The report presents the findings;; conclusions and recommendations of a midterm evaluation of Health Systems Strengthening (HSS) II;; a five year (2009-2014);; $73 million USAID-funded project. The strategy of the HSS II is to institutionalize strengthened health systems in support of reduced fertility rates and improved women's health. It works with the public health sector;; namely the Ministry of Health;; the Royal Medical Service and the Jordan University Hospital. The report finds that the project has met 13 of its 23 targets for year 3 and is on track to meet all its objectives by the end of the project. Expected results are public sector initiatives in safe motherhood and reproductive health. The HSS II project;; with its close ties with the Ministry of Health for its responsiveness to health needs and integrated approach to health delivery;; has strengthened critical health systems through its support to health management information system;; renovations;; accreditation;; referrals and capacity-building. The report recommends the USAID to negotiate the removal of a requirement that midwives be supervised intrauterine device insertion;; advocate for innovative incentive schemes and varying salary grades that reward midwives and doctors providing FP services and revise project indicators to reflect health outcomes and impact. Further recommendations include continuing support of a broad-scale mass media behavior change and communication campaign and programs that build on gains in maternal and neonatal health.

The final report is a product of the USAID/ Jordan's 55-month Operations and Maintenance Training (OMT) Program that enhances workers and organizational performance in water infrastructure. The report includes the OMT Program's executive summary;; key accomplishments and lessons learned and recommended actions;; and it also identifies some the contexts;; challenges;; methodology and results and impacts of improving the operator standards and performance. According to the report;; the OMT exceeded its expectations and achieved all results in regards to the number of certified operators;; managers;; trainers;; developers;; and coaches graduated;; certified programs;; courses and tests developed;; training sessions conducted;; and legal measures and institutional actions enacted. The report identifies hat the dedicated and hands-on support of OMT's primary partners was a key factor in achieving the OMT target results. The program also expects the structure of the Jordan program will be responsive to changing needs and the progressive development of training capacity within the Jordanian water sector. Following the OMT's completion;; the players in the Jordanian program will continue to build their capacities and move to the next state in their institutional arrangement.

لقد تم إعداد هذا التقرير الخامس حول أوضاع مراكز الإصلاح والتأهيل من اجل تقييم هذه المراكز والنزلاء واماكن التوقيف والموقوفين;; وكما يكشف التقرير عن مواطن الضعف والخلل التي تعاني منها هذه المرافق. وتم الاستناد على منهجية الزيارات الميدانية الفجائية إلى تلك الاماكن;; والالتقاء بالنزلاء والموقوفين;; وكما استند التقرير أيضاً على الالتقاء بنزلاء وموقوفين سابقين وأسر بعض النزلاء الحاليين ونشطاء من المجتمع المدني.

This report summarises the number of Iraqis residing in Jordan since 2007 and highlights their characteristics.

The report aims to address the particular needs and cultural dynamics of Syrian refugees residing in Jordan;; especially with regards gender-based violence and child protection issues. It presents a comprehensive range of perspectives from urban Syrian refugees and local Jordanian decision makers in government;; community-based organizations and the religious and education sectors. The assessment of this report is based on data collected through three methodologies including questionnaire survey to refugees outside the Za’atari refugee camp;; focus group discussions in regions across Jordan and in-depth interviews. Key findings of the report are 1. The rates of early marriage are high;; 2. A significant percentage of children contribute to the household’s income and 3. Restrictions on women and girls’ mobility constrain their participation in social and economic activities and access to basic services. The report recommends measures to prevent acts of sexual exploitation and abuse and ensure the needs of the most vulnerable members of the Syrian refugee population in the cities.