• • • BEDOUIN RURAL HEALTH PROJECT IN JORDAN WHAT IS THE BEDOUIN HEALTH PROJECT? BEDOUIN HEALTH PROJECT Funded by the European Commission INCO DEV Framework 6 Programme International Co-operation Programme Research Project in Jordan and Lebanon with French and Swedish partners AIMS Government services are designed for fixed, permanently domiciled populations. In the arena of health care, these mobile or recently settled populations have had limited access to government health care provision . This study has been conducted in the North Eastern Badia of Jordan. Permission and support for the study was negotiated with the Ministry of Health. The study sites within each study area included semi-nomadic, recently settled and long settled Bedouin. In the first year a needs assessment was carried out using quantitative & qualitative data collection on health service utilisation and resourcing, health seeking behaviour, designed to generate an understanding of reproductive and child health care needs, provision and delivery. The other study site for this project is Lebanon led by the University of Oxford with a team at the American University of Beirut. Assess current health status, health seeking behaviour and current health service provision. AVAILABILITY OF SERVICES AT COMPREHENSIVE HEALTH CENTRES IN NORTH EAST BADIA CONCERNS o o o o o o o o o o o o o o o o Elicit the views of stakeholders-policy makers, health personnel and Bedouin Develop model interventions in partnership with stakeholders. Evaluate and disseminate the interventions locally, nationally, regionally and internationally Centralisation of the health system Low morale and high turnover Lack of training opportunities Distance and transport Discrimination and Wasta Gender of staff Availability of staff Referrals out of working hours Waiting time and appiontments Quality of care –drugs, Lack of appropraite staffing Emergency care Childbirth provision Immunisation reasonable Clinic charges limitting access to care Staff, facilities and equipment shortages METHODOLOGY Team members an audit review of records of utilization and clinic facilities and staffing, semi structured individual interviews with policymakers Individual and group interviews with health practitioners Individual interviews with Bedouin women Group interviews with Bedouin women and men Gillian Hundt - gillian.hundt@warwick.ac.uk Salah Alzaroo – szaroo@gmail.com Fadia Hasna – fhasna@philadelphia.edu.jo Mohamed Smeiran – wesam93@yahoo.com