This document discusses health policy and universal health coverage. It defines policy and explains that policies are formulated, implemented, and revised. It also discusses the different types of policies including statements, decisions, documents, plans, programs of action, rules and regulations. The document then discusses the evolution of health policy in Jordan and some of the health system concerns and challenges in achieving objectives like decreasing mortality rates and achieving universal coverage. It provides an overview of Jordan's health system strengths and unfinished agenda for policymakers related to strengthening governance, increasing quality, improving accessibility and affordability, and reducing costs.

1. Musa Ajlouni, PhD
Philadelphia University
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Strengthening Health Systems for Achieving Universal Health Coverage and Health
Related Sustainable Development Goals
Workshop for Parliamentarians in Jordan
2 – 3 August 2017

2. A policy is a plan or course of action
 designed to define issues,
 influence decision-making and
 promote broad community actions.

3.  Policy encompasses the choices
that a society, or organization
makes regarding its goals and
priorities and how it will allocate
its resources.

4. Inbox
Demands
Resources
Support
Policies are formulated, implemented
and if necessary revised

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“Policy making is concerned
with what is politically feasible
and technically possible”
LEE AND MILLS (1985)

6.  Statement
 Decision
 Document
 Plans
 Programme of action
 Rules and regulations
 Non action
 A deliberate attempt to block a decision
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7.  An authoritative statement of
intent adopted by government
on behalf of the public with the
aim of improving the health
and welfare of the populations
(centrally determined basis for
action)

8.  Those courses of action proposed or taken
by government that impact on the financing
and or provision of health services. Blanc and Burau (2004)
 Health policy is about process and power and
how that happens
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9. Political Programmatic
 What you are going to do
about an issue
 How you are going to do it
 Who will do it
• A course of action
• A series of objectives
and how to reach them
• A statement of intent
• A long‐term plan

10. Parliament Government/Parties International Agencies,WH0
Policies
Governorates,
Municipalities
Problems,
Health needs and
demands
PEOPLE
in the
Community
MOH,HHC,RMS
Private Sector,
………………

11.  A regulator of health care agencies
 A protector of deprived and disadvantaged
groups
 A financier of health and health care
programmes
 A purchaser of health care services
 A direct provider of services
 A stimulator of research

12. Evolution of
Health Policy in Jordan
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Health System Concerns,
Challenges, Gaps
Achieve SpecificAchieve Specific
Objectives
Health Policy in Jordan as a Lever to Change
Decrease Fertility Rate
Decrease Maternal
Mortality rate
Decrease Infant Mortality
Rate
Achieve Universal
Coverage?
Decrease expenditures on
pharmaceuticals ?
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Action

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Social Welfare
Social Welfare Contribution to a Modern Society
Healthy
Citizens
Educated
Citizens
Safe and
Secure Citizens
Economically
Active Citizens
Modern Society
Democracy
Solidarity
Social
Organization
Economic
Effectiveness
Source: Jordan National Agenda

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 Jordan National Agenda
(2005-2017)

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23.  Extensive network of PHC facilities
 Strong higher education system
 Modern health care infrastructures
 76 % of the population in Jordan is covered
by formal health insurance
 Government commitment
 Improvement in health indicators
 Accreditation Program
 Medical Tourism
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Strengthen preventive medicine and primary PHC.
Achieve sustainable financing of the health care sector and reduce the
number of inefficiently/costly health services.
Increase private sector participation in providing health care service.
Provide health care access to primary and secondary facilities to all
segments of population.
Ensure everyone in Jordan has insurance or health care coverage (public or
private),UHC
Develop a national HIS.
Enhance the operational efficiency of the public health care system, while
improving the quality of service.
Strengthen health sector governance and improve the institutional
framework.
Continuous training and development of health manpower.
Improve emergency medical services and mental health.
Focus on health promotion and healthy life styles.
Building positive partnership among all health sub-sectors.
Institutionalize health system research and promote evidence-based
health policy.
Sources: 1. Jordan National, Agenda2006
2. Jordan National Health Strategy for 2015 – 2018.
The Unfinished Agenda of Health Policy Makers

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Strengthen
Governance
Increase
Quality
Improve Accessibility
(Effectiveness and
Equity)
Reduce Costs
(Efficiency)
The Unfinished Agenda

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Pooled funds
Total health expenditure
% Cost
covered
26
Breadth (% population covered)
Depth and quality
(services covered)
26

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 No real involvement of all stakeholders.
 Available evidence is not fully utilized .
 Shortage of integrated technical personnel at
HHC.
 Weak or lack of operational plans.
 Weak implementation.
 Weak monitoring
 Shortage of funds

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Health Policy Makers in Jordan:
“Now I
UNDERSTAND
You!”

29. “Your legacy should be that you made
it better than it was when you got it.”
Lee Iacocca
"Lee" Iacocca is an American businessman known for engineering the Ford Mustang and Ford Pinto cars,
being let go from Ford Motor Company, and his revival of the Chrysler Corporation in the 1980s.
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Thank You