Palestine Red Crescent Society Syria
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Foreword……………………………………………………….. 3 An Overview of the PRCS-Syria..…….…………..………… 4 Service Development and Quality Improvement….……. 13 Branch Organization…………………………………..…..… 24 The Cadre Personnel and Running Cost………..……….. 26 Statistical Highlights……………………………………..….. 99 2 Foreword : This overview of the Palestine Red Crescent Society-Syria ( PRCS-Syria ) reflects the accomplishments achieved, and the major leading activities undertaken by the society branch during the last few years. The 1998 overview of the PRCS-Syria ended with five years of action that incorporated both the infrastructures of the health and strengthening the quality of the various socio-health activities provided to our people in Syria. However, the last five years were not also much of easy years for PRCS-Syria to pass through. A number of projects have been delayed due to various reasons such as political instability and diminishing material resources. Yet the successes outlined in here could not have been achieved without the generous contributions of the local and international friends, partners, employees and volunteers. 3 An Overview of the PRCS-Syria 2003 The Palestine Red Crescent Society ( PRCS ) is a humanitarian society established in December 1968 by the Palestinian National Council ( PNC ) in response to the medico-social needs of the Palestinian Refugees displaced in Jordan, Syria, Lebanon, Egypt, … etc. Since its establishment it was mandated by the PNC to provide a wide range of health, social, cultural and other humanitarian services to the Palestinian people in occupied Palestine and Diaspora countries. The decision-making bodies of PRCS are : · The Congress, which is responsible for planning and policy making. · The Administrative Council, which is responsible for following up the adapted plans and can play the role of the Congress in case the Congress is not capable of convening meetings. · The Executive Committee, which is responsible for the implementation of plans activities that are carried out by the PRCS branches and departments. The Palestine Red Crescent Society provides its services through its branches and facilities. The PRCS directly operates and manages its hospitals, primary health care centers, dental units, rehabilitation centers and emergency medical services. 4 There are 17 PRCS branches and 8 sub-branches in Palestine. In addition to these, the PRCS has branches in Lebanon, Syria, Egypt and Iraq. § The PRCS branch in Syria headquarter is located at Yarmouk camp in Damascus city, the capital. § Dr Azmi El-Jashi Secretary General and executive committee and heading the PRCS/Syria since 1983. § PRCS, MOH/Syria and UNRWA all shares in providing health care for the Palestinian refugees in Syria. UNRWA is only responsible for Palestinian refugees registered according to its definition since 1948, their number as of June 2001 was 391,651 . UNRWA has only primary health care medical centers activities and contracted with some private and PRCS hospitals. The PRCS-Syria is running its own primary health care medical centers and hospitals providing socio-medical care for all Palestinian refugees registered by UNRWA as well as non-registered, in addition to other Palestinians arrived at Syria as a result of Arab-Israeli wars in 1967, 1973 and 1982. Also it is quite known that about 30-40% of the patients attending the PRCS socio-medical centers and hospitals are poor Syrians. According to Syrian statistics the total number of Palestinians living on the Syrian land is about 466,060 . Palestine refugees registered with UNRWA in the Syrian Arab Republic ( as of 30 June 2001 ) are distributed as it follows : In camps Not in camps Total 109,466 282,185 391,651 5 There are 10 official camps in the Syrian Arab Republic : Camps Region Registered Refugees Khan Eshieh Damascus countryside 15,804 Khan Danon Damascus countryside 8,152 Sabeena Damascus 16,550 Qabr Esit Damascus 12,895 Jaramana Damascus 5,680 Dera’a Dera’a 5,950 Dera’a emergency Dera’a 5,557 Homs Homs 13,669 Hama Hama 7,485 Neirab Aleppo 17,628 Other registered refugees 96 The following map demonstrate the primary health care centers ( PHC ) and the secondary health care centers ( SHC ) – i.e. hospitals – existence and distribution in the Syrian Arab Republic nowadays : 6 7 Primary Health Care Centers ( PHC ): PRCS/Syria together with UNRWA are the major PHC provider to Palestinian population living in Syria. The eight PRCS primary health care centers and the three outpatients clinics of Jafa, Bissan and Palestine Hospitals provide basic public health services and family planning. Specialized medical services are rendered at Dier Yassin polyclinic. Al-Karmel polyclinic is composed of five dental clinics. The following table demonstrates the existing PHC services provided by the PRCS in Syria. Table 1: PHC services provided by the PRCS in Syria. Area Medical Center Specialization Internal medicine, pediatrics, general surgery, obstetrics and Dear Yassin Polyclinic gynecology, orthopedics, Damascus Yarmouk Camp neurology, neuro-surgery, urology, ophthalmology, ENT, Dermatology. Sabeena PHC center Damascus PHC Sabena Camp Damascus Doma PHC center - PHC “countryside” - Medical lab. Damascus Khan Danon PHC center PHC “countryside” Khan danoon Camp Al-Karmel Dental Polyclinic Damascus 5 Dental clinic Yarmouk Camp Damascus Palestine Camp 2 Dental clinic - Internal medicine, pediatrics, Polyclinic Hama general surgery, obstetrics and Hama Camp gynecology, Dermatology, ENT. - Medical lab. Al-Kods PHC center - PHC Latakia - Dental Clinic Latakia Camp - Medical lab. 8 Secondary Health Care Centers ( SHC ): The PRCS/Syria started providing secondary health care services in 1971 through Jaffa hospital. In 1982 Bissan hospital was the second to start and in 1994 Palestine hospital was the third in function. The following table shows some details about these hospitals at present time. Table 2: SHC services provided by the PRCS in Syria. Area Hospital No. of beds Specialization Due to the new Surgeries General and Special, Jafa plan, number is ENT, Ophthalmology, Damascus going to be Gynecology and Obstetrics, A general Hospital raised from 25 Medicine, X-Ray, Laboratory, to 35 beds Echo Surgeries General and Special, Bissan ENT, Gynecology and Homs 50 Obstetrics, Pediatrics and A general Hospital Medicine, X-Ray, Laboratory, Echo Palestine Surgeries General and Special, Al-Yarmouk ENT, Gynecology and 60 Obstetrics, Ophthalmology, Camp A general Hospital Pediatrics, Medicine, X-Ray, Laboratory, Echo 9 The three general and surgical hospitals perform surgeries and provide curative services in all specialties except open-heart surgeries. The total capacity today is 135 beds serving most of the refugee camps and the surrounding poor Syrians. A development plans are being implemented in SHC in incorporation infrastructures, human resources and quality improvement of service. A comprehensive renovation plan has been launched since 1994 to renovate and upgrade Jafa, Palestine and Bissan hospitals. Accordingly, the number of beds increased to 135 . Utilization indicators increased despite reconstruction activities resulting in closing of some sections activities for some considerable periods here and there. Central Medical Laboratory : Occupy the fourth floor of Jafa hospital building, well equipped with modern machines and instruments, providing all laboratory and histopathology activities. Emergency Center : In Meza close to Jafa hospital working 24 hours per a day and provided with eight ambulance cars. 10 Paramedical Activities : Rehabilitation Services : 1. Al-Hema Physiotherapy Center : It was in Damascus ( meza ). In 1999 a replacing new center at Yarmouk Camp was established under the same name. 2. Orthopedic Workshop : in Damascus ( Yarmouk Camp ) recently reestablished with the assistance of the Swedish Red Cross, this workshop replaced a small old orthopedic unit was in Domar five years ago. Social Services : Where as social services are completing health services, PRCS has given a great interest to the social affairs of the Palestinian people. Roles of these activities are : 1) Marketing Palestinian families production of embroidery works and handicrafts. 2) Providing Palestinian detainees and martyrs families with job opportunities. 3) Providing vocational training to Palestinian girls on sewing, embroidery works and typing. 4) Providing rehabilitation services. 11 Drug Factory: It was a small primitive laboratory manufacturing some simple medical products. i.e.: simple Syrups, Solutions and Ointments for external use in PRCS/Syria medical centers and hospitals, and not for sale. The factory is in Damascus ( Mazeh ). By the end of 2002 the factory will become well equipped with new modern machines suitable for starting production of medical drugs under technical and healthy environmental control. Efforts still running on to start the job of our meni drug factory as it should be. 12 Service Development And Quality Improvement 13 Service Development And Quality Improvement With the continuous aim in mind to improve the service quality, accessibility and effectiveness, many practical measures were initiated among most of our medical centers in Syria. Renovation of buildings, procurement of instruments, equipment and medication by the internal local effort, together with the assistance from IFRC, ICRC, MAP ( United Kingdom ) and other international organizations in the health field, resulted in considerable increase in the number of beneficiaries, incomes, and service quality. To match the development of these efforts, some technical and managerial training courses were conducted to enhance the professional skills of the stuff in some of the activity fields. The following pages give an overview about the condition of the P.R.C.S./Syria hospitals in the near past, the present and the future prospective aims expected to be achieved through both the continuous effort of our cadre and the help and support suspected from our abroad donors and friends. 14 1. Jafa Hospital: It was the first hospital to be established by P.R.C.S. in Syria in 1971 with 60 beds capacity in a complex of two blocks of flats in Damascus ( Meza ). The hospital as a building and equipment became very old and primitive with time. In 1997 a five years plan of upgrading concerning the hospital was established. And during 1998 a first stage reconstruction plan for the ground floor of the hospital building came out with a 25 beds capacity associated with furniture renovation and Central Oxygen and Nitrous gases net covering most of the hospital sites depending on our local financial resources. After that local efforts are still running on to replace the old instruments and equipment gradually. In May 2000 ECHO 3 project helped us in establishing a well equipped modern central medical laboratory in the fourth floor in Jafa Hospital ( through MAP – United Kingdom ). In May 2001 a second stage reconstruction plan came out with the second floor renovation to be : a. Gynecology and obstetric division that raised the hospital capacity to 30 beds. b. Out patient clinics serving all specialties and a dental clinic. Nowadays a third stage reconstruction plan is running on for the third floor to add 10 beds more to the Jafa hospital increasing its capacity to 35 beds instead of 25 beds. Table ( 3 ) shows how much the upgrading affected the hospital activity during the last five years. 15 Table 3: Patients attending Jafa Hospital. Year 1997 1998 1999 2000 2001 Activity Casualty 950 622 1765 1939 2141 Outpatient - - - - - Admissions 999 562 1426 2060 2418 Laboratories 8732 7805 8650 3699 - X-Ray + Echo 800 351 1188 1240 1300 Surgeries and 904 511 1339 1957 2373 Deliveries Future Prospective: 1) The third stage of reconstruction for the third floor to increase the hospital capacity into 35 beds. 2) Renovation and procurement of instruments and equipment according to the following priorities : A. ICU room with two beds capacity equipped by : · 2 Ventilators. · 2 monitors. · 1 Defibrillator. · 2 pulse oxymeters. · 2 suction machines. · 1 ECG machine. 16 B. The following machines: · X-ray machine. · 1 Echo dopplar. · 1 C-arm X-ray machine. · 1 Baby incubator. C. Operating room equipment and instruments renovation including: · 2 Anesthesia machines. · 1 Operating table. · 2 Monitors. · 2 Defibrillators. D. Kitchen and laundry equipment upgrading. 17 2. Bissan Hospital: Bissan hospital functioned since 1982 with a less than minimum equipment and instruments recommended until the beginning of 1997 when a long unlimited upgrading plan started by reconstruction and renovation of the entire hospital. The first stage consisted of reconstruction of the third floor of the building that took part during the year 1997. In 1998 the second stage of reconstruction started for both ground and fourth floors of the hospital and completed by the end of the same year. The third stage for the second floor reconstruction started in 2000 and came out with : · A new surgery theatre with three operating rooms. · ICU Division. · Baby Incubators Division. · Central Oxygen and Nitrous gases net covering most of the hospital sites. · Conversion of patients halls into single patient rooms. During these three stages some renovation of the equipment and instruments took place through internal local efforts together with the assistance of ECHO – 1988 project – IFRC, and MAP – United kingdom 2000 financed by the British Embassy in Damascus. One more project for 2001 was applied to ECHO by IFRC concerning upgrading in the fields of Emerging rooms, laboratory, X-ray development and renovation of some surgical instruments, but with great sorrow no sign of approval until today. By January 2002 UNRWA signed a contract with the PRCS/Syria to occupy 3 beds in Bissan hospital for its patients. 18 Table ( 4 ) shows the effect of this long reconstruction , renovation and procurement of instruments and equipment on the quantity and quality of services attended to the beneficiaries, although 1-2 floors of the hospital building was closed for several months due to the reconstructive works in the last five years. Table 4: Patients attending Bissan Hospital. Year 1997 1998 1999 2000 2001 Activity Casualty 22027 23590 25285 25577 28556 Outpatient 11211 12338 12445 12423 13749 Admissions 4415 4980 4817 4110 4210 Laboratories 39333 43476 37393 33759 33726 X-Ray + Echo 6922 7558 7248 6506 6670 Surgeries and 2118 2449 2488 2326 2357 Deliveries Future Prospective: Renovation and procurement of instruments and equipment according to the following priorities : 1) Supporting the ICU room with the following equipment : · 2 Ventilator. · 3 monitors. 19 · 2 pulse oxymeters. · 1 ECG machine. · 2 suction machines. 2) Operating rooms equipment and instruments renovation that include : · 2 Anesthesia machines. · 1 Operating table. · 2 Monitors. · 1 Defibrillator. · Surgical instruments sets for some surgical specialties. 3) The following machines: · X-ray machine. · 1 Echo dopplar. · 2 Baby incubator. 4) Kitchen and laundry equipment upgrading. 20 3. Palestine Hospital: By the end of 1994 this hospital started its services with 8 beds capacity in the field of gynecology, obstetrics and ENT surgery, in addition to 24 hours / day casualty services. Year by year hospital construction, furniture, equipment, staff and others increased gradually to be a general hospital with 60 beds capacity by the end of 1996 presenting all specialties of medical, pediatric, gynecology, obstetrics and other surgeries in all fields except open-heart surgery. Central Oxygen and Nitrous gases net covering most of the hospital sites were established. In 1996 project LB006 funded by NOR CROSS through IFRC with a budget of about 62,353 US Dollars expended in the supply of a very much valued instruments and equipment urgently needed to reduce risks for the patients. By April 1996 UNRWA signed a contract with the PRCS/Syria to occupy 6 beds in Palestine hospital. By January 2002 this contract was modified to 12 beds. In 1998 ECHO / TPS / 2 / 7 / 1988 / 0 / 0 / 5 – IFRC project of another very important medical equipment list with a budget of about 95,931 US Dollars expended in the supply of ICU unit, operation rooms, baby incubators and the laboratory. For 2001 ECHO application through IFRC concerning upgrading in the field of Emerging rooms, X-ray machine, Ultrasound Doppler and a large group of different surgical sets needed for most of the specialties. 21 Table ( 5 ) can express the effect of upgrading efforts that took place during the last five years. Table 5: Patients attending Palestine Hospital. Year 1997 1998 1999 2000 2001 Activity Casualty 27813 33450 43770 50570 53769 Outpatient - - - - - Admissions 4336 5194 6127 7038 7697 Laboratories 27924 32149 36775 41130 51231 X-Ray + Echo 7327 7252 8090 8006 9342 Surgeries and 3956 4653 5327 6122 6833 Deliveries Future Prospective: According to the following priorities list, a future prospective projects could be planned: 1) Supporting the ICU room with the following equipment : · 2 Ventilator. · 3 monitors. · 1 ECG machine. · 1 suction machine. 2) Operating rooms equipment and instruments renovation that include : 22 · 2 Anesthesia machines. · 1 Operating table. · 2 Monitors. · 1 Defibrillator. · 2 gynecology tables. · Surgical instruments sets for some surgical specialties. 3) The following machines: · X-ray machine. · 1 Echo dopplar. · 2 Baby incubator. 4) Kitchen and laundry equipment upgrading. 23 Branch Organization 24 Branch Organization General Secretary Medical Services Public Administration Hospitals Palestine Hospital Bissan Hospital Jafa Hospital General Surgery Orthopedics General Surgery General Surgery Uro-surgery Orthopedics Orthopedics E.N.T. Uro-surgery Uro-surgery Neuro-surgery E.N.T. E.N.T. Plastic-surgery Neuro-surgery Neuro-surgery Gyne, & Obst. Gyne, & Obst. Plastic-surgery Medicine Medicine Gyne, & Obst. Ophthalmology Pediatrics Medicine Pediatrics Premature infants Ophthalmology Premature infants Primary Health Care Centers Der Yassin Polyclinic El-Karmel Dental Polyclinic Medical Centers Medicine Khan Danon General Surgery Gyne, & Obst. M.F. Surgery Doma Neuro-surgery Treatment Sabeena Uro-surgery Prosthesis E.N.T. Orthodontic Hama Polyclinic Ophthalmology X-Ray Latakia Dermatology Pediatrics & Vaccinations Palestine Dental Clinic Central Laboratory Emergency Center Physiotherapy center Paramedicals and Others Medical Equipments Drug Factory Central Pharmacy Orthopedic Center Social Affairs Youth & Volunteers Information Public Relations Furniture Constructions 25 Cadre Personnel And Running Costs The Cadre Personnel The Cadre changes during the last five years according to the type of services: 26 Year 1997 1998 1999 2000 2001 Occupation Doct Specialist 46 41 42 42 44 General Practitioner ors 30 32 28 29 36 Dentist 8 8 7 7 7 Pharmacist 5 5 5 5 4 Assistant Pharmacist 22 22 22 22 22 Nurse, Ass. Nurse and Midwives 103 108 100 127 138 Anesthesia 13 14 14 13 20 Technicians X-Ray 10 10 10 14 12 Dentist 3 3 3 3 3 Laboratory 20 21 21 22 20 Physiotherapy 5 5 5 5 5 Prosthesis 7 8 8 8 10 Adminstration 10 11 11 10 9 Accountant 11 11 11 12 9 Social worker 4 4 4 4 4 Health inspector - - - - - Typist, Secretary and Clerk 12 9 9 9 9 Store Keeper 4 6 5 5 8 Driver 16 16 16 16 16 Worker, Cookmaid and Doorkeeper 106 110 106 107 111 Total 435 444 427 460 487 Running costs PRCS/Syria in 2001 In US Dollars 27 Monthly Annual Other Medical Drug Employees Salaries running Sum Sum Supplies Establishment costs supplies Hospitals Palestine 147 29307 3241 8052 6183 46783 561396 Bissan 123 20355 1394 3773 3125 28647 343764 Jaffa 82 11943 1046 3576 2209 18774 225288 Sub Total 1130448 Der Yassin 30 6308 6 442 942 7698 92376 Clinics / Health Centers Al-Karmel 20 3682 6 791 15 4494 53928 Khan Danoon 5 703 1 142 250 1096 13152 Sabeneh 5 632 - 52 112 796 9552 Doma 6 782 - 93 127 1002 12024 Hama 3 418 3 50 2 473 5676 Latakia 6 721 2 87 57 867 10404 Palestine Dent. 0 223 - 98 - 321 3852 Sub Total 200964 Orthopedic 10 2231 - 197 140 2568 30816 Special Units Social Affairs 5 541 - 1055 - 1596 19152 Physiotherapy 7 863 - 168 - 1031 12372 Drug Factory 3 467 - 122 - 589 7068 Central Lab. 5 1552 492 108 - 2152 25824 Emergency 4 440 - 261 - 701 8412 Sub Total 86628 Central Admins 15 4228 - 10897 - 15125 181500 Leadership/Central Staff Medical Services 8 848 - 114 - 962 11544 Central Pharmacy 7 1094 - 223 907 2224 26688 Medical Stores 2 451 - 93 - 544 6528 Information 4 593 - 202 - 795 9540 Military Services 20 2343 - - - 2343 28116 Sub Total 280932 Total 507 97614 6191 23707 14069 141581 1698972 28 JJaaffaa HHoossppiittaall Mazeh Damascus 29 Jafa Hospital Personnel and Salaries 2001 Average wages per person in US Dollars Staff by Category Number Per month Per year General Practitioner 7 1297 15564 General Surgery 1 231 2772 Medicine 1 214 2568 - Specialists Ophthalmology E.N.T. - Pediatrics - 1 214 2568 Gyna & Obstetrics Special Surgeries such as: Orthopedics, 3 633 7596 Neuro surgery and Urology Anesthesia 2 536 6432 Dentist - - - Registered Nurse and Nurse Ass. 21 3171 38052 Midwife 2 305 3660 Pharmacist and Pharmacist Ass. 1 125 1500 Other Paramedical and Technicians 8 1458 17496 Physiotherapist - - - P.H. Specialist - - - Other Personnel: Patients Carriers. 2 291 3492 Administrative Staff 6 1021 12252 Auxiliary Workers (Cleaners, Guards, etc.) 27 2447 29364 Total staff of the institution 82 11943 143316 30 Jafa Hospital Financial Data Running costs for 2001 in US $ Total Salary Cost 143316 Total Cost of Drugs 26508 Total Cost of Medical Supplies 12552 Total Cost of others 42912 Total Running costs for 2001 225288 31 BBiissssaann HHoossppiittaall Aaidin Camp Homs 32 Bissan Hospital Personnel and Salaries 2001 Average wages per person in US Dollars Staff by Category Number Per month Per year General Practitioner 11 2337 28044 General Surgery 2 516 6192 Medicine 2 516 6192 - - - Specialists Ophthalmology E.N.T. 1 243 2916 Pediatrics 2 506 6072 3 582 6984 Gyna & Obstetrics Special Surgeries such as: Orthopedics, 3 706 8472 Neuro surgery and Urology Anesthesia and X-Ray 5 1341 16092 Dentist 1 375 4500 Registered Nurse and Nurse Ass. 35 5042 60504 Midwife 2 288 3456 Pharmacist and Pharmacist Ass. 3 470 5640 Other Paramedical and Technicians 17 3004 36048 Physiotherapist - - - P.H. Specialist - - - Other Personnel: - - - Administrative Staff 6 2067 24804 Auxiliary Workers (Cleaners, Guards, etc.) 29 2362 28344 Total staff of the institution 123 20355 244260 33 Bissan Hospital Financial Data Running costs for 2001 in US $ Total Salary Cost 244260 Total Cost of Drugs 37500 Total Cost of Medical Supplies 16728 Total Cost of others 45276 Total Running costs for 2001 343764 34 PPaalleessttiinnee HHoossppiittaall Al-Yarmouk Camp Damascus 35 Palestine Hospital Personnel and Salaries 2001 Average wages per person in US Dollars Staff by Category Number Per month Per year General Practitioner 10 2230 26760 General Surgery 1 381 4572 Medicine 1 348 4176 1 386 4632 Specialists Ophthalmology E.N.T. 1 367 4404 Pediatrics 1 353 4236 3 1101 13211 Gyna & Obstetrics Special Surgeries such as: Orthopedics, 3 1016 12192 Neuro surgery and Urology Anesthesia and X-Ray 4 1433 17196 Dentist - - - Registered Nurse and Nurse Ass. 52 9531 114372 Midwife 3 592 7104 Pharmacist and Pharmacist Ass. 2 451 5412 Other Paramedical and Technicians 20 4510 54120 Physiotherapist - - - P.H. Specialist - - - Other Personnel: Social Inspector. - - - Administrative Staff 8 1917 23004 Auxiliary Workers (Cleaners, Guards, etc.) 37 4691 56292 Total staff of the institution 147 29307 351684 36 Palestine Hospital Financial Data Running costs for 2001 in US $ Total Salary Cost 351684 Total Cost of Drugs 74196 Total Cost of Medical Supplies 38892 Total Cost of others 96624 Total Running costs for 2001 561396 37 DDeerr YYaassssiinn PPoollyycclliinniicc Al-Yarmouk Camp Damascus 38 Der Yassin Polyclinic Personnel and Salaries 2001 Average wages per person in US Dollars Staff by Category Number Per month Per year General Practitioner 2 556 6672 General Surgery Medicine 1 355 4260 1 343 4116 Specialists Ophthalmology E.N.T. 1 398 4776 Pediatrics 1 387 4644 Gyna & Obstetrics Special Surgeries such as: Orthopedics, Neuro surgery and Urology Skin and Venereal Diseases 1 395 4740 Dentist - - - Registered Nurse and Nurse Ass. 8 1638 19656 Midwife - - - Pharmacist and Pharmacist Ass. 1 186 2232 Other Paramedical and Technicians - - - Physiotherapist - - - P.H. Specialist - - - Other Personnel: 1 186 2232 Administrative Staff 2 504 6048 Auxiliary Workers (Cleaners, Guards, etc.) 11 1360 16320 Total staff of the institution 30 6308 75696 N.B. Der Yassin Polyclinic working as an out-patient for both Palestine and Jafa hospitals. Specialists of both hospitals cover most of the out-patient specialities. 39 Der Yassin Polyclinic Financial Data Running costs for 2001 in US $ Total Salary Cost 75696 Total Cost of Drugs 11304 Total Cost of Medical Supplies 72 Total Cost of others 5304 Total Running costs for 2001 92376 40 AAll--KKaarrmmeell PPoollyycclliinniicc Al-Yarmouk Camp Damascus 41 Introduction Al-Karmel dental polyclinic is located in Al-Yarmouk Camp close to Palestine hospital. It is composed of five dental units serving as follow: - 3 dental units for Endodontics. - 1 dental unit for Surgery. - 1 dental unit for Prosthodontics. - A dento-technical laboratory. The dental polyclinic units and instruments are very old, they were installed in 1981, and most of the time they are in malfunction that cause work disturbances. Hard efforts is given to achieve a better quality of dental services through improving and organizing the polyclinic towards the achievement of the following departments: 1. Endodontic Department : a. Two dental units. b. One dental unit for Pediatric and Orthodontic. 2. Prosthodontic Department : a. One dental unit. b. technical laboratory. 3. Maxillo-facial Surgery Department : 4. X-Ray Department : a. Dental X-Ray unit. b. Panoramic X-Ray unit. 42 Al-Karmel Polyclinic Personnel and Salaries 2001 Average wages per person in US Dollars Staff by Category Number Per month Per year General Practitioner General Surgery Medicine Specialists Ophthalmology E.N.T. Pediatrics Gyna & Obstetrics Special Surgeries such as: Orthopedics, Neuro surgery and Urology Maxillo-facial Surgery 1 286 3432 Dentist 5 1153 13836 Registered Nurse and Nurse Ass. 4 754 9048 Midwife Pharmacist and Pharmacist Ass. Other Paramedical and Technicians 3 481 5772 Physiotherapist P.H. Specialist Other Personnel: Administrative Staff 2 412 4944 Auxiliary Workers (Cleaners, Guards, etc.) 5 596 7152 Total staff of the institution 20 3682 44184 43 Al-Karmel Polyclinic Financial Data Running costs for 2001 in US $ Total Salary Cost 44184 Total Cost of Drugs 180 Total Cost of Medical Supplies 72 Total Cost of others 9492 Total Running costs for 2001 53928 44 KKhhaann DDaannoonn MMeeddiiccaall CCeenntteerr Damascus Countryside It is located in Khan Danon refugee camp 15 km far away to the south of Damascus city. It provides general medicine, mother and child care and pharmacy. 45 Khan Danon Medical Center Personnel and Salaries 2001 Average wages per person in US Dollars Staff by Category Number Per month Per year General Practitioner 1 238 2856 General Surgery Medicine Specialists Ophthalmology E.N.T. Pediatrics Gyna & Obstetrics Special Surgeries such as: Orthopedics, Neuro surgery and Urology Maxillo-facial Surgery Dentist Registered Nurse and Nurse Ass. 1 137 1644 Midwife Pharmacist and Pharmacist Ass. 1 116 1392 Other Paramedical and Technicians Physiotherapist P.H. Specialist Other Personnel: Administrative Staff 1 121 1452 Auxiliary Workers (Cleaners, Guards, etc.) 1 91 1092 Total staff of the institution 5 703 8436 46 Khan Danon Medical Center Financial Data Running costs for 2001 in US $ Total Salary Cost 8436 Total Cost of Drugs 3000 Total Cost of Medical Supplies 12 Total Cost of others 1704 Total Running costs for 2001 13152 47 SSaabbeeeennaa MMeeddiiccaall CCeenntteerr Damascus Countryside It is located in Sabeena refugee camp 8 km far away to the south-east of Damascus city. It provides general medicine, mother and child care and pharmacy. 48 Sabeena Medical Center Personnel and Salaries 2001 Average wages per person in US Dollars Staff by Category Number Per month Per year General Practitioner 1 171 2052 General Surgery Medicine Specialists Ophthalmology E.N.T. Pediatrics Gyna & Obstetrics Special Surgeries such as: Orthopedics, Neuro surgery and Urology Maxillo-facial Surgery Dentist Registered Nurse and Nurse Ass. 1 130 1560 Midwife Pharmacist and Pharmacist Ass. 1 126 1512 Other Paramedical and Technicians Physiotherapist P.H. Specialist Other Personnel: Administrative Staff 1 110 1320 Auxiliary Workers (Cleaners, Guards, etc.) 1 95 1140 Total staff of the institution 5 632 7584 49 Sabeena Medical Center Financial Data Running costs for 2001 in US $ Total Salary Cost 7584 Total Cost of Drugs 1344 Total Cost of Medical Supplies - Total Cost of others 624 Total Running costs for 2001 9552 50 DDoommaa MMeeddiiccaall CCeenntteerr Damascus Countryside It is located in Doma city 12 km to the north-east of Damascus city. It provides general medicine, mother and child care, laboratory and pharmacy. 51 Doma Medical Center Personnel and Salaries 2001 Average wages per person in US Dollars Staff by Category Number Per month Per year General Practitioner 1 211 2532 General Surgery Medicine Specialists Ophthalmology E.N.T. Pediatrics Gyna & Obstetrics Special Surgeries such as: Orthopedics, Neuro surgery and Urology Maxillo-facial Surgery Dentist Registered Nurse and Nurse Ass. 1 124 1488 Midwife Pharmacist and Pharmacist Ass. 1 144 1728 Other Paramedical and Technicians 1 118 1416 Physiotherapist P.H. Specialist Other Personnel: Administrative Staff 1 105 1260 Auxiliary Workers (Cleaners, Guards, etc.) 1 80 960 Total staff of the institution 6 782 9384 52 Doma Medical Center Financial Data Running costs for 2001 in US $ Total Salary Cost 9384 Total Cost of Drugs 1524 Total Cost of Medical Supplies - Total Cost of others 1116 Total Running costs for 2001 12024 53 HHaammaa PPoollyycclliinniicc Hama City Hama city is about 210 km to the north of Damascus city. The polyclinic is located in the refugee camp 3 km to the west of Hama city. It provides general medicine, mother and child care, dermatology, ENT and laboratory. N.P.: Specialties doing their job on a visiting basis. 54 Hama Polyclinic Personnel and Salaries 2001 Average wages per person in US Dollars Staff by Category Number Per month Per year General Practitioner 1 127 1524 General Surgery Medicine 1* Specialists Ophthalmology E.N.T. 1* Pediatrics 1* Gyna & Obstetrics Special Surgeries such as: Orthopedics, Neuro surgery and Urology Maxillo-facial Surgery Dentist Registered Nurse and Nurse Ass. 1 89 1068 Midwife 1 78 936 Pharmacist and Pharmacist Ass. Other Paramedical and Technicians Physiotherapist P.H. Specialist Other Personnel: Administrative Staff 1 65 780 Auxiliary Workers (Cleaners, Guards, etc.) 1 59 708 Total staff of the institution 5 418 5016 * Those three specialist doctors are taking a percentage of their income as wages for their job. 55 Hama Polyclinic Financial Data Running costs for 2001 in US $ Total Salary Cost 5016 Total Cost of Drugs 24 Total Cost of Medical Supplies 36 Total Cost of others 600 Total Running costs for 2001 5676 56 LLaattaakkiiaa MMeeddiiccaall CCeenntteerr Latakia City Latakia city is about 350 km to the north-west of Damascus city. The medical center is located in the refugee camp at the Mediterranean seaside. It provides general medicine, mother and child care, dentist, laboratory and pharmacy. N.P.: Dentist working on a visiting basis. 57 Latakia Medical Center Personnel and Salaries 2001 Average wages per person in US Dollars Staff by Category Number Per month Per year General Practitioner 1 175 2100 General Surgery Medicine Specialists Ophthalmology E.N.T. Pediatrics Gyna & Obstetrics Special Surgeries such as: Orthopedics, Neuro surgery and Urology Maxillo-facial Surgery Dentist 1* Registered Nurse and Nurse Ass. 1 124 1488 Midwife Pharmacist and Pharmacist Ass. 1 125 1500 Other Paramedical and Technicians 1 110 1320 Physiotherapist P.H. Specialist Other Personnel: Administrative Staff 1 102 1224 Auxiliary Workers (Cleaners, Guards, etc.) 1 85 1020 Total staff of the institution 6 721 8652 * The dentist is taking a percentage of his income as wages for his job in the clinic. 58 Latakia Medical Center Financial Data Running costs for 2001 in US $ Total Salary Cost 8652 Total Cost of Drugs 684 Total Cost of Medical Supplies 24 Total Cost of others 1044 Total Running costs for 2001 10404 59 PPaalleessttiinnee DDeennttaall CClliinniicc Al-Yarmouk Camp Palestine St. Damascus 60 Palestine Dental Clinic Personnel and Salaries 2001 Average wages per person in US Dollars Staff by Category Number Per month Per year General Practitioner General Surgery Medicine Specialists Ophthalmology E.N.T. Pediatrics Gyna & Obstetrics Special Surgeries such as: Orthopedics, Neuro surgery and Urology Maxillo-facial Surgery Dentist 2* Registered Nurse and Nurse Ass. 1* Midwife Pharmacist and Pharmacist Ass. Other Paramedical and Technicians Physiotherapist P.H. Specialist Other Personnel: Administrative Staff 1 141 1692 Auxiliary Workers (Cleaners, Guards, etc.) 1 82 984 Total staff of the institution 2 223 2676 * The dentists are taking a percentage of their income as wages for their job in the clinic. 61 Palestine Dental Clinic Financial Data Running costs for 2001 in US $ Total Salary Cost 2676 Total Cost of Drugs - Total Cost of Medical Supplies - Total Cost of others 1176 Total Running costs for 2001 3852 62 OOrrtthhooppeeddiicc CCeenntteerr Al-Yarmouk Camp Damascus 63 Orthopedic Center Orthopedic Center is located in Al-Yarmouk Camp close to Palestine hospital. The center is supplied by the raw material needed from aboard as donation by PRCS supporters and friends. The following table shows 12 month budget for raw material usually received annually. Item Unit Quantity Cost Poly propylene sheet Kg 1 000 5 000 Swiss Franc One 200 Eva foam sheet 8 000 Swiss Franc meter Nuts and batts 2 000 Swiss Franc Tools and spare parts 10 000 Swiss Franc Plaster, bandage and stockinet 8 000 Swiss Franc Transport 7 000 Swiss Franc Miscellaneous ( local purchase ) 13 050 Swiss Franc Covered bale bock joint OTTO Bock 17 B 23 50 37 750 Swiss Franc Covered bale bock joint OTTO Bock 17 B 38 100 25 500 Swiss Franc Covered bale bock joint OTTO Bock 17 B 39 100 13 000 Swiss Franc Gypsono 10 cm Roll Roll 5 440 Swiss Franc Gypsono 15 cm Roll Roll 8 220 Swiss Franc TOTAL 142 960 Swiss Franc 64 Orthopedic Center Personnel and Salaries 2001 Average wages per person in US Dollars Staff by Category Number Per month Per year General Practitioner General Surgery Medicine Specialists Ophthalmology E.N.T. Pediatrics Gyna & Obstetrics Special Surgeries such as: Orthopedics, Neuro surgery and Urology Maxillo-facial Surgery Dentist Registered Nurse and Nurse Ass. Midwife Pharmacist and Pharmacist Ass. Other Paramedical and Technicians 7 1667 20004 Physiotherapist P.H. Specialist Other Personnel: Administrative Staff 2 452 5424 Auxiliary Workers (Cleaners, Guards, etc.) 1 112 1344 Total staff of the institution 10 2231 26772 65 Orthopedic Center Financial Data Running costs for 2001 in US $ Total Salary Cost 26772 Total Cost of Drugs 1680 Total Cost of Medical Supplies - Total Cost of others 2364 Total Running costs for 2001 30816 66 SSoocciiaall AAffffaaiirrss CCeenntteerr Al-Yarmouk Camp Damascus 67 Social Affairs Center Personnel and Salaries 2001 Average wages per person in US Dollars Staff by Category Number Per month Per year General Practitioner General Surgery Medicine Specialists Ophthalmology E.N.T. Pediatrics Gyna & Obstetrics Special Surgeries such as: Orthopedics, Neuro surgery and Urology Skin and Venereal Diseases Dentist Registered Nurse and Nurse Ass. Midwife Pharmacist and Pharmacist Ass. Other Paramedical and Technicians Physiotherapist P.H. Specialist Other Personnel: Administrative Staff 1 136 1632 Auxiliary Workers (Cleaners, Guards, etc.) 4 405 4860 Total staff of the institution 5 541 6492 68 Social Affairs Center Financial Data Running costs for 2001 in US $ Total Salary Cost 6492 Total Cost of Drugs Total Cost of Medical Supplies Total Cost of others 12660 Total Running costs for 2001 19152 69 Social Affairs Center Project Proposal for nursery 1. The nursery is an educational establishment provides a day care to the child including-protection, feeding, health care and education. It provides such care to children whose age range between 40 days and 3.5 years. 2. Social purpose: a. To help the working lady by keeping her child at safe hands while she is at work. This will provide her with a spiritual comfort and increases her capability in performing her duties. b. To provide proper feeding to the child during the mother absence out of her house. c. To try to bring up the children within a national, scientific and educational atmosphere according to modern theories in bringing up children by fostering principles, traditions and habits which are essential in his raising. d. To maintain child health by means of providing the necessary primary care. e. To bring up children on appropriate bases. This is considered an essential request to achieve socio-economic progress in society. f. To provide social care to families through guidance and counseling. 3. Site of the project: It has been proposed to use the empty part of Jafa surgical hospital. Regarding construction lay-out ; there are a number of lay-out plannings which are suitable for a nursery demands. 70 4. Target groups: Palestinian ladies who will find job opportunities in the nursery, and have an additional income to their families. 5. The main table ( Cadre ) of the nursery shall be defined as follows: a. The nursery head teacher must be scientifically qualified with good experience. b. Health supervisor who is scientifically qualified on the field of health care. c. Nannies: Their number shall be defined according to the children's number and age groups. They will be selected by a special committee taking in consideration the following conditions: 1) Holding of at least the preparatory or the secondary school certificate. 2) Free of infective diseases and abnormalities. 3) Has an interest in dealing with children, good looking vibrant vivid. 4) Age between 20 - 35 years. d. Workers (female): 1) Preferable those who can read and write. 2) Free of infective diseases and abnormalities. 3) Has a good conduct. 4) Age between 20 - 40 years. e. A Doctor: In order to provide a good medical supervision, through visiting the nursery on a daily basis. 6. Project aim: To provide employment and increase the human financial resources. 71 The project estimate costs Unit Price Total Price ITEM No. ( S.P. ) ( S.P. ) 1 Construction cost estimate 2 000 000 2 Equipments and articles : a - Automatic Washing Machine 1 25 000 b - Refrigerator small 2 20 000 c - Cook 1 6 000 d - Feeding bottles sterilizer 2 5 000 e - Water cooler 1 30 000 f - Air conditioning unites 5 – 6 300 000 g - T.V. video circuit 1 50 000 h - Cassette recorder 1 10 000 3 Transport : Two mini-buses for children transportation. 2 000 000 Sub Total (1) 4 937 500 4 Furniture : Beds (different sizes) 20 60 000 Mattress 20 40 000 Blanket 25 37 500 Pillow 20 5 000 Carpet 250 meters 125 000 Book shelves 1 10 000 Children cupboards 6 30 000 Plastic chairs 20 2 000 Dining table 2 10 000 Window curtains 2 50 meters 12 000 Kitchen utensils - 10 000 Toys - 50 000 Sub Total (2) 491 500 72 Unit Price Total Price ITEM No. ( S.P. ) ( S.P. ) 5 Annual Running Costs: a - Row material, food supply, stationary, illustration aids, 200 000 uniform and detergents; All estimated at b - Maintenance costs estimated at 100 000 c - Home-Nursery, Nursery Home cost 200 000 d - Nursery stuff salaries estimated at per year 900 000 (monthly average = 5 000 / month / person) e - Consumption shall be defined at 50 000 Sub Total (3) 1 450 000 Total of cost in Syrian Pounds: Sub Total (1) 4 937 500 Sub Total (2) 0 491 500 Sub Total (3) 1 450 000 GRAND TOTAL in S.P. 6 806 000 GRAND TOTAL in U.S. $ 151 244.44 73 AAll--HHeemmaa PPhhyyssiiootthheerraappyy CCeenntteerr Al-Yarmouk Camp Damascus 74 Al-Hema Physiotherapy Center Personnel and Salaries 2001 Average wages per person in US Dollars Staff by Category Number Per month Per year General Practitioner General Surgery Medicine Specialists Ophthalmology E.N.T. Pediatrics Gyna & Obstetrics Special Surgeries such as: Orthopedics, Neuro surgery and Urology Maxillo-facial Surgery Dentist Registered Nurse and Nurse Ass. Midwife Pharmacist and Pharmacist Ass. Other Paramedical and Technicians 5 663 7956 Physiotherapist P.H. Specialist Other Personnel: Administrative Staff 1 112 1344 Auxiliary Workers (Cleaners, Guards, etc.) 1 88 1056 Total staff of the institution 7 863 10356 75 Al-Hema Physiotherapy Center Financial Data Running costs for 2001 in US $ Total Salary Cost 10356 Total Cost of Drugs - Total Cost of Medical Supplies - Total Cost of others 2016 Total Running costs for 2001 12372 76 DDrruugg FFaaccttoorryy Mazeh Damascus Today the factory is ready to start manufacturing of the medical products. The only obstacle is to find a supplier for the raw materials needed. Liquids Ointments Product and and Capsules Control Suspensions Creams Division 77 Drug Factory Personnel and Salaries 2001 Average wages per person in US Dollars Staff by Category Number Per month Per year General Practitioner General Surgery Medicine Specialists Ophthalmology E.N.T. Pediatrics Gyna & Obstetrics Special Surgeries such as: Orthopedics, Neuro surgery and Urology Anesthesia Dentist Registered Nurse and Nurse Ass. Midwife Pharmacist and Pharmacist Ass. 1 220 2640 Other Paramedical and Technicians Physiotherapist P.H. Specialist Other Personnel: Patients Carriers. Administrative Staff 1 152 1824 Auxiliary Workers (Cleaners, Guards, etc.) 1 95 1140 Total staff of the institution 3 467 5604 78 Drug Factory Financial Data Running costs for 2001 in US $ Total Salary Cost 5604 Total Cost of Drugs - Total Cost of Medical Supplies - Total Cost of others 1464 Total Running costs for 2001 7068 79 CCeennttrraall LLaabboorraattoorryy Mazeh Damascus 80 Central Laboratory Personnel and Salaries 2001 Average wages per person in US Dollars Staff by Category Number Per month Per year General Practitioner General Surgery Medicine Specialists Ophthalmology E.N.T. Pediatrics Gyna & Obstetrics Special Surgeries such as: Orthopedics, Neuro surgery and Urology Laboratory Consultant 1 430 5160 Dentist Registered Nurse and Nurse Ass. Midwife Pharmacist and Pharmacist Ass. Other Paramedical and Technicians 5 1017 12204 Physiotherapist P.H. Specialist Other Personnel: Administrative Staff Auxiliary Workers (Cleaners, Guards, etc.) 1 105 1260 Total staff of the institution 7 1552 18624 81 Central Laboratory Financial Data Running costs for 2001 in US $ Total Salary Cost 18624 Total Cost of Drugs - Total Cost of Medical Supplies 492 Total Cost of others 108 Total Running costs for 2001 19224 82 EEmmeerrggeennccyy CCeenntteerr Mazeh Damascus 83 Emergency Center Personnel and Salaries 2001 Average wages per person in US Dollars Staff by Category Number Per month Per year General Practitioner General Surgery Medicine Specialists Ophthalmology E.N.T. Pediatrics Gyna & Obstetrics Special Surgeries such as: Orthopedics, Neuro surgery and Urology Laboratory Consultant Dentist Registered Nurse and Nurse Ass. Midwife Pharmacist and Pharmacist Ass. Other Paramedical and Technicians Physiotherapist P.H. Specialist Other Personnel: Drivers 3 303 3636 Administrative Staff 1 137 1644 Auxiliary Workers (Cleaners, Guards, etc.) Total staff of the institution 4 440 5280 84 Emergency Center Financial Data Running costs for 2001 in US $ Total Salary Cost 5280 Total Cost of Drugs - Total Cost of Medical Supplies - Total Cost of others 3132 Total Running costs for 2001 8412 85 PPuubblliicc AAddmmiinniissttrraattiioonn Al-Yarmouk Camp Damascus 86 Public Administration Personnel and Salaries 2001 Average wages per person in US Dollars Staff by Category Number Per month Per year General Practitioner General Surgery Medicine Specialists Ophthalmology E.N.T. Pediatrics Gyna & Obstetrics Special Surgeries such as: Orthopedics, Neuro surgery and Urology Laboratory Consultant Dentist 1 689 8268 Registered Nurse and Nurse Ass. Midwife Pharmacist and Pharmacist Ass. 1 309 3708 Other Paramedical and Technicians Physiotherapist P.H. Specialist Other Personnel: Drivers Administrative Staff 10 2862 34344 Auxiliary Workers (Cleaners, Guards, etc.) 3 368 4416 Total staff of the institution 15 4228 50736 87 Public Administration Financial Data Running costs for 2001 in US $ Total Salary Cost 50736 Total Cost of Drugs - Total Cost of Medical Supplies - Total Cost of others 130764 Total Running costs for 2001 181500 88 Medical Services Personnel and Salaries 2001 Average wages per person in US Dollars Staff by Category Number Per month Per year General Practitioner 1 223 2676 General Surgery Medicine Specialists Ophthalmology E.N.T. Pediatrics Gyna & Obstetrics Special Surgeries such as: Orthopedics, Neuro surgery and Urology Laboratory Consultant Dentist Registered Nurse and Nurse Ass. Midwife Pharmacist and Pharmacist Ass. 2 325 3900 Other Paramedical and Technicians Physiotherapist P.H. Specialist Other Personnel: Drivers Administrative Staff 2 229 2748 Auxiliary Workers (Cleaners, Guards, etc.) 1 71 852 Total staff of the institution 6 848 10176 89 Medical Services Financial Data Running costs for 2001 in US $ Total Salary Cost 10176 Total Cost of Drugs - Total Cost of Medical Supplies - Total Cost of others 1368 Total Running costs for 2001 11544 90 Military Medical Services Personnel and Salaries 2001 Average wages per person in US Dollars Staff by Category Number Per month Per year General Practitioner General Surgery Medicine Specialists Ophthalmology E.N.T. Pediatrics Gyna & Obstetrics Special Surgeries such as: Orthopedics, Neuro surgery and Urology Laboratory Consultant Dentist Registered Nurse and Nurse Ass. 11 1288 15456 Midwife Pharmacist and Pharmacist Ass. 9 1055 12660 Other Paramedical and Technicians Physiotherapist P.H. Specialist Other Personnel: Drivers Administrative Staff Auxiliary Workers (Cleaners, Guards, etc.) Total staff of the institution 20* 2343 28116 * Those are retired persons were working as members of mobile medical teams. 91 Military Medical Services Financial Data Running costs for 2001 in US $ Total Salary Cost 28116 Total Cost of Drugs - Total Cost of Medical Supplies - Total Cost of others - Total Running costs for 2001 28116 92 Medical Stores Personnel and Salaries 2001 Average wages per person in US Dollars Staff by Category Number Per month Per year General Practitioner General Surgery Medicine Specialists Ophthalmology E.N.T. Pediatrics Gyna & Obstetrics Special Surgeries such as: Orthopedics, Neuro surgery and Urology Laboratory Consultant Dentist Registered Nurse and Nurse Ass. Midwife Pharmacist and Pharmacist Ass. Other Paramedical and Technicians 1 265 3180 Physiotherapist P.H. Specialist Other Personnel: Drivers Administrative Staff 1 113 1356 Auxiliary Workers (Cleaners, Guards, etc.) 1 73 876 Total staff of the institution 3 451 5412 93 Medical Stores Financial Data Running costs for 2001 in US $ Total Salary Cost 5412 Total Cost of Drugs - Total Cost of Medical Supplies - Total Cost of others 1116 Total Running costs for 2001 6528 94 Central Pharmacy Personnel and Salaries 2001 Average wages per person in US Dollars Staff by Category Number Per month Per year General Practitioner General Surgery Medicine Specialists Ophthalmology E.N.T. Pediatrics Gyna & Obstetrics Special Surgeries such as: Orthopedics, Neuro surgery and Urology Laboratory Consultant Dentist Registered Nurse and Nurse Ass. Midwife Pharmacist and Pharmacist Ass. 6 1018 12216 Other Paramedical and Technicians Physiotherapist P.H. Specialist Other Personnel: Drivers Administrative Staff Auxiliary Workers (Cleaners, Guards, etc.) 1 76 912 Total staff of the institution 7 1094 13128 95 Central Pharmacy Financial Data Running costs for 2001 in US $ Total Salary Cost 13128 Total Cost of Drugs 10884 Total Cost of Medical Supplies - Total Cost of others 2676 Total Running costs for 2001 26688 96 Information Department Personnel and Salaries 2001 Average wages per person in US Dollars Staff by Category Number Per month Per year General Practitioner General Surgery Medicine Specialists Ophthalmology E.N.T. Pediatrics Gyna & Obstetrics Special Surgeries such as: Orthopedics, Neuro surgery and Urology Laboratory Consultant Dentist Registered Nurse and Nurse Ass. Midwife Pharmacist and Pharmacist Ass. Other Paramedical and Technicians Physiotherapist P.H. Specialist Other Personnel: Journalist 1 132 1584 Administrative Staff 1 275 3300 Auxiliary Workers (Cleaners, Guards, etc.) 2 186 2232 Total staff of the institution 4 593 7116 97 Information Department Financial Data Running costs for 2001 in US $ Total Salary Cost 7116 Total Cost of Drugs - Total Cost of Medical Supplies - Total Cost of others 2424 Total Running costs for 2001 9540 98 SSttaattiissttiiccaall HHiigghhlliigghhttss Annual Report 2001 99 Total medical services provided during 2001 Number of Patients 605 3846 17312 84466 103650 58955 20064 21700 14325 Casulty Out-patient In-patient Medical Centers Dental Centers Laboratories X-Ray & Echo ActivitiesPhysiotherapy Orthopedics Total medical services provided during 2001 100 Number of Patients 120000 103650 Casulty 100000 84466 Out-patient 80000In-patient 58955 Medical Centers 60000 Dental Centers 40000Laboratories 21700 17312 20064 14325 X-Ray & Echo 20000 3846 605 Physiotherapy 0 Orthopedics 101 Total medical services provided in medical centers during 2001 140000 Number of Patients 122039 Jafa Hospital 120000 Bissan Hospital Palestine Hospital 100000 87794 Der Yassin Polyclinic Sbeena Medical Center 80000 Khan Danon Medical Center Doma Medical Center 60000 44905 Hama Medical Center Latakia Medical Center 40000 Al-Hema Physiotherapy Center 16703 17565 Orthopedic Center 7611 6859 20000 4107 4416 5929 Al-Karmel Dental Polyclinic 301 3923 2442 605 Private Clinics 0 Central Laboratory 102 Total Number of Patients Attending Hospitals and Medical Centers during 2001 Division Total Patient - Patient - Casualty Ray + Echo In - Out Orthopedics Laboratories X Physiotherapy Dental Centers M. Center Medical Centers Jafa 2141 - 2418 - - - - - 1300 5859 Hospital Bissan 28556 13749 4210 - 883 - 33726 - 6670 87794 Hospital Palestine 53769 - 7697 - - - 51231 - 9342 122039 Hospital Der Yassin - 44905 ------44905 Polyclinic Private - 301 ------301 Clinics Latakia - - - 1302 892 - 1913 - - 4107 Sbeena - - - 2442 - - - - - 2442 Khan - - - 5929 - - - - - 5929 Danon Doma - - - 7611 - - 77 - - 7688 Hama - - - 4416 - - - - - 4416 Al-Hema ------3846 - 3846 Orthopedics - - - - - 605 - - - 605 Al-Karmel - - - - 17565 - - - - 17565 Palestine - - - - 724 - - - - 724 Dental Central ------16703 - - 16703 Laboratory Grand 84466 58955 14325 21700 20064 605 103650 3846 17312 324923 Total 103 Total CASUALITY activities of all Hospitals during 2001 Hospital Palestine Bissan Jafa Total Hospital Hospital Hospital Activity Examinations 15184 18502 1156 34842 Dressing 5557 1714 280 7551 First Aid Stitch 3885 1189 186 5260 S.C. 2984 3 2 2989 Injections I.M. 25337 6788 440 32565 I.V. 526 50 20 596 P.O.P. 177 285 37 499 Minor Surgeries 119 25 20 164 Total 53769 28556 2141 84466 104 Total ADMISSIONS to the different divisions of all hospitals during 2001 Hospital Palestine Bissan Jafa Total Hospital Hospital Hospital Division General Surgery 1435 485 329 2249 Orthopedic 175 243 324 742 Uro Surgery 215 104 307 626 Neuro Surgery 74 75 29 178 Plastic Surgery 95 22 67 184 Special Surgery Vascular 17 7 3 27 E N T 1008 168 320 1496 Ophthalmology 187 14 - 201 Gynecology & Obst. 3778 1597 975 6350 Medicine 286 675 64 1025 Pediatrics 274 766 - 1040 Baby Incubators 153 54 - 207 Total 7697 4210 2418 14325 105 Total admissions and in-patients days statistics during 2001 Hospital Palestine Bissan Jafa Total Hospital Hospital Hospital Division and days Cases 286 675 64 1025 Medicine Days in 643 1192 179 2014 Cases 427 820 - 1247 Pediatrics Days in 801 1273 - 2074 Cases 3206 1118 1379 5703 Surgery Days in 4498 1497 1968 7963 Cases 3778 1597 975 6350 Gyne-Obst Days in 4727 1893 1372 7992 Cases Total Number 7697 4210 2418 14325 Days in Total Number 10669 5855 3519 20043 Hospitals Bed Occupancy Rate Hospital Palestine Bissan Jafa Total Hospital Hospital Hospital Activity Beds 60 50 25 135 Admissions 7697 4210 2418 14325 Days in 10669 5855 3519 20043 Average days/patients 1.39 1.39 1.46 1.40 Bed Occupancy Rate 48.72 % 32.08 % 38.56 % 40.68 % Days Bed Occupancy 100 x in Rate = Beds 365 106 107 Total SURGERIES done in all hospitals during 2001 Hospital Palestine Bissan Jafa Total Hospital Hospital Hospital Division General Surgery 1244 357 325 1926 Orthopedic Surg. 132 220 322 674 Uro Surgery 197 34 307 538 E.N.T. 988 164 321 1473 Ophthalmology 187 12 - 199 Neuro Surgery 64 23 26 113 Plastic Surgery 102 20 63 185 Vascular Surgery 10 2 12 24 G.I. Endoscopy 127 - - 127 Gyna Surgery 482 235 128 845 Caesarean 987 319 372 1678 Normal Live Birth 2282 968 497 3747 Delivery Still Birth 31 3 - 34 Total 6833 2357 2373 11563 Surgeries Grading Major Operations 2061 571 866 3498 Moderate Operations 2779 918 1049 4746 Minor Operations 1993 868 458 3319 Total 6833 2357 2373 11563 108 Total hospital X-Ray and Echo activities during 2001 Hospital Palestine Bissan Jafa Total Hospital Hospital Hospital X-Ray type Chest 2239 1108 358 3705 Upper Limbs 1850 1099 230 3179 Lower Limbs 2473 1422 441 4336 Vertebral Column 1263 563 95 1921 Head 454 248 35 737 Plain 141 77 40 258 G.I.T. With Die 11 - - 11 Plain 142 31 38 211 K.U.B. I.V.P. 74 3 11 88 Plain - 1 - 1 Others With Die 15 - 2 17 Total 8662 4552 1250 14464 Echo 680 2118 50 2848 Grand Total 9342 6670 1300 17312 109 Total LABORATORY activities of all Centers during 2001 Laboratory Total Bissan Hospital Palestine Hospital Central Laboratory Activity Doma Medical Center Latakia Medical Center Hematology 8390 24760 18733 676 21 52580 Blood Bank 2104 4715 2656 - - 9475 Serology 773 3219 2447 424 5 6868 Biochemistry 3679 15423 7277 418 4 26801 Urine Analysis 540 2192 2209 339 21 5301 Stool Analysis 89 447 398 54 26 1014 Occult Blood 21 26 6 - - 53 Semen Analysis 11 33 - 2 - 46 Bacteriology 243 416 - - - 659 Histopathology 416 - - - - 416 Hormones 346 - - - - 346 Blood Gases 71 - - - 71 Electrophoresis 4 - - - 4 Ascetics 16 - - - 16 Total 16703 51231 33726 1913 77 103650 110 Total Specialties Out-patient attendants during 2001 Center Private Bissan Der Yassin Total Clinics Hospital Polyclinic Out-patient Examinations - 998 1707 2705 General Surgery 2 2249 291 2542 Orthopedic 62 331 2932 3325 Urology 45 310 675 1030 E N T - 1497 3920 5417 Ophthalmology 184 2088 7333 9605 Gyne.&Obst. - 1726 5999 7725 Medicine 8 1165 3845 5018 Pediatrics - 1431 5144 6575 Neuro Surgery - 447 3495 3942 Dermatology - 595 3803 4398 E.C.G. - 912 192 1104 Neurology - - 369 369 Physiotherapy - - - - Vaccinations - - 5200 5200 Psychiatry - - - - Other Surgeries - - - - Total 301 13749 44905 58955 111 Total Dental Activities in all centers during 2001 Center Total Karmel - Bissan Latakia Hospital Palestine Polyclinic El Medical Center Activity Dental Clinic Conservative 1262 152 119 73 1606 Gingival 412 17 54 11 494 Endodontic 6602 102 95 151 6950 Amalgam 2049 144 184 213 2590 Treatment Composite 801 45 32 8 886 X-Ray 227 18 - - 245 Sub Total 11353 478 484 456 12771 Extraction 1774 131 218 271 2394 Surgical Extr. 108 2 8 65 183 Apicoectomy 19 - - - 19 Surgery Others 91 9 3 - 103 Sub Total 1992 142 229 336 2699 Dentures Comp. 498 - 18 - 516 Dentures Part. 732 18 30 - 780 Repair 102 - 2 - 104 Prosthesis Bridges &Crowns 2834 86 120 100 3140 Sub Total 4166 104 170 100 4540 Orthodontic 54 - - - 54 Total 17565 724 883 892 20064 112 Total Medical Centers activities during 2001 Medical Center Total Doma Hama Latakia Sabeena Activity Khan Danon Public Health 867 3782 5907 1130 1116 12802 Pediatric + Medicine 1396 1396 E N T 498 498 Dermatology 687 687 Gynecology 367 408 905 225 1905 I.U.C.D. examination 276 406 160 842 I.U.C.D. application 50 261 252 563 Dressing 46 73 135 86 81 421 Injection 740 768 180 394 43 2125 Nurse Activities Vaccination Pregnancy test 96 231 72 62 461 Total 2442 5929 7611 4416 1302 21700 113 Total Prosthesis done in the Orthopedic Center during 2001 Month July May June April Total March August January October February December November Prosthesis September Above knee 8 7 3 10 10 8 19 13 14 13 15 17 137 Below knee 25 15 7 14 21 14 26 28 25 30 27 14 246 Manufactured Above knee 1 1 3 4 - 2 5 4 3 - - 3 26 Below knee 6 2 3 6 2 3 1 5 2 3 1 1 35 Reparation Sub Total 40 25 16 34 33 27 51 50 44 46 43 35 444 Crutch 2 3 4 1 1 3 4 2 2 4 4 6 36 Splint 2 - 3 8 1 2 - 5 1 5 8 5 40 Polio 2 5 5 4 10 14 5 8 1 3 5 1 63 Collar 1 1 1 1 2 - 2 2 2 4 1 1 18 Cor-set ------1 1 - 2 - - 4 Sub Total 7 9 13 14 14 19 12 18 6 18 18 13 161 Total 47 34 29 48 47 46 63 68 50 64 61 48 605 114 Total Activities in Al-Hema Physiotherapy Center during 2001 Month July May June April Total March August January October February December November September Activities Number of 50 38 28 44 58 88 60 88 86 79 54 44 717 patients Number of 315 288 123 233 290 266 271 522 482 437 375 244 3846 visits 115