Recognizing the urgency of the situation, the Ministry of Health in Suriname, with technical support from the Pan American Health Organization (PAHO), is set to expand digitalization of healthcare data through the introduction of the Perinatal Information System (SIP) Plus.

This latest iteration of the Perinatal Information System, SIP Plus, extends the integration between various levels of care and specialized services, offering a versatile solution accessible on a wide array of electronic devices, including computers, desktops, laptops, tablets, and smartphones.

In essence, the new SIP Plus system represents a significant stride towards a more technologically advanced, efficient, and comprehensive approach to maternal and newborn healthcare. Its integration into the healthcare landscape of Suriname holds the promise of improved outcomes, enhanced monitoring, and ultimately, a healthier future for mothers and their newborns.

To address the multifaceted aspects of maternal and newborn health, SIP Plus is equipped with fifteen modules, among them three main distinct modules: Perinatal Module: Encompassing the prenatal, delivery, and immediate postpartum phases, this module provides a comprehensive view of the perinatal period. From monitoring pregnancies to tracking delivery outcomes, the Perinatal Module is a vital component for holistic care. Maternal Morbidity/Near Miss Mortality Module: Focused on maternal health, this module allows for the meticulous tracking of maternal morbidity and near miss mortality cases. By identifying and analyzing these critical events, healthcare professionals can enhance preventative measures and improve overall maternal well-being. Neonatal Module (SIPNeo): Specifically tailored for neonatal care, this module is dedicated to monitoring and managing the health of newborns. From vital statistics to immediate post-birth care, SIPNeo ensures that neonatal health is prioritized and closely monitored. The Ministry of Health in Suriname will implement the Pilot SIP Plus in 6 sites, including two public hospitals and 4 selected primary healthcare facilities operated by the Regional Health Service (RGD) and the Medical Mission.

This project was launched during a national workshop on SIP held on November 21, 2023, and served as a pivotal moment in this project, bringing together stakeholders to discuss challenges, strategies, and recommendations for the successful implementation of the SIP Plus system. The day was opened with welcome remarks by the PAHO/WHO Representative Dr. Noreen Jack and Director of Health, Ministry of Health Dr. Rakesh Gajadhar Sukul,

Dr. Lachmi Kodan shared evidence-based data on SiTAN Maternal and Newborn health, paving the way for Drs. S. Nannan Panday to introduce the SIP system's evolution from paper-based to digitalized form. The SIP team, through a dynamic pre-training tools video, demonstrated the system's capabilities, emphasizing its role as an evidence-based approach to health management. Dr. Mainero Luis and Mrs. Mariana Gonzalez, representing the CLAP team, delved into best practices with SIP Plus in the Caribbean region, shedding light on challenges and proposing strategies for mitigation.

The working groups, led by the CLAP team and SIP Working Group Suriname, engaged in robust discussions on implementing the pilot SIP, addressing needs, challenges, and formulating recommendations. "I am thrilled that all prenatal data is now digitally available, allowing us to link and analyze information seamlessly. Conducting extensive research over the years, it has always been a challenge to bring data together — a cumbersome process. This project has been a long time in the making, and I am delighted that we are finally embarking on this journey. The prospect of having all medical data in hospitals and clinics digitized is equally promising; it holds the potential to significantly enhance the quality of healthcare in the future." - Dr. Lachmi Kodan Gynaecologist/Obstetrician at Academic Hospital Paramaribo The primary goal is to assess the functionality of the SIP system as a potent instrument for monitoring maternal and newborn health, providing a foundation for evidence-based decision-making, and contributing to the formulation of informed policies and programs. This initiative is poised to test the application of the adapted Dutch form within the system, leveraging the expertise of trained Focal Points.
"PAHO applauds the commitment of the Ministry of Health in Suriname to implement the SIP in Suriname as a key instrument in the improvement of maternal and childcare. PAHO/WHO remains committed to provide technical cooperation to support the improvement of maternal and newborn care including support for the implementation of the ‘Maternal and newborn Health Strategy’, 2021-2025’ and the implementation of the Perinatal Health Information System, as important steps towards achieving the SDGs.” - Dr. Noreen Jack PAHO/WHO Representative Suriname In conclusion, the introduction of the Pilot SIP Plus is a big step towards transformative healthcare practices in Suriname. It exemplifies a dedication to leveraging technology for the betterment of maternal and newborn health, with the potential to catalyze positive change and set a precedent for innovative healthcare solutions.    

The United Nations Development Programme (UNDP), in collaboration with the Ministry of Justice and Police, is at the forefront of this endeavor, orchestrating awareness and sensitization sessions to engage various stakeholders in this transformative process. The journey to establish the NHRI traces back to 2016 when the Surinamese government responded to recommendations from UN member states by launching the institute. However, the existing legal framework, articulated in the 1985 Decree (S.B. no. 01), proved inadequate, falling short of aligning with the Paris Principles. Recognizing the imperative need for an updated legal structure, a bill has been meticulously drafted by Surinamese human rights experts, setting the stage for the NHRI's operationalization. The NHRI, as envisioned in the Paris Principles, will bear a broad mandate to promote and protect human rights. This includes ensuring adequate resources and financial autonomy, the freedom to address any human rights issue, and annual reporting on the national human rights situation. Cooperation with national and international actors, advice to victims of human rights violations, and active involvement with civil society will be integral to its functioning. As the project progresses, targeted sessions with various stakeholders, including members of parliament, media workers, and civil society organizations, are taking place. The UNDP, in collaboration with the Surinamese government, remains steadfast in its commitment to advancing human rights, fostering awareness, and ensuring the successful establishment of the NHRI. Representatives from political parties, members of Suriname's parliament, and the National Youth Council recently participated in awareness and sensitization sessions. The aim was clear — to deepen understanding, garner support, and highlight the pivotal role each stakeholder plays in the NHRI's establishment. During his opening remarks for this session Mr. Gerardo Noto, UNDP Resident Representative, emphasized that the human rights are a central part of the UNDP's support to the 2030 Agenda and Sustainable Development Goals. He underscored the importance of addressing the root causes of human rights violations as a foundational step towards sustainable peace and development. During this same session Minister of Justice and Police, Kenneth Amoksi, emphasized Suriname's dedication to meeting international human rights standards. He shared insights into the collaborative efforts involving key stakeholders, acknowledging the vital input from the UN, OAS, and civil society in the drafting of the NHRI legislation. The establishment of Suriname's National Human Rights Institute is not just a legal process; it's a transformative journey towards a society that values and protects the rights of all its citizens. With the UNDP's unwavering support and the active participation of diverse stakeholders, Suriname is poised to create an institution that will be a beacon of human rights advocacy, contributing significantly to the country's progress and global human rights efforts. Together, we are empowering Suriname for a brighter future.

The health fair held on Tuesday, November 21, was hosted in collaboration with the Bureau of Public Health (BOG), the Ministry of Health, and the Pan American Health Organization (PAHO) Suriname. It marked the observance of World Diabetes Day and aimed to raise awareness about diabetes and hypertension, with a special focus on children.

The health fair, held at the Regional Health Department in Lelydorp, featured a range of activities tailored to educate and engage children in understanding and preventing diabetes. The key highlights of the fair included health screenings for kids, informative sessions for teachers, and interactive discussions on diabetes and hypertension.

Children had the opportunity to undergo health screenings to detect early signs of diabetes and hypertension. Those with elevated glycemic levels and other risk factors were referred to healthcare professionals for further consultation, emphasizing the importance of early detection and intervention.
The health fair wasn't just about screenings; it was a holistic approach to health education. Teachers received valuable information to enhance their understanding of diabetes and hypertension, enabling them to advocate and educate their students effectively. The aim is to create awareness with teachers becoming ambassadors for health education in their classrooms. Building a healthier future starts with empowering our children through knowledge. By engaging in activities that not only impart information on preventing diseases but also cultivate informed messengers of health among the youth, we create a ripple effect that extends to families and communities. Together, we lay the groundwork for a society that is not only healthier but also more resilient. – Dr. Raquel Mahoque Maguele, PAHO Advisor, Noncommunicable Disease and Mental Health. Parents were not left out of the equation. Children received informative materials to take home, providing parents with insights into preventing and managing diabetes and hypertension in their families. The goal is to empower parents to make informed choices about their children's health and well-being.

One of the notable aspects of the health fair was its interactivity. The organizers ensured that the activities were engaging and enjoyable for children, making the learning experience memorable. By fostering a positive and interactive environment, the event succeeded in conveying important health messages in an approachable manner.
In the spirit of knowledge-sharing, parents were encouraged to discuss what their children had learned at the event. This sharing of information among families further amplifies the impact of the awareness campaign, creating a community that is well-informed about the preventive measures against diabetes and hypertension. Instead of another mini-fair with information for adults, we wanted to try something different this time. I pitched the idea of hosting an interactive event with children, especially since research revealed an increase in sugar levels and higher obesity rates among kids compared to previous data. It's all about adapting and finding new ways to address health concerns in our community. – Dr. Aloysius Koentjbiharie RGD Program Coordinator The collaborative efforts of the RGD, BOG, Ministry of Health, and PAHO Suriname made this Diabetes Day health fair a success, leaving a lasting impression on the children, teachers, and parents who participated. As we reflect on this initiative, it is evident that empowering the youth with knowledge is a crucial step toward building a healthier and more informed community.

The ASTA programme, which is funded by the SDG Joint Fund and is a collaborative initiative, in partnership with the Ministry of Foreign Affairs Foreign Affairs, International Business, and International Cooperation (BIBIS) and Ministry of Agriculture, Livestock and Fisheries of the Republic Suriname (LVV), is supported by renowned pineapple expert Freddy Gamboa. The programme aims to upgrade pineapple cultivation practices, while seeking to address gender and labor challenges and establish Suriname as one of the major pineapple producers in Caribbean in the future. During his travel to Suriname on October 27 – November 03, 2023, Mr. Freddy Gamboa finished the setup of the trial plot and conducted the series of interactive training workshops on pineapple production tailored to the specific conditions of Suriname, engaging a wide range of participants, from government officials, community leaders to private sector representatives and local farmers. It is a historic moment for Suriname's pineapple industry as ASTA Joint Programme introducing innovative practices that include the use of subsoilers and bedders for planting pineapple in beds for the first time, alongside the incorporation of mountain minerals for soil enhancement.  Upgrading Pineapple Cultivation Deep in the heart of Suriname's Para district, the village of Redi Doti is not just witnessing history but actively shaping it. ASTA international agronomist Freddy Gamboa, a seasoned professional with a wealth of experience in pineapple cultivation garnered from his work in Costa Rica, and the Caribbean region, is leading this remarkable journey. The 1200 square meter state-of-the-art trial plot, carefully selected for its well-drained sandy soils, serves as the canvas for a pioneering agricultural experiment. Over 3000 pineapple plant material of the local Stuger and Ingi Nasi varieties have been meticulously planted, involving harrowing, subsoiling and bedding, while upholding the principles of organic farming.  Freddy Gamboa said that ASTA is poised to elevate pineapple production in Suriname, with the goal of transforming the country into one of the exporters of organic pineapples in the next years. By harnessing innovative techniques and sustainable farming practices, we not only aim to make efficient use of our precious land resources but also improve soil health and fertility. Considering climate change patterns, this approach not only ensures long-term sustainability but also results in higher yields and quality, making Surinamese pineapples highly appealing to international buyers. Our vision is not just about growing pineapples; it's about cultivating a thriving, eco-conscious agricultural sector that benefits local communities and global consumers”. The Ministries and ASTA teams during the next 15-18 months will introduce a suite of modern techniques and good agricultural practices. High-density planting, organic fertilizer application, artificial flower induction techniques, integrated pest management and post-harvest handling are among the innovative practices aimed at boosting yields, improving quality, and ensuring long-term sustainability. This trial plot serves as a dynamic platform to showcase the real-time effects of these advanced methods on key factors such as growth rates, disease resistance, fruit development, sweetness and organoleptic characteristics. The knowledge gained here will not just benefit Redi Doti but will reverberate across Suriname, becoming a catalyst for the expansion of sustainable organic pineapple farming. Seasoned pineapple farmers with experience in pineapple production were invited to participate in practical training on planting pineapple in beds. Farmers expressed their enthusiasm for the innovative approaches introduced by ASTA and stressed the importance of these new techniques and practices, highlighting the immense promise they hold for the local farming community. They noted that the knowledge and experience they are gaining from implementing this trial plot are priceless. These new practices have sparked excitement as they provide a path to higher yields, improved quality, and year-round pineapple production. They mentioned that it worth to share these newfound skills with fellow farmers in the village and anyone interested in embracing the future of pineapple cultivation as farmers deserve to benefit from these modern methods, and together, we can ensure production levels that meet the demands of local markets, processing companies, and potentially even for export. Capacity Building through Knowledge Sharing On November 01, the Ministry of Agriculture, Livestock, and Fisheries, in collaboration with the ASTA Joint Programme, hosted a dynamic workshop that brought together a diverse group of stakeholders. This gathering included government officials, representatives from the private sector, civil society organizations, and development partners, with a shared goal of advancing Suriname's pineapple industry. The workshop served as a platform for sharing insights and knowledge about pineapple production, drawing from the successful agronomy practices employed in Costa Rica, experience from other Caribbean countries, importance of nutrients, and exploring how these practices can be adapted to Suriname's unique landscape. In her opening speech Ms. Maitre Jagroep, Deputy of the Agricultural Research, Marketing, and Processing Department at the Ministry of Agriculture, Livestock, and Fisheries, emphasized the importance of the ASTA Joint Programme for developing Suriname's pineapple sector. She highlighted the event's goal of raising stakeholder awareness and sharing insights on production best practices and noted the government's vision for sustainable practices tailored to Suriname's landscape, drawing on successful examples from Costa Rica. She expressed hope that in the next two years, farmers will adopt techniques to increase yields sustainably and concluded by thanking partners and calling for ongoing collaboration to advance the pineapple sector. Ms. Jagroep expressed confidence that by working together, Suriname can build an innovative, thriving industry that drives economic gains while protecting the environment.  Mr. Davronjon Okhunjonov, the International Business Manager for the ASTA Joint Programme in Suriname, thanked participants for interest in pineapple production and willingness for continuous learning. He marked that it is a historic moment for Suriname's pineapple industry as ASTA Joint Programme introducing innovative practices. These include the first-time use of subsoilers and bedders, alongside the incorporation of mountain minerals for soil enhancement. He thanked Ministry of Foreign Affair, Ministry of Agriculture, indigenous communities, maroon tribes, development partners, and financial institutions who have shared vision in the development of innovative production models that enable year-round pineapple cultivation, providing farmers with increased income, access to funding and employment opportunities. Mr. Freddy Gamboa delivered a presentation covering various aspects, including pineapple production, soil quality and fertility, nutritional considerations, variety selection, weather conditions, and the phased implementation of improvements in Suriname. He illustrated the process of preparing land, and planting pineapples in the Redi Doti region. Furthermore, he elaborated on the agronomic measures necessary for achieving higher yields while maintaining sustainable production practices. Mr. Gamboa also emphasized the significance of strengthening the technical capabilities of local institutions. This empowerment would enable these organizations to replicate and expand training programs, facilitating the widespread adoption of best practices. During the event, vibrant discussions delved into a variety of topics, including modern production techniques, responsible fertilizer use, soil analysis, and conservation practices. The interactive discussion session, skillfully facilitated by Mr. Gamboa, encouraged participants to ask questions, explore opportunities, and address production challenges, such as optimizing fertilizer use and irrigation requirements while simultaneously improving soil quality. Stakeholders exchanged perspectives, ideas, and commitments to follow up with trial plots in the Para and Marowijne districts. In closing, the organizers expressed their heartfelt appreciation to all participants, speakers, and contributors for their enthusiastic engagement and significant contributions to the event's success. They reaffirmed their unwavering dedication to collaborative efforts that will propel the sustainable growth and advancement of Suriname's burgeoning pineapple sector. Capacity building activity in Marowijne and Para districts Continuing his commitment to knowledge-sharing, Mr. Gamboa conducted another series of training to the farmers in Para and Marowijne districts providing further guidance on the utilization of mountain minerals, soil preparation, and soil improvement techniques. Mountain mineral fertilizers prepared in February 2023 together with farmers were activated and become ready for use in the pineapple field. These aspects play a pivotal role in ensuring the long-term health and productivity of pineapple plantations. Farmers were equipped with the information needed to optimize soil conditions, leading to enhanced yields and quality in their pineapple crops.
  These capacity-building activities, spanning both theoretical knowledge and practical expertise, mark a significant step in advancing Suriname's pineapple industry. The dedication of Mr. Gamboa and the enthusiastic engagement of local stakeholders promise a bright future for sustainable pineapple farming in the region. Together, they are forging a path toward success, improving the lives of farmers and elevating Suriname's standing in the global pineapple market.  The ASTA in Suriname Sustainable Pineapple Value Chain Development project implemented in the framework of the Agrifood Systems Transformation Accelerator (ASTA) in Suriname is a 4-year joint programme funded by the UN SDG fund and co-led by FAO and UNIDO, with support from ILO and UNFPA. Developed in close collaboration with the Government of Suriname, local pineapple actors and stakeholders, the program aims to transform Suriname into an established producer and exporter of high-quality organic fresh and processed pineapples, using an inclusive and sustainable value chain approach. The comprehensive program provides training, capacity building, and access to finance for smallholder farmers to adopt organic and regenerative production practices. It also facilitates investments in processing facilities and infrastructure to add value while minimizing food loss and waste. By linking farmers to new domestic and international markets for premium pineapple products, the initiative seeks to catalyze broad-based economic development in Suriname's rural communities. With a strong emphasis on gender equality, youth engagement, and environmental sustainability, the ASTA pineapple project embodies an integrated approach to building resilient, inclusive agrifood systems.