223923 Health sector reforms to improve healthcare equity and access to Palestinians

Wednesday, November 10, 2010 : 9:10 AM - 9:30 AM

Jihad Mashal, MD, MPH, EMBA , USAID Palestinian Health Sector Reform and Development (Flagship) Project, Implemented by Chemonics International Inc., Ramallah, Palestine
Mohammad Khalaf, MPH , Palestinian Health Sector Reform and Development Project, Chemonics International Inc., Ramallah, Palestine
Damianos Odeh, PhD , USAID Palestinian Health Sector Reform and Development (Flagship) Project, Implemented by Chemonics International Inc., Ramallah, Palestine
Taroub Faramand, MD, MPH , USAID Palestinian Health Sector Reform and Development (Flagship) Project, Implemented by Chemonics International Inc., Ramallah, Palestine
The Palestinian Ministry of Health (MoH), supported by USAID's $86 million, 5-year Palestinian Health Sector Reform and Development Project, addresses key social justice issues through improving equity within and access to healthcare in the Palestinian territories. Through a comprehensive self-assessment of health system performance, the MoH used indicators of equity, access, efficiency, quality and sustainability to identify areas of improvement. The MoH prioritized strengthening primary health care clinics, improving hospital referral systems, developing a health information system, and engaging with communities and the private sector to expand healthcare access to the poor. Barriers to healthcare, including high costs and health insurance fees, disproportionately affect the poor who, on average, spend 40% of their income on healthcare. The MoH is thus prioritizing reforms that improve cost efficiency, reduce financial drains on the health system, and mobilize resources at the community level. Reforms to improve access to preventative healthcare services include fostering linkages between primary health care clinics and their communities to mobilize resources based on identified needs. Further, to reduce referrals abroad, the MoH is establishing the Palestine Medical Complex (PMC)--a tertiary hospital complex providing highly specialized health services. Finally, the MoH is developing a comprehensive health information system to support evidence-based health care management decisions at all levels of the health system and improve the effectiveness of business processes and health care services. These MoH-driven innovations are demonstrating impact on the health sector reform process by addressing critical barriers to equity and access in healthcare for Palestinians.

Learning Areas:
Administration, management, leadership
Provision of health care to the public

Learning Objectives:
Identify best practices in developing health sector reform initiatives aimed at improving equity and access to health care for Palestinians

Keywords: Access to Health Care, Health Service

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: 2009 - present Component 2: Clinical and Community-Based Health Director, Chemonics International, Palestinian Health Sector Reform Project (“Flagship Project”), Ramallah, West Bank. 2000 - 2007 Director General, Palestinian Medical Relief Society (PMRS)-Ramallah, West Bank • Provided leadership and coordination in the development, dissemination and promotion of PMRS (UPMRC) policies program strategies, standards and tools • Facilitated the formulation of objectives, approval of policies and programs of the Organization • Directed and coordinated the work of divisions, departments and branches in all districts • Provided technical expertise to program and district managers including: needs assessment, program design, monitoring and evaluation activities, communications, and reporting • Initiated and supported health policy dialogue among Health care providers, ensured and lobbied for the development of appropriate national policies. • Built and maintained relationships with external (International Agencies and partner organizations, WHO, UNRWA, UNFPA, UNICEF, USAID…etc) and internal partners in order to enhance their understanding and support of PMRS program standards and strategies. • Networked with local health organizations and international agencies. • Collaborated with official representatives of partners to develop and /or align resource acquisition strategies and plans. • Represented the Organization in all official functions.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

Back to: 5048.0: Health Care Reform II