Browse POLICY Project (1995-2006) Materials
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JamaicaMore recent Jamaica publications are available.
The National Centre for Youth Development (NCYD) created the Jamaica Youth Programmatic Inventory (YPI) as a database of active youth-serving organizations. The goal of the NCYD in collecting this information is to facilitate a national process of coordination and planning across sectors in an attempt to identify where gaps may exist in the array of programmes existing to address young people’s needs. The data was collected and analysed at two distinct levels: the organizational level, and the level of programmes directed at young people. 141 organizations are included in the YPI database encompassing 451 programmes in 358 locations serving hundreds of thousands of young people in every parish on the island.
The POLICY Project funded a core package to assess the feasibility of integrating FP/MCH and STI/HIV services in two areas of Jamaica: the parish of Portland and the St. Ann's Bay Health District. Activities included: (1) mapping existing healthcare clinics and staff in Portland and St. Ann's Bay; (2) identifying potential integration interventions; (3) identifying operational policy barriers to integration; (4) conducting a feasibility study to determine whether the interventions could be implemented; (5) estimating the associated implementation costs; and (6) conducting a cost-effectiveness study regarding various alternatives for diagnosing and treating STIs. The core packages main results included the identification of priority interventions to facilitate integration and the development of a cost-effectiveness model for STI diagnosis and treatment. This report documents the POLICY Projects research activities and findings, including the context and organization of health services; activities undertaken to determine the feasibility and cost-effectiveness of integration interventions; key research findings; and the key results, challenges, lessons learned, and potential impact of the research conducted under this core package.
Jamaica CP final report.doc
Worldwide, over 500,000 women and girls die of complications related to pregnancy and childbirth each year. The tragedy - and opportunity - is that most of these deaths can be prevented with cost-effective health care services. POLICY's MNPI series provides country-specific data on maternal and neonatal health programs in more than 30 developing countries. Based on a study conducted by the Futures Group and funded through the MEASURE Evaluation Project, the MNPI is a tool that can be used to: Assess current health care services; Identify program strengths and weaknesses; Plan strategies to address deficiencies; Encourage political and popular support for appropriate action; and Track progress over time.
This four-page policy brief describes efforts in Jamaica to strengthen multisectoral coordination on youth issues.
Despite some attempts to integrate family planning with sexually transmitted infection (STI) and HIV/AIDS services, policies and programs continue to treat them as unrelated areas of intervention. Furthermore, international attention to the HIV/AIDS pandemic has overshadowed attention to family planning, particularly in Africa where the HIV/AIDS epidemic is most acute. Yet family planning is closely related to two components of HIV/AIDS services: prevention of mother-to-child transmission (PMTCT) and voluntary counseling and testing (VCT). Is there a role for family planning in the context of HIV/AIDS programs? This paper analyzes how international guidelines, national HIV/AIDS policies and PMTCT and VCT policies have addressed family planning in 16 high-HIV prevalence countries. It also describes major gaps in the various countries’ policy environment.
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The 1994 ICPD intensified the worldwide focus on reproductive health policies and programs. Officials in many countries have worked to adopt the recommendations in the ICPD Programme of Action and to shift their population policies and programs from an emphasis on achieving demographic targets for reduced population growth to a focus on improving the reproductive health of their population. This paper presents information from case studies carried out in Bangladesh, India, Nepal, Jordan, Ghana, Senegal, Jamaica, and Peru to assess each nation's process and progress in moving toward a reproductive health focus. The case studies show that within their unique social, cultural, and programmatic contexts, the eight countries have made significant progress in placing reproductive health on the national health agenda. All countries have adopted the ICPD definition of reproductive health either entirely or in part. Policy dialogue has occurred at the highest levels in all countries. The countries have also achieved considerable progress in broadening participation in reproductive health policymaking. Bangladesh, Senegal, and Ghana have been particularly effective in involving NGOs and civil society organizations in policy and program development. In some of the other countries, however, the level of participation and political support for reproductive health may not be sufficient to advance easily to the next crucial stage of implementation. The case studies indicate almost uniformly that countries are grappling with the issues of setting priorities, financing, and implementing reproductive health interventions. Bangladesh has made the greatest progress in these areas while India, Nepal, Ghana, Senegal, Jamaica, and Peru are beginning to take steps toward implementation of reproductive health activities. Jordan continues to focus primarily on family planning. Several challenges face these countries as they continue to implement reproductive heath programs. These challenges include improving knowledge and support of reproductive health programs among stakeholders; planning for integration and decentralized services; strengthening human resources; improving quality of care; addressing legal, regulatory, and social issues; clarifying the role of donors; and maintaining a long-term perspective regarding the implementation of the ICPD agenda. Despite many encouraging signs, limited progress has been achieved in actually implementing the Programme of Action; this finding is neither surprising nor unexpected. It took more than a generation to achieve the widespread adoption and implementation of family planning programs worldwide, and that task is far from complete. The key to continuing progress lies in setting priorities, developing budgets, phasing-in improvements, and crafting strategies for implementation of reproductive health interventions.
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This brief examines the extent to which the 1994 ICPD has shaped reproductive health policies and programs in Bangladesh, Ghana, India, Jamaica, Jordan, Nepal, Peru, and Senegal. Within their unique social, cultural, and programmatic contexts, the eight countries have made significant progress in placing reproductive health on their respective national health policy agendas. The progress illustrated by the case studies is a logical beginning for defining and adopting reproductive health policies and principles, while building political and popular support. However, whereas well-established reproductive health services, such as family planning and maternal and child health, have remained high priorities, the case studies indicate that a continued effort will be required to place more sensitive issues, such as gender-based violence and reproductive rights, on the policy agenda. In addition, in some countries, a greater level of participation and political support for reproductive health may need to be cultivated before the countries are able to advance to the next crucial stage of implementation. Countries also need sufficient financial resources to implement the expanded reproductive health programs and services envisioned by the ICPD—resources that most respondents suggested were not immediately forthcoming.
The National Centre for Youth Development (NCYD) commissioned this situation assessment as part of its mandate to provide intersectoral coordination among various government and nongovernmental agencies to fulfil youth development objectives. Its purpose is to set a baseline for assessing the current level of youth development, highlight vital social and environmental factors which affect youths’ needs and abilities, track risk trends, and monitor positive advances in youth development. As a companion piece to this assessment, a Youth Programmatic Inventory gives the NCYD and other agencies an up-to-date accounting of active youth-serving organizations in Jamaica. It is hoped that these documents will help the NCYD and its partners to identify gaps in national coverage of youth development issues and priority areas of youth development. The situation assessment analyzes the status of youth in Jamaica using a set of roughly 70 quantitative indicators, drawn from the best sources available in Jamaica and elsewhere. For purposes of this document, youth are defined as between 10 and 24 years, unless otherwise indicated. The report presents data for the entire age range, or for subgroup of this range, where appropriate or where the data allows. Information is presented on trends and separate analyses are done by sex. Moreover, the analysis attempts to place findings on Jamaican youth within the national and regional context.
Prior to 2002, two rounds of the PES had been fielded in Jamaica, the first in 1999 and the second in 2000. These rounds were conducted by the POLICY Project on behalf of USAID/Kingston (McClure et al., 2000; Strachan et al., 2001). Those rounds of the PES included four components of reproductive health, namely family planning, safe pregnancy, STDs/AIDS, and adolescents. This 2002 round of the PES, conducted jointly by Youth.now and the POLICY Project, focuses exclusively on adolescents. Called the Expanded ARH PES, the 2002 round included the same questions regarding adolescent reproductive health (ARH) that were used in 2000 and 1999 (hereafter referred to as the “original” ARH PES) and also included a number of additional questions to more accurately reflect the policy environment for ARH in Jamaica in 2002, given policy and program activities undertaken over the past few years (hereafter referred to as the “expanded” ARH PES). The 2002 Expanded ARH PES included the seven components of political support, policy formulation, organizational structure, legal and regulatory, program resources, program components, and evaluation and research. To measure change in the policy environment, respondents were asked to rate each item twice—once to reflect the current status in 2002, as well as once to indicate the status one year earlier in 2001.
This report shares findings from a pilot of the POLICY Project’s Gender Equitable Male Involvement (GEMI) Assessment Tool. In October 2002, the POLICY Project used the GEMI tool to conduct an assessment of the policy environment related to gender-equitable male involvement in Jamaica, with a focus on male youth. Based on interviews with key stakeholders from a cross-section of government, civil society, and youth-serving organizations, the assessment sought to describe the current policy environment related to gender-equitable male involvement, and identify priority areas for developing or strengthening policies to support gender-equitable male involvement, and the related advocacy and policy dialogue, information, and capacity building needed to support this.
Jamaican youth are key agents for social change, economic development, and technological innovation and are a major human resource for development. Youth ages 10 to 24 are also an important demographic group, comprising almost one-third of the population in the year 2000. To better understand and address the challenges youth in Jamaica face, the National Centre for Youth Development (NCYD) recently commissioned two studies, Situation Assessment Report, Youth in Jamaica, 2001 and Adolescent and Youth-Serving Organisations in Jamaica: Results from the Youth Programmatic Inventory (YPI) Survey. This document synthesizes information from the two studies to help in identifying important gaps and overlaps in the coverage of youth services, to inform the current review of the National Youth Policy, and to aid in the development of a strategic plan for implementing the national policy.