Injury and violence are major public health issues, accounting for over 5 million deaths a year and many other non-fatal outcomes. The Injury data systems, at the country level, are a key foundation of the public health approach for preventing injuries. To Promote wider and more standardized data collection for injury surveillance, and to promote best practices and policy-level changes for system-wide improvements in care of the injured; PNIPH is leading an initiative to establish the National Injury Surveillance system with close cooperation with the Ministry of Health.
Countries need to know how many people are born and die each year – and the main causes of their deaths – in order to have well-functioning health systems. The only way to count everyone and to track all births and deaths is through civil registration. Civil registration provides the basis for individual legal identity but also allows countries to identify their most pressing health issues.
The harmonised Reproductive Health Registry (hRHR) is a global initiative to improve data quality and data collection techniques for maternal and child health. It aims at improving maternal and child health in the West Bank & Gaza Strip through improving utilization of monitoring and evaluation service data for decision making. The hRHR is led by the World Health Organization and the Norwegian Institute of Public Health and is funded by the Norwegian Agency for Development Cooperation (Norad). The Ministry of Health in Palestine through the PNIPH has offered to be a pilot country for implementing the hRHR. The PNIPH carried out a needs assessment for the hRHR before finalising a detailed project plan with a step-wise rolling out of the hRHR. An application for funding of the infrastructure and the rolling out of the project in primary and secondary health services has been submitted to the Norwegian Representative Office and got approved. The project implementation will be conducted in different phases including the development phase. Development phase included mainly the recruitment of staff, comprehensive needs assessments, engagement of stakeholders, developing guidelines, identification and training of the national team, developing training plans, customization of data collection tools, procurement of infrastructure needs, ensuring internet availability at the clinics.
The rapidly increasing population of Palestine increases the demand for Human Resources for Health (HRH) availability, specializations, and the delivery of quality health care services. There is very limited assessments of the needs, shortages and excess of different professions, and with the human resources departments at the different stakeholders acting as a record keeping and tracking department, rather than an assessing, projecting and planning departments for the HRH of their respective institutions, there is no national consensus to assess, compare and strategize for HRH needs, utilization, and distribution nationwide. Discrepancies in the HRH numbers collected from the different stakeholders shed the light on the improper and incomplete systems of HRH management, and a lack of a solid regulatory body to establish a consensus for HRH availability and management. The establishment of the national HRH observatory will facilitate production, sharing and use of quantitative and qualitative information on the Human resources for health in order to support the development and implementation of proper HRH policies and plans.
Cancer surveillance is central to the design, implementation and evaluation of Cancer prevention and control programs. As defined universally, Cancer surveillance is the ongoing, timely, and systematic collection and analysis of information on cancer. For Cancer prevention and control efforts to be successful, timely dissemination of Cancer data to the public is essential. Such data enable both proper design and evaluation of prevention and control activities. Cancer registration is an important component of Cancer surveillance. It is the fundamental method in many countries by which information is systematically collected about the occurrence of Cancer (incidence), about the types of Cancer that occur (histology, morphology, and behaviour), the anatomic location (topography), the extent of disease at the time of diagnosis (stage), the kinds of treatment received by Cancer patients, and the outcomes of treatment and clinical management (mortality and survival). Cancer registration has been taking place in West Bank and Gaza since 1996, and the cancer registry activities have undergone several rounds of reorganization. To our knowledge, these changes have happened without any evaluation of the cancer surveillance process. A critical and thorough assessment of cancer registration has not previously been performed.
The PNIPH, in cooperation with the Ministry of Health, launched the National Mammogram e-Registry after conducting training for Ministry of Health doctors and radiology technicians from four districts on using the registry. The registry was established based on a study conducted by the PNIPH that examines the performance of national mammography screening program in Palestine. The study resulted in many significant recommendations, which were adopted by the Ministry of Health and converted into concrete measures that will have a long-lasting impact on the early detection of breast cancer.
The Cause of Death Registry is a vital national statistics database of deaths, underlying and contributing causes of death in Palestine. The database is located at the Palestinian Health Information Center at the Ministry of Health and was legally established in 1994 by the Civil Registration Law of 1966. Based on the recommendations of the National Health Information System Assessment and Strategy, conducted by MoH in 2010-2012, there is a real need to improve the national database of mortality for planning purposes, modify the current death notification form and build the capacity of staff responsible for filling the death notification forms. Therefore, the PNIPH is following up these improvements.