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

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4.2.3 Community Medicine Program at MOH/the Academy of HealthThe MOH has recently established the Academy of Health to respond to thechallenges related to primary health care and community medicine. A one-yeardiploma course in community medicine, supported by WHO, has been in operationfor about 10 years. More than 200 physicians have been graduated; most of themare still working in MOH institutions. A similar, WHO-supported program in familymedicine has been established.4.2.4 Continuing Medical Education (CME)Since medical education does not stop when residency ends, practicing physiciansneed effective support for lifelong learning. A physician's continuing professionaldevelopment is critical to keeping up with advances in medicine and with changes inthe delivery of care.Though enhancing the practice of medicine through research and continuingeducation is one of its main goals, the JMC has not been involved in adopting orenforcing formal CME programs in the country. The JMC does not require fromspecialist physicians to provide evidence for CME.Formal continuing training programs are not regularly provided by public or privatehealth sector. It is performed on voluntary basis by professional associations,hospitals, teaching institutions and individual practitioners. Most of the trainingprovided is on job-training, seminars, workshops and conferences. The majority ofhospitals do not have any budgetary allocations for formal training and research.Although there is a directorate for medical continuing education at the MOH inaddition to the medical schools and the professional organizations, continuingeducation in Jordan is still at an early stage of development and many Jordanianhospitals and health institutions lack adequate continuing education programs forphysicians, nurses and other health cadres.It is recommended that the JMC should institutionalize formal CME to helpphysicians maintain, develop and increase the knowledge, skills and professionalperformance and relationships they use to provide high quality services .Relicencingof specialist physicians should also be activated and connected to formalCME .Jordan Health Care Accreditation Council (JHCAC), a private non profit organization,is mandated to accredit health training programs which are not under the jurisdictionof the High Education Council or the Jordan Medical Board. It is expected that afterfull implementation of the national accreditation program, formal continuing educationwill be more common practice in all healthcare facilities in Jordan.58
4.3 Health workforce requirementsNo formal projections or future plans requirements for HRH exists in Jordan. TheHigh Health Council has adopted strategic objectives for some health workcategories per 10000 population as indicated in table 4.10 below. The Strategy doesnot include the basis on which these objectives were formulated. 14The Human Resources Project (2004-2006) which was funded by USAID andtechnically supported by Initiatives Inc, provided future staff requirements for MOHfor the year 2014 for some health cadres as shown in table 4.11. It employed apowerful planning tool modeling developed for the World Health Organization tool toproduce strategic and quantified human resource projections. The projections werebased upon a number of assumptions about the future, namely: 34- Population will increase by 22.5% over the ten-year period with a small shiftof the population from rural to urban.- Health issues will move in part from endemic environmental diseases tothose chronic diseases more commonly associated with modern Westernsocieties.- Public sector services will focus on strengthening primary care roles and withstronger links to the private sector in the provision of hospital services.- Increased attention to the retention of staff, particularly specialist doctors andregistered nurses.Table 4.10: Strategic Projections for Some Health Work Categories per 10000 as reportedin the National Health Strategy (2008-2012)Cadre Year 2006(Rate per 10000population)Year 2012(Rate per 10000population)Physicians 24.5 27.5Dentists 8.2 8.5Pharmacists 12 12Nurses and Midwives(allcategories)33 35Source: the National Health Strategy (2008-2012).High Health Council, 2008.59
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PpppPrepared by:Dr. Musa AjlouniJan
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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 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
Page 57 and 58: Figure 4.4:Annual Output of Univers
Page 59: 4- Supervising the internship train
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 109 and 110: Public sectorQuestions Findings Rem
Page 111 and 112:
Questions Findings Remarks (if any)
Page 113 and 114:
Questions Findings Remarks (if any)
Page 115:
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Prepared by: Dr. Musa Ajlouni January, 2010 - World Health ...

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