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UNRWA Health Department Annual Report 2018

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UNRWA Health Department Annual Report 2018 health department annual report 2018 www.unrwa.org health department - annual report 2018 3 health department annual report 2018 www.unrwa.org 4 health department - annual report 2018 please check the QR Code on back cover health department - annual report 2018 5 © 2019 United Nations Relief and Works Agency for Palestine Refugees in the Near East This document is a formal publication of the United Nations Relief and Works Agency for Palestine refugees in the Near East (UNRWA) and all rights are reserved by the Organization. The document may, however, be freely reviewed, abstracted, reproduced and translated, in part or in whole, but not for sale or for use in conjunction with commercial purposes. The views expressed in documents by named authors are solely the responsibility of those authors. The designations employed and the presentation of the material in this document, including tables and maps, do not imply the expression of any opinion whatsoever on the part of the Agency concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. The mention of specific companies or of certain manufacturers’ products does not imply that they are endorsed or recommended by UNRWA in preference to others of a similar nature that are not mentioned. Errors and omissions accepted, the names of proprietary products are distinguished by initial capital letters. www.unrwa.org Cover Photo: 2018 UNRWA Photo by Carlos Pérez Osorio 6 health department - annual report 2018 table of contents Acronyms and Abbreviations ......................................................................................................................... 9 Message of the UNRWA Commissioner General and of the WHO Regional Director .................................. 11 Foreword of the Director of Health.............................................................................................................. 12 Executive Summary and Report Overview .................................................................................................. 13 Section 1 – Introduction and health profile ................................................................................................. 14 UNRWA ..................................................................................................................................................... 14 Health Profile ............................................................................................................................................ 14 Section 2 –UNRWA Response: Health Reform ............................................................................................ 17 UNRWA Response: Health Reform .......................................................................................................... 17 Family Health Team (FHT) Appr oach and E-Health (Electronic Medical Records) ..................... 17 Family medicine training (Postgraduate Diploma in Family Medicine) (FMDP) .......................... 18 Integrating Mental Health and Psychosocial (MHPSS) into UNRWA Primary Health Care (PHC) and the Family Health Team Model............................................................................................... 19 Hospitalization Policies ................................................................................................................. 19 Strengthening Procurement Process for medical Commodities ................................................. 20 Field Innovations ............................................................................................................................ 20 Section 3: Strategic Outcome 2 : Refugees’ health is protected and the disease burden is reduced ......... 24 Output 2.1: People-centred primary health care system using FHT model .......................................... 24 Outpatient Care .............................................................................................................................. 24 Non Communicable Diseases (NCDs) .......................................................................................... 26 Communicable Diseases ............................................................................................................... 28 Maternal Health Services .............................................................................................................. 29 Child Health Services..................................................................................................................... 33 School Health ................................................................................................................................. 34 Oral Health ..................................................................................................................................... 36 Physical Rehabilitation and Radiology Services ........................................................................... 37 Disability Care ................................................................................................................................ 37 Pharmaceutical Services ............................................................................................................... 38 Output 2.2: Efficient hospital support services ....................................................................................... 41 In Patient-Care ............................................................................................................................... 41 Crosscutting Services ............................................................................................................................... 42 Nutrition ......................................................................................................................................... 42 Laboratory Services ....................................................................................................................... 42 Health Communication .................................................................................................................. 44 Health Research ............................................................................................................................ 45 health department - annual report 2018 7 Gender Mainstreaming .................................................................................................................. 45 Human Resources for Health Reform .......................................................................................... 47 Finance Resources ........................................................................................................................ 47 UNRWA - Financial Crisis ............................................................................................................. 48 Section 4 – Data ........................................................................................................................................... 51 Part 1 - Agency wide trends for Selected Indicators ............................................................................... 51 Part 2- CMM (20162021-) Indicators ........................................................................................................ 55 Part 3 – 2018 Data tables ......................................................................................................................... 56 Part 4 - Selected survey indicators .......................................................................................................... 64 Annex1 - Health department research activities and published papers ................................................ 66 Annex 2 - Director of health and senior staff of department of health participated in the meeting/ conferences, 2018.................................................................................................................... 67 Annex 3 -Donor support to UNRWA health programm during 2018 ...................................................... 68 Annex 4 - Strategic Outcome 2: Refugees’ health is protected and the disease burden is reduced .... 71 Annex 5 - Contacts of Senior Staff of the UNRWA Health Programme ................................................. 75 Annex 6 -Map: Medical consultations - 2018 by health centre ............................................................... 76 8 health department - annual report 2018 health department - annual report 2018 9 acronyms and abbreviations ANC An tenatal Care LTA Long Term Agreement ANERA American Near East Refugee Aid MCH Maternal and Child Health BDS Behavioural Development Scales MCH App Maternal and Child Health Application CMM Common Monitoring Matrix mhGAP mental health Global Action Programme COI Cooperazione Odontoiatrica Internazionale MHIS Management Health Information System CSSD Central Support Services Division MHPSS Mental Health and Psychosocial Support DM Diabetes Mellitus MMR Maternal Mortality Rate DMFT Decayed/Missing/Filled Teeth MoH Ministry of Health DPA Department of Palestinian Affairs MTS Medium Term Strategy DS Decayed Surface NCDs Non-Communicable Diseases DT/Td Tetanus-Diphtheria NGOs Non-Governmental Organizations ECD Early Childhood Development OCHA United Nations Office for the Coordination ECHO European Commission Humanitarian Aid of Humanitarian Affairs e-MCH electronic - Mother and Child Handbook OPV Oral Polio Vaccine EPI Expanded Programme on Immunisation PCC Pre-Conception Care ESRF End-Stage
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