Country Team Action Plan Hashemite Kingdom of Jordan

Best PracticeResponsible FP method mixWCHD (MOH) (Dr. Zakaria/ Team) PAC- Missed opportunities for FPChief of OBGYN Department (MOH) (Dr. Isam Shraideh/Team) Sabry Hamza and HSS Team HTSP - MabroukMOI - CSPD Rula Dajani and JHCP Team Magnesium SulphateDr. Isam Shraideh and MOH Team Sabry Hamza and HSS Team Missed opportunities at Health Center Level MOH Team Oraib Smadi and HSS Team Best practices

Tracks 1 & 2 3 Where are we now? –Jordan is essentially a one method country with close to one quarter of women (22.3%) using the IUD (2007 DHS), and 8% of women using OCs for family planning while a mere 0.7% use injectibles. –There is currently a low acceptability and use of hormonal methods, especially implants and injectibles, even though these could be made available through the MOH procurement system.

Tracks 1 & 2 4 Where do we want to be? GOALS Increased use of modern methods Objective: By the year 2013, expand long acting hormonal contraceptive methods to include all MOH hospitals and 50% of the health centers through the increased acceptability, demand and use.

Track 1 5 What are the gaps? Inadequate policy support and leadership commitment Long acting hormonal methods are not available at all health centers across Jordan Guidelines do not exist and providers are not trained and therefore lack the requisite knowledge Lack of adequate counseling for Family Planning

Track 1 6 What interventions can we use to close the gap? Inadequate policy support and leadership commitment Strengthen policy support and leadership commitment Advocate to MOH and senior stakeholders Add counseling on this method to service providers’ job description

Track 1 7 What interventions can we use to close the gap? Long acting hormonal methods are not readily available at all health centers across Jordan Increase procurement of long acting hormonal contraceptives to meet increased demand

Track 1 8 What interventions can we use to close the gap? Curriculum does not exist and providers are not trained and therefore lack the requisite knowledge Adapt and validate up to date evidence based training curriculum and guidelines to train service providers in use of long acting hormonal methods following competency based training methodology Strengthen management capacity to monitor and evaluate the progress

Track 1 9 What interventions can we use to close the gap? Lack of adequate counseling for Family Planning Develop and implement BCC/IEC interventions for service providers and clients – including but not limited to mass media campaigns Improve family planning awareness through integrating FP information at general service sites

Track 1 10 What are the possible challenges to the intervention? Challenge: Maintaining continuous momentum and enthusiasm of the Jordan Country Health Team (Bangkok) for this issue as well as getting other necessary stakeholders engaged in this process –Solution: Each team member commits to engaging their colleagues in their offices, meeting with MOH stakeholders as well as facilitating a meeting among team members and crucial stakeholders

Track 1 11 What are the possible challenges to the intervention? Attitudes and behaviors of service providers Attitudes and behaviors of clients, e.g. desire for large family size Lack of provider motivation

Track 1 12 Who are the possible partners, allies, and stakeholders? MOH, HPC, relevant NGOs, USAID and their CAs

Track 1 13 PartnerRoles and responsibilities HSS (Drs. Sabry,Nisreen Bitar, Suhail) Capacity at MOH facilities (hospitals & HCs) JHCP (Rula and team)Communications: IEC, BCC strategies, awareness PSP (Dr. Maha and team)Outreach awareness, referrals, communication, training of private sector (later stage) HPI + (Basma, Ishaqat) in collaboration with HPC & PSP Advocacy tools USAID + ESD (Leslie, Fatina)Coordination Leader: JMOH – Dr Zakaria Omari and team Partners

Tracks 1 & 2 14 What are our action steps? Action StepResponsible PersonTimeline 1. Policy statement presented on the best practice to the Minister Dr. Zakaria and Team with technical support from HSS March 16, Debrief to MOHDr. Zakaria and USAID will facilitate the organization of this meeting March 21, Request the Minister to nominate a task force for implementing Best Practice USAID to request meeting and Dr. Zakaria and team will request creation of task force March 21, 2010

Tracks 1 & 2 15 What are our action steps? Action StepResponsible PersonTimeline 4. Assist the MOH to review and update the current job descriptions HSS IISeptember Review data in the logistics system to project estimated needs MOHDecember Formulate technical committee to adapt and validate clinical guidelines and training materials MOH and HSS IIDecember 2010

Tracks 1 & 2 16 What are our action steps? Action StepResponsible PersonTimeline 7. Identify local trainers to become trainers of trainers and to roll out competence based training for service providers at targeting MOH facilities MOH and HSS IIDecember TOT and step down training MOH and HSS IIBegin January 2011 through March 2012

Tracks 1 & 2 17 What are our action steps? Action StepResponsible PersonTimeline 9. Creative brief to guide overall strategy of the campaign IEC/BCC and all steps of the “P” Process MOH, JHCP and HPCOctober 2010 – September 2011

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