To/ Stichting Palestina Rotterdam Holland

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Final Report of/ Provision of Medications Project To/ Stichting Palestina Rotterdam Holland From/ Dar Essalam Hospital Palestine- Gaza Strip- Khanyounis Date: 15/01/2014

Dar Essalam Hospital Palestine\ Khanyounis 2

Attachments: Thanks and appreciation for Stichting Palestina Rotterdam Holland Background about Dar Essalam Hospital. The mechanism of grant expenditure. Project Monitoring. Difficulties and Obstacles. Recommendations for future projects. The invoices of medications. Photos of the project implementation. 3

Appreciation Dar Esslam Hospital in Khanyounis\ Palestine thanks Stichting Palestina Rotterdam Holland For the grant of (10,000 ) presented for Dar Essalam Hospital at the last quarter of 2013, and it has helped hundreds of Palestinian patients and participate in improving the work of Dar Essalam hospital which has enhanced the level of the health of Palestinian people lived in the southern zone of Gaza strip. We appreciate your great efforts and pray for you success and prosperity to support Palestinian people and alleviate their suffering. Hospital Director Ibrahim Al Ghalban 4

Background about the hospital: Dar Essalam hospital is a non-profitable hospital. It was established in 1995 in Khanyounis in the southern of Gaza to be the unique benevolent hospital providing people in the south of Gaza strip with distinguished medical services. It is a specialized hospital, consists of five floors, containing 20 beds. It contains operation department, gastro scope department of the digestive system and surgery unit in which external gastro scope is used. It also contains specialized clinics as follows: pediatric clinic, Orthopedic clinic, Gynecology clinic, Dental clinic, General surgery, Cardiology clinic, Ophthalmic clinic, Radiology department, Pharmacy, Laboratory and The blood bank. The hospital cares about the poor and needy patients, who suffer from the hard circumstances. So, the hospital has created the Poor Patient Fund to treat the poor patients and offer free of charge medicine for them after a thorough social research is done. The fund is mainly supported from charitable societies and charitable people. The hospital works 24 hours and has 80 employees. 5

Dar Essalam Hospital Vision: Promotion of health services to be advanced and better to keep pace with scientific progress in the field of health. Dar Essalam Hospital Mission: Dar Essalam hospital is a charitable institute, provides health services for all society segments and contribute to the provision of free health services for poor and marginalized, to mitigating the suffering of citizens and the advancement of Palestinian health in the framework of transparency and good care. Dar Essalam Hospital objectives: 1. Offering distinguished medical services for all citizens. 2. Promoting health awareness among citizens. 3. Establishing distinguished and diversified health institutions. 4. Contributing to the development of Palestinian medical cadres. Fields of works: 1. Offering medical services including: Surgical operations, Specialized clinics, Medical analysis, X-ray department, Pharmacy, Reception and emergency room. 2. Health awareness promotion through lectures, meetings and first aid courses. 3. Arranging free medical days in the remote and marginalized areas. 6

4. Arranging blood donation campaigns in cooperation with the governmental medical institutions. 5. Helping the poor and needy patients through the Poor Patient Fund. Poor Patient Fund: The hospital cares about the poor and needy patients, who suffer from the hard circumstances. So, the hospital created the poor patient fund to treat the poor patients and offer free medications for them after a social search is done. The fund receives support from charitable societies and charitable people. The fund helped thousands of needy patients since it was established in 2000. Hospital Departments 1- Reception Unit: it receives patients and urgent cases 24 hours daily. The unit has a pharmacy, cardiology, a laboratory and two ambulances. 2- Specialized clinics Unit: the hospital runs and manages different specialized clinics where qualified specialists and consultants work as follows (pediatric, Orthopedic, E.N.T, gynecology, dental, general surgery, cardiology, ophthalmic, urology). 3- Radiology Department: This department was started in 1998. It has an X-ray. There is also the ultrasound photography. 4- Delivery Department: It works 24 hours a day. It contains 2 delivery beds and transport incubator. It contains gynecologist, gynecology consultant and midwife. 5- The laboratory: It started work in 1995. It performs all chemical, biological, and microbiological tests including blood, stool and urine analysis. Noticeably, the hospital lab has been credited by the government and Palestine Future Society 7

it conduct analysis and tests for young couples in order to protect themselves from Thalassemia and the hospital is the unique one performs this type of test. The lab also supervises a lot of blood donation campaigns in the south of the Gaza Strip. 6- The Pharmacy: the external pharmacy initiated work as soon as the hospital began working. It has all the drugs needed for the patients with low cost. The hospital also contains internal pharmacy in the surgical operations department, reception unit and internal department. 7- Dental Clinic: The process of drilling and filling, modifying teeth, and pulling out are done at the clinic. Recently, the dental clinic has been developed by generous donation from the Egyptian Physicians Association. The clinic works in two shifts and hundreds of patients visit it monthly. 8- Surgery Department: It contains two operation room, with developed equipments and qualified surgeons. All types of operations are performed in the hospital, minor, moderate and major operations. 9- Endoscopy unit: It contains Gastroscope and Colonoscope. 10- Internal Department: It was established in 1999. It has 16 beds, 8 ones for men and 8 ones for women. The rooms are provided with air conditioned. The department provides excellent services, and there is a possibility to accompany a patient. A patient can choose to stay alone in a room. 8

The mechanism of grant expenditure: As the approval of the project has been received, Dar Essalam Hospital specified it for medications. The hospital has purchased the needed medications from the local market. The medications were offered for poor and needy patients through poor patient fund program managed by the hospital. The poor patient submits a request and the fund offers the medicines from the hospital pharmacy immediately (Attached invoices are in shekels NIS). Note: 1 = 4.75 NIS Project Monitoring: Early stages of the project that include contracting and delivery medications were monitored by the hospital management and financial department through reviewing all related documents and assuring that they meet the required lists. Moreover, service delivery and the overall progression of the project activities was monitored through proper documentation and admin supervision. Difficulties and Obstacles: The project takes time longer than the planned. That was due to the strict siege, which prevents the different types of medications availability, especially anesthesia and operations drugs. Even the medications provided from Egypt through tunnels are rarely found, due to hard situations in Egypt. So, it takes longer time to provide some types of medications from the local markets, and we had to wait to be available in the market. 9

Recommendations for future projects: As the Israeli strict siege and closure prolong, and the situation in Egypt is unstable, the health conditions have been deteriorated more and more. So, the Palestinian community health needs increase. We recommend to continue support and medical and human intervention for all medical and charitable institutions to enable them to complete their medical and human mission. 0

The invoices of medications: فواتير\ invoices.rar 1

Photos of the project implementation: 2

3

4

5

6

7

8