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West Bank and Gaza - Health System Resiliency Strengthening Project (English)

The objective of the Health System Resiliency Strengthening Project is to support Palestinian authority in securing continuity in healthcare service delivery and building its resilience to withstand future surge in demand for effective healthcare coverage. First, the immediate needs resulting from the recent conflict in Gaza for additional health financing will be addressed. Second, the fiscal health of the health system will be strengthened by rationalizing Outside Medical Referrals (OMRs), which are the main reason behind the arrears and deficit. The project consists of the following four components: (1) Emergency and rapid response window. The aim of this component is to provide timely and targeted interventions to deal with urgent needs and thus help mitigate further deterioration in the delivery of essential health services; it aims to ensure the continuation of basic healthcare services at minimum acceptable levels and avoid such services from experiencing systemic collapse. (2) Rationalizing outside medical referrals. To address the emergency situation, the project proposes to support the Palestinian Authority (PA) to institute immediate cost-cutting measures in order to improve efficiency in the current system without compromising access to needed and quality health services. (3) Supporting health coverage reform to strengthen sector resilience. While addressing immediate, emergency cost-drivers, the project will define a roadmap to Universal Health Coverage (UHC) for the Palestinian territories with a detailed calendar and planned actions in order to enhance the supply capacity to deliver needed services, reducing system losses and ensuring better quality of services to targeted populations. (4) Project management and capacity building. This component finances costs related to project management and capacity building efforts, including (i) short-term consultancies to support the management capacity of the MOH in the areas of procurement, financial management, and monitoring and evaluation; (ii) the provision of technical assistance and training to improve the capacity of the participating Ministry of Health units, cadres, and service providers; (iii) provision of essential equipment; (iv) project operating costs; and (v) external financial audits.

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  • Document Type

    Project Appraisal Document

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  • Country

    West Bank and Gaza,

  • Region

    Middle East and North Africa,

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  • Doc Name

    West Bank and Gaza - Health System Resiliency Strengthening Project

  • Keywords

    Norwegian Agency for Development;access to basic health service;Annual Work Plan and Budget;maternal and child health services;public expenditure on health;Risks and Mitigation Measures;economic and financial analysis;israeli new sheqalim;access to health service;project monitoring and evaluation;collection of import duty;emergency situation;healthcare system;number of casualties;essential health services;national poverty line;national poverty rate;health finance;level of private;management of health;labor force participation;analytical and advisory;rates of unemployment;primary health care;access to health-care;risk of infection;school health service;lack of resource;context of referrals;primary care center;discharge from hospital;in vitro fertilization;standard of care;health information system;foreign aid flow;access to information;requests for proposal;national health accounts;cost of drug;lack of sanitation;readiness for implementation;health insurance system;health service provision;separation of functions;delivering health services;per capita health;safeguard policy;Safeguard Policies;Emergency Health Services;diagnosis and treatment;cost of care;social and environmental;effective service delivery;participation in health;reallocation of resource;health financing reform;destruction of property;quality assurance standard;health sector expenditures;share of resource;basic consumption need;health insurance reforms;cost of pharmaceuticals;centers of excellence;transparency of payment;loss of life;core sector indicator;public health initiative;health expenditure;referral system;live birth;catering services;emergency need;emergency operation;extreme poverty;healthcare services;benefit package;development partner;tax revenue;Maternal Mortality;medical referrals;health facility;healthcare provider;contract arrangement;power outage;health infrastructure;fiscal health;specialized services;fiscal space;private investment;health needs;limited resources;ambulance service;health coverage;fiscal pressure;palestinian territory;Management Systems;healthcare reform;financial sustainability;coping behavior;Fiscal Sustainability;long-term disability;scarce resource;Infectious Disease;cost containment;risk category;provider payment;targeted population;need for service;supply capacity;Contracting Out;external environment;clear rules;insurance sector;emergency response;financial hardship;information function;communication strategy;equity measure;budget constraint;financial resilience;treatment services;host families;tertiary level;transparent process;budgetary constraint;road map;management capacity;bidding stage;financial audits;high spending;Public Facilities;private institution;fuel cost;address system;local ngo;front-end fee;complementary activities;basic healthcare;reform strategy;health condition;partnership arrangement;disease outbreak;comparative advantage;coverage scheme;informal sector;public provision;strategic purchasing;increasing rate;increased demand;public system;finance cost;fiscal situation;cleaning services;financial viability;private provider;political consideration;state management;health referral;macro level;health challenge;institutional framework;non-governmental organization;donor funding;tertiary care;effective systems;medical service;insurance status;small fee;medical personnel;approval process;anecdotal evidence;health prevention;physical asset;peace process;donor assistance;support structure;chronic condition;regulatory capacity;financial crisis;child death;arab countries;delivery procedure;high mortality;severely limits;morbidity rate;sustainable financing;epidemiological transition;noncommunicable diseases;Cardiovascular Disease;disease burden;preventive care;limited prospects;expensive item;health budget;fiscal deficit;political instability;gini coefficient;private consumption;Exchange Rates;legal opinion;evaluation activity;contingency planning;clean water;health indicator;health outcome;budget allocation



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West Bank and Gaza - Health System Resiliency Strengthening Project (English). Washington, D.C. : World Bank Group.