Hospital functionality in the Gaza Strip: analysis of the World Health Organization health resources and services availability monitoring system database, 7 Oct 2023 to 31 Oct 2024.

IF 6.4 2区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
David Mills, Yara Asi, Dennis Kunichoff, Erica Nelson, Juliana Nasser, Shannon Barkley, Ryan Arias Delafosse, Corey Scher, Osama Tanous, Weeam Hammoudeh, Bram Wispelwey, Nadine Bahour, Richard Peeperkorn, Egmond Evers, Lianne Gonsalves, Jamon Van Den Hoek, P Gregg Greenough
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引用次数: 0

Abstract

Background: Since October 2023, the destruction of Gaza's health care system and the barriers to providing critical hospital-based health care services to the Palestinian population have been extensively documented.

Aims: The objective of this study was to provide an aggregate and by-governornate descriptive analysis of individual hospital functionality and hospital system capacity over the first 13 months of conflict.

Methods: Thirty-five public, private, and non-governmental hospitals were analyzed from 7 October 2023 to 31 October 2024. Data sources included WHO 'rapid response' database and the WHO Health Resources and Services Availability Monitoring System. Data were combined to create a longitudinal and spatial representation of individual hospital capacity status (fully, partially, minimally, and nonfunctional). Hospital functionality status was weighted and aggregated to provide a proxy estimate of total hospital system capacity.

Results: By 28 October 2023, 71.4% (n = 25) of hospitals were in the partially functional status, and 28.6% (n = 10) hospitals were rendered nonfunctional. Hospital system functionality hit its lowest point (13.9%) on 5 April 2024 and did not exceed 33% after December 2023. The largest number of hospitals in nonfunctional status was twenty-five, which occurred twice during the study period, once in November 2023 and again in April 2024, resulting in 71.4% nonfunctional status among all hospitals.

Conclusion: This study provides additional evidence that the Gaza Strip's hospital system was directly affected by the first year of the conflict, greatly impacting the ability to provide critical health services.

加沙地带的医院功能:对世界卫生组织卫生资源和服务可用性监测系统数据库的分析,2023年10月7日至2024年10月31日
背景:自2023年10月以来,对加沙卫生保健系统遭到破坏以及向巴勒斯坦人民提供关键的医院卫生保健服务面临的障碍进行了广泛记录。目的:本研究的目的是在冲突的前13个月提供单个医院功能和医院系统能力的总体和各省描述性分析。方法:对2023年10月7日至2024年10月31日35家公立、私立和非政府医院进行分析。数据来源包括世卫组织“快速反应”数据库和世卫组织卫生资源和服务可用性监测系统。将数据组合起来,以创建单个医院容量状态(完全、部分、最低限度和无功能)的纵向和空间表示。对医院功能状态进行加权和汇总,以提供医院系统总容量的代理估计。结果:截至2023年10月28日,71.4% (n = 25)的医院处于部分功能状态,28.6% (n = 10)的医院处于非功能状态。医院系统的功能在2024年4月5日达到最低点(13.9%),在2023年12月之后没有超过33%。处于非功能状态的医院最多的是25家,在研究期间发生了两次,分别是在2023年11月和2024年4月,占所有医院的71.4%。结论:这项研究提供了额外的证据,证明加沙地带的医院系统受到冲突第一年的直接影响,极大地影响了提供关键卫生服务的能力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Conflict and Health
Conflict and Health Medicine-Public Health, Environmental and Occupational Health
CiteScore
6.10
自引率
5.60%
发文量
57
审稿时长
18 weeks
期刊介绍: Conflict and Health is a highly-accessed, open access journal providing a global platform to disseminate insightful and impactful studies documenting the public health impacts and responses related to armed conflict, humanitarian crises, and forced migration.
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