Health care system ofJordan under crisis
prepared by Daisuke Kido

About the country

Income and Life Expectancy Transition

2011 Syrian Civil War
1989 economic crisis
1967 Six-day War

Migration Trend Affecting its
Health System- Efflux of Medical
providers
shown in red box

braindrain- Influx from neighbouring
countries
shown in purple arrow70 years History ofrefugee in Jordan- Colonization inPalestine- Civil wars in Sudan,
Somalia, and Syria
caused huge influx inthis country
https://www.aljazeera.com/news/20
21/6/20/infographic-world-refugee-day-journeyHow many refugees
in Jordan?
It hosts- more than 2 million
Palestinian refugees- around 1 million
refugees and asylum
seekers mainly fromSyria→ 3M refugees out of
11M total population

Healthcare system Analysis
Universal Health Coverage Cube
1.
2.
3.
4.

Population
Cost
Benefits+Quality1. Population Coverage
Provider-Government
UNRWA, UNHCR etc.

Finance-red: Tax
green: Outside Jordan

from Department of Statistics in Jordan

Coverage Gap

not covered
68%-

refugees (out of camp)

55%(DHS Further Analysis Reports)-urban residents (informal work)
lower wealthno internet access(Liu M, 2021)

Jordanian covered
nonjordaniancovered2. Cost Coverage- relatively low
percentage ofout-of-pocket
expenditure- external supportRelatively low catastrophic payment(Rashad, A.S. etc. 2015)

3. Benefits coverage

Antenatal Care for Syrian refugeemedication availability for chronic conditions (Syrian)4. Quality -shortage of healthcare provider-

About declining of nurse’s number…
gender, work experience, and nursing role associated with intent to leave(Al Momani 2017)

Options for solving the issues
domestic-

Rechannelling the funds from Royal Court to the Civil Insurance Programme
Sin tax

international-Assisting the Government of Jordan by international community(Yara 2020)→Better Access, Financial protection, and QualityReference
WHO. (2023), Refugee and migrant health country profile Jordan
Department of Statistics Health Insurance in Jordan (2015), Analytical paper prepared according to the results of General Population and Housing Census 2015
DHS. (2020), Determinants of Health Insurance Coverage and Out-of-pocket Payments for Health Care in Jordan: Secondary Analysis of the 2017-18 JPFHS
Liu M, Luo Z, Zhou D, et al. Determinants of health insurance ownership in Jordan: a cross-sectional study of population and family health survey 2017–2018. BMJ
Open2021;11:e038945.
Rashad, A.S.; Sharaf, M.F. Catastrophic Economic Consequences of Healthcare Payments: Effects on Poverty Estimates in Egypt, Jordan, and Palestine.
Economies 2015, 3, 216-234.
Collaborators, GBD & Sahiledengle, Biniyam. (2020). Measuring universal health coverage based on an index of effective coverage of health services in 204
countries and territories, 1990-2019: a systematic analysis for the Global. The Lancet. 396.
Health Access and Utilization Survey (HAUS) Report 2021 Syrian segement,
https://reliefweb.int/report/jordan/unhcr-health-access-and-utilization-survey-access-healthcare-services-among-syrian
Al Momani, M. (2017). Factors influencing public hospital nurses’ intentions to leave their current employment in Jordan. International Journal Of Community
Medicine And Public Health, 4(6), 1847–1853.
Yara Halasa-Rappel, etc., 2020, Actuarial cost and fiscal impact of expanding the Jordan Civil Insurance Programme for health coverage to vulnerable
citizens