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Health and health services in Judaea, Samaria and Gaza 1983-1984: a report by the Ministry of Health of Israel to the Thirty-Seventh world Health Assembly, Geneva, May 1984.
Jerusalem, Israel, Ministry of Health, 1984 Mar. 195 p.Health conditions and health services in Judea, Samaria, and Gaza during the 1967-83 period are discussed. Health-related activities and changes in the social and economic environment are assessed and their impact on health is evaluated. Specific activities performed during the current year are outlined. The following are specific facets of the health care system that are the focus of many current projects in these districts; the development of a comprehensive network of primary care programs and centers for preventive and curative services has been given high priority and is continuing; renovation and expansion of hospital facilities, along with improved staffing, equipment, and supplies for basic and specialty health services increase local capabilities for increasingly sophisticated health care, and consequently there is a decreasing need to send patients requiring specialized care to supraregional referral hospitals, except for highly specialized services; inadequacies in the preexisting reporting system have necessitated a continuting process of development for the gathering and publication of general and specific statistical and demographic data; stress has been placed on provision of safe drinking water, development of sewage and solid waste collection and disposal systems, as well as food control and other environmental sanitation activities; major progress has been made in the establishment of a funding system that elicits the participation and financial support of the health care consumer through volunary health insurance, covering large proportions of the population in the few years since its inception; the continuing building room in residential housing along with the continuous development of essential community sanitation infrastructure services are important factors in improved living and health conditions for the people; and the health system's growth must continue to be accompanied by planning, evaluation, and research atall levels. Specific topics covered include: demography and vital statistics; socioeconomic conditions; morbidity and mortality; hospital services; maternal and child health; nutrition; health education; expanded program immunization; environmental health; mental health; problems of special groups; health insurance; community and voluntary agency participation; international agencies; manpower and training; and planning and evaluation. Over the past 17 years, Judea, Samaria, and Gaza have been areas of rapid population growth and atthe same time of rapid socioeconomic development. In addition there have been basic changes in the social and health environment. As measured by socioeconomic indicators, much progress has been achieved for and by the people. As measured by health status evaluation indicators, the people benefit from an incresing quantity and quality of primary care and specialty services. The expansion of the public health infrastructure, combined with growing access to and utilization of personal preventive services, has been a key contributor to this process.
Population Research Leads. 1985; (19):1-15.The Population Division's evaluation of the role of population factors in the planning process through the application of economic-demographic models shows that procedures for considering the short and long-term implications of population growth can be significantly improved. The Division's research projects demonstrate that models can help planners to achieve an efficient allocation of scarce resources, set clear-cut national objectives and provide a national sense of political and social purpose. There are many advantages in applying economic-demographic models to development planning in order to integrate population factors within the development process, yet care must be taken in adopting and/or applying a certain model at the national level. Aside from the question of adopting a model, the question of the applicability and application of models is emphasized. The choice of model structure is discussed in terms of 4 major issues: 1) the choice of a central core; 2) the trade-off between simplicity and complexity and the appropriate degree of endogeneity; 3) the choice of a demand or supply orientation; and 4) the criteria for selecting a particular model for use. A representative selection of economic demographic models is presented. Included are the TEMPO (designed to illustrate the benefits of reduced fertility) and Long-Range Planning Models (LAPM--designed to illustrate the implications of policy assumptions for economic development, particularly in regard to health and education), both developed by the US government. Also described are the BACHUE and the UN Fund for Populations Activities (UNFPA)/ Food and Agriculture Organization (FAO) models. It is argued that these latter models offer the greatest promise as tools for planning in the ESCAP Region, at the present time. As the BACHUE model is primarily concerned with employment and the distribution of income and the UNFPA/FAO model with agriculture, incorporating both into the planning process could be desirable.