Section: Camp
Support: Assistance Capital: Physical Implementer: UNRWA Funder: Not provided

Teams of physicians provide care over a longer period of time for a consistent group of migrants. The continuity of services enables physicians to build relationships with and know their patients and thus better serve their health care needs.

Case study

Family Health Teams (FHT) are multidisciplinary groups of medical practitioners, who provide comprehensive and continuous care to migrant patients and families registered with them. Each Family Health Team (FHT) is made up of at least one doctor, a nurse and a clerk, and manages approximately 1500 family files with an average family size of 4.6.

Teams provide services which include maternal and child health, family planning, preventive and curative care, outpatient and diagnostic services, oral care, specialists and pharmacies and referrals. In addition, teams use electronic record systems to keep track of the medical histories of the patients and families under their care. This record enables teams to recommend more individualized advice and treatment based on consolidated information about the patient’s health. Several service quality improvements have been noted in health centres implementing the FHT approach, including a decrease in the average number of daily medical consultations per doctor, an increase in consultation time, and a decrease in the antibiotics prescription rate.

Other examples
Assessment of impact and reach

By the end of 2012, FHT had expanded to 36 clinics, mostly in Gaza, the West Bank and Jordan.

Cost per beneficiary
Alignment with policy

Design. [P1] Focuses on the need from migrant communities for more personalized medical service.

Programme. [P9] Responds to the displacement of Palestinians.

  • Staff and beneficiaries’ resistance.
  • Infrastructure to reorganize health centres for FHTs.
  • Infrastructure (e.g. electricity and connectivity) and staff training for eHealth.
Lessons learned
  • Cost saving to rehabilitate existing centres for FHT.
  • To overcome electricity issues install generators and use laptops instead of desktops; strong connectivity needed.
  • Continuous on-the-job training to health staff.
  • Strengthen communication with migrant communities.
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