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Update on the occupied Palestinian territory ​

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WHO Regional Office for the Eastern Mediterranean
WHO Regional Office for the Eastern Mediterranean

Update on the occupied Palestinian territory ​

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‫بيبركورن‬ ‫ريتشارد‬ ‫الدكتور‬ ‫األرض‬ ‫في‬ ‫العالمية‬ ‫الصحة‬ ‫منظمة‬ ‫ممثل‬ ‫المحتلة‬ ‫الفلسطينية‬ ‫بشأن‬ ‫مستجدات‬ ‫األرض‬ ‫الفلسطينية‬ ‫المحتلة‬
2 ‫غزة‬ ‫قطاع‬ ‫في‬ ‫الوضع‬ 41965 ‫تلوا‬ُ‫ق‬ 97590 ‫صيبوا‬‫ُأ‬ 10000 + ‫تحت‬ ‫شخص‬ ‫األنقاض‬ 1.9 ‫مليون‬ >( 85 )% ‫نزحوا‬ ‫شخص‬ ‫تضرر‬ 6 % ‫السكان‬ ‫من‬
‫غزة‬ ‫قطاع‬ ‫في‬ ‫الوضع‬ ‫مستشفيات‬ ‫ا‬ًّ‫ي‬‫جزئ‬ ‫تعمل‬ ‫أولية‬ ‫صحية‬ ‫رعاية‬ ‫مرافق‬ ‫تعمل‬ 17 / 36 132/57 ‫مستشفيا‬ ‫ميدانية‬ ‫ت‬ ‫تعمل‬ 10/10 47% 43% 100% 24000 + ‫مصاب‬ ‫بإصابات‬ ‫بالغة‬ ، ‫والتوجد‬ ‫إعادة‬ ‫خدمات‬ - ‫تأهيل‬ ‫ا‬ ‫منظمة‬ ‫تقرير‬ ‫العالمية‬ ‫لصحة‬ ‫إصابة‬ ‫حالة‬ ‫مؤكدة‬ ‫بفيروس‬ ‫األطفال‬ ‫شلل‬ ‫المشتق‬ ‫الدائر‬ ‫اللقاحات‬ ‫من‬ ‫النمط‬ ‫من‬ 2 ‫اكتشاف‬ ‫مع‬ ‫في‬ ‫المرض‬ ‫بيئية‬ ‫عينات‬ 495000 ‫يواجهون‬ ‫شخص‬ ‫كارثية‬ ‫مستويات‬ ‫الجوع‬ ‫من‬ ‫تتدهور‬ ‫أن‬ ‫الظروف‬ ‫المتعلقة‬ ‫بالمياه‬ ‫والصرف‬ ‫الصحي‬ ‫والنظافة‬ ‫العامة‬ ، ‫ومن‬ ‫أن‬ ‫المرجح‬ ‫تزايد‬ ‫يستمر‬ ‫اإلصابة‬ ‫حاالت‬ ‫بالمرض‬ ‫التغذية‬ ‫وسوء‬ ‫والمرض‬ ‫الصحية‬ ‫االحتياجات‬ ‫نظام‬ ‫ل‬ُّ‫تعط‬ ‫الترصد‬ ‫نقص‬ – ‫األمراض‬ ‫عن‬ ‫اإلبالغ‬ :‫الرئيسية‬ 563000 + ‫الحاد‬ ‫المائي‬ ‫اإلسهال‬ 974000 + ‫عدوى‬ ‫حادة‬ ‫تنفسية‬ 105000 + ‫حاالت‬ ‫الكبد‬ ‫بالتهاب‬ ‫إصابة‬ A 65000 + ‫عدوى‬ ‫جلدية‬ 3
4 ‫غزة‬ ‫قطاع‬ ‫في‬ ‫الوضع‬ 516 ‫على‬ ‫ا‬ً‫م‬‫هجو‬ ‫الصحية‬ ‫المرافق‬ ‫والقيود‬ ‫التحديات‬ ‫التشغيلية‬ • ‫إتاحة‬ ‫على‬ ‫يؤثر‬ ‫األمن‬ ‫انعدام‬ ‫البعثات‬ ‫وسالمة‬ ‫الخدمات‬ • ‫المرافق‬ ‫على‬ ُّ‫شن‬ُ‫ت‬ ‫التي‬ ‫الهجمات‬ ‫الصحية‬ • ‫وتستغرق‬ ‫مكثفة‬ ‫تنسيق‬ ‫متطلبات‬ ‫اًل‬‫طوي‬ ‫ا‬ً‫وقت‬ • ‫م‬َ‫ز‬َ‫لت‬ُ‫وي‬ ‫عليها‬ ‫د‬َ‫م‬‫عت‬ُ‫ي‬ ‫آلية‬ ‫وجود‬ ‫عدم‬ ‫العمليات‬ ‫لتنسيق‬ ‫بها‬ • ‫إمدادات‬ ‫انتظام‬ ‫عدم‬ /‫نقص‬ ‫العمليات‬ ‫على‬ ‫يؤثر‬ ‫ما‬ ‫وهو‬ ،‫الوقود‬ ‫اإلنسانية‬ • ‫واألدوية‬ ‫الطبية‬ ‫اإلمدادات‬ ‫نقص‬ ‫األساسية‬ ‫والمعدات‬ • ‫الطبي‬ ‫ن‬ْ‫ي‬َ‫المجال‬ ‫في‬ ‫العاملين‬ ‫نزوح‬ ‫واإلنساني‬ 765 ‫تلوا‬ُ‫ق‬ ‫ا‬ً‫ص‬‫شخ‬ 990 ‫صيبوا‬‫ُأ‬ ‫ا‬ً‫ص‬‫شخ‬ 110 ‫صحية‬ ‫مرافق‬ ‫منها‬ ،‫رت‬َّ‫تضر‬ 32 ‫رت‬ِّ‫م‬ُ‫د‬ ‫مستشفى‬ 115 ‫إسعاف‬ ‫سيارة‬ ‫منها‬ ،‫تضررت‬ 63 ‫لتلف‬ ‫ضت‬َّ‫تعر‬ ‫سيارة‬ ‫دائم‬ 84% ‫قطاع‬ ‫من‬ ‫غزة‬ ‫مع‬ ،‫إخالء‬ ‫بأوامر‬ ‫مشمول‬ .‫لغيت‬‫ُأ‬ ‫التي‬ ‫األوامر‬ ‫استثناء‬ ‫من‬ ‫العديد‬ ‫ذلك‬ ‫ويشمل‬ ‫والمرافق‬ ‫المستشفيات‬ .‫الصحية‬
5 ‫الطبي‬ ‫اإلجالء‬ :‫الرئيسية‬ ‫المطالب‬ • ‫العالمية‬ ‫الصحة‬ ‫منظمة‬ ‫تطالب‬ ‫طبي‬ ‫إجالء‬ ‫ممرات‬ ‫بإنشاء‬ ‫رفح‬ ‫معبر‬ ‫ذلك‬ ‫في‬ ‫بما‬ ،‫متعددة‬ ‫لضمان‬ ،‫سالم‬ ‫أبو‬ ‫كرم‬ ‫ومعبر‬ ‫م‬َّ‫نظ‬ُ‫م‬‫وال‬ ‫المستمر‬ ‫المرور‬ ‫في‬ ‫للمرضى‬ ‫واآلمن‬ ‫المناسب‬ ‫الوقت‬ • ‫الطبي‬ ‫اإلجالء‬ ‫عمليات‬ ‫إعادة‬ ‫من‬ ‫الضفة‬ ‫إلى‬ ‫غزة‬ ‫قطاع‬ ‫الغربية‬ ‫القدس‬ ‫ذلك‬ ‫في‬ ‫بما‬ ، ‫الشرقية‬ • ‫نقل‬ ‫تسهيل‬ ‫ا‬ً‫ض‬‫أي‬ ‫ويجب‬ ‫المرضى‬ ‫مصر‬ ‫إلى‬ ‫واألردن‬ ‫هناك‬ ‫من‬ ‫َلوا‬‫ق‬‫ن‬ُ‫لي‬ ، ‫الحاجة‬ ‫عند‬ ‫أخرى‬ ‫بلدان‬ ‫إلى‬ ‫على‬ ‫الموافقة‬ ‫جرت‬ 5138 ( ‫حالة‬ 33 )% ‫من‬ ‫أصل‬ 15600 ‫حالة‬ /‫األول‬ ‫تشرين‬ ‫منذ‬ ‫مطلوبة‬ ‫أكتوبر‬ 2023 َ‫ي‬ِ‫ل‬‫ج‬‫ُأ‬ 231 ‫ا‬ً‫ض‬‫مري‬ ‫فقط‬ ‫في‬ ‫رفح‬ ‫معبر‬ ‫إغالق‬ ‫منذ‬ ‫مايو‬/‫أيار‬ 2024 ‫بنحو‬ ‫يقدر‬ ‫ما‬ ‫يحتاج‬ 12000 ‫مريض‬ ‫إلى‬
6 ‫شلل‬ ‫ضد‬ ‫التطعيم‬ ‫حملة‬ ‫األطفال‬ ( ‫األولى‬ ‫الجولة‬ 1 - 12 )‫سبتمبر‬ /‫أيلول‬ َ‫م‬ِّ‫ع‬ُ‫ط‬ 559 ‫ألف‬ ‫سن‬ ‫دون‬ ‫طفل‬ ‫باللقاح‬ ‫العاشرة‬ ‫الجديد‬ ‫الفموي‬ ‫لفيروس‬ ‫المضاد‬ ‫من‬ ‫األطفال‬ ‫شلل‬ ‫النمط‬ 2 ‫في‬ ‫تدريجي‬ ‫تنفيذ‬ :‫مناطق‬ ‫ثالث‬ ‫والجنوبية‬ ‫الوسطى‬ ‫وبعثات‬ ،‫والشمالية‬ ‫خارج‬ ‫منسقة‬ ‫خاصة‬ ‫المتفق‬ ‫المناطق‬ ‫عليها‬ ‫دة‬َّ‫د‬‫ح‬ُ‫م‬ ‫إنسانية‬ ‫هدنة‬ ‫تسع‬ ‫مدتها‬ ‫المنطقة‬ ‫ا‬ًّ‫يومي‬ ‫ساعات‬ ‫من‬ ‫أكثر‬ ‫شر‬ُ‫ن‬ 400 ‫من‬ ‫فريق‬ ‫الثابتة‬ ‫األفرقة‬ ‫والمتنقلة‬ ‫والعابرة‬ ‫مجتمعية‬ ‫مشاركة‬ ‫قوية‬ :‫التنفيذية‬ ‫التحديات‬ ‫المدمرة‬ ‫التحتية‬ ‫البنية‬ ‫العاملين‬ ‫عدد‬ ‫محدودية‬ ‫الصحية‬ ‫الرعاية‬ ‫في‬ ‫بين‬َّ‫در‬ُ‫م‬‫ال‬ ‫الوصول‬ ‫مشكالت‬ ‫األمن‬ ‫انعدام‬ ‫بسبب‬ ‫السكان‬ ‫ُّل‬‫ق‬‫تن‬ ‫باستمرار‬ ‫المولدات‬ ‫وقود‬ ‫نقص‬
‫شلل‬ ‫ضد‬ ‫التطعيم‬ ‫حملة‬ - ‫األطفال‬ ‫الثانية‬ ‫الجولة‬ ‫المخطط‬ ‫من‬ ‫من‬ ‫َّذ‬‫ف‬‫ن‬ُ‫ت‬ ‫أن‬ ‫لها‬ 14 ‫إلى‬ 28 /‫األول‬ ‫تشرين‬ ‫أكتوبر‬ ‫عدد‬ ‫تعديل‬ ‫المستهدفين‬ ‫من‬ 640500 ‫إلى‬ 591714 ‫اًل‬‫طف‬ ‫سن‬ ‫دون‬ ‫العاشرة‬ ‫توفير‬ ‫يجب‬ ‫فيتامين‬ A ‫الذين‬ ‫لألطفال‬ ‫أعمارهم‬ ‫تتراوح‬ ‫بين‬ 6 ‫أشهر‬ ‫و‬ 10 ‫سنوات‬ ‫االلتزام‬ ‫يجب‬ ‫فترات‬ ‫باحترام‬ ‫اإلنسانية‬ ‫الهدنة‬ ‫حماية‬ ‫يجب‬ ‫التطعيم‬ ‫فرق‬ ‫لهم‬ ‫والسماح‬ ‫بتنفيذ‬ ‫الحمالت‬ ‫بأمان‬ 7
‫في‬ ‫العالمية‬ ‫الصحة‬ ‫منظمة‬ ‫استجابة‬ ‫وزارة‬ ‫مع‬ ‫الوثيق‬ ‫بالتنسيق‬ ‫غزة‬ ‫قطاع‬ ‫والشركاء‬ ‫الصحة‬ • ‫توصيل‬ ‫تم‬ 7 ‫على‬ ‫للحفاظ‬ ‫الوقود‬ ‫من‬ ‫لتر‬ ‫ماليين‬ /‫األول‬ ‫تشرين‬ ‫منذ‬ ‫الصحية‬ ‫الرعاية‬ ‫تقديم‬ ‫استمرار‬ ‫أكتوبر‬ 2023 • ‫عبرت‬ 264 ‫قطاع‬ ‫داخل‬ ‫إلى‬ ‫للمنظمة‬ ‫تابعة‬ ‫شاحنة‬ ‫أكتوبر‬ /‫األول‬ ‫تشرين‬ ‫منذ‬ ‫غزة‬ 2023 ‫تحمل‬ ، 1100 ‫من‬ ‫ن‬ّ‫مك‬ ‫ما‬ ‫وهو‬ ،‫الطبية‬ ‫اإلمدادات‬ ‫من‬ ‫متري‬ ‫طن‬ ‫إجراء‬ 16400 ‫الرعاية‬ ‫لتقديم‬ ‫وجراحي‬ ‫طارئ‬ ‫ل‬ُّ‫خ‬‫تد‬ ‫إلى‬ ‫األساسية‬ ‫الصحية‬ 324000 ‫ولتلبية‬ ،‫شخص‬ ‫احتياجات‬ 1.5 .‫سارية‬ ‫غير‬ ‫بأمراض‬ ‫مصاب‬ ‫مليون‬ • ‫اإلجالء‬ ‫وعمليات‬ ‫المرضى‬ ‫نقل‬ ‫عمليات‬ ‫ودعم‬ ‫تنظيم‬ ‫الطبي‬ • ‫غزة‬ ‫قطاع‬ ‫في‬ ‫يعمل‬ 15 ‫الطوارئ‬ ‫ق‬َ‫ر‬ِ‫ف‬ ‫من‬ ‫ًا‬‫ق‬‫فري‬ ‫وقدموا‬ ،‫ميدانية‬ ‫مستشفيات‬ ‫أربعة‬ ‫لتشغيل‬ ،‫الطبية‬ ‫من‬ ‫أكثر‬ 1.5 ‫استشارة‬ ‫مليون‬ • ‫التغذية‬ ‫سوء‬ ‫حاالت‬ ‫إلسعاف‬ ‫مراكز‬ ‫ثالثة‬ ‫دعم‬ ‫يجري‬ ‫بعثات‬ ‫إيفاد‬ ‫استمرار‬ ‫المستشفيات‬ ‫إلى‬ ‫ونقل‬ ،‫التقييمات‬ ‫إلجراء‬ ‫فرق‬ ‫ونشر‬ ،‫المرضى‬ ،‫الطبية‬ ‫الطوارئ‬ ‫الوقود‬ ‫وتوفير‬ ‫والمعدات‬ ‫واإلمدادات‬ ‫الطبية‬ . 21 4 95 ‫رت‬ِّ‫س‬ُ‫ي‬ 20 ‫لغيت‬‫ُأ‬ 52 ‫عيقت‬‫ُأ‬ 47 ‫فضت‬ُ‫ر‬ ‫بعثة‬ ‫أكتوبر‬/‫األول‬ ‫تشرين‬ 2023 /‫أيلول‬ – ‫سبتمبر‬ 2024 8
‫باألرقام‬ ‫الصحية‬ ‫المجموعة‬ ‫شركاء‬ ‫استجابة‬ ‫أكتوبر‬ /‫األول‬ ‫(تشرين‬ 2023 ‫سبتمبر‬ /‫أيلول‬ – 2024 ) 9 ‫ماليين‬ ‫استشارة‬ ‫الرعاية‬ ‫مجال‬ ‫في‬ ‫األولية‬ ‫الصحية‬ 476000 ‫يتعلق‬ ‫ل‬ُّ‫خ‬‫تد‬ ‫والحاالت‬ ‫بالرضوح‬ ‫الطارئة‬ 245000 ‫طفل‬ ‫تطعيم‬ ‫على‬ ‫حصل‬ ‫األمراض‬ ‫ضد‬ 185000 ‫استشارة‬ ‫للحوامل‬ 297000 ‫استشارة‬ ‫للوالدة‬ ‫الحقة‬ 1.7 ‫مليون‬ ‫بشأن‬ ‫استشارة‬ ‫العالجي‬ ‫التدبير‬ ‫غير‬ ‫لألمراض‬ ‫السارية‬ 75100 ‫استشارة‬ ‫في‬ ‫تأهل‬ ‫إعادة‬ ‫عديدة‬ ‫تخصصات‬ 1.4 ‫مليون‬ ‫تتعلق‬ ‫استشارة‬ ‫النفسية‬ ‫بالصحة‬ ‫النفسي‬ ‫والدعم‬ ‫االجتماعي‬ ‫إمدادات‬ ‫يت‬ِ‫ر‬ُ‫اشت‬ ‫صحية‬ ‫ومعدات‬ ‫بقيمة‬ 114 ‫دوالر‬ ‫مليون‬ ‫أمريكي‬ ‫م‬ِّ‫ل‬ُ‫س‬ ، ‫قيمته‬ ‫ما‬ ‫منها‬ 9
‫الغربية‬ ‫الضفة‬ ‫في‬ ‫الوضع‬ :‫االستجابة‬ • ‫ولوازم‬ ‫معدات‬ ‫توزيع‬ .‫الرضوح‬ ‫عالج‬ • ‫مخزونات‬ ‫استكمال‬ ‫داخل‬ ‫المستلزمات‬ ‫المستشفيات‬ .‫الرئيسية‬ • ‫الطوارئ‬ ‫مخزونات‬ ‫في‬ ‫ًا‬‫ق‬‫سب‬ُ‫م‬ ‫زة‬َّ‫ه‬‫ج‬ُ‫م‬‫ال‬ ‫والخليل‬ ‫نابلس‬ • ‫زة‬َّ‫ه‬‫ج‬ُ‫م‬‫ال‬ ‫اإلمدادات‬ ‫ع‬Ž ‫د‬‫مستو‬ ‫في‬ ‫ًا‬‫ق‬‫مسب‬ ‫المنظمة‬ • ‫المساعدة‬ ‫استمرار‬ ،‫األورام‬ ‫عالج‬ :‫التقنية‬ ‫حية‬Ž ‫ص‬‫ال‬ ‫والرعاية‬ ‫والتمويل‬ ،‫األولية‬ ‫الصحي‬ 695 ‫ا‬ً‫ص‬‫شخ‬ ‫تلوا‬ُ‫ق‬ ‫العمليات‬ ‫استمرار‬ ‫العسكرية‬ ‫وزيادة‬ ‫المستوطنين‬ ‫عنف‬ ‫المالية‬ ‫األزمة‬ ‫المستمرة‬ ‫أدت‬ ‫التي‬ ‫مخزون‬ ‫نفاد‬ ‫إلى‬ ‫تزيد‬ ‫بنسبة‬ ‫األدوية‬ ‫على‬ 45 % ‫والتأخير‬ ‫اإلغالق‬ ‫حاالت‬ ‫في‬ ‫يؤثر‬ ‫ما‬ ‫وهو‬ ،‫التفتيش‬ ‫نقاط‬ ‫الرعاية‬ ‫على‬ ‫الحصول‬ ‫على‬ ‫الصحية‬ ‫تصاريح‬ ‫في‬ ‫انخفاض‬ ‫دخول‬ ‫على‬ ‫للحصول‬ ‫الشرقية‬ ‫القدس‬ ‫متخصصة‬ ‫رعاية‬ ‫المستشفيات‬ ‫تشغيل‬ ‫بعدد‬ ‫العاملين‬ ‫من‬ ‫قليل‬ ‫وفتح‬ ، ‫األولية‬ ‫الصحية‬ ‫الرعاية‬ ‫مرافق‬ ‫األسبوع‬ ‫في‬ ‫فقط‬ ‫يومين‬ 25 ‫تلوا‬ُ‫ق‬ ‫ا‬ً‫ص‬‫شخ‬ 55 ‫منها‬ ،‫ا‬ً‫متضرر‬ ‫ا‬ًّ‫صحي‬ ‫ًا‬‫ق‬‫مرف‬ 21 ‫ا‬ً‫ر‬َّ‫م‬‫د‬ُ‫م‬ ‫مستشفى‬ 445 ‫متضررة‬ ‫إسعاف‬ ‫سيارة‬ 624 ‫على‬ ‫ا‬ً‫م‬‫هجو‬ ‫الصحية‬ ‫المرافق‬ 111 ‫صيبوا‬‫ُأ‬ ‫ا‬ً‫ص‬‫شخ‬ 10
‫غزة‬ ‫قطاع‬ ‫إلى‬ ‫الدعم‬ ‫تقديم‬ :‫ا‬ً‫م‬ُ‫د‬ُ‫ق‬ ّ‫المضي‬ ‫ل‬ُ‫ب‬ُ‫س‬ ‫الغربية‬ ‫والضفة‬ :‫التنفيذية‬ ‫لالستجابة‬ ‫المنظمة‬ ‫خطة‬ ‫ديسمبر‬ /‫األول‬ ‫كانون‬ – ‫أبريل‬ /‫نيسان‬ 2024 CLICK ‫األساسية‬ ‫الصحية‬ ‫الخدمات‬ ‫تقديم‬ ،‫المبكر‬ ‫واإلنذار‬ ،‫العامة‬ ‫الصحة‬ ‫استخبارات‬ ‫والمكافحة‬ ‫والوقاية‬ ‫اللوجستي‬ ‫والدعم‬ ‫اإلمدادات‬ ‫التنسيق‬ ‫مير‬Ž ‫ع‬‫والت‬ ‫التأهيل‬ ‫وإعادة‬ ‫المبكر‬ ‫اش‬Ž ‫ع‬‫اإلن‬ 11
‫والتعمير‬ ‫التأهيل‬ ‫وإعادة‬ ‫المبكر‬ ‫اإلنعاش‬ ‫المبدئي‬ ‫الذي‬ ‫لألضرار‬ ‫البنك‬ ‫أكمله‬ ‫واألمم‬ ‫الدولي‬ ‫المتحدة‬ ‫واالتحاد‬ ‫في‬ ‫األوروبي‬ ‫فبراير‬ /‫شباط‬ 2024 : • ‫بالبنية‬ ‫لحقت‬ ‫الصحية‬ ‫التحتية‬ ‫قيمتها‬ ‫قدر‬ُ‫ت‬ ‫أضرار‬ ‫من‬ ‫بأكثر‬ 500 ‫دوالر‬ ‫مليون‬ ‫أقل‬ ‫وهذا‬ ،‫أمريكي‬ ‫الواقع‬ ‫من‬ • ‫المرافق‬ ‫تعرضت‬ ‫أو‬ ‫للضرر‬ ‫الصحية‬ ‫تزيد‬ ‫بنسبة‬ ‫التدمير‬ ‫على‬ 80 % ‫السلطة‬ :‫الفلسطينية‬ ‫اش‬Ž ‫ع‬‫واإلن‬ ‫اإلغاثة‬ ‫خطة‬ ‫وزارة‬ ،‫غزة‬ ‫في‬ ‫المبكر‬ ‫وزارة‬ ،‫اإلغاثة‬ ‫التخطيط‬ ‫السلطة‬ ،‫الفلسطينية‬ ،‫المتحدة‬ ‫األمم‬ ،‫الدولي‬ ‫البنك‬ ‫االتحاد‬ :‫األوروبي‬ ‫من‬ ‫التعافي‬ ‫إطار‬ ‫النزاعات‬ ‫عن‬ ‫ورقة‬ ،‫الصحة‬ ‫قطاع‬ ‫وزارة‬ ‫تقودها‬ ‫الصحة‬ ‫ومنظمة‬ ‫العالمية‬ ‫الصحة‬ ،‫الدولي‬ ‫والبنك‬ ‫اإلنعاش‬ ‫بشأن‬ ‫وإعادة‬ ‫المبكر‬ ‫التأهيل‬ ‫والتعمير‬ 12
‫المطالب‬ ‫الرئيسية‬ ‫المستمر‬ ‫الدعم‬ ‫للماراثون‬ ‫اإلنساني‬ ‫واإلنمائي‬ ‫مواصلة‬ ‫االستجابة‬ ‫الصحية‬ ‫اإلنسانية‬ ‫الجارية‬ ‫وتوسيع‬ ‫بدرجة‬ ‫نطاقها‬ ‫كبيرة‬ ‫اﻹنعاش‬ ‫مرحلة‬ ‫وإعادة‬ ‫المبكر‬ ‫واإلعمار‬ ‫التأهيل‬ ‫القادم‬ ‫للعقد‬ ‫تظل‬ ‫أن‬ ‫ضمان‬ ‫أولوية‬ ‫الصحة‬ ‫رئيسية‬ 13
‫إطالق‬ ‫وقف‬ ‫النار‬ 14

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Update on the occupied Palestinian territory ​

  • 1. ‫بيبركورن‬ ‫ريتشارد‬ ‫الدكتور‬ ‫األرض‬ ‫في‬ ‫العالمية‬ ‫الصحة‬ ‫منظمة‬ ‫ممثل‬ ‫المحتلة‬ ‫الفلسطينية‬ ‫بشأن‬ ‫مستجدات‬ ‫األرض‬ ‫الفلسطينية‬ ‫المحتلة‬
  • 2. 2 ‫غزة‬ ‫قطاع‬ ‫في‬ ‫الوضع‬ 41965 ‫تلوا‬ُ‫ق‬ 97590 ‫صيبوا‬‫ُأ‬ 10000 + ‫تحت‬ ‫شخص‬ ‫األنقاض‬ 1.9 ‫مليون‬ >( 85 )% ‫نزحوا‬ ‫شخص‬ ‫تضرر‬ 6 % ‫السكان‬ ‫من‬
  • 3. ‫غزة‬ ‫قطاع‬ ‫في‬ ‫الوضع‬ ‫مستشفيات‬ ‫ا‬ًّ‫ي‬‫جزئ‬ ‫تعمل‬ ‫أولية‬ ‫صحية‬ ‫رعاية‬ ‫مرافق‬ ‫تعمل‬ 17 / 36 132/57 ‫مستشفيا‬ ‫ميدانية‬ ‫ت‬ ‫تعمل‬ 10/10 47% 43% 100% 24000 + ‫مصاب‬ ‫بإصابات‬ ‫بالغة‬ ، ‫والتوجد‬ ‫إعادة‬ ‫خدمات‬ - ‫تأهيل‬ ‫ا‬ ‫منظمة‬ ‫تقرير‬ ‫العالمية‬ ‫لصحة‬ ‫إصابة‬ ‫حالة‬ ‫مؤكدة‬ ‫بفيروس‬ ‫األطفال‬ ‫شلل‬ ‫المشتق‬ ‫الدائر‬ ‫اللقاحات‬ ‫من‬ ‫النمط‬ ‫من‬ 2 ‫اكتشاف‬ ‫مع‬ ‫في‬ ‫المرض‬ ‫بيئية‬ ‫عينات‬ 495000 ‫يواجهون‬ ‫شخص‬ ‫كارثية‬ ‫مستويات‬ ‫الجوع‬ ‫من‬ ‫تتدهور‬ ‫أن‬ ‫الظروف‬ ‫المتعلقة‬ ‫بالمياه‬ ‫والصرف‬ ‫الصحي‬ ‫والنظافة‬ ‫العامة‬ ، ‫ومن‬ ‫أن‬ ‫المرجح‬ ‫تزايد‬ ‫يستمر‬ ‫اإلصابة‬ ‫حاالت‬ ‫بالمرض‬ ‫التغذية‬ ‫وسوء‬ ‫والمرض‬ ‫الصحية‬ ‫االحتياجات‬ ‫نظام‬ ‫ل‬ُّ‫تعط‬ ‫الترصد‬ ‫نقص‬ – ‫األمراض‬ ‫عن‬ ‫اإلبالغ‬ :‫الرئيسية‬ 563000 + ‫الحاد‬ ‫المائي‬ ‫اإلسهال‬ 974000 + ‫عدوى‬ ‫حادة‬ ‫تنفسية‬ 105000 + ‫حاالت‬ ‫الكبد‬ ‫بالتهاب‬ ‫إصابة‬ A 65000 + ‫عدوى‬ ‫جلدية‬ 3
  • 4. 4 ‫غزة‬ ‫قطاع‬ ‫في‬ ‫الوضع‬ 516 ‫على‬ ‫ا‬ً‫م‬‫هجو‬ ‫الصحية‬ ‫المرافق‬ ‫والقيود‬ ‫التحديات‬ ‫التشغيلية‬ • ‫إتاحة‬ ‫على‬ ‫يؤثر‬ ‫األمن‬ ‫انعدام‬ ‫البعثات‬ ‫وسالمة‬ ‫الخدمات‬ • ‫المرافق‬ ‫على‬ ُّ‫شن‬ُ‫ت‬ ‫التي‬ ‫الهجمات‬ ‫الصحية‬ • ‫وتستغرق‬ ‫مكثفة‬ ‫تنسيق‬ ‫متطلبات‬ ‫اًل‬‫طوي‬ ‫ا‬ً‫وقت‬ • ‫م‬َ‫ز‬َ‫لت‬ُ‫وي‬ ‫عليها‬ ‫د‬َ‫م‬‫عت‬ُ‫ي‬ ‫آلية‬ ‫وجود‬ ‫عدم‬ ‫العمليات‬ ‫لتنسيق‬ ‫بها‬ • ‫إمدادات‬ ‫انتظام‬ ‫عدم‬ /‫نقص‬ ‫العمليات‬ ‫على‬ ‫يؤثر‬ ‫ما‬ ‫وهو‬ ،‫الوقود‬ ‫اإلنسانية‬ • ‫واألدوية‬ ‫الطبية‬ ‫اإلمدادات‬ ‫نقص‬ ‫األساسية‬ ‫والمعدات‬ • ‫الطبي‬ ‫ن‬ْ‫ي‬َ‫المجال‬ ‫في‬ ‫العاملين‬ ‫نزوح‬ ‫واإلنساني‬ 765 ‫تلوا‬ُ‫ق‬ ‫ا‬ً‫ص‬‫شخ‬ 990 ‫صيبوا‬‫ُأ‬ ‫ا‬ً‫ص‬‫شخ‬ 110 ‫صحية‬ ‫مرافق‬ ‫منها‬ ،‫رت‬َّ‫تضر‬ 32 ‫رت‬ِّ‫م‬ُ‫د‬ ‫مستشفى‬ 115 ‫إسعاف‬ ‫سيارة‬ ‫منها‬ ،‫تضررت‬ 63 ‫لتلف‬ ‫ضت‬َّ‫تعر‬ ‫سيارة‬ ‫دائم‬ 84% ‫قطاع‬ ‫من‬ ‫غزة‬ ‫مع‬ ،‫إخالء‬ ‫بأوامر‬ ‫مشمول‬ .‫لغيت‬‫ُأ‬ ‫التي‬ ‫األوامر‬ ‫استثناء‬ ‫من‬ ‫العديد‬ ‫ذلك‬ ‫ويشمل‬ ‫والمرافق‬ ‫المستشفيات‬ .‫الصحية‬
  • 5. 5 ‫الطبي‬ ‫اإلجالء‬ :‫الرئيسية‬ ‫المطالب‬ • ‫العالمية‬ ‫الصحة‬ ‫منظمة‬ ‫تطالب‬ ‫طبي‬ ‫إجالء‬ ‫ممرات‬ ‫بإنشاء‬ ‫رفح‬ ‫معبر‬ ‫ذلك‬ ‫في‬ ‫بما‬ ،‫متعددة‬ ‫لضمان‬ ،‫سالم‬ ‫أبو‬ ‫كرم‬ ‫ومعبر‬ ‫م‬َّ‫نظ‬ُ‫م‬‫وال‬ ‫المستمر‬ ‫المرور‬ ‫في‬ ‫للمرضى‬ ‫واآلمن‬ ‫المناسب‬ ‫الوقت‬ • ‫الطبي‬ ‫اإلجالء‬ ‫عمليات‬ ‫إعادة‬ ‫من‬ ‫الضفة‬ ‫إلى‬ ‫غزة‬ ‫قطاع‬ ‫الغربية‬ ‫القدس‬ ‫ذلك‬ ‫في‬ ‫بما‬ ، ‫الشرقية‬ • ‫نقل‬ ‫تسهيل‬ ‫ا‬ً‫ض‬‫أي‬ ‫ويجب‬ ‫المرضى‬ ‫مصر‬ ‫إلى‬ ‫واألردن‬ ‫هناك‬ ‫من‬ ‫َلوا‬‫ق‬‫ن‬ُ‫لي‬ ، ‫الحاجة‬ ‫عند‬ ‫أخرى‬ ‫بلدان‬ ‫إلى‬ ‫على‬ ‫الموافقة‬ ‫جرت‬ 5138 ( ‫حالة‬ 33 )% ‫من‬ ‫أصل‬ 15600 ‫حالة‬ /‫األول‬ ‫تشرين‬ ‫منذ‬ ‫مطلوبة‬ ‫أكتوبر‬ 2023 َ‫ي‬ِ‫ل‬‫ج‬‫ُأ‬ 231 ‫ا‬ً‫ض‬‫مري‬ ‫فقط‬ ‫في‬ ‫رفح‬ ‫معبر‬ ‫إغالق‬ ‫منذ‬ ‫مايو‬/‫أيار‬ 2024 ‫بنحو‬ ‫يقدر‬ ‫ما‬ ‫يحتاج‬ 12000 ‫مريض‬ ‫إلى‬
  • 6. 6 ‫شلل‬ ‫ضد‬ ‫التطعيم‬ ‫حملة‬ ‫األطفال‬ ( ‫األولى‬ ‫الجولة‬ 1 - 12 )‫سبتمبر‬ /‫أيلول‬ َ‫م‬ِّ‫ع‬ُ‫ط‬ 559 ‫ألف‬ ‫سن‬ ‫دون‬ ‫طفل‬ ‫باللقاح‬ ‫العاشرة‬ ‫الجديد‬ ‫الفموي‬ ‫لفيروس‬ ‫المضاد‬ ‫من‬ ‫األطفال‬ ‫شلل‬ ‫النمط‬ 2 ‫في‬ ‫تدريجي‬ ‫تنفيذ‬ :‫مناطق‬ ‫ثالث‬ ‫والجنوبية‬ ‫الوسطى‬ ‫وبعثات‬ ،‫والشمالية‬ ‫خارج‬ ‫منسقة‬ ‫خاصة‬ ‫المتفق‬ ‫المناطق‬ ‫عليها‬ ‫دة‬َّ‫د‬‫ح‬ُ‫م‬ ‫إنسانية‬ ‫هدنة‬ ‫تسع‬ ‫مدتها‬ ‫المنطقة‬ ‫ا‬ًّ‫يومي‬ ‫ساعات‬ ‫من‬ ‫أكثر‬ ‫شر‬ُ‫ن‬ 400 ‫من‬ ‫فريق‬ ‫الثابتة‬ ‫األفرقة‬ ‫والمتنقلة‬ ‫والعابرة‬ ‫مجتمعية‬ ‫مشاركة‬ ‫قوية‬ :‫التنفيذية‬ ‫التحديات‬ ‫المدمرة‬ ‫التحتية‬ ‫البنية‬ ‫العاملين‬ ‫عدد‬ ‫محدودية‬ ‫الصحية‬ ‫الرعاية‬ ‫في‬ ‫بين‬َّ‫در‬ُ‫م‬‫ال‬ ‫الوصول‬ ‫مشكالت‬ ‫األمن‬ ‫انعدام‬ ‫بسبب‬ ‫السكان‬ ‫ُّل‬‫ق‬‫تن‬ ‫باستمرار‬ ‫المولدات‬ ‫وقود‬ ‫نقص‬
  • 7. ‫شلل‬ ‫ضد‬ ‫التطعيم‬ ‫حملة‬ - ‫األطفال‬ ‫الثانية‬ ‫الجولة‬ ‫المخطط‬ ‫من‬ ‫من‬ ‫َّذ‬‫ف‬‫ن‬ُ‫ت‬ ‫أن‬ ‫لها‬ 14 ‫إلى‬ 28 /‫األول‬ ‫تشرين‬ ‫أكتوبر‬ ‫عدد‬ ‫تعديل‬ ‫المستهدفين‬ ‫من‬ 640500 ‫إلى‬ 591714 ‫اًل‬‫طف‬ ‫سن‬ ‫دون‬ ‫العاشرة‬ ‫توفير‬ ‫يجب‬ ‫فيتامين‬ A ‫الذين‬ ‫لألطفال‬ ‫أعمارهم‬ ‫تتراوح‬ ‫بين‬ 6 ‫أشهر‬ ‫و‬ 10 ‫سنوات‬ ‫االلتزام‬ ‫يجب‬ ‫فترات‬ ‫باحترام‬ ‫اإلنسانية‬ ‫الهدنة‬ ‫حماية‬ ‫يجب‬ ‫التطعيم‬ ‫فرق‬ ‫لهم‬ ‫والسماح‬ ‫بتنفيذ‬ ‫الحمالت‬ ‫بأمان‬ 7
  • 8. ‫في‬ ‫العالمية‬ ‫الصحة‬ ‫منظمة‬ ‫استجابة‬ ‫وزارة‬ ‫مع‬ ‫الوثيق‬ ‫بالتنسيق‬ ‫غزة‬ ‫قطاع‬ ‫والشركاء‬ ‫الصحة‬ • ‫توصيل‬ ‫تم‬ 7 ‫على‬ ‫للحفاظ‬ ‫الوقود‬ ‫من‬ ‫لتر‬ ‫ماليين‬ /‫األول‬ ‫تشرين‬ ‫منذ‬ ‫الصحية‬ ‫الرعاية‬ ‫تقديم‬ ‫استمرار‬ ‫أكتوبر‬ 2023 • ‫عبرت‬ 264 ‫قطاع‬ ‫داخل‬ ‫إلى‬ ‫للمنظمة‬ ‫تابعة‬ ‫شاحنة‬ ‫أكتوبر‬ /‫األول‬ ‫تشرين‬ ‫منذ‬ ‫غزة‬ 2023 ‫تحمل‬ ، 1100 ‫من‬ ‫ن‬ّ‫مك‬ ‫ما‬ ‫وهو‬ ،‫الطبية‬ ‫اإلمدادات‬ ‫من‬ ‫متري‬ ‫طن‬ ‫إجراء‬ 16400 ‫الرعاية‬ ‫لتقديم‬ ‫وجراحي‬ ‫طارئ‬ ‫ل‬ُّ‫خ‬‫تد‬ ‫إلى‬ ‫األساسية‬ ‫الصحية‬ 324000 ‫ولتلبية‬ ،‫شخص‬ ‫احتياجات‬ 1.5 .‫سارية‬ ‫غير‬ ‫بأمراض‬ ‫مصاب‬ ‫مليون‬ • ‫اإلجالء‬ ‫وعمليات‬ ‫المرضى‬ ‫نقل‬ ‫عمليات‬ ‫ودعم‬ ‫تنظيم‬ ‫الطبي‬ • ‫غزة‬ ‫قطاع‬ ‫في‬ ‫يعمل‬ 15 ‫الطوارئ‬ ‫ق‬َ‫ر‬ِ‫ف‬ ‫من‬ ‫ًا‬‫ق‬‫فري‬ ‫وقدموا‬ ،‫ميدانية‬ ‫مستشفيات‬ ‫أربعة‬ ‫لتشغيل‬ ،‫الطبية‬ ‫من‬ ‫أكثر‬ 1.5 ‫استشارة‬ ‫مليون‬ • ‫التغذية‬ ‫سوء‬ ‫حاالت‬ ‫إلسعاف‬ ‫مراكز‬ ‫ثالثة‬ ‫دعم‬ ‫يجري‬ ‫بعثات‬ ‫إيفاد‬ ‫استمرار‬ ‫المستشفيات‬ ‫إلى‬ ‫ونقل‬ ،‫التقييمات‬ ‫إلجراء‬ ‫فرق‬ ‫ونشر‬ ،‫المرضى‬ ،‫الطبية‬ ‫الطوارئ‬ ‫الوقود‬ ‫وتوفير‬ ‫والمعدات‬ ‫واإلمدادات‬ ‫الطبية‬ . 21 4 95 ‫رت‬ِّ‫س‬ُ‫ي‬ 20 ‫لغيت‬‫ُأ‬ 52 ‫عيقت‬‫ُأ‬ 47 ‫فضت‬ُ‫ر‬ ‫بعثة‬ ‫أكتوبر‬/‫األول‬ ‫تشرين‬ 2023 /‫أيلول‬ – ‫سبتمبر‬ 2024 8
  • 9. ‫باألرقام‬ ‫الصحية‬ ‫المجموعة‬ ‫شركاء‬ ‫استجابة‬ ‫أكتوبر‬ /‫األول‬ ‫(تشرين‬ 2023 ‫سبتمبر‬ /‫أيلول‬ – 2024 ) 9 ‫ماليين‬ ‫استشارة‬ ‫الرعاية‬ ‫مجال‬ ‫في‬ ‫األولية‬ ‫الصحية‬ 476000 ‫يتعلق‬ ‫ل‬ُّ‫خ‬‫تد‬ ‫والحاالت‬ ‫بالرضوح‬ ‫الطارئة‬ 245000 ‫طفل‬ ‫تطعيم‬ ‫على‬ ‫حصل‬ ‫األمراض‬ ‫ضد‬ 185000 ‫استشارة‬ ‫للحوامل‬ 297000 ‫استشارة‬ ‫للوالدة‬ ‫الحقة‬ 1.7 ‫مليون‬ ‫بشأن‬ ‫استشارة‬ ‫العالجي‬ ‫التدبير‬ ‫غير‬ ‫لألمراض‬ ‫السارية‬ 75100 ‫استشارة‬ ‫في‬ ‫تأهل‬ ‫إعادة‬ ‫عديدة‬ ‫تخصصات‬ 1.4 ‫مليون‬ ‫تتعلق‬ ‫استشارة‬ ‫النفسية‬ ‫بالصحة‬ ‫النفسي‬ ‫والدعم‬ ‫االجتماعي‬ ‫إمدادات‬ ‫يت‬ِ‫ر‬ُ‫اشت‬ ‫صحية‬ ‫ومعدات‬ ‫بقيمة‬ 114 ‫دوالر‬ ‫مليون‬ ‫أمريكي‬ ‫م‬ِّ‫ل‬ُ‫س‬ ، ‫قيمته‬ ‫ما‬ ‫منها‬ 9
  • 10. ‫الغربية‬ ‫الضفة‬ ‫في‬ ‫الوضع‬ :‫االستجابة‬ • ‫ولوازم‬ ‫معدات‬ ‫توزيع‬ .‫الرضوح‬ ‫عالج‬ • ‫مخزونات‬ ‫استكمال‬ ‫داخل‬ ‫المستلزمات‬ ‫المستشفيات‬ .‫الرئيسية‬ • ‫الطوارئ‬ ‫مخزونات‬ ‫في‬ ‫ًا‬‫ق‬‫سب‬ُ‫م‬ ‫زة‬َّ‫ه‬‫ج‬ُ‫م‬‫ال‬ ‫والخليل‬ ‫نابلس‬ • ‫زة‬َّ‫ه‬‫ج‬ُ‫م‬‫ال‬ ‫اإلمدادات‬ ‫ع‬Ž ‫د‬‫مستو‬ ‫في‬ ‫ًا‬‫ق‬‫مسب‬ ‫المنظمة‬ • ‫المساعدة‬ ‫استمرار‬ ،‫األورام‬ ‫عالج‬ :‫التقنية‬ ‫حية‬Ž ‫ص‬‫ال‬ ‫والرعاية‬ ‫والتمويل‬ ،‫األولية‬ ‫الصحي‬ 695 ‫ا‬ً‫ص‬‫شخ‬ ‫تلوا‬ُ‫ق‬ ‫العمليات‬ ‫استمرار‬ ‫العسكرية‬ ‫وزيادة‬ ‫المستوطنين‬ ‫عنف‬ ‫المالية‬ ‫األزمة‬ ‫المستمرة‬ ‫أدت‬ ‫التي‬ ‫مخزون‬ ‫نفاد‬ ‫إلى‬ ‫تزيد‬ ‫بنسبة‬ ‫األدوية‬ ‫على‬ 45 % ‫والتأخير‬ ‫اإلغالق‬ ‫حاالت‬ ‫في‬ ‫يؤثر‬ ‫ما‬ ‫وهو‬ ،‫التفتيش‬ ‫نقاط‬ ‫الرعاية‬ ‫على‬ ‫الحصول‬ ‫على‬ ‫الصحية‬ ‫تصاريح‬ ‫في‬ ‫انخفاض‬ ‫دخول‬ ‫على‬ ‫للحصول‬ ‫الشرقية‬ ‫القدس‬ ‫متخصصة‬ ‫رعاية‬ ‫المستشفيات‬ ‫تشغيل‬ ‫بعدد‬ ‫العاملين‬ ‫من‬ ‫قليل‬ ‫وفتح‬ ، ‫األولية‬ ‫الصحية‬ ‫الرعاية‬ ‫مرافق‬ ‫األسبوع‬ ‫في‬ ‫فقط‬ ‫يومين‬ 25 ‫تلوا‬ُ‫ق‬ ‫ا‬ً‫ص‬‫شخ‬ 55 ‫منها‬ ،‫ا‬ً‫متضرر‬ ‫ا‬ًّ‫صحي‬ ‫ًا‬‫ق‬‫مرف‬ 21 ‫ا‬ً‫ر‬َّ‫م‬‫د‬ُ‫م‬ ‫مستشفى‬ 445 ‫متضررة‬ ‫إسعاف‬ ‫سيارة‬ 624 ‫على‬ ‫ا‬ً‫م‬‫هجو‬ ‫الصحية‬ ‫المرافق‬ 111 ‫صيبوا‬‫ُأ‬ ‫ا‬ً‫ص‬‫شخ‬ 10
  • 11. ‫غزة‬ ‫قطاع‬ ‫إلى‬ ‫الدعم‬ ‫تقديم‬ :‫ا‬ً‫م‬ُ‫د‬ُ‫ق‬ ّ‫المضي‬ ‫ل‬ُ‫ب‬ُ‫س‬ ‫الغربية‬ ‫والضفة‬ :‫التنفيذية‬ ‫لالستجابة‬ ‫المنظمة‬ ‫خطة‬ ‫ديسمبر‬ /‫األول‬ ‫كانون‬ – ‫أبريل‬ /‫نيسان‬ 2024 CLICK ‫األساسية‬ ‫الصحية‬ ‫الخدمات‬ ‫تقديم‬ ،‫المبكر‬ ‫واإلنذار‬ ،‫العامة‬ ‫الصحة‬ ‫استخبارات‬ ‫والمكافحة‬ ‫والوقاية‬ ‫اللوجستي‬ ‫والدعم‬ ‫اإلمدادات‬ ‫التنسيق‬ ‫مير‬Ž ‫ع‬‫والت‬ ‫التأهيل‬ ‫وإعادة‬ ‫المبكر‬ ‫اش‬Ž ‫ع‬‫اإلن‬ 11
  • 12. ‫والتعمير‬ ‫التأهيل‬ ‫وإعادة‬ ‫المبكر‬ ‫اإلنعاش‬ ‫المبدئي‬ ‫الذي‬ ‫لألضرار‬ ‫البنك‬ ‫أكمله‬ ‫واألمم‬ ‫الدولي‬ ‫المتحدة‬ ‫واالتحاد‬ ‫في‬ ‫األوروبي‬ ‫فبراير‬ /‫شباط‬ 2024 : • ‫بالبنية‬ ‫لحقت‬ ‫الصحية‬ ‫التحتية‬ ‫قيمتها‬ ‫قدر‬ُ‫ت‬ ‫أضرار‬ ‫من‬ ‫بأكثر‬ 500 ‫دوالر‬ ‫مليون‬ ‫أقل‬ ‫وهذا‬ ،‫أمريكي‬ ‫الواقع‬ ‫من‬ • ‫المرافق‬ ‫تعرضت‬ ‫أو‬ ‫للضرر‬ ‫الصحية‬ ‫تزيد‬ ‫بنسبة‬ ‫التدمير‬ ‫على‬ 80 % ‫السلطة‬ :‫الفلسطينية‬ ‫اش‬Ž ‫ع‬‫واإلن‬ ‫اإلغاثة‬ ‫خطة‬ ‫وزارة‬ ،‫غزة‬ ‫في‬ ‫المبكر‬ ‫وزارة‬ ،‫اإلغاثة‬ ‫التخطيط‬ ‫السلطة‬ ،‫الفلسطينية‬ ،‫المتحدة‬ ‫األمم‬ ،‫الدولي‬ ‫البنك‬ ‫االتحاد‬ :‫األوروبي‬ ‫من‬ ‫التعافي‬ ‫إطار‬ ‫النزاعات‬ ‫عن‬ ‫ورقة‬ ،‫الصحة‬ ‫قطاع‬ ‫وزارة‬ ‫تقودها‬ ‫الصحة‬ ‫ومنظمة‬ ‫العالمية‬ ‫الصحة‬ ،‫الدولي‬ ‫والبنك‬ ‫اإلنعاش‬ ‫بشأن‬ ‫وإعادة‬ ‫المبكر‬ ‫التأهيل‬ ‫والتعمير‬ 12

Editor's Notes

  • #1: Your Excellencies, honorable delegates, colleagues, ladies and gentlemen, It is my pleasure to present you today a subject that is of a high priority for our Regional Director Dr Hanan Balkhy and for our region. It is about Expanding equitable access to medical products. This is a continuation of RD's briefing with you in Geneva last May.
  • #2: There are some significant issues that I want to bring to your attention. Indeed, over these years and more and more, several countries from the region have difficulties to access to various medical products due to Limited Capacity to Produce Regional Needs of Medicines and Vaccines. Two third of medicines are imported . 10/22 countries import ≥90% of the medicines needs and 18/22 countries fully import their EPI vaccines), Sub-optimal quality issues and increased circulation of substandard and falsified products in the region. This is due to the weak regulatory systems in most of the countries. Currently only 2 countries have their National Regulatory Authorities internationally recognized as they achieved at minimum the maturity level 3 for medicines and/or vaccines Significant variations of prices among countries and nearly 50% of out-of-pocket spending in the LMIC in the region is going to medical products. Inefficient procurement and supply chain management that results to frequent shortage and stock-outs, particularly in LMICs and in countries that are facing multiple humanitarian crises.
  • #3: There are some significant issues that I want to bring to your attention. Indeed, over these years and more and more, several countries from the region have difficulties to access to various medical products due to Limited Capacity to Produce Regional Needs of Medicines and Vaccines. Two third of medicines are imported . 10/22 countries import ≥90% of the medicines needs and 18/22 countries fully import their EPI vaccines), Sub-optimal quality issues and increased circulation of substandard and falsified products in the region. This is due to the weak regulatory systems in most of the countries. Currently only 2 countries have their National Regulatory Authorities internationally recognized as they achieved at minimum the maturity level 3 for medicines and/or vaccines Significant variations of prices among countries and nearly 50% of out-of-pocket spending in the LMIC in the region is going to medical products. Inefficient procurement and supply chain management that results to frequent shortage and stock-outs, particularly in LMICs and in countries that are facing multiple humanitarian crises.
  • #4: There are some significant issues that I want to bring to your attention. Indeed, over these years and more and more, several countries from the region have difficulties to access to various medical products due to Limited Capacity to Produce Regional Needs of Medicines and Vaccines. Two third of medicines are imported . 10/22 countries import ≥90% of the medicines needs and 18/22 countries fully import their EPI vaccines), Sub-optimal quality issues and increased circulation of substandard and falsified products in the region. This is due to the weak regulatory systems in most of the countries. Currently only 2 countries have their National Regulatory Authorities internationally recognized as they achieved at minimum the maturity level 3 for medicines and/or vaccines Significant variations of prices among countries and nearly 50% of out-of-pocket spending in the LMIC in the region is going to medical products. Inefficient procurement and supply chain management that results to frequent shortage and stock-outs, particularly in LMICs and in countries that are facing multiple humanitarian crises.
  • #5: There are some significant issues that I want to bring to your attention. Indeed, over these years and more and more, several countries from the region have difficulties to access to various medical products due to Limited Capacity to Produce Regional Needs of Medicines and Vaccines. Two third of medicines are imported . 10/22 countries import ≥90% of the medicines needs and 18/22 countries fully import their EPI vaccines), Sub-optimal quality issues and increased circulation of substandard and falsified products in the region. This is due to the weak regulatory systems in most of the countries. Currently only 2 countries have their National Regulatory Authorities internationally recognized as they achieved at minimum the maturity level 3 for medicines and/or vaccines Significant variations of prices among countries and nearly 50% of out-of-pocket spending in the LMIC in the region is going to medical products. Inefficient procurement and supply chain management that results to frequent shortage and stock-outs, particularly in LMICs and in countries that are facing multiple humanitarian crises.
  • #6: There are some significant issues that I want to bring to your attention. Indeed, over these years and more and more, several countries from the region have difficulties to access to various medical products due to Limited Capacity to Produce Regional Needs of Medicines and Vaccines. Two third of medicines are imported . 10/22 countries import ≥90% of the medicines needs and 18/22 countries fully import their EPI vaccines), Sub-optimal quality issues and increased circulation of substandard and falsified products in the region. This is due to the weak regulatory systems in most of the countries. Currently only 2 countries have their National Regulatory Authorities internationally recognized as they achieved at minimum the maturity level 3 for medicines and/or vaccines Significant variations of prices among countries and nearly 50% of out-of-pocket spending in the LMIC in the region is going to medical products. Inefficient procurement and supply chain management that results to frequent shortage and stock-outs, particularly in LMICs and in countries that are facing multiple humanitarian crises.
  • #7: There are some significant issues that I want to bring to your attention. Indeed, over these years and more and more, several countries from the region have difficulties to access to various medical products due to Limited Capacity to Produce Regional Needs of Medicines and Vaccines. Two third of medicines are imported . 10/22 countries import ≥90% of the medicines needs and 18/22 countries fully import their EPI vaccines), Sub-optimal quality issues and increased circulation of substandard and falsified products in the region. This is due to the weak regulatory systems in most of the countries. Currently only 2 countries have their National Regulatory Authorities internationally recognized as they achieved at minimum the maturity level 3 for medicines and/or vaccines Significant variations of prices among countries and nearly 50% of out-of-pocket spending in the LMIC in the region is going to medical products. Inefficient procurement and supply chain management that results to frequent shortage and stock-outs, particularly in LMICs and in countries that are facing multiple humanitarian crises.
  • #8: There are some significant issues that I want to bring to your attention. Indeed, over these years and more and more, several countries from the region have difficulties to access to various medical products due to Limited Capacity to Produce Regional Needs of Medicines and Vaccines. Two third of medicines are imported . 10/22 countries import ≥90% of the medicines needs and 18/22 countries fully import their EPI vaccines), Sub-optimal quality issues and increased circulation of substandard and falsified products in the region. This is due to the weak regulatory systems in most of the countries. Currently only 2 countries have their National Regulatory Authorities internationally recognized as they achieved at minimum the maturity level 3 for medicines and/or vaccines Significant variations of prices among countries and nearly 50% of out-of-pocket spending in the LMIC in the region is going to medical products. Inefficient procurement and supply chain management that results to frequent shortage and stock-outs, particularly in LMICs and in countries that are facing multiple humanitarian crises.
  • #9: There are some significant issues that I want to bring to your attention. Indeed, over these years and more and more, several countries from the region have difficulties to access to various medical products due to Limited Capacity to Produce Regional Needs of Medicines and Vaccines. Two third of medicines are imported . 10/22 countries import ≥90% of the medicines needs and 18/22 countries fully import their EPI vaccines), Sub-optimal quality issues and increased circulation of substandard and falsified products in the region. This is due to the weak regulatory systems in most of the countries. Currently only 2 countries have their National Regulatory Authorities internationally recognized as they achieved at minimum the maturity level 3 for medicines and/or vaccines Significant variations of prices among countries and nearly 50% of out-of-pocket spending in the LMIC in the region is going to medical products. Inefficient procurement and supply chain management that results to frequent shortage and stock-outs, particularly in LMICs and in countries that are facing multiple humanitarian crises.
  • #10: There are some significant issues that I want to bring to your attention. Indeed, over these years and more and more, several countries from the region have difficulties to access to various medical products due to Limited Capacity to Produce Regional Needs of Medicines and Vaccines. Two third of medicines are imported . 10/22 countries import ≥90% of the medicines needs and 18/22 countries fully import their EPI vaccines), Sub-optimal quality issues and increased circulation of substandard and falsified products in the region. This is due to the weak regulatory systems in most of the countries. Currently only 2 countries have their National Regulatory Authorities internationally recognized as they achieved at minimum the maturity level 3 for medicines and/or vaccines Significant variations of prices among countries and nearly 50% of out-of-pocket spending in the LMIC in the region is going to medical products. Inefficient procurement and supply chain management that results to frequent shortage and stock-outs, particularly in LMICs and in countries that are facing multiple humanitarian crises.
  • #11: There are some significant issues that I want to bring to your attention. Indeed, over these years and more and more, several countries from the region have difficulties to access to various medical products due to Limited Capacity to Produce Regional Needs of Medicines and Vaccines. Two third of medicines are imported . 10/22 countries import ≥90% of the medicines needs and 18/22 countries fully import their EPI vaccines), Sub-optimal quality issues and increased circulation of substandard and falsified products in the region. This is due to the weak regulatory systems in most of the countries. Currently only 2 countries have their National Regulatory Authorities internationally recognized as they achieved at minimum the maturity level 3 for medicines and/or vaccines Significant variations of prices among countries and nearly 50% of out-of-pocket spending in the LMIC in the region is going to medical products. Inefficient procurement and supply chain management that results to frequent shortage and stock-outs, particularly in LMICs and in countries that are facing multiple humanitarian crises.
  • #12: There are some significant issues that I want to bring to your attention. Indeed, over these years and more and more, several countries from the region have difficulties to access to various medical products due to Limited Capacity to Produce Regional Needs of Medicines and Vaccines. Two third of medicines are imported . 10/22 countries import ≥90% of the medicines needs and 18/22 countries fully import their EPI vaccines), Sub-optimal quality issues and increased circulation of substandard and falsified products in the region. This is due to the weak regulatory systems in most of the countries. Currently only 2 countries have their National Regulatory Authorities internationally recognized as they achieved at minimum the maturity level 3 for medicines and/or vaccines Significant variations of prices among countries and nearly 50% of out-of-pocket spending in the LMIC in the region is going to medical products. Inefficient procurement and supply chain management that results to frequent shortage and stock-outs, particularly in LMICs and in countries that are facing multiple humanitarian crises.
  • #13: There are some significant issues that I want to bring to your attention. Indeed, over these years and more and more, several countries from the region have difficulties to access to various medical products due to Limited Capacity to Produce Regional Needs of Medicines and Vaccines. Two third of medicines are imported . 10/22 countries import ≥90% of the medicines needs and 18/22 countries fully import their EPI vaccines), Sub-optimal quality issues and increased circulation of substandard and falsified products in the region. This is due to the weak regulatory systems in most of the countries. Currently only 2 countries have their National Regulatory Authorities internationally recognized as they achieved at minimum the maturity level 3 for medicines and/or vaccines Significant variations of prices among countries and nearly 50% of out-of-pocket spending in the LMIC in the region is going to medical products. Inefficient procurement and supply chain management that results to frequent shortage and stock-outs, particularly in LMICs and in countries that are facing multiple humanitarian crises.
  • #14: There are some significant issues that I want to bring to your attention. Indeed, over these years and more and more, several countries from the region have difficulties to access to various medical products due to Limited Capacity to Produce Regional Needs of Medicines and Vaccines. Two third of medicines are imported . 10/22 countries import ≥90% of the medicines needs and 18/22 countries fully import their EPI vaccines), Sub-optimal quality issues and increased circulation of substandard and falsified products in the region. This is due to the weak regulatory systems in most of the countries. Currently only 2 countries have their National Regulatory Authorities internationally recognized as they achieved at minimum the maturity level 3 for medicines and/or vaccines Significant variations of prices among countries and nearly 50% of out-of-pocket spending in the LMIC in the region is going to medical products. Inefficient procurement and supply chain management that results to frequent shortage and stock-outs, particularly in LMICs and in countries that are facing multiple humanitarian crises.