The USAID Health Services Quality Accelerator Activity (HSQA) in Jordan will focus on improving the quality of equitable reproductive, maternal, newborn, and child health services. Photo credit: URC


Jordan is well known in the region for its vibrant economy, strong government, and engaged civil society. The country has made significant investments to strengthen its health system and improve the health and health care of its population. Maternal deaths have declined by 50% since 2002, and there is close to universal access to antenatal care and skilled birth attendance.

A feedback session conducted by the Accreditation Department of the Jordan Health Care Accreditation Council (HCAC). The HCAC has used such feedback to steadily refine and improve its processes. Photo credit: HCAC

However, Jordan’s high population growth rate threatens its long-term sustainable development. There is a large unmet need for family planning awareness, availability, and uptake, and progress is still needed to reduce infant and child mortality. Uptake of childhood immunizations has declined.

More broadly, gender equity continues to be a priority for Jordan, including the goal of increasing women’s participation in the work force and promoting women’s rights and voices through society to improve health. The Government of Jordan’s health strategy emphasizes quality, equity, private sector engagement, and accountability. An opportunity exists to improve quality of and access to health services in support of a stronger health system.

URC – A Partner for Success

“We consider quality as a journey, not a destination. URC was the key partner in putting us on the path we continue to travel today.”
Salma Jaouni Araj
HCAC Chief Executive Officer

URC’s quality improvement projects in Jordan began through the USAID Quality Assurance Projects I, II, and III, which raised early awareness of quality improvement as an essential element of health systems strengthening. We continued this work under the Partnerships for Health Reform and Partners for Health Reformplus, which supported improvements in Jordan’s health policy, management, financing, and health services delivery.

As part of the Jordan Healthcare Accreditation Project (JHAP), URC provided technical assistance to improve the quality and safety of facility-based service delivery. JHAP helped to establish and build the capacity of the Health Care Accreditation Council (HCAC) – responsible for improving the quality of care through accreditation, consultation, and capacity building. The HCAC is now the leading quality improvement institution in Jordan dedicated to improving health sector performance and patient safety through quality improvement.

From 2016 to 2019, the USAID Human Resources for Health 2030 (HRH2030) Project implemented its first field-based activity supporting Jordan’s Ministry of Health (MOH) to enhance its human resources practices, facility management, and leadership.

Current Projects

Starting in 2021, URC will lead the five-year USAID Health Services Quality Accelerator Activity (HSQA) in Jordan, which will engage health system stakeholders to accelerate and sustain improvements in equitable reproductive, maternal, newborn, and child health (RMNCH) outcomes. HSQA will strengthen Jordan’s MOH leadership and governance capacity to improve quality of care. The URC HQSA team will help local stakeholders adapt and lead innovative models in response to the evolving epidemiological and sociopolitical context. At the governorate level, our technical support will be tailored to leverage health system strengths and address areas of weak performance.