TY - JOUR T1 - Child abuse in the West Bank of the occupied Palestinian territory (WB/oPt): social and political determinants JF - BMC Public Health Y1 - 2020 A1 - Nouh Harsha A1 - Margaret A. Lynch A1 - Rita Giacaman VL - 20 IS - 1 ER - TY - JOUR T1 - Cardiovascular disease research in the Arab world: a scoping review from seven Arab countries (2000e2018) JF - Public Health Y1 - 2019 A1 - Rula Ghandour A1 - Abdullatif Husseini A1 - Abla M Sibai A1 - Niveen Abu-Rmeileh VL - 175 ER - TY - JOUR T1 - Context-led capacity building in time of crisis: fostering non-communicable diseases (NCD) research skills in the Mediterranean Middle East and North Africa JF - Global Health Action Y1 - 2019 A1 - Peter Phillimore A1 - Abla M. Sibai A1 - Anthony Rizk A1 - Wasim Maziak A1 - Belgin Unal A1 - Niveen Abu Rmeileh A1 - Habiba Ben Romdhane A1 - Fouad M. Fouad A1 - Yousef Khader A1 - Kathleen Bennett A1 - Shahaduz Zaman A1 - Awad Mataria A1 - Rula Ghandour A1 - Bülent Kılıç A1 - Nadia Ben Mansour A1 - Ibtihal Fadhil A1 - Martin A1 - Simon Capewell A1 - Julia A. Critchley VL - 12 UR - https://doi.org/10.1080/16549716.2019.1569838 IS - 1 ER - TY - JOUR T1 - Complications of type 2 diabetes mellitus inRamallah and al-Bireh: The Palestinian DiabetesComplications and Control Study (PDCCS) JF - Primary Care Diabetes Y1 - 2018 A1 - Rula Ghandour A1 - Nahed Mikki A1 - Niveen Abu Rmeileh A1 - Lars Jerdén A1 - Margareta Norberg A1 - Jan Erikssond A1 - Abdullatif Husseini ER - TY - JOUR T1 - Coping and Helping to Cope: Perspectives of Children of Palestinian Political Detainees JF - Children and Society Y1 - 2018 A1 - Yoke Rabaia A1 - Samar Kassis A1 - Zeina Amro A1 - Rita Giacaman A1 - Ria Reis ER - TY - JOUR T1 - Challenges to conducting epidemiology research in chronic conflict areas: examples from PURE- Palestine JF - Conflict and Health Y1 - 2017 A1 - Rasha Khatib A1 - Rita Giacaman A1 - Umaiyeh Khammash A1 - Salim Yusuf VL - 10 UR - http://conflictandhealth.biomedcentral.com/articles/10.1186/s13031-016-0101-x IS - 33 ER - TY - JOUR T1 - Coping with cancer diagnosis and treatment: a comparative study on women with breast cancer in Turkey and occupied Palestinian territory JF - Reproductive Health Matters Y1 - 2017 A1 - Ayşecan Terzioğlu A1 - Weeam Hammoudeh VL - 25 UR - http://www.tandfonline.com/doi/full/10.1080/09688080.2017.1378066 IS - 1 ER - TY - JOUR T1 - Cancer mortality in the West Bank, Occupied Palestinian Territory JF - Bio Med Central Public Health Y1 - 2016 A1 - Niveen M. E. Abu-Rmeileh A1 - Emilio Antonio Luca Gianicolo A1 - Antonella Bruni A1 - Suzan Mitwali A1 - Maurizio Portaluri A1 - Jawad Bitar A1 - Mutaem Hamad A1 - Rita Giacaman A1 - Maria Angela Vigotti VL - 16 IS - 01 ER - TY - JOUR T1 - Contrasting cardiovascular mortality trends in Eastern Mediterranean populations: Contributions from risk factor changes and treatments JF - International Journal of Cardiology Y1 - 2016 A1 - Julia Critchley A1 - Simon Capewell A1 - Martin O'Flaherty A1 - Niveen Abu-Rmeileh A1 - Samer Rastam A1 - Olfa Saidi A1 - Kaan Sözmen A1 - Azza Shoaibi A1 - Abdullatif Husseini A1 - Fouad Fouad A1 - Nadia Ben Mansour A1 - Wafa Aissi A1 - Habiba Ben Romdhane A1 - Belgin Unal A1 - Piotr Bandosz A1 - Kathleen Bennett A1 - Mukesh Dherani A1 - Radwan Al Ali A1 - Wasim Maziak A1 - Hale Arýk A1 - Gul Gerceklioolu A1 - Deniz Utku Altun A1 - Hatice Şimşek A1 - Sinem Doganay A1 - Yücel Demiral A1 - Özgür Aslan A1 - Nigel Unwin A1 - Peter Phillimore IS - 208 ER - TY - JOUR T1 - A cross sectional study of maternal ‘near-miss’ cases in major public hospitals in Egypt, Lebanon, Palestine and Syria JF - Pregnancy and Childbirth Y1 - 2015 A1 - Hyam Bashour A1 - Ghada Saad-Haddad A1 - Jocelyn DeJong A1 - Mohammed Cherine Ramadan A1 - Sahar Hassan A1 - Miral Breebaart A1 - Laura Wick A1 - Nevine Hassanein A1 - Mayada Kharouf AB -

 

VL - 15 UR - http://www.biomedcentral.com/content/pdf/s12884-015-0733-7.pdf IS - 296 ER - TY - JOUR T1 - A cost effectiveness analysis of salt reduction policies to reduce coronary heart disease in four eastern Mediterranean countries JF - PLOS Y1 - 2014 A1 - Mason, H. A1 - Shoaibi, A. A1 - Ghandour, Rula. A1 - O'Flaherty, M. A1 - Capewell, M. A1 - Khatib, R. A1 - Jabr, S. A1 - Unal B. A1 - Sozmen, K. A1 - Arfa, W. A1 - Ben Romdhane, H. A1 - Fouad, F. A1 - Al-Ali, R. A1 - Husseini, Abdullatif. U1 -

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ER - TY - JOUR T1 - Child discipline in the occupied Palestinian territory: a cross-sectional study JF - The Lancet Y1 - 2013 A1 - Shojaia, Haya. A1 - Darwish, Hiba. A1 - Hassan, Itaf. A1 - Ghandour, Rula. A1 - Mansour, Safa. A1 - Giacaman, Rita. VL - 382 SN - 0140-6736 ER - TY - JOUR T1 - Cognitive caregiving for parents in the occupied Palestinian territory: a cross-sectional survey JF - The Lancet Y1 - 2013 A1 - Al-Shami, Ni'meh A. A1 - El-Sughayyar, Ronal H. A1 - Ghaben, Niveen M. A1 - Khasseeb, Najla S. A1 - Abu-Rmeileh, Niveen M. E. A1 - Ghandour, Rula. A1 - Giacaman, Rita. VL - 382 SN - 0140-6736 ER - TY - RPRT T1 - Caring for people with intellectual disability. A household survey in 13 locales in the vicinity of Star Mountain Y1 - 2012 PB - Institute of Community and Public Health in cooperation with Star Mountain Rehabilitation Center, Birzeit University
CY - Palestine ER - TY - RPRT T1 - Code of ethics for Community based Rehabilitation (CBR), Community based Rehabilitation Y1 - 2011 PB - Institute of Community and Public Health, Birzeit University CY - Palestine ER - TY - JOUR T1 - The challenges of academic and community partnerships under military occupation and the complexity of power relations JF - Intervention Y1 - 2010 A1 - Rabaia, Y. A1 - Nguyen-Gillham, V. ER - TY - JOUR T1 - Checkpoints on the long road to Palestinian women's health Y1 - 2010 A1 - Wick, L. ER - TY - JOUR T1 - Child health in the West Bank: Experiences from implementing a paediatric course for Palestinian doctors and nurses working in primary care JF - Med Teach Y1 - 2010 A1 - Morris, A. A1 - Rudolf, M. A1 - Halileh, S. A1 - Odeh, J. A1 - Bowyer, J. A1 - Waterston, T. AB -

Child health issues are of high importance in the occupied Palestinian territories, where half of the population are children. The Royal College of Paediatrics and Child Health have developed a comprehensive paediatric training programme for primary healthcare providers with the aim of improving child health in the area. The course has taken 8 years to develop with the pilot running in 2005-2007 and is now being extended to other centres in the region. In this article, we describe the process through which this course has developed, some of the difficulties faced and the final teaching programme as it has evolved. A number of lessons have been learnt, over the years, which are of potential value to others designing similar teaching programmes. Its greatest strength lies in the partnership developed with local paediatricians, which encourages us to believe that sustainability has been achieved. Evaluation confirms that the course is meeting the needs of local doctors and nurses and improving their paediatric skills. Although developed specifically for the occupied Palestinian territory, our experience offers a process and design for a teaching programme that could be adapted for use in other countries around the world.

VL - 32 SN - 1466-187X (Electronic)
0142-159X (Linking) N1 - Morris, Alistair
Rudolf, Mary
Halileh, Samia
Odeh, Jumana
Bowyer, Jean
Waterston, Tony
Research Support, Non-U.S. Gov't
England
Medical teacher
Med Teach. 2010;32(11):e486-91. ER - TY - JOUR T1 - Caesarean delivery rates, determinants and indications in Makassed Hospital, Jerusalem 1993 and 2002 JF - East Mediterr Health J Y1 - 2009 A1 - Mikki, N. A1 - Abu-Rmeileh, N. M. A1 - Wick, L. A1 - Abu-Asab, N. A1 - Hassan-Bitar, S. KW - *Hospitals, Teaching KW - *Patient Selection KW - Adolescent KW - Adult KW - Breech Presentation/surgery KW - Cesarean Section/*trends KW - Chi-Square Distribution KW - Female KW - Fetal Distress/surgery KW - Health Services Research KW - Humans KW - Hypertension, Pregnancy-Induced/surgery KW - Logistic Models KW - Medical Audit KW - Middle East KW - Parity KW - Physician's Practice Patterns/*trends KW - Pregnancy KW - Socioeconomic Factors KW - Unnecessary Procedures/trends AB -

This study investigated the rising rate of caesarean section (CS) deliveries between 1993 and 2002 (9.4% to 14.4%) and associated factors, including indications for CS and sociodemographic and clinical characteristics based on the register of a major Palestinian teaching hospital. Instrumental deliveries declined from 12.6% to 4.4%. Fetal distress decreased as an indication for CS, while previous CS and breech presentations contributed to the increase. Decision-making for CS needs to frame the benefits and risks of the intervention within the context of women's entire reproductive life-cycle and existing standards of care, avoiding unnecessary and costly CS deliveries to reduce iatrogenic complications and conserve resources.

VL - 15 SN - 1020-3397 (Print)
1020-3397 (Linking) N1 - Mikki, N
Abu-Rmeileh, N M E
Wick, L
Abu-Asab, N
Hassan-Bitar, S
Wellcome Trust/United Kingdom
Research Support, Non-U.S. Gov't
Egypt
Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit
East Mediterr Health J. 2009 Jul-Aug;15(4):868-79. ER - TY - JOUR T1 - Cardiovascular diseases, diabetes mellitus, and cancer in the occupied Palestinian territory JF - Lancet Y1 - 2009 A1 - Husseini, A. A1 - Abu-Rmeileh, N. M. A1 - Mikki, N. A1 - Ramahi, T. M. A1 - Ghosh, H. A. A1 - Barghuthi, N. A1 - Khalili, M. A1 - Bjertness, E. A1 - Holmboe-Ottesen, G. A1 - Jervell, J. KW - Adolescent KW - Adult KW - Aged KW - Arabs/*statistics & numerical data KW - Cardiovascular Diseases/*epidemiology/prevention & control KW - Cause of Death KW - Chronic Disease KW - Comorbidity KW - Cost of Illness KW - Delivery of Health Care/economics/trends KW - Diabetes Mellitus/*epidemiology/prevention & control KW - Female KW - Humans KW - Incidence KW - Israel/epidemiology KW - Life Style KW - Male KW - Middle Aged KW - Neoplasms/classification/*epidemiology/prevention & control KW - Nutritional Status KW - Obesity/epidemiology KW - Quality of Life KW - Risk Factors KW - Smoking/epidemiology KW - Survival Rate KW - Young Adult AB -

Heart disease, cerebrovascular disease, and cancer are the major causes of morbidity and mortality in the occupied Palestinian territory, resulting in a high direct cost of care, high indirect cost in loss of production, and much societal stress. The rates of the classic risk factors for atherosclerotic disease-namely, hypertension, diabetes mellitus, tobacco smoking, and dyslipidaemia-are high and similar to those in neighbouring countries. The urbanisation and continuing nutritional change from a healthy Mediterranean diet to an increasingly western-style diet is associated with reduced activity, obesity, and a loss of the protective effect of the traditional diet. Rates of cancer seem to be lower than those in neighbouring countries, with the leading causes of death being lung cancer in Palestinian men and breast cancer in women. The response of society and the health-care system to this epidemic is inadequate. A large proportion of health-care expenditure is on expensive curative care outside the area. Effective comprehensive prevention programmes should be implemented, and the health-care system should be redesigned to address these diseases.

VL - 373 SN - 1474-547X (Electronic)
0140-6736 (Linking) N1 - Husseini, Abdullatif
Abu-Rmeileh, Niveen M E
Mikki, Nahed
Ramahi, Tarik M
Ghosh, Heidar Abu
Barghuthi, Nadim
Khalili, Mohammad
Bjertness, Espen
Holmboe-Ottesen, Gerd
Jervell, Jak
England
Lancet
Lancet. 2009 Mar 21;373(9668):1041-9. Epub 2009 Mar 4. ER - TY - JOUR T1 - Cesarean section deliveries in the occupied Palestinian territory (oPt): an analysis of the 2006 Palestinian Family Health Survey JF - Health Policy Y1 - 2009 A1 - Abdul-Rahim, H. F. A1 - Abu-Rmeileh, N. M. A1 - Wick, L. KW - *Arabs KW - Adolescent KW - Adult KW - Cesarean Section/*utilization KW - Delivery of Health Care KW - Female KW - Health Surveys KW - Humans KW - Israel KW - Middle Aged KW - Middle East KW - Pregnancy KW - Young Adult AB -

OBJECTIVE: Against the backdrop of a rise in cesarean section deliveries from 6.0% in 1996 to 14.8% in 2006, the objective of this study was to investigate socio-demographic, clinical and service-related factors associated with cesarean sections in the occupied Palestinian territory. METHODS: Data from the Palestinian Family Health Survey 2006 were used to examine last births in the 5 years preceding the survey to women aged 15-49 years. Bivariate and multivariate associations between type of delivery (dependent variable) and selected factors were analyzed using logistic regression. Selected maternal outcomes were also investigated with type of delivery as the independent variable. RESULTS: Cesarean section deliveries were significantly associated with maternal age (35+ years), primiparity, low birth weight and residence area in the West Bank and Gaza. There was no significant difference in the prevalence of cesarean deliveries by sector in the West Bank, but in Gaza, they were significantly more common in the governmental sector. CONCLUSIONS: There is a need for detailed audits of cesarean section deliveries, nationally and at the facility level, in order to avoid unnecessary interventions in the context of high fertility, rising poverty and fragmented health services. Variations by governorate should be studied further for focused interventions.

VL - 93 SN - 1872-6054 (Electronic)
0168-8510 (Linking) N1 - Abdul-Rahim, Hanan F
Abu-Rmeileh, Niveen Mohammad Elias
Wick, Laura
Wellcome Trust/United Kingdom
Research Support, Non-U.S. Gov't
Ireland
Health policy (Amsterdam, Netherlands)
Health Policy. 2009 Dec;93(2-3):151-6. Epub 2009 Aug 11. U2 - 2789246 ER - TY - JOUR T1 - Child abuse and neglect services in the occupied Palestinian territory JF - East Mediterr Health J Y1 - 2009 A1 - Halileh, S. A1 - Abdullah, A. KW - *Child Abuse/statistics & numerical data/therapy KW - Child KW - Child Health Services/*organization & administration KW - Health Planning Guidelines KW - Health Planning/organization & administration KW - Health Services Research KW - Humans KW - Mandatory Reporting KW - Middle East/epidemiology KW - Needs Assessment/organization & administration KW - Poverty KW - Questionnaires KW - Severity of Illness Index AB -

This study in 2005 aimed to investigate the services available for abused and neglected children in the occupied Palestinian territory. Telephone interviews were conducted with 62 institutions from the government, non-profit and private sectors that dealt with child abuse and neglect, of which 58 provided services. Services offered were mainly in psychosocial health. Usually abused children were brought to service providers by family members and teachers. Common types of abuse seen at these institutions were physical, psychological and sexual abuse. Interviewees reported most cases of abuse occurred in the home and at school. Challenges were related mainly to sociocultural issues, training, funding and the military occupation.

VL - 15 SN - 1020-3397 (Print)
1020-3397 (Linking) N1 - Halileh, S
Abdullah, A
Research Support, Non-U.S. Gov't
Egypt
Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit
East Mediterr Health J. 2009 Nov-Dec;15(6):1504-12. ER - TY - RPRT T1 - Child Abuse and Neglect: Training Needs Assessment of UNRWA Health and Social Care Professionals Y1 - 2008 PB - Institute of Community and Public Health, Birzeit University CY - Palestine ER - TY - RPRT T1 - Capacity Building on Rational Use of Medicine: Knowledge and Practice Affecting the Mobile Teams Y1 - 2007 PB - Institute of Community and Public Health, Birzeit University CY - Palestine ER - TY - RPRT T1 - Child Abuse and Neglect in the West Bank: Training, Perception and Management of Cases among Palestinian Physicians Y1 - 2007 PB - Institute of Community and Public Health, Birzeit University CY - Palestine ER - TY - JOUR T1 - Child abuse and neglect services in the occupied Palestinian Territory JF - Eastern Mediterranean Health Journal Y1 - 2007 A1 - Halileh, S. A1 - Abdullah, A. ER - TY - JOUR T1 - Can action on health achieve political and social reform? JF - BMJ Y1 - 2006 A1 - Jabbour, Samer. A1 - El-Zein, Abbas. A1 - Nuwayhid, Iman. A1 - Giacaman, Rita. VL - 333 ER - TY - RPRT T1 - Child protection in the Occupied Palestinian Territory: structures, policies and services Y1 - 2006 PB - Birzeit University & National Plan of Action Secretariat ER - TY - JOUR T1 - [Current situation of health services in northern districts of the West Bank, Palestine] JF - East Mediterr Health J Y1 - 2006 A1 - Al-Khatib, I. A1 - Othman, R. KW - Charities/organization & administration KW - Community Health Centers/organization & administration KW - Health Services Needs and Demand KW - Health Services Research KW - Health Services/*standards KW - Humans KW - Middle East KW - National Health Programs/*organization & administration KW - Population Density KW - Primary Health Care/*organization & administration KW - Private Sector/organization & administration KW - Public Sector/organization & administration AB -

We assessed the current situation of health services in the northern districts of the West Bank of Palestine as regards the providers of the services, the services provided, the human resources working in the services and the sufficiency of the services with respect to the size of the populations. We found that 21% of the total population in the northern districts did not have private medical clinics and 13% did not even have primary health care centres. There has been an increase in the number of governmental primary health care centers and a decrease in the number of nongovernmental and charitable centres since the Palestinian National Authority took over responsibility for public health services through the Ministry of Health.

VL - 12 SN - 1020-3397 (Print)
1020-3397 (Linking) N1 - English Abstract
Egypt
Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit
East Mediterr Health J. 2006 May-Jul;12(3-4):347-58. ER - TY - JOUR T1 - Childbirth in Palestine JF - Int J Gynaecol Obstet Y1 - 2005 A1 - Wick, L. A1 - Mikki, N. A1 - Giacaman, R. A1 - Abdul-Rahim, H. KW - Analgesics, Opioid/therapeutic use KW - Attitude of Health Personnel KW - Clinical Competence KW - Crowding KW - data KW - Delivery, Obstetric/economics/*statistics & numerical data KW - Drug Utilization/statistics & numerical data KW - Evidence-Based Medicine KW - Female KW - Guideline Adherence KW - Hospitals, Maternity/*organization & administration/statistics & numerical KW - Hospitals, Public/*organization & administration/statistics & numerical KW - Humans KW - Male KW - Meperidine/therapeutic use KW - Middle East KW - Midwifery/statistics & numerical data KW - Oxytocics/therapeutic use KW - Oxytocin/therapeutic use KW - Personnel Staffing and Scheduling KW - Physicians/supply & distribution KW - Pregnancy KW - Private Sector/statistics & numerical data KW - Questionnaires KW - Workload AB -

OBJECTIVE: This study describes staffing, caseloads and reported routine practices for normal childbirth in Palestinian West Bank (WB) governmental maternity facilities and compares these practices with evidence-based care. METHODS: Data on routine childbirth practices in all eight governmental hospitals were obtained through interviews with head obstetricians and midwives. Data on staffing and monthly number of births were collected by phone or personal interview from all 37 WB hospitals. RESULTS: Forty-eight percent of WB deliveries took place in crowded and understaffed governmental hospitals. Reported practices were not consistently in line with evidence-based care. Lack of knowledge and structural barriers were reasons for this gap. CONCLUSION: The implications of limiting unnecessary interventions in the normal birth process are particularly important in a context of limited access and scarce resources. More skilled birth attendants and a universal commitment to effective care are needed.

VL - 89 SN - 0020-7292 (Print)
0020-7292 (Linking) N1 - Wick, L
Mikki, N
Giacaman, R
Abdul-Rahim, H
074986/Wellcome Trust/United Kingdom
Research Support, Non-U.S. Gov't
Ireland
International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics
Int J Gynaecol Obstet. 2005 May;89(2):174-8. U2 - 1457108 ER - TY - JOUR T1 - Coping with conflict JF - Educ Health (Abingdon) Y1 - 2005 A1 - Giacaman, R. KW - *Adaptation, Psychological KW - *Conflict (Psychology) KW - *Health Education KW - *War KW - Adult KW - Arabs KW - Child KW - Humans KW - Life Change Events KW - Middle East KW - Stress, Psychological VL - 18 SN - 1357-6283 (Print)
1357-6283 (Linking) N1 - Giacaman, Rita
Editorial
England
Education for health (Abingdon, England)
Educ Health (Abingdon). 2005 Mar;18(1):2-4. ER - TY - JOUR T1 - [Causes of drinking-water contamination in rain-fed cisterns in three villages in Ramallah and Al-Bireh District, Palestine] JF - East Mediterr Health J Y1 - 2004 A1 - Al-Khatib, I. A. A1 - Orabi, M. KW - *Water Microbiology KW - Causality KW - Colony Count, Microbial KW - Disinfection KW - Enterobacter/isolation & purification KW - Escherichia coli/isolation & purification KW - Humans KW - Klebsiella/isolation & purification KW - Middle East KW - Rain/*microbiology KW - Sewage KW - Water Pollution/*analysis/prevention & control/statistics & numerical data KW - Water Purification KW - Water Supply/*analysis/statistics & numerical data AB -

We studied the biological characteristics of drinking-water in three villages in Ramallah and al-Bireh district, by testing the total coliforms. Water samples were collected from rain-fed cisterns between October and November 2001. The results show that 87% of tested samples of drinking-water were highly contaminated and in need of coagulation, filtration and disinfection based on the World Health Organization guidelines for drinking-water, and 10.5% had low contamination and were in need of treatment by disinfection only. Only 2.5% of the tested samples were not contaminated and were suitable for drinking without treatment. The main cause of drinking-water con tamination was the presence of cesspits, wastewater and solid waste dumping sites near the cisterns.

VL - 10 SN - 1020-3397 (Print)
1020-3397 (Linking) N1 - Al-Khatib, Issam A
Orabi, Moammar
English Abstract
Egypt
Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit
East Mediterr Health J. 2004 May;10(3):429-36. ER - TY - RPRT T1 - Childbirth in Palestine: Reported Practices and Evidence-based Guidlines Y1 - 2004 PB - Institute of Community and Public Health, Birzeit University CY - Palestine ER - TY - JOUR T1 - A community of citizens: disability rehabilitation in the Palestinian transition to statehood JF - Disabil Rehabil Y1 - 2001 A1 - Giacaman, R. KW - *Caregivers KW - *Civil Rights/trends KW - *Voluntary Workers KW - Arabs KW - Attitude to Health/*ethnology KW - Community Health Services/manpower/*organization & administration KW - Consumer Organizations KW - Consumer Participation KW - Cost of Illness KW - Disabled Persons/*rehabilitation KW - Female KW - Gender Identity KW - Health Care Reform KW - Humans KW - Israel KW - Male KW - Outcome Assessment (Health Care) KW - Social Class KW - Social Justice/trends KW - Women, Working/classification AB -

PURPOSE: It has been widely argued that community based programmes offer considerable advantages to the classical institutional forms of health and rehabilitation services delivery. With about 10 years of experience in operating community based rehabilitation projects (CBR) for the disabled, the Palestinian experience points to potentially serious problems relating to the conception and operationalization of such programmes in real life situations. ISSUES: Of importance is the issue of the impact of communal care on the already burdened lives of women, especially when such care is expected to be voluntary in nature. Caretaking in the Palestinian context, especially of the disabled, elderly and the sick, is a pre-defined sex linked role dictated by a patriarchal society and system of policy making that excludes women from economic and social life. The voluntary care aspect entailed in the CBR conception and practice, can and does contribute further to the exclusion of women not only from the labour force, but from most other aspects of life as well. This represents an apparent contradiction between the needs of two excluded groups, the disabled and women. The other problematic entailed in the communal model of caring for the disabled is the strategic and operational bias focusing on community, to the exclusion of the notion of social rights of all citizens, and the role and duty of state structures in the fulfilment of the disabled basic needs. Such an approach can only relegate the disabled rights back to their original place as charity. On the other hand, when CBR projects are operated holistically, in the context of social movements existing within power relation and with a broader democratic agenda engaging different groups-including a disability movement-as is currently taking place in Palestine, CBR projects can also turn into a mobilizing force for the social rights of all excluded groups. CONCLUSION: Thus the question is not merely one of governmental involvement as opposed to the involvement of non-governmental organizations and charitable societies in community based projects. Rather, it is a question of the right to a decent life for all, in dignity and security, that citizenship and statehood promise, but have yet to deliver in many developing countries, especially in Palestine.

VL - 23 SN - 0963-8288 (Print)
0963-8288 (Linking) N1 - Giacaman, R
Review
England
Disability and rehabilitation
Disabil Rehabil. 2001 Sep 20;23(14):639-44. ER - TY - RPRT T1 - A Curriculum for the Training of Physicians: Management of Menopausal Women at the Primary Health Care Level, Palestinian Coalition for Women's Health Y1 - 1994 PB - Birzeit University CY - Palestine ER - TY - RPRT T1 - Community Health Unit Review: A Review of Health Standards and Services in the West Bank and Gaza Strip Y1 - 1987 PB - Birzeit University CY - Palestine ER -