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Gazze'de sağlık ve ruh sağlığı hizmetleri: Kuşatma altında bir sistem

Year 2024, Volume: 29 Issue: Special Issue on Gaza, 22 - 32, 28.12.2024
https://doi.org/10.21673/anadoluklin.1575373

Abstract

Gazze’nin sağlık ve ruh sağlığı sistemleri, yıllardır süregelen siyasi istikrarsızlık, İsrail’in aralıksız devam eden askeri savaşları ve 2007 yılından bu yana devam eden abluka nedeniyle uzun süredir devam eden zorluklarla karşı karşıyadır. Bu faktörler Gazze’nin birinci basamak sağlık hizmeti sunma kabiliyetini ciddi şekilde engellemiş ve nüfusun ihtiyaçlarını karşılamakta zorlanan bir sistem ortaya çıkmıştır. Gazze’nin sağlık altyapısı 7 Ekim 2023’ten önce bile çöküşün eşiğindeydi ve ruh sağlığı hizmetleri nüfusun artan ihtiyaçlarını karşılayamıyordu. İsrail’in 3 Ekim 2023’te Gazze Şeridi’nde başlattığı ve ‘sistematik insan hakları ihlalleri’ içeren savaş, bugüne kadar Gazze’nin sağlık altyapısının feci şekilde kötüleşmesine yol açmıştır. İsrail’in yoğun askeri operasyonları ve kitlesel yıkımın damgasını vurduğu, ‘sistematik insan hakları ihlalleri’ içeren bu savaş, zaten kırılgan olan sağlık sistemini ciddi bir krize sürükledi. Bu çalışma Gazze’deki sağlık ve ruh sağlığı hizmetlerinin durumunu incelemektedir. Gazze Şeridi’nde devam eden İsrail saldırılarının, özellikle de 2023-2024 ‘sistematik insan hakları ihlalleri’ ile yürüttüğü İsrail savaşı sırasındaki etkisini değerlendirmektedir.

References

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  • ACAPS. Palestine: Impact of the conflict on mental health and psychosocial support needs in Gaza [Internet]. Geneva: ACAPS; 2024 Sep [cited 2024 Dec 21] p. 10. Available from: https://www.acaps.org/fileadmin/Data_Product/Main_media/20240903_ACAPS_Gaza_-_impact_of_the_conflict_on_mental_health_and_psychosocial_support_needs.pdf
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Health and mental health services in Gaza: A system under siege

Year 2024, Volume: 29 Issue: Special Issue on Gaza, 22 - 32, 28.12.2024
https://doi.org/10.21673/anadoluklin.1575373

Abstract

Gaza’s health care and mental health systems have faced long-standing challenges due to years of political instability, continuous Israeli military wars, and a crippling blockade that has been in place since 2007. These factors have severely hindered Gaza’s ability to provide primary health care, resulting in a system that struggles to meet the needs of its population. Even before October 7th, 2023, Gaza’s healthcare infrastructure was on the brink of collapse, and mental health services were unable to meet the growing needs of the population. The October 3rd, 2023, Israel’s war in the Gaza Strip with its ‘systematic violations of human rights’ has led to the catastrophic deterioration of Gaza’s health infrastructure to date. This Israeli war with its ‘systematic violations of human rights’, marked by intense Israeli military operations and massive destruction, pushed an already fragile healthcare system into a severe crisis. This paper examines the state of healthcare and mental health services in Gaza. It evaluates the impact of the continued Israeli offensives in the Gaza Strip, particularly during the 2023-2024 Israeli war with ‘systematic violations of human rights’.

References

  • Marie M, Bataat M. Health care access difficulties of Palestinian patients in the context of mental health: a literature review study. J Psychiatry Ment Disord. 2022;7(2):1062.
  • Saber IF. How the Israel war, blockade affect mental health of Palestinian children [Internet]. Al Jazeera. 2023. [cited 2024 Dec 21]. Available from: https://www.aljazeera.com/news/2023/10/12/how-the-israel-war-blockade-affects-mental-health-of-palestinian-children
  • Palestine. Gaza Health Access 2022 [Internet]. World Health Organization - Regional Office for the Eastern Mediterranean. 2022 [cited 2024 Dec 21]. Available from: https://www.emro.who.int/opt/news/gaza-health-access-2022.html
  • UNRWA. Department of Health [Internet]. Amman, Jordan: UNRWA; 2023 [cited 2024 Dec 21] p. 96. Available from: https://www.un.org/unispal/wp-content/uploads/2024/05/annual_report_2023_26_may_2023_good_resolution_5.3m_compressed.pdf
  • Daher M. Shortages of essential drugs in the occupied Palestinian territory Causes, coping strategies and impact on patients [Internet]. [cited 2024 Dec 21]. Available from: https://www.ohchr.org/sites/default/files/Documents/Issues/SForum/SForum2015/MahmoudDaher.pdf
  • Palestine. 15 years of blockade and health in Gaza [Internet]. World Health Organization - Regional Office for the Eastern Mediterranean. [cited 2024 Dec 22]. Available from: https://www.emro.who.int/opt/news/15-years-of-blockade-and-health-in-gaza.html
  • World Health Organization (WHO). WHO Model List of Essential Medicines [Internet]. Geneva: WHO; 2023 [cited 2024 Dec 21] p. 71. Available from: https://iris.who.int/bitstream/handle/10665/371090/WHO-MHP-HPS-EML-2023.02-eng.pdf
  • WHO. Shortages of essential drugs in the occupied Palestinian territory [Internet]. Occupied Palestinian territory: World Health Organization (WHO); 2015 [cited 2024 Dec 21] p. 8. Available from: https://www.ohchr.org/sites/default/files/Documents/Issues/SForum/SForum2015/MahmoudDaher.pdf
  • Health conditions in the occupied Palestinian territory, including east Jerusalem, and in the occupied Syrian Golan [Internet]. [cited 2024 Dec 21]. Available from: https://apps.who.int/gb/ebwha/pdf_files/WHA68/A68_INF5-en.pdf
  • Palestinian report: shortage of drugs, medical equipment and diesel fuel - worst since blockade initiated in 2007 - occupied Palestinian territory [Internet]. ReliefWeb. 2014 [cited 2024 Dec 21]. Available from: https://reliefweb.int/report/occupied-palestinian-territory/palestinian-report-shortage-drugs-medical-equipment-and-diesel
  • Annual Report 2014 - Israel and the Occupied Territories | Refworld [Internet]. Refworld. 2014. [cited 2024 Dec 21]. Available from: https://www.refworld.org/reference/annualreport/icrc/2015/en/105365
  • Gaza Strip Joint Health Sector Assessment Report Prepared by the Health Cluster in the occupied Palestinian territory [Internet]. [cited 2024 Dec 22]. Available from: https://www.emro.who.int/images/stories/palestine/documents/Joint_Health_Sector_Assessment_Report_Gaza_Sept_2014-final.pdf
  • UNICEF. The Gaza Strip | The humanitarian impact of 15 years of blockade - June 2022 [Internet]. UNICEF. 2022. [cited 2024 Dec 21]. Available from: https://www.unicef.org/mena/documents/gaza-strip-humanitarian-impact-15-years-blockade-june-2022
  • Summary of Crisis and Key Findings [Internet]. [cited 2024 Dec 21]. Available from: https://www.un.org/unispal/wp-content/uploads/2024/05/WHO-PHSA-oPt-020524-FINAL.pdf
  • World Bank Group. Mental Health in the West Bank and Gaza [Internet]. Washington, DC: World Bank Group; 2022 Nov [cited 2024 Dec 21] p. 68. Available from: https://documents1.worldbank.org/curated/en/099153502102330181/pdf/P17925303fca130e30936d016a378b6a1e9.pdf
  • Farajallah I. My Life Is a War: Voices of Traumatized Palestinian Children under Israeli Occupation. USA: Sumud LLC; 2024.
  • Thabet AAM, EL-Buhaisi O, Vostanis P. Trauma , PTSD , Anxiety and Coping Strategies among Palestinians Ado­lescents Exposed to War in Gaza. The Arab Journal of Psychiatry. 2014;25(1):71–82.
  • Thabet AA, Tawahina AA, Tischler V, Vostanis P. PTSD, depression, and anxiety among Palestinian women victims of domestic violence in the Gaza Strip. J Educ Soc Behav Sci. 2015;11(2):1–13.
  • World Health Organization (WHO). Hostilities in the occupied Palestinian territory (oPt) [Internet]. Geneva: WHO; 2024 May [cited 2024 Dec 21] p. 38. Available from: https://www.un.org/unispal/wp-content/uploads/2024/05/WHO-PHSA-oPt-020524-FINAL.pdf
  • Gaza’s healthcare workers grapple with the mental health impact of an unyielding war | MSF [Internet]. [cited 2024 Dec 21]. Available from: https://www.msf.org/gazas-healthcare-workers-grapple-mental-health-impact-unyielding-war
  • Ćerimović E. “They Destroyed What Was Inside Us” [Internet]. Human Rights Watch. 2024. [cited 2024 Dec 21]. Available from: https://www.hrw.org/report/2024/09/30/they-destroyed-what-was-inside-us/children-disabilities-amid-israels-attacks-gaza
  • Poole DN, Andersen D, Raymond NA, et al. Damage to medical complexes in the Israel-Hamas war: a geospatial analysis. BMJ Glob Health. 2024;9(2):e014768.
  • Körömi C. Israel pursuing “wanton” destruction of Gaza health system, UN commission says [Internet]. POLITICO. 2024 [cited 2024 Dec 21]. Available from: https://www.politico.eu/article/un-commission-accuses-israel-of-concerted-destruction-of-gaza-health-system/
  • Gaza’s doctors were building a health system. Then came war. Reuters [Internet]. [cited 2024 Dec 21]. Available from: https://www.reuters.com/investigates/special-report/israel-palestinians-gaza-health/
  • UN Women. Gender Alert: Gaza: A War on Women’s Health [Internet]. New York: UN Women; 2024 Sep [cited 2024 Dec 21] p. 11. Available from: https://www.un.org/sexualviolenceinconflict/wp-content/uploads/2024/09/gender-alert-gaza-a-war-on-womens-health/gender-alert-gaza-a-war-on-womens-health-en.pdf
  • Gaza: Medical care under fire [Internet]. Doctors Without Borders - USA. 2024. [cited 2024 Dec 21]. Available from: https://www.doctorswithoutborders.org/latest/events/gaza-medical-care-under-fire
  • UNRWA. Mental Health and Psychosocial Support (MHPSS) in Gaza [Internet]. Amman, Jordan: UNRWA; [cited 2024 Dec 21] p. 11. Available from: https://www.unrwa.org/sites/default/files/content/resources/22.8.24_-_mhpss_300_day_report_final.pdf
  • Muhammad A, Rizek J. Caring for Women in an Active War Zone. J Emerg Nurs. 2024;50(6):722-6.
  • ACAPS. Palestine: Impact of the conflict on mental health and psychosocial support needs in Gaza [Internet]. Geneva: ACAPS; 2024 Sep [cited 2024 Dec 21] p. 10. Available from: https://www.acaps.org/fileadmin/Data_Product/Main_media/20240903_ACAPS_Gaza_-_impact_of_the_conflict_on_mental_health_and_psychosocial_support_needs.pdf
  • Palestine [Internet]. Doctors Without Borders - USA. [cited 2024 Dec 21]. Available from: https://www.doctorswithoutborders.org/what-we-do/where-we-work/palestine
  • American Red Cross. Statement on the Conflict in Israel and Gaza [Internet]. [cited 2024 Dec 21]. Available from: https://www.redcross.org/about-us/news-and-events/press-release/2024/statement-on-conflict-in-israel-and-gaza.html
  • Mezan A. Medical Care Under Siege [Internet]. Al Mezan Center for Human Rights. 2018 [cited 2024 Dec 19]. Available from: https://mezan.org/en/post/43739/MEDICAL-CARE-UNDER-SIEGE
  • Systematic Violation of Human Rights: The Incarceration Conditions of Palestinians in Israel since October 7 [Internet]. 2024 [cited 2024 Dec 22]. Available from: https://www.phr.org.il/wp-content/uploads/2024/02/5845_Imprisoned_Paper_Eng.pdf
  • Geneva Convention IV on the Protection of Civilian Persons in Time of War. International Committee of the Red Cross. 1949 [cited 2024 Oct 11]. Available from: https://ihl-databases.icrc.org/en/ihl-treaties/gciv-1949/part-2
  • WHO. Conflict in Israel and the occupied Palestinian territory [Internet]. Geneva: WHO; 2023. [cited 2024 Dec 21]. Available from: https://www.who.int/emergencies/situations/conflict-in-Israel-and-oPt
  • OCHA. Humanitarian Response Plan oPt [Internet]. Geneva: OCHA; 2023 Jan [cited 2024 Dec 21] p. 59. Available from: https://www.ochaopt.org/content/humanitarian-response-plan-2023
  • Soni A. Israel’s systematic weaponisation of health in Gaza. S Afr J Bioeth Law. 2024;17(1):e2021.
There are 37 citations in total.

Details

Primary Language English
Subjects Psychiatry, Mental Health Nursing, Health Services and Systems (Other)
Journal Section ORIGINAL ARTICLE
Authors

Iman Farajallah 0009-0008-2391-6149

Publication Date December 28, 2024
Submission Date October 30, 2024
Acceptance Date November 27, 2024
Published in Issue Year 2024 Volume: 29 Issue: Special Issue on Gaza

Cite

Vancouver Farajallah I. Health and mental health services in Gaza: A system under siege. Anatolian Clin. 2024;29(Special Issue on Gaza):22-3.

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