Jamaica has an abundance of freshwater resources, however, a lack of infrastructure makes treated, piped water inaccessible in many areas. Through literature reviews and site visits, this thesis is an analysis of how the people and land, and money and policy, interact with one another in relation to Jamaica's freshwater resources and water infrastructure. Special attention is given to the island's type-example Cockpit karst geology; tourism, mining, and farming's relation to this karst; types of water delivery systems in rural southern Trelawny's Cockpit Country; southern Trelawny residents' perceptions of the water situation; and policy and development goals in the context of Jamaica and southern Trelawny. I hope to bring attention to the unique social, geologic, and developmental context of water in Jamaica, and more specifically to garner attention for major water infrastructure improvements in south Trelawny. A number of recommendations for improvements with policy and infrastructure are made.