16- Chapter 4, EASTERN MEDITRANEAN REGION

16- Chapter 4, EASTERN MEDITRANEAN REGION - EASTERN EASTERN...

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Unformatted text preview: EASTERN EASTERN MEDITRANEAN REGION Chapter 4 Hussein A. Gezairy EASTERN MEDITRANEAN EASTERN MEDITRANEAN REGION Eastern Mediterranean Region Eastern Mediterranean Region Chapter 4 WHO categorizes Eastern Mediterranean is 22 member states + self­ruled area under Palestinian Authority. Extends from Morocco to Pakistan. Covering an area 13.8 Million Square Kilometers Population in the region is 457 million (1997­98) Arabic is spoken in 18 of the countries, but 50% of the region’s population speaks wide variety of other languages Largest majority of the population is Muslim Eastern Mediterranean Region Chapter 4 Main obstacle to economic growth in the region is the unprecedented level of extreme debt amounting to billions of US dollars Conflict between Israel and adjacent contested areas is another ongoing issue (despite the end of cold war accord the peace process in general Palestinian, Syrian and Lebanese territories remain under Israeli occupation) Ethnic and civil strife in Afghanistan, Somalia, Sudan These obstacles disrupt health systems, limit access to basic health care Eastern Mediterranean Region Eastern Mediterranean Region Chapter 4 The health sector in the region faces the impact of global changes and challenges Challenges of 21st Century includes An unprecedented movement towards globalization (free trade ,capital flow and communication technology and transportation) Progress in health and biomedical technology Communication revolution (redefining geographical and social binderies Eastern Mediterranean Region Eastern Mediterranean Region Chapter 4 Overall development in the region is improving, but “great and increasing inequalities” are threatening progress. National health policies should incorporate deep rooted values and traditions of the region. Eastern Mediterranean Region Eastern Mediterranean Region Eastern Mediterranean Region Eastern Mediterranean Region Chapter 4 Main values to contribute to successful achievement of health for all goals in 21th century are: Recognition of enjoyment of highest attainable standard of health is a fundamental human right implementation of equity­oriented policies and strategies emphasize solidarity and cooperation Strengthened application of ethics and health policies Incorporation of gender perspective into health policies Eastern Mediterranean Region Eastern Mediterranean Region Chapter 4 Principal Strategic Orientation can promote public health interest: – Health and Development Each society should develop its own profile of vulnerabilities Should link economic development and health status Health­related knowledge should be accessible to everyone to increase their self­reliance Health­promoting activities should be linked to income generating activities, investment, and economic enterprises Eastern Mediterranean Region Eastern Mediterranean Region Chapter 4 Basic development needs, Community­ Based Development – Community action is probably the most outstanding and influential action in achieving health for all.(p.33) – Region has enhanced variety approaches for community action such as basic development needs approach BDN – BDN Reverses traditional role of aid; people make the decisions and government supports the decisions. Eastern Mediterranean Region Eastern Mediterranean Region Chapter 4 Related Goals, 21th century's challenges: – Development of sustainable health systems – Training human resources for health – Response to emergencies and health as a regional “bridge for peace” – Promotion of health lifestyles Introducing health promoting life style Providing conditions Reorienting health educational institution – Eradication and control of specific diseases Eastern Mediterranean Region Eastern Mediterranean Region Chapter 4 Conclusion – Global changes in the areas economics, demographics, epidemiology, science , technology will have tremendous impact on health care system – Improvements in development will be accompanied by increasing costs of health services, leading to greater inequity in access to health care. – Important to develop national regional and global health policies based on cooperation, adherence to ethical standards, and incorporation of gender perspectives. ...
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