In a country with a population the size of Jamaica, a developed and high-functioning health care system is key to the well-being of the population. URC has been active in Jamaica since 1981, when our non-profit affiliate, the Center for Human Services, undertook research to guide the country in strengthening their primary health care services through Primary Health Care Operations Research Project. URC then expanded its efforts to provide technical assistance and conduct operations research on health care quality improvement through the Quality Assurance Project. From 2005–2008, URC supported the Ministry of Health in helping Jamaican youth face and overcome challenges in the areas of reproductive health, substance abuse, crime, and violence. URC continues its work in Jamaica, strengthening Country Coordinating Mechanisms by improving their ability to manage country programs and provide oversight of local organizations that received funding.