Oral
health
Tobacco
Nutrition
Rehabilitation
ORAL
HEALTH
Situation
analysis
Public
dental
services in
Jordan are
provided
within the
well-organized
primary
health care.
There are
400 dentists
and 350
assistants
occupy 282
dental
clinics
distributed
in 12
Governorates.
Training of
Health
workers has
been
conducted in
Jordan by
WHO.
Main
achievements
Several
training
programmes
have been
conducted
for health
workers in
12
governorate
on different
topics:
-
Training
course
in
planning
implementation
and
evaluation
of oral
health
preventive
programmes.
-
Training
chief
dental
officers
in
public
health
management
-
Training
course
in
application
of
traumatic
restorative
preventive
techniques
-
Training
courses
for
nurses
on oral
health
promotion
and
education.
Main
constraints
-
shortage
of
qualified
trainers
-
shortage
of
resources
Objectives
1. To
increase the
knowledge of
dental
health
worker about
cross-infection
2. To
improve the
performance
of dental
workers in
implementation
of
disinfections
and
sterilization
methods.
Priorities
Functional
rehabilitation
of dentists
and dental
assistance
Evaluation
and
monitoring
indicators:
-
Number
of
trained
Oral
Health
Worker
-
Number
cross
infection
guidelines
material
will be
distributed.
Expected
outcome
-
Functional
rehabilitation
of the
Oral
Health
Workers
in
reference
to cross
infection
-
Better
technical
and
professional
performance
of
health
workers
in
carrying
out the
disinfections
and
sterilization
TOBACCO
Situation
analysis
A number of
activities
were
conducted to
encourage
healthy life
skills to
reduce the
number of
smokers in
the
community.
These
activities
were
directed
towards
enforcement
of
legislations
related to
tobacco.
They also
targeted the
youth to
enhance
their
knowledge,
attitudes,
and practice
towards a
smoking-free
lifestyle.
Several
studies were
performed to
identify the
prevalence
of smoking.
In 1996, the
morbidity
survey
showed that
48% of
adults above
25 years old
are smokers.
In 1999, a
global youth
tobacco
survey shoed
that 19.3%
of school
children
between
13-15% years
of age are
smokers. A
national
strategy for
smoking
control was
developed
but it
requires
updating and
an
implementation
plan should
be
developed.
The
Jordanian
No-Smoking
day was
celbreated
on 1
November
2001. On
this
occasion,
WHO
supported a
national
seminar to
update the
national
strategy and
develop an
outline for
implementation
plan.
Main
achievements
-
Training
policymakers,
health
workers,
judiciary,
public
security
and
media
about
the
existing
legislations
and how
to
enforce
them.
-
Establishment
of a
smoking
sessation
clinic
to
provide
counseling
for
those
who have
the
desire
to quit
smoking.
Constraints
- Widespread
use of
Argila among
the youth.
Promotional
activities
- Low
commitment
towards the
enforcement
of
legislations.
Priority
areas
-
Develop
a
comprehensive
and
mult-sectoral
implementation
plan
-
Develop
stronger
coordination
among
all
parties
working
on
smoking
control
-
Support
the
smoking
sessation
clinic
and
train
its
health
workers
on
counseling
and
methods
of
quitting.
-
Train
health
workers
on
tobacco
legislation.
NUTRITION
Situation
analysis
A number of
activities
to improve
the
nutrition
status of
the
population
exist in
Jordan.
These
activities
are directed
at improving
food
security at
the
household
level,
protecting
consumers
through
improved
food quality
and safety,
preventing
and
controlling
micronutrient
deficiencies,
promoting
breastfeeding
and healthy
lifestyle.
Malnutrition
of different
categories
is reported
from Jordan.
Studies have
been
conducted in
understanding
the Iodine
Deficiency
Disorders (IDD)
and Anemia
resulting
from the
deficiency
of Iron,
although
more studies
are now
refined on
the
prevalence
of anaemia
to provide
baseline
data for the
intervention
programme on
flour
fortification,
which is
being
initiated.
An
assessment
of the
status of
Iodine
Deficiency
Disorders in
1993 had
disclosed
moderate to
severe IDD
throughout
the country,
with rural
areas
reporting
high
prevalence
of goiter
and lower
urinary
iodine
content.
Iodized salt
has been
produced and
distributed
since 1995
and
monitored
partially in
the last 5
years.
National
monitoring
survey of
2000 showed
adequate
iodine
supplementation
in almost
all the
Governorates.
Median
Urinary
Iodine is
adequate in
the country
and in 11
out of 12
Governorates.
It has
increased
approximately
4 folds, as
compared to
1993
results. The
percent of
school
children
having
urinary
iodine < 50
µg/dl is
less than
20% assuring
the adequacy
of iodide
supplementation.
An extensive
salt
iodization
has been in
place and
recent
findings
indicate
that over
83% of the
households
consume
iodized
salt.
Iron
deficiency
and its
anemia have
been
identified
as a public
health
problem. The
reported
prevalence
among
pregnant and
lactating
women is
around 35%,
about 28% in
women in the
childbearing
age; 15.3%
among
school-age
children and
8.8% among
infants. As
mentioned
above, a
project to
fortify
flour has
been
initiated to
ensure an
adequate
intake of
iron for the
entire
population.
Despite the
fact that an
outline of a
strategy on
nutrition
was drafted
several
years ago,
the strategy
has not been
updated and
not
translated
into an
action plan.
Priority
areas
1. To
develop a
comprehensive
national
strategy and
action plan
on food and
nutrition.
2. To
strengthen
the national
programme
for the
control and
elimination
of Iodine
Deficiency
Disorders (IDD)
and to
support
national
efforts in
accelerating
the existing
micronutrient
supplementation
and
fortification
activities
for the
control and
prevention
of
micronutrient
malnutrition.
REHABILITATION
Situation
and analysis
The
provision of
rehabilitation
services in
MOH is
active since
1964 as
institutional
approach.
CBR approach
was
discussed
officially
on 1991 in
Jordan. A
plan of
action
presented to
concerned
ministries
in 1992. In
Jordan,
there are
many pilot
projects,
few of them
functioning
satisfactorily.
Developments
in relation
with CBR
include:
-
Establishment
National
Institute
of
CBR-Mu'ta
University
in the
year
2000.
-
Establishment
of new
rehabilitation
units in
the
middle
and
north
area of
Jordan.
-
Renewing
rehabilitation
department
in Irbid
and Al
Kerak
Hospital.
-
Opening
of new
three
faculties
of
rehabilitation
sciences
in three
Jordanian
universities.
Major
constraints
-
Shortage
of
rehabilitation
staff.
-
Lack of
attention
to the
provision
of
rehabilitation
services
to the
patients
with
chronic
diseases.
-
Weak
coordination
among
concerned
institutes
and
NGO's.
Outline
of plan of
action
The
following
goals are
listed below
according to
priorities:
1. Training
health
workers at
all levels.
2. Training
rehab.
workers to
be trainers.
3.
Evaluation
of CBR
experience
in Jordan.
4.
Strengthening
prosthetic
and orthotic
services.
Indicators
-
Increased
the
number
of
trained
rehab
and
health
workers
in CBR
programme.
-
Evaluation
of CBR.
