health department annual report 2019 health department health department annual report 2019 this document is a supplement to health annual report 2019 irst 100 days and beyond health department unrwa health response to covid-19 annual report 2019 © 2019 United Nations Relief and Works Agency About UNRWA 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 Organisation. 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: UNRWA beneficiaries at Gaza health centre, Gaza Strip. ©2012 UNRWA Photo by Sharif Sarhan unrwa health department - annual report 2019 1 table of contents Acronyms and Abbreviations .................................................................................................................... 3 Message of the UNRWA Commissioner General and of the WHO Regional Director.................................. 5 Foreword of the Director of Health..........................................................................................................6 Executive Summary and Report Overview..............................................................................................................................7 Section 1 – Introduction and Health Profil...........................................................................................8 UNRWA.............................................................................................................................................................................................................8 Health Profile..............................................................................................................................................................................................8 Section 2 –UNRWA Response: Health Reform...................................................................................11 UNRWA Response: Health Reform................................................................................................................................................11 Family Health Team (FHT) approach and the E-Health (Electronic Health Records) System...................11 Family Medicine Training (Family Medicine Diploma Programme - FMDP).......................................................12 Integrating Mental Health and Psychosocial (MHPSS) Programme into UNRWA Primary Health Care (PHC) and the Family Health Team (FHT) Model.................................................................................................................11 Hospitalisation Technical Instruction ...................................................................................................................................... 12 Strengthening Procurement Process for Medical Commodities...............................................................................14 Field Innovations ....................................................................................................................................................................................14 Section 3: Strategic Outcome 2: Refugees’ Health is Protected and The Disease Burden is Reduced.............................................................................................................................................................19 Output 2.1: People-Centred Primary Health Care System Using FHT Model...................................19 Outpatient Care........................................................................................................................................................................................19 Non-Communicable Diseases (NCDs).......................................................................................................................................20 Communicable Diseases....................................................................................................................................................................22 Maternal Health Services................................................................................................................................................................... 23 Child Health Services........................................................................................................................................................................... 28 School Health........................................................................................................................................................................................... 30 Oral Health..................................................................................................................................................................................................31 Physical Rehabilitation and Radiology Services.................................................................................................................. 32 Disability Care........................................................................................................................................................................................... 33 Pharmaceutical Services.................................................................................................................................................................... 34 2 unrwa health department - annual report 2019 table of contents Output 2.2: Efficient Hospital Support Services...........................................................................................................37 Inpatient Care........................................................................................................................................................................................... 37 Crosscutting Services........................................................................................................................................................................38 Nutrition....................................................................................................................................................................................................... 38 Laboratory Services...............................................................................................................................................................................39 Health Communication......................................................................................................................................................................40 Health Research.......................................................................................................................................................................................41 Gender Mainstreaming.......................................................................................................................................................................42 Human Resources for Health Reform.........................................................................................................................................43 Finance Resources..................................................................................................................................................................................43 Section 4 – Data...............................................................................................................................................46 Part 1 - Agency Wide Trends for Selected Indicators..............................................................................................46 Part 2- Cmm (2016-2021) Indicators....................................................................................................................................50 Part 3 – 2019 Data Tables.............................................................................................................................................................. 51 Annex 1 - Selected Survey Indicators.........................................................................................................................................59 Annex 2 - Donor Support (Totally / Partially) to Unrwa Health Programm During 2019.......................... 63 Annex 3 - Strategic Outcome 2: Refugees’ Health is Protected and the Disease Burden is Reduced...66 Annex4 - Health Department Research Activities and Published Papers.............................................................69 Annex 5 - Contacts of Senior Staff of the UNRWA Health Programme.................................................................70 unrwa