TY - JOUR T1 - Human insecurity, chronic economic constraints and health in the occupied Palestinian territory JF - Global Public Health: An International Journal for Research, Policy and Practice Y1 - 2014 A1 - McNeely, Clea. A1 - Barber, Brian K. A1 - Spellings, Carolyn. A1 - Giacaman, R. A1 - Arafat, Cairo. A1 - Daher, Mahmoud. A1 - El Sarraj and Abu Mallouh, Mm. U1 -

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Together with Hanna Kienzler from the Department of Social Science, Health and Medicine at King’s College London, the Mental...

The Institute of Community and Public Health participated as facilitators in the protocol development workshop (IRP) as part of...

The ICPH director participated in the fourth seminar on " Health Diplomacy" that was Cairo, Egypt, 2-4 MAY 2015.

ER - TY - JOUR T1 - Health-related Quality of life of Gaza Palestinians in the aftermath of the winter 2008-09 Israeli attach on the Strip JF - The European Journal of Public Health Y1 - 2011 A1 - Abu Rmeileh, N. A1 - Hammoudeh, W. A1 - Mataria, A. A1 - Husseini, A. A1 - Khawaja, M. A1 - Shannon, H. A1 - Hogan, D. A1 - Watt, G. A1 - Zurayk, H. A1 - Giacaman, R. ER - TY - JOUR T1 - Human insecurity and associated factors in the Gaza Strip Six months after the winter 2008-09 Israeli attack: a cross –sectional survey JF - the Lancet online Y1 - 2011 A1 - Ziadni, M. A1 - Hammoudeh, W. A1 - Abu-Rmeileh, N. A1 - Hogan, D. A1 - Shannon, H. A1 - Giacaman, R. ER - TY - JOUR T1 - Humanitarian crisis and social suffering in Gaza Strip: an analysis of aftermath of latest Israeli war JF - the Lancet online Y1 - 2010 A1 - Abu Rmeileh, N. A1 - Hammoudeh, W. A1 - Giacaman, R. ER - TY - JOUR T1 - Health as human security in the occupied Palestinian territory JF - Lancet Y1 - 2009 A1 - Batniji, R. A1 - Rabaia, Y. A1 - Nguyen-Gillham, V. A1 - Giacaman, R. A1 - Sarraj, E. A1 - Punamaki, R. L. A1 - Saab, H. A1 - Boyce, W. KW - *Arabs KW - *Human Rights KW - Civil Disorders KW - Health KW - Middle East KW - Safety KW - Sanitation KW - Social Conditions KW - War AB -

We describe the threats to survival, development, and wellbeing in the occupied Palestinian territory using human security as a framework. Palestinian security has deteriorated rapidly since 2000. More than 6000 Palestinians have been killed by the Israeli military, with more than 1300 killed in the Gaza Strip during 22 days of aerial and ground attacks ending in January, 2009. Israeli destruction and control of infrastructure has severely restricted fuel supplies and access to water and sanitation. Palestinians are tortured in prisons and humiliated at Israeli checkpoints. The separation wall and the checkpoints prevent access to work, family, sites of worship, and health-care facilities. Poverty rates have risen sharply, and almost half of Palestinians are dependent on food aid. Social cohesion, which has kept Palestinian society intact, including the health-care system, is now strained. More than US$9 billion in international aid have not promoted development because Palestinians do not have basic security. International efforts focused on prevention of modifiable causes of insecurity, reinvigoration of international norms, support of Palestinian social resilience and institutions that protect them from threats, and a political solution are needed to improve human security in the occupied Palestinian territory.

VL - 373 SN - 1474-547X (Electronic)
0140-6736 (Linking) N1 - Batniji, Rajaie
Rabaia, Yoke
Nguyen-Gillham, Viet
Giacaman, Rita
Sarraj, Eyad
Punamaki, Raija-Leena
Saab, Hana
Boyce, Will
Lancet. 2009 Mar 28;373(9669):1133-43. Epub 2009 Mar 4. ER - TY - JOUR T1 - Health status and health services in the occupied Palestinian territory JF - Lancet Y1 - 2009 A1 - Giacaman, R. A1 - Khatib, R. A1 - Shabaneh, L. A1 - Ramlawi, A. A1 - Sabri, B. A1 - Sabatinelli, G. A1 - Khawaja, M. A1 - Laurance, T. AB -

We describe the demographic characteristics, health status, and health services of the Palestinian population living in Israeli-occupied Palestinian territory, and the way they have been modified by 60 years of continuing war conditions and 40 years of Israeli military occupation. Although health, literacy, and education currently have a higher standard in the Israeli-occupied Palestinian territory than they have in several Arab countries, 52% of families (40% in the West Bank and 74% in the Gaza Strip) were living below the poverty line of US$3.15 per person per day in 2007. To describe health status, we use not only conventional indicators, such as infant mortality and stunting in children, but also subjective measures, which are based on people's experiences and perceptions of their health status and life quality. We review the disjointed and inadequate public-health and health-service response to health problems. Finally, we consider the implications of our findings for the protection and promotion of health of the Palestinian population, and the relevance of our indicators and analytical framework for the assessment of health in other populations living in continuous war conditions.

SN - 1474-547X (Electronic)
0140-6736 (Linking) N1 - Journal article
Lancet. 2009 Mar 4. ER - TY - JOUR T1 - Humiliation: the invisible trauma of war for Palestinian youth JF - Public Health Y1 - 2007 A1 - Giacaman, R. A1 - Abu-Rmeileh, N. M. A1 - Husseini, A. A1 - Saab, H. A1 - Boyce, W. KW - *Emotions KW - *Health Status KW - *War KW - Adolescent KW - Adolescent Psychology KW - Arabs/*psychology KW - Demography KW - Female KW - Humans KW - Male KW - Sex Factors KW - Stress Disorders, Post-Traumatic/*psychology KW - Violence/psychology AB -

OBJECTIVES: To investigate the influence of exposure to humiliation in war-like conditions on health status in 10th- and 11th-grade students living in the Ramallah District, West Bank, Occupied Palestinian Territory. STUDY DESIGN: A stratified single-stage cluster sample of 3415 students from cities, towns, villages and refugee camps of the Ramallah District. METHODS: Survey questions were derived from the World Health Organization's Health Behaviour in School-aged Children Survey, the Gaza Community Mental Health Programme Traumatic Event Checklist, and focus group discussions with young people. The survey questionnaire was completed by students in their classrooms, under the supervision of a trained field worker. RESULTS: There was a significant association between a high number of subjective health complaints and demographic variables, particularly for females compared with males, and refugee camp dwellers compared with village dwellers. In addition, exposure to humiliation was significantly associated with an increased number of subjective health complaints. Students experiencing three forms of humiliation were found to be 2.5 times more likely to report a high number of subjective health complaints compared with those who had never been exposed to humiliation (52% vs 21%), while those experiencing four forms of humiliation were three times more likely to report a high number of subjective health complaints (62% vs 21%). A multiple logistic regression model revealed that humiliation was significantly associated with a high number of subjective health complaints, even after adjusting for sex, residence and other measures of exposure to violent events. The odds ratio of reporting a high number of subjective health complaints increased as the number of forms of humiliation increased, with values of 1.69, 2.67, 4.43 and 7.49 for reporting a high number of subjective health complaints when exposed to one, two, three or four forms of humiliation, respectively, compared with those who had never been exposed to humiliation. CONCLUSIONS: The results of this study demonstrate that humiliation induced by conflict and war-like conditions constitutes an independent traumatic event that is associated with negative health outcomes in its own right, regardless of exposure to other violent/traumatic events. Based on these findings, it is proposed that humiliation should be included as an indicator of mental health status in research that investigates the consequences of war and conflict on the health of populations.

VL - 121 SN - 0033-3506 (Print)
0033-3506 (Linking) N1 - Giacaman, Rita
Abu-Rmeileh, Niveen M E
Husseini, Abdullatif
Saab, Hana
Boyce, William
Research Support, Non-U.S. Gov't
Public health
Public Health. 2007 Aug;121(8):563-71; discussion 572-7. Epub 2007 Jun 12. ER - TY - JOUR T1 - Health sector reform in the Occupied Palestinian Territories (OPT): targeting the forest or the trees? JF - Health Policy Plan Y1 - 2003 A1 - Giacaman, R. A1 - Abdul-Rahim, H. F. A1 - Wick, L. KW - *International Agencies KW - *Politics KW - administration KW - Arabs KW - Colonialism KW - Financing, Organized KW - Health Care Reform/economics/*history KW - Health Care Sector/*history/legislation & jurisprudence/organization & KW - History, 20th Century KW - History, 21st Century KW - Humans KW - Israel KW - Private Sector KW - Public Sector KW - United Nations KW - War AB -

Since the signing of the Oslo Peace Accords and the establishment of the Palestinian Authority in 1994, reform activities have targeted various spheres, including the health sector. Several international aid and UN organizations have been involved, as well as local and international non-governmental organizations, with considerable financial and technical investments. Although important achievements have been made, it is not evident that the quality of care has improved or that the most pressing health needs have been addressed, even before the second Palestinian Uprising that began in September 2000. The crisis of the Israeli re-invasion of Palestinian-controlled towns and villages since April 2002 and the attendant collapse of state structures and services have raised the problems to critical levels. This paper attempts to analyze some of the obstacles that have faced reform efforts. In our assessment, those include: ongoing conflict, frail Palestinian quasi-state structures and institutions, multiple and at times inappropriate donor policies and practices in the health sector, and a policy vacuum characterized by the absence of internal Palestinian debate on the type and direction of reform the country needs to take. In the face of all these considerations, it is important that reform efforts be flexible and consider realistically the political and economic contexts of the health system, rather than focus on mere narrow technical, managerial and financial solutions imported from the outside.

VL - 18 SN - 0268-1080 (Print)
0268-1080 (Linking) N1 - Giacaman, Rita
Abdul-Rahim, Hanan F
Wick, Laura
074986/Wellcome Trust/United Kingdom
Historical Article
Health policy and planning
Health Policy Plan. 2003 Mar;18(1):59-67. U2 - 1457109 ER -