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Source: Johnson D, D´Agostino M, Marti M, de Cosio FG. Knowledge management strategy for advancing the

national health agenda in Dominica. Rev Panam Salud Publica. 2017;41:e3. 
 

 
ABSTRACT: The Ministry of Health and Environment (MoHE) of the Commonwealth of Dominica identified the need for a knowledge management strategy to advance the country’s national health agenda.  The Pan American Health Organization and the MoHE conducted a rapid situation analysis of knowledge management in July 2015. The findings, analysis, and recommendations were developed
jointly with a core team of the MoHE within the context of the strategic plan for health, “Investing in Health – Building a Safer Future.” The situation analysis described the overall status of the understanding and implementation of information and knowledge management
activities, projects, products, and practices. The analysis also aimed to identify what critical knowledge is needed to support overall organizational goals and individual and team activities.
 

 
The MoHE expects patient outcomes and quality of care to improve as a result of having a knowledge management strategy that boosts the Ministry’s efficiency and productivity.
 
Dominica, the largest and most northern of the Windward Islands, is only 29 miles long by 16 miles wide and has 91 miles of coastline (1). The Government of Dominica has a Westminster-style parliamentary government. The executive branch includes the president, who is elected by parliament for a 5-year term, and the prime minister, who is appointed by the president. Dominica’s legal system is based on English common
law, with three magistrate courts that may appeal to the Eastern Caribbean Court of Appeal, and ultimately, to the Privy Council of London (2).
The local government consists of councils with the majority of representatives elected by universal suffrage. Supported by property taxation and governmentgrants, the councils are responsible for the regulation of markets and sanitation and the maintenance of secondary roads
and other municipal amenities. The island is also divided into 10 parishes whose governance is unrelated to the local governments. The Carib territory has its own ruling council with greater autonomy.
 
According to the Central Statistical Office (Roseau, Dominica) the country’s population grew from 70 121 in 1991 to 70 340 in 2011,4 virtually no change in 10 years. During that same period, the natural increase (the excess of births over deaths) was 9 300. The population is predominantly (almost 80%) of African descent. Just over 4% are Carib, the only concentration of indigenous people in the Antilles.
 
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