health in gaza current situation and future challenges n.
Download
Skip this Video
Loading SlideShow in 5 Seconds..
Health in Gaza Current Situation and Future Challenges PowerPoint Presentation
Download Presentation
Health in Gaza Current Situation and Future Challenges

Loading in 2 Seconds...

play fullscreen
1 / 26

Health in Gaza Current Situation and Future Challenges - PowerPoint PPT Presentation


  • 207 Views
  • Uploaded on

Occupied Palestinian Territory. Health in Gaza Current Situation and Future Challenges. Mahmoud Daher Head of Gaza sub-office. Health determinants Health Services Health Status Conclusions. Gaza Strip. Beit Hanoun 2003. Beit Hanoun 2008. Erez Crossing Point. 3 nautical miles

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'Health in Gaza Current Situation and Future Challenges' - wing-burns


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
slide2

Health determinants

  • Health Services
  • Health Status
  • Conclusions
slide3

Gaza Strip

BeitHanoun 2003

BeitHanoun 2008

Erez

Crossing Point

3 nautical miles

Effective since January 2009

Nahal Oz

Crossing Point

Karni

Crossing Point

Source: The Economist

High-risk zone: 500- 1/1.5 km

9,000 settlers and 21 settlements

15% of Gaza Strip

No go zone - officially: 0-300 meters, in practice: 0-500 meters

200-300 operational tunnels

Mostly construction materials

Movement and access highly restricted

Erez Crossing: 167 (2011) vs 26,000 (2000)people/day

1.6 million (70% refugees)

~4,000 persons km2

54% under 18

85% of fishing areas off-limits, 65,000 affected

Tunnels

Fence

map

ARA

35% of agricultural land

Rafah

Crossing Point

Crossings

Settlements (pre-2005)

chart

Sufa

Crossing Point

Tunnels

Sea restrictions

Kerem Shalom

Crossing Point

slide4

Key recent events in the last decade had implications on the health in Gaza

  • September 2005: Israeli Disengagement from Gaza
  • January-March 2006: Elections in oPt and forming of new Palestinian Government.
  • June 2006: Israeli soldier kidnapped - Israel retaliate by destruction of power plant and closure of borders.
  • June 2007: Internal disputes lead to separation between West Bank and Gaza, Hamas take over control of Gaza and Israel imposed siege on Gaza.
  • December 2008: Israeli military assault (Alforqan or Cast lead)
  • November 2012: Israeli Intensive airstrike assaults (Column of clouds or stones of hill)
  • April 2014: Palestinian reconciliation…??
slide5

The Siege

  • Severe restrictions on access and exit for people and goods
  • Major impact on economy, reconstruction and daily life of citizens
  • Tunnels until recently were providing alternative route for supplies of all kinds, including fuel and construction materials, now these are completely closed.
demographic indicators
Demographic indicators
  • Population in oPt: 4.42 Million
  • Population in Gaza Stripmid-2012: 1.7 million (38.5% of oPt), estimates to be 2 million in 2018 (PCBS)
  • Registered refugees in Gaza: 66.1% of Gaza population
  • Less than 18 yrs: 51% of Gaza population
slide7

Socioeconomic Indicators

  • Unemployment first quarter 2014: 40.8% (38.5% 4thqrt 2013) PCBS
  • 38.8% of Gazans lived under the national poverty line. (World Bank)
    • 57% of households in the Gaza Strip are food insecure (2012) WFP
  • Gross domestic product per capita $1156. PCBS
  • “Ever more aid dependent”
slide8

Education & Literacy

  • Literacy age 15+ – 92%
  • Primary completion rate – 83% in 2007. Down from 95% in 2005.
  • Schools in Gaza recorded failure rates of 40 to 50 percent in 2006 and 2007, according to UNRWA.
  • UNWRA schools overcrowded. Children attend classes in two shifts—one in the morning and one in the evening.
environment water
Environment/ Water
  • UNEP report- Environmental assessment of Gaza Strip:
    • “Underground water supplies in danger of collapse from over-use and contamination
    • War impact: sewage; rubble; land; waste disposal.
  • concerns about water shortages, lack of chemicals for water disinfection, pollution (levels of nitrates) - access to safe water for the population
  • Av. consumption of potable water estimated at 52 litres per capita per day, (half the international standard of 100 to 150 l/cap/d.)
  • Sewage and waste water management systems totally inadequate. Sanitary inspection of water-supply systems and use of water safety plans limited; corrective measures are not done promptly.
  • Water authorities dumping 60,000 cubic meters of sewage daily into Mediterranean Sea since January 2008 to avoid flooding residential areas.
  • Increased risk of water and sanitation related diseases such as diarrhoeal diseases, hepatitis A
health providers
Health providers
  • MoH
  • UNWRA
  • NGOs
  • Private
primary health care
Primary Health care

Population/ PHCC

Gaza: 11480

West Bank: 4147

Palestine: 5476

slide13

Total number of hospital beds per 10,000 population

    • Palestine: 13.5
      • Gaza 17.3
      • West Bank 12.8
    • Jordan: 17
    • Egypt: 22
    • Lebanon: 36
    • Israel: 63
  • Increase in MoH beds 2005-2012:
    • Gaza 60%
    • West Bank 44%
  • Av. occupancy rates for MoH hospitals:
    • Gaza 78%
    • West Bank 85%
slide15

August to Dec 2008 –strike by Gaza MoH staff.

  • 1,1171 MoH staff as of December 2013 of whom 8992 working
    • Out of the total of 11171
    • 5949 paid by PNA
    • 2179 paid by PNA but not working
    • 5222 paid by de facto authorities
some key health status indicators
Some key Health status indicators

Life expectancy 71-72

CDR: 3.1

IMR: 20/1000 live births

MMR: 23.4/100,000 live birth

48% of Gaza population are not doing enough physical activity

61.7% of all Gaza population are overweight (while 31.8% obese)

44.8% of Gaza population 15-64 with high BP

8.4% of Gaza population 15-64 with DM

32.5% of Gaza population have high cholesterol blood level

slide17

UNDAF thematic area: Health

Challenges in this area:

  • Main health challenges facing Palestine in 21st century are non-communicable diseases
    • cardiovascular diseases, diabetes, chronic lung disease, cancer, mental disorders

Mental hospital ward

The United Nations Country Team

in the State of Palestine

slide18

Mental health

  • The prevalence rate of post-traumatic stress disorder among children in Gaza ranged from 10.6-54%
  • The prevalence rate of post-traumatic stress disorder among adolescents in Gaza is 25.8%
  • The prevalence of mental health problems among adults attending governmental primary healthcare centers is 37.8% in Gaza
  • In General, the mental health resources are scarce and fragmented to respond to the extensive burden of mental disorders.
slide19

Some other challenges

  • Referral and access to outside Gaza health services
  • Pharmaceutical shortages
referrals for specialized care opt
Referrals for specialized care - oPt
  • Referrals by MoH (WBG) increased 10 folds from 2000 to 2011. (world Bank)
  • Costs also increased from $10 m in 2000 to $121m in 2011 (world Bank)
  • Main specialties: cancer, cardiovascular, opthalmology, neurosurgery
slide22

Referral Cost in 2011, 2012 and 2013

Total cost in Million USD

2011: 44 M

2012 : 40 M

2013: 49 M

challenges
Challenges
  • Tightening restrictions of movement of populations, goods and activities of humanitarian actors
  • Deterioration of determinants of health in the West Bank and Gaza
  • Reduction of funding for humanitarian health programs
  • Limited human recourses to implement the cluster/sector coordination activities.