HANNAN PROJECT

• Start date was January 1, 2005 and end date is expected to be June 30, 2008.
• The total budget for the Hanan Project is $19,186,044.
• The aim of the project: The “Hanan” Project, a Cooperative Agreement between USAID and John Snow International Research and Training Institute Inc. (JSI), is a three year Maternal Child Health and Nutrition Project (MCHN) valued at $19,186,044. Hanan was launched January 1st, 2005, with a view to improve access to quality maternal and child and nutrition services as well as to promote household level and community health behaviors related to the well being of women and children in the West Bank and Gaza.
• Major accomplishments and number of beneficiaries: (from the most recent press release)

For the past three years, 26 Palestinian organizations have worked through USAID’s Hanan Project to promote better maternal and child care practices and nutrition, and improve access to quality health services for Palestinian women and children.

Training and other activities took place in all 16 governorates in the West Bank and Gaza, in cooperation with 122 clinics and hospitals, 113 communities, 69 community health workers and 68 community organizations.

Over 391,000 women and children participated in these activities, and an additional 1,304,187 women and children received improved quality services from over 4000 professional and lay health providers trained by Hanan and its partners.

HOLY FAMILY HOSPITAL OF BETHLEHEM

• Project Title: "Partnership for Expanded Access to Quality Maternal and Neonatal Health Care for Palestinian Women and Infants."
• Time Frame: The Project started October 1, 2005 and is expected to end September 29, 2008.
• Total Budget: $3,500,000.
• The aim of the project is: "To support the Holy Family Hospital of Bethlehem in providing quality maternal and child health services, especially for high-risk pregnancies and newborns, and expanding its current services in response to evolving community needs, promoting sustainability of the facility’s specialized care capacity, and enhancing the quality of existing maternal and neonatal services."
• Accomplishments include the following: Construction of  7 new delivery rooms, a well baby nursery, emergency room and an autoclave room; procurement of medical and non medical equipment, advanced training of 4 resident doctors in order to complete their specialization in European universities and hospitals, one year training of 5 midwives, and one short term training for 1 midwife. One year training for 5 neonatal nurses and one short term training.
• On the job training of medical, nursing and midwifery staff  was accomplished through the visiting professors program and scientific days were held at the hospital.
• Well Women Program:  A part time Gynecologist was hired in March 06.  Since the HFH had expanded its outreach clinic program.  As of September 2006, an increase of 197% and 382% in the No. of patients being seen was witnessed at Nahaleen and Tuqu’o clinics respectively.  Component ended Sept. 30, 2007.   
• The hospital hired a health education consultant to train the medical and paramedical staff on patient counseling. Health education material and brochures were also printed.

 

 

EMERGENCY MEDICAL ASSISTANCE PROGRAM - PHASE III (EMAP III)

 

Implementing Agency: Care International

Project Duration: 3 years

Starting date: September 30, 2005

Estimated Completion Date: September 29, 2008

Status: On-Going

Total Budget: $30 million

Goal:

To continue supporting and strengthening the healthcare system in the West Bank and Gaza, in order to provide emergency assistance to help alleviate shortages in the Palestinian health care sector in the West Bank and Gaza and to maintain the health and well-being of Palestinians who have been affected by the violence and economic and social dislocation associated with the Israeli-Palestinian conflict.

General Description

EMAP III is fully intended to build on the successful performances under the Rapid Emergency Response Program (RERP) and the Emergency Medical Assistance Program – Phases I and II (EMAP I and EMAP II). EMAP III, which aims at providing emergency assistance to help alleviate shortages in the Palestinian health care sector in the West Bank and Gaza, will be expected to focus on four discreet activities that have proven to be key inputs over the last five years in supporting the Palestinian health care system:

1. Procurement Component: The main purpose of this component is to provide procurement support to the Palestinian health care sector, in terms of essential medicines, medical supplies/disposables, and to a lesser extent medical and non-medical equipment and/or spare parts for medical equipment. Procurement support does not only include actual procurement and distribution, but also monitoring of usage and stocks, and an ongoing system to evaluate impact. In addition, the procurement support represents an opportunity to introduce and/or implement “rational use of medicines (RUM)” concepts or guidelines with regard to the medicines provided. Measures to promote rational use of the donated medicines could include promotion of adherence to protocols and formulary and/or mentoring in prescribing and dispensing activities.

 

1. Sub-Grant Component - Operational support through sub-grants - Provision of Rehabilitative/Emergency Care Services: The main purpose of this component is to provide operational support to competitively selected NGOs active in rehabilitative care as well as in primary health care and/or emergency care through sub-grants. The support can include financial support for salaries, running costs, special project activities, as well as medical supplies and medical equipment. Sub-grant support to rehabilitative care is given priority, though not to the exclusion of NGOs which provide basic health care services to populations that are particularly vulnerable and affected by movement restrictions. Sub-grant support should be complemented with technical and/or managerial capacity building measures, if warranted, in order to increase the effectiveness and the sustainability of the organizations’ operations and services. Under USAID’s current EMAP III program, 17 sub-grants, ranging between $60,000 and $190,000, have been awarded. Clearly this dollar range takes into consideration the length and technical requirements of the sub-grants approved.

1. Avian Influenza Assistance Package: This component helps to build local capacity, provide essential medical equipment (Personal Protective Equipment (PPE) kits and disinfectant sprayers) and broaden public awareness of Avian Influenza.

• Humanitarian Crisis Response Plan

 

Notable Achievements

The total assistance provided by the Emergency Medical Assistance Program – Phase III (EMAP III) to-date amounts to $21,264,318 and its notable achievements are as follows:

 

1. Procurement Component:

EMAP III provided the different actors in the health care sector in the West Bank and Gaza Strip with the following procurement support:

1. Pharmaceuticals, Medical Supplies, Medical Equipment and Spare Parts for Medical Equipment: EMAP III has distributed $6,792,589 worth of pharmaceuticals and medical supplies to the Ministry of Health and to 57 NGO clinics, 11 NGO hospitals and to the Palestinian Red Crescent Society. EMAP III is finalizing procurement processes for $5,700,385 worth of medical equipment for the same partners.

• Kidney Dialysis pharmaceuticals, medical supplies, kidney dialysis machines and recliners:

1. Pharmaceuticals and medical supplies for dialysis units at twelve Ministry of Health hospitals: EMAP III distributed $5,121,173 worth of pharmaceutical and medical supplies for dialysis units at twelve Ministry of Health hospitals in the West Bank & Gaza as well as 30 kidney dialysis machines for a total of $642,765 and 31 recliners for patients for a total of $61,380.

1. Pharmaceuticals, medical supplies, kidney dialysis machines and recliners for dialysis units at the Augusta Victoria Hospital: EMAP III distributed $620,327 worth of pharmaceutical and medical supplies for dialysis units at the Augusta Victoria Hospital (NGO) in East Jerusalem as well as 3 kidney dialysis machines for a total of $52,500.00 and 3 recliners for patients for a total of $5,940.00.

 

2. Sub-Grant Component: Operational support through sub-grants - Provision of Rehabilitative/Emergency Care Services

1. In the first round of sub-grants, EMAP III approximately awarded $387,482 to 6 NGOs providing rehabilitative or emergency care services (4 in the West Bank, 1 in Gaza Strip and 1 in East Jerusalem).
2. In the second round of sub-grants, EMAP III approximately has awarded $1,311,715 to 11 NGOs providing rehabilitative or emergency care services (7 in the West Bank, 2 in Gaza Strip and 2 in East Jerusalem).

 

3. Avian Influenza Assistance Package

1. Delivery of 4,000 PPE kits (3,600 PPE kits in Gaza and 400 in the West Bank), 675 of which were destined to the Ministry of Health and 3,325 of which were destined to the Ministry of Agriculture.

 

4. Humanitarian Crisis Response Plan

Delivery of emergency pharmaceuticals, medical supplies and electric generators of a total value of $955,544 to different partners the West Bank and Gaza to enable them to maintain and provide services.