Problems of Palestenian HCS
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Problems of Palestenian HCS

Health Workforce:- No health workforce strategic planning at all- abundance of GPs, nurses, & paramedics with exterme shortage of specialtitis & subspecialities, Brain Drain- Providers working in different sectors at same time with serious duplication- different payment scales between govermental, UNRWA, NGO, and private sector with serious diparities & huge differnance- unfair public sector civil payment scale- no performance related pay & lack of compition- lack of motivation & poor capacity building- perminant medical license "indifinate"- poor supervision & ineffective training programs- Education- skill mismatch- lack of Accountability- Medicines, Technologies, Health Information systems:- lack of National health information system that is reliable, reflective & timely- lack of unified electronic file system "electronic medical files" that links different sectors & levels & minimize fragmentation & duplication of services- limitted research activities, no clear research priorities, and very limitted evidance based planning- No National Survillance system for communicable & non communicable disease- imperfect vital regesters- poor documentation during service delivery in all sectors & levels- Repeated shortage & stock puncture of essental medicines at MOH- use of generic names of medicines- shortage of chemotherapy, radiotherapy, hormonal therapy & need for referral abroad for cancer patientsProblemsProblems of Palestenian HCSGovernance:- Fragmentation of financing & service delivery, too much autonomy of UNRWA & NGOs & Private sector- Fragmentation of organizational Policies, procedures, strateges & goals- poorly selected & trained governance bodies- Poor monitoring & evaluation of services & programs- lack of accountability- poor transparency-- poorly adminstrated & vague resource allocation with exceesive allocation toward secondary level services compared to PHC & preventive services- priority setting, program planning is not evidance based & irrational- lack of independent accreditaion & quality assurance bodiesService Delivery:- Fragmentation & Duplication- Open door policy of UNRWA- lack of efficincy & cost containment in delivery- mulitple policies, procedures, plans, systems- poor quality mangment at organizational level- poor governance at central & organizational level- still no universal accsess, less coverage at remote areas- no equality of service, still socioeconomic disparities- fee- for- servie payment- lack of compition leading to less quality- lack of accreditaion bodies & indifinate medical licensing for organizations & providers- lack of monitoring & evluation of quality of services, programs, interventions etc- poor responsiveness to non- health needs- poor client centerdness & community participationFinancing:- Poor financial revenues, insufficnt to cover expedintures- High dependance on donors funds & agendas & phasing of funds- HIGH OOP payment- lack of financial stability & sustainability- Taxes revenue allocated to MOH very limitted & un sustainable- Poor revenues of national insurance, no universal coverage, regressive payment, voluntry participation at any time, poor financial protection of the poor, limitted cross subsidy, extenssive irrational & vague exemption system- user fees are very limitted, insuffient, inadquate, loosly adminstrated, not applied to UNRWA, doesnt serve efficincy & cost responsibilty well, and directed to financing ministry not MOH- payment is fee for servuce mechanism not per capita mechanism doesnt serve efficiny05+ 0603010204
publish time: 2021-05-06
Randa Masoud

Here is a diagram about the problems of palestenian HCS, from which there are discussed from 5 aspects, including governance, financing, health workforce, service delivery, medicine, technology, and health information system. As for the governance, the fragmentation of financing & service delivery, too much autonomy of UNRWA & NGOs & Private sector. Then, the fragmentation of organizational Policies, procedures, strategies & goals. Poorly selected & trained governance bodies. Learn more details from this diagram, or try to make yours with ease.

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