The health-care system: an assessment and reform agenda

Awad Mataria, Rana Khatib, Cam Donaldson, Thomas Bossert, David J. Hunter, Fahed Alsayed, Jean-Paul Moatti

Research output: Contribution to journalArticlepeer-review

64 Citations (Scopus)


Attempts to establish a health plan for the occupied Palestinian territory were made before the 1993 Oslo Accords. However, the first official national health plan was published in 1994 and aimed to regulate the health sector and integrate the activities of the four main health-care providers: the Palestinian Ministry of Health, Palestinian non-governmental organisations, the UN Relief and Works Agency, and a cautiously developing private sector. However, a decade and a half later, attempts to create an effective, efficient, and equitable system remain unsuccessful. This failure results from arrangements for health care established by the Israeli military government between 1967 and 1994, the nature of the Palestinian National Authority, which has little authority in practice and has been burdened by inefficiency, cronyism, corruption, and the inappropriate priorities repeatedly set to satisfy the preferences of foreign aid donors. Although similar problems exist elsewhere, in the occupied Palestinian territory they are exacerbated and perpetuated under conditions of military occupation. Developmental approaches integrated with responses to emergencies should be advanced to create a more effective, efficient, and equitable health system, but this process would be difficult under military occupation.

Original languageEnglish
Pages (from-to)1207-1217
Number of pages11
Issue number9670
Publication statusPublished - 1 Apr 2009


  • Palestinian territory
  • health care
  • health economics


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