30 January 2025
A?new??has underscored how highly they are rated by the Palestine Refugees that use them.
Providing?free healthcare is at the heart of the mandate given to Ä¢¹½ÊÓÆµRWA by the Ä¢¹½ÊÓÆµ General Assembly, and the Agency commissioned an independent organisation, CRSM Consulting, to take stock of its performance and areas for improvement.
The comprehensive survey?took place from July 2023?to September 2024?and?covered?healthcare services?across?Jordan, Lebanon, Syria, and?the West Bank including East Jerusalem.?It had 2,400?respondents at 72 Ä¢¹½ÊÓÆµRWA?health?centres in these four fields of operation. Ä¢¹½ÊÓÆµRWA¡¯s fifth field, the?Gaza Strip, had to be excluded from the research because of the outbreak of the war there?in October 2023.
The?aim of the survey was to assess?the?overall?satisfaction?of patients, identify?gaps, ensure?quality?healthcare?delivery, and?provide insights?for?health?providers, policymakers, and stakeholders?within Ä¢¹½ÊÓÆµRWA in order?to?improve the delivery of primary?healthcare services.
The?report revealed that?the accessibility of healthcare services?was evaluated as?high, with 90 per cent positive responses regarding geographic accessibility. Social accessibility was reported as?good, with 98 per cent of respondents indicating they faced?no barriers to accessing healthcare. Interpersonal skills?among?health?staff also received high?ratings,?especially in Lebanon and the West Bank?including East Jerusalem,?where staff communication and privacy during consultations were highly rated.
?A 35-year-old?Palestine Refugee in Lebanon told the survey team that ¡°the health services are of high quality and always save us from paying a lot of money to buy medicines that are mostly missing from private pharmacies, and from the expenses that we pay for private doctors.¡±
Some?concerns?were?noted?on?the availability of chaperones in the healthcare system, particularly in Syria and Jordan, where only 38 per cent and 53 per cent of respondents, respectively, reported?that?these?were?usually?available.
Overall,?health?care?quality?and compliance with?the?standards varied?in?the four?fields of which were assessed. Administrative quality was?the highest?in Lebanon,?whereas?Syria?had?the lowest scores.?Compliance with?clinical guidelines?was?overall high?in basic medical care, with Syria leading at 99 per cent. Though?referral mechanisms?showed variability,?the West Bank including East Jerusalem was reported to have?the strongest system.
Compliance with standards and best practices?varied,?ranging?from?a low?of?68?per cent?in?Jordan?to?a?high?of?82 per cent?in?the West Bank including East Jerusalem.?Quality of facility management also?varied:?Jordan and Lebanon?generally?had?high standards?for facility management,?while?Syria faced?serious?challenges in?terms of?maintenance and emergency preparedness.
The report outlines several recommendations to address gaps. These include improving infrastructure for better accessibility, enhancing telemedicine services to reduce overcrowding, conducting training sessions to improve staff communication and clinical examination procedures, standardising referral processes, and optimising appointment scheduling.
This report?also reaffirms Ä¢¹½ÊÓÆµRWA¡¯s irreplaceable role in delivering essential primary healthcare services to millions of Palestine Refugees, particularly under the current challenging conditions. As the only international organisation equipped to provide comprehensive public-like services at this scale, Ä¢¹½ÊÓÆµRWA¡¯s efforts are vital to ensuring access to quality healthcare in refugee communities.
Dr. Akihiro Seita, Director of Ä¢¹½ÊÓÆµRWA¡¯s Health Department, reiterated this commitment, stating, ¡°Ä¢¹½ÊÓÆµRWA¡¯s Health Programme, through its healthcare providers, host countries, and partners, will continue working to ensure high-quality care and satisfaction for every Palestine Refugee.¡±
Document Sources: United Nations Relief and Works Agency for Palestine Refugees in the Near East (Ä¢¹½ÊÓÆµRWA)
Subject: Assistance, Gaza Strip, Jerusalem, Refugees and displaced persons, Ä¢¹½ÊÓÆµRWA, West Bank
Publication Date: 30/01/2025
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