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CCT Program Profile - Jamaica

Country

Jamaica

Program Name

Program of Advancement through Health and Education

Year started

2001

Status

Active

Targeting

 

- target population

Children aged 0–19 (or until they graduate from secondary school)
Poor people aged 60 and older
Pregnant or lactating women up to 6 months after delivery
People with disabilities
Poor adults

- targeting method

Proxy means testing

- coverage

300,000 people or 12% of total population (September 2008); of that total, 70% are children, 11% are disabled, and 19% are elderly or are pregnant and/or lactating mothers

- incidence

59.6% to poorest quintile (2004)

Benefits

 

- benefit structure

J$650 per month per beneficiary (established limit of 20 beneficiaries in any one family).Beginning Dec 2008 a new differentiated scheme of benefits will be in place: boys receive 10% higher benefits than girls at all grades; lower secondary receive 50% higher than base benefit; upper secondary 75% higher than base benefit; all other categories receive the base benefit of $650

- payee

Family representatives or their agents

- payment method

Checks through the postal service and prepaid cash cards

- payment frequency

Bimonthly

- duration

As long as eligible; recertification after 4 years

- additional benefits

Secondary level students have free access to the government’s textbook rental scheme
Free lunch in schools where there is a government-run school feeding program
Free health care for beneficiaries

Conditions

 

- health

4 health center visits per year for children aged 0–11 months (in keeping with the immunization schedule stipulated by the Ministry of Health)
2 health center visits per year, at 6-month intervals, for children aged 12–59 months
Health center visits every 2 months for pregnant women, and at 6 weeks and 2 months postpartum for lactating women
2 health center visits per year, at 6-month intervals, for people with disabilities, elderly people, and other adult beneficiaries

- education

Regular school attendance of at least 85% for children aged 6–19

- other

None

- verification of compliance–method

MLSS staff gives schools and health providers lists of the PATH participants and forms for the providers to report school attendance/ health care data for the previous 2 months. MLSS staff picks up the completed forms from the providers. Data are entered into PATH’s management information system and used as the basis for compliance and payment determinations.

- verification of compliance–frequency

Every 2 months, MLSS staff provides the lists of PATH beneficiaries to service providers; 4 weeks later, they return to collect the completed forms

- compliance statistics

88% of girls and 84% of boys complied with education requirements
88% of children aged 0–11 months complied with health requirements (May–June 2007)

Program Administration

 

- institutional arrangement

MLSS

- program costs

Budget: J$1.7 billion (approximately $245 million) during FY2007/08
Administrative costs: 13% of program’s overall budget

Country Context

 

General

 

- population (total)

2.7 million (2006)

- GDP per capita (PPP, 2005 $)

$7,333 (2006)

- poverty headcount ratio at $2/day

14.4% (2004)

Education

 

- net enrollment in primary level

90.3% total (2005)
90.4% for girls, 90.1% for boys

- net enrollment in secondary level

78.3% total (2005)
80.1% for girls, 76.5% for boys

Health

 

- prevalence of child malnutrition (stunting)

4.5% (2004)

- births attended by skilled health staff

96/7% (2005)

Source:  Fiszbein A. and N. Schady (2009). Conditional Cash Transfers: Reducing Present and Future Poverty. Policy Research Report World Bank.

Operational Documents
red arrowWorld Bank Projects Documents
red arrowIADB Project Documents
red arrowOfficial web site

Evaluation

red arrowThe Programme for Advancement through Health and Education (PATH) (368kb pdf), prepared by Francisco Ayala, Inter-Regional Inequality Facility Policy Brief 4, Overseas Development Institute, February 2006

red arrowEvaluation of Jamaica’s PATH Programme: Targeting Assessment, prepared by Dan Levy and Jim Ohls, Mathematica Policy Research, Inc., July 2004

red arrowFirst Qualitative Assessment on Jamaica’s PATH Programme, prepared by Hope Enterprises Ltd. (Principal Investigators: Maxine Wedderburn, Pansy Hamilton, and Deborah Bourne) for Mathematica Policy Research, Inc. and The Government of Jamaica, April 2004

red arrowJamaica Social Safety Net Report, prepared by Dr. Caroline Fawcett for Mathematica Policy Research, Inc. and The Government of Jamaica, April 2004

red arrowEvaluation of Jamaica’s PATH Program: Methodology Report (197kb pdf), prepared by Dan Levy and Jim Ohls, Mathematica Policy Research, Inc., September 2003

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