Jordan has recognised the burden of NCDs on the population and has been taking strides in addressing the issue. About 76% of main causes of death are attributed to cardiovascular diseases, cancer and diabetes in Jordan (WHO 2014). The National Strategy and Plan of Action Against Diabetes, Hypertension, Dyslipidemia, and Obesity in Jordan was developed in 2011 as a national agenda addressing the dire situation. The strategy focused on three main pillars: (1) Prevention, Early Detection and Health Promotion (2) Proper Management of the disease (3) Surveillance, Data Collection and Research. The plan of action addresses the necessary course of action to achieve better results for the 3 overarching goals mentioned above.
Enhancing the ability of more than 330,000 people to manage their NCDs, particularly diabetes and its related conditions, and reduce future complications, as well as strengthening local Ministry of Health services for NCD management in underserved communities of the Amman, Mafraq, Irbid governorates in Jordan and ensuring sustainability of these improvements.
Project activities include:
• Enhancement of care capacity of MoH primary health centres through equipping of centers, revision of training manuals and training of HCPs.
• Establishment of a referral system to refer patients to educational sessions and to secondary and tertiary MoH health care facilities for patients with complications.
• Rollout of awareness-raising and behaviour change activities through awareness sessions at primary health care centres, group counselling, physical activity and nutrition sessions, distribution of awareness material in communities, and patient recruitment.
• Implementation of an electronic patient registry (first national initiative of this kind at primary health care level in Jordan); incl. clinical reviews of registered patients (HbA1c when possible); Also applying KAP studies and behavioural / clinical outcome indicators.
• Institutionalisation of the HCC programme within MoH structures through advocacy meetings / workshops to demonstrate project impact and align approach further with National Strategy and Plan of Action.
• 15 MoH primary health care centres strengthened; 75 HCPs working at the 15 health care centres enabled to deliver the diabetes programme.
• 9,000 patents to be directly served (direct programme enrolment).
• 9,000 patients registered and monitored in relation to clinical outcomes (incl. HbA1c when possible); shared with MoH for advocacy purposes.
• 45,000 indirect beneficiaries reached by the enrolled patients.
• 75,000 beneficiaries to be reached through awareness activities.
• 100 high level Jordan MoH staff sensitised through the dissemination of findings and best practices.