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Jamaica
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Ministerials Paragraphs Related to the Theme Paragraphs VII Summit
Reports
Date:  3/21/2012 
Health Systems Management and Supply: Access to Comprehensive Health Care

The Government of Jamaica (GOJ) continued to focus on access and levels of utilization particularly within the public sector. Against this background the Abolition of User Fee Policy came into effect on April 1, 2008. The utilization data from the MOH indicates that the removal of fees to access service resulted in increased utilization at the primary care level as well as pharmacy and diagnostic services.
To further support the comprehensive nature of the health care delivery system, a needs-based human resources for health planning study, was undertaken. The aim is to enhance capacity for needs-based Human Resources for Health (HRH) planning by developing needs-based simulation modelling tools appropriate to the unique circumstances of Jamaica.
There is increased emphasis on revising the services offered at health centres and upgrading the physical infrastructure of these facilities in keeping with the policy objective to renew and strengthen primary health care. Policy objectives for secondary care focus on improving the quality of care offered at public hospitals with particular attention on customer service, infrastructure, emergency care, and maternal and child health.
Maternal Mortality and Child Health

In keeping with the commitment of the Global Partnership for Maternal and Child Health, there was focus on the development of the Maternal Mortality Surveillance Manual and the Guidelines for the Management of Common Obstetric Emergencies. A Safe Motherhood Programme was also launch and there is increased focus on the use of the partograph in the management of obstetric cases.
In keeping with the Government’s thrust to improve early childhood development, the Child Health and Development Passport (CHDP) was implemented. The aim of which is to monitor the health and development of each child born as of September 1, 2010.
A comprehensive National Strategic Plan was developed to improve the delivery of health care to adolescents. The Child and Adolescent Services Policy and Procedures Manual was also developed.

HIV

The national response has seen tremendous success particularly in the programme for the prevention of mother to child transmission. Multisectoral support is provided by the National AIDS Committee, civil society, NGOs, and GOJ. The national response is guided by a national strategic plan and is supported by monitoring and evaluation plan.
The National Workplace Policy for HIV was passed by Parliament and a tool kit was developed to facilitate its implementation. The National HIV-related Discrimination Reporting and Redress System became operational as did the Multi-Sectoral Working Group on Discrimination.
While the national response to HIV and AIDS is well organized and contains adequate supporting framework, concerns exists regarding sustainable financing of the national response. Jamaica is supported by the World Bank, Global Fund, other IDPs, and the GOJ. However support from the global fund is schedule to end in 2012 and no substitute funding has been identified. The Global Fund supports the treatment and care portion of the national response by providing antiretrovirals for Persons Living with HIV and AIDS.

Population Ageing
The discussion on Population Ageing has been receiving significant focus in Jamaica. The demographic situation and the changing structure of the Jamaica population have been highlighted in Vision 2030 Jamaica – National Development Plan. As a result, the implications of this changing population structure have been integrated in all policies, plans and programmes. It is imperative to plan strategically for these changes that will have implications for the society on a whole, particularly as the world has reached 7 billion on October 31, 2011.
As part of the Regional Strategy for the implementation of the Madrid Plan of Action, initiatives directly geared towards the elderly are being executed through the National Council for Senior Citizens.
In July 2011, the Government of Jamaica in collaboration with the United Nations Population Fund hosted a Population Conference to commemorate World Population Day 2011, focusing on “Population Ageing: Implications for Development in Jamaica”. The changes in the population present clear opportunities for economic growth, savings and investments. To benefit from this window of opportunity, countries in the Americas must act now in the early stages- as this window will close when the proportion of elderly persons increases further - returning the country to the point of high dependency ratios.
Jamaica is proposing that focus should be placed on initiating and implementing policies that stimulate investment in production, increase job opportunities and “promote stable economic and social environment that pave the way for sustainable development”. These include areas such as
• Primary health care and long term care
• Social infrastructure such as housing, transportation etc.
• Youth development and entrepreneurship
• Human resource development
• Social security including pension coverage and pension funds and
• Engaging in discussions on retirement age.
Paragraphs: 26, 27, 35 Paragraphs VII Summit: -

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