behave responsibly<br />

by using condoms every time they engaged in<br />

sexual activities and to communicate the message<br />

that anyone could be infected, and everyone should<br />

seek to and could protect themselves.<br />

It was clear from the results that the<br />

campaign achieved most <strong>of</strong> the stated aims and<br />

objectives. Among the notable achievements was<br />

the fact that a significant number <strong>of</strong> the respondents<br />

indicated that they made changes to their lifestyle<br />

as a direct result <strong>of</strong> the messages emanating from<br />

the campaign.<br />

The Commission remains fully involved in<br />

all aspects <strong>of</strong> HIV awareness in Barbados and has<br />

been coordinating a HIV sensitisation programme<br />

for public service, carrying out capacity building <strong>of</strong><br />

government, private sector and civil society partners<br />

in: programme management; behaviour change<br />

communication; and monitoring and evaluation.<br />

There has also been the formation <strong>of</strong> active subcommittees<br />

<strong>of</strong> the Commission in the following<br />

areas: abstinence, youth, research, prevention and<br />

faith-based. Sports persons and entertainers have<br />

also been mobilized to form the Sports Champions<br />

and Entertainment Champions, respectively.<br />

To date, the Commission continues to execute<br />

a vibrant HIV Coordinators and Focal Point<br />

partnership forum as epitomised by the monthly<br />

coordinators’ meetings; inter-agency collaborations<br />

and involvement <strong>of</strong> government, private sector<br />

and civil society. Through this partnership the<br />

Commission has been able to develop a Monitoring<br />

and Evaluation Framework and Behaviour Change<br />

Communication Strategy with major input from all<br />

stakeholders.<br />

Universal Access: Engaging our Civil<br />

Society Partners<br />

Universal Access (UA) is certainly not a<br />

new initiative, merely a new approach to ensuring all<br />

persons in need have access to treatment. However,<br />

this process <strong>of</strong> Anti-Retro Viral provision should<br />

not occur in isolation, instead the push was for the<br />

scaling up towards universal access to prevention,<br />

treatment, care and support services. In Barbados,<br />

this is especially important, given the country’s size<br />

and extreme resource limitations.<br />

Experience has taught the National HIV/<br />

AIDS Programme that standard mobilisation efforts<br />

will capture government and private sector partners.<br />

Conversely, engaging civil society partners is<br />

neither easy nor is it straightforward. Unanimous<br />

agreement that our civil society partners must be<br />

fully involved, started with inviting them to the<br />

three-day Universal Access Consultation held from<br />

January 31 – February 2, 2006 and ensuring they<br />

were active participants in formulating targets for<br />

attaining universal access by 2010.<br />

Subsequent meetings to refine the targets<br />

did not preclude civil society involvement. These<br />

meetings have been interspersed with UA-related<br />

capacity building activities.<br />

Assured <strong>of</strong> the commitment <strong>of</strong> its<br />

government and private sector partners, the National<br />

HIV/AIDS Commission (NHAC) hosted a special<br />

consultation on UA for its civil society partners on<br />

July 16, 2007 at the Blue Horizon Hotel. What was<br />

unique about the consultation was the movement<br />

away from a mere sharing <strong>of</strong> ideas to orienting our<br />

partners on the nuances <strong>of</strong> UA and encouraging<br />

discussion and interventions to clarify any pressing<br />

concerns or issues. The highlight <strong>of</strong> the consultation<br />

was the review <strong>of</strong> the UA targets by our partners<br />

and their willing commitment to work alongside<br />

other partners to realise the goal <strong>of</strong> universal access<br />

to prevention, treatment, care and support by 2010.<br />

Fabian Todd<br />

<strong>Public</strong> Relations <strong>Office</strong>r<br />

National HIV/AIDS<br />

Commission<br />

9


Why ‘Behaviour Change<br />

Communication’<br />

There is much evidence e to prove that the<br />

National<br />

AIDS Programme (NAP) has achieved high levels <strong>of</strong><br />

awareness <strong>of</strong> HIV/AIDS, its transmission, prevention<br />

and treatment across all age groups. However,<br />

the NAP has been less successful in inducing and<br />

sustaining change in behaviours that would result in<br />

the control <strong>of</strong> the epidemic.<br />

This situation is frequently referred to as a KAP<br />

(knowledge, Attitudes and Practices) gap, where<br />

almost everyone has heard about HIV and the its<br />

prevention methods but there has been no concomitant<br />

change in their behaviour to adopt the methods<br />

known. Furthermore, even if some individuals decide<br />

to adopt one or more prevention behaviours, there<br />

are those who are not continuously practicing these<br />

behaviours.<br />

One <strong>of</strong> the reasons for the high levels <strong>of</strong> knowledge<br />

is the fact that very early in the local epidemic, the<br />

NAP sought to use Information, Education and<br />

Communication (IEC) to<br />

develop communication<br />

strategies to promote<br />

positive behaviours.<br />

However, this approach was<br />

a very undirectional way<br />

<strong>of</strong> conveying information<br />

to, in most cases, passive<br />

recipients. Furthermore,<br />

there was, in many ways, no<br />

supportive environment to<br />

enable individuals to practice<br />

safer sexual behaviours.<br />

The bottom line is that, IEC<br />

campaigns are <strong>of</strong>ten better at<br />

imparting knowledge and information than they are<br />

at inspiring behaviour change.<br />

To this end, the National HIV/AIDS Commission<br />

has sought to implement behaviour change<br />

communication as a key component <strong>of</strong> the NAP.<br />

Behaviour Change Communication is a process <strong>of</strong><br />

working with individuals, communities and societies<br />

to develop communication strategies to promote<br />

positive behaviours and provide a supportive<br />

environment. BCC recognizes that presenting facts<br />

alone does not ensure behaviour change. BCC<br />

strategies are therefore designed to accommodate the<br />

stage <strong>of</strong> behaviour adoption <strong>of</strong> an individual or group<br />

and to cultivate skills integrally needed to enable and<br />

sustain change.<br />

BCC comprises targeted interventions within<br />

vulnerable populations. HIV programmers first have<br />

to assess the vulnerability and risk factors <strong>of</strong> the<br />

population, as well as the motivators and barriers to<br />

behaviour change. Appropriate messages then have<br />

to be designed using the correct media and channels<br />

to disseminate the relevant information.<br />

In addition, a system for accessibility<br />

<strong>of</strong> services and resources has to be<br />

implemented.<br />

Inspiring behaviour change is <strong>of</strong>ten<br />

a slow process. It is usually a series<br />

<strong>of</strong> different influences that reach<br />

the individual. It could be a panel<br />

discussion, an awareness concert,<br />

brochure or a television advertisement.<br />

It should also be noted that the road to<br />

behaviour change is not straight and<br />

clear. There can be detours, stops and<br />

starts and even the loss <strong>of</strong> the ground<br />

gained. The behaviour change continuum describes<br />

the levels <strong>of</strong> change that people <strong>of</strong>ten go through<br />

from becoming aware they have a problem to making<br />

and sustaining positive change. The levels <strong>of</strong> change<br />

include individuals being unaware, aware/concerned,<br />

knowledgeable and skilled, motivated and ready to<br />

change, trial change <strong>of</strong> behaviour and maintenance/<br />

adoption <strong>of</strong> the new behaviour.<br />

With the assistance <strong>of</strong> the World Bank, the<br />

Commission is adopting a five-year behaviour change<br />

10


interventions directed to influence the individual while<br />

ensuring an ‘environment’ that enables and supports<br />

the individual to maintain the new behaviour.<br />

communication (BCC) strategy, to achieve a shift<br />

in behaviour adoption that is required if a change<br />

in the progress <strong>of</strong> the epidemics is to be achieved.<br />

Transmission <strong>of</strong> HIV in Barbados is primarily<br />

through unprotected sexual contact. Therefore,<br />

the BCC priorities <strong>of</strong> the Commission have been<br />

classified on the basis <strong>of</strong> sexual activity. Three groups<br />

<strong>of</strong> individuals have been identified: those who never<br />

had sexual intercourse, those who have had sexual<br />

intercourse but have chosen secondary abstinence<br />

and those who currently are sexually involved.<br />

The goals <strong>of</strong> the BCC efforts are two-fold: positively<br />

affecting the current epidemics by seeking to reduce<br />

HIV primary infection rates and, influencing future<br />

disease trends by changing social norms about the<br />

timing <strong>of</strong> first sexual intercourse and gender norms<br />

associated with sexual partnering and condom use.<br />

BCC interventions will be guided by the following<br />

principles: theory-based, culturally sensitive, gender<br />

sensitive and gender specific, training <strong>of</strong> all partners,<br />

appropriate selection and use <strong>of</strong> communication<br />

approaches, inclusion <strong>of</strong> strong monitoring and<br />

evaluation component, basic research, participation<br />

and involvement <strong>of</strong> vulnerable populations and the<br />

application <strong>of</strong> an intervention planning approach. In<br />

addition, all interventions will be multi-levelled i.e.<br />

Thus far, the Commission has hired a BCC specialist,<br />

whose responsibility it is to coordinate the rollout <strong>of</strong><br />

BCC in the NAP. The BCC strategy has been approved<br />

and is now integrated into the National Strategic Plan<br />

2007-2012 <strong>of</strong> the NAP. A BCC assessment was also<br />

conducted among key strategic partners in the NAP,<br />

the findings <strong>of</strong> which have guided the development<br />

<strong>of</strong> a training module. The inaugural BCC training for<br />

partners in the NAP was held November 19 – 23, 2007.<br />

The second BCC workshop was held on November<br />

19-26, 2007. It is anticipated that by the end <strong>of</strong><br />

the current financial year more than 50 individuals<br />

from the public and private sector as well as nongovernmental<br />

organizations who are involved in HIV<br />

programming would have been trained in BCC.<br />

Based on research, the Commission very shortly<br />

will be undertaking the design and production <strong>of</strong><br />

BCC interventions. The goals <strong>of</strong> these interventions<br />

are: delaying sexual debut, consistent condom use<br />

among men, increase HIV testing, drug adherence<br />

and healthy positive living among persons living with<br />

HIV (PLHIV).<br />

Marilyn Sealy,<br />

Behaviour<br />

Change Communication<br />

Specialist, NHAC<br />

11


The Modernization <strong>of</strong><br />

Customs, Excise and<br />

Value Added Tax Areas<br />

Despite making significant i<br />

nt progress during the<br />

last decade d the Barbadian economy continues to<br />

face challenges in an era <strong>of</strong> globalisation. Against<br />

this background and, in accordance with the stated<br />

intention <strong>of</strong> transforming the tax system, the<br />

Government <strong>of</strong> Barbados, in collaboration with the<br />

Inter- American Development Bank has embarked on<br />

the Modernization <strong>of</strong> the Customs, Excise and Value<br />

Added Tax (VAT) Areas Programme. The overall<br />

objective <strong>of</strong> the programme is to assist the Government<br />

in its efforts to improve the efficiency <strong>of</strong> its Customs<br />

and Excise Department in order to improve revenue<br />

collection; facilitate and expedite legitimate commerce<br />

and travel; detect and interdict transnational crime, and<br />

help improve Barbados’ competitiveness in the global<br />

economy.<br />

The Customs Modernization Project is part <strong>of</strong> the<br />

Government <strong>of</strong> Barbados’ commitment to further<br />

public sector reform aimed at improving efficiency and<br />

economic performance. Since the last decade, the tax<br />

system has been transformed by a series <strong>of</strong> initiatives.<br />

The first steps were taken in 1992, with a simplification<br />

<strong>of</strong> personal income tax.<br />

Customs and Excise Department (CED) modernization<br />

will facilitate adaptation to impending technological<br />

and economic developments that will significantly<br />

change the environment in which productive<br />

investment and foreign trade take place. In addition,<br />

by raising the level <strong>of</strong> efficiency in the administration<br />

<strong>of</strong> Customs, Excise and VAT, it aims to mitigate the<br />

revenue reduction effects <strong>of</strong> current and expected<br />

changes, while also strengthening the CED’s law<br />

enforcement capacity in areas such as illegal narcotics,<br />

illegal firearms and ammunition, commercial fraud,<br />

money laundering and terrorism.<br />

The Programme consists <strong>of</strong> the following four (4)<br />

components:<br />

Strengthening <strong>of</strong> Customs<br />

Operations<br />

To enhance the CED’s ability to collect revenue,<br />

enforce prohibitions and restrictions and other laws<br />

to facilitate foreign trade operations while improving<br />

controls; reduce administrative costs for users <strong>of</strong><br />

services provided by Customs; and, reduce the cost<br />

<strong>of</strong> customs administration. The deliverables for this<br />

component include: (i) implementation <strong>of</strong> a postclearance<br />

audit system aimed at formalizing a risk<br />

analysis methodology as a standard procedure; (ii)<br />

training <strong>of</strong> IT human resources in Internet-related<br />

technologies in order to adequately prepare staff<br />

to deal with new technologies; (iii) drafting <strong>of</strong><br />

Customs legislation reform, aimed at updating current<br />

legislation, taking into account recent advances in<br />

technology and modern procedures; (iv) establishment<br />

<strong>of</strong> an online authorization system for other agencies<br />

in order to provide an automated interface so that<br />

government agencies are able to authorize the<br />

clearance <strong>of</strong> goods in real time (e.g., health and<br />

agricultural related products); (v) implementation <strong>of</strong><br />

workflow and document management system aimed at<br />

establishing a system that will help automate customs<br />

procedures and provide support documents scanned<br />

and available through automated means; (vi) provision<br />

<strong>of</strong> IT infrastructure for the complete automation <strong>of</strong> the<br />

CED; and (vii) achievement <strong>of</strong> ISO 9001 certification<br />

in order to help the CED’s efforts to improve current<br />

procedures and quality.<br />

Modernising <strong>of</strong> the<br />

Administration <strong>of</strong> the Value Added<br />

Tax<br />

To improve the efficiency <strong>of</strong> VAT by strengthening<br />

the process <strong>of</strong> registration, certification, filing <strong>of</strong><br />

returns and payments, as well as the selection<br />

<strong>of</strong> audit cases and control. In this regard,<br />

the component will include the following<br />

deliverables: (i) development <strong>of</strong> a strategic IT plan<br />

aimed at facilitating the implementation <strong>of</strong> a new<br />

information system to manage the VAT system<br />

in Barbados; (ii) review <strong>of</strong> current legislation<br />

and the drafting <strong>of</strong> an amendment to the VAT<br />

legislation in order to allow for the incorporation<br />

<strong>of</strong> technological elements into the VAT system;<br />

(iii) development and implementation <strong>of</strong> a new<br />

information system providing tracking case<br />

assignment; selection <strong>of</strong> cases for auditing based<br />

on cross-referencing and risk analysis; arrears<br />

classification; systematic exchange <strong>of</strong> information<br />

among Customs and Excise Department, Inland<br />

Revenue Department and other agencies; (iv)<br />

establishment <strong>of</strong> a risk analysis strategy for audit<br />

selection, providing support for the selection <strong>of</strong><br />

12


cases, based on cross-referencing third-party<br />

information and risk analysis; and (v) execution<br />

<strong>of</strong> arrears collection clearance, which will allow<br />

for the handling and management <strong>of</strong> arrears<br />

accounts. The handling <strong>of</strong> case assignment and<br />

tracing will be based on criteria such as amount<br />

and age <strong>of</strong> debt or taxpayer history.<br />

Modernisation <strong>of</strong> Excise Taxes<br />

To reform the Excise control system, in particular to<br />

transform the system from the physical stationing <strong>of</strong><br />

<strong>of</strong>ficers in Excise facilities to a control system, relying<br />

mainly on periodic audits and a computerised system.<br />

This component includes the following deliverables:<br />

(i) development <strong>of</strong> a strategic plan for excise and new<br />

procedures and the definition <strong>of</strong> guidelines to improve<br />

current processes, especially those related to audit<br />

and control; (ii) review <strong>of</strong> legislation and drafting <strong>of</strong><br />

amendments in order to provide support for audit-based<br />

controls; (iii) the development <strong>of</strong> an IT strategic plan<br />

aimed at improving current procedures, including the<br />

specifications <strong>of</strong> a new information system to manage<br />

excise processes; and (iv) the implementation <strong>of</strong> new<br />

information systems, following the IT strategic plan in<br />

order to replace all current manual procedures.<br />

Strengthening <strong>of</strong> the Administrative<br />

Support Areas<br />

To reinforce the support areas <strong>of</strong> CED in order<br />

to provide a better service at a lower cost to technical<br />

areas. This component includes the following<br />

deliverables, (i) the development <strong>of</strong> personnel pr<strong>of</strong>iles<br />

and procedures manuals; (ii) the establishment <strong>of</strong> a<br />

training system and strengthening <strong>of</strong> policy, aimed<br />

at improving efficiency and effectiveness; (iii)<br />

implementation <strong>of</strong> permanent internal controls aimed<br />

at strengthening the monitoring <strong>of</strong> compliance and<br />

applicability <strong>of</strong> procedures and regulations; and (iv)<br />

establishment <strong>of</strong> a permanent planning system in order<br />

to increase productivity through better planning.<br />

Specifically, the programme seeks (i) to facilitate<br />

import and export trade and strengthen the Customs<br />

Administration by harmonizing and simplifying<br />

current procedures, improving the audit capacity<br />

and the institutional abilities to prevent and fight<br />

transnational crime and its negative consequences;<br />

(ii) to improve compliance with the VAT and Excise<br />

Tax obligation through the modernization <strong>of</strong> the<br />

main administrative processes, especially those<br />

corresponding to tax collection and audit; (iii) to<br />

strengthen the Department’s institutional management<br />

capacity through the improvement <strong>of</strong> administrative<br />

processes and the implementation <strong>of</strong> mechanisms for<br />

the integration and strengthening <strong>of</strong> support systems<br />

(planning, internal control and human resources<br />

management).<br />

Apart from improving the collection <strong>of</strong> customs<br />

revenue, the programme also seeks to reduce the<br />

average clearance time for imports and exports; a<br />

reduction in VAT arrears; a reduction in filing late<br />

returns, electronic filing <strong>of</strong> VAT returns, a reduction in<br />

the time to process VAT refunds, and a reduction in the<br />

operational costs for the Excise Division.<br />

The total cost <strong>of</strong> the programme is estimated at $11<br />

million <strong>of</strong> which $8.8 million will be financed by<br />

the Bank as a reimbursable loan. The Government<br />

<strong>of</strong> Barbados will contribute $2.2 million. Given the<br />

scope <strong>of</strong> the project, the technical execution which<br />

commenced in January <strong>of</strong> this year is estimated to be<br />

completed in 42 months.<br />

In order to effectively manage the program a<br />

structure consisting <strong>of</strong> a Steering Committee, Project<br />

Coordinating Unit and four working teams at the<br />

level <strong>of</strong> beneficiary units has been established. The<br />

responsibility <strong>of</strong> the Steering Committee is to give<br />

strategic and policy directives on the project. The<br />

Committee comprises representatives from the<br />

Customs and Excise Department, the Ministry <strong>of</strong><br />

Finance, the Audit Department, Data Processing<br />

Department, Statistical Services, Accountant General’s<br />

<strong>Office</strong>, Barbados Chamber <strong>of</strong> Commerce and the<br />

Barbados Customs Brokers and Clerks Association.<br />

The day to day activities are managed by a Project<br />

Coordinating Unit headed by a Project Coordinator.<br />

The Programme comprises activities that involve<br />

the organisation <strong>of</strong> Work Teams whose function is to<br />

undertake the execution <strong>of</strong> activities applicable to (i)<br />

Customs; (ii) Excise; (iii) Value Added Tax; and (iv)<br />

the Administration Division.<br />

It is envisaged that the successful implementation<br />

<strong>of</strong> this programme will help improve Barbados’<br />

competitiveness as the country seeks to sustain<br />

economic growth and development in a global<br />

environment.<br />

Andrew Gittens<br />

Project Coordinator<br />

Modernization <strong>of</strong> Customs, Excise and<br />

Value Added Tax, Project Unit.<br />

13


Leading Human<br />

Resource Practitioner<br />

retires from the <strong>Public</strong><br />

Service<br />

‘The greater good for the greater many’ was but<br />

one <strong>of</strong> the guiding principles that outgoing acting<br />

Permanent Secretary, Sylvester Welch abided<br />

by throughout his thirty eight (38) year public<br />

service career. Welch or ‘Welchie’ as he was<br />

popularly known, said that he believed that the<br />

public service was one <strong>of</strong> the best places to work,<br />

although he admitted that it had its challenges.<br />

Welch’s career was built on tenacity,<br />

commitment, loyalty and the simple principles<br />

<strong>of</strong> “an honest day’s work for an honest day’s<br />

pay.” Welch met each day’s challenge headon<br />

ensuring that at the end <strong>of</strong> the day he made<br />

recommendations “for the greater good for the<br />

greater many” and which did not contravene any<br />

public service rule or regulation nor disobey any<br />

law <strong>of</strong> the land.<br />

Welch stated that throughout his career he<br />

has had the opportunity to meet wonderful people,<br />

be part <strong>of</strong> new and innovative programmes<br />

and represent government at various regional<br />

and international functions. Welch indicated<br />

that there were periods when he had to endure<br />

difficult times, and make principled stands, “but<br />

once these stands were based on equity and not<br />

by who or what someone was, I was able to sleep<br />

at night, knowing that my judgement could not<br />

be faulted.”<br />

The Rise to acting Permanent Secretary<br />

At the tender age <strong>of</strong> 17 “Welchie” started<br />

his public service career as a temporary<br />

Clerical <strong>Office</strong>r assigned to the Queen Elizabeth<br />

Hospital. He was later appointed and assigned<br />

to the Water Works Department where he would<br />

spend nineteen (19) years, as Clerical <strong>Office</strong>r,<br />

Senior Clerk, Assistant Personnel <strong>Office</strong>r and<br />

Personnel <strong>Office</strong>r. It was during these years that<br />

Welch’s interest in Human Resource Management<br />

(HRM) was sparked. This interest in HRM was<br />

further intensified when he was assigned to the<br />

post <strong>of</strong> Senior Personnel <strong>Office</strong>r at the Ministry<br />

<strong>of</strong> Health; during this assignment Welch solidified<br />

his Human Resource experience by successfully<br />

completing a Masters degree in Human Resource<br />

Management. His next assignment was with the<br />

Personnel Administration Division (PAD) as a<br />

Principal Personnel <strong>Office</strong>r. This assignment<br />

was to prepare him for the Deputy Permanent<br />

Secretary Post to which he would be appointed<br />

by December 2004. As Welch approached his<br />

last assignment, that <strong>of</strong> Permanent Secretary<br />

(ag), Training Administration Division, he had<br />

completed a full spectrum <strong>of</strong> leadership roles<br />

in the management <strong>of</strong> Human Resource in the<br />

public service.<br />

Achievements<br />

During Welch’s tenure at the Ministry <strong>of</strong> Health<br />

he was part <strong>of</strong> the administrative team that laid<br />

the ground work for the provision <strong>of</strong> open heart<br />

surgery in Barbados, and as Senior Personnel<br />

<strong>Office</strong>r he was primarily responsible for the<br />

additional staffing required for the new cardiac<br />

unit. Welch also spearheaded the coordination <strong>of</strong><br />

the Ministry’s Human Resources Strategic Plan<br />

for the period 1995-2000. This plan brought about<br />

a number <strong>of</strong> achievements in the health sector,<br />

14


such as the reorganisation <strong>of</strong> the rehabilitation<br />

therapy service. Welch was also instrumental in<br />

providing for improved training for Dental and<br />

<strong>Public</strong> Health Assistants through the Barbados<br />

Community College. In addition, he facilitated a<br />

deeper collaboration with PAHO in respect <strong>of</strong> the<br />

training <strong>of</strong> health pr<strong>of</strong>essionals.<br />

While at the Personnel Administration Division,<br />

Welch, was part <strong>of</strong> a revolutionary <strong>Public</strong> <strong>Sector</strong><br />

<strong>Reform</strong> exercise in Performance Management,<br />

as part <strong>of</strong> a team that designed and developed<br />

training manuals to ensure that public <strong>of</strong>ficers<br />

would easily understand the new performance<br />

appraisal system – The Performance Review and<br />

Development System.<br />

At the Ministry <strong>of</strong> Civil Service, Welch notes<br />

that one <strong>of</strong> his major achievements was the<br />

chairmanship <strong>of</strong> the Job Evaluation Committee<br />

during the <strong>Public</strong> Service Job Evaluation Exercise.<br />

He is proud that throughout the exercise he was<br />

transparent, objective and beneficial to the public<br />

service.<br />

While at Training Administration Division only<br />

for sixteen months, he was able to improve<br />

internal communications greatly by establishing<br />

intra-<strong>of</strong>fice mail, the introduction <strong>of</strong> a monthly<br />

newsletter and the re-development <strong>of</strong> the<br />

Division’s Website.<br />

Contribution to the Social development<br />

<strong>of</strong> the organisation<br />

Throughout his entire career, Welch has held<br />

many posts and has had the opportunity to<br />

represent the public service at local, regional and<br />

international meetings and workshops, and, as<br />

a result,to many he has worn many hats: leader,<br />

pioneer and mentor. However, one <strong>of</strong> Sylvester<br />

Welch’s lasting legacies would be the sharing <strong>of</strong><br />

his knowledge and his experiences<br />

Above: Retiree, Sylvester Welch receiving gift<br />

from Lionel Jordan<br />

with colleagues and his subordinates. Over the<br />

years, he has always impressed upon colleagues,<br />

especially those working in the area <strong>of</strong> personal<br />

management, on how to deal with each matter,<br />

reminding them that each file that crossed their<br />

desk affects someone and that they should threat<br />

it as if a life depended on the outcome.<br />

This coaching, mentoring and sharing side <strong>of</strong><br />

Sylvester Welch was also exposed in his relations<br />

with almost all <strong>of</strong> the sports and social clubs to<br />

which he was associated. A founding member<br />

<strong>of</strong> the Barbados Water Authority Club, he looks<br />

forward to this day with glee in participating in<br />

any activity in which the Club takes part. This<br />

could also be said in clubs at the PAD and MCS<br />

where he is also an active member, for Sylvester<br />

believed that building harmonious working<br />

relations through the establishment <strong>of</strong> sports and<br />

social clubs helped to bring out the best among<br />

colleagues and improved working relationships<br />

100% more effectively than any mandated<br />

grouping.<br />

Sylvester Welch, the <strong>Public</strong> Service thanks<br />

you for over thirty (30) years <strong>of</strong> dedicated service;<br />

you leave a pair <strong>of</strong> very big boots to fill. May you<br />

have a healthy, happy and long retirement.<br />

15


The Performance Review&Development System:<br />

All <strong>You</strong> Need to Know!!<br />

Frequently asked questions<br />

I hear that before the <strong>PRDS</strong> can be implemented<br />

there are certain pre-requisites that must to be in<br />

place What are they, and who is responsible for<br />

putting them in place”<br />

Yes, this is true, before the <strong>PRDS</strong> can be<br />

implemented there are perequisites that must be<br />

in place, these include current job descriptions,<br />

procedures manual(s) an active strategic plan, and<br />

a current organisational chart.<br />

<strong>You</strong>r agency is responsible for the implementation<br />

<strong>of</strong> these perequisites.<br />

Did <strong>You</strong> Know<br />

“That information about the <strong>PRDS</strong> is available on<br />

line at www.reform.gov.bb”<br />

Know your terms<br />

PLANNING<br />

How do you build a house, a career, or improve<br />

your health without a plan<br />

<strong>You</strong> may be partially successful if you are in<br />

the right place at the right time, but the truth is,<br />

that’s just leaving things to ‘lady luck.’ Planning<br />

is vitally important for every aspect <strong>of</strong> our lives<br />

and it is equally important in any organisation.<br />

The Performance Review and Development<br />

System (<strong>PRDS</strong>) model <strong>of</strong> assessment is dependent<br />

on planning and communication at every stage.<br />

This involves setting and clearly communicating<br />

the performance goals and standards that are<br />

expected <strong>of</strong> the employee, the development<br />

<strong>of</strong> work plans, performance feedback and<br />

providing the necessary resources and relevant<br />

interventions.<br />

Organisational planning usually exists in four<br />

(4) levels : Strategic Plan (organisational level),<br />

Operational Plan (short term plan i.e. six months<br />

to one year), Unit Plan (section or unit level)<br />

and Work Plan (individual level). Let’s examine<br />

components <strong>of</strong> each <strong>of</strong> these plans.<br />

THE STRATEGIC PLAN<br />

Strategic Planning addresses such pragmatic<br />

questions as:<br />

• Where is the organisation now (assessment/<br />

review)<br />

• Where does the organisation wish to go<br />

(objectives)<br />

• How will the organisation get there<br />

(strategy)<br />

• Who will do what (implementation/<br />

execution)<br />

• How is the organisation doing (monitoring<br />

and evaluation)<br />

The Strategic Plan should include the following:<br />

• A vision <strong>of</strong> where the organisation wishes<br />

to be in the future;<br />

• A comprehensive mission statement on<br />

the major functions and operations <strong>of</strong> the<br />

ministry/department;<br />

• Outcome –related goals and objectives for<br />

the major functions and operations;<br />

• A description <strong>of</strong> how goals and objectives<br />

are to be achieved, including the necessary<br />

resources;<br />

• Stated performance indicators;<br />

• An integrated action plan with<br />

implementation strategies; and<br />

• An identification <strong>of</strong> key factors that could<br />

significantly affect the achievement <strong>of</strong> the<br />

stated goals and objectives.<br />

16


Below is an illustration <strong>of</strong> the work planning<br />

process as designed under the <strong>PRDS</strong>:<br />

WORK PLANNING PROCESS<br />

Min/Dept.<br />

Unit/Section Unit/Section Unit/Section<br />

Strategic Plan<br />

3-5 yrs<br />

Operational<br />

Plan-1 yr<br />

C o m m u n i c a t i o n<br />

to be resolved or both. To accomplish a project<br />

or solve a problem, the Unit Work Plan is broken<br />

down as follows:<br />

Unit Work<br />

Plan<br />

C o m m u n i c a t i o n<br />

Individual<br />

Work Plan<br />

♦ The objectives to achieve the<br />

projects or solve the problem/s;<br />

♦ The resources which will be<br />

needed;<br />

♦ The key activities/tasks to be<br />

performed in working to achieve the<br />

stated objectives;<br />

♦ The required standard and time<br />

frame for the activities;<br />

♦ Who is assigned responsibility for<br />

the key activities;<br />

♦ Means <strong>of</strong> verifying that an activity<br />

has been completed; and<br />

♦ Current status <strong>of</strong> each activity.<br />

Objectives<br />

THE OPERATIONAL PLAN:<br />

This short-term plan identifies the objectives or<br />

targets the organisation must meet during the<br />

planned period. It is usually six to twelve months<br />

for example the Programme Budget document<br />

which specifies projects and related resources for<br />

the fiscal/financial year.<br />

THE UNIT WORK PLAN<br />

In the <strong>PRDS</strong>, the Strategic Plan provides the<br />

framework for work planning at all levels. The<br />

objectives outlined in the Operational Plan each<br />

year, provide the basis for setting objectives for<br />

the Unit Work Plan and the Individual Work<br />

Plan. Together, these plans ensure that the<br />

organisation achieves its objectives, its mission<br />

and vision.<br />

The Unit Work Plan operationalises the role that<br />

the Unit/Section must play in order to ensure that<br />

the goals and the objectives <strong>of</strong> the organisation<br />

are met. The Unit Work Plan states the purpose <strong>of</strong><br />

the Unit, its role and its responsibilities. It also:<br />

• Identifies where groups or individuals<br />

within the Unit have common objectives;<br />

• Identifies common performance measures;<br />

and<br />

• Guides the development <strong>of</strong> individual work<br />

plans.<br />

The Unit’s programme for the operational year is<br />

defined as projects to be accomplished or problems<br />

THE INDIVIDUAL WORK PLAN<br />

Having prepared the Unit Work Plan,<br />

the next crucial step in preparation for <strong>PRDS</strong> in<br />

your Ministry or Department is the development<br />

<strong>of</strong> individual work plans. Work planning at the<br />

individual level provides the opportunity for<br />

supervisors and employees to discuss the overall<br />

objectives <strong>of</strong> the Ministry/Department for the<br />

particular year and the individual’s contribution<br />

in helping the organisation to achieve its main<br />

objectives.<br />

The Individual Work Plan is a document in which<br />

there is an agreement between the supervisor and the<br />

employee on what the employee is expected to do<br />

during the coming year in line with the employee’s<br />

job description. It is this plan that will be used to<br />

appraise employees on a quarterly basis.<br />

The Individual Work Plan is made up <strong>of</strong> the<br />

following:<br />

• Objectives that are Specific, Measurable,<br />

Attainable, Realistic and Time bound;<br />

• Performance Measures that indicate the<br />

quality, time or cost <strong>of</strong> the tasks to be<br />

undertaken; and<br />

• Additional skills which employees need to<br />

have in order to meet the agreed objectives.<br />

In our next issue we will explore the development<br />

<strong>of</strong> SMART objectives and performance measures in<br />

greater detail.<br />

17


<strong>Public</strong> <strong>Office</strong>rs get Vital<br />

Training in Process<br />

Re-engineering<br />

“Operation<br />

Reinvention: Stepping<br />

Up and Stepping Out”<br />

A specially designed training workshop was<br />

recently conducted by Global Business at the<br />

Blue Horizon Hotel for middle and senior<br />

personnel <strong>of</strong> the Ministry <strong>of</strong> the Civil Service<br />

and the <strong>Office</strong> <strong>of</strong> <strong>Public</strong> <strong>Sector</strong> <strong>Reform</strong>.<br />

Permanent Secretary, Ronald Fitt, indicated<br />

that the process re-engineering training was<br />

timely given the ever increasing demands<br />

placed on government for a wide variety <strong>of</strong><br />

services. The Permanent Secretary stated<br />

in his welcome address that, it is important<br />

that public sector agencies are structured<br />

and streamlined in such a way that they<br />

attain the highest level <strong>of</strong> efficiency in the<br />

operations. Mr. Fitt said that, given the role<br />

that the Ministry <strong>of</strong> the Civil Service, and<br />

the <strong>Office</strong> <strong>of</strong> <strong>Public</strong> <strong>Sector</strong> <strong>Reform</strong> play in<br />

helping to provide the human resource and<br />

organisation’s capacity in the public sector,<br />

the training will ensure that they are fully<br />

equipped to discharge their functions with<br />

competence and skill. The facilitators for<br />

the programme, Mr. Anthony Sobers and<br />

Vancourt Rouse explored such issues as<br />

the principles <strong>of</strong> Process Re-engineering,<br />

creating a Process Audit Plan, Analyzing and<br />

sharing audit results as well as examining<br />

process re-engineering tools and techniques.<br />

Service management process, re-engineering<br />

and conducting staff audits were also covered<br />

in this dynamic two-day workshop.<br />

An old<br />

adage states that –“an ounce <strong>of</strong><br />

prevention is worth a pound <strong>of</strong> cure”. Fires can<br />

occur at anytime, anyplace, without warning<br />

causing pain, destruction as well as loss <strong>of</strong><br />

life. Fires kill silently, it is one <strong>of</strong> the leading<br />

causes <strong>of</strong> accidental injury and death amongst<br />

children. Simply stated, fire prevention is a<br />

serious business.<br />

Statistics for the period January to November<br />

12, 2007 indicate that 2436 calls were received<br />

by the Barbados Fire Service for assistance.<br />

Annual statistics recorded by the Barbados Fire<br />

Service during the four year period 2003/2006<br />

are as follows:<br />

Year 2003 2004 2005 2006<br />

Total 2717 1589 2327 2924<br />

In an attempt to mitigate against the incidence<br />

<strong>of</strong> fires and threat to life, the Barbados Fire<br />

Service has established “The Fire Prevention<br />

& Community Relations Unit,” located<br />

at Worthing Fire Station, Worthing, Christ<br />

Church. The Unit will play a pivotal role in<br />

educating members <strong>of</strong> the public on aspects <strong>of</strong><br />

fire prevention and safety. More importantly, it<br />

will ensure the establishment <strong>of</strong> a frame work<br />

for continued collaboration between the Fire<br />

Service and the public at large.<br />

In addition, we will be introducing/implementing<br />

our new strategy named – “Operation<br />

Reinvention: Stepping Up and Stepping Out”.<br />

One may ask the question – Why ‘reinvention’<br />

Reinvent means to remake or make over.<br />

Through this initiative the Fire Department will<br />

identify existing practices, examine strengths,<br />

weaknesses, opportunities and threats.<br />

The primary objectives <strong>of</strong> this mission are as<br />

follows:<br />

• To reduce the loss <strong>of</strong> life and property due to<br />

fire.<br />

18


• Reduce fire insurance premiums for property<br />

owners<br />

• Reduce the economic loss<br />

• Improve public relations<br />

• Be pro-active in preventing fires<br />

• Reduce fire department operating expenses<br />

• Improve public safety<br />

• Improve operational personnel knowledge<br />

BENEFITS<br />

Opportunity to promote new initiatives<br />

1. Educate the public on the benefits<br />

and needs for residential fire<br />

sprinklers;<br />

2. Stress the importance <strong>of</strong> preventing<br />

fires;<br />

3. Educate the public on the value <strong>of</strong><br />

fire codes and the importance <strong>of</strong><br />

strict enforcement;<br />

4. Educate the public on the value<br />

<strong>of</strong> building codes in reducing the<br />

potential or severity <strong>of</strong> a fire;<br />

5. Promote the value <strong>of</strong> home fire<br />

safety inspections.<br />

Since its inception, the Fire Prevention &<br />

Community Relations Unit has developed<br />

several relationships to assist in achieving its<br />

goal and in carring out its mandate. A number<br />

<strong>of</strong> projects/programmes have been implemented<br />

in several governmental agencies in addition to<br />

targeting small entrepreneurs who operate from<br />

their homes.<br />

The goal <strong>of</strong> the Fire Prevention Bureau is to<br />

reduce loss <strong>of</strong> life and property. The basic design<br />

for effective fire fighting includes practical fire<br />

prevention efforts in conjunction with other fire<br />

suppression activities. When a strong prevention<br />

program is incorporated into the daily routines <strong>of</strong><br />

firefighters we will expect a reduction in tangible<br />

fire loss.<br />

While fire prevention and code enforcement<br />

may be the primary responsibility <strong>of</strong> the fire<br />

prevention organization in a department, it is<br />

the responsibility <strong>of</strong> everyone in the department.<br />

While fire prevention may not be as glamorous<br />

as firefighting, it is more rewarding when you do<br />

not have to look at someone who has lost their<br />

property or even worse, the life <strong>of</strong> a loved one.<br />

Finally A Procedures<br />

Manual To Assist The<br />

Registry Function<br />

Within recent years there has been increasing<br />

concern regarding the efficiency and effectiveness<br />

<strong>of</strong> registries in Barbados’ <strong>Public</strong> Service. And, as<br />

such, a decision was taken to conduct a study <strong>of</strong><br />

registries to determine best practices with a view<br />

to developing standards service-wide.<br />

The <strong>Office</strong> <strong>of</strong> <strong>Public</strong> <strong>Sector</strong> <strong>Reform</strong> began the<br />

project by inviting a wide cross-section <strong>of</strong> Senior<br />

Clerks and other registry personnel from various<br />

government agencies to attend a “Standardisation<br />

<strong>of</strong> Registry Systems and Procedures Workshop”.<br />

At this workshop participants shared information<br />

on the operations <strong>of</strong> their respective registries<br />

and discussed their problems and concerns.<br />

Further research conducted throughout the public<br />

service identified a number <strong>of</strong> problems. These<br />

included:<br />

Classification systems that were neither logical<br />

nor consistent;<br />

The absence <strong>of</strong> procedural manuals;<br />

Large volumes <strong>of</strong> temporary, duplicate and<br />

inactive files;<br />

No set <strong>of</strong> rules for naming files;<br />

Large volumes <strong>of</strong> closed files in the registry; and<br />

Difficulties tracking files.<br />

The problems identified above were further<br />

compounded by the frequent turnover <strong>of</strong> staff in<br />

many registries.<br />

Our next step involved extensive benchmarking<br />

conducted among registries in our public service<br />

agencies and a number <strong>of</strong> Commonwealth<br />

Countries. This project has culminated in the<br />

publication <strong>of</strong> two (2) manuals: ‘Developing a<br />

File Plan/File Key and a ‘Registry Procedures<br />

Manual’.<br />

These publications will be distributed to all<br />

Ministries and Departments within the coming<br />

weeks. We hope that you will find them useful.<br />

19


The Challenge <strong>of</strong> Establishing<br />

a Wellness Group in the <strong>Public</strong><br />

Service<br />

Way back in April last<br />

year, I was<br />

reading the<br />

‘Barbados Business Catalyst’, a quarterly magazine<br />

<strong>of</strong> the Barbados Investment & Development<br />

Corporation (BIDC) issue Jan – March 2007, vol.<br />

3 #1. Entitled ‘Fit for the Challenge’, in which<br />

Wellness and Occupational Safety & Health were the<br />

main themes.<br />

An article entitled ‘Working Well: getting Employees<br />

in top shape’, indicated that an ever increasing number<br />

<strong>of</strong> employers/firms are seeking to invest in Wellness<br />

in the Workplace. Why<br />

Essentially, because the workplace has become more<br />

sedentary, the workforce is becoming fatter, sicker<br />

and less productive, due to chronic conditions such as<br />

heart disease, hypertension, and diabetes.<br />

Employee wellness programmes have long been<br />

advocated as a way to decrease healthcare cost,<br />

reduce absenteeism, and increase productivity.<br />

These programmes are designed to maintain or<br />

improve employee health before problems arise,<br />

and are essentially made up <strong>of</strong> three components i.e.<br />

health screenings, health and wellness educational<br />

programmes, and fitness programmes.<br />

The Barbados Business Catalyst highlights the<br />

Nation Publishing company’s attempt at developing<br />

a wellness culture in the Barbadian context. While,<br />

we in the public service do not have a formalised<br />

structure that supports wellness programmes, there is<br />

no reason why we cannot come together to promote<br />

wellness. We can seek to support such an initiative<br />

within structures that already exist such as Sports and<br />

Social Clubs, through Work Improvement Teams or<br />

even look at our Human Resource Departments in a<br />

whole new light. Which ever course we choose, one <strong>of</strong><br />

the good things about the <strong>Public</strong> Service is that it has<br />

an abundance <strong>of</strong> qualified health care pr<strong>of</strong>essionals<br />

within its ranks.<br />

So, armed with the above article in mind, the executive<br />

<strong>of</strong> the Ministry <strong>of</strong> the Civil Service Social Club set<br />

up a Wellness Committee to examine what could be<br />

undertaken at our workplace to improve productivity,<br />

morale, lower stress levels and improve overall<br />

wellbeing. The Committee at its inaugural meeting<br />

sought to examine the following:<br />

1. Establishment <strong>of</strong> a walking / hiking group.<br />

2. Explore the possibility <strong>of</strong> a corporate membership<br />

in an established Gym.<br />

3. Establishment <strong>of</strong> a ‘weight watchers’ style<br />

support group for persons who were overweight /<br />

underweight.<br />

4.Seek<br />

to investigate public service options in respect<br />

to medical insurance schemes.<br />

5.Seek<br />

to provide a forum for pr<strong>of</strong>essionals in the<br />

health<br />

sector to advise and educate members <strong>of</strong><br />

staff on<br />

critical health issues such as stress and time<br />

management, lifestyle changes and other issues<br />

which<br />

speak to our mental, emotional and physical<br />

wellbeing.<br />

6. Seek to utilize and harness the staff’s own knowledge<br />

in respect to healthy diets, healthy recipes and healthy<br />

formulas that have worked for them and their families.<br />

7. Seek to establish regular health screenings.<br />

Step One in our Programme – Getting<br />

Physical<br />

One <strong>of</strong> the first tasks and perhaps the easiest was<br />

to organise a walking group. We saw an open<br />

window <strong>of</strong> opportunity during the school summer<br />

vacation, when staff who were part time students<br />

and those who were parents were able to take<br />

advantage <strong>of</strong> a six week walking programme.<br />

The programme was initially for six weeks, three<br />

days a week. Three persons with plenty <strong>of</strong> gym<br />

experience were selected from the staff to conduct<br />

the warm-up and cool down sessions in the car park<br />

at 4:45 p.m. on Mondays, Tuesdays and Thursdays.<br />

Outcomes.<br />

Initially, the walkers walked as one group just to<br />

get everyone ‘physical’ however, as the walking<br />

progressed on a weekly basis, three groups emerged.<br />

Group 1. were the pace setters, these were persons that<br />

were physically active (participated in some sporting<br />

activity) or those who already made walking part <strong>of</strong><br />

their lifestyle. The majority <strong>of</strong> this group were in their<br />

late 20s early 30’s. Group 2. were persons that were<br />

reasonably fit and could maintain a fairly good pace.<br />

This group was the largest and consisted <strong>of</strong> mostly<br />

females <strong>of</strong> various ages. Group 3. walkers consisted <strong>of</strong><br />

persons that were physically inactive. Of this Group,<br />

three persons had one or more <strong>of</strong> the CNCD or had a<br />

physical impairment. The walking group consisted <strong>of</strong><br />

about 17 persons, but on average, during the six week<br />

period, numbers varied between 12 and 9. After the<br />

20


six week period, about 6 persons continued to walk<br />

three days a week. Of the six walkers, it was ironic<br />

that 4 are from group 1 (the pace setters) and the other<br />

two are from group 3 <strong>of</strong> which one has a CNCD.<br />

Almost from the very beginning, all the walkers<br />

benefited from clarity <strong>of</strong> mind. Almost everyone stated<br />

that they were better able to concentrate at work. Some<br />

said they felt calmer, others less stressed and still<br />

others said that the walking aided in a good nights rest.<br />

While the Ministry <strong>of</strong> the Civil Service (MCS) and<br />

the <strong>Office</strong> <strong>of</strong> <strong>Public</strong> <strong>Sector</strong> <strong>Reform</strong> (OPSR) are both<br />

housed in the same building and headed by the same<br />

Permanent Secretary one could not say that there was<br />

a close relationship between the two, however, since<br />

the establishment <strong>of</strong> the Social Club some barriers<br />

have started to slip. Yet, one <strong>of</strong> the most significant<br />

barrier breakers was the participation <strong>of</strong> staff from<br />

both agencies in the walking programme. As the<br />

walking progressed, it was uncanny how each group<br />

had a combination <strong>of</strong> walkers from each organisation<br />

even if the groups consisted <strong>of</strong> two persons. This<br />

pairing <strong>of</strong> minds, abilities and skills have led to greater<br />

camaraderie, and a deeper appreciation and respect<br />

<strong>of</strong> what both organisations are seeking to achieve.<br />

• Essentially, highlighting that what we eat<br />

is really a choice, at no time did any <strong>of</strong><br />

the nutritionists say ‘don’t eat this or that.’<br />

Outcomes<br />

By the end <strong>of</strong> the six week period, group members<br />

had a better understanding <strong>of</strong> how they could make<br />

adjustments to their and their families’ diets and<br />

lifestyle.<br />

For those members <strong>of</strong> the group that were suffering<br />

with a CNCD they were able to understand the role<br />

diet plays in stabilizing there condition.<br />

In the introductory session, all members <strong>of</strong> the Weight<br />

Watchers / Healthy lifestyle group BMI and body fat<br />

percentages were calculated. Most members sought<br />

to set reasonable and realistic goals to improve their<br />

condition in the long term.<br />

Step three – General Health Education<br />

Step two – Making Healthy Choices<br />

The second step on our road to wellness was the<br />

formation <strong>of</strong> a Weight Watchers / Healthy choices<br />

/ healthy living group. With the kind assistance <strong>of</strong><br />

the National Nutrition Centre we were supported<br />

in this project by a pr<strong>of</strong>essional Community<br />

Nutritionist, who introduced the group to:<br />

• Nutrition and weight management<br />

• Giving general information in respect to<br />

food values<br />

• Debunking myths and misconceptions in<br />

‘fad diets’<br />

• The role <strong>of</strong> fat in the diet – good fats and<br />

bad fats<br />

• The Importance <strong>of</strong> Physical Activity and<br />

Health<br />

• Portion size and understanding Food labels<br />

• Carbohydrates and the Glycemic Index<br />

• Understanding the metabolic rate as we age<br />

The staff were given a list <strong>of</strong> health areas for<br />

discussion and asked to rate them in order <strong>of</strong><br />

priority. With assistance from the nursing staff<br />

<strong>of</strong> the Winston Scott Polyclinic the Barbados<br />

Registered Nurses Association and the Network<br />

Services Centre monthly lectures have been<br />

organised on such topics as Stress Management,<br />

Hypertension / Stroke and Heart Disease, the<br />

causes and management <strong>of</strong> Diabetes, Prostate<br />

Cancer, testicular and breast cancer, menopause,<br />

and cervical cancer.<br />

The first lecture in this health education series<br />

was “Stress Management,” presented by trusted<br />

psychologist and counsellor Anderson Kellman<br />

from Network Services Inc. Staff found this<br />

session to be timely and relevant and were<br />

pleased with the practical tips on how to handle<br />

stress in the workplace. (For more on stress in the<br />

workplace see page 6)<br />

As the new year opens with new expectations and<br />

new challenges, one <strong>of</strong> the biggest challenges for<br />

the Wellness Committee will be the sustainability<br />

<strong>of</strong> its wellness programme.<br />

21


Another Government<br />

Agency Making<br />

Convenience a Priority<br />

In September, er,th<br />

theCu<br />

Customs andEx<br />

Excise Department<br />

ent<br />

welcomed its first debit/credit card customers,<br />

adding grater convenience to its clientele.<br />

According to an <strong>of</strong>ficial <strong>of</strong> the Department, this<br />

form <strong>of</strong> payment is expected to facilitate revenue<br />

collection by making the payment process easier.<br />

The introduction <strong>of</strong> this form <strong>of</strong> payment should<br />

lead to improved efficiency to an organisation<br />

that has been in the forefront <strong>of</strong> the reform effort<br />

in recent years. The credit/debit card option lends<br />

itself to benefits such as (1) government funds<br />

are placed immediacy into its accounts and (2)<br />

it facilitates improved security in respect to the<br />

storage and movement <strong>of</strong> cash.<br />

Other government agencies that also <strong>of</strong>fer this<br />

“In charity there is no<br />

excess..”<br />

Sir Francis Bacon<br />

service include Licensing Authority, the General<br />

Post <strong>Office</strong> and the Treasury Department.<br />

Locations currently accepting payments by this<br />

method include: Barbados Port Inc. Building,<br />

University Drive, Shed Two Deep Water<br />

Harbour, Princess Alice Highway; Value Added<br />

Tax Division, Weymouth Corporate Centre,<br />

Roebuck Street, Central Records <strong>Office</strong> and Entry<br />

Processing Unit, Terminal Two, Grantley Adams<br />

International Airport, Christ Church.<br />

main fund raising event was a sponsored walk<br />

held in October which raised over $650.00 for<br />

the cause. In addition staff was able to donate<br />

about $300.00 in toiletries ,and food items which<br />

was collected from a specially designated box<br />

placed in the lunchroom from late September<br />

to December. Additionaly,the club was pleased<br />

to present approximately $900.00 in toys/gifts<br />

to children that are infected and affected by the<br />

deadly HIV/AIDS disease.<br />

While staffing willingly shared the spirit <strong>of</strong> the<br />

season, they too had a great time at their annual<br />

Xmas party held this year at “The Loose Cork<br />

Wine Bar” (Bagatelle Great House), sharing<br />

laughter,good food, good wine and good<br />

company.<br />

The same remains true today as in the 16 th<br />

Century, for there can be no excess for those in<br />

need in our society. To this end, the Ministry<br />

<strong>of</strong> the Civil Service Social Club, focused most<br />

<strong>of</strong> its energies in 2007 in giving relief to those<br />

in need. The charitable cause chosen by the<br />

club was once again the HIV/AIDS Food Bank.<br />

Funds were raised through various means, but the<br />

22


Continued from page 5.<br />

The findings <strong>of</strong> this risk factor survey, together<br />

with the output <strong>of</strong> the CNCD Registry will<br />

help to provide a more complete picture <strong>of</strong> the<br />

CNCD situation, its effects on the population<br />

and the barriers which limit a positive response<br />

to the many behavioural interventions that<br />

have been implemented over the years. In the<br />

medium to long term, these findings will guide<br />

the work <strong>of</strong> the National CNCD Commission.<br />

The Ministry <strong>of</strong> Health has also sought a<br />

strategic partnership with the Chronic Disease<br />

Research Centre (CDRC) <strong>of</strong> the University<br />

<strong>of</strong> the West Indies to establish the registry.<br />

This major undertaking was made feasible<br />

through the commitment and willingness <strong>of</strong><br />

the UWI and the CDRC in particular. Over<br />

the years, the CDRC has demonstrated that it<br />

has the expertise and international recognition<br />

to execute such programmes. One only<br />

has to recall the Barbados Stroke Register<br />

as one recent example <strong>of</strong> the Centre’s work<br />

and demonstration <strong>of</strong> its capabilities. It is<br />

anticipated that this collaboration between the<br />

two agencies will ensure that the management<br />

<strong>of</strong> CNCD in Barbados is carried out in<br />

accordance with internationally established<br />

standards and will be viewed as a best practice<br />

model for small developing states.<br />

In this age when governmental institutions<br />

are called on to provide more and more<br />

sophisticated services to the population, with<br />

limited resources, outsourcing <strong>of</strong> specific tasks<br />

to reputable and distinguished organisations<br />

go a long way to provide such services that are<br />

deemed necessary.<br />

The outsourcing <strong>of</strong> services with sound service<br />

level agreements will be an option for many<br />

health sector projects and programmes in the<br />

future. The Ministry <strong>of</strong> Health has already<br />

entered into an agreement with The Heart<br />

and Stroke Foundation <strong>of</strong> Barbados for the<br />

provision <strong>of</strong> cardiac rehabilitation services to<br />

persons requiring such, especially those who<br />

would otherwise be unable to afford such<br />

services.<br />

FUNDING<br />

The European Development Fund (EDF) has<br />

provided much <strong>of</strong> the technical expertise and<br />

resources to the above initiatives. Through the<br />

programme, the Government <strong>of</strong> Barbados has<br />

access to Bds$25 million in general budget<br />

support for the Ministry <strong>of</strong> Health. The<br />

package will allow the Ministry <strong>of</strong> Health to<br />

adopt a vast array <strong>of</strong> strategies identified in the<br />

Barbados Strategic Plan for Health 2002-2012,<br />

which was reviewed recently at a National<br />

Policy Review Forum. The EDF Programme<br />

will also ensure the fulfilment <strong>of</strong> priority areas<br />

established under the Caribbean Cooperation<br />

for Health Initiative Phase III.<br />

The Ministry <strong>of</strong> Health continues to work with<br />

national, regional and international partners<br />

to support the advancement <strong>of</strong> healthcare<br />

delivery in Barbados.<br />

WHAT CAN WE DO<br />

2007 was designated as the National Year<br />

<strong>of</strong> Promotion <strong>of</strong> Good Health and Wellness.<br />

This concept is consistent with the Ministry <strong>of</strong><br />

Health’s vision <strong>of</strong> healthy people in a healthy<br />

nation. The main purpose <strong>of</strong> this designation is<br />

to focus national attention on healthy lifestyle<br />

behaviours and to help individuals make small<br />

but impactful changes to their daily eating and<br />

physical activity routine, in order to improve<br />

their overall health status. Soon to be published<br />

will be a calendar <strong>of</strong> events, a public relations<br />

and sensitization campaign. Government<br />

Ministries and departments, private sector<br />

entities, and non-governmental organizations<br />

will be encouraged to<br />

identify their own “local”<br />

or in-house champions<br />

who will rally co-workers<br />

to become involved. The<br />

Ministry is encouraging all<br />

sectors <strong>of</strong> society, private,<br />

public, faith-based and<br />

other community groups,<br />

to embrace this concept<br />

and plan activities to<br />

complement the events <strong>of</strong><br />

the year.<br />

23


Appointments On Promotion<br />

Congratulations to the following <strong>of</strong>fi cers who have been appointed on promotion<br />

in the <strong>Public</strong> Service during the period 25th, October - 30th, December ,2007.<br />

<strong>Office</strong>r<br />

Promoted to the post <strong>of</strong><br />

Angela Goddard Chief Electoral <strong>Office</strong>r<br />

Douglas Brathwaite Letter Press Operator<br />

Cedric Murrell<br />

Chief Air Traffic Control <strong>Office</strong>r<br />

Barbara Seale<br />

Clerical <strong>Office</strong>r<br />

Shelley Osbourne “ “<br />

Heather Holder “ “<br />

Colyan Benn “ “<br />

Morita Alleyne-<br />

Greenidge “ “<br />

Rosie Baptiste “ “<br />

Wayne Peters “ “<br />

Marva Holder-Watts “ “<br />

Jennifer Blackman “ “<br />

Esther Alleyne “ “<br />

Eleanor Alleyne “ “<br />

Israel Kirton<br />

Senior Superintendent <strong>of</strong> Markets<br />

Alexis Nurse<br />

Co-ordinator, Domiciliary Care<br />

Gertrude Welch<br />

Senior Education <strong>Office</strong>r<br />

Changing our Attitude to Empower<br />

Ourselves<br />

A new year<br />

<strong>of</strong>ten heralds changes in our life, some<br />

may be major, others may<br />

be so subtle that<br />

we<br />

may not even notice. As Civil Servants in various<br />

departments at different levels, we may be faced with<br />

personal, departmental and social changes. Change<br />

brings challenges. In order to overcome change<br />

many <strong>of</strong> us will have to undergo deep introspection,<br />

conquer fear, fortify our will-power, have courage<br />

and above all, have faith.<br />

Change from a human perspective can be defined<br />

as transformation in appearance or character. We<br />

must know that whether our minds rebel or try to<br />

keep control <strong>of</strong> a situation, change is inevitable.<br />

Understanding change is also a valuable factor we<br />

must travel with. Change comes to all <strong>of</strong> us but from<br />

different angles, we sometimes change our style <strong>of</strong><br />

dress, our hair styles, our job and so on. However,<br />

the most important transforms we should seek to<br />

alter is negative thinking.<br />

As service excellence is a required expectation<br />

from public <strong>of</strong>ficers, we must approach change<br />

with maximum efficiency. In order for this to be a<br />

reality we must try to eliminate fear from our minds<br />

and as a motiational speaker defined fear as “False<br />

Evidence Appearing Real” we have to conqueror the<br />

myths associated with fear which are conjured up in<br />

our mind. This will assist with us giving <strong>of</strong> our best<br />

when change attempts to challenge our progress.<br />

<strong>Office</strong>r<br />

Promoted to the post <strong>of</strong><br />

Shelley-Ann Boyce<br />

Library Assistant II<br />

Denise Agard<br />

Psychiatric Social<br />

Worker I<br />

Michael Sabazan<br />

Administrative <strong>Office</strong>r I<br />

Stephen Reid “ “<br />

Anthony Nicholls “ “<br />

Carolyn Estwick “ “<br />

Sandra Watkins “ “<br />

Garcia Thompson-Hendrickson “ “<br />

Hazel Jordan “ “<br />

Chauntel Watts-Challenor “ “<br />

Adrienne Jones “ “<br />

Rodney Payne “ “<br />

Grantley Sealy “ “<br />

Curtis Gilkes “ “<br />

Judith Francis-Thompson “ “<br />

Harriet Daisley<br />

Administrative <strong>Office</strong>r I<br />

Gozel Greenidge<br />

Health Planning <strong>Office</strong>r I<br />

Attitude titutu<br />

plays a major role in change management<br />

when<br />

we develop positive attitudes the battle is<br />

almost halfway won. Attitude is defined as a mental<br />

or moral disposition. So, fellow public servant,s<br />

make<br />

sure your disposition complements your<br />

organization. This will ensure that your agency or<br />

department continues to reflect good work ethics and<br />

service excellence towards the workforce and the<br />

clients/customers whom we are employed to serve.<br />

Listed below are some tools to assist with self<br />

empowerment:<br />

Listen and understand the process and progress which<br />

change brings.<br />

Face your fears.<br />

Employ prayer and forgiveness.<br />

If change has negatively impacted on you, seek<br />

pr<strong>of</strong>essional help.<br />

Dedicate more time to your hobbies, if you have<br />

none ,develop one.<br />

Include positive thoughts to help counter most <strong>of</strong><br />

life’s difficulties.<br />

Fellow Civil Servants ,change will confront us and<br />

we must at all times ensure that we employ the correct<br />

methods to deal with it for our innate<br />

survival and the positive progress <strong>of</strong><br />

our departments.<br />

Annette Maynard-Watson<br />

Graduate Teacher<br />

Christ Church Foundation<br />

School<br />

24

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