Lebanon

 

TITLE OF THE PROJECT
Improvement of access to maternal and child health prevention and primary health services for local communities served by six Social Development Centers in the North, South and Bekaa Valley in Lebanon

PLACE
Northern, Southern and Bekaa Valley (Lebanon) Region

NAME NGO PROPONENT
Institute for University Cooperation Onlus (ICU). AUCI is a technical partner in training in the pediatric, gynecological and general medical fields of local health personnel. The training will be carried out through consultancy services by Italian health personnel and on-site training missions.

LOCAL PARTNER
Ministry of Social Affairs of the Republic of Lebanon (Ministry of Social Affairs of the Republic of Lebanon – MoSA)

TERRITORIAL CONTEXT
Lebanon has the fifth highest infant mortality rate in the region while still in third place for health spending per capita. Overpopulation in recent years and the entry of refugees have further worsened living conditions. The capacity of health services, on the other hand, is insufficient. Especially in the area affected by the project, there is a lack of prevention and primary health, the debt to private facilities increases, the health demand is often referred inappropriately to a higher (hospital) and therefore expensive level.

The country has a density of doctors on the total of the very low population: 8.9 doctors per 10 thousand inhabitants, mostly concentrated in urban areas and private hospitals; criticizes the endowment of nurses, lacking in rural areas and attracted to work in private hospitals.

SECTORAL CONTEXT
The Lebanese health system focuses more on care services than on prevention services and looks at health more in terms of services than rights. Spending is at 8% of GDP and 77% of investments is in the private sector. 44% of benefits are paid “out-of-pocket”, which means that the poorest spend 11.3% of their income on them, with the risk of not achieving acceptable health standards. Treatment is offered mainly by the private sector, however with small and incompatible hospitals with quality control or an economy of scale. There is no availability of public outpatient services, except for basic ones offered by government centers or civil institutions.

This excludes the weaker segments from most of the cures, in areas such as North Lebanon, some parts of the South and the Bekaa valley, with a high poverty index.

GENERAL OBJECTIVE
Guarantee an effective, appropriate and sustainable protection of maternal and child health for the population present in Lebanon, both in terms of prevention and primary care.

SPECIFIC OBJECTIVE
Improve the performance of six Social Development Centers in the intervention regions through the organization of a more effective primary care system, the development of health education programs and prevention campaigns and the contrast to inappropriate recourse to higher levels of care.

ACTIVITY

  • Training for 50 doctors, nurses and social workers on maternal and child health and environmental health issues
  • Implementation of monthly visits to each community in the area of ​​the health services of the area concerned (SDC) to identify the causes of reduced access to services
  • Support to internal reorganization of health services to optimize activities
  • Realization of a multi-themed campaign per year for each region (North, South, Bekaa): vaccines, safe pregnancy, female cancer prevention, food safety, environmental hygiene, prevention of communicable diseases
  • Supply of IT equipment and training necessary for the creation of a social and health monitoring database for the detection of needs on a regional basis.

CO-FINANCIAL INSTITUTION
AICS – Italian Agency for Development Cooperation

DURATION OF THE PROJECT
36 months

 

 

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