The OPEC Fund for International Development Parking 8, A-1010 Vienna, Austria - P.O. Box 995 Tel: +43-1-515 64-0 Fax: +43-1-513 92 38 Email: [email protected]. Website: www.ofid.org Date : 30 Jan 2014

GRANT APPLICATION FORM

PART I - GENERAL INFORMATION ON ORGANIZATION

1.1 ORGANIZATION

United Nations Development Programme – Programme of Assistance for Palestinian People  Full Name ( UNDP/PAPP)

 Date established 1978

4A Yakubi St. Jerusalem, 91191 P.O.Box 51359 Tel:(00972-2-626 8200)  Permanent address Fax: 00972-2-626-8222

Frode Mauring  Head of Organization Special Representative of the Administrator United Nations Development Programme Programme of Assistance to the Palestinian People  Contact person Walid Hasna

Tel:(00972-2-626 8200)  City Jerusalem  Phone number

 State/Province  Email [email protected] Fax: 00972-2-626-8222  Country State of Palestine  Fax number

 Website www.undp.ps  Registration certificate (required) Copy can be sent by fax or

mail

 Project title Establishment of a Neurology Department in the Makassed in

 Sector Infrastructure/ Health  City East Jerusalem  Beneficiary  Region country(s) local Community Middle East

 Total project b udget in US $ 1,000,000.00  State/ Province State of Palestine

PART II - DETAILED INFORMATION ON ORGANIZATION

2.1 Objectives (Objectives Briefly outline your organization's objectives)

ABOUT UNDP/PAPP

In December 1978, the UN General Assembly adopted resolution 33/147, which called on UNDP to provide assistance to the Palestinian people. By this date, the West Bank and the had endured over 10 years of occupation, which had lead to increased levels of poverty and unemployment. Hundreds of thousands were living in refugee camps in slum conditions without the most basic amenities. Infrastructure had been allowed to deteriorate, including schools, health facilities, housing, roads, and water and sanitation systems, despite the steady population growth. In response to the UN resolution in support of the economic and social development of the Palestinian people, UNDP launched the Programme of Assistance to the Palestinian People (PAPP). A programme office was established, initially in New York and subsequently in East Jerusalem. A donor campaign was organized, and field operations commenced in August 1980.

UNDP/PAPP main objective in oPt’s is to work together with the Palestinian people to fulfill their aspiration for sustainable human development based on self-determination, equality and freedom.

UNDP/PAPP’s plan for 2012-2014 is aligned with the Palestinian National Development Plan in key areas, and aims to achieve the following outcomes under the guidance of the Palestinian Authority and in close consultation with all development partners. To this end, the outcomes under various areas are as follows:

A. Strengthening democratic governance and the social Contract. B. Promoting productivity and dignity through livelihoods. C. Protecting national resources and the Environment D. Enhancing and improving public and social infrastructure.

The Comparative advantages of PAPP as follows:

 Generated about 3 million workdays for Palestinian workers  Staff of over 300, principally Palestinian employees  Quality assurance, accountability and transparency  International standards of procurement  Experience in financial management of large scale programmes.  Internal and external audits  Global knowledge networks and international experience

2.2 Major achievements (Outline any major achievements accomplished during the past 4-5 years)

• Improved livelihood and housing conditions for 105 families in East Jerusalem, through rehabilitation and renovation interventions, expected to target additional 50 families in 2014; • Supported economic sector in East Jerusalem, through rehabilitation of 7 businesses including 3 bakeries, one olive press, a hostel and 2 shops. 15 other business trades are being supported as well as a local market (Souq Al Khawajat) is being considered for full rehabilitation including restoration of 15 shops and external improvement of the market façades • Enhanced access for 80 families in East Jerusalem to adequate housing • Supported 8 Civil Society Organizations in East Jerusalem through rehabilitation and upgrading interventions • Improved public and economic service delivery through construction and finishing of several interventions, i.e: o Ministry of Foreign Affairs Building o Nablus, Jenin and Khan Yunis Courthouses o Hebron Courthouse under design o Jericho Agro Industrial Park o Ramallah Cultural Center o Prime Minister’s Office- Ramallah o President’s Office Premises o Ministry of Interior Affairs o Sport facilities in Ramallah and Jericho • Constructed and upgraded seven general government in the West Bank cities of Jenin, Hebron, Beit Jala, Tulkarem, Qalqilia, Salfeet and Nablus with a total of USD 35.5 million • Increased access to locally generated electricity supply through upgrading Gaza Power Substation, improved energy efficiency and decreased losses by rehabilitating distribution networks in Gaza Strip • Increased access for 500 families to affordable housing in Gaza Strip • Rebuilt 65 destroyed housing units by Israeli Authorities in West Bank • Enhanced access to Education in oPt, through construction of new schools, additional classrooms and vocational training centres for over 60 communities in the West Bank and Gaza, totaling over USD 18 million • Improved access to safe water and waste water systems through construction of more than 275 water and wastewater activities in Gaza and West Bank which included wastewater collections systems and treatment plants • Promoted deployment of renewable energy through supporting national interventions such as Palestinian Solar Initiative • Promoted innovation through construction of pilot eco-sustainable solutions such as mobile clinics and IT in Education • Supported national policies and strategies for shifting into sustainable development through developing and producing the first Palestinian Green Building Guidelines 2.3 Funding Sources

 Name  Contact details  Contributions in US$

Rehabilitation of Housing Units in East Jerusalem Renovation of local markets and shops in East Jerusalem Construction of Khanyounis Waste Water Plant IDB 101 million Rehabilitation of Gaza Power Plant Rehabilitation of Electricity Network all over Gaza Strip Small Grants for Deprived Families Renewable Energy Generation through Solar Panels for Public Opec Fund for Development 0.53 million Education, Health and Water Facilities in the Gaza Strip Safeguarding Cultural Infrastructure in the Old City of Jerusalem EU Support to development of cultural tourism in oPt 10 million

Norway FAIR- Right to Education in East Jerusalem 3.8 million

Bahrain FAIR- Establishment of public library in East Jerusalem 0.518 million

Italy Support to the FAIR Programme 4.0 million

Canada Construction and finishing of Hebron Courthouse 33.0 million Construction and finishing of Ministry of Foreign Affairs Building in China 11.0 million Ramallah Nablus Centre for Special Needs Rehabilitation of Hospital Center and Cultural Building for the Red IBSA 2.0 million Crescent in Gaza City

Construction and finishing the Jericho Agro Industrial Park Japan 8.0 million

PART III - DETAILED INFORMATION ON PROJECT PROPOSAL

3.1 Project justification

Israel’s Separation Wall and checkpoints combined with the closure system limit Palestinians’ right to health, a basic human right. The impact on access to health is particularly severe when it applies to East Jerusalem where six hospitals provide specialised treatment unavailable elsewhere in the occupied Palestinian territory (oPt): dialysis, oncology, open-heart surgery, neurosurgery, neonatal intensive care, eye surgery, and rehabilitation for children with handicap. Together, these hospitals have 510 beds, around 12 % of the total available in the oPt. The six hospitals are: 1. Al Makassed Islamic Charitable Hospital (220 beds): located on the Mount of Olives and is a general hospital which was established in 1956 and contains 220 beds. It should be mentioned that it is the only hospital that has a cardiologic and heart surgery department in the West Bank and Gaza. 2. Augusta Victoria Hospital (100 beds): located on the Mount of Olives and is a general hospital which was established in 1950 and contains 100 beds. It is the only hospital in the West Bank that has a dialysis department and a cancer treatment centre. 3. St. John's Ophthalmic Hospital (70 beds): located in the Sheikh Jarrah neighbourhood and was established in 1882 and contains 70 beds and is the only ophthalmic hospital in the West Bank 4. St. Joseph’s Hospital (70 beds): located in the Sheikh Jarrah neighbourhood and was established in 1948 and contains 70 beds and is known for neurological surgery. 5. Palestine Red Crescent Maternity Hospital (30 beds): established in 1953 and located in the Suwaneh neighbourhood and contains 30 beds and is specialized for deliveries. 6. Princess Basma Centre for Disabled Children (including 20 children rehabilitation beds): established in 1965, located on the Mount of Olives and contains 20 beds. The hospital offers physiotherapy services for children with handicaps – the centre also houses a special school to train children with physical handicap. Within this context, the Al Makassed Islamic Charitable Society runs and supervises three main institutions; each of them has its own budget. The three are:

1- A-Makassed Hospital: Al -Makassed Islamic Charitable Hospital was founded in East Jerusalem in 1968, it hosts 220 beds and is considered as one of the most important medical institutions in Palestine. The hospital mission is to offer its best and high level of medical services and to enhance the scientific research and medical programs among the doctors in their various specialties. The hospital also trains doctors who work within the specializing and training programs of the hospital in order to obtain both the Jordanian and Palestinian medical boards’ accreditation. It also trains undergraduate medical students from the College of Medicine at Al Quds University. The hospital is considered also as a referral one that receives patients from West Bank and Gaza Strip. Not only is it a curable hospital for normal and complicated cases, but it is a main venue for training medical and nursing students and the medical residents. The hospital is staffed by 718 employees 48 of them are specialized doctors and consultants, 74 residents who work within the training program under the auspices of the hospital, 3 emergency doctors, 312 nurses, 77 technicians, 164 administrators and 40 hired people. The main objective of the hospital is to offer its medical service s to all Palestinians in West Bank, Gaza Strip and East Jerusalem regardless of colour, race, and religion or of political or social affiliation.

2- Al-Makassed Medical Centres: The society and its elected and administrative representatives started to establish the poly clinics, its medical centres, in Jerusalem and its suburbs. Its number reached 7 in the 1990s and were distributed in the old city of Jerusalem, Al-Ram, Sur Baher, Aizariya, Jabal Almukaber, Bir Nabala, and Abu Dis. Fifty one thousand and nine hundred eleven patients were received and treated in these medical centres in 2009. The year 2009 witnessed many progressive aspects and expansion of the Society Centres. Lately a new medical centre has been opened in Bir Nabala which offers its emergency services 24 hours a day, as Abu Dis emergency centre does which was opened in 2008. As previously mentioned, 51,911 patients were received and many of them were referred to Al Makassed Hospital and other hospitals in Jericho and Ramallah to proceed treatment.

3-Nursing College: The work in Al Makassed Nursing College started in 1974 and lasted for 18 years during which 400 nurses and midwives graduated from it and are working now in different hospitals in the country. The work in Al Makassed Nursing College stopped in 1992 for unknown reasons, but started again in the year 2000 after obtaining the accreditation license from the Palestinian Ministry of High Education.

3.2 Background of beneficiary region

In 1967, Israel occupied the West Bank and unilaterally annexed to its territory 70.5 km 2 of the occupied area, which were subsequently integrated within the Jerusalem municipality. This annexation contravenes international law and was not recognized by the UN Secretary Council or UN member states 1. Irrespective of Israel’s annexation, the area of East Jerusalem continues to form part of the oPt (GA proclaimed State of Palestine) and its Palestinian residents remain protected by international humanitarian law. 2

East Jerusalem has traditionally served as the focus of political center, socio-economic, religious and cultural life for the entire Palestinian population. It connects the northern with the southern part of the West bank. The occupation regime for controlling East Jerusalem, constructing the Separation Wall that isolated the city of its strategic center and establishing and expanding the settlements in its land have eroded the aspiration of viable Palestinian state. the latest procedures by Israeli Authorities of imposing E1 plans in East Jerusalem that will isolate the West Bank into disconnected enclaves further diminishes any prospects for achieving this internationally recognized aspiration.

The total population of Jerusalemites stands around 360,882 comprising 38% of Jerusalem's total population.78% of them living under the poverty line including 84% of children 3. As illustrated by OCHA’s Report (East Jerusalem- Key Humanitarian Concerns, 2011), Palestinians living in East Jerusalem continue to suffer from discriminatory distribution of basic social services and infrastructure, despite their obligations to pay the high taxes such as “Arnona” (Property Tax). As a consequence, schools are overcrowded, with shortages in classrooms, poor health services, and with public utilities that are poorly maintained, and environmental services which are neglected.

3.3 General objectives

The overall goal of this project is to support the Ministry of Health (MoH) in achieving its objective towards improving the access and quality by the Palestinian population to primary healthcare services in East Jerusalem through the construction/establishment of new Departments, Clinics and Specialization Units.

3.4 Specific objectives

Specific objectives of this project are: 1. To contribute towards improving the infrastructure and the services of the Al Makassed Hospital by establishing a new department of Neurology; 2. To provide a new service, i.e. neurology, to the Palestinian people, especially those residing in East Jerusalem; 3. To strengthen public and social infrastructure resilience in East Jerusalem; 4. To provide a venue for new job opportunities for specialized doctors; 5. To contribute towards increasing the number of beds and patients in East Jerusalem.

Expected Outputs: 1. Neurology Department in Al Makassed Hospital established; 2. 10% of number of beds in the Al Makassed Hospital increased; 3. Access to health services in East Jerusalem improved; 4. New permanent job opportunities created;

1 Security Council Resolutions 478,476,465,298,271,267,252 2 OCHA, The Planning crisis of East Jerusalem, April 2009 3 The Association for Civil Rights in Israel, May 2012

3.5 Envisaged activities to be carried out

This project will focus on activities that will have an impact on the above indicated goals through:

1. Rehabiltation and upgrading of the existing ward; 2. Provision of medical gas system to beds; 3. Provision of safety measures and energy efficient fixtures; 4. Equipping and furnishing of the targeted department.

3.6 Beneficiaries (Please describe direct/indirect beneficiaries of the project including the approximate numbers)

Direct beneficiaries: • Palestinian people at large and local community, estimated at 4 million will benefit from increased access to health facilities in East Jerusalem, especially referrals from West Bank and Gaza

Indirect beneficiaries: • The project will generate around 2,500 workdays for skilled and unskilled labors in East Jerusalem

3.7 Implementation / Supervision and Reporting

UNDP/PAPP will work in partnership with the MoH and Al Makassed Hospital. The project is planned to be implemented within 18 months, once funds have been secured. The project will be managed by the Infrastructure and Engineering Unit at UNDP/PAPP.

The project will be directly executed by UNDP following the direct execution modality (DEX). Under this modality UNDP takes full responsibility for implementation of the project’s works, the project management activities, and achievement of project objectives. UNDP’s project team will carry out the day-to-day management and supervision of project activities with a monitoring and evaluation plan as well as quality assurance.

In accordance with the programming policies and procedures outlined in the UNDP User Guide, the project will be monitored through the following:

 On a quarterly basis, a quality assessment shall record progress towards the completion of key results, based on quality criteria and methods captured in the Quality Management table below.  An Issue Log shall be activated in Atlas and updated by the Project Manager to facilitate tracking and resolution of potential problems or requests for change.  Based on the initial risk analysis, a risk log shall be activated in Atlas and regularly updated by reviewing the external environment that may affect the project implementation.  Based on the above information recorded in Atlas, a Project Progress Reports (PPR) shall be submitted by the Project Manager to the Project Board through Project Assurance, using the standard report format available in the Executive Snapshot.

 a project Lesson-learned log shall be activated and regularly updated to ensure on-going learning and adaptation within the organization, and to facilitate the preparation of the Lessons-learned Report at the end of the project

 Based on the above, quarterly and final donor reports will be prepared reflecting financial, technical and management aspects of the project.

3.8 Total project budget in US$ 1,000,000.00 (Please attach details)  Starting date April 2014  Completion date October 2015 3.9 Expected project duration

3.10 Project co-financier(s)

 Name  Contact details  Contributions in US$

GIZ through Ministry of Local 400,000.00 Government

3.11 Other remarks Recently, GIZ through Ministry of Local Government financed some civil works activities focused on remodeling the existing space to accommodate Neurology ward, that will facilitate other engagement to complete all essential works as described under the activities section. The requested amount stands at USD 1.0 million to provide fully functional and operational facility.