· A special template provided <strong>by</strong> WHO/EMRO was used to assess HRH strategicdirection, governance, partnership and investment( annex 3)· Data was compiled and analysed from reports, evaluations and web sites for theMinistry of <strong>Health</strong>, Royal Medical Services, university hospitals, private hospitals,Ministry of High Education and Scientific Research, High <strong>Health</strong> Council,Department of Statistics, Ministry of Planning, National and InternationalOrganizations. <strong>Health</strong> Laws and relevant published HRH studies about Jordanwere also reviewed.· The Annual Statistical Reports on High Education in Jordan for the last threeyears published <strong>by</strong> the Ministry of High Education and Scientific Research werethe main source for the data related to the production of HRH.· Personal and telephone interviews were conducted with identified representativesfrom MOH, professional associations, High <strong>Health</strong> Council, Jordan MedicalCouncil Private Hospital Association, Department of Statistics Administration, andprofessional societies to fill in the gaps from the reports .· Field studies to collect HRH data from private hospitals were performed <strong>by</strong> healthmanagement MA students using the HRH templates provided <strong>by</strong> WHO/EMRO asdata collection tools .Limitations· Since Jordan HRH Observatory is still in its infancy stage, some data relatedmainly to gender, age and geographical distribution for some well establishedhealth professions as physicians, dentists, nurses, pharmacists, etc. were notavailable or not complete.· Most of allied health professions in Jordan do not have professional associationsor societies; thus human resources data, especially for those who are working inthe private sector, was not available or fragmented.· Discrepancies in figures among official reports exist sometimes.· Therefore, estimations <strong>by</strong> well experienced professionals who are very wellfamiliar with the relevant profession were done sometimes to fill such gaps. Theseestimations were validated <strong>by</strong> peers from the same profession.Report layoutA comprehensive analysis of Jordan HRH profile outlining the following main topics willbe presented in this report:· A country profile giving geography and demography, population and economicsituation.· Jordan health system, its governance and health provision including policy andsystems in the context of HRH· Present HRH stock and trends, imbalances in skill-mix, distribution and mobility ofhealth workers.· Human Resources for <strong>Health</strong> production including pre-service and post basictraining processes.· Human Resources for <strong>Health</strong> utilization.· Conclusion and recommendations.Jordan HRH Profile,<strong>Musa</strong> <strong>Ajlouni</strong> (Jan <strong>2010</strong>) 12
1. COUNTRY OVERVIEW1.1 Geography and demographyJordan is a small country with limited natural resources and semi-arid climate. Itsstrategic position connecting Asia, Africa and Europe has played a major role in shapingits past history and it’s present. Jordan has a total land territorial area of 89,300 squarekilometers, of which only 7.8% is arable land. Jordan's approximately 5.85 million people(2008) are mostly Arabs; with some Circassians, Chechens and Armenians. More than92% of the population is Moslems and about 6% are Christians.Based on results from the 2004 census, the estimated population of Jordan at the endyear 2008 was (5850000). In 2008 it was estimated that 36.9% of the population fallsunder 15 years, 59.6% between 15 and 64 years and 3.5% over 65 years. The averageannual population growth rate is 2.2%. 1’2’3Map of JordanThe total fertility rate (TFR) is relatively high in Jordan, though it has declined steadily inrecent years to 3.6 in 2008 1, 4 . The declining mortality rate and the high total fertility ratehave contributed to overall population growth that averaged 2.2% in 2008.Over the next 50 years, Jordan’s demographics will change dramatically. The country’spopulation is growing rapidly, doubling over the last 20 years and likely to almost doubleagain <strong>by</strong> 2035. More important, however, is the demographic transition the country isundergoing, as it moves from high fertility and mortality, to low fertility and mortality. This ischanging the age structure of the population, as well as leading to fundamental changes inJordan HRH Profile,<strong>Musa</strong> <strong>Ajlouni</strong> (Jan <strong>2010</strong>) 13