Support secondary and tertiary health care services for vulnerable populations including women, children, older people and people with disabilities among Jordanians and   Syrian refugees  living at camps and urban areas in Jordan The proposed intervention responds to the increasing WGBM health needs and vulnerabilities identified by the health sector in Jordan and takes into consideration the negative impact of the unprecedented global pandemic crisis due to the spread of  COVID-19 which made a lot of WGBM even more vulnerable. This project will support target groups in saving lives, alleviate suffering through granting access to secondary and tertiary health care, facilitate receiving needed medical services. Hence, the project is shaped by an understanding of the different needs, priorities of WGBM and gives priority for women, children, older people, and people with disabilities as the got more vulnerabilities and prioritized needs especially in the current situation. JPS will provide a free medical referral for basic emergency lifesaving interventions, Basic Emergency Obstetric and Newborn Care (BEmONC), and Comprehensive Emergency Obstetric and Newborn Care (CEmONC) and child health care for vulnerable people among Syrian refugees who are the main target group to benefit from the project at 70%, whereas the remaining 30% of beneficiaries is allocated for vulnerable Jordanian in host communities in line with the local authorities’ guidance and instructions represented by MoPIC. The project will take place in Amman and Mafraq governorates in Jordan.
This project will support priority medical cases who are in need of immediate medical care and access to in-hospital secondary and tertiary health care that is not available otherwise via supporting referrals to hospital settings to receive different services include pre-investigation, intensive medical care, and emergency surgical intervention. This shall be implemented in coordination with the health sector and key humanitarian actors operating in the same field at refugee camps and urban settings.
The project is planned to support a total of 369  cases giving priorities for the vulnerable groups who need secondary and tertiary health care. The project shall support 42 cases for basic and comprehensive Emergency Obstetric Care (EOC), 37 cases for Neonatal Care (NNC), a total of 244 cases of Assisted/Normal Vaginal Delivery (A/NVD) and Cesarean Section (CS),  which represents the primary target for related project activities. In addition to  34 cases of Urgent Day-Case/One-Day-Admission (DC/ODA), and 12 cases of Life-Saving and/or Emergency (LSE) which represent the secondary target for related project activities via referral pathway to secondary, tertiary care in hospitals where quality health services are found. 
Access to health services shall be facilitated through JPS well-developed referral mechanism that enables the provision of secondary and tertiary care, case management, and follow-up, medical and financial review during hospitalization at JPS network of affiliated hospitals providing comprehensive investigation and treatment services to the group of target population via a clear referral mechanism and innovative Electronic Referral System (ERS). The system allows stakeholders to be directly involved in coordination aiming to the delivery of quality health care services to the target population. Moreover, ERS has a comprehensive patient record keeping. This guarantees the efficiency of managing time, budget, and resources.