Table 2 Summary findings of the feasibility of collecting the following proposed SRMNCAH indicators in the humanitarian context of Jordan

Contraception

 1.1

Number of clients initiating contraception

60%

Health facilities, primary, and secondary health services

National Reporting System: centralized system in the MoH, NSSRH (Higher Population Council)

Insufficient security and privacy measures set in place

Clarification on the wording surrounding "initiating"—standardize definition of new user vs. recurrent user

Resources and training regarding security & data privacy

Include

 1.2

Number of clients receiving emergency contraception

20%

Health facilities, primary, and secondary health services

National Reporting System: centralized system in the MoH, NSSRH (Higher Population Council)

No availability of commodity: No dedicated emergency contraceptive (EC) pill registered in Jordan

Insufficient security and privacy measures set in place

N/A

Training on new IAFM guidelines

Training providers on the different contraceptive modalities that can be used for EC

Resources and training regarding security and data privacy

Include

 1.3

Percentage of clients adopting modern contraceptive method after delivery

60%

Health facilities, primary, and secondary health services

National Reporting System: centralized system in the MoH, NSSRH (Higher Population Council)

Current collection occurring during PNC visit not at discharge

Insufficient security and privacy measures set in place

Clarification on the wording surrounding "initiating"—standardize definition of new user vs. recurrent user

Resources and training regarding security & data privacy

Include

 1.4

Percentage of clients adopting modern contraceptive method after abortion

0%

N/A

National Reporting System: centralized system in the MoH, NSSRH (Higher Population Council)

Legal status of abortion in Jordan

Service not provided

Insufficient security and privacy measures set in place

N/A

N/A

Exclude

Comprehensive abortion care

 2.1

Number of clients requesting an abortion

0%

N/A

N/A

Legal status of abortion in Jordan

Potential risk for client and primary care provider

Insufficient security and privacy measures set in place

N/A

N/A

Exclude

 2.2

Number of clients receiving an abortion referral

30%

N/A

Legal status of abortion in Jordan

Policy and legislative changes needed

Insufficient security and privacy measures set in place

N/A

Training on the new IAFM guidelines

Integration into HIS/existing data collection systems

VCAT sessions

Resources and training regarding security & data privacy

Service mapping exercise at the health and/or humanitarian sector level to identify service provision of abortions

Exclude

 2.3

Number of clients receiving an induced abortion

10%

N/A

Legal status of abortion in Jordan

Policy and legislative changes needed

Insufficient security and privacy measures set in place

N/A

Training on the new IAFM guidelines

Integration into HIS/existing data collection systems

VCAT sessions

Resources and training regarding security & data privacy

Service mapping exercise at the health and/or humanitarian sector level to identify service provision of abortions

Exclude

 2.4

Number of clients presenting for post-abortion care (PAC)

40%

N/A

Legal status of abortion in Jordan

Policy and legislative changes needed

Insufficient security and privacy measures set in place

N/A

Training on the new IAFM guidelines

Integration into HIS/existing data collection systems

VCAT sessions

Resources and training regarding security & data privacy

Service mapping exercise at the health and/or humanitarian sector level to identify service provision of PAC

Include

 2.5

Number of clients receiving PAC

100%

N/A

Legal status of abortion in Jordan

Policy and legislative changes needed

Insufficient security and privacy measures set in place

N/A

Integration into HIS/existing data collection systems

Resources and training regarding security & data privacy

Service mapping exercise at the health and/or humanitarian sector level to identify service provision of PAC

Include

Maternal health

 3.1

Number of maternal deaths

100%

Jordan Civil Registration and Vital Statistics System

National reporting system utilized (MMSRS) with country-wide buy-in

Resource and systems are centralized through MoH

N/A

N/A

N/A

Include

 3.2

Number of maternal deaths, disaggregated

100%

Jordan Civil Registration and Vital Statistics System

National reporting system utilized (MMSRS) with country-wide buy-in

Resource and systems are centralized through MoH

N/A

Should include 15 and under category

N/A

Include

 3.3

Percentage of maternal death reviews

100%

Secondary and tertiary facilities only

Jordan Civil Registration and Vital Statistics System

National reporting system utilized (MMSRS) with country-wide buy-in

Resource and systems are centralized through MoH

Applicable in secondary and tertiary facilities only

N/A

N/A

Include

 3.4

Number of clients receiving antenatal care (ANC)

60%

N/A

Insufficient security and privacy measures set in place

N/A

Resources and training regarding security & data privacy

Include

 3.5

Number of deliveries

70%

Jordan Civil Registration and Vital Statistics System

Birth registry not centralized in facilities

Policy and legislative changes surrounding birth registry and reporting requirements of stillbirths

Insufficient security and privacy measures set in place

N/A

Training on how to report stillbirths

Centralizing birth registry in secondary and tertiary facilities

Integration into HIS/existing data collection systems

Resources and training regarding security & data privacy

Include

 3.6

Number of deliveries, disaggregated

60%

Jordan Civil Registration and Vital Statistics System

Birth registry not centralized in facilities

Policy and legislative changes surrounding birth registry and reporting requirements of stillbirths

Insufficient security and privacy measures set in place

N/A

Training on how to report stillbirths

Centralizing birth registry in secondary and tertiary facilities

Integration into HIS/existing data collection systems

Resources and training regarding security & data privacy

Include

 3.7

Number of clients receiving post-natal care (PNC)

50%

Secondary and tertiary facilities only

N/A

Applicable in secondary and tertiary facilities only

Insufficient security and privacy measures set in place

N/A

Resources and training regarding security & data privacy

Include

 3.8

Number of caesarean section deliveries

60%

Tertiary facilities only

N/A

Applicable in tertiary facilities only

Insufficient security and privacy measures set in place

N/A

Resources and training regarding security & data privacy

Include

 3.9

Availability of PAC

0%

N/A

N/A

N/A

N/A

Service mapping exercise at the health and/or humanitarian sector level to identify service provision of PAC

Exclude

 3.10

Availability of basic emergency obstetric care (BEmOC)

0%

N/A

N/A

N/A

N/A

Service mapping exercise at the health and/or humanitarian sector level to identify service provision of BEmOC

Exclude

 3.11

Availability of comprehensive emergency obstetric care (CEmOC)

0%

N/A

N/A

N/A

N/A

Service mapping exercise at the health and/or humanitarian sector level to identify service provision of CEmOC

Exclude

 3.12

Availability of skilled personnel

0%

N/A

N/A

Irrelevant to context as high quality medical care is readily available

N/A

N/A

Exclude

 3.13

Number of antenatal care clients with tetanus vaccination

70%

N/A

Low burden of disease, service not routinely provided

N/A

N/A

Exclude

 3.14

Number of ANC clients receiving preventive therapy for malaria

0%

N/A

N/A

Low burden of disease, service not routinely provided

N/A

N/A

Exclude

 3.15

Number of ANC clients receiving syphilis screening

0%

N/A

N/A

Low burden of disease, service not routinely provided

N/A

N/A

Exclude

 3.16

Number of ANC clients receiving urinary tract infection screening or treatment

0%

N/A

N/A

Low burden of disease, information not actionable

N/A

N/A

Exclude

 3.17

Number of clients with identified maternal morbidities during post-natal care (PNC)

60%

N/A

Insufficient security and privacy measures set in place

Specify morbidity types

Resources needed to specify morbidity types (i.e.: training of staff and creating and distributing manuals on types of maternal morbidities during PNC)

Resources and training regarding security & data privacy

Include

Newborn health

 4.1

Number of neonatal deaths

60%

Jordan Civil Registration and Vital Statistics System

No national system to review newborn death

Insufficient security and privacy measures set in place

N/A

Resources needed to establish national systems to capture newborn death and review these cases for cause of death (development and implementation of a perinatal surveillance system)

Training of primary care providers on how to report on neonatal death

Resources and training regarding security & data privacy

Include

 4.2

Number of stillbirths

60%

Jordan Civil Registration and Vital Statistics System

N/A

N/A

Training on how to report on stillbirths

Integration into HIS/existing data collection systems

Include

 4.3

Number of babies born low birth weight

60%

N/A

N/A

Specification of the weight (e.g.: < 2500)

N/A

Include

 4.4

Number of small and sick newborns receiving care

60%

N/A

N/A

N/A

N/A

Include

 4.5

Number of newborns receiving post-natal care

60%

N/A

N/A

N/A

N/A

Include

 4.6

Availability of KMC

0%

N/A

N/A

Service not routinely provided; information not actionable

N/A

N/A

Exclude

 4.7

Availability of neonatal resuscitation

0%

N/A

N/A

Irrelevant to context as high quality medical care is readily available

In-patient health care system

N/A

Service mapping exercise at the health and/or humanitarian sector level to identify service provision of neonatal resuscitation

Exclude

 4.8

Number of neonatal deaths, disaggregated

60%

Jordan Civil Registration and Vital Statistics System

No national system to review newborn death

N/A

Resources needed to establish national systems to capture newborn death and review these cases for cause of death (development and implementation of a perinatal surveillance system)

Training of primary care providers

Include

 4.9

Percentage of perinatal death reviews

10%

N/A

No national system to review newborn death

N/A

Resources needed to establish national systems to capture newborn death and review these cases for cause of death (development and implementation of a perinatal surveillance system)

Training of primary care providers

Include

 4.10

Number of newborns receiving Hepatitis B vaccine

0%

N/A

N/A

N/A

Integration into HIS/existing data collection systems

Include

 4.11

Number of newborns initiating breastfeeding early

0%

N/A

N/A

Information not actionable

N/A

N/A

Exclude

 4.12

Number of infants weighed at birth

0%

N/A

N/A

N/A

N/A

Integration into HIS/existing data collection systems

Include

 4.13

Number of babies registered

0%

N/A

Jordan Civil Registration and Vital Statistics System

Civil registry not centralized in facilities

Resources needed to integrate civil registry in facilities

Include

 4.14

Number of newborns receiving treatment for possible severe bacterial infection (PSBI)

0%

N/A

N/A

N/A

N/A

Integration into HIS/existing data collection systems

Include

 4.15

Number of newborns admitted

60%

Secondary and tertiary facilities only

N/A

Applicable in secondary and tertiary facilities only

N/A

N/A

Include

 4.16

Number of newborns with morbidities identified during PNC

0%

N/A

N/A

N/A

Specify morbidity types

Resources needed to specify morbidity types

Include

Child health

 5.1

Number of deaths of children under 5

0%

N/A

Jordan Civil Registration and Vital Statistics System

N/A

N/A

N/A

Include

 5.2

Under 5 mortality rate

0%

N/A

N/A

Population level indicator with impractical denominator

Convert to facility-based indicator for routine collection

N/A

Exclude

 5.3

Percentage of children under 5 with suspected pneumonia taken to appropriate health facility

0%

N/A

N/A

Population level indicator with impractical denominator

Convert to facility-based indicator for routine collection

N/A

Exclude

 5.4

Coverage of diarrhea treatment

0%

N/A

N/A

N/A

N/A

N/A

Exclude

 5.5

Percentage of children under 5 who are wasted

0%

N/A

N/A

Low burden of disease

Population-level indicator with impractical denominator

Convert to facility-based indicator for routine collection

N/A

Exclude

 5.6

Percentage of children under 5 who are registered

0%

N/A

Jordan Civil Registration and Vital Statistics System

Complicated by national registry system; system allows for a 30-day grace period for the male guardian to register the birth of the child which can result in lack of registration if a newborn death occurs within 30 days

Convert to facility-based indicator for routine collection

N/A

Include

 5.7

Number of children presenting with fever tested for malaria in endemic settings

0%

N/A

N/A

Low burden of disease, service not routinely provided

Specific infectious disease reporting requirements and management protocols for individual cases

N/A

N/A

Exclude

 5.8

Number of confirmed cases of malaria in endemic settings

0%

N/A

N/A

Low burden of disease, service not routinely provided

Specific infectious disease reporting requirements and management protocols for individual cases

N/A

N/A

Exclude

 5.9

Percentage of confirmed malaria cases treated

0%

N/A

N/A

Low burden of disease, service not routinely provided

Specific infectious disease reporting requirements and management protocols for individual cases

N/A

N/A

Exclude

 5.10

Coverage of DP3

0%

N/A

N/A

Population- level indicator with impractical denominator

Convert to facility-based indicator for routine collection

N/A

Exclude

Adolescent health

 6.1

Adolescent birth rate

0%

N/A

National Reporting System: NSSRH (Higher Population Council)

Population-level indicator with impractical denominator

Convert to facility-based indicator for routine collection

N/A

Exclude

 6.2

Sexual violence against children

0%

N/A

N/A

Information not actionable

Population-level indicator with impractical denominator

Convert to facility-based indicator for routine collection

N/A

Exclude

 6.3

Adolescent mortality rate

0%

N/A

N/A

Population-level indicator with impractical denominator

Convert to facility-based indicator for routine collection

N/A

Include

 6.4

Percentage of adolescents living with HIV who are currently receiving antiretroviral therapy, disaggregated

0%

N/A

N/A

National HIV reporting requirements and management protocols for individual cases

Population-level indicator with impractical denominator

Convert to facility-based indicator for routine collection

N/A

Exclude

 6.5

Immunization coverage rate

0%

N/A

N/A

Population-level indicator with impractical denominator

Convert to facility-based indicator for routine collection

N/A

Exclude

 6.6

Suicide rate, disaggregated

0%

N/A

N/A

Information not actionable

Population-level indicator with impractical denominator

Convert to facility-based indicator for routine collection

N/A

Exclude

Sexual and gender-based violence

 7.1

Number of rape survivors

80%

National Information Management System for GBV

N/A

N/A

N/A

Include

 7.2

Percentage of health facilities with clinical management of rape services

0%

N/A

National Information Management System for GBV

N/A

Service mapping exercise at the health and/or humanitarian sector level to identify service provision of clinical management of rape

Exclude

 7.3

Percentage of rape survivors receiving HIV post-exposure prophylaxis

70%

National Information Management System for GBV

N/A

N/A

N/A

Include

 7.4

Percentage of rape survivors receiving emergency contraception

30%

National Information Management System for GBV

No availability of commodity: No dedicated emergency contraceptive (EC) pill registered in Jordan

Insufficient security and privacy measures set in place

N/A

Training on the new IAFM guidelines

Training providers on the different contraceptive modalities that can be used for EC

Resources and training regarding security & data privacy

Include

 7.5

Number of rape survivors requesting abortion

0%

N/A

National Information Management System for GBV

Legal status of abortion in Jordan

Potential risk for client and primary care provider

Insufficient security and privacy measures set in place

Service not routinely provided

N/A

N/A

Exclude

 7.6

Number of rape survivors receiving induced abortion care or referral

0%

N/A

National Information Management System for GBV

Legal status of abortion in Jordan

Policy and legislative changes

Insufficient security and privacy measures set in place

N/A

Training on the new IAFM guidelines

Integration into HIS/existing data collection system

VCAT sessions

Service mapping exercise at the health and/or humanitarian sector level to identify service provision of abortions

Resources and training regarding security & data privacy

Include

 7.7

Availability of intimate partner violence front line support (LIVES)

0%

N/A

National Information Management System for GBV

Service not routinely provided

N/A

N/A

Exclude

HIV

 8.1

Antiretroviral therapy coverage among people living with HIV, disaggregated

0%

N/A

National Reporting System controlled by the MoH

National HIV reporting requirements and management protocols for individual cases

N/A

N/A

Exclude

 8.2

Percentage of exposed individuals receiving post-exposure prophylaxis

0%

N/A

National Reporting System controlled by the MoH

National HIV reporting requirements and management protocols for individual cases

N/A

N/A

Exclude

 8.3

Percentage of donated blood units screened for HIV in quality assured manner

0%

N/A

National Reporting System controlled by the MoH

National HIV reporting requirements and management protocols for individual cases

Not relevant outside hospital settings

N/A

N/A

Exclude

Prevention of mother-to-child transmission

 9.1

Percentage of antenatal care clients receiving syphilis screening and treatment

0%

N/A

N/A

National HIV reporting requirements and management protocols for individual cases

N/A

N/A

Exclude

 9.2

Percentage of antenatal care clients offered testing for HIV

0%

N/A

N/A

National HIV reporting requirements and management protocols for individual cases

N/A

N/A

Exclude

 9.3

Percentage of HIV-positive pregnant people receiving antiretroviral therapy

0%

N/A

N/A

National HIV reporting requirements and management protocols for individual cases

N/A

N/A

Exclude

 9.4

Percentage of all deliveries to HIV-positive mothers receiving antiretrovirals

0%

N/A

N/A

National HIV reporting requirements and management protocols for individual cases

N/A

N/A

Exclude

Sexually transmitted infections (STIs) & reproductive tract infections (RTIs)

 10.1

Percentage of STI/RTI cases managed

70%

National Reporting System: centralized system in the MoH, NSSRH (Higher Population Council)

Insufficient security and privacy measures set in place

Include indicator on referrals to MoH

Develop materials and training on a wide range of STIs

Training for healthcare providers

Resources and training regarding security & data privacy

Include