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Source: World Health Organization (WHO)
30 November 2005





CAP and Other Appeals for 2006

The documents listed below provide an overview of the health needs, WHO projects and financial requirements listed in the 2006 Consolidated Appeal Process (CAP), the Workplan 2006 for the Sudan and the Democratic Republic of the Congo Humanitarian Action Plan 2006. It is not a stand-alone document and should be read in conjunction with the full Appeals (which can be found on Reliefweb).

This list features WHO’s financial requirements for Burundi, Chad, the Central African Republic, Côte d’Ivoire, the Democratic Republic of Congo, the Great Lakes region, Guinea, Nepal, the Republic of Congo, Somalia, Sudan, Uganda, the West Africa region, the West Bank and Gaza Strip and Zimbabwe.


FOREWORD

One of the main challenges faced today by all agencies involved in responding to humanitarian emergencies is to secure predictable funding – a prerequisite for timely, efficient and effective action. Another challenge is to ensure equitable funding across emergencies and sectors. The list of so-called “forgotten emergencies” is still far too long; in addition, comprehensive interventions are also impaired by the lack of resources experienced by some crucial sectors, such as health.

This year the United Nations embarked on a humanitarian reform aiming at meeting these challenges by strengthening humanitarian response capacity, coordination and financing. These three interrelated elements are at the core of sound common strategies and coordinated responses to complex emergencies, based on shared analysis of needs and funding estimates. They require the full involvement of not only the UN agencies, but of the entire humanitarian community, including Non-Governmental Organizations (NGOs), as well as national authorities of recipient and donor governments.

The World Health Organization (WHO) fully supports the UN humanitarian reform, in which it plays an important role as the Inter-Agency Standing Committee (IASC) designated lead agency for the Health Sector. It enables an overall health strategic perspective on crises by:

In this manner, WHO contributed to the CAP 2006, the Humanitarian Action Plan for the Democratic Republic of the Congo 2006 and the UN Work Plan 2006 for the Sudan.

This Compendium features health needs and WHO’s financial requirements for Burundi, Chad, the Central African Republic, Côte d’Ivoire, the Democratic Republic of the Congo, the Great Lakes region, Guinea, Nepal, the Republic of the Congo, Somalia, Sudan, Uganda, the West Africa region, West Bank and Gaza Strip and Zimbabwe.

I trust that the donor community will appreciate the urgency of responding adequately to these needs.

Thank you all for your support.


WEST BANK
AND GAZA STRIP


HEALTH SECTOR NEEDS ASSESSMENT



Palestinians currently have relatively stable health indicators, but with worrying trends. Life expectancy is 72 years, the fertility rate is 4.6 and infant mortality rate is 24.2 per 1,000 live births. The population has increased from just over 3 million in 1999 to 3.8 million in 2004, increasing the demand on municipal services, hospitals and schools. However, revenues have fallen and the population often cannot afford medical care. Insecurity and movement restrictions further impede access.

HEALTH SERVICES: The demand for blood transfusion services has increased by 178% between 2000 and 2003. The health sector has responded to closure and fragmentation by increasing the number of small clinics and mobile clinics, which have in turn resulted in a decline in the quality of service, as these focus on primary care and are unable to handle emergency cases. Provision of essential reproductive health services dropped from 82.4% at end 2002 to 71% at end 2003.

NON-COMMUNICABLE DISEASES: In 2003, the leading causes of death among all age groups were non-communicable diseases: cardiovascular disease 36.1%, perinatal conditions 9.9%, cancer 9% and injuries 8.8%. Due to the lack of proper access to health services, absence of a special entity responsible for chronic diseases and essential drugs, these diseases are believed to be under-diagnosed and under-reported.

DISEASE SURVEILLANCE AND CONTROL: Delays at checkpoints have limited the effectiveness of immunization campaigns. Although more than 90% of under-five children received measles vaccination, less than two-thirds have acquired immunity. The measles vaccine is likely to have been inactivated because of delays at checkpoints. Environmental health conditions are also responsible for deteriorating health conditions. Closures have had a particular negative impact on solid waste collection and bacterial contamination of piped water has increased by 39% in some areas.

HEALTH SECTOR PRIORITIES FOR 2006


• Support health coordination, information and advocacy for access to health care

• Strengthen assessment and monitoring of the situation of populations most affected by the separation barrier, including in East Jerusalem

• Develop and scale up priority health interventions for most vulnerable groups, including a sustainable immunization system, a package of health intervention for (newborn) children, Integrated Management of Child Illnesses and micronutrient supplementation and improving the quality of the maternal health care

• Strengthen local capacity in emergency preparedness and response by developing an integrated emergency health plan covering risk assessment, health intelligence, capacity building, community awareness and emergency response capability

• Develop surveillance standards and standard operating procedures in order to promote best health practices during humanitarian crises

• Support capacity building for rapid health needs assessment following any emergency in order to ensure that the most vulnerable population benefit from the humanitarian health relief programme

• Support the set up of an early warning system for alert and response to epidemic prone diseases



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