Joint Financing Arrangement

Speeches Shim



Jordan is currently home to more than 770,000 UNHCR-registered refugees representing 56 nationalities, including approximately 670,000 registered Syrians. At the beginning of the crisis in Syria, Jordan provided UNHCR-registered Syrians fleeing conflict with free access to public sector healthcare services. Ultimately, the financial burden of providing adequate health services for the rapidly-growing population led the Government of Jordan to increase the cost of care, which caused a decline in the number of refugees seeking healthcare. Similarly, as UNHCR-registered non-Syrian refugees were only eligible for very limited levels of assistance, few sought needed health care at public health facilities in 2019. The decline in refugees seeking health services led to a growing concern for the health of Jordan's broader population.


In response, USAID, the Government of Jordan, and the Government of Denmark established the Jordan Health Fund for Refugees, a Joint Financing Arrangement designed to help defray the cost of providing healthcare for refugees and increase donor investments in Jordan’s health system. The Joint Financing Arrangement now totals $95 million, with contributions from the U.S., Denmark, Canada, Qatar, Germany, and the World Bank. The fund has also been a powerful resource for addressing COVID-19. Via this mechanism, donors have allocated approximately $40 million for the pandemic response. By pooling contributions, USAID is expanding access to quality health services for the country’s most vulnerable residents and building a more resilient health system for all Jordanians.


  • By offsetting the cost of care, the Joint Financing Arrangement enabled the Government of Jordan to reduce health service fees from 80 percent of the copayment cost to 20 percent for UNHCR-registered Syrian refugees in 2019 and for all UNHCR-registered refugees in 2020. As a result, UNHCR-registered refugees of 56 nationalities in Jordan now have access to public sector primary, secondary, and preventative healthcare services at the same cost as uninsured Jordanians.
  • The Joint Financing Arrangement has been Jordan’s most readily available resource for rapidly implementing its National COVID-19 Response Plan. Through the fund, the Government of Jordan has procured COVID-19 testing kits, equipment, and medicines. In addition, donor members have helped upgrade health facilities to better respond to the pandemic, including the rehabilitation of isolation units and the construction of new intensive care units at three hospitals.
  • The Joint Financing Arrangement has expanded access to health care for all of Jordan’s residents. The fund’s donors have renovated, expanded, and equipped public sector facilities, benefiting not only refugees, but all residents seeking health services. In 2021, the Joint Financing Arrangement supported the renovation of the Specialized Surgical Department at Al Bashir Hospitals, the country’s largest public health facility. The new facilities allow the Ministry of Health to perform advanced cardiac procedures that previously had to be referred to private hospitals at government expense, resulting in cost savings of $18 million annually for the Ministry.
  • The establishment of the Joint Financing Arrangement has enhanced donor coordination and galvanized $95 million in support for refugees’ health needs. To manage these funds, the Ministry of Health established a Project Management and International Collaboration Directorate, which also serves to liaise with donors.
  • The creation of this Directorate greatly improves coordination and the speed with which internationally-supported projects in the health sector can be implemented.

Last updated: July 20, 2022

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