Developing Capabilities to Address Chronic Disease in Jordan

Our collaboration with the Royal Health Awareness Society

Non-communicable (NCDs) represent a significant burden on public health, particularly in developing countries such as Jordan. In 2014, Hikma collaborated with its long-standing partners, the Royal Health Awareness Society (RHAS) – a Jordanian non-profit committed to improving health and well-being – and the Ministry of Health (MoH) to support the establishment of Healthy Community Clinics (HCCs) around the country.

Through comprehensive assistance efforts that included financial donations, capacity-building and training, and infrastructure investments, Hikma helped establish HCCs in Sahab and Wadi Al Seer – two low-income areas facing severe health deficits. We are dedicated to promoting sustainable improvements to health diseases standards in Jordan. Our cooperation with RHAS supported more than 550 direct beneficiaries and 2,750 indirect beneficiaries within the HCCs.

HCCs and the Sustainable Development Goals

HCCs are pioneering community-based programmes established in 2011 by RHAS and the Ministry of Health. Their aim is to improve preventative services at the primary care level to empower patients and the general population at risk of NCDs. HCCs provide medical practitioners with the training and resources necessary to implement management and prevention-based care to patients in underserved communities.

HCC programmes are directly aligned with SDG target 3.4 related to the reduction of NCD mortality rates through improvements to prevention and treatment. Awareness sessions held through HCCs emphasize the risks of NCDs as well as ways to manage particular NCDs to lead a normal lifestyle. RHAS trains MoH staff (specifically nurses) on the awareness material and interactive methods of conducting sessions to at risk patients and patients learning to manage their disease. Awareness materials developed by RHAS are available at HCCs for beneficiaries to take home and spread the information. Awareness sessions help reduce premature mortality from NCDs and ease the financial burden of treatment for the Jordanian healthcare system. Some of the major issues tackled during the sessions include cardiovascular diseases, cancer, diabetes and chronic respiratory diseases; which coincide directly with SDG target 3.4.1.

The growing burden of NCDs in Jordan and around the world

Recent years have witnessed a dramatic shift from acute and infectious diseases to chronic diseases. By 2020, chronic diseases are projected to account for more than twice the number of deaths than from infectious diseases (50 million vs. 20 million). The problem is more acute in developing countries, where it is estimated that seven out of 10 deaths in developing countries will be attributable to NCDs by 2020. In Jordan, NCDs accounted for 76% of disease-related deaths and cost the country $840 million in 2014.1

Hikma provided

  • Financial support to RHAS
  • Infrastructure support (provision of medical equipment, office equipment and furniture to the selected HCCs
  • Support for RHAS staff in the training and development of MoH medical personnel
  • Printing of the awareness and educational material developed by RHAS for HCCs and the general public

Resulting impacts

  • Number of direct beneficiaries (Sahab & Wadi Al Seer): 550 people
  • Number of indirect beneficiaries (Sahab & Wadi Al Seer): 2750 people
  • Number of educational sessions conducted: 1316 sessions
  • Number of nutrition awareness sessions conducted: 346 sessions

Reductions in disease prevalence in Wadi Al Seer Clinic

  • 6.3% mean reduction in HbA1c for diabetic patients
  • 2.3% mean reduction the diastolic blood pressure of hypertensive patients
  • 2.8% mean reduction in the systolic blood pressure for hypertensive patients
  • 1.18% mean reduction in BMI for participants in nutritional sessions

1“The burden of non communicable diseases in developing countries” Boutayeb, Abdesslam & Boutayeb, Saber. International Journal for Equity in Health 2005 4:2; DOI: 10.1186/1475-9276-4-

2http://equityhealthj.biomedcentral.com/articles/10.1186/1475-9276-4-2

World Health Organization - Noncommunicable Diseases (NCD) Country Profiles , 2014, http://www.who.int/nmh/countries/jor_en.pdf