6/5/2013 1
Health Policy Situation: Jordan
Musa Ajlouni, PhD
Philadelphia University
RESCAP-MED Capacity Development Works...
6/5/2013 2
} Jordan is a middle income country.
} Annual per capita income: US$4,628 .
} unemployment rate :12.5%(10.8% fo...
6/5/2013 3
Jordan demographic indicators, 2011
Indicators
Total population 6249000
Population Growth Rate 2.2
Dependency R...
6/5/2013 4
Jordan Health Indicators,2011
} Life expectancy: 73 years.
} Crude death rate: 7 per 1000: the leading
cause of...
6/5/2013 5
Non-communicable Diseases in Jordan:
Trends and Challenges
} Top 5 causes of Mortality,2009
Rank Mortality
1 Di...
6/5/2013 6
Human Development Index: Health,
Education and Income, Jordan 2011
Source: UNDP: http://hdrstats.undp.org/en/co...
6/5/2013 7
Expenditures on health(2011)
27.56 % of total HEExpenditure on pharmaceuticals(427.9 million JD)
9.14% of gover...
6/5/2013 8
Distribution of Public Expenditure
by Function 2011 JD
1.5 %Training
7. 3 %Administration
15.9 %Primary
75.3 %C...
6/5/2013 9
} Out of PocketOut of Pocket
6/5/2013 10
10
out-of-pocket expenditure
} Push some households
into poverty
} Reduce expenditures on
other basic needs
} ...
6/5/2013 11
Source: United Nations Population Division, 1998 World Population Prospects
6/5/2013 12
Figure 2.4: Total FertilityRate, Jordan
0
1
2
3
4
5
6
7
8
9
1950 1960 1970 1980 1990 2000 2010 2020 2030 2040 ...
6/5/2013 13
Figure 2.5: Crude Birth and Death Rates, Jordan
0
10
20
30
40
50
60
1950 1960 1970 1980 1990 2000 2010 2020 20...
6/5/2013 14
Population Structure: Impacts on HP
6/5/2013 15
Jordan health Care Sub - Systems
6/5/2013 16
Key MOH Roles in Health Care (as mandated
by PH Law 47 for 2008)
Public Health Facility/Professional Regulatio...
6/5/2013 17
Jordan Ranks 83/190 According to WHO Ranking of
the World’s Health Systems
11 Norway
12 Portugal
13 Monaco
14 ...
6/5/2013 18
Health Care System Achievements
} Extensive network of PHC facilities
} Physician to population ratio is highe...
6/5/2013 19
MorbidityMorbidity
} Increase of NCD and injuries
} Double Burden of Disease
} Unhealthy behaviors and life
st...
6/5/2013 20
DemographyDemography
} High growth rate due to high
fertility rates and forced migration
waves.
} High depende...
6/5/2013 21
Going forward, the increasingly aging Jordan
population is expected to further strain government
budget over t...
6/5/2013 22
InequalitiesInequalities
} Access to health services is uneven
across Governorates
} Low income population is ...
6/5/2013 23
InequalitiesInequalities
} 75 % of out of pocket expenditures on
outpatient care are for pharmaceuticals. This...
6/5/2013 24
InefficienciesInefficiencies
} High spending on health and
medicines
} Duplication of HI Coverage
} Low Utiliz...
6/5/2013 25
FundingFunding
Health System
Challenges
Health System
Challenges
} Expenditure on health care is as high as
so...
6/5/2013 26
GovernanceGovernance
} Poor monitoring and
Coordination
} Uncontrolled Private Sector
} Limited public-private...
6/5/2013 27
Human
Resources
Human
Resources
} Imbalances between output and market
need for many professions.
} Re-licensi...
6/5/2013 28
Health System Concerns,
Challenges, Gaps
Policies
to Bridge the Gaps
Achieve Specific
Objectives
Health Policy...
6/5/2013 29
Four Health Policy Eras
Era I: Pre MOH 1921-1946
Pre/Emerging System Period
} Minimal licensure and profession...
6/5/2013 30
Four Health Policy Eras
Era II: Institulaization,Health Education,
Professionalization 1950s to 1970s
( Public...
6/5/2013 31
Four Health Policy Eras
Era II: ( Public Sector Growth) /Cont..
} Development of PHC and
} Tertiary Healthcare...
6/5/2013 32
Four Health Policy Eras
Era III: Private Sector Booming and Medical
Tourism 1980s - 2000
( Private Sector Grow...
6/5/2013 33
Four Health Policy Eras
Era IV: Integrating Health Policy with National Policy
2000- through today (Health Pol...
6/5/2013 34
6/5/2013 35
The Jordanian National Agenda:
A Strategy for Social Welfare
} developed by a 27-member committee through
dial...
6/5/2013 36
Social WelfareSocial Welfare
Social Welfare contributes to the achievement of key
constituents of every modern...
6/5/2013 37
(Health Policy Integration)
} Jordan National Agenda
(2005-2017),(2017-2022)
6/5/2013 38
Health as part of National Social Welfare
Package
} Providing
adequate
access to
health care
} Providing
educa...
6/5/2013 39
Most developed countries adopt an “Institutional” stance while
developing countries adopt a “Residual” stance ...
6/5/2013 40
Coverage of social services varies by country, with
developing countries being generally mostly selective
in t...
6/5/2013 41
6/5/2013 42
High Health Council: HP Formulation
} Proposing and initiating national health policy and
strategic health pla...
6/5/2013 43
High Health Council: The House of all Health
Stakeholders
6/5/2013 44
National Health Strategy (2008-2012)
} Milestones of Health Policy in Jordan
üStrategic partnership among all ...
6/5/2013 45
National Health Strategy and Plan of
Action 2008-2012: Three Main Pillars
Reduce Costs (Efficiency)
Increase Q...
6/5/2013 46
National Health Strategy (2008-2012)
} Strategic Goals:
- Expanding health insurance to all citizens.
- Ensuri...
6/5/2013 47
Universal coverage that can be attained : covering all, for
most services, at reasonable cost
Pooled funds
Tot...
6/5/2013 48
National Health Strategy (2008-2012)
} Strategic Themes
6/5/2013 49
National Health Strategy (2008-2012)
} Manpower Theme:
I. Adopting an ideal policy to qualify human resources
...
6/5/2013 50
National Health Strategy (2008-2012)
Manpower Theme:
III. Endorsing evaluation programs for qualified technica...
6/5/2013 51
National Health Strategy (2008-2012)
} Process Theme:
I. Strengthening the PHC services focusing on:
§Providin...
6/5/2013 52
National Health Strategy (2008-2012)
} Process Theme:
II.Enhancing the abilities of secondary/tertiary
health ...
6/5/2013 53
National Health Strategy (2008-2012)
} Process Theme:
III. Improving the management of health information
thro...
6/5/2013 54
National Health Strategy (2008-2012)
} Process Theme:
IV. Institutional development:
§ Updating work methods.
...
6/5/2013 55
National Health Strategy (2008-2012)
} Financial Theme:
I. Assuring the sustainability of the health system by...
6/5/2013 56
National Health Strategy (2008-2012)
Financial Theme:
II. Focusing on financial efficiency through:
§ Endorsin...
6/5/2013 57
Challenges related to Health Policy
} No real involvement of all stakeholders.
} Available evidence is not ful...
6/5/2013 58
Health Policy Makers in Jordan:
“Now
I UNDERSTAND
You!”
“Now
I UNDERSTAND
You!”
6/5/2013 59
“Your legacy should be that
you made it better than it was
when you got it.”
Lee Iacocca
6/5/2013 60
The Only Constant is the
Change , Albert Einstein
6/5/2013 61
Thank You
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Health Policy Situation in Jordan by Dr Musa Ajlouni

  1. 1. 6/5/2013 1 Health Policy Situation: Jordan Musa Ajlouni, PhD Philadelphia University RESCAP-MED Capacity Development Workshop Health Policy Evaluation Amman, Jordan 3-6 June 2013
  2. 2. 6/5/2013 2 } Jordan is a middle income country. } Annual per capita income: US$4,628 . } unemployment rate :12.5%(10.8% for males , 19.9% for females). } Poverty incidence is 14.4% ( rural 37% urban 29% ). Socioeconomic Indicators for Jordan 2011
  3. 3. 6/5/2013 3 Jordan demographic indicators, 2011 Indicators Total population 6249000 Population Growth Rate 2.2 Dependency Ratio 68.2 % population <15 years 37.3 Total Fertility Rate 3.8
  4. 4. 6/5/2013 4 Jordan Health Indicators,2011 } Life expectancy: 73 years. } Crude death rate: 7 per 1000: the leading cause of death is cardiovascular followed by cancer. } Infant mortality: 23 per 1000 Live Births } Maternal mortality: 19.1 per 100,000Live Births
  5. 5. 6/5/2013 5 Non-communicable Diseases in Jordan: Trends and Challenges } Top 5 causes of Mortality,2009 Rank Mortality 1 Diseases of circulatory system (36%) 2 Neoplasm's (15%) 3 External Causes of Mortality (10%) 4 Endocrine, nutritional and metabolic diseases (8%) 5 Certain conditions originating I in the perinatal period (7%) 69 % of all deaths
  6. 6. 6/5/2013 6 Human Development Index: Health, Education and Income, Jordan 2011 Source: UNDP: http://hdrstats.undp.org/en/countries/profiles/JOR.htm Health Development Index scored the highest (0.841)
  7. 7. 6/5/2013 7 Expenditures on health(2011) 27.56 % of total HEExpenditure on pharmaceuticals(427.9 million JD) 9.14% of government budget allocated to health sector 66.85Public sector expenditure as % of total health expenditure 7.72Total health expenditure as % of GDP 252.9Total health expenditure/capita (JD) 1.581 billionTotal health expenditure (JD)
  8. 8. 6/5/2013 8 Distribution of Public Expenditure by Function 2011 JD 1.5 %Training 7. 3 %Administration 15.9 %Primary 75.3 %Curative
  9. 9. 6/5/2013 9 } Out of PocketOut of Pocket
  10. 10. 6/5/2013 10 10 out-of-pocket expenditure } Push some households into poverty } Reduce expenditures on other basic needs } May cause households to forgo seeking health care and suffer illness Risk of financial catastrophe Out-of-pocket health expenditure 10
  11. 11. 6/5/2013 11 Source: United Nations Population Division, 1998 World Population Prospects
  12. 12. 6/5/2013 12 Figure 2.4: Total FertilityRate, Jordan 0 1 2 3 4 5 6 7 8 9 1950 1960 1970 1980 1990 2000 2010 2020 2030 2040 2050 Year Birthsperwoman,overlifetime Source: United Nations PopulationDivision,1998 World PopulationProspects Re-Estimated
  13. 13. 6/5/2013 13 Figure 2.5: Crude Birth and Death Rates, Jordan 0 10 20 30 40 50 60 1950 1960 1970 1980 1990 2000 2010 2020 2030 2040 2050 Year Birthsanddeathsper1,000persons Crude birth rate Crude death rate Source: United Nations Population Division, 1998 World Population Prospects
  14. 14. 6/5/2013 14 Population Structure: Impacts on HP
  15. 15. 6/5/2013 15 Jordan health Care Sub - Systems
  16. 16. 6/5/2013 16 Key MOH Roles in Health Care (as mandated by PH Law 47 for 2008) Public Health Facility/Professional Regulation Provide and Regulate Insurance Health Workforce Education Training Provide/Finance ServiceCost Containment Information Dissemination Health System Monitoring
  17. 17. 6/5/2013 17 Jordan Ranks 83/190 According to WHO Ranking of the World’s Health Systems 11 Norway 12 Portugal 13 Monaco 14 Greece 15 Iceland 16 Luxembourg 17 Netherlands 18 UK 19 Ireland 20 Switzerland 1 France 2 Italy 3 San Marino 4 Andorra 5 Malta 6 Singapore 7 Spain 8 Oman 9 Austria 10 Japan
  18. 18. 6/5/2013 18 Health Care System Achievements } Extensive network of PHC facilities } Physician to population ratio is higher than most of MENA } Strong higher education system } 76 % of the population in Jordan is covered by formal health insurance } Government commitment } Improvement in health indicators } Modern health care infrastructures } Accreditation Program } Medical Tourism
  19. 19. 6/5/2013 19 MorbidityMorbidity } Increase of NCD and injuries } Double Burden of Disease } Unhealthy behaviors and life style } Increase of NCD and injuries } Double Burden of Disease } Unhealthy behaviors and life style Health System Challenges Health System Challenges
  20. 20. 6/5/2013 20 DemographyDemography } High growth rate due to high fertility rates and forced migration waves. } High dependency ratios. } Increasing proportion of the population that is aging. } Unplanned urbanization (about 50% of population lives in Greater Amman Area). } Scarcity of water resources and Limited natural resources and arable land. } High growth rate due to high fertility rates and forced migration waves. } High dependency ratios. } Increasing proportion of the population that is aging. } Unplanned urbanization (about 50% of population lives in Greater Amman Area). } Scarcity of water resources and Limited natural resources and arable land. Health System Challenges Health System Challenges
  21. 21. 6/5/2013 21 Going forward, the increasingly aging Jordan population is expected to further strain government budget over the next decade Population Breakdown by Age (In Million) (2005 / 2020) 2005 2020F 45% 36% 16% 4% 33% 35% 26% 5% CAGR (2005-2020) 65+ 0-19 20-39 40-64 0% 2% 6% 5% Government Health Care Expenditure (In JD Million) (2004 / 2020) 350 913 2005 2020F x 2.6 Note: (*) Elderly dependency ratio is the population over 65 divided by those between ages 15 and 64 Source: US Census Bureau; GPD Team analysis 6% 8% Elderly Dependenc y Ratio* 100% 100% 920 Millions in 2011 920 Millions in 2011
  22. 22. 6/5/2013 22 InequalitiesInequalities } Access to health services is uneven across Governorates } Low income population is not getting all the benefits of the MoH coverage scheme } High Out-of- Pocket Spending } Public funds are subsidizing some wealthy households } Around 25% of the population does not have any sort of insurance coverage } Access to health services is uneven across Governorates } Low income population is not getting all the benefits of the MoH coverage scheme } High Out-of- Pocket Spending } Public funds are subsidizing some wealthy households } Around 25% of the population does not have any sort of insurance coverage Health System Challenges Health System Challenges
  23. 23. 6/5/2013 23 InequalitiesInequalities } 75 % of out of pocket expenditures on outpatient care are for pharmaceuticals. This represents a burden to the population as a whole and to at-risk groups in particular. } The elderly ,females and the poor spend more out of pocket on outpatient care than others do. } Some demographic groups (the elderly and the illiterate) have average expenditures on outpatient care that exceed 10 percent of household income. } Females pay out of pocket expenditures three times as much as males on Inpatient Care. } 75 % of out of pocket expenditures on outpatient care are for pharmaceuticals. This represents a burden to the population as a whole and to at-risk groups in particular. } The elderly ,females and the poor spend more out of pocket on outpatient care than others do. } Some demographic groups (the elderly and the illiterate) have average expenditures on outpatient care that exceed 10 percent of household income. } Females pay out of pocket expenditures three times as much as males on Inpatient Care. Health System Challenges Health System Challenges Findings from the Jordan Healthcare Utilization and Expenditures Survey,2006
  24. 24. 6/5/2013 24 InefficienciesInefficiencies } High spending on health and medicines } Duplication of HI Coverage } Low Utilization of PHCs } Low Productivity } High spending on health and medicines } Duplication of HI Coverage } Low Utilization of PHCs } Low Productivity Health System Challenges Health System Challenges
  25. 25. 6/5/2013 25 FundingFunding Health System Challenges Health System Challenges } Expenditure on health care is as high as some developed countries. } Public health expenditure is likely to further increase over the next decades in light of an aging population } Expenditure on health care is as high as some developed countries. } Public health expenditure is likely to further increase over the next decades in light of an aging population
  26. 26. 6/5/2013 26 GovernanceGovernance } Poor monitoring and Coordination } Uncontrolled Private Sector } Limited public-private partnerships } Management issues } Poor HIS } Overlapping and duplication of governance functions } Poor monitoring and Coordination } Uncontrolled Private Sector } Limited public-private partnerships } Management issues } Poor HIS } Overlapping and duplication of governance functions Health System Challenges Health System Challenges
  27. 27. 6/5/2013 27 Human Resources Human Resources } Imbalances between output and market need for many professions. } Re-licensing of health professionals has not been introduced. } High drop out rate of qualified health professionals : internal and external } Gender imbalances in training intake for many health professions. } Regional, geographical ,level of care imbalances). } Weak performance management } Centralization of decisions regarding HRH recruitment, placement, termination and compensation. } Imbalances between output and market need for many professions. } Re-licensing of health professionals has not been introduced. } High drop out rate of qualified health professionals : internal and external } Gender imbalances in training intake for many health professions. } Regional, geographical ,level of care imbalances). } Weak performance management } Centralization of decisions regarding HRH recruitment, placement, termination and compensation. Health System Challenges Health System Challenges
  28. 28. 6/5/2013 28 Health System Concerns, Challenges, Gaps Policies to Bridge the Gaps Achieve Specific Objectives Health Policy in Jordan as a Lever to Change üDecrease Fertility Rate üDecrease Maternal Mortality rate üDecrease Infant Mortality Rate üAchieve Universal Coverage? üDecrease expenditures on pharmaceuticals ? 6/5/2013 Action
  29. 29. 6/5/2013 29 Four Health Policy Eras Era I: Pre MOH 1921-1946 Pre/Emerging System Period } Minimal licensure and professional standards } No health insurance } Minimal public investments } No MOH( Health Directorate only) } Infectious disease leading cause of death } Life expectancy ~45 years
  30. 30. 6/5/2013 30 Four Health Policy Eras Era II: Institulaization,Health Education, Professionalization 1950s to 1970s ( Public Sector Growth) } MOH established in 1950 } First Nursing College(1953) } First Medical Faculty 1970 } Widespread licensure, public sector regulation } Development of health insurance. First Health Insurance (Armed Forces)1963,Civel Health Insurance,1965
  31. 31. 6/5/2013 31 Four Health Policy Eras Era II: ( Public Sector Growth) /Cont.. } Development of PHC and } Tertiary Healthcare( KHMC and Amman Large Hospital 1973) } HHC 1977 } Medical Associations
  32. 32. 6/5/2013 32 Four Health Policy Eras Era III: Private Sector Booming and Medical Tourism 1980s - 2000 ( Private Sector Growth) } (life expectancy ~70s) } Sophisticated Medical Technology } Emergence of Chronic Disease as Leading Cause of Death } Increased Expenditure on Health } Health System Planning
  33. 33. 6/5/2013 33 Four Health Policy Eras Era IV: Integrating Health Policy with National Policy 2000- through today (Health Policy Integration) } Evidence Based HP } NHA } Cancer , Death Registries, Community-based Studies } Activation of the Role of HHC(HHC Law 2009) } FDA (2003) } Expanding Health Insurance } Quaternary care } Quality and Accreditation Programs } Cost Containment } Jordan National Agenda(2005-2017),(2017-2022)
  34. 34. 6/5/2013 34
  35. 35. 6/5/2013 35 The Jordanian National Agenda: A Strategy for Social Welfare } developed by a 27-member committee through dialogues with hundreds of Jordanian citizens, } is a 10-year plan covering eight themes across the fields of political, institutional, economic, educational, and social reform. } The Agenda includes measurable indicators for success and clear milestones linked to a clear timetable. } Budgetary requirements to implement the Agenda are also integrated into the document, so that resources can be allocated to ensure the Agenda's enactment.
  36. 36. 6/5/2013 36 Social WelfareSocial Welfare Social Welfare contributes to the achievement of key constituents of every modern society, namely: democracy, solidarity, social organization and economic effectiveness Social Welfare Contribution to a Modern Society Healthy Citizens Educated Citizens Safe and Secure Citizens Economically Active Citizens Modern SocietyModern Society Democracy Solidarity Social Organization Economic Effectiveness Source: Jordan National Agenda
  37. 37. 6/5/2013 37 (Health Policy Integration) } Jordan National Agenda (2005-2017),(2017-2022)
  38. 38. 6/5/2013 38 Health as part of National Social Welfare Package } Providing adequate access to health care } Providing education } Ensuring a minimum level of income and decent life conditions for the vulnerable segment of the population “All social interventions intended to enhance or maintain the social functioning of human beings” “All social interventions intended to enhance or maintain the social functioning of human beings” Health CareHealth Care EducationEducation Welfare Assistance Welfare Assistance Social Services Social Services Unemployment Assistance Unemployment Assistance } Ensuring a safety net is put in place for the unemployed } Providing vocational training and job placement assistance } Providing support services for vulnerable segments: ◦ Mentally ill people ◦ Disabled People Personal Social Services Personal Social Services Source: Jordan National Agenda
  39. 39. 6/5/2013 39 Most developed countries adopt an “Institutional” stance while developing countries adopt a “Residual” stance towards social welfare, with Jordan adopting a fairly balanced stance “Residual” “Institutional” USA Sweden Governments Attitude Towards Social Welfare Welfare provision is often positioned as targeted to the poor Welfare is provided for the population as a whole, in the same way as public services like roads or water might be UK Source: Jordan National Agenda France Germany South Africa Mexico Brazil CanadaMalaysiaJordan Developed Countries Developing Countries Egypt Peru
  40. 40. 6/5/2013 40 Coverage of social services varies by country, with developing countries being generally mostly selective in their provision of social services Social Welfare Programs by Type“Selective” “Universal” Health CareHealth Care EducationEducation Welfare Assistance Welfare Assistance Unemployme nt Assistance Unemployme nt Assistance Personal Social Services Personal Social Services Coverage Selective benefits and services are made available on the basis of individual need, usually determined by a test of income Universal benefits and services are made available to everyone as a “right”, or at least to whole categories of people (like 'old people' or 'children‘) SocialServices France Germany Canada UKFrance Canada Germany UK France Canada Germany UK France Canada Germany UK France Canada Germany UK Sweden Sweden SwedenSwedenSweden S.Africa Mexico USA Mexico USA Mexico USA Mexico USA Mexico USA S.Africa S.Africa S.Africa S.Africa Jordan Jordan Jordan Jordan Jordan Source: Jordan National Agenda
  41. 41. 6/5/2013 41
  42. 42. 6/5/2013 42 High Health Council: HP Formulation } Proposing and initiating national health policy and strategic health plans. } Coordinating the major activities of health sub- sectors (MOH, RMS, university hospitals, private health sector, etc.). } Proposing solutions to the major problems of the health care system (HCS). } Adopting of health system research agenda and facilitating the implementation of this agenda.
  43. 43. 6/5/2013 43 High Health Council: The House of all Health Stakeholders
  44. 44. 6/5/2013 44 National Health Strategy (2008-2012) } Milestones of Health Policy in Jordan üStrategic partnership among all sectors . üInvestment in enhancing Jordan pioneer position in the region. üEnsuring financial protection for all citizens. üLiberating the systems and directing the investment towards the health sectors. üHuman resources development. üControlling expenditure and efficiently. üDirecting output of medical and health sciences to meet market needs. üStrengthening collaboration with international organizations. üRelying on studies and research to determine priorities and direct projects. üStrengthening and directing support for health care services.
  45. 45. 6/5/2013 45 National Health Strategy and Plan of Action 2008-2012: Three Main Pillars Reduce Costs (Efficiency) Increase Quality Improve Accessibility (Effectiveness and Equity)
  46. 46. 6/5/2013 46 National Health Strategy (2008-2012) } Strategic Goals: - Expanding health insurance to all citizens. - Ensuring equality in access to health services regardless of the ability to pay. - Providing efficient, high-quality health care services in accordance with international standards. - Increasing financial support allocated to primary health care services. -Unifying, standardizing, and computerizing administrative, financial and information systems at all levels of service providers. - Strengthening intersectional partnership. - Developing and updating first-aid and emergency system within the Kingdom. - Activating reproductive health programs. - Supporting the most vulnerable groups, particularly the poor and the elderly. - Institutionalizing NHA and public expenditure review.
  47. 47. 6/5/2013 47 Universal coverage that can be attained : covering all, for most services, at reasonable cost Pooled funds Total health expenditure % Cost covered 47 Breadth (% population covered) Depth and quality (services covered) 47
  48. 48. 6/5/2013 48 National Health Strategy (2008-2012) } Strategic Themes
  49. 49. 6/5/2013 49 National Health Strategy (2008-2012) } Manpower Theme: I. Adopting an ideal policy to qualify human resources through: § Institutionalizing education and training for all technical and management personnel. § Endorsing continuous medical education. II. Recruiting qualified technical personnel and retaining them through: § Developing and implementing incentives system. § Approving job descriptions.
  50. 50. 6/5/2013 50 National Health Strategy (2008-2012) Manpower Theme: III. Endorsing evaluation programs for qualified technical personnel through: § Setting performance indicators. § Periodic evaluation and certification. IV. Directing educational outputs to meet market needs for health manpower through: § Periodic evaluation of educational outputs to identify needs. § Designing educational polices for studying health and medical sciences within the Kingdom, and organizing the study of these sciences abroad.
  51. 51. 6/5/2013 51 National Health Strategy (2008-2012) } Process Theme: I. Strengthening the PHC services focusing on: §Providing preventive and curative services in health care centers through the aspect of family medicine. §Raising health awareness. §Encouraging community and voluntary work. §Meeting the needs of special categories in the community, such as children, women, those who are getting married, elderly, those with special needs, and those subjected to violence. §Encouraging the practice of healthy lifestyles. §Confronting disease determinants and risk factors.
  52. 52. 6/5/2013 52 National Health Strategy (2008-2012) } Process Theme: II.Enhancing the abilities of secondary/tertiary health care services through: § Providing curative care services according to the best international standards through the implementation of accreditation programs. § Establishing an updated first-aid and emergency system. § Connecting primary and secondary health care services through an effective referral system.
  53. 53. 6/5/2013 53 National Health Strategy (2008-2012) } Process Theme: III. Improving the management of health information through: § Integrated information programs. § Reference disease classification for all sectors. § Medical data based on studies and research.
  54. 54. 6/5/2013 54 National Health Strategy (2008-2012) } Process Theme: IV. Institutional development: § Updating work methods. § Authenticating processes and simplifying procedures. § Encouraging studies and research to serve as the basis for formulating health polices. § Assuring job security and improving the work environment
  55. 55. 6/5/2013 55 National Health Strategy (2008-2012) } Financial Theme: I. Assuring the sustainability of the health system by endorsing medical finance as the basis for providing services through: § Periodic revision of health expenditures according to national health accounts. § Performance reviews that depend on budgeting and endorsement of results-oriented budgeting. § Integrated partnership among the sectors and endorsing the certificate of need. § Adopting Master planning to raise the operational efficiency of resources.
  56. 56. 6/5/2013 56 National Health Strategy (2008-2012) Financial Theme: II. Focusing on financial efficiency through: § Endorsing the certificate of need. § Rationalizing drug consumption. § Endorsing the joint purchasing method. § Encouraging investment in the health sector to support medical tourism.
  57. 57. 6/5/2013 57 Challenges related to Health Policy } No real involvement of all stakeholders. } Available evidence is not fully utilized . } Turnover of governments. } Shortage of integrated technical personnel at HHC. } Weak or lack of operational plans. } Weak implementation.
  58. 58. 6/5/2013 58 Health Policy Makers in Jordan: “Now I UNDERSTAND You!” “Now I UNDERSTAND You!”
  59. 59. 6/5/2013 59 “Your legacy should be that you made it better than it was when you got it.” Lee Iacocca
  60. 60. 6/5/2013 60 The Only Constant is the Change , Albert Einstein
  61. 61. 6/5/2013 61 Thank You

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