May 2011

General Overview260,000-280,000 Palestine Refugees live in

LebanonHigh 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 helpForego Treatment: suffer and die…..

How to address this Gap?Improve Quality of Services at primary

careHigher Quality Consultation by DoctorsMore Responsive to the Needs of the

community

Improve accessibility to quality hospitalization services

Improve coverage of Tertiary Care

Quality of Primary CareGovernance: 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 HospitalizationImproved Contracts with hospitals

Wider geographical distribution of hospitalsContract Accredited Lebanese Hospitals

(governmental & private)Quality Standards for PRCS Hospitals

Wider coverage of servicesEmergency Room ServicesIntensive Care Services under secondary coverage

Better Control & MonitoringEnhance the functioning of the hospitalization unitPerformance Indicators Measurement

Improve Tertiary Care CoverageIncrease UNRWA coverage of tertiary care

servicesAim 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.