Prepared by: Dr. Musa Ajlouni January, 2010 - World Health ...

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PACKNOWLEDGEMENTThe World Health Organization / EMRO has made this study possible. I express mysincerest gratitude to HE Dr. Taher Abu El-Samen, Secretary General of HighHealth Council of Jordan, and to his dedicated staff: Dr Raghad Hadidi, Dr. GhadahKayyali and Dr. Jamal Abu Saif for supporting this effort and reviewing the draftreport. I express my special thanks and appreciation to all interviewed leaders,directors and representatives from the public and private health sectors and fromhealth professions associations for their time and for the valuable information theyprovided. I also thank my MA students in the Healthcare Management Program fortheir effort in conducting the field surveys. In addition, I extend my appreciation toDr. Belgacim Sabri, Dr.Sameen Siddiqi and Dr.Walid Abubaker (Health Systemsand Services Development Division, WHO/EMRO), Dr. Hashim Elmousaad,WHOrepresentative in Jordan and Dr. Sana Naffa (WHO Office, Amman) for theirsupport and guidance.Jordan HRH Profile,Musa Ajlouni (Jan 2010)ii
CONTENTACKNOWLEDGEMENT........................................................................................................................................... IICONTENT...................................................................................................................................................................... 1EXECUTIVE SUMMARY .......................................................................................................................................... 5INTRODUCTION....................................................................................................................................................... 111. COUNTRY OVERVIEW ................................................................................................................................ 132. COUNTRY HEALTH SYSTEM .................................................................................................................... 193. HEALTH WORKERS SITUATION ............................................................................................................. 263.1 HEALTH WORKERS STOCK AND TRENDS ............................................................................................................ 263.2 DISTRIBUTION PROFILE OF THE WORKERS BY CATEGORY/CADRE .................................................................... 293.2.1 Gender distribution by health occupation/cadre ..................................................................................... 293.2.2 Age distribution by health occupation/cadre ........................................................................................... 303.2.3 Region distribution by health occupation/cadre...................................................................................... 343.2.4 Geographical distribution by health occupation ..................................................................................... 353.2.5 Sector distribution by health occupation/cadre ....................................................................................... 383.2.6 Distribution of health occupation/cadre according to work place......................................................... 394. HRH PRODUCTION ....................................................................................................................................... 414.1 PRE-SERVICE EDUCATION OF HEALTH WORKFORCE.......................................................................................... 414.1.1 Community college (Associate Degree Program) ................................................................................... 414.1.2 University Programs (Under-graduate)................................................................................................... 414.1.3 Training of Medical and Health Sciences Students................................................................................. 424.1.4 Bridging Programs .................................................................................................................................... 424.1.6 Student Entry Requirements for University and Associate Programs Cost of Education..................... 434.1.7 Cost of Education....................................................................................................................................... 434.1.8 Graduate programs.................................................................................................................................... 444.1.9 Governance of Higher Education (Pre-service education)..................................................................... 474.1.10 Annual Enrolment/Input in the Health Training Institutions................................................................ 474.1.11 Annual output from Health Training Institutions .................................................................................. 484.2 POST-SERVICE AND CONTINUING EDUCATION .................................................................................................. 564.2.1 Medical Internship Program..................................................................................................................... 574.2.2 Medical Residency Program ..................................................................................................................... 574.2.3 Community Medicine Program at MOH/the Academy of Health........................................................... 584.2.4 Continuing Medical Education (CME)..................................................................................................... 585. HRH UTILIZATION: PRIORITY AND PRACTICE ............................................................................... 615.1 RECRUITMENT..................................................................................................................................................... 615.2 DEPLOYMENT AND DISTRIBUTION MECHANISMS............................................................................................... 615.3 THE WORK ENVIRONMENT.................................................................................................................................. 625.3.1 Incentives and motivation systems............................................................................................................ 625.3 .2 Staff turnover and stability....................................................................................................................... 625.4 PAYMENT MECHANISMS ..................................................................................................................................... 645.5 SUPERVISION SYSTEMS AND MECHANISMS ........................................................................................................ 646. GOVERNANCE FOR HRH............................................................................................................................ 66Jordan HRH Profile,Musa Ajlouni (Jan 2010) 1
Page 1: PpppPrepared by:Dr. Musa AjlouniJan
Page 5 and 6: FIGURESFIGURE 1.1:TRENDS OF POPULAT
Page 7 and 8: EXECUTIVE SUMMARYIntroductionJordan
Page 9 and 10: than 70%) as physicians, dentists,
Page 11 and 12: pharmacists and nurses respectively
Page 13 and 14: INTRODUCTIONBackgroundJordan is a l
Page 15 and 16: 1. COUNTRY OVERVIEW1.1 Geography an
Page 17 and 18: Inflationary pressures on the back
Page 19 and 20: generation, along with emphasis on
Page 21 and 22: 2. COUNTRY HEALTH SYSTEM2.1 Governa
Page 23 and 24: The United Nations Relief and Work
Page 25 and 26: 2.3 Health care financingIn 2007, t
Page 27 and 28: HRH Observatory (HRHO) was establis
Page 29 and 30: Table 3.2: Health worker Population
Page 31 and 32: 20000180001600014000120001000080006
Page 33 and 34: Table 3.4: Gender distribution by h
Page 35 and 36: Table 3.6: Percentage Distribution
Page 37 and 38: 3.2.4 Geographical distribution by
Page 39 and 40: Table 3.8: Urban/Rural distribution
Page 41 and 42: The health sector in Jordan, public
Page 43 and 44: ALI YAVAR JUNG NATIONAL INSTITUTE F
Page 45 and 46: 4.1.6 Student Entry Requirements fo
Page 47 and 48: PostGraduateUniversity/Undergraduat
Page 49 and 50: 4.1.9 Governance of High Education
Page 51 and 52: Box 4.1: Functions of High Educatio
Page 53 and 54:
Table 4.6: Students Admitted to Hea
Page 55 and 56:
Table 4.8: Training outputs in the
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Figure 4.4:Annual Output of Univers
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4- Supervising the internship train
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4.3 Health workforce requirementsNo
Page 63 and 64:
5.HRH UTILIZATION: PRIORITY AND PRA
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There are two types of staff turnov
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Although there are formal procedure
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There is no long-range plan for hum
Page 71 and 72:
not have specific legislation for m
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- Link financial incentives to actu
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) Regulating and monitoring health
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6.7 The National Observatory for HR
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7. CONCLUSION AND RECOMMENDATIONSTh
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· A national program for capacity
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18) DOS.Jordan Department of Statis
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ANNEXE 1 : DEFINITIONS OF HEALTH WO
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ANNEXE 2: HEALTH WORKFORCE CLASSIFI
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Enrolled NursesAlso called nurse te
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Dentists (specialist)At least 5 yea
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Note: This program was stopped in19
Page 95 and 96:
11. Environmental and PublicHealth
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OpticianAt least 4 years of univers
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Anesthesia Technician2 years in ane
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Annex 3: HRH STRATEGIC DIRECTION AN
Page 103 and 104:
Questions Findings Remarks (if any)
Page 105 and 106:
Page 107 and 108:
Page 109 and 110:
Public sectorQuestions Findings Rem
Page 111 and 112:
Page 113 and 114:
Page 115:
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Prepared by: Dr. Musa Ajlouni January, 2010 - World Health ...

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