Journal Article

Health sector reform in the Occupied Palestinian Territories (OPT): targeting the forest or the trees?

2003
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Abstract
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.
Year
2003
Language
English
Date Published
Mar
Volume
18
Pages
59-67
Accession Number
12582108
ISBN Number
0268-1080 (Print)0268-1080 (Linking)
Journal Name
Health Policy Plan
Keywords
International Agencies
Politics
administration
Arabs
Colonialism
Financing
Organized
Health Care Reform
economics
History
Health Care Sector
Legislation & jurisprudence
Organization &
20th Century
21st Century
Humans
Israel
Private Sector
Public Sector
United Nations
War