Jamaica’s Effort in Improving Universal Access within Fiscal Constraints

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dc.creatorChao, Shiyan
dc.date2013-05-02T20:33:43Z
dc.date2013-05-02T20:33:43Z
dc.date2013-01
dc.date.accessioned2026-07-01T00:57:51Z
dc.descriptionJamaica's primary health care system was a model for the Caribbean region in the 1990s. Because of it, Jamaicans enjoy relatively better health status than people in other countries of similar income level in the Caribbean region. However, Jamaica's health system is being severely challenged by persistent and reemerging infectious diseases and by the rapid increase in noncommunicable diseases (NCDs) and injuries. At the same time, the country has suffered from low economic growth and carries a high debt burden, which leaves limited fiscal space for improving health care. The Government of Jamaica has been trying to sustain the gain in health outcomes and improve access to health care for its population in an environment of constrained resources during the last decade. With the establishment of the Jamaica National Health Fund (NHF) in 2003 and the abolition of user fees at public facilities in 2008, the Government of Jamaica has taken steps toward achieving universal coverage. This study reviews the achievements and challenges in expanding universal access in Jamaica and assesses the impact of the NHF's drug-subsidy programs and the abolition of user fees on universal access, and discusses policy options for achieving universal coverage.
dc.descriptionEL sistema de atención primaria de salud de Jamaica fue un modelo para la región del Caribe en los años noventa. Sin embargo, estos últimos años, el sistema enfrenta graves dificultades por causa de enfermedades infecciosas persistentes y reemergentes, por el rápido aumento de la incidencia de enfermedades no transmisibles y de lesiones. Al mismo tiempo, el país ha registrado un bajo crecimiento económico y soporta una elevada carga de endeudamiento, que deja poco espacio fiscal para mejorar la atención de la salud. En este estudio se analizan los logros alcanzados y los desafíos enfrentados en cuanto al acceso universal en Jamaica; asimismo se evalúan las repercusiones de los programas de subsidios de medicamentos del Fondo nacional de Salud y la eliminación de los pagos del usuario en el acceso universal. En su último apartado, se debaten varias opciones de política para lograr la cobertura universal.
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dc.identifierhttps://hdl.handle.net/10986/13290
dc.identifierhttps://doi.org/10.1596/13290
dc.identifier.urihttp://hdl.handle.net/123456789/413580
dc.languageen_US
dc.publisherWorld Bank, Washington DC
dc.relationUNICO Studies Series;No. 6
dc.rightsCC BY 3.0 IGO
dc.rightshttp://creativecommons.org/licenses/by/3.0/igo
dc.rightsWorld Bank
dc.subjectaccess to health care
dc.subjectaccess to health services
dc.subjectaccess to services
dc.subjectadolescents
dc.subjectAdult mortality
dc.subjectaged
dc.subjectaging
dc.subjectambulatory care
dc.subjectambulatory services
dc.subjectbasic health care
dc.subjectbeds
dc.subjectbreast cancer
dc.subjectbudget allocation
dc.subjectburden of disease
dc.subjectcapacity building
dc.subjectchild mortality
dc.subjectchronic conditions
dc.subjectChronic Disease
dc.subjectcitizens
dc.subjectcivil society organizations
dc.subjectclinics
dc.subjectcommunicable diseases
dc.subjectcommunity hospitals
dc.subjectcontraception
dc.subjectContraceptive prevalence
dc.subjectcosts of health care
dc.subjectdebt
dc.subjectdemand for health
dc.subjectdemand for health care
dc.subjectDependency ratio
dc.subjectdeveloping countries
dc.subjectdevelopment of policies
dc.subjectdiabetes
dc.subjectdoctors
dc.subjectDrugs
dc.subjecteconomic growth
dc.subjectElderly
dc.subjectepilepsy
dc.subjectequity in access
dc.subjectExpenditures
dc.subjectfamilies
dc.subjectfamily members
dc.subjectfamily planning
dc.subjectfertility
dc.subjectfertility rate
dc.subjectfinancial barriers
dc.subjectfinancial risk
dc.subjectfinancial risks
dc.subjectfree choice
dc.subjectgeneric drugs
dc.subjectglaucoma
dc.subjectglobal health
dc.subjectgross domestic product
dc.subjecthealth behavior
dc.subjecthealth care
dc.subjecthealth care costs
dc.subjecthealth care coverage
dc.subjectHealth Care Financing
dc.subjecthealth care services
dc.subjecthealth centers
dc.subjectHealth Coverage
dc.subjectHealth Expenditure
dc.subjectHealth Expenditure by Source
dc.subjecthealth expenditures
dc.subjecthealth facilities
dc.subjecthealth financing
dc.subjecthealth infrastructure
dc.subjecthealth management
dc.subjectHealth Organization
dc.subjectHealth outcome indicators
dc.subjecthealth outcomes
dc.subjecthealth planning
dc.subjecthealth plans
dc.subjectHealth Policy
dc.subjecthealth promotion
dc.subjecthealth promotion activities
dc.subjecthealth providers
dc.subjecthealth sector
dc.subjecthealth service
dc.subjecthealth service delivery
dc.subjecthealth services
dc.subjecthealth status
dc.subjecthealth system
dc.subjecthealth system efficiency
dc.subjecthealth systems
dc.subjecthealth workers
dc.subjecthealthcare services
dc.subjectHealthy Lifestyles
dc.subjectHIV/AIDS
dc.subjecthospital
dc.subjectHospital beds
dc.subjecthospital care
dc.subjecthospital services
dc.subjecthospitals
dc.subjecthuman resources
dc.subjecthuman resources development
dc.subjecthuman resources management
dc.subjecthypertension
dc.subjectill health
dc.subjectillness
dc.subjectillnesses
dc.subjectimmunization
dc.subjectimportant policy
dc.subjectimproving health care
dc.subjectincome
dc.subjectincome countries
dc.subjectinfant
dc.subjectinfant mortality
dc.subjectinfant mortality rate
dc.subjectinfectious diseases
dc.subjectinformation system
dc.subjectinformation systems
dc.subjectinfrastructure development
dc.subjectinjuries
dc.subjectinsurance plan
dc.subjectleading causes
dc.subjectLife expectancy
dc.subjectLife expectancy at birth
dc.subjectlive births
dc.subjectLiving Conditions
dc.subjectlow birth weight
dc.subjectmalaria
dc.subjectmaternal mortality
dc.subjectMaternal mortality rate
dc.subjectmedical care
dc.subjectMedical Expenditures
dc.subjectMedical School
dc.subjectmedical services
dc.subjectmedical standards
dc.subjectmidwives
dc.subjectMillennium Development Goals
dc.subjectMinistry of Health
dc.subjectmorbidity
dc.subjectmortality
dc.subjectnational council
dc.subjectNational Development
dc.subjectNational Development Plan
dc.subjectNational Health
dc.subjectnational health insurance
dc.subjectNational Health Services
dc.subjectNational Policy
dc.subjectNational strategies
dc.subjectNeonatal mortality
dc.subjectnongovernmental organizations
dc.subjectNumber of People
dc.subjectNurses
dc.subjectobesity
dc.subjectold age
dc.subjectolder women
dc.subjectpatients
dc.subjectpharmacies
dc.subjectPhysician
dc.subjectphysicians
dc.subjectpolicy analysis
dc.subjectpolicy change
dc.subjectpolicy decisions
dc.subjectpolicy makers
dc.subjectpopulation groups
dc.subjectpregnant women
dc.subjectprenatal care
dc.subjectprimary care
dc.subjectprimary health care
dc.subjectprimary health care services
dc.subjectprimary health care system
dc.subjectprivate health insurance
dc.subjectprivate health services
dc.subjectprivate sector
dc.subjectprivate sectors
dc.subjectprivate spending
dc.subjectprogress
dc.subjectprostate cancer
dc.subjectprovision of care
dc.subjectpublic discussion
dc.subjectpublic health
dc.subjectPublic health expenditure
dc.subjectpublic health programs
dc.subjectpublic health services
dc.subjectpublic health system
dc.subjectpublic hospitals
dc.subjectpublic information
dc.subjectpublic sector
dc.subjectpurchasing power
dc.subjectpurchasing power parity
dc.subjectquality of care
dc.subjectquality of health
dc.subjectquality of health care
dc.subjectquality of services
dc.subjectresearch programs
dc.subjectrespect
dc.subjectrisk factors
dc.subjectrural areas
dc.subjectsanitation
dc.subjectsanitation facilities
dc.subjectservice provider
dc.subjectservice providers
dc.subjectsexual behavior
dc.subjectSkilled birth attendance
dc.subjectsocial factors
dc.subjectStable Population
dc.subjectSustainable Development
dc.subjectTuberculosis
dc.subjectunemployment
dc.subjectUnemployment rates
dc.subjectUniversal Access
dc.subjectuniversal access to health care
dc.subjecturban development
dc.subjectuser fees
dc.subjectviolence
dc.subjectvulnerable populations
dc.subjectwaste
dc.subjectwoman
dc.subjectworkers
dc.subjectworking-age population
dc.subjectWorld Health Organization
dc.subjectyoung adults
dc.titleJamaica’s Effort in Improving Universal Access within Fiscal Constraints
dc.titleMejora del acceso universal en Jamaica en un marco de restricciones fiscales - Serie de estudios ÚNICO
dc.titleMejora del acceso universal en Jamaica en un marco de restricciones fiscales

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