The report aims to provide an executive summary and major results and accomplishments;; lessons learned and challenges and opportunities of the Jordan Healthcare Accreditation Project (JHAP). The overall goal of the JHAP was to improve the health status of all Jordanians and quality and safety of healthcare services through accreditation. The project's methodology was assisting the Government of Jordan to adopt a regulatory framework for the health sector;; through the establishment of national and internationally recognized healthcare standards and accreditation. The key results of the project include an organizationally and financially sustainable accrediting agency in Jordan;; the Health Care Accreditation Council (HCAC);; an HCAC board with the appropriate skills to govern the agency and support from the Ministry of Health;; the Royal Medical Services;; the university hospitals;; and the Royal Court for accreditation. The report concludes with recommendations for the HCAC in areas such as financial sustainability;; credibility of the organization;; keeping the momentum and new business development and innovation. Some opportunities that the report suggests include expanding in the Middle East and North Africa region;; partnering with well-known quality organizations;; offering courses online and benchmarking subscriptions.

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.