Jamaica has developed a large and complex public network of primary care centres and hospitals around the country, offering an extensive array of services, frequently for free or below cost. The rising costs of healthcare resources, which are largely imported, and devaluation of the Jamaican currency have widened the gap between available and required resources.
Administratively, Jamaica is divided into fourteen parishes. They are grouped into three historic counties, which have no administrative relevance. Every parish has a coast, none are landlocked.
The traditional county towns were Savanna-la-Mar for Cornwall County, Spanish Town for Middlesex County, and Kingston for Surrey County.