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Jamaica
PROGRAMME OF ADVANCEMENT
THROUGH HEALTH AND EDUCATION
(PATH)
A Human Rights Approach
Human Rights
Approach Equality & Non-discrimination
Participation and empowerment
Accountability and transparency
Complaint and redress mechanisms
Progressive and non-regressive programme development
Human Rights Approach The Government of Jamaica has committed to
ensure the constitutional right of the Jamaica people to social protection.
The Government of Jamaica is a signatory to and has ratified the Universal Declaration of Human Rights, and the International Covenant on Economic, Social & Cultural Rights
Commitment - a human rights approach is central to the implementation of social assistance policy and programmes.
Introduction
Objective of PATH The overall objective of PATH is to
provide the poorest Jamaican
households with a targeted social
safety net programme
to enable them to increase their
educational attainment and improve
health outcomes and in turn break the
cycle of intergenerational poverty.
Introduction - Target Groups
Introduction
• Registered Beneficiaries
PATH Registered Beneficiaries August
2011 Benefit Group Total
Children (0-18 years) 303,175
Adult Poor 3,885
Disabled 9,557
Elderly 59,860
Pregnant/Lactating 1,572
PAD/Poor Relief 12,151
Total 390,200
Introduction - Conditionality
• School Attendance &
Health Centre Visits
Introduction - Payments
Equality & Non-discrimination
Improvements in the application and selection process:
Combining referral and self-targeting programme application
Redevelopment of the MIS
Introduction of Service Standards
Introduction of an Appeals process and dual cut off scores
Addressing issues of gender inequality in PATH households
Introduction of differentiated benefits December 2008
Equality & Non-discrimination
Reviewing conditionalities:
Introduction of base benefit in 2010
Exploring the revision of health conditionalities and data collection methods
Benefit Payments:
Benefit Amounts
Benefit Review Mechanism
Development and utilization of Operations Manual
Introduction of Service Standards
Conducting Focus Groups and Customer Service Surveys
Incentivize programme beneficiaries: established rewards programme
Introduction of Steps to Work Programme
Expanded Payment Options in 2007
Participation and Empowerment
Accountability and Transparency
Public Education and Training
Employing different communication strategies depending on target audience:
General public vs beneficiaries
Public forums
Media
Reduce possibility for stigma and discrimination and get Buy-in:
Training of partners
Involving partners in programme management
Complaints and Redress Mechanisms
Utilize various mechanisms for registering complaints dependent on whether the complaint is specific to a beneficiary or general to programme
Mechanisms to receive and/or track complaints
Complaints mechanism in the BMIS
Web site redesign
Toll free numbers, telephone lines in each parish
Focus group discussions and surveys
Advanced Legislative of the Programme
National Assistance Bill
Institutional Arrangements:
Multi-sectoral response: “joined up government”
Cabinet: Policy
Ministries of Labour & Social Security, Education, Postal Corporation: Programme Implementation
Rigorous Monitoring & Evaluation Framework
Evidence based approaches to the delivery of policy and programme
Establishment of indicators and timely reporting on progress made
Investment in Management Information System which allows for better tracking and reporting of data.
Introduction of Service Standards
Progressive and Non-Regressive
Programme Development
Progressive and Non-Regressive Programme Development
Support Mechanisms has enabled the programme:
to transition two political administrations
The programme has had structured support through the Government’s fiscal management arrangements and has been provided with adequate fiscal space to deliver benefits to all registered clients.
Serves as an access point through which other support services can be accessed:
2008 introduced policy which required that children in PATH households attending Government supported schools receive free meals at school
Prior to Universal free health and education policy, PATH beneficiaries received these services
Progressive and Non-Regressive Programme Development
Budget Support for the Expansion of the Programme has been maintained:
Inception: 236,000 (2002) to 360,000 (2008)
Current registration of 390,000
Exit Strategies:
Recertification after 4 years of enrolment
Natural Attrition
Introduction of Steps to Work
Conclusions
Several Gains made by PATH to implement the programme from a human rights approach:
- Mobilize resources to provide benefits for the most vulnerable of the Jamaican society
- Improve service delivery,
- Implement systems and procedures to facilitate accountability, transparency
- empower beneficiaries through various medium to take active part in their human capital development.
Conclusions However, there is scope for more work to be done
to enhance efficiency gains already achieved by the programme:
• Coverage gaps:
Elderly, Salaried Workers:
Social Pensions (universal or means-tested);
Unemployment Insurance (contributory or non-contributory)
Slow pace of legislative reform: National Assistance Bill
Innovative methods of collecting compliance information