• Omar Shamieh, Ghadeer Alarjeh, Rana Hammad, Sheila Payne, Richard Harding, Richard Sullivan, and Asem Mansour.
• Department of Palliative Care (O.S.), King Hussein Cancer Center, Amman, Jordan; Center for Palliative and Cancer Care in Conflict (O.S., G.A., A.M.), King Hussein Cancer Center, Amman, Jordan; College of Medicine, Faculty of medicine (O.S.), The University of Jordan, Amman, Jordan. Electronic address: Oshamieh@khcc.jo.
• J Pain Symptom Manage. 2024 May 1; 67 (5): e473e485e473-e485.

ContextPalliative care (PC) integration is vital, as endorsed by the World Health Organization. Yet, Jordan, a Middle Eastern country with limited resources, faces ongoing challenges despite efforts to improve palliative and home care. Establishing a national PC strategic framework, with government and stakeholder consensus, is essential for ensuring universal access to high-quality palliative care. However, processes for achieving this, particularly in the Middle East, are underreported.ObjectivesThis study delineates the process of developing Jordan's National Palliative and Home Care Strategic Framework, reflecting on its five-year impact. Additionally, it identifies barriers to PC progress in Jordan and offers recommendations to stakeholders.MethodsWe conducted a rapid review and analyzed reports, minutes, meetings, and publications. The sequential framework development involved content and situational analysis, expert review, transparent expert consultation, multistage consensus procedures, and high-level advocacy meetings.ResultsThe National Palliative and Home Care Strategic Framework encompasses six domains: 1) policy, 2) finance, 3) service delivery, 4) opioid access, 5) capacity building, and 6) information, research, monitoring, and evaluation. Government endorsement in April 2018 ignited national engagement, driving policy, service delivery, workforce development, education, training, and research progress. Nonetheless, workforce shortages, limited opioid access, and inadequate funding persist as barriers.ConclusionJordan's collaborative development of the inaugural National Palliative and Home Care Strategic Framework, endorsed by the government and stakeholders, provides a comprehensive roadmap for PC advancement. While it promises improved services, effective solutions to workforce and opioid access issues are crucial for successful implementation.Copyright © 2023 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved.

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