Midterm Performance Evaluation of the USAID/Jordan Health Service Delivery Activity

Summary

This evaluation found that the Health Service Delivery’s (HSD) focus on clinical pathways through the Integrated Service Delivery Improvement Collaborative (ISDIC) model has successfully improved the quality of RMNCH+ service delivery and care throughout Jordan. However, there are significant improvements to be made to ensure sustainability and effectiveness of HSD. For quality gains to be improved and sustained, emphasis on evidence-based practice needs to heighten focus on respectful care, gender-related barriers and facility- specific challenges, as well as bottom up consultation and engagement. There also needs to be a reorientation of efforts beyond clinical pathways towards systemic changes in terms of accountability, supervision, leadership and ultimately ownership of the program at the facility and Health Area Directorate level. Facility- specific targets and benchmarking, and sustaining staff motivation through mentorship and incentives that rely on the engagement of high-level managers will improve sustainability of the ISDIC process to increase ownership and contribute to future sustainability. Future programming should explicitly link practice and policy with other USAID projects to not miss opportunities to sustain gains made from successful project interventions.