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Background

The purpose of this document is to provide background to the Ministry of Health’s Adopt a Clinic Programme for Primary Health Care and to invite submissions from reputable individuals and organizations for public/private partnership and gift of services. 

Primary Health Care is recognized worldwide as one of the key components of an effective health system and the Ministry of Health continues to strengthen and reinvigorate its Primary Health Care Programme in keeping with Jamaica’s Vision 2030 strategic objectives 

Primary Health Care is based on practical, scientifically sound and culturally appropriate methods that are universally acceptable to the people in their communities. It is the first point of entry into the public health system and it provides opportunities for health promotion, disease prevention, and early detection of diseases so as to allow for early intervention to control outcome. 

Primary Health Care in Jamaica is delivered through a network of over three Hundred and twenty (320) Health Centres in all fourteen parishes which are grouped into four (4) Health Regions. Most of these facilities were built in the 1970s and Jamaica received global recognition from the World Health Organization (WHO) in the 1970s for its best practices in Primary Health Care. 

Over the past six years Jamaica has invested $1.5 Billion on refurbishing and equipping one Hundred and Fifty (150) of these health centres inclusive of repairs to roofing, windows, flooring, cabinetry, erecting perimeter fencing and clinical and dental equipment. Six new health centres were built in response to the need for additional services. Over the same period an average of 1.7 million visits per year were made to these facilities with clients seeking curative, dental, antenatal, post-natal, family planning, and other services at an average cost of about Five Thousand Dollars ($5000) per visit. 

This investment has resulted in significant improvement in service delivery, improved working environment for health professionals and clients, increased access to quality care, reduction in travel costs in some cases and reduction in waiting times due to extended opening hours in some Health Centres. 

Despite these gains many challenges remain, primarily limiting space at health centres due to 

increased population, new demands as a result of changes in demographic and epidemiological profiles, deteriorating infrastructure because of inadequate maintenance, inadequate fencing and security concerns, aging equipment and limited capital budget to address all of these concern. 

In an effort to continue strengthening and reinvigorating primary health care the Ministry of Health: 

 

Has commissioned a study funded by the World Bank to review the health system taking into account changes in demographic and epidemiological profiles. 

 

Will continue to invest in Primary Health Care to address the major needs of the health sector. 

 

Has developed an Adopt-A-Clinic Programme that’s seeking financial support or gift of services through Public/Private Partnership (PPP) and volunteerism. This programme seeks to engage the private sector locally and in the diaspora to play a more critical role in improving the performance of the public health system. 

 

One Hundred (100) Health Centres from all fourteen parishes have been identified for improvement under this programme covering minor infrastructural upgrade, improved maintenance, small clinical & dental equipment, furnishing and gift of services including clinical support. 

 

Minor infrastructural upgrade includes refurbishing, windows and doors, repair to concrete wall, acquisition of water tanks, repairs to walk way, etc. 

 

Minor maintenance includes painting, termite treatment, plumbing, electrical upgrade and general facelift. 

 

Minor equipment and furnishing include desk, chairs, computers, and printers, clinical and dental equipment. 

 

For each Facility the projected financial outlay is between $US $5,000-$8000 per year 

 

Clinical support to clients includes on-site sessions by medical personnel or remote sessions through teleconferencing. 

 

Donors can also pledge greater financial support for major upgrade, expansion, large dental and medical equipment at these or any other facility agreed on with the MOH. 

Gift of Services is another category identified for donation, it is classified as skilled labor , special skills, consultant services, medical services and any other services that can strengthen the health system. 

The Ministry of health is inviting persons, groups or organization to adopt a clinic from any of the categories above. The adopter will be categorized as Bronze, Silver Gold or Platinum Sponsors based on the monetary value of their support 

This programme provides donors with an opportunity to give back to Jamaica and the community of their choice. In return, a plaque honoring the donor will be placed on a prominent wall of the health centre and there is possible tax incentive to be derived as well their receiving memorabilia and regular updates on the MOH’s website.