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F amily H ealth T eam ( FHT ) in UNRWA

F amily H ealth T eam ( FHT ) in UNRWA. Akihiro Seita Director of Health, UNRWA : a.seita@unrwa.org. `. When Fatima , Mohamed & their children go to the health center. Oral health (dental). Dressing. Pre & Post natal care. Family planning. Growth monitoring & Immunization.

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F amily H ealth T eam ( FHT ) in UNRWA

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  1. Family Health Team (FHT) in UNRWA Akihiro Seita Director of Health, UNRWA:a.seita@unrwa.org

  2. ` When Fatima, Mohamed & their children go to the health center Oral health (dental) Dressing Pre & Post natal care Family planning Growth monitoring & Immunization Laboratory ` ` NCD clinic(DM+HTN) General clinic (Dr’s office) ` Clerk room Pharmacy `

  3. ` When Fatima, Mohamed & their children go to the FHT health center Family planning Family Health Team Laboratory Oral health (dental) ` ` ` ` ` ` Clerk room Pharmacy `

  4. UNRWA’s Family Health Team (FHT) Rapid expansion (1) (1) (2) (2) (1) (2) (6) (3) (1) (1) Note: No. in brackets = No. of health centers with FHT approach

  5. Changes that UNRWA’s FHT brought Excitement & innovations in all Fields Syria Lebanon All chiefs for Field Health Programs Jordan Gaza West Bank Proud teams! 5

  6. Changes that UNRWA’s FHT brought Excitement & innovations in all Fields E-health with appointment system! Paint each FHT differently! Health messages WITH communities! And even files! Painted by community 6

  7. Changes that UNRWA’s FHT broughtPatients and Staff are satisfied        Satisfaction level (big difference) (difference)

  8. Changes that UNRWA’sFHT broughtImproved efficiency in services (July 2011) (January 2012) General clinic NCD clinic Team 1 Team 2 Team 3 MCH

  9. Estimated expenditures for Family Health Team expansion to date (USD in 1,000) Note: Average expenditure per HC was USD 21K (USD 267K for 13 HC), of which USD 15K were from the existing funds (GF, project, etc).

  10. What we learned / produced with Family Health Team • FHTis doable • From 2 HC to 13 HC in 6 months, and now in all five fields • FHTshows potential efficiency gain • Improve performance (e.g. efficient use of staff time) • Minimum additional expenditure (e.g. USD 21K / HC), and • Strengthen evidence based intervention (e.g. e-health) • FHTis well appreciated by refugees & staff • VISON: FHT All Over by 2015 • All Palestine refugee families will have their own family health team by 2015

  11. What we need to do next with Family Health Team • FHTfull costing exercise • Complete by Ad Com (ongoing) • Define major expenditures: e-health infra & training • FHTquality and efficiency target • Conduct diabetes e-health analysis & clinical audit • Explore efficiency gain in medicine procurement • Systems development for FHT sustainability • Empower health centers as cost centers • Develop continuous education for family medicine

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