Health system in Health system in PalestinePalestine

Rawan shaabanRawan shaaban

DefinitionDefinition

A health system is the combined entity A health system is the combined entity of all resources, actors and institutions of all resources, actors and institutions related to the financing, regulation and related to the financing, regulation and provision of all activities whose primary provision of all activities whose primary intent is to improve or maintain health intent is to improve or maintain health

(WHO, 2000).(WHO, 2000).

GoalsGoals

The goals for health systems The goals for health systems according to the World Health according to the World Health Report 2000 - Health systems:Report 2000 - Health systems:

improving performance (WHO, improving performance (WHO, 2000)2000)

responsiveness to the expectations responsiveness to the expectations of the population and fair financial of the population and fair financial contributioncontribution

Health status and Health status and demographicdemographicindicatorsindicators%%

Population under Population under 1515

42.542.5

Population above Population above 6565

3.13.1

Life expectancyLife expectancy72.672.6( ( M/F 70.2 / M/F 70.2 / 72.972.9))

Infant mortality Infant mortality raterate

27.827.8

Low birth weightLow birth weight 7.17.1

Crude birth Crude birth rate/1000rate/1000

32.6532.65

Crude death Crude death rate/1000rate/1000

4.484.48

Probability of dying before 1 yearProbability of dying before 1 year2525

Maternal mortality Maternal mortality raterate

1010

Health status and Health status and demographydemography

Chronic disease in Palestine:Chronic disease in Palestine: diabetic, diabetic, cardiovascular dsecardiovascular dse ,cancer .these diseases ,cancer .these diseases are major causes of death in are major causes of death in palestine.1/10 of Palestinian population palestine.1/10 of Palestinian population suffer from at least one of chronic disease.suffer from at least one of chronic disease.

Communicable diseasesCommunicable diseases::Palestine is well Palestine is well known country of high coverage of known country of high coverage of vaccinationvaccination control of many diseases: control of many diseases: poliomyelitis ,tuberculosis. Vaccination poliomyelitis ,tuberculosis. Vaccination for measles increased from 92.5% in 2000 for measles increased from 92.5% in 2000 to 98.3 in 2008to 98.3 in 2008

AIDS :64 cases from 1988 to 2008.AIDS :64 cases from 1988 to 2008.

Providers of health care in Providers of health care in PalestinePalestine

MOH (Main) : provides primary, secondary and MOH (Main) : provides primary, secondary and tertiary health services and purchase the tertiary health services and purchase the

unavailable tertiary health services from domestic unavailable tertiary health services from domestic and abroad providers and abroad providers

UNRWA : provides primary care services only for UNRWA : provides primary care services only for refugee and purchase secondary care services for refugee and purchase secondary care services for

the hardship casesthe hardship cases

Non governmental organizations (NGOs) Non governmental organizations (NGOs) provide primary, secondary and some provide primary, secondary and some

tertiary services.tertiary services.

Private Sector (for profit provider) : provides Private Sector (for profit provider) : provides the three level of care through a variety the three level of care through a variety

of specialized hospitals and investigation of specialized hospitals and investigation centerscenters

Primary health carePrimary health care There are general practitioners, clinics ,specialists, There are general practitioners, clinics ,specialists,

pediatric ,obstetric, internal medicine, health pediatric ,obstetric, internal medicine, health education activities and emergency services as well education activities and emergency services as well as the laboratory service, immunization of as the laboratory service, immunization of Palestinian is available.Palestinian is available.

Primary health care providers are: MOH, NGOs, Primary health care providers are: MOH, NGOs, UNRWA and private provider.UNRWA and private provider.

There are 2.41 general practitioners , .84 There are 2.41 general practitioners , .84 specialist , .77 dentist , .70 pharmacist , 4.42 nurses , specialist , .77 dentist , .70 pharmacist , 4.42 nurses , .72 midwives, .72 health workers per 10,000 .72 midwives, .72 health workers per 10,000 population in Palestine.population in Palestine.

There are 672 primary health centers for MOH, 425 There are 672 primary health centers for MOH, 425 primary health centers for UNRWA, and 178 centers primary health centers for UNRWA, and 178 centers for NGOs in Palestinefor NGOs in Palestine

Public sectorPublic sector

There are four types of public facilities providing There are four types of public facilities providing primary health care services:primary health care services:

1.1. Health post : provides preventive health services such as health Health post : provides preventive health services such as health education( hygiene ,sanitation ,safe water ).these services provided education( hygiene ,sanitation ,safe water ).these services provided by visiting physician for once or twice a week .for example health by visiting physician for once or twice a week .for example health promotion department In MOH promotion department In MOH

2.2. Health clinics : is staffed by general practitioner, it provides Health clinics : is staffed by general practitioner, it provides curative and general services .curative and general services .

3.3. Health center : provides a wider range of health services , which Health center : provides a wider range of health services , which includes laboratory services, x ray services.includes laboratory services, x ray services.

4.4. Comprehensive health center: its provide full day preventive and Comprehensive health center: its provide full day preventive and curative services which include in addition to what offered in curative services which include in addition to what offered in previous level ,physiotherapy, and consolations by a Varity of previous level ,physiotherapy, and consolations by a Varity of specialist, each comprehensive centers has 24 hours emergency specialist, each comprehensive centers has 24 hours emergency services ,for example hospitalsservices ,for example hospitals..

Secondary and tertiary Secondary and tertiary carecare

the secondary health care delivery is a mix of MOH, the secondary health care delivery is a mix of MOH, NGOs, UNRWA and private providers.NGOs, UNRWA and private providers.

Most of hospitals in Palestine are general hospital, there Most of hospitals in Palestine are general hospital, there are some special hospitals for example pediatric and are some special hospitals for example pediatric and ophthalmic hospitals.ophthalmic hospitals.

MOH owned and operate 22 hospital with total capacity of MOH owned and operate 22 hospital with total capacity of 2735 beds2735 beds

There are 31 hospitals with capacity of 1565 beds owned There are 31 hospitals with capacity of 1565 beds owned and operate by NGOs.and operate by NGOs.

Private sector has 23 hospitals with total capacity 461 Private sector has 23 hospitals with total capacity 461 bedsbeds

Cases that have no treatment in Palestine are refer to Cases that have no treatment in Palestine are refer to external hospital such as in Jordan , in 2008 there are external hospital such as in Jordan , in 2008 there are 43,047 are refered to external hospitals43,047 are refered to external hospitals

referencereference

Ministry of health Ministry of health organizationorganization