In order to improve the effectiveness and subtainability of the family
planning programme, the National Family Planning Board has devised a
strategy to shift users to longer-acting methods and increase the role
of the private sector. To design interventions, a better understandin
g of existing services was thought to be necessary. This study examine
s the distribution of family planning service delivery points in Jamai
ca and the services offered by the public and private sectors through
an examination of records and questionnaire interviews. The study foun
d that, because of the concentration of private sector providers - the
main outlets for longer-acting methods - in urban areas, rural areas
had poor access to these methods. Because rural areas are not attracti
ve, to private sector providers, the public sector should recognize th
e need to continue to serve these areas.