The Environmental Foundation of Jamaica (EFJ) is the largest grant-maker in Jamaica and works to catalyse on-the-ground change in environmental conservation and child survival and development. Born out of a creative “debt-swap” between the Governments of the United States and Jamaica, the EFJ received approximately US$21.39 million between 1993 and 2012 under this arrangement. In twenty-four years (1993-2017), through a strong track record of financial and grant accountability systems, and impressive returns on investments, the EFJ has taken a corpus of US$21.39 million and has made grant awards of approximately US$42 million to just over 1,250 projects. This has resulted in the EFJ having a significant impact on lives in Jamaica and the region.