A health situation analysis in Trinidad and Tobago, 1990. The local health systems approach

This HSA exercise confirmed known patterns of health and disease in Trinidad and Tobago but produced valuable new information on health status, particularly as it relates to the different local health administrative areas. This was perhaps the most valuable aspect of the analysis. We cannot overemphasize the need for disaggregated data as summary statistics often mask the true state of affairs. This report has focussed on the health status of the population and emphasized again the dominant role of chronic non-communicable diseases and accidents as causes of death. Among males, aged 15-44 years, AIDS was the third leading cause of death in 1987, and can be expected to become even more important as a cause of death over the next few years. Other and equally important information on the status of the health information system and the health services situation was also produced and will be discussed elsewhere.