Results Package 1: Strategic Coordination

Objective: To coordinate, and integrate all Health Behavior Change Communication activities/programs in Jordan.

Illustrative Activities

Illustrative Indicators

Data Sources

Responsible Parties

• Expand present HCP office and hire staff

• Office expanded and staff hired

• Project documentation

• JHCP staff

• Hold participatory planning meeting with USAID/ PFH and USAID-funded CAs/contractors to agree upon how the participatory process and work plan will unfold over Year 1

• Participatory planning meeting held during first month
• Y1 plan developed

• Project documentation
• Minutes of meeting

• JHCP & USAID/PFH staff

• Establish and convene Steering Committee to facilitate and legitimize participation of key stakeholders in the development of the National Health Communication Strategy.

• “Steering Committee” (SC) established and convenes biannually.

• Project documentation
• Minutes of meeting

• JHCP staff

• Identify participants and convene the National Health Communication Strategy (NHCS) Executive Team (ET) tasked with leading the strategy development and implementation

• “Executive Team”  (ET) established and convenes quarterly

• Project documentation
• Minutes of meeting

• JHCP staff

• Prepare and conduct National Strategy Development Workshop including key players from the MOH, the private sector, NGOs and USAID/CAs.

• National Health Communication Strategy workshop conducted

• Project documentation
• Minutes of meeting

• JHCP staff

• Produce and endorse National Population Communication Strategy and Implementation Plan based on the RHAP

• National Population Communication Strategy and Implementation Plan developed and endorsed

• Project documentation

• JHCP staff

• Produce and endorse National Health Communication Strategy and implementation plan

• National Health Communication Strategy and Implementation Plan written and endorsed by the SC and ET

• Project documentation
• Letter from ET

• JHCP staff

• Conduct an introductory (Gates) Leadership Workshop specific to Jordan and the national strategy development process.

• Gates Leadership workshop held

• Project documentation
• Workshop report

• JHCP staff

• Develop the big tent “Healthy Jordan” brand, and determine/design the brand positioning/image, logo, and guidelines for consistent use.

• “Big tent” Healthy Jordan logo, guidelines and brand developed

• Photo ready logo & other branding materials
• Guidelines report

• Graphic arts contractor
• JHCP staff

• Develop newsletter for public, private and NGO sectors to outline activities that are currently underway to support the NHCS.

• Newsletter for public, private and NGO sectors staffed and published quarterly

• Quarterly copies of newsletter
• Distribution report

• JHCP staff

• Establish systems for key organizations to report progress on “Healthy Jordan” activities and request technical assistance.

• Reporting and requesting system developed, reviewed by partner organizations, and used for periodic reporting and for soliciting TA.

• Copies of reporting templates and instructions
• Training documentation
• Periodic reports

• JHCP staff
• Partner organizations

• Develop accreditation system, whereby partner organizations complete a series of training sessions to achieve certification as “health communication professionals.” 

• Accreditation system and training sessions developed.

• Description of accreditation criteria
• Training documentation

• JHCP staff

Results Package 2:  Behavior Change Communication for Health Competence and Sustainable Healthy Behaviors

Objective: To provide strategic integrated crosscutting Behavior Change Communication to achieve health competence and sustainable health behavior change across life stages.

SEGMENT: ACROSS ALL LIFESTAGES

Illustrative Activities

Illustrative Indicators

Data Sources

Responsible Parties

• Conduct necessary formative research on strategy development and intervention design in preparation for NHCS Workshop.

• Formative research on strategy development and intervention design prepared for NHCS Workshop

• Workshop discussion guidelines and background documents

• JHCP staff

• Conduct secondary analysis of existing data

• Secondary analysis report produced

• Research report

• SEU

• Design and conduct survey to fill gaps in knowledge and to establish baseline measures.

• Baseline survey report submitted

• Baseline Survey

• Research contractor
• JHCP staff
• SEU

• Conduct additional formative program research, based on indicators and priorities set in the National Communication Health Strategy to provide the basis for future process and outcome evaluations.

• Formative research on strategy development and intervention design

• Formative research reports

• Research contractor
• JHCP staff
• PRU

• Promote the “Healthy Jordan” brand using mass media, information technology, community based programs and interpersonal communication.

• 35%  public awareness in first year of  “Healthy Jordan” brand established through mass media, information technology, community-based programs and interpersonal communication

• Omnibus survey

• Research contractor
• JHCP staff
• PRU

• Provide crosscutting communication assistance to all stakeholders, partners and USAID/CAs to connect health interventions and healthy behaviors at all levels across key domains using a comprehensive “Healthy Jordan” brand.

• Use of “Healthy Jordan” branding by stakeholders, partners and CAs

• Partner documentation

• Partners
• JHCP staff

• Produce and air a TV sitcom series to communicate program messages on healthy life styles across life stages

• Increase in knowledge of health determinants (health literacy)
• Increase in positive beliefs/attitudes about the benefits of preventive health
• Increase in skills to practice appropriate health behaviors
• Increase in advocacy of proactive health behavior to others

• Omnibus surveys
• Baseline & Impact surveys

• PRU
• SEU

• Develop partnerships with the private sector to provide healthy lifestyle “kits” to promote good health and hygiene within each life stage to be used by teachers, private pharmacists or community health workers (companies producing items such as soap, toothpaste, sanitary towels, healthy snacks, etc., depending on life stage).

• Launch of private sector promotion of healthy lifestyles
• Use of “healthy lifestyle” kits by teachers, private pharmacists, community health workers

• Survey of pharmacists, teachers, health workers
• Distribution lists

• JHUCCP staff
• Research contractor
• PRU

• Develop partnerships with pharmacists to provide information to clients with varying needs depending on life stage including family planning, childhood illnesses, chronic diseases and healthy lifestyles including smoking cessation.

• Pharmacist partnerships developed

• Pharmacist survey(s)
• Client exit interviews

• Research contractor
• PRU

• Conduct midterm evaluation

• Midterm evaluation report submitted

• Research contractor
• SEU

• Conduct final evaluation

• Final evaluation report submitted

• Research contractor
• SEU

SEGMENT: EARLY CHILDHOOD (ages 0 to 5)

Illustrative Activities

Illustrative Indicators

Data Sources

Responsible Parties

• Develop a national multi-media awareness campaign (Start Healthy-Stay Healthy) on the danger signs of newborn illnesses and the promotion of longer birth intervals, breast-feeding, nutrition, ARI, general hygiene, injury prevention, and other child survival issues.

• Percentage of newborns that are put to the breast during the first hour of life
• Percentage of newborns who are exclusively breast-fed during the first 6 months of life
• Percentage of parents aware of recommended healthy eating, and hygiene practices

• JDHS 2006
• Baseline & impact surveys

• Research contractor
• SEU

• Produce inserts and special episodes of the Jordanian version of “Hikayat Simsim” (Sesame Street) on general and dental hygiene, and preventive health attitudes.

• Percentage of parents and children aware of recommended healthy eating, and hygiene practices

• Baseline & impact surveys

• Research contractor
• SEU

• Coordinate with the new WHO country program on “Integrated Management of Childhood Illnesses” (IMCI) to define and integrate the  communication component of the program in the National Health Communication Strategy at all levels.

• Percentage of parents aware of recommended prevention and treatment strategies for acute respiratory infections, diarrhea and malnutrition (including anemia)

• Baseline & impact surveys

• Research contractor
• SEU

SEGMENT: SCHOOL AGE CHILDREN (ages 6 to 14)

Illustrative Activities

Illustrative Indicators

Data Sources

Responsible Parties

• Develop SPOHEAL INITIATIVE (sport-health initiative).

• Percentage of school-age children who report exercising three times a week for 20 minutes
• Percentage of school-age children who are aware of the health benefits of exercise

• In-school survey
• Partner reports (if implemented through local coalitions, partners could be required to document this)

• Research contractor
• PRU
• Partners?

• Develop health education curriculum, extracurricular activities and interactive CD-ROM to be used in schools with information about physiological changes and healthy life styles, including exercise, nutrition, hygiene and smoking.

• Percentage of school-age children who report being taught about smoking, physiological changes, healthy eating and exercise in school
• Percentage of school-age children aware of physiological changes that occur during puberty
• Percentage of school-age children aware of the negative health effects of smoking

• In-school survey
• Partner reports (if implemented through local coalitions, partners could be required to document this)

• Research contractor
• PRU

• Develop partnership between schools, parents and communities to promote “healthy kids” through after-school community activities and a newsletter.

• Percentage of children, parents, and teachers aware of recommended healthy eating, exercise and hygiene practices
• Number of partnerships formed

• Partner documentation
• Baseline & impact surveys

• Research contractor
• Partners
• SEU
• PRU

SEGMENT: YOUTH & YOUNG ADULTS (ages 15 to marriage)

Illustrative Activities

Illustrative Indicators

Data Sources

Responsible Parties

• Develop SPOHEAL INITIATIVE (sport-health initiative).

• Percentage of youth and adolescents who report exercising three times a week for 20 minutes
• Percentage of youth and adolescents who are aware of the health benefits of exercise

• In-school survey
• Partner reports (if implemented through local coalitions, partners could be required to document this)
• Omnibus surveys
• Baseline & impact surveys?

• Research contractor
• Partners
• SEU
• PRU

• Conduct Community Youth Mapping (CYM).

• CYM conducted

• Partner documentation

• Partners

• Develop interactive CD-ROM to be used in youth centers, schools, universities and other learning environments.

• Percentage of youth and adolescents who disapprove of smoking

• In-school survey
• Partner reports (if implemented through local coalitions, partners could be required to document this)
• Omnibus surveys?
• Baseline & impact surveys?

• Research contractor
• Partners
• SEU
• PRU

• Develop Arabic Web site targeted at youth and linked with Amman FM Net (RADIO), featuring healthy lifestyles, STDs and reproductive health. 

• Percentage of youth and adolescents who are aware of STDs, their transmission, symptoms and prevention

• Omnibus surveys?
• Baseline & impact surveys?
• Internet survey

• Research contractor
• SEU
• PRU

• Develop adolescent health kit with information on RSH/FP and Healthy Lifestyles including videos and training guides for facilitators.

• Percentage of youth and adolescents who intend to practice family planning when they are married

• Partner reports (if implemented through local coalitions, partners could be required to document this)
• Baseline & impact surveys

• Research contractor
• Partners
• SEU

SEGMENT: PERIMARITAL YOUNG ADULTS (pre-marriage to completed family size)

Illustrative Activities

Illustrative Indicators

Data Sources

Responsible Parties

• Scale up the Peri-Marital Program to cover all MOH points of service.

• Percentage of engaged and newly married couples who intend to practice family planning.
• Percentage who report seeking services related to family planning
• Modern contraceptive prevalence rate
• Decrease in percentage of peri-marital young adults using modern contraceptive methods who discontinue use within 12 months
• Percentage of mothers who exclusively breast-feed their newborns during the first 6 months of life

• Baseline & impact surveys
• JDHS 2006

• Research contractor
• SEU

• Market JAFPP peri-marital health services, including antenatal and postnatal care for normal and high-risk pregnancies and physician-assisted delivery.

• Percentage married women who report seeking services related to antenatal care
• Percentage married women who report seeking services related to postnatal care
• Percentage of pregnant women who receive antenatal care
• Percentage of pregnant women who receive postnatal care
• Percentage of deliveries that are attended by a physician

• Baseline & impact surveys
• JDHS 2006

• Research contractor
• SEU

• Produce content segments for JTV magazine programs.

• Percentage of unmarried young adults who intend to practice family planning when they are married
• Percentage of mothers who exclusively breast-feed their newborns during the first 6 months of life
• Modern contraceptive prevalence rate
• Percentage of mothers who have waited 3 to 5 years since their previous birth

• Baseline & impact surveys
• JDHS 2006

• Research contractor
• SEU

• Conduct health awareness campaign with men in the army and factories.

• Modern contraceptive prevalence rate [AMONG MEN?]
• Percentage of mothers who have waited 3 to 5 years since their previous birth

• Baseline & impact surveys
• JDHS 2006
• Army/industrial survey

• Research contractor
• SEU
• PRU

• Integrate a health component into the training curriculum of Muslim and Christian Religious Leaders through the Ministry of Awqaf and Islamic Affairs and the National Council of Churches.

• Modern contraceptive prevalence rate
• Percentage of mothers who have waited 3 to 5 years since their previous birth
• Number and nature of health issues addressed in weekly ceremonies in Mosques and Churches.

• Baseline & impact surveys
• JDHS 2006
• Friday Prayers content analysis

• Research contractor
• SEU
• PRU

SEGMENT: OLDER FAMILY MEMBERS (after completed family size)

Illustrative Activities

Illustrative Indicators

Data Sources

Responsible Parties

• Support current and future partner and CA service programs by developing materials and activities to support reproductive health counseling and family planning continuation rates.

• Percentage who report seeking services related to family planning
• Percentage of older married couples using a long-term contraceptive method
• Modern contraceptive prevalence rate
• Percentage of older married couples using modern contraceptive methods who discontinue use within the past 12 months

• Baseline & impact surveys
• JDHS 2006

• Research contractor
• SEU

• Conduct national marketing and demand generation campaign for long-term and permanent family planning methods.

• Percentage of older married couples using a long-term contraceptive method
• Modern contraceptive prevalence rate
• Percentage of older married couples using modern contraceptive methods who discontinue use within the past 12 months

• Baseline & impact surveys
• JDHS 2006

• Research contractor
• SEU

• Promote the use and benefits of Family Health Services at MOH.

• Percentage who report seeking services related to family planning.
• Percentage who report seeking services related to diabetes
• Percentage who report seeking services related to cardiovascular health
• Percentage of older individuals who are aware of cancer detection examination
• Percentage of older individuals who perceive the importance of cancer detection examination

• Baseline & impact surveys
• JDHS 2006

• Research contractor
• SEU

• Explore expansion of the Pharmacy programs beyond FP/RH with other CAs/contractors working with pharmacies.

• Percentage of older individuals who received information on diabetes, hypertension and smoking from pharmacies.

• Baseline & impact surveys
• JDHS 2006

• Research contractor
• SEU

• Develop an Arabic interactive Web site on health issues in collaboration with MOH and MOE.

• Number of hits on the Web site
• Percentage of older individuals who received information on diabetes, hypertension and smoking from the Web site.
• Percentage of older individuals who disapprove of smoking
• Percentage of older individuals who report exercising three times a week for 20 minutes

• Baseline & impact surveys
• JDHS 2006
• Website monitoring

• Research contractor
• SEU
• PRU

RESULTS PACKAGE 3:  INSTITUTIONAL CAPACITY BUILDING

Objective: To enhance the Jordanian capacity in Behavior Change Communication and institutionalize sustainable Behavior Change Communication systems.

Illustrative Activities

Illustrative Indicators

Data Sources

Responsible Parties

• Design and conduct Religious Leaders Health Awareness Initiative with the Ministry of Awqaf and Islamic Affairs and the National Council of Churches.

• “Religious Leaders Health Awareness Initiative” designed and adopted by Ministry of Awqaf and Islamic Affairs and the National Church

• Survey of religious leaders

• Rserach contractor
• PRU

• Conduct “Arabic Advances Workshop” in Jordan for Jordanian professionals with the objective of developing national health behavioral change campaigns.

• 30 Jordanian professionals trained on Behavior Change Communication theories and practices.

• Training report

• JHCP staff

• Develop a self-sustaining Jordanian Pharmacy Marketing Association (JPMA) designed to promote preventive health and primary care interventions through member pharmacies.

• Self-sustaining Jordanian Pharmacy Marketing Association developed

• Workshop reports
• Partner reports
• Cost leveraging records
• Pharmacist survey

• JHCP staff
• Partner
• PRU
• Research contractor

• Send two Jordanian professionals to the “Gates Workshop” in Baltimore.

• Two Jordanian professionals trained on leadership skills in managing RH programs

• Workshop report

• JHCP staff

• Develop Arabic reproductive health/family planning interactive website for service providers within the Ministry of Health as part of a continuing education initiative

• An Arabic interactive Web site on health issues/family planning developed.

• Baseline & impact surveys
• Internet survey
• Website monitoring

• SEU
• PRU
• Research contractor

• Provide training of trainers in the public, private and NGO sectors on National Communication Strategy goals to ensure consistency of messages and information conveyed to all those involved in developing activities to promote the NHCS.

• 25 Jordanian professionals trained as trainers on the NHCS.

• Training workshop reports

• JHCP staff

• Create new public-private partnership structure  (Jordanian Advertising Council), which allows private and media industries to support the GOJ’s health communication agenda and ensure on-going health communication interventions (similar to the U.S. Advertising Council, which uses advertising expertise to conduct public health campaigns). The Jordanian Advertising Council can among other activities:
• Conduct an "Advances in Health Communication" workshop for senior advertising and media professionals.
• Organize national awards and recognition programs for outstanding health communication campaigns.
• Enlist corporate underwriters (allowing the Council to achieve self-sufficiency over time).

• Jordanian Advertising Council is established and recognized
• 20 of senior advertising and media professionals are trained on strategic health communication
•  Programs for outstanding health communication campaigns recognized and awarded

• MOU signed

• Training workshop report

• Results of reward program
• Media coverage of awards program/content analysis

• JHCP staff

• JHCP staff

• JHCP staff
• Research contractor

• Establish a Community Health Committee (CHC) within each community where the program will be implemented.

• CHCs established and active

• Partner reports (if implemented through local coalitions, partners could be required to document this)
• Baseline & impact surveys

• Partners

• SEU

• Incorporate health messages in the Information and Communication Technologies component of the Knowledge Stations Network "Healthy Net.”

• Health messages incorporated in the Information and Communication Technologies component of the Knowledge Stations Network.

• Partner reports (if implemented through local coalitions, partners could be required to document this)
• Baseline & impact surveys (exposure measures)

• Partners

• ·      SEU

• Conduct National Workshop on “Health Message Design”

• 25 Jordanian professionals trained on “Health Message Design” to serve the objectives of the NHCS

• Workshop report

• JHCP staff

• Conduct training workshop on “Fund Raising and Sustainability Management”

• 25 Jordanian professionals trained on “Fund Raising and Sustainability Management”

• Workshop report

• JHCP staff

• Hold National Conference on “Health and Media”

• National conference on “Health and Media” held

• Workshop report
• Media coverage of conference/content analysis

• JHCP staff

• Hold national conference on “Health and IT”

• National conference on “Health and IT” held

• Workshop report
• Media coverage of conference/content analysis

• JHCP staff

• Develop a “Health Promotion Committee” in the Jordan/American Chamber of Commerce to involve the commercial sector as well as provide support to all partners involved in the National Health Communication Strategy.

• “Health Promotion Committee” in the Jordan/American Chamber of Commerce established.

• MOU signed
• Partner activity report

• Partner
• JHCP staff

RESULTS PACKAGE 4:  HEALTH, POPULATION & DEVELOPMENT LINKAGES

Objective: To link health Behavior Change Communication to Population, Gender, Education, Governance, Water, Sanitation, and Environment

Illustrative Activities

Illustrative Indicators

Data Sources

Responsible Parties

• Explore expansion of tie-ins to health and population programs in public and private schools.
  • Explore expansions of tie-ins through IT network.

• Health education promoted through schools

• MOE documentation

• JHCP staff

• Incorporate a public health education component in the current discussions/plans for nutritional labeling under the fair trade agreement to ensure that nutritional labeling extends beyond the export market and into mainstream Jordanian products.

• Nutritional labels provided on food products

• MOH documentation

• JHCP staff

• Plan and conduct a National Conference on “Health and Community Empowerment”

• National Conference on Health and Community Empowerment conducted

• Conference report

• JHCP staff

• Plan and conduct a National Conference on “Population/RH Communication Challenges”

• National Conference on “Population/FP Communication Challenges” Conducted

• Conference report

• JHCP staff

• Assist the Royal Society for the Conservation of Nature in establishing “Jordan Green Team” and developing “Healthy Environment Kits” to be used in their school clubs and youth centers.

• Jordan Green Team established

• MOE documentation
• Partner reports

• JHCP staff
• Local partners

• Work with Ministry of Awqaf and Islamic Affairs and the National Council of Churches on a “Healthy Environment Initiative.”

• “Healthy Environment Initiative” is integrated in the extended training curriculum of the Muslim and Christian religious leaders.

• MOAIA documentation

• JHCP staff