Study of sustainability for the National Family Planning Board in Jamaica

This report analyzes the family planning (FP) market in Jamaica and presents recommendations for mobilizing new resources for FP. Major proposals include the following. (1) The NFPB should prioritize client populations on the basis of the TARGET model analysis, which estimates, by method, the number of contraceptive users needed to achieve fertility targets. It should also emphasize long-term and more cost-effective contraceptive methods, particularly sterilization, IUD"s, and Norplant. (2) The NFPB must shift from being an implementor to being an advocate and coordinator of FP efforts, e.g., by seeking to remove the legal, regulatory, and operational barriers to FP, coordinating the work of other FP organizations, and assuming responsibility for garnering financing support for FP. (3) Commodity costs need to be shared more equitably between the public and private sectors. Public sector commodities should serve only the safety net consumer, with the private sector serving others. In particular, management of the social marketing program should be shifted immediately to the private sector.