Israeli restrictions hinder Palestinians’ access to health care: World Bank

Poverty in the Palestinian territories was on the rise, with one out of four Palestinians living below the poverty line, the Washington-based global lender said (AFP)
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Updated 18 September 2023
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Israeli restrictions hinder Palestinians’ access to health care: World Bank

  • Thousands of Palestinians from the West Bank and Gaza Strip cross annually into Israel for medical treatment unavailable in the impoverished Palestinian territories

JERUSALEM: Israel’s restrictions and rising fiscal constraints in the Palestinian territories are severely impacting the economic conditions of Palestinians and hindering their access to timely life-saving health care, the World Bank said Monday.
In a report titled “Racing Against Time,” the World Bank said that overall the Palestinian economy was performing below potential, with per capita income expected to stagnate.
Poverty in the Palestinian territories was on the rise, with one out of four Palestinians living below the poverty line, the Washington-based global lender said.

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Poverty in the Palestinian territories was on the rise, with one out of four Palestinians living below the poverty line, the World Bank said.

Israel’s restrictions on movement and trade in the occupied West Bank, the blockade imposed on the Gaza Strip and the divide between the two Palestinian territories were among several factors that had put the Palestinian economy at high risk, the report said.
“The fiscal constraints weigh heavily on the Palestinian health system and particularly on its ability to cope with the mounting burden of non-communicable diseases,” Stefan Emblad, the World Bank’s director for the West Bank and Gaza, said in a statement released with the report.
The restrictions, including “a lengthy, bureaucratic regime of permits,” often makes it hard to provide timely life-saving health care to Palestinians, he said.
Access to outside medical referrals for treatment of cancers, heart diseases, and maternal and child birth conditions are significantly affected due to physical and administrative constraints, the statement said.
“The situation is particularly critical in Gaza, which suffers from a more limited health system capacity and where patients struggle to get needed medical exit permit applications on a timely basis,” it said.
“Research figures show that the near-blockade of Gaza has had an impact on mortality, as some patients do not outlive the length of the permit process.”
Thousands of Palestinians from the West Bank and Gaza Strip cross annually into Israel for medical treatment unavailable in the impoverished Palestinian territories.
Israel has occupied the West Bank — now home to some three million Palestinians — since the 1967 Six-Day War, when it also seized the Gaza Strip, the densely populated coastal enclave it has since withdrawn from.
Last year, Israel issued entry permits for more than 110,000 medical visits for West Bank residents, according to COGAT, the Israeli defense ministry body overseeing civilian affairs in the Palestinian territories.
More than 17,000 such permits were issued during the same period to Palestinians from Gaza, where 2.3 million people live.
An Israeli blockade imposed by Israel since the Islamist movement Hamas rose to power in 2007 has also obstructed medical supplies to the enclave.
The World Bank urged Israel and Palestinian authorities to better manage such medical cases and ease the permit process in a bid to provide timely health care assistance to patients and their companions.
Overall the Palestinian economy has been stagnating for the past five years, Emblad said, adding it was not expected to improve unless policies on the ground change.
“Given population growth trends, income per capita is thus expected to stagnate,” the World Bank said.


UN’s development chief says living conditions in Gaza are worst he has ever seen

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UN’s development chief says living conditions in Gaza are worst he has ever seen

  • Alexander De Croo urges Israeli authorities to allow more access for removal of debris, provision of temporary housing, and efforts to restart the private sector
  • 90 percent of territory’s population living amid rubble in ‘extremely painful’ and dangerous circumstances, he says after 3-day visit to Gaza

NEW YORK CITY: The head of the UN Development Programme said on Tuesday that living conditions in Gaza are the worst he has witnessed in his career, as he urged Israeli authorities to grant more access for the removal of debris, the provision of temporary housing, and private-sector recovery efforts.
Speaking in East Jerusalem after a three-day visit to Gaza, Alexander De Croo said 90 percent of the territory’s population was living amid rubble in “extremely painful” and dangerous circumstances.
“I have been minister of development for six years in the past; this is the worst living conditions that I have ever seen,” he said.
Teams from his agency are focusing their recovery efforts in Gaza on three main areas, he explained: the removal of rubble and other solid waste, temporary housing, and restarting parts of the private sector.
UNDP has removed about 5 percent of the rubble from the war-ravaged enclave so far, De Croo said, but at the current pace clearing it all will take seven years.
“90 percent of the people of Gaza today live in the middle of that rubble, which is extremely dangerous,” he warned, adding that unexploded ordnance and other health risks pose additional ongoing dangers to residents.
Regarding housing, he said most people were living in what he described as very rudimentary tents. UNDP has built 500 “recovery housing” units and has a further 4,000 ready to go, but he estimated that between 100,000 and 203,000 units were needed to provide even the most basic improvements to shelter.
“This is definitely not reconstruction,” he said. “But it’s an improvement on what is available for the moment.”
His agency’s third area of focus is restoration of the private sector, which he said has been “in hibernation.” It aims to help businesses resume operations and provide income for residents through limited investments and cash-for-work programs, including the processing of food.
The main request his agency is making to Israeli authorities is greater access for the delivery of materials and equipment, De Croo said, including heavy machinery for the removal of debris, and components for temporary housing.
“We understand the security concerns of the Israeli authorities,” he said. “But that would not be a reason to not provide organizations such as UNDP, other UN organizations and international (nongovernmental organizations) the more access that is definitely needed to be able to help more people.”
Asked about Israel’s objections to the deployment of large bulldozers and the provision of additional housing units, De Croo said discussions with Israeli officials often centered on “dual-use” concerns over materials that could potentially have military as well as civilian applications.
“We are in continuous discussions with the Israeli authorities on what are the right conditions to have more access,” he said, adding that UNDP takes steps to ensure all materials are used solely for humanitarian purposes.
He reiterated his call for expanded access to enable support for humanitarian and recovery efforts, and said such assistance is an obligation on every state.
“We really have only one ask: Please provide organizations such as UNDP and the others the necessary access to be able to provide the humanitarian and recovery support,” he added.