Submission ID 129954
| Issue/Objective | NCDs account for 78% of deaths in Jordan, compounded by ongoing humanitarian pressures, with over 600,000 Syrian refugees. Access to NCD care remains limited, especially for vulnerable groups. Despite national efforts, services remain fragmented. The Integrated NCD-Humanitarian Response Project (2020-2025), led by RHAS with MoH, MoE, and WDF, used a layered approach to deliver NCD care across health centers, schools, and communities. This study aims to evaluate the effectiveness of the Integrated NCD-Humanitarian Response Project in reaching vulnerable Jordanian and Syrian refugee populations across urban, rural, and camp-based settings. The intervention included multi-component outreach delivered across the health, education, and community sectors. The study highlights the intervention to assess its impact on three key outcomes: (1) institutionalization of NCD services within primary health and education systems, (2) improvements in clinical indicators among screened individuals, and (3) increased knowledge, attitudes, and preventive practices related to NCDs among target populations. |
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| Methodology/Approach | A case study using mixed methods assessed system, clinical, and behavioral outcomes. Data sources included biometric indicators, KAP surveys, interviews, and FGDs. Implementation was evaluated using CFIR and Proctor frameworks. Quantitative data analysis was done using IBM SPSS v.26, while qualitative data were transcribed, coded, and thematically analyzed manually. Triangulation across methods and data sources helped ensure the validity and reliability of findings. |
| Results | Clinical: Significant reductions in blood pressure, glucose, and BMI across clinics (P < 0.001). Behavioral: Improved NCD knowledge and healthier behaviors in clinics and schools. System: Healthy Community Clinics institutionalized in 190+ PHCs, with MoH ownership, staff roles formalized, and integrated into national digital platform Hakeem. The Healthy Schools Program sustained peer-led initiatives in accredited schools |
| Discussion/Conclusion | Findings show that integrating NCD services across primary care, schools, and communities improves clinical outcomes, health behaviors, and system capacity in protracted crisis settings. Institutionalization within national systems demonstrates sustainability and policy relevance for EMRO. By bridging humanitarian and development approaches, the model supports equitable access to care for vulnerable populations. Scalable through government ownership and partnerships, it contributes to reclaiming global health equity by advancing integrated, resilient systems and renewed commitment to inclusive, sustained action in fragmented contexts. |
| Presenters and Affiliations | Abdullah Nsour Royal health Awareness society Sarah Saket Royal Health Awareness Society Amal Ireifij Royal Health Awareness Society |
