2 department of health annual report 2014 www.unrwa.org 3 Please check the CD on the back cover 4 © UNRWA, 2015 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. 5 Table of contents Message of the UNRWA Commissioner-General and of the WHO Regional Director.................................................... 6 Foreword of the Director of Health.................................................................................................................................................... 7 Executive Summary.................................................................................................................................................................................. 8 Section 1 – Introduction and progress to date............................................................................................................................. 9 UNRWA................................................................................................................................................................................................ 10 Health Profile......................................................................................................................................................................................10 Traditional Model of UNRWA Health Services...................................................................................................................... 11 UNRWA Response: Health Reform........................................................................................................................................... 12 Family Health Team............................................................................................................................................................... 12 e-Health..................................................................................................................................................................................... 14 Non-Communicable Diseases........................................................................................................................................... 15 Infant mortality rates among Palestine refugees in Gaza, West Bank, Jordan and Lebanon.................. 17 Hospitalization........................................................................................................................................................................ 17 UNRWA’s Response: Emergencies........................................................................................................................................... 17 Gaza............................................................................................................................................................................................ 17 Syria............................................................................................................................................................................................ 19 Lebanon..................................................................................................................................................................................... 20 West Bank.................................................................................................................................................................................. 20 Jordan......................................................................................................................................................................................... 20 Next Steps......................................................................................................................................................................................... 21 Improvement of the quality of health care delivered through FHT................................................................... 21 Integrate unaddressed key health and health-related issues into FHT............................................................. 21 Improve hospitalization support..................................................................................................................................... 22 Section 2 - Maintaining Quality Health Services Across the Life Cycle............................................................................. 23 Strategic Objective 1 – Ensure Universal Access to Quality and Comprehensive Primary Health Care..... 23 Outpatient Care..................................................................................................................................................................... 23 Inpatient Care......................................................................................................................................................................... 24 Community Mental Health................................................................................................................................................. 25 Oral Health............................................................................................................................................................................... 27 Physical Rehabilitation........................................................................................................................................................ 28 Strategic Objective 2 – Maternal and Child Health......................................................................................................... 29 Reproductive Health Services.......................................................................................................................................... 29 6 Child Health Services.............................................................................................................................................................. 33 Strategic Objective 3 – Prevent and Control Disease........................................................................................................ 37 Non-Communicable Diseases................................................................................................................................................ 37 Communicable Diseases......................................................................................................................................................... 41 Crosscutting Services.................................................................................................................................................................... 43 Nutrition.......................................................................................................................................................................................... 43 Disability Care................................................................................................................................................................................ 43 Laboratory and Radiology Services..................................................................................................................................... 44 Medicines and Medical Supplies.......................................................................................................................................... 45 Health Communication............................................................................................................................................................ 47 Human Resources....................................................................................................................................................................... 48 Gender Mainstreaming............................................................................................................................................................. 48 Section 3 – Data....................................................................................................................................................................................... 51 Part 1 – Agency wide trends for selected indicators................................................................................................................ 51 Part 2 – Field implementation plans 2014/2015 - indicators................................................................................................ 55 Part 3 – 2014 Data tabels....................................................................................................................................................................