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Health Conditions Of Palestine Refugees in Lebanon. May 2011. General Overview. 260,000-280,000 Palestine Refugees live in Lebanon High Poverty Level: 66.4% are poor and 6.6% are extremely poor. High rate of unemployment: 56% are jobless.
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General Overview • 260,000-280,000 Palestine Refugees live in Lebanon • High Poverty Level: 66.4% are poor and 6.6% are extremely poor. • High rate of unemployment: 56% are jobless. • No social or health insurance: 95% do not have any health insurance. • Bad Living Conditions: 66% of houses suffer from dampness and leakage, resulting in psychological and chronic illnesses
Why Health is a priority? • High prevalence of chronic diseases (31%). • Extremely High costs of health care services in Lebanon (Total Health expenditures per capita is $599). • UNRWA currently covers only 10% of the total health expenditures on health per capita ($59 out of $599); YET UNRWA is the main health care provider. • How Do They Manage? • Tour organizations begging for help • Forego Treatment: suffer and die…..
How to address this Gap? • Improve Quality of Services at primary care • Higher Quality Consultation by Doctors • More Responsive to the Needs of the community • Improve accessibility to quality hospitalization services • Improve coverage of Tertiary Care
Quality of Primary Care • Governance: improve the management of the program. • Human Resources: the right skill mix and building capacity of health staff. • Service Delivery: • Strengthen existing programs (MCH, NCD) • Consider adding new services (Mental Health, Pulmonary) • Improve the structure of the health centers • Improve the workflow (appointment system, triage) • Health Information System: for better documentation and planning. • Community Participation and more health awareness campaigns • Partnership with governmental and non-governmental organizations
Accessibility to Quality Hospitalization • Improved Contracts with hospitals • Wider geographical distribution of hospitals • Contract Accredited Lebanese Hospitals (governmental & private) • Quality Standards for PRCS Hospitals • Wider coverage of services • Emergency Room Services • Intensive Care Services under secondary coverage • Better Control & Monitoring • Enhance the functioning of the hospitalization unit • Performance Indicators Measurement
Improve Tertiary Care Coverage • Increase UNRWA coverage of tertiary care services • Aim is to cover 85% of the cost of all hospitalization services (similar to MoPH coverage for Lebanese). • Interim Solutions • An increase to an average of 40% for tertiary care hospitalization. • Agreement with MoPH for the provision of medications for catastrophic conditions at discounted rates (15-70% discount). • Establishment of CARE program that aims at improving access to care and decreasing financial burden for patients suffering from catastrophic conditions.