MTF 2015 - 2018 was approved by Cabinet to advance the implementation of Vision 2030 Jamaica – National Development Plan, and builds on the results of the previous MTFs for 2009 – 2012 and 2012 – 2015. It presents the priorities over the medium term to move Jamaica towards: “Achieving inclusive growth and sustainable development”. As with its predecessors, the preparation of MTF 2015-2018 utilized participatory and inclusive approaches which are expressed in the guiding principles of Vision 2030 Jamaica. Over 800 stakeholders participated in the preparation of the MTF. MTF 2015 - 2018 will consolidate the gains made in the previous MTFs for 2009-2012 and 2012-2015, and strengthen the foundations for achieving the country’s long term results, taking into account the current developmental challenges and the global context. MTF 2015 - 2018 represents a strategic planning document to guide stakeholders to achieve the goals and outcomes of the long term development plan. Jamaica faces persistent economic, social and national security challenges, pressures on the natural environment, and the increasing impacts of global climate change. However, the country has also arrived at an enduring consensus on the need to undertake fundamental reforms to consolidate our macroeconomy, improve our international competitiveness, undertake holistic development in our most volatile and vulnerable communities, protect the most vulnerable groups in our society, and strengthen the resilience of our built and natural environment.