Reproductive Health Services for Syrians Living Outside Camps in Jordan The Hashemite Kingdom of Jordan dŚĞĞƉŽƐŝƚEŝŵďĞƌĂƚdŚĞEĂƟŽŶĂů>ŝďƌĂƌLJ (٢٠١٦/٨/٤١٠٧) Reproductive Health Services for Syrians Living Outside Camps in Jordan 2016 Foreword The Higher Population Council (HPC) is pleased to present to you the study on Reproductive Health Services for Syrians Living Outside Camps in Jordan as part of its efforts to keep track of demographic changes in the Kingdom. The study looks into the current situation of reproductive health services provided to Syrians living outside camps in Jordan, and identifes obstacles to help derive policy recommendations for improving provided services. In the last fve years, Jordan has been faced by numerous challenges due to the increasing infux of Syrian refugees. According to the 2015 General Population and Housing Census, the number of Syrian refugees in Jordan stands at 1.3 million, most of which live outside camps across all governorates. (93%) of refugees reside in the Capital Amman, Zarqa, Marfraq, Irbid, Jarash and Ajloun governorates, while only (7%) reside in Balqa, Madaba, Karak, Taflah, Ma’an and Aqaba governorates. The continuous infow of refugees has affected all sectors, posing a true challenge for all national plans and strategies and affecting the demographic and social landscape of Jordan. The demographic and health dimensions of the Syrian crisis in Jordan are the most prominent as they greatly impact Jordanian local communities on the social, demographic, economic, and health levels, put a strain on public services and infrastructure, and cause overcrowding in healthcare facilities, and consequently adding costs on the health sector. Improving the reproductive health services offered to Syrians living outside camps is one aspect of the support that Jordan offers to Syrian refugees, and increases the chances of benefting from the demographic changes by attaining good levels of reproductive health and reducing fertility rates. Finally, we trust that this study will serve as a qualitative addition to other national studies and an important resource for planning health services offered to Syrians. It is hoped that this study will serve as a key tool for formulating policies, plans and programs that respond to the evolving health needs of Syrians. May Allah grant us the ability to continue to serve our beloved Jordan under the leadership of His Majesty King Abdullah II. Secretary General Eng. Maysoon Eid Al –Zoubi I Acknowledgements The Higher Population Council (HPC) would like to thank all ministries, government institutions, civil society organizations and international organizations who helped make this study possible by offering their insightful input to the technical committee throughout all the stages of the study. Special thanks also goes to all organizations that participated in the meeting held to validate the preliminary fndings and recommendations of the study. HPC is very much indebted to the chief researcher, Dr. Mohammad Al Juraibei, who oversaw all stages of the study, as well as to his support team, and HPC staff for their assistance and efforts in reviewing, revising and producing this report. We are also especially grateful to the United Nations Population Fund (UNFPA) for their support of the study. III Contributors Research Team • Dr. Mohammad Juraibei: Chief Researcher Support Team • Dr. Bajis Al Alwan: Statistician • Ms. Asma Shelleh • Mrs. Asil Al Haliq Data Collection Team • Mrs. Kahraman Adnan • Ms. Thurayya Al Khaldi • Mrs. Lima Otoum • Mrs. Eman Oraikat • Ms. Suhair Qudah • Mrs. Ro’yat Al Masri Higher Population Council Team • H.E Dr. Sawsan Al Majali: Former Secretary General of the Higher Population Council • Mrs. Rania Al Abbadi: Asst. Secretary General for Technical Affairs, Strategic Planning Coordinator • Mr. Ali Al Mutlaq: Head of the Studies and Policies Unit • Mr. Ghaleb Al Azzeh: Senior Researcher/ Studies and Policies Unit • Mrs. Khitam Wreikat: Assistant Researcher/ Studies and Policies Unit • Ms. Samirah Hasan: Assistant Researcher / Studies and Policies Unit • Ms. Manal Al Ghazawi: Reproductive Health Program Coordinator / Programs and Projects Unit The Technical Committee formed for this study • Dr. Khawla Al Kou’: Ministry of Health • Dr. Alia Al Ansari: Jordan Health Aid Society • Mrs. Haneen Al Zoubi: Institute for Family Health • Mrs.Layali Abu Seer: UNFPA • Suzan Kasht: UNFPA- until January 2016 • Dr. Faizah Al Jalo: UNFPA- until January 2016 V