Mads Gilbert’s Brief report to UNRWA: The Gaza Health Sector as of June 2014

Please see the video below dated 7/8/2014

Mads Gilbert in Gaza

for full report please click on the link below

Gaza, June 2014: Deepening Crisis in
Palestinian Healthcare
During my visit to Gaza from June 18th
to July 3rd 2014


I visited hospitals, primary health care centres
and infrastructural sites for handling waste water, solid waste and fresh water. I discussed with and
interviewed health professionals, staff and patients at various levels and in different institutions; and
did home visits to civilian Palestinian families with children who survived serious traumatic injuries in
January 2009. I participated on call and in patient treatment at Al-Shifa Hospital and saw the work in
four UNRWA clinics both in North and South of Gaza. I also had meetings with relevant authorities in
Ministry of Health (MoH) and the hospital directors at Shifa Hospital and Al Quds Hospital. The
content of this brief dispatch is based on multiple sources, but the report is my own full
responsibility. All pictures in this report was taken by the author.
Summary and main findings
 Following years of socioeconomic decline, repeated attacks and Israeli closures and siege, the
health sector across the Gaza Strip is lacking adequate physical infrastructure, supplies and
training opportunities.
 Gaza’s population continue to face devastating results of the blockade imposed by the
Government of Israel. Gazans are deeply suffering with an unemployment rate of 38.5 % as of
the last quarter of 2013, which is an increase of over 10 percentage points compared to six
months earlier, causing widespread poverty. At least 57 % of Gaza households are food insecure
and about 80 % are now aid recipients.
 Food insecurity and rising poverty also mean that most residents cannot meet their daily caloric
requirements, while over 90 % of the water in Gaza has been deemed unfit for human
consumption. (UNRWA).
 More than 1/3 of households in Gaza are supplied with running water for 6-8 hours only once
every four days (OCHA).
 Palestinian health facilities are overstretched. Service is frequently interrupted by power cuts
and insufficient supplies of drugs and disposables. This further threaten the health of the
population, which is already at increasing risk.
 Physical as well as psychological trauma, poverty and environmental degradation have had a
negative impact on residents’ physical and mental health across the Gaza Strip. Many, including
children, suffer from long terms physical effects of war trauma, many with concomitant anxiety,
distress and depression.
 Despite all hardship, I have met a resilient, dignified and caring population and dedicated medical
professionals at all levels.
Fiscal crisis and siege is causing a clinical crisis
 The Gaza public health sector, in particular hospitals, are currently in a deep financial crisis.
Following the establishment of the reconciliation government, there is a void in  local leadership.

For further details open the link below