Outline of the Project

Project Name

Project for Improvement of Services at Village Health Centers in Rural Host Communities of Syrian Refugee

Country

The Hashemite Kingdom of Jordan

Date of R/D Signed

25th January, 2016

Project Site

Mafraq and Irbid Health Directorates and Balqa Health Directorate/ Dayr Alla district

Term of Cooperation

22nd April, 2016 to 21st April, 2018

Implementing Organization

Ministry of Health

Project Background

Over the last several years, massive inflow of Syrian refugees into Jordan has stressed the country's health service provision. According to UNHCR, there are more than 600,000 refugees in Jordan and 83% of them inhabit outside refugee camps (2015 UNCHR Operational Update). According to information collected by JICA during the field visit in 2014, bed occupancy rates of some hospitals in the northern region exceed 100%, and more than half of the women who made delivery in the Mafraq Obstetric Hospital are the Syrian refugees. Accordingly, there are critical needs to maintain quality and quantity of health service for Jordanians living in host communities as well as Syrian refugees.

The Jordan Ministry of Health has successful experiences in implementing the community-based health project in collaboration with JICA from 2006 to 2011. The project was entitled as Integrating Health and Empowerment of Women in the South Region Project in 2006-2011 with its follow-up activities in 2012-2014, whose aim was to strengthen reproductive health/family planning and primary health care services at village health centers, such as family planning, first aids and health promotion, in the entire southern rural communities and selected rural communities of Mafraq Governorate.

Under such circumstances, the Government of Jordan has requested the Government of Japan for JICA's technical cooperation in order to provide both Jordanians and Syrian refugee living in the rural communities of Mafraq and Irbid Governorates and Balqa Governorate/ Dayr Alla District with quality and quantity reproductive health/family planning and primary health care services at the Village Health Centers.

Overall Goals

More Jordanians and Syrian refugees who live in rural areas in the project sites can access quality and quantity reproductive health and family planning and primary health services.

Project Purpose

Service delivery function of the focus Village Health Centers (VHCs) is improved.

Outputs

Output 1: An enabling environment for VHCs in the project sites is secured.

Output 2: Capacity of health staff at VHCs in the project sites is strengthened.

Output 3: Health promotion activities are activated at the focus VHCs.

Project Activities

1-1	Workshop is organized to seek collaboration and supports from relevant stakeholders.
1-2	"Operational Manual for Village Health centers in the South Region" (VHCs Manual) is reviewed, modified for the Project sites, and approved by MOH.
1-3	Supervision Manual for VHCs in the project sites is developed based on the VHCs Manual in the South region to apply to the project sites for operational use.
1-4	Standard Operational Procedures (SOPs) for referral system for VHCs is reviewed, modified and applied VHCs for operational use.
1-5	Necessary basic equipment is provided and delivered.

2-1	Training plan is developed by MOH Headquarters and Health Directorates.
2-2	Trainings for nurse assistants at VHCs are provided.

3-1	The focus VHCs plan health promotion activities based on needs of communities, capacity of VHCs and available resources/ network in communities in collaboration with other organizations (eg. health education sessions at VHCs, health educations at school or mosque, community awareness workshops, home-visits, and etc.).
3-2	The focus VHCs implement health promotion activities.

Input

Japanese Side:

• Dispatch of Experts (Chief Advisor / RH&FP, Training Management, Project Coordinator / Health Promotion)
• A Vehicle for project activity, a Mobile Clinic for target directorates
• Necessary equipment for focus VHCs
• Necessary materials for the project activities
• Necessary training

Jordanian Side:

• Counterparts ( Project Director, Project Manager, Deputy Project Manager, Other personnel mutually agreed upon as needed
• Office space for the Project
• Information related to Project activities
• Running expenses necessary for the implementation of the Project upon as mutual agreement