Browse POLICY Project (1995-2006) Materials
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Country and regional assignments reflect those made at the time of production and may not correspond to current USAID designations.
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This study was prepared at the request of the POLICY Project to analyze the existing and potential procurement mechanisms in the Ministry of Health (MOH), Royal Medical Services (RMS), UN Relief and Works Agency (UNRWA), Jordan University Hospital (JUH), and Jordan Association for Family Planning and Protection (JAFPP), which are the main providers of contraceptives obtained through the USAID grant to the MOH in Jordan.
This paper presents a detailed market segmentation analysis of the family planning sector in Jordan. Section 2 provides an overview of the provider market. Section 3 analyzes the consumer market in terms of consumer characteristics, needs, method use, and sources of contraceptives. Section 4 studies profiles of the public-, NGO-, and private-sector clients. Section 5 presents a comparative analysis of the 1997 and 2002 markets. Section 6 assesses the current targeting behavior in the public sector. Section 7 segments the current market to establish a better match between current/potential users and the appropriate source of FP methods and services. Section 8 projects the potential demand across SLI quintiles and the potential market for the public, NGO, and commercial sectors; while Section 9 presents policy options for achieving contraceptive security based on market segmentation results.
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The 1994 ICPD intensified the worldwide focus on reproductive health policies and programs. Officials in many countries have worked to adopt the recommendations in the ICPD Programme of Action and to shift their population policies and programs from an emphasis on achieving demographic targets for reduced population growth to a focus on improving the reproductive health of their population. This paper presents information from case studies carried out in Bangladesh, India, Nepal, Jordan, Ghana, Senegal, Jamaica, and Peru to assess each nation's process and progress in moving toward a reproductive health focus. The case studies show that within their unique social, cultural, and programmatic contexts, the eight countries have made significant progress in placing reproductive health on the national health agenda. All countries have adopted the ICPD definition of reproductive health either entirely or in part. Policy dialogue has occurred at the highest levels in all countries. The countries have also achieved considerable progress in broadening participation in reproductive health policymaking. Bangladesh, Senegal, and Ghana have been particularly effective in involving NGOs and civil society organizations in policy and program development. In some of the other countries, however, the level of participation and political support for reproductive health may not be sufficient to advance easily to the next crucial stage of implementation. The case studies indicate almost uniformly that countries are grappling with the issues of setting priorities, financing, and implementing reproductive health interventions. Bangladesh has made the greatest progress in these areas while India, Nepal, Ghana, Senegal, Jamaica, and Peru are beginning to take steps toward implementation of reproductive health activities. Jordan continues to focus primarily on family planning. Several challenges face these countries as they continue to implement reproductive heath programs. These challenges include improving knowledge and support of reproductive health programs among stakeholders; planning for integration and decentralized services; strengthening human resources; improving quality of care; addressing legal, regulatory, and social issues; clarifying the role of donors; and maintaining a long-term perspective regarding the implementation of the ICPD agenda. Despite many encouraging signs, limited progress has been achieved in actually implementing the Programme of Action; this finding is neither surprising nor unexpected. It took more than a generation to achieve the widespread adoption and implementation of family planning programs worldwide, and that task is far from complete. The key to continuing progress lies in setting priorities, developing budgets, phasing-in improvements, and crafting strategies for implementation of reproductive health interventions.
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This brief examines the extent to which the 1994 ICPD has shaped reproductive health policies and programs in Bangladesh, Ghana, India, Jamaica, Jordan, Nepal, Peru, and Senegal. Within their unique social, cultural, and programmatic contexts, the eight countries have made significant progress in placing reproductive health on their respective national health policy agendas. The progress illustrated by the case studies is a logical beginning for defining and adopting reproductive health policies and principles, while building political and popular support. However, whereas well-established reproductive health services, such as family planning and maternal and child health, have remained high priorities, the case studies indicate that a continued effort will be required to place more sensitive issues, such as gender-based violence and reproductive rights, on the policy agenda. In addition, in some countries, a greater level of participation and political support for reproductive health may need to be cultivated before the countries are able to advance to the next crucial stage of implementation. Countries also need sufficient financial resources to implement the expanded reproductive health programs and services envisioned by the ICPD—resources that most respondents suggested were not immediately forthcoming.
This advocacy workshop, held on May 6–9 and 13–14, 2002, was the second in a series of workshops to establish a network and train its members in the design and conduct of an advocacy campaign directed at one of the key policy issues from the Reproductive Health Action Plan (RHAP). Workshop facilitators were Susan Richiedei (POLICY/Washington), Anne Jorgensen (POLICY/Washington), Issa Almasarweh (POLICY/Jordan), and Basma Ishaqat (POLICY/Jordan).
The National Population Commission formulated the National Population Strategy in 1996 based on the doctrines of Islam (al share a al Islamic), the Constitution of Jordan, the National Charter, and the principles of democracy and human rights. The strategy further adheres to the values of Jordanian society and culture. This is an updated version of that strategy. It was written in the context of recent developments at the national and international levels as Jordan enters the third millennium, an era characterized by globalization, information technology, and revolutionary communication systems. This document is the product of the dedicated efforts of the National Population Commission and is to be considered as a reference for planners and for policymakers and decision makers in all areas related to population.