The role of non-governmental organizations in the health sector in the occupied Palestinian territory: a cross-sectional qualitative study
Date
2017-08-01
Authors
Tucktuck, Marina
Darkhawaja, Ranin
Areqat, Tareq
Mansour, Shatha
Giacaman, Rita
Hamdan, Motasem
Journal Title
Journal ISSN
Volume Title
Publisher
Elsevier
Abstract
Background Non-governmental organizations (NGOs) have had an important role in the Palestinian health sector
before and after the creation of the Palestinian Ministry of Health (PMoH) in 1994. Few studies have addressed the
role of NGOs in the Palestinian health sector. The aim of this study was to investigate the current role of local and
international NGOs (INGOs) in the development of the Palestinian health system’s policies and programmes.
Methods A qualitative study of nine semi-structured interviews was conducted with key representatives from the
main actors in the Palestinian health sector: the PMoH, five local NGOs and three INGOs. After obtaining verbal
consent, interviews were conducted from October to December 2014, and focused on the NGO’s scope of work,
priority setting, regulation, coordination and influence on national health policies.
Findings The majority of the local NGOs focused on primary healthcare and rehabilitation, while most of the
INGOs worked on health development and emergency response. Local NGOs and INGOs complemented the work
of the PMoH in health-service provision. Both were constrained by the predetermined national health strategy set by the
PMoH without the active involvement of other actors. INGOs’ activities were constrained by pre-determined
international health agendas, available funding and restrictions related to the military occupation. The coordination
mechanism between the PMoH, local NGOs, and INGOs is limited to a health and nutrition cluster, a partnership
of organisations that is committed to providing needs and evidence-based responses, with little effect on policies and
plans. Despite available methods to avoid duplication and fragmentation of work and to fill service provision gaps, some
NGOs agreed that the limited coordination and discontinuity of certain projects restrict their ability to fully meet the
health needs of the Palestinian population.