Annual Report of the Department of Health 2010 - Unrwa

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Ensuring safe motherhood throughout UNRWA’s Fields of operations PROMOTING MATERNAL HEALTH Pregnancy is a normal, healthy state. Unfortunately this normal process carries with it serious risks of death and disability. Most of these deaths and suffering could be avoided if preventive measures were taken and adequate care available through quality and comprehensive perinatal, antenatal, intranatal, postnatal care and family planning. In UNRWA in order to improve maternal health and decrease maternal mortality we focus on three levels of preventive strategies. Primary prevention strategies Secondary prevention strategies Tertiary prevention strategies To prevent the condition from To detect and treat conditions early in To treat identified conditions in an occurring through general education, order to minimize the effects by optimal approach in order to reduce improving reproductive health increasing community awareness and mortality and morbidity rates by education, providing family planning patient knowledge about the signs and improving obstetric and medical services, improving pre-conception symptoms of possible problems, improve treatment of complications and by care and improving diagnosis and patients’ adherence to the recommendations improving practices, facilities and treatment of sexually transmitted of the health staff and improving referral services. infections. antenatal, intra-partum and postpartum care. Main achievements - Sharp reduction of maternal mortality and morbidity during the last 30 years, - Safer delivery by shifting from home delivery to hospital delivery and from deliveries assisted by untrained personnel to deliveries by trained and professional personnel, - Early identification and control of the preventable causes of maternal mortality, - In house operational research to improve decision making, and - Reduction of the total fertility rate. Main Challenges - Low antenatal coverage of refugees in some Fields, - Lack of human and financial resources to address the increased demand for MCH services, - Lack of coordination with other health care providers and duplication of services, - Financial and physical accessibility related problems either to UNRWA services or to other subsidized services, - Limited outreach activities and of community participation, - Limited inter-sectoral collaboration with other UNRWA departments in particular Education and Relief and Social services, - Stable total fertility rate and maternal mortality ratio, becoming hard to reduce it further unless additional resources are secured. 9
SUCCESS STORIES FROM THE FIELDS SCREENING FOR PHENYLKETONURIA (PKU) AND HYPOTHYROIDISM IN JORDAN FIELD New-born screening is recognized as an essential, preventive public health program for early identification of disorders in new-borns that can affect their health development. Arab countries have a high prevalence of genetic and congenital disorders, most likely due to high consanguinity rates. Early detection, diagnosis and treatment of certain genetic or metabolic disorders such as phenylketonuria (PKU) and hypothyroidism can lead to significant reduction of death and associated disabilities. The global prevalence of phenylketonuria (PKU) is 1:10,000 to 1:20,000 live births, while in Jordan it is 1:6,000 or more. The worldwide prevalence of congenial hypothyroidism is 1:4,000, while in Jordan it is 1:1,719 [15]. Main achievements As part of life cycle approach adopted by Health Department in 2009, the screening programme for congenital hypothyroidism and phenylketonuria has been introduced in UNRWA health services in Jordan field in collaboration with the Jordanian Ministry of Health(J MoH) to address the most common treatable causes of mental retardation. The first phase of the screening program was launched in eight major health centres after concerned laboratory technicians and nurses were trained on how to correctly collect and process neonatal blood samples and on how to raise public awareness. The second phase began in January 2010 with the integration of this essential preventive service in all the 24 health Centres in Jordan Field. Specimen processed 18000 8 15787 16000 7 7 14000 6 12000 5 10000 4 4 8000 3 6000 2 4000 3485 1 2000 1 0 0 0 1 2 Confirmed cases New-born Screening for Phenylketonuria and Hypothyroidism Total specimens tested Total phenyketoneuria cases Total Hypothyroidism confirmed cases Figure 3 – Hypothyroidism and phenylketoneuria case detection, Jordan 2009 and 2010 During 2009-2010 screening activities, the prevalence rate of Phenylketonuria among refugee new-borns was concordant with global figures, while hypothyroidism rate was concordant with national figures. 10
Page 1 and 2: The Annual Report of the Department
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Page 7 and 8: Oral health services Physiotherapy
Page 9 and 10: MESSAGE OF THE UNRWA COMMISSIONER G
Page 11 and 12: PRECONCEPTION CARE The comprehensiv
Page 13 and 14: THE UNRWA HEALTH PROGRAMME: IMPLEME
Page 15 and 16: Strategic Partnerships and Cooperat
Page 17: GROWING MORBIDITY DUE TO NON COMMUN
Page 21 and 22: NEW-BORN SCREENING FOR HEARING IMPA
Page 23 and 24: Cooperation between UNRWA and the S
Page 25 and 26: UNRWA’s integration efforts over
Page 27 and 28: The developed integrated modules in
Page 29 and 30: 60+ 50 - 54 40 - 44 30 - 34 20 - 24
Page 31 and 32: POPULATION SERVED IN 2010 By the en
Page 33 and 34: . The support of the international
Page 35 and 36: MAIN COMPONENTS OF THE AGENCY'S PRE
Page 37 and 38: The success of the family planning
Page 39 and 40: The maternal health modules of the
Page 41 and 42: Table 5 - Family health training ac
Page 43 and 44: In 2010, the percentage of pregnant
Page 45 and 46: 100 95.7 95.8 96.8 % of hospital de
Page 47 and 48: ecovered after delivery, 8.2% were
Page 49 and 50: 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
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An assessment of workloads, product
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The outcome of the treatment sessio
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The programme in Gaza Field relies
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PROFESSIONAL SUPERVISION CMHP profe
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VIRAL HEPATITIS Figure 27, shows th
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The total amount spent from the UNR
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Drugs 86% Equipment and Supplies 14
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mainly due to the different resourc
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Distribution of patients by sex Alm
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PREVALENCE OF HYPERTENSION As shown
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RISK SCORING A modified scoring sys
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ADDRESSING THE DETERMINANTS OF HEAL
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THE SCHOOL FEEDING PROGRAMME (SFP)I
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THE WEST BANK The programme’s eme
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OTHER ENVIRONMENTAL HEALTH ACTIVITI
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UNRWA’S INTEGRATED COMMUNITY BASE
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Table 50 - Percentage of women empl
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THE WEST BANK In the West Bank, UNR
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with mental health case files activ
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Figure 43, shows the proposed funct
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FINANCIAL RESOURCES The total Healt
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THE HEALTH INFORMATION SYSTEM The c
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West Bank Praccal Nurse 2 Master De
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The Health Department established a
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Contents Annexes The annexes to the
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Annex 1 - Health Fact Sheets 2010 J
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Annex 1 - Health Fact Sheets 2010 -
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Number of doctors per 100,000 regis
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Annex 3 - Contacts TECHNICAL STAFF
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Contents MDG Millennium Development
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Annual Report of the Department of Health 2010 - Unrwa

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