The purpose of this study is to assess the situation of decentralization in healthcare in Jordan; inform the activities of the USAID-funded Health Finance and Governance Activity (HFG) in health sector governance and gender mainstreaming; and provide a basis for discussing health decentralization. In Jordan, as in other countries, decentralization is part of a political process that spans sectors; thus, decentralization in the healthcare sector depends largely on broader national developments. Jordan has a concentrated (centralized) government system.