OPT - ACT: 24-Apr-03
Action by Churches Together (ACT)
Appeal - The Occupied Palestinian Territories
Assistance to Civilian Victims of Conflict - MEPL-22 (Rev. 1)
Appeal Target: US$2,879,504
Balance requested: US$2,209,483
Geneva, 23 April 2003
Since the outbreak of the conflict in the Occupied Palestinian territories
in September 2000, Gaza has been the recipient of crushing economic
sanctions, and remains under siege with a complete closure in effect. This
has included closure of all borders with Israel and Egypt, the closure of
Gaza International Airport, the closure of the sea for fishing and the
closure of the major internal north-south and east-west routes of
transportation. The Gaza Strip has been divided into three distinct
internal regions, outside of which residents are only rarely able to move,
and are forced into an unacceptable amount of travel time. Due to the
closures and the on-going military incursions, the situation in the health
sector has dramatically deteriorated both in Gaza and the West Bank.
As a part of its traditional ministry of working with the civilian
Palestinian population affected by the long conflict, The Episcopal
Diocese of Jerusalem seeks to strengthen emergency services of its
hospitals in Gaza and Nablus. The Ahli Arab hospital in Gaza and the St.
Luke's hospital in Nablus have a long history of responding to needs of
people during the times of crises related to the Israeli-Palestinian
conflict.
This appeal includes a variety of emergency services tailored to meet the
health needs of the most vulnerable civilian population hit by the
on-going conflict.
For the sake of brevity, this revision includes only the proposal of the
Episcopal Diocese of Jerusalem. For the LWF, MECC/DSPR and IOCC proposals
please refer to the original appeal MEPL-22 issued 3 October 2002.
Project Completion Date:
DSPR - 31 March 2003 (completed)
LWF - 30 September 2003
IOCC - 30 April 2003 (nearing completion)
EDJ - 30 November 2003
Summary of Appeal Targets, Pledges/Contributions Received and Balance
Requested
Total Less: Pledges/ Balance Requested
Appeal Targets Contr Recd from ACT Network
EDJ 567,562 0 567,562
MECC/DSPR 684,717 190,345 494,372
LWF 1,160,945 450,666 710,279
IOCC 400,280 23,642 376,638
ACT Co-ord./Travel 6,000 5,368 632
Extern. Eval 60,000 0 60,000
Total US$ 2,879,504 670,021 2,209,483
John Nduna
Acting Director, ACT
REQUESTING ACT MEMBER INFORMATION
Episcopal Diocese of Jerusalem
IMPLEMENTING ACT MEMBER & PARTNER INFORMATION
The Episcopal Diocese of Jerusalem works for and with Christians, Muslims
and Jews alike in places of worship, hospitals, schools, orphanages and
homes for the elderly and disabled. Seven thousand Arab Christian
Episcopalians are scattered throughout twenty-nine parishes and over
thirty-five service institutions, which provide spiritual, physical and
emotional care to many hundreds of thousands in the Holy Land. The
Episcopal Church in Jerusalem has a long history of ministry to the poor
and vulnerable of the community, particularly in the areas of health and
education. The Diocese employs about 1,500 people, has about 6,000
students in its schools and about 200 beds in its hospitals.
Political developments in the region have greatly influenced the
socio-political life of the Diocese. The war was a devastating blow for
the church, which resulted in the tremendous task of caring for hundreds
of thousands of refugees. Since that time, the Diocese has devoted a
significant amount of time, attention and resources to caring for the
needy and vulnerable within its communities. This has been the case
during the wars of 1967 and 1973, the first Intifada, the Gulf War and
today. A considerable amount of attention is paid to the social service
ministry of the diocese, implemented through parishes, health care
institutions and schools. This takes the form of cash grants and food
parcels to the hungry; grants toward hospitalisation, medications and
diagnostic procedures; and scholarships toward tuition fees. In emergency
situations, the Episcopal Diocese of Jerusalem provides everything from
pastoral care to emergency surgery to a family's daily bread.
Description of ACT Member's Implementing Partners
There are two partners that have been identified for the implementation of
this proposal. The Ahli Arab Hospital in Gaza and St. Luke's Hospital in
Nablus - two general care hospitals functioning under the Episcopal
Diocese of Jerusalem health care ministry.
Ahli Arab Hospital is located in the Gaza Strip area of the Palestinian
Territories. It was originally built in 1882 by the Church Missionary
Society (CMS), in the centre of Gaza City. It became a service ministry
of the Episcopal Diocese of Jerusalem in 1982. During the first Intifada
it was the only non-Israeli hospital run by Palestinians in Gaza, working
with the community. The work of healing continues to the present day.
Ahli Hospital is known and respected as a provider of the quality health
care for all the women, children and men of Gaza. A significant portion
of their care is charitable, as they minister to many of the poorest, in a
community where over 60% of the residents live in refugee camps. The
hospital plays an enormous role in the provision of general medical and
surgical care and in the prevention of illness and disability to all
people of the Gaza Strip, both residents and refugees, regardless of race,
gender, ethnic or political affiliation.
During recent years Ahli Arab Hospital has responded to the needs of the
people as they occur, in particular during the times of crises that
related to the Palestinian-Israeli conflict. The emergency team is
frequently deployed to heavily shelled sites to treat the injured, and
help transport the wounded to medical facilities. Ahli also tailors its
services to those vulnerable women, children and elderly who lack the
basic necessities of life. The hospital is involved in organising medical
outreach clinics to the most needy areas to bring primary care and home
care services to villages and individuals who cannot access health
services from any other source. These villages are primarily located near
the Israeli settlements and have been under a total siege for months. The
hospital co-ordinates with the community leaders to host the free medical
missions or help to evacuate patients who are in need for further medical
treatment. The hospital provides free health care, including outpatient,
diagnostic and inpatient services, transportation and food parcels for
each family attending this outreach program.
In response to the crises Ahli has expanded its services to include all
those in need and members of their families, who may suddenly be called
upon to offer help in any emergency situation. In the Gaza Strip,
community members transport more than 90% of the victims via private cars.
However good the intent, many traditional first aid interventions increase
complications and exacerbate the victims' condition. These highlight the
importance of strengthening community level fist aid intervention, as the
community is the first provider for many victims.
St Luke's Hospital, located in Nablus, is the second general hospital
under the auspices of the Diocese of Jerusalem. Nablus is situated 63
kilometers north of Jerusalem and is the second largest city in the West
Bank area of Palestine.
Nablus is the focal point of a district of 600,000 inhabitants, all
Palestinian Arabs. St. Luke's is a general care hospital equipped with
highly trained medical, nursing and support staff (currently 108
employees), who provide medical/surgical care, intensive cardiac care,
maternity, neonatal intensive care, rehabilitation and 24 hour emergency
services. St. Luke's Hospital has only 44 out of 60 beds in use at
present, due to a lack in financial resources.
In the year 2002, there were 2,029 admissions, of which 681 had major
surgery, and 564 delivered infants. In 2002, the occupancy rate dropped
33% - due to economic hardships and the inability to access health care
due to closures and curfews. In 2002 the percentage of charitable care
given increased dramatically, and all care given to victims of the
Intifada was free of charge.
The hospital is an extension of the ministry of the Episcopal Diocese of
Jerusalem and aims to enhance the welfare of the Palestinian community in
a non-commercial manner, and to provide medical care for all those
patients who are poor and in need, regardless of race, religion or
financial status.
DESCRIPTION of the EMERGENCY SITUATION
Since the break out of the violent conflict in September 2000, Gaza has
been the recipient of crushing economic sanctions, and remains under siege
with a complete closure in effect. This has included closure of all
borders with Israel and Egypt, the closure of Gaza International Airport,
the closure of the sea for fishing and the closure of the major internal
north-south and east-west routes of transportation. The Gaza Strip has
been divided into three distinct internal regions, outside of which
residents are only rarely able to move, and are forced into an
unacceptable amount of travel time. Trips that previously took 45 minutes
now take more than 3 hours.
Over 770 Gazan homes have been completely demolished and around 7,025
people left without homes. Many more homes have been severely damaged,
leaving tens of thousands living in barely inhabitable structures or
joining already crowded extended family members in their homes. In the
period between 29 September 2000 and 29 January 2003, 904 Gazans lost
their lives and 10,579 - including 276 children under 14 years of age -
were injured. The infrastructure has been relentlessly attacked, resulting
in electricity and telephone lines damaged, water and sewer lines ruined,
orchards uprooted, 16,570 dunums of cultivated land razed, homes and
businesses torched and/or demolished and roads excavated to block
movement. There is severely restricted access to places of work, health
care, and education.
Nablus has been the recipient of innumerable night-time helicopter and
tank bombings, targeting both national and civilian buildings and people.
In addition, all access in and out of the city has been blocked almost
constantly for more than two years. Movement between surrounding villages
and the town of Nablus has also been prevented. This siege prevents the
transit of all people and materials, and restricts access to places of
work, hospitals and schools, dramatically influencing the provision and
receipt of health care.
There is not one family who has not been affected by the loss or injury of
family members, the loss of work and income, and more commonly both. The
humanitarian situation in the Gaza Strip and West Bank has dramatically
deteriorated. Unemployment has reached 60% and is still rising, and in
some villages approaches 100%. Even those who have jobs receive irregular
payments and lower salaries. This rapid economic decline has pushed a
large percentage of the population below the poverty line.
Impact on Human Lives
In August 2002 a study undertaken by the United States Agency for
International Development reported that more than 30% of 3.5 million
Palestinians in the West Bank and Gaza are dependent on food handouts from
the World Food Program, the ICRC or other NGOs and charitable
organisations. The number of Palestinians requiring food assistance is
increasing daily. According to USAID, approximately 50% of all
Palestinians, refugee and non-refugee, require external food assistance to
meet their daily minimum caloric needs. Of households surveyed by Care
International in November 2002, 50% reported their need to borrow money to
purchase basic foodstuffs, with 16% selling assets for the same purpose.
According to the World Bank, in August 2002, 70% of Palestinians in the
West Bank and Gaza lived on less than US $ 2.00 per day, placing them
below the official UN poverty line. The United Nations defined 62% of
Palestinians as 'vulnerable' or in need of food, shelter and/or access to
health services.
Care International reported in January 2003 the results of a nutritional
assessment carried out in the West Bank and Gaza. The survey indicated
that Global Acute Malnutrition for children aged 6-59 months stands at
13.3% in the Gaza Strip and 4.3% in the West Bank. Global Chronic
Malnutrition for the same age group is 17.5% in the Gaza Strip and 7.9% in
the West Bank. These findings are based on a survey of 1,004 households.
According to UNICEF figures, children in Gaza were now as malnourished as
children in the Congo and Zimbabwe'.
The prevalence of anaemia among children 6-59 months of age varies little
between the West Bank (43.8%) and the Gaza Strip (44%). Four of five
children in both areas have inadequate iron and zinc intake, deficiencies
which cause anaemia and immune deficiencies, respectively. Reproductive
aged women also show a 15-20% decrease in daily calorie and protein intake
compared to 2000.
The World Health Organisation has reported that the situation is
deteriorating, and has voiced concern over damage to the water supply,
lack of human waste disposal, and problems with the build up of solid
waste. Askar and Balata camps in Nablus have contaminated water due to
the destruction of both the water network and sewage pipelines in these
localities, causing sewage flow into the water pipelines. The distribution
of chlorine to clean the water is hampered by the closures and curfews,
making it difficult for the Ministry of Health to reach the affected
localities.
Access to health care is often impossible, roads are more often than not
blocked by checkpoints, curfews are imposed and even Red Crescent
ambulances are fired upon.
Description of Damages
On 24 January 2003 St. Philip's Episcopal Church, which is located within
the grounds of Ahli Arab Hospital, sustained a direct hit from a guided
missile. This seriously damaged both the church and the Hospital. Many
windows were shattered throughout the hospital, and several buildings
showed cracks - a case for grave concern in buildings over 100 years of
age. The paediatric clinic sustained considerable damage when the false
ceiling collapsed, along with the ventilation system. The resulting power
surge destroyed the x-ray machine, and several other pieces of equipment
were damaged when hit by glass shards. It is estimated that repairs will
exceed a quarter of a million US dollars.
St. Luke's Hospital has also sustained damage from military forces
entering the hospital compound on several occasions in 2002. Many doors
have been damaged from the forced entry. The hospital ambulance has also
been detained while transporting sick and injured patients, and this has
certainly increased the health risk of those the hospital is caring for.
St. Luke's Hospital is located a few blocks away from the old city of
Nablus, which was targeted relentlessly during the incursion of April
2002. St. Luke's Hospital was able to offer respite to dozens who fled
from the destruction of their homes, as well as to offer care to those who
were injured. They were housed and fed, along with numerous hospital
staff that were unable to return to their homes. During this time, ninety
victims of the attacks were admitted to the hospital at a cost of over
$70,000.
Locations for Proposed Response
The two hospitals mentioned in this proposal are the centres of response
to the urgent needs of the ECJ community. This proposal targets Gaza and
Nablus cities, as well as the villages that surround them. These programs
will continue, and expand the emergency care that is currently given for
those who are directly and indirectly injured in the conflict. This will
include emergency care for those who are wounded, through the services of
the emergency department, the operating theatre, intensive care and
inpatient units.
The second section of this proposal addresses assistance given to those in
need of acute care, provided through the outpatient clinics, which include
physiotherapy and rehabilitation. This will be implemented through mobile
clinics and community outreach programs, which will ensure health care
access to villages and individuals that are living in harsh conditions and
unable to attend the hospital due to the siege, military closure, poverty
and/or lack of transportation.
The third component of the proposal aims to train a number of first aid
providers within the community, who will be trained in first aid
techniques, allowing them to function effectively during emergencies and
to provide immediate, fast and effective first aid intervention. This
program will target areas of high accident occurrence such as sites of
friction between Palestinians and Israelis, schools and homes.
GOAL & OBJECTIVES
The primary goal is to expand the current provision of emergency health
care services for the ill and injured victims of the conflict, as well as
to provide first aid training to community members.
Objectives:
To provide emergency medical and surgical care and rehabilitation for the
ill and injured who are unable to pay.
To provide access to health care for patients who are poor, and/or living
under siege.
To enhance the first aid knowledge of 300 candidates - youth, women and
school teachers
To provide food parcels to those identified by health care providers as
the most nutritionally vulnerable
TARGETED BENEFICIARIES
The beneficiaries of this project are the ill and injured Palestinian
women, men and children living in the Gaza Strip and Nablus District, who
seek and/or receive care from Ahli Arab Hospital and St. Luke's Hospital.
Criteria used in Beneficiary Selection
For Emergency Services and Outreach: All of these criteria are evaluated
by the hospital social worker on an individual basis for illegibility.
All injured patients that seek medical care free of charge at Ahli Arab
Hospital and St. Luke's Hospital.
Patients who cannot access medical care due to the siege.
Patients who are financially unable to meet the costs of their health care
People who are not covered by any health insurance system.
For First Aid Training: these criteria will be used as a guideline for
selection.
Candidate must be able to read and write, and hold a high school diploma.
Candidate has work experience in the first aid field.
Candidate has good communication skills and the ability to train others.
Candidate is 18 years of age and above.
Candidate is active and working in the community, in areas such as youth
clubs, women's centres.
Fifty percent of the candidates should be women.
The number and location of participants will based on population density
Number of Targeted Beneficiaries According To Proposed Assistance
Emergency Services: all injured and wounded they will be accepted for
health care services. It is impossible to predict the number who will be
injured in the months to come, and the number who will be in need of care.
However, the situation continues to deteriorate, and in the last
twenty-eight months there have been over 2,100 killed and 40,000 injured.
At the moment, there is no indication that the situation will improve; to
the contrary all indicators are that it will worsen. It is estimated that
there are 2,500 injured left with permanent disabilities, and who are in
need of physiotherapy and rehabilitation.
Outreach Program:
Ahli Arab Hospital: 7,500 patients
St. Luke's Hospital: 5,000 patients
First Aid: 300 trainees
PROPOSED EMERGENCY ASSISTANCE & IMPLEMENTATION
Emergency Services & Outreach Program:
The emergency services programs at both Ahli Arab and St. Luke's Hospitals
are already operational and will continue to be functional as long as
there are those in need. However, there are many more in need than there
are funds to cover their care. Financial assistance is needed to
safeguard the continuity and expansion of these programs. This proposal
aims to secure the funds needed to both maintain and enlarge the program
in response to the dramatically increasing need of the community, and
provide health care services for the multitude of ill and injured who are
not being adequately cared for at the present.
This proposal aims to enable Ahli Arab and St. Luke's Hospitals to
continue providing assistance to patients who are in need of emergency
services and outreach to enable care for acute and chronic health
problems. This includes the services in out-patient clinics and inpatient
units, physical therapy and rehabilitation, surgery, diagnostic services
and medications. The ACT assistance will cover the cost of the treatments
and the medical care at the hospital. It also will cover the food and
transportation cost for the patients who are brought to the hospital for
treatment in the outreach program, as well as to meet the additional cost
of specialised health care providers.
First Aid:
Participants in the first aid training program will attend a fifty-hour
course. The curriculum will include theoretical content, problem solving
discussions about different accidents and illnesses, and a practical
component focusing on treatment techniques. At the completion of the
course a final examination will be given and a certificate in first aid
practice will be awarded to each successful candidate. A First Aid
Handbook will be distributed to each candidate as well as an emergency
bag. The contents of the emergency bag are detailed in Annex I. The
First Aid Handbook has already been written, and published.
It is anticipated that the outreach and the first aid programs will be
implemented immediately upon receipt of the first instalment of the ACT
funds.
Transition from Emergency
As long as there is war and conflict between Israelis and Palestinians,
there is an enormous need for funding support to help maintain health care
for the needy. Once there is peace, these two hospitals can begin
transition back to normal programs of providing health care for all
patients, refugees and other Palestinians.
ADMINISTRATION, FINANCE, MONITORING & REPORTING
Administration
The hospital Board of Directors, together with the Management Team of Ahli
Arab Hospital, Gaza and St. Luke's Hospital, Nablus will supervise the
implementation of the administrative functions for this emergency project.
The Director of Ahli Arab Hospital will have overall responsibility for
the operation of the hospital and the outreach care program. The Medical
Director is responsible for the medical functions of the hospital.
The St. Luke's Hospital administration is divided into two levels. At one
level, the Anglican Bishop in Jerusalem heads the Board of Directors.
The second level includes the medical and administrative directors of the
hospital, who work with the Board directly through the Vice President of
the Board, who is also the priest in charge of St. Phillips' Episcopal
Church in Nablus.
Finance
Both the Ahli Arab and St. Luke's Hospital accounts departments are run by
qualified professionals. Each year an Independent Certified Auditor
audits the hospital activities and the related statement of revenues and
expenses. All money received by Ahli Arab and St. Luke's Hospitals, as
well as donations (cash, in kind or service) are audited and evaluated as
to their designated used, according to the specifications of the donor.
ACT funds will be separately accounted for and will be part of Annual
Audit.
Monitoring
ACTs fund will used according to their designated purpose. The Accounts
department will be responsible for the receipt of funds. It is also their
responsibility to monitor these funds, and assure that they are used for
their intended purpose, and that this process is properly documented.
The Chief Accountant of the hospital is responsible for the over-all
monitoring and financial reporting on ACT funds.
IMPLEMENTATION TIMETABLE
The implementation of this program is expected to take place as from 1 May
2003 until 31 December 2003 (8 months).
CO-ORDINATION
Ahli Arab and St. Luke's Hospitals co-ordinate with all healthcare
providers in the community, to minimise duplication of services and
promote an optimal level of services provision to those in need. This
includes co-ordination with the Palestinian Ministry of Health, United
Nations (UNRWA), and other non-governmental and charitable organisations
that assist the injured during the time of violence. For the Outreach
Program and the First Aid training the hospital will work in conjunction
with the community. These community leaders help in either hosting the
hospitals' free medical missions at the patient's place of residence or at
the hospital compound.
BUDGET
ESTIMATED EXPENDITURE
Description Type of No of Unit Cost Budget
Unit Units US$ US$
I. St Luke's & Ahli Arab Hospital Emergency Services Combined
Staff (AAH & SLH)
Emergency Doctors @ $500 (2x2 =4) Month 8 2,000 16,000
Consultant (2 @1100) Month 8 2,200 17,600
Anesthetists @ $350 (2x2) Month 8 1,400 11,200
Staff Nurses (2x2 @ $400) Month 8 1,600 12,800
Assistant Pharmacist (x2 @ $ 520) Month 8 1,040 8,320
Bedding
Blankets Blanket 200 12.5 2,500
Sheets Sheet 400 5 1,916
Medical Supplies 0
Medicines (list available) Lump sum 21,895
Solutions Lump sum 16,013
Disposables Lump sum 50,040
Transportation - Ambulance (SLH) Month 8 750 6,000
Sub total 164,284
Description Type of No of Unit Cost Budget
Unit Units US$ US$
II. Outreach Programme - St Luke's & Ahli Arab Hospital Combined
Staff
Nurse Midwives (2x2 @$400) Month 8 1,600 12,800
Nurses (2x2 @$400) Month 8 1,600 12,800
Specialists (2 @320) Month 8 640 5,120
Transport - Patients & Staff (x2) Month 8 4,000 32,000
Medicine & Medical Supplies (AAH) 0
Medicine Lump sum 82,180
Medical supplies Lump sum 41,800
Laboratory Tests Lump sum 10,000
Radiology Examinations Lump sum 5,000
Medicine & Medical Supplies (SLH) 0
Medicine Lump sum 40,000
Laboratory Tests Lump sum 10,000
Radiology Examinations Lump sum 5,000
Food (AAH) 0
Meals for paediatric patients
(600 meals per month at 3.50 Month 8 2,100 16,800
Food Parcels & Meals Parcel 1,600 25 40,000
Food Parcels & Meals (SLH) Lump sum 25,878
Lectures (SLH) Lecture 50 64 3,200
Sub total 342,578
III. First Aid Education at Ahli Arab Hospital
Supervisor Month 8 500 4,000
Social Worker Month 8 200 1,600
Nurses (6) Month 8 800 6,400
Cleaner Month 8 400 3,200
First Aid Kits Kit 300 65 19,500
Sub total 34,700
IV. Administrative & Operational Support
Stationary & printing materials Month 8 750 6,000
Telephone, fax & postage Month 8 500 4,000
Photocopier Month 8 1500 12,000
Admin personnel costs Month 8 500 4,000
Sub total 26,000
TOTAL ESTIMATED EXPENDITURE 567,562
BALANCE REQUESTED FROM ACT NETWORK 567,562
Annex I: Contents of First Aid kit
No.
Item
Qty.
First Aid Bags
300
Micropore Plaster (adhesive tape)
2
Plaster Zinc Oxide
2
Gauze 7.50X7.50
1
Gauze Vaseline (10 pieces)
1
Splint (different sizes)
2
Crib Bandage (8 cm)
3
Crib Bandage (10 cm)
3
Alcohol Swab (100 pieces)
1
Povidone Iodine (small bottle)
1
Savior (small bottle)
1
Knife Blade
10
Gloves
5
Esracain Spray
1
Tongue Depressor
3
Dressing Set
1
Collar
1
ANNEX 2
AHLI ARAB HOSPITAL -GAZA LIST OF NEEDS -MEDICINE & MEDICAL SUPPLIES
NO.
ITEM
QTY
UNIT COST US $
TOTAL Cost US $
1
Keflex 500 mg.
5000
Cap.
0.28
1400.00
2
Multivitamin
5000
Tab.
0.07
350.00
3
Negram 500 mg.
1000
Tab.
0.50
500.00
4
Ratidine 150 mg.
15000
Tab.
0.06
900.00
5
Vermox
2000
Tab.
0.30
600.00
6
Assival 10 mg.
1000
Amp.
0.33
330.00
7
Ampiclline 500 mg.
5000
Vial.
0.97
4850.00
8
Beatryl
1000
Amp.
0.57
570.00
9
Dormicum 5 mg./1ml.
2000
Amp.
1.55
3100.00
10
Esracain 2% 5 ml.
1000
Amp.
0.48
480.00
11
Flagyl 500 ml.
6000
Amp.
1.74
10440.00
12
Gentamycin 80ml.
1000
Amp.
0.18
180.00
13
Insulin Reg. 100 U
250
Vial.
14.50
3625.00
14
Insulin NPH 100 U
250
Vial.
14.50
3625.00
15
Lasix 20 mg.
5000
Amp.
0.44
2200.00
16
Myostigmin
500
Amp.
1.52
760.00
17
Norcuron 4 mg.
1000
Amp.
3.19
3190.00
18
Orbanil 500 mg.
1000
Amp.
0.74
740.00
19
Pentothal 1 gr.
1000
Vial.
2.38
2380.00
20
Pitocin 10 U
500
Amp.
0.76
380.00
21
Potassium Chloride
300
Vial.
1.25
375.00
22
Pramin
500
Amp.
0.43
215.00
23
Scolin
150
Amp.
0.93
139.50
24
Solu cortef 500 mg.
200
Vial.
5.06
1012.00
25
T. Toxoid 5 ml.
100
Vial.
7.00
700.00
26
Urograffin 76% 100 ml.
100
Vial.
9.98
998.00
27
Ratidine 150 mg.
5000
Amp.
0.43
2150.00
28
Zenacef 750 mg.
7500
Vial.
1.33
9975.00
29
Keflin 1 gr.
3500
Vial.
3.70
12950.00
30
Alumage Syp.
500
Bott.
1.66
830.00
31
Moxypen 250 mg.
200
Bott.
0.93
186.00
AHLI ARAB HOSPITAL -GAZA
No
ITEM
QTY
UNIT Cost US $
TOTAL Cost US $
32
Mucolit
200
Bott.
1.82
364.00
33
Prothiazin Exp.
300
Bott.
1.70
510.00
34
Vermox
300
Bott.
1.70
510.00
35
Keflex 250 mg.
300
Bott.
1.80
540.00
36
Fleet Enema
500
Bott.
0.96
480.00
37
Benzyl Benzoate
200
Bott.
1.72
344.00
38
Histical Lotion
200
Bott.
1.43
286.00
39
Silvadin 400 gr.
125
Jar.
11.28
1410.00
40
Decomb 10 gr.
250
Tube
1.72
430.00
41
Barium Cups
240
Pcs.
5.85
1404.00
42
Ethyl Alcohol
500
Lit.
1.95
975.00
43
Cidex regular
500
Lit.
2.34
1170.00
44
Fluothan
30
Bott.
34.50
1035.00
45
Pethidin 50 mg.
1000
Amp.
0.50
500.00
46
Dextrose 5% 500 cc.
1000
Bag
1.04
1040.00
47
Normal Saline 0.9% 500 ml.
1000
Bag
1.05
1052.00
TOTAL FOR MEDICINE
82,180.50
AHLI ARAB HOSPITAL -GAZA
NO
ITEM
QTY
UNIT Cost US $
TOTAL Cost US $
2.Medical Supplies:
1
Disposable Syringes 50 cc. Catheter
2000
Pcs.
0.254
508.00
2
Disposable Syringes 50 cc. Luer
2000
Pcs.
0.238
476.00
3
Disposable Syringes 20 cc.
2000
Pcs.
0.094
188.00
4
Disposable Syringes 10 cc.
10000
Pcs.
0.062
620.00
5
Disposable Syringes 5 cc.
10000
Pcs.
0.041
410.00
6
Disposable Syringes 2 cc.
5000
Pcs.
0.035
175.00
7
Disposable Insulin Syringes
5000
Pcs.
0.066
330.00
8
Disposable Suction Catheter size 16
1000
Pcs.
0.149
149.00
9
Disposable Needle G 23
10000
Pcs.
0.015
145.00
10
Disposable Needle G 21
10000
Pcs.
0.017
167.00
11
Disposable Needle G 18
10000
Pcs.
0.017
167.00
12
Debiffix Size 6
200
Roll
3.570
714.00
13
Debiffix Size 5
200
Roll
2.420
484.00
14
Debiffix size 4
100
Roll
3.609
360.90
15
Micropore tape size 2 1/2
2000
Roll
0.617
1234.00
16
Adhesive tape 5 cm.
2000
Roll
1.168
2336.00
17
Disposable Endutreacheal tube size 7
1000
Pcs.
1.046
1046.00
18
Disposable Endutreacheal tube size 7 1/2
1000
Pcs.
1.039
1039.00
19
Disposable Endutreacheal tube size 8
500
Pcs.
1.046
523.00
20
Disposable Surgical Gloves G 8
3000
Pair
0.247
741.00
21
Disposable Surgical Gloves G 7 1/2
5000
Pair
0.247
1235.00
22
Latex Gloves Large (Examination Gloves)
15000
Pair
0.058
870.00
23
Oxygen Tube
300
Pcs.
1.040
312.00
24
Disposable I.V Cannula G 20
2000
Pcs.
0.500
1000.00
25
Disposable I.V Cannula G 22
2000
Pcs.
0.500
1000.00
26
Disposable I.V Cannula G 18
500
Pcs.
0.500
250.00
27
Disposable Foley Catheter G 18 2 ways
300
Pcs.
0.638
191.40
28
Disposable Foley Catheter G 16 2 ways
300
Pcs.
0.635
190.50
29
Disposable Foley Catheter G 14 2 ways
200
Pcs.
0.785
157.00
30
Slide for Blood (50 pcs./Box)
200
Box
1.075
215.00
31
Plastic Centerifuge Tube (2000 pcs./Box)
20000
Pcs.
0.015
300.00
AHLI ARAB HOSPITAL -GAZA
NO.
ITEM
QTY
UNIT Cost US $
TOTAL Cost US $
32
Multistix (100/Bott)
50
Bott.
15.957
797.85
33
Glycamic Sticks (100/Box)
50
Box
24.305
1215.25
34
Cell Pack (20 Lit./Box)
10
Box
61.990
619.90
35
Snap Pack
10
Box
245.680
2456.80
36
Stromatolyster -3 WP
10
Box
120.890
1208.90
37
Stromatolyster C - 210
10
Box
121.490
1214.90
38
X-Ray Film 14x17 (100 Pcs/Box)
15
Box
86.460
1296.90
39
X-Ray Film 14x14 (100 Pcs/Box)
15
Box
73.040
1095.60
40
X-Ray Film 30x40 (100 Pcs/Box)
15
Box
72.650
1089.75
41
Devloper (40Lit/Box)
10
Box
53.470
534.70
42
Fixer (40 Lit./Box)
10
Box
34.990
349.90
43
Disposable Hemovac 400 ml.
50
Pcs.
6.024
301.20
44
Face Mask
6000
Pcs.
0.053
318.00
45
Disposable Surgical Blade G 20
50
PK.
5.310
265.50
46
Disposable Surgical Blade G 10
50
PK.
5.460
273.00
47
Autoclave tape
100
Roll
2.483
248.30
48
Guaze (10x10cm.x4ply) (700pkg.x100pcs.)
700
Pkg.
1.80
1260.00
3. Suture
49
Vicryle 0 W-9230
30
Doz.
30.000
900.00
50
Vicryle 3/0 W-9120
50
Doz.
25.500
1275.00
51
Vicryle 1 W-9231
20
Doz.
43.160
863.20
52
Vicryle 2/0 W-9121
50
Doz.
25.500
1275.00
53
Vicryle 3/0 W-9044
20
Doz.
25.500
510.00
54
Prolene 1 W-8450
20
Doz.
25.500
510.00
55
Prolene 2/0 W-8571
30
Doz.
25.500
765.00
56
Prolene 3/0 W-626
20
Doz.
30.500
610.00
57
Silk S 2/0 W-321
30
Doz.
11.500
345.00
58
Silk S 3/0 W-328
30
Doz.
11.500
345.00
59
Chromic C 0 W443
30
Doz.
25.250
757.50
60
Chromic 1 W 759
30
Doz.
26.190
785.70
61
Chromic C 3/0 W-447
30
Doz.
13.500
405.00
62
Chromic C 2/0 W-445
30
Doz.
13.500
405.00
TOTAL FOR MEDICAL SUPPLIES
41,831.65
ANNEX 3
St. Luke's Hospital
List of Food Supplies Needed for the Hospital Kitchen
No
Item
Unit
Unit/Price US$
Qty.
Total/Cost US$
1
Theiniyeh
jar
2.33
200
467
2
Jam
jar
1.78
300
533
3
Custard powder
can
1.11
300
333
4
Jelly
can
5.56
600
3333
5
Magi
box
2.11
500
1056
6
Halaweh
kg
2.22
700
1556
7
Noodles
packet
0.33
300
100
8
Spaghetti
packet
0.33
250
83
9
Tomato Paste
can
1.11
250
278
10
Cooking Oil
gallon
15.56
150
2333
11
Homos
kg
1.11
300
333
12
Lentils
kg
1.11
220
244
13
White peas
kg
1.33
50
67
14
Sugar
kg
0.44
3000
1333
15
Rice
kg
0.78
1500
1167
16
Salt
kg
0.39
300
117
17
Martadela
packet
1.78
150
267
18
Yellow Cheese
packet of 3 kg
23.33
140
3267
19
Butter
packet
0.56
600
333
20
Peas
packet
2.00
750
1500
21
Tea
kg
4.00
350
1400
22
Milk powder
can
20.00
150
3000
23
White Wheat
kg
0.56
5000
2778
24
Water
set of 6
2.50
2000
5000
30,378
ANNEX 4
Disposables: St. Luke's Hosptial
No.
Item
Unit Cost/$
Qty.
TP/$US
1
Bone Cement
61.67
5.00
308.33
2
Gelfoam box of 4
41.46
10.00
414.58
3
Cord clamp
21.46
3.00
64.38
4
Coil stent catheter size 4, 5, 6
104.58
10.00
1,045.83
5
Gauze roll
16.88
50.00
843.75
6
Epidfural set
11.50
50.00
575.00
7
Abdominal Bad
2.40
200.00
479.17
8
Vacuum Drain
11.67
40.00
466.67
9
Adhesive Plaster 10cm &7.5 cm
1.77
200.00
354.17
10
Endotracheal tube size 5, 7, 7,5, 8
2.08
3000.00
6,250.00
11
Suprapubic catheter (Roche)
37.71
10.00
377.08
12
Endotracheal tube size 3.5, 4, 2.5, 3
4.02
500.00
2,010.42
13
Gloves sterile tagum size 7, 7.5, 8
0.38
3000.00
1,125.00
14
I.V. canula size 20
0.83
2000.00
1,666.67
15
Irrigator set
10.21
50.00
510.42
16
Dormia Basket
239.58
3.00
718.75
17
Monocyl 610
104.79
3.00
314.38
18
Spinal needle pencil tip BD27 GA 3.5 in. 0.4 x 90mm
6.04
500.00
3,020.83
19
Spinal needle pencil tip BD27 GA 3.5 in. 41x11.9cm
6.04
500.00
3,020.83
20
Sterilization sheet 70 x 70
35.10
5.00
175.52
21
Sterilization sheet 50 x 50
33.35
6.00
200.13
22
Sterilization sheet 90 x 90
47.50
4.00
190.00
23
Sterilization sheet 120 x 120
50.00
3.00
150.00
24
Autoclave roll 10 cm
22.92
3.00
68.75
25
Autoclave roll 15 cm
37.50
5.00
187.50
26
Autoclave roll 20 cm
45.83
5.00
229.17
27
Suction tube
1.58
200.00
316.67
28
Chromic 1 w457 (Dozen) Ethicon
33.33
30.00
1,000.00
29
Chromic 1 liver (Dozen) Ethicon
26.81
5.00
134.06
30
Coated Vicryl 2 (Dozen) Ethicon
53.85
30.00
1,615.63
31
Coated Vicryl 6/0 (Dozen) Ethicon
43.33
10.00
433.33
32
Chromic 2 (Dozen) Ethicon
40.21
30.00
1,206.25
33
Oxacell (Dozen) Ethicon
391.46
2.00
782.92
34
Prolene 3/0 (Dozen) Ethicon
34.38
30.00
1,031.25
35
Syringe 2.5cc box of 100
3.33
30.00
100.00
36
Syringe 5 cc box of 100
3.96
40.00
158.33
37
Plain 2/0 Ethicon
22.50
20.00
450.00
38
Plain 0 w4394
27.79
20.00
555.83
39
Fleet Enema
0.94
200.00
187.50
40
Autoclave tape
2.71
10.00
27.08
41
Blades steriule size 23 (Swann- Morton) box of 100
11.88
10.00
118.75
42
E.C,G Electrodes box of 60
6.46
600.00
3,875.00
43
Catheter 2 wat silicon size 14, 16, 18
8.33
30.00
250.00
44
Catheter 3 way adult size 20, 22, 24
8.33
20.00
166.67
45
Catheter 2 way adult size 16, 18,20
0.69
500.00
343.75
46
Chromic 3/0 Ethicon (Dozen)
25.21
10.00
252.08
47
Chromic 2/0 Ethicon (Dozen)
34.79
10.00
347.92
48
Chromic 4/0 Ethicon (Dozen)
25.42
10.00
254.17
49
Cidex (Gluter Aldehyde)
15.83
5.00
79.17
50
Sodalime
28.75
3.00
86.25
51
Elastic Grip Bandage size 8cm
0.45
300.00
135.63
52
Silk 3/0 w328 (Dozen)
24.17
10.00
241.67
53
Silk 2/0 w321 (Dozen)
20.83
10.00
208.33
54
Colostomy bag size 57
3.88
50.00
193.75
55
Colostomy ring size 57
4.79
10.00
47.92
56
Latex Gloves
3.13
50.00
156.25
57
Iodocare solution & scrub (Lit.)
3.54
200.00
708.33
58
Septal scrub
5.54
20.00
110.83
59
Septalon cream
7.19
5.00
35.94
60
Suction catheter size 14, 16, 10
1.33
500.00
666.67
61
Bone wax
19.79
5.00
98.96
62
Sharp box
2.50
30.00
75.00
63
Percutanous sheet ARROW
30.48
5.00
152.40
64
Bipolar pacing catheter ARROW size 6
119.38
5.00
596.88
65
Head cap Male
2.44
30.00
73.13
66
C. Pap Mask
16.82
10.00
168.19
67
Sufratulle box of 10
4.17
20.00
83.33
68
Arterial line single channel
16.67
5.00
83.33
69
Insuline syringe box of 30
2.08
30.00
62.50
70
I.V. set adult
0.54
300.00
162.50
71
Dextrostix
27.08
3.00
81.25
72
Cotton 1.5kg
3.75
30.00
112.50
73
Alchohol 96% Lit
1.58
100.00
158.33
74
Airway size 2, 3, 4
0.42
300.00
125.00
75
Plaster of Paris Plastic Fibber (Dynacast extra 5cm, 10cm
31.25
5.00
156.25
76
Catheter 2 way child
2.56
20.00
51.25
77
Cervex set Ethicon (pieces)
25.63
6.00
153.75
78
Prolene 5/0 W8710 (Dozen) Ethicon
41.67
5.00
208.33
79
Codman Patties 1 x 0.5
127.50
30.00
3,825.00
80
ECG Roll one channel 5cm & 6 cm
3.13
20.00
62.50
81
Hilex Infusion
5.21
30.00
156.25
82
Mersilk 4/0 W329 Ethicon
21.67
5.00
108.33
83
Plaster of Paris 15cm
1.06
50.00
53.13
84
Plaster of Paris 20cm
1.29
50.00
64.58
85
Prolene 5/0 W8630 Ethicon
60.83
5.00
304.17
86
Prolene 6/0 W8718 Ethicon
26.00
4.00
104.00
87
Prolene Mish 15 x 15cm
65.83
3.00
197.50
88
Prolene Mish 30 x 30cm
192.50
3.00
577.50
89
Prolene Mish 6 x 11cm
31.25
3.00
93.75
90
Thermometer
1.38
300.00
412.50
91
Urinal Male
2.50
50.00
125.00
92
Urine Bag Adult
0.21
200.00
41.67
93
Volu set
2.66
100.00
265.63
TOTAL
50,039.60
Solutions
1
Normal saline 500cc 0.9 NaCl
1.04
600.00
625.00
2
Dextrose saline 500cc 5% Dextrose & 0.9 NaCl
1.04
600.00
625.00
3
Normal Saline 1000cc 0.9 NaCl
2.17
400.00
866.67
4
Normal Saline 3000 cc 0.9 NaCl
9.50
600.00
5,700.00
5
Deztrose water 500cc 5% Dextrose
1.04
600.00
625.00
6
Glycin 3000cc
9.50
400.00
3,800.00
7
Water for Irrigation 1000cc
2.17
300.00
650.63
8
Mannitol
20.94
60.00
1,256.25
9
Hartman R.S. 500cc
1.15
300.00
343.75
10
0.45% NaCl
2.19
400.00
875.00
11
0.9 NaCl 150cc
1.22
200.00
243.75
12
Dextrose water 10%
1.77
100.00
177.08
13
Dextrose water 50%
3.75
60.00
225.00
TOTAL
16,013.13
Medications
1
Propofol 10mg/ml
6.88
100.00
687.50
2
Halothane
34.17
10.00
341.67
3
Isoflorane
41.25
10.00
412.50
4
Thiopentone sodium 1gm
2.56
200.00
512.50
5
Atracurium besylate 25mg
16.67
20.00
333.33
6
Neostigmine amp
0.96
200.00
191.67
7
Bupivacain HCl 20mg amp
12.71
100.00
1,270.83
8
Bupivacain HCl 20mg amp Heavy
31.94
100.00
3,193.75
9
Bupivacain HCl 20mg vial
3.66
100.00
365.63
10
Methyl prednisolone 80mg
7.50
50.00
375.00
11
Methyl prednisolone 40mg
4.79
50.00
239.58
12
Adrenalin amp
0.24
200.00
48.75
13
Atropine amp
0.31
200.00
62.50
14
Lidocaine 2% amp
0.56
200.00
112.50
15
Lidocaine 1% amp
0.36
200.00
72.92
16
Lidocaine 2% gel
1.88
50.00
93.75
17
Ephedrin amp
0.27
100.00
27.08
18
Pancuronium
1.91
100.00
191.46
19
Ketamine vial
15.63
5.00
78.13
20
Methylprednisolone sodium 1gm
17.08
30.00
512.50
21
Streptokinasae
109.69
2.00
219.38
22
Phenytoin sodium 250mg/5ml
4.17
25.00
104.17
23
A.T.S. Tetanous Toxoid
2.50
5.00
12.50
24
Nimodipine 10mg
28.13
20.00
562.50
25
Methylergometrin maleinic 0.2mg
0.74
300.00
223.13
26
Oxytocin 10 I.U./U.I
0.83
200.00
166.67
27
Human Plasma Protene
41.46
40.00
1,658.33
28
Isosorbide dinitrate 50mg
18.96
50.00
947.92
29
Anti D-Rho.D
52.92
5.00
264.58
30
Ceftriaxone 1gm I.V.
12.19
100.00
1,218.75
31
Insulin Neutral
21.46
2.00
42.92
32
Insulin Mextard
21.46
2.00
42.92
33
Cefotaxime sodium 1gm
9.02
70.00
631.46
34
Dinoprostone amp
28.33
4.00
113.33
35
Dinoprostone 3 mg vaginal Tablet
66.67
8.00
533.33
36
Omeprazole 20mg
12.60
5.00
63.02
37
Amiodarone HCl 150mg
11.67
20.00
233.33
38
Rofecoxib 25mg
7.92
5.00
39.58
39
Metronidazole injection
3.17
50.00
158.33
40
Cefuroxime sodium 750mg
1.85
300.00
556.25
41
Gentamycin 80mg box of 5 2ml
4.56
100.00
456.25
42
Gentamycin 20mg box of 5 2ml
3.54
50.00
177.08
43
Gentamycin 20mg box of 5 1ml
3.02
50.00
151.04
44
Furosemide sodium 20mg
0.54
200.00
108.33
45
Dobutamine 250mg 10ml
5.31
50.00
265.63
46
Docard amp - Dopamin 200mg
1.88
100.00
187.50
47
Silver sulfadiazine 1%
4.38
50.00
218.75
48
Glimepiride 2mg
11.38
5.00
56.88
49
KCl 14.9% amp
1.83
100.00
183.33
50
Cefuroxime 125mg
7.81
5.00
39.06
51
Cefuroxime 500mg
21.67
10.00
216.67
52
Cefuroxime 250mg
12.19
5.00
60.94
53
Ampicillin 250mg + Flucioxacillin Na 500mg
5.04
10.00
50.42
54
Ampicillin 250mg + Flucioxacillin Na 250mg susp.
3.33
10.00
33.33
55
Clarithromycin 250mg
8.33
10.00
83.33
56
Clarithromycin 125mg susp.
11.71
5.00
58.54
57
Phytomendion 2mg amp
1.38
300.00
412.50
58
Diclofenac sodium 75mg
0.90
400.00
358.33
59
Diclofenac sodium 100mg supp
2.69
50.00
134.27
60
Diclofenac sodium 12.5mg supp
1.84
20.00
36.79
61
Diclofenac sodium 50mg oint
2.55
10.00
25.46
62
Ranitidine 50mg amp
0.91
100.00
91.04
63
Ranitidine 150mg tab.
2.69
20.00
53.75
64
Sodium Bicarbonate vial
1.21
30.00
36.25
65
Dexamethasone phosphate 4mg
0.48
200.00
95.83
66
Amoxicillin 500mg and Clavulanic acid
7.56
20.00
151.13
67
Amoxicillin 250mg and Clavulanic acid
5.63
20.00
112.50
68
Ketoprofen 100mg supp.
6.25
20.00
125.00
69
Metoclopramide HCl 10mg
0.52
100.00
52.08
70
Nystatin 100000 I.U., Neomycin 2.5mg, Gramicidine 0.25 gm (cream)
3.96
20.00
79.17
71
Vitamin C 1000MG, Calcium 250mg, Vit D3 300 I.U. Vit. B6 15mg
3.85
30.00
115.63
72
Vitamines, minerals & trace element
6.25
10.00
62.50
73
Enoxaparine 20mg
6.46
20.00
129.17
74
Enoxaparine 40mg
10.90
30.00
326.88
75
Elemental iron 106mg & Folic acid 1mg
2.50
15.00
37.50
76
Folic acid 5mg
2.29
10.00
22.92
77
Cloxcillin 500mg
1.73
100.00
172.92
TOTAL 21,894.63
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Action by Churches Together (ACT) is a worldwide alliance of churches and
their related agencies, meeting human need through co-ordinated emergency
response. The ACT Coordinating Office is based with the World Council of
Churches (WCC) and the Lutheran World Federation (LWF) in Switzerland.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Ecumenical Centre Phone: ++41-22-791.60.33
150, route de Ferney Fax: ++41-22-791.65.06
P.O. Box 2100 E-Mail: act@wcc-coe.org
1211 Geneva 2 Telex: 415 730 OIK CH
Switzerland http://www.act-intl.org
distributed by
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Center for International web: www.cidi.org
Disaster Information listserv: www.cidi.org/listsub.htm
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comments/suggestions/requests to incident@cidi.org