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

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Most of the health services in rural and remote areas are provided by the MOH andcover mainly primary healthcare services. The MOH faces serious problems in recruitingand retaining health staff in these areas.There are geographical disparities in the distribution of health workers mainly physiciansas evidenced by the difference in physician population ratios among Amman and someof the rural governorates. While the MOH has done a great deal to place clinics in theserural areas, it continuously faces the usual obstacles of placing professionals. Policiesand appropriate incentives should be developed to attract and retain physicians in ruraland poor areas.Without local access to well trained and motivated health workers, it is unlikely thatcommunities will have access to important primary health care services to respond topriority health needs. Health policy makers should develop plans and initiatives toimprove retention of health workers in rural areas.Figure 3.6:Urban/Rural distribution of health workers ,Jordan,2008Percentage120100806040Figure 0.6: 20 Urban/Rural Distribution of Health Workers, Jordan, 2008.0Physicians(generalists)Physicians(specialists)RegisteredNursesEnrolled/AssociateNursesMidwivesDentistsPharmacistsLab scientistUrban 83 % of PopRural 17 % of PopJordan HRH Profile,Musa Ajlouni (Jan 2010) 36
Table 3.8: Urban/Rural distribution of health workers(See definition of each occupational category in annexes 1, 2).HealthcategoriesOccupationalTotalNumber%Urban%RuralHW/ 1000 Popin urbanHW/1000 Popin ruralPopulation 5850000 83 17Physicians (generalists) 8746 90 10 1.6 0.9Physicians (specialists) 5830 98 2 1.2 0.1Professional/RegisteredNursesEnrolled Nurses (AssociateNurses)9512 91 9 1.8 1.04627 87 13 0.9 0.6Assistant Nurses 3338 90 10 0.6 0.3Auxiliary (Non nursingworkforce working innursing)Registered Midwives,Enrolled Midwives2709 88 12 0.5 0.31909 90 10 0.4 0.2Dentists 5094 96 4 1.0 0.2Dental technician, assistant 3426 96 4 0.6 0.1Pharmacists 7715 95 5 1.5 0.4Pharmacy technician,assistant6540 93 7 1.3 0.5Lab scientist 2400 95 5 0.5 0.1Laboratory technician 2670 91 9 0.5 0.3Radiographer ,Technician 1465 92 8 0.3 0.1Physiotherapist, Technician 630 95 5 0.1 0.03Other Technicians andHealth Cadres*Environment & public HealthworkersHealth managementworkers /Skilledadministrative staff.6900 95 5 1.7 0.41600 90 10 0.3 0.24845 92 8 0.9 0.5Other health support staff 11800 90 10 3.4 2.3TOTAL 91756 91.8 8.2 19.6 8.8Sources:MOH Statistical Annual Reports(2005,2008); http://www.dos.gov.jo; Log Books of Professional Associations;Jordan HRH Mapping for 2005; Situation Analysis: Jordan Human Health Resources Assessment, 2004; JordanHuman Resources for Health Observatory Website,HHC; Personal Interviews.Jordan HRH Profile,Musa Ajlouni (Jan 2010) 37
Page 1 and 2: PpppPrepared by:Dr. Musa AjlouniJan
Page 3 and 4: CONTENTACKNOWLEDGEMENT.............
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: 3.2.4 Geographical distribution by
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
Page 57 and 58: Figure 4.4:Annual Output of Univers
Page 59 and 60: 4- Supervising the internship train
Page 61 and 62: 4.3 Health workforce requirementsNo
Page 63 and 64: 5.HRH UTILIZATION: PRIORITY AND PRA
Page 65 and 66: There are two types of staff turnov
Page 67 and 68: Although there are formal procedure
Page 69 and 70: There is no long-range plan for hum
Page 71 and 72: not have specific legislation for m
Page 73 and 74: - Link financial incentives to actu
Page 75 and 76: ) Regulating and monitoring health
Page 77 and 78: 6.7 The National Observatory for HR
Page 79 and 80: 7. CONCLUSION AND RECOMMENDATIONSTh
Page 81 and 82: · A national program for capacity
Page 83 and 84: 18) DOS.Jordan Department of Statis
Page 85 and 86: ANNEXE 1 : DEFINITIONS OF HEALTH WO
Page 87 and 88: ANNEXE 2: HEALTH WORKFORCE CLASSIFI
Page 89 and 90:
Enrolled NursesAlso called nurse te
Page 91 and 92:
Dentists (specialist)At least 5 yea
Page 93 and 94:
Note: This program was stopped in19
Page 95 and 96:
11. Environmental and PublicHealth
Page 97 and 98:
OpticianAt least 4 years of univers
Page 99 and 100:
Anesthesia Technician2 years in ane
Page 101 and 102:
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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