1. Jordan Field Office – Health Programme Reform SubCom Field Visit – 29 th March 2012 Health Programme Reform in Jordan Ms. Bayan Mughrabi – Health Reform Manager

2. Jordan Field Office – Health Programme Reform SubCom Field Visit – 29 th March 2012 Strategy of the Health Reform, is to modernize and improve PHC services through the implementation of a community-oriented Family Health Team (FHT) approach. The FHT approach represents a system of delivering primary health care through a multidisciplinary team of health professionals that works together to serve the comprehensive health needs of a defined population across the life cycle and in a community setting that is close to the client The phrase “My doctor / my patient” captures the essence of the FHT approach. FHT will improve workload by managing demand through appointment and triage systems and by making the best use of staff skills and time through task shifting. Health Programme Reform – The Family Health Approach

3. Jordan Field Office – Health Programme Reform SubCom Field Visit – 29 th March 2012 SERVICE ORIENTED SYSTEM PEOPLE ORIENTED SYSTEM Health Information System strengthened Health center appointment system improved and implemented Hospitalization referral system improved Improved partnership and coordination with health stakeholders Studies and Reports Automation of Health database at Health Center, Area and Program levels Health Programme Reform

4. Jordan Field Office – Health Programme Reform SubCom Field Visit – 29 th March 2012 Organizing by component Supervision Tailored rotation Team building HD reengineering Performance-based incentives Target setting e-Health Appointment System Task shifting. Job descriptions Surveys and Studies HC budget Decentralized Management Performance Assessment T. Instructions reviewed Clinical Guidelines reviewed Collaboration with MOH Communications Training program Job Descriptions reviewed Hospital database Reporting system reform

5. Jordan Field Office – Health Programme Reform SubCom Field Visit – 29 th March 2012 Reform in Jordan – Achievements Patient-related health information system established and in operation at 6 health centers (e-health). Pharmacy Module produced and piloted and will be replicated at 18 health centers that are not part of the e-health. Hospital Referral prototype piloted at four Area Offices and two health centers. Health center appointment system improved and implemented with the aid of Q-System. UNRWA’s active participation in health policy forum institutionalized.

6. Jordan Field Office – Health Programme Reform SubCom Field Visit – 29 th March 2012 Next Steps Appointment System implemented at station level in 6 health centers. Team work strengthened through training and task management. Hospital Referral System implemented at 18 remaining Health Centers. Clear ToRs and Service Level Agreements for e-health between stakeholders. Work on extracting all needed reports from the e-health system. Pharmacy module to be installed in remaining 18 health centers. Integrated Q-system with the e-health to be piloted and tested at Nuzha Health Centre then implemented in the remaining five health centers. Health Information System functioning in the four Areas. Building on task analysis and rebalancing the roles and responsibilities of all staff to make efficient use of human resources.

7. Jordan Field Office – Health Programme Reform SubCom Field Visit – 29 th March 2012 Thank You!