This report presents the findings of a team commissioned by USAID/Jordan to conduct a midterm evaluation of Health Systems Strengthening ll (HSS II), a five-year (2009-2014) USAID funded project. The overall strategy of HSS II is to institutionalize strengthened health systems in support of reduced fertility rates and improved woman’s health. The evaluation addresses the projects achievements in strengthening the critical health systems through its support to health management information systems, renovations, accreditation, referrals, and capacity-building.