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Small islands, big problems

Improving health systems resilience in the Dutch Caribbean
Emergency

Duration: 2023 鈥 ongoing 
Funder/donor: ZonMw, ESHPM global health investment theme, NWO 
Main partners: , , , , ,,  

The six Dutch Caribbean islands, Aruba, Bonaire, Cura莽ao, Saba, Sint Eustatius, and Sint Maarten, each face unique and pressing challenges in maintaining strong, resilient health systems. From navigating healthcare workforce shortages to preparing for the growing threat of tropical storms and climate-related disruptions, these communities are at the forefront of complex public health realities. 

Yet despite their importance, health system research in the Caribbean, especially on these islands, remains limited. This creates a critical gap in understanding how to best support sustainable, context-specific healthcare that meets the needs of the people living there. 

This project seeks to strengthen collaboration between local stakeholders and researchers, ensuring that future health system improvements are informed by local expertise, lived experiences, and scientific evidence. Ultimately, it鈥檚 about supporting the development of accessible, high-quality, and resilient healthcare, grounded in equity, partnership, and long-term impact. 

鈥淲hen you have a car accident in Rotterdam, you will be in the Erasmus MC in several minutes. On this small island, we don鈥檛 know whether we can stabilise someone enough to even consider flying to Colombia for eight hours. That is the reality...

This demands more resilient health systems and research is detrimental for developing them鈥

- Hospital Executive

Research approach/method

This project adheres to an engaged methodology that combines ethnographic fieldwork with policy analysis and comparative research to better understand the practices and dimensions of health systems resilience on small islands. Through its engaged approach, the project directly ties to contemporary and practical problems and commits to developing solutions for them. 

Contact

  • Robert Borst
    dr. Robert Borst

    Assistant professor

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