Annual Report of the Department of Health 2010 - Unrwa

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etween West Bank and the Gaza Strip, hinder the provision of quality health services. Supplies of electricity, fuel and other consumables for the maintenance of the basic health infrastructure have not significantly improved since the adjustment to the blockade. Hospital treatment is increasingly curtailed because of the inability of hospitals to run procedures when they have limited access to electricity supplies, spare parts and equipment. Referrals for specialized care also remain a challenge. Despite an improvement in the flow of patients able to exit through Egypt following the flotilla incident, permits to access specialist treatment outside the Gaza Strip continue to be bureaucratically and often arbitrarily administered. In 2010, 650 (5.6%) requests to cross Erez were refused as opposed to 149 (2%) in 2009. LEBANON – NAHR EL-BARED CAMP: THREE YEARS SINCE THE CRISIS Three years after the conflict of 2007, the effects of the devastation of Nahr el-Bared Camp (NBC) are still being felt. The violence resulted in the destruction of an estimated 95% of buildings and infrastructure within the camp and caused the displacement of approximately 27,000 Palestine refugees from the camp and its adjacent areas. Since 2007 UNRWA has met the basic needs of the secondarily displaced refugees through the provision of shelter, food security, water and sanitation, health services and education. The reconstruction of the camp began in December 2009 and should have been completed by the end 2012. By October 2010 UNRWA had started work on two out of the eight construction packages. However, the pace of renovation and long-term recovery of the camp has been slow and the 2012 deadline will not be met. More than three years after the conflict, only 20% of the displaced Palestine refugees have returned to their own homes in the areas adjacent to the camp. By mid-2010, over 10,000 refugees were still living in temporary accommodations in these adjacent areas, some renting accommodation, others living in collective centres rented by UNRWA or in UNRWAconstructed temporary shelters. A further 10,000 people remain in other locations, mainly in the Beddawi camp. The on-going displacement of the majority of Palestine refugees from their original homes in NBC and its surrounds continues to present a significant humanitarian challenge. Many refugees now live in difficult, overcrowded housing conditions and are dependent on UNRWA for their daily living needs. The situation is compounded by the slow economic recovery of the NBC displaced areas, largely the result of movement restrictions imposed by the Lebanese Armed Forces. As a result of the total destruction of the UNRWA health centre in NBC, the Agency established two temporary health centres in the area adjacent to the camp: one facility was donated by USA and the other rented by UNRWA. Rebuilding of the health centre in its former site will commence in 2011 and the facility is expected to be operational by the beginning of 2012, at which time it will replace the services offered in the temporary health centres. The situation of overcrowding in the temporary shelters and the poor conditions in some of the rented accommodations increase the risk of outbreaks of communicable and other diseases. Additionally, because of continued economic hardship, many families are unwilling and/or unable to seek effective and timely medical treatment at their own expense. Therefore, UNRWA continues to provide free basic health services and additional subsidies to help NBC families cover the cost of hospitalization and medications not usually covered by UNRWA through its regular health program. This includes the subsidy of up to 100% of the hospital bills for displaced refugees. The continued displacement has also resulted in a very negative impact on the mental health of the population. The barely tolerable living conditions of many families, as well as the uncertainty about the delivery of the reconstructed camp (much slower than originally promised, and many doubt that it will be successful), have increased stress levels both in Nahr el-Bared Camp’s adjacent areas and in the Beddawi Camp. The consequences are seen in the high numbers of patients presenting at UNRWA health centres, the high number of referrals, the over-consumption of unnecessary medication, and in the general demeanour and behaviour of the camp residents. The situation is further illustrated by the high proportion of stress related conditions seen among patients seeking help for mental health problems: of 424 clients 95
with mental health case files active in December 2010, 46% were diagnosed with depression, 21% with somatoform disorders and 11% with anxiety. Despite the escalating problems, Medicine du Monde (MDM), the NGO previously providing outpatient mental health services, was forced to withdraw from the camps in 2010 as a result of funding constraints. Mental health services have subsequently been taken over by UNRWA, building on the work of MDM. During their project implementation period of almost three years, MDM trained three medical officers and four nurses to manage mild and moderate cases of mental illness. The UNRWA health department has also contracted a psychiatrist to support the services and UNRWA continues to subsidize the purchase of mental health drugs for the refugees displaced from NBC. 96
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The Annual Report of the Department
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© UNRWA, 2011 This document is a f
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Oral health services Physiotherapy
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MESSAGE OF THE UNRWA COMMISSIONER G
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PRECONCEPTION CARE The comprehensiv
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THE UNRWA HEALTH PROGRAMME: IMPLEME
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Strategic Partnerships and Cooperat
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GROWING MORBIDITY DUE TO NON COMMUN
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SUCCESS STORIES FROM THE FIELDS SCR
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NEW-BORN SCREENING FOR HEARING IMPA
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Cooperation between UNRWA and the S
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UNRWA’s integration efforts over
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The developed integrated modules in
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60+ 50 - 54 40 - 44 30 - 34 20 - 24
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POPULATION SERVED IN 2010 By the en
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. The support of the international
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MAIN COMPONENTS OF THE AGENCY'S PRE
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The success of the family planning
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The maternal health modules of the
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Table 5 - Family health training ac
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In 2010, the percentage of pregnant
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100 95.7 95.8 96.8 % of hospital de
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ecovered after delivery, 8.2% were
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PRECONCEPTION CARE Children represe
Page 51 and 52:
No. of infant and children in thous
Page 53 and 54: 40 35 30 25 20 15 10 5 0 35 36 31.2
Page 55 and 56: Table 19 - Coverage of the expanded
Page 57 and 58: new knowledge and skills into the r
Page 59 and 60: THE 2010 UNRWA - SYRIA GLOBAL SCHOO
Page 61 and 62: - Protective Factors: 36.5% of stud
Page 63 and 64: ACCESS TO HEALTH CARE One of the st
Page 65 and 66: 5 4.4 4.7 4.5 4.7 No. of lab tests
Page 67 and 68: - UNRWA laboratories in the West Ba
Page 69 and 70: An assessment of workloads, product
Page 71 and 72: The outcome of the treatment sessio
Page 73 and 74: The programme in Gaza Field relies
Page 75 and 76: PROFESSIONAL SUPERVISION CMHP profe
Page 77 and 78: VIRAL HEPATITIS Figure 27, shows th
Page 79 and 80: The total amount spent from the UNR
Page 81 and 82: Drugs 86% Equipment and Supplies 14
Page 83 and 84: mainly due to the different resourc
Page 85 and 86: Distribution of patients by sex Alm
Page 87 and 88: PREVALENCE OF HYPERTENSION As shown
Page 89 and 90: RISK SCORING A modified scoring sys
Page 91 and 92: ADDRESSING THE DETERMINANTS OF HEAL
Page 93 and 94: THE SCHOOL FEEDING PROGRAMME (SFP)I
Page 95 and 96: THE WEST BANK The programme’s eme
Page 97 and 98: OTHER ENVIRONMENTAL HEALTH ACTIVITI
Page 99 and 100: UNRWA’S INTEGRATED COMMUNITY BASE
Page 101 and 102: Table 50 - Percentage of women empl
Page 103: THE WEST BANK In the West Bank, UNR
Page 107 and 108: Figure 43, shows the proposed funct
Page 109 and 110: FINANCIAL RESOURCES The total Healt
Page 111 and 112: THE HEALTH INFORMATION SYSTEM The c
Page 113 and 114: West Bank Praccal Nurse 2 Master De
Page 115 and 116: The Health Department established a
Page 117 and 118: Contents Annexes The annexes to the
Page 119 and 120: Annex 1 - Health Fact Sheets 2010 J
Page 121 and 122: Annex 1 - Health Fact Sheets 2010 -
Page 123 and 124: Number of doctors per 100,000 regis
Page 125 and 126: Annex 3 - Contacts TECHNICAL STAFF
Page 127: Contents MDG Millennium Development
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Annual Report of the Department of Health 2010 - Unrwa

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