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Mapping Long-Term Care in Jamaica: Addressing an Ageing Population

Author

Listed:
  • Ishtar Govia

    (Epidemiology Research Unit, Caribbean Institute for Health Research, The University of the West Indies, Kingston 7, Jamaica)

  • Janelle N. Robinson

    (Epidemiology Research Unit, Caribbean Institute for Health Research, The University of the West Indies, Kingston 7, Jamaica)

  • Rochelle Amour

    (Epidemiology Research Unit, Caribbean Institute for Health Research, The University of the West Indies, Kingston 7, Jamaica)

  • Marissa Stubbs

    (Epidemiology Research Unit, Caribbean Institute for Health Research, The University of the West Indies, Kingston 7, Jamaica)

  • Klara Lorenz-Dant

    (Care Policy and Evaluation Centre, The London School of Economics and Political Science, London WC2A 2AE, UK)

  • Adelina Comas-Herrera

    (Care Policy and Evaluation Centre, The London School of Economics and Political Science, London WC2A 2AE, UK)

  • Martin Knapp

    (Care Policy and Evaluation Centre, The London School of Economics and Political Science, London WC2A 2AE, UK)

Abstract

Jamaica’s ageing population, high prevalence of non-communicable diseases (NCDs), and associated functional impairments suggest the need for a sustainable long-term care (LTC) system. This paper describes the current LTC system in Jamaica. A review of empirical and grey literature on LTC was supplemented with consultations and interviews and group discussions for knowledge exchange, impact and engagement events with stakeholders being conducted as part of a project on dementia care improvement. Four key findings emerged: (1) Jamaica’s LTC system depends substantially on informal care (both unpaid and paid); (2) there is a need for strategic coordination for LTC across the state, cross-ministerial, private, and volunteer sectors; (3) compulsory insurance and social protection schemes appear to exacerbate rather than narrow socioeconomic inequalities in LTC; and (4) there is a lack of systematic LTC data gathering and related information systems in both the private and public sector—for both institutional and community-based care. For LTC in Jamaica and the broader Caribbean region to be sustainable, more evidence-informed policies and practices that address inequalities in access to services, ability to pay for care, direct support from government, and the risk of needing LTC are needed.

Suggested Citation

  • Ishtar Govia & Janelle N. Robinson & Rochelle Amour & Marissa Stubbs & Klara Lorenz-Dant & Adelina Comas-Herrera & Martin Knapp, 2021. "Mapping Long-Term Care in Jamaica: Addressing an Ageing Population," Sustainability, MDPI, vol. 13(14), pages 1-12, July.
    • Handle: RePEc:gam:jsusta:v:13:y:2021:i:14:p:8101-:d:597755
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    References listed on IDEAS

    as
    1. Martín Caruso Bloeck & Sebastian Galiani & Pablo Ibarrarán, 2019. "Long-Term Care in Latin America and the Caribbean: Theory and Policy Considerations," Economía Journal, The Latin American and Caribbean Economic Association - LACEA, vol. 0(Fall 2019), pages 1-32, October.
    2. Fabrice Kämpfen & Nilmini Wijemunige & Benedict Evangelista, 2018. "Aging, non-communicable diseases, and old-age disability in low- and middle-income countries: a challenge for global health," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 63(9), pages 1011-1012, December.
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