Jamaica’s Effort in Improving Universal Access within Fiscal Constraints
Jamaica'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 challeng...
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| Format: | Working Paper |
| Language: | en_US |
| Published: |
World Bank, Washington DC
2013
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| Subjects: | |
| Online Access: | http://hdl.handle.net/10986/13290 |
| id |
okr-10986-13290 |
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| recordtype |
oai_dc |
| repository_type |
Digital Repository |
| institution_category |
Foreign Institution |
| institution |
Digital Repositories |
| building |
World Bank Open Knowledge Repository |
| collection |
World Bank |
| language |
en_US |
| topic |
access to health care access to health services access to services adolescents Adult mortality aged aging ambulatory care ambulatory services basic health care beds breast cancer budget allocation burden of disease capacity building child mortality chronic conditions Chronic Disease citizens civil society organizations clinics communicable diseases community hospitals contraception Contraceptive prevalence costs of health care debt demand for health demand for health care Dependency ratio developing countries development of policies diabetes doctors Drugs economic growth Elderly epilepsy equity in access Expenditures families family members family planning fertility fertility rate financial barriers financial risk financial risks free choice generic drugs glaucoma global health gross domestic product health behavior health care health care costs health care coverage Health Care Financing health care services health centers Health Coverage Health Expenditure Health Expenditure by Source health expenditures health facilities health financing health infrastructure health management Health Organization Health outcome indicators health outcomes health planning health plans Health Policy health promotion health promotion activities health providers health sector health service health service delivery health services health status health system health system efficiency health systems health workers healthcare services Healthy Lifestyles HIV/AIDS hospital Hospital beds hospital care hospital services hospitals human resources human resources development human resources management hypertension ill health illness illnesses immunization important policy improving health care income income countries infant infant mortality infant mortality rate infectious diseases information system information systems infrastructure development injuries insurance plan leading causes Life expectancy Life expectancy at birth live births Living Conditions low birth weight malaria maternal mortality Maternal mortality rate medical care Medical Expenditures Medical School medical services medical standards midwives Millennium Development Goals Ministry of Health morbidity mortality national council National Development National Development Plan National Health national health insurance National Health Services National Policy National strategies Neonatal mortality nongovernmental organizations Number of People Nurses obesity old age older women patients pharmacies Physician physicians policy analysis policy change policy decisions policy makers population groups pregnant women prenatal care primary care primary health care primary health care services primary health care system private health insurance private health services private sector private sectors private spending progress prostate cancer provision of care public discussion public health Public health expenditure public health programs public health services public health system public hospitals public information public sector purchasing power purchasing power parity quality of care quality of health quality of health care quality of services research programs respect risk factors rural areas sanitation sanitation facilities service provider service providers sexual behavior Skilled birth attendance social factors Stable Population Sustainable Development Tuberculosis unemployment Unemployment rates Universal Access universal access to health care urban development user fees violence vulnerable populations waste woman workers working-age population World Health Organization young adults |
| spellingShingle |
access to health care access to health services access to services adolescents Adult mortality aged aging ambulatory care ambulatory services basic health care beds breast cancer budget allocation burden of disease capacity building child mortality chronic conditions Chronic Disease citizens civil society organizations clinics communicable diseases community hospitals contraception Contraceptive prevalence costs of health care debt demand for health demand for health care Dependency ratio developing countries development of policies diabetes doctors Drugs economic growth Elderly epilepsy equity in access Expenditures families family members family planning fertility fertility rate financial barriers financial risk financial risks free choice generic drugs glaucoma global health gross domestic product health behavior health care health care costs health care coverage Health Care Financing health care services health centers Health Coverage Health Expenditure Health Expenditure by Source health expenditures health facilities health financing health infrastructure health management Health Organization Health outcome indicators health outcomes health planning health plans Health Policy health promotion health promotion activities health providers health sector health service health service delivery health services health status health system health system efficiency health systems health workers healthcare services Healthy Lifestyles HIV/AIDS hospital Hospital beds hospital care hospital services hospitals human resources human resources development human resources management hypertension ill health illness illnesses immunization important policy improving health care income income countries infant infant mortality infant mortality rate infectious diseases information system information systems infrastructure development injuries insurance plan leading causes Life expectancy Life expectancy at birth live births Living Conditions low birth weight malaria maternal mortality Maternal mortality rate medical care Medical Expenditures Medical School medical services medical standards midwives Millennium Development Goals Ministry of Health morbidity mortality national council National Development National Development Plan National Health national health insurance National Health Services National Policy National strategies Neonatal mortality nongovernmental organizations Number of People Nurses obesity old age older women patients pharmacies Physician physicians policy analysis policy change policy decisions policy makers population groups pregnant women prenatal care primary care primary health care primary health care services primary health care system private health insurance private health services private sector private sectors private spending progress prostate cancer provision of care public discussion public health Public health expenditure public health programs public health services public health system public hospitals public information public sector purchasing power purchasing power parity quality of care quality of health quality of health care quality of services research programs respect risk factors rural areas sanitation sanitation facilities service provider service providers sexual behavior Skilled birth attendance social factors Stable Population Sustainable Development Tuberculosis unemployment Unemployment rates Universal Access universal access to health care urban development user fees violence vulnerable populations waste woman workers working-age population World Health Organization young adults Chao, Shiyan Jamaica’s Effort in Improving Universal Access within Fiscal Constraints |
| geographic_facet |
Latin America & Caribbean Jamaica |
| relation |
UNICO Studies Series;No. 6 |
| description |
Jamaica'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. |
| format |
Publications & Research :: Working Paper |
| author |
Chao, Shiyan |
| author_facet |
Chao, Shiyan |
| author_sort |
Chao, Shiyan |
| title |
Jamaica’s Effort in Improving Universal Access within Fiscal Constraints |
| title_short |
Jamaica’s Effort in Improving Universal Access within Fiscal Constraints |
| title_full |
Jamaica’s Effort in Improving Universal Access within Fiscal Constraints |
| title_fullStr |
Jamaica’s Effort in Improving Universal Access within Fiscal Constraints |
| title_full_unstemmed |
Jamaica’s Effort in Improving Universal Access within Fiscal Constraints |
| title_sort |
jamaica’s effort in improving universal access within fiscal constraints |
| publisher |
World Bank, Washington DC |
| publishDate |
2013 |
| url |
http://hdl.handle.net/10986/13290 |
| _version_ |
1764423115722457088 |
| spelling |
okr-10986-132902021-04-23T14:03:07Z Jamaica’s Effort in Improving Universal Access within Fiscal Constraints Chao, Shiyan access to health care access to health services access to services adolescents Adult mortality aged aging ambulatory care ambulatory services basic health care beds breast cancer budget allocation burden of disease capacity building child mortality chronic conditions Chronic Disease citizens civil society organizations clinics communicable diseases community hospitals contraception Contraceptive prevalence costs of health care debt demand for health demand for health care Dependency ratio developing countries development of policies diabetes doctors Drugs economic growth Elderly epilepsy equity in access Expenditures families family members family planning fertility fertility rate financial barriers financial risk financial risks free choice generic drugs glaucoma global health gross domestic product health behavior health care health care costs health care coverage Health Care Financing health care services health centers Health Coverage Health Expenditure Health Expenditure by Source health expenditures health facilities health financing health infrastructure health management Health Organization Health outcome indicators health outcomes health planning health plans Health Policy health promotion health promotion activities health providers health sector health service health service delivery health services health status health system health system efficiency health systems health workers healthcare services Healthy Lifestyles HIV/AIDS hospital Hospital beds hospital care hospital services hospitals human resources human resources development human resources management hypertension ill health illness illnesses immunization important policy improving health care income income countries infant infant mortality infant mortality rate infectious diseases information system information systems infrastructure development injuries insurance plan leading causes Life expectancy Life expectancy at birth live births Living Conditions low birth weight malaria maternal mortality Maternal mortality rate medical care Medical Expenditures Medical School medical services medical standards midwives Millennium Development Goals Ministry of Health morbidity mortality national council National Development National Development Plan National Health national health insurance National Health Services National Policy National strategies Neonatal mortality nongovernmental organizations Number of People Nurses obesity old age older women patients pharmacies Physician physicians policy analysis policy change policy decisions policy makers population groups pregnant women prenatal care primary care primary health care primary health care services primary health care system private health insurance private health services private sector private sectors private spending progress prostate cancer provision of care public discussion public health Public health expenditure public health programs public health services public health system public hospitals public information public sector purchasing power purchasing power parity quality of care quality of health quality of health care quality of services research programs respect risk factors rural areas sanitation sanitation facilities service provider service providers sexual behavior Skilled birth attendance social factors Stable Population Sustainable Development Tuberculosis unemployment Unemployment rates Universal Access universal access to health care urban development user fees violence vulnerable populations waste woman workers working-age population World Health Organization young adults Jamaica'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. 2013-05-02T20:33:43Z 2013-05-02T20:33:43Z 2013-01 http://hdl.handle.net/10986/13290 en_US UNICO Studies Series;No. 6 CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo World Bank World Bank, Washington DC Publications & Research :: Working Paper Publications & Research Latin America & Caribbean Jamaica |