Skip to main content

Pharmaceutical Sector in Palestine

An Introduction

  • Living reference work entry
  • First Online:
Handbook of Healthcare in the Arab World

Abstract

Policies aimed at strengthening the delivery of safe, effective, and affordable medicines in Palestine have improved over the last decade. The capacity of both the public and private pharmaceutical sector in Palestine, particularly in the West Bank, has improved. However, several areas warrant increased attention both from policy and public health officials. These include the high cost of essential medicines, the lack of pharmacovigilance and safety regulations, and a monitoring and evaluation system to ensure prescribing practices and the use of medicines in the population to promote public health. Moreover, future policy and health delivery reforms should incorporate the government, the private sector, NGOs, and UNRWA, especially concerning the areas of payment and reimbursement systems, medicine supply chain, and the cost of medicines. This is important considering the largest payer of health care are households and that the vast majority of the population utilize services from the private sector, including local pharmacies.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Institutional subscriptions

Similar content being viewed by others

Abbreviations

ADE:

Adverse drug events

API:

Active pharmaceutical ingredients

CAM:

Complementary and alternative medicine

CDS:

Central drug store

DDCR:

Drug Control and Registration Department

Directorate:

General Directorate of Pharmacy

EML:

Essential medicines list

EU:

European Union

GDP:

Gross domestic product

GHI:

Government Health insurance

GMP:

Good manufacturing practices

IMOH:

Israel’s Ministry of Health

MOH:

Palestinian Ministry of Health

MOSA:

Ministry of Social Affairs

NGO:

Nongovernmental organizations

PCBS:

Palestinian Central Bureau of Statistics

PHIC:

Palestinian Health Information Center

PMMS:

Palestinian Military Medical Services

PNA:

Palestinian National Authority

UNRWA:

United Nations Relief and Works Agency

USAID:

United States Agency for International Development

USD:

United States dollar $

WB:

World Bank

WHO:

World Health Organization

References

  • Ali-Shtayeh MS, Jamous RM, Jamous RM (2012) Complementary and alternative medicine use amongst Palestinian diabetic patients. Complement Ther Clin Pract 18:16–21

    Article  Google Scholar 

  • Ali-Shtayeh MS, Jamous RM, Salameh NMY, Jamous RM, Hamadeh AMA (2016) Complementary and alternative medicine use among cancer patients in Palestine with special reference to safety-related concerns. J Ethnopharmacol 187:104–122

    Article  Google Scholar 

  • Almi O, The Coalition of Women for Peace, Who Profits (2012) Captive economy: the pharmaceutical industry and the Israeli occupation. Who profits

    Google Scholar 

  • Al-Ramahi R (2012) Patterns and attitudes of self-medication practices and possible role of community pharmacists in Palestine. J Clin Pharmacol 51:562–567

    Google Scholar 

  • Al-Ramahi R, Jaradat N, Shalalfeh R, Nasir S, Manasra Y, Shalalfeh I, Esam Y (2015) Evaluation of potential drug- herb interactions among a group of Palestinian patients with chronic diseases. BMC Complement Altern Med 15:221

    Article  Google Scholar 

  • Bake R (2012) Middle East. In: Phake: the deadly world of falsified and substandard medicines. Rowman & Littlefield Publishing Group, Lanham

    Google Scholar 

  • Comité Nacional Unrwa España (2013) Nakba, 67 años de exilio [Online]. http://www.unrwa.es/los-refugiados/nakba. Accessed 12 May 2016

  • Daher M (2015) Shortages of essential drugs in the occupied Palestinian territory: causes, coping strategies and impact on patients. World Health Organization, Ramallah, Palestine

    Google Scholar 

  • De Ville de Goyet C, Manenti A, Carswell K, Van Ommeren M (2015) Report of a field assessment of health conditions in the occupied Palestinian territory (oPt) 22 March to 1 April 2015. World Health Organization, Geneva

    Google Scholar 

  • Drug Control and Registration Department (2007) Guidance on pharmaceutical product registration in Palestine. Ministry of Health, Ramallah, Palestine

    Google Scholar 

  • General Directorate of Pharmacy & Ministry of Health (2016) General Directorate of Pharmacy [Online]. Ministry of Health. http://pharmacy.moh.ps/. Accessed 11 May 2016

  • Giacaman R, Khatib R, Shabaneh L, Ramlawi A, Sabri B, Sabatinelli G, Khawaja M, Laurance T (2009) Health status and health services in the occupied Palestinian territory. Lancet 373:837–849

    Article  Google Scholar 

  • Hass A (2018) Gaza health system collapsing: 40 percent of medicine runs out. https://www.haaretz.com/middle-east-news/palestinians/.premium-gaza-health-system-collapsing-40-percent-of-medicine-runs-out-1.5803856

  • Health Cluster (2014) Gaza strip: joint health sector assessment report. World Health Organizaiton, Gaza

    Google Scholar 

  • Jaradat N, Sweileh W (2003) A descriptive study of community practice in Palestine: analysis and future work. An-Najah Univ J Res 17:191

    Google Scholar 

  • Khdour MR, Hallak HO (2012) Societal perspectives on community pharmacy services in West Bank – Palestine. Pharm Pract 10:17

    Article  Google Scholar 

  • Mataria A, Khatib R, Donaldson C, Bossert T, Hunter DJ, Alsayed F, Moatti J-P (2009) The health-care system: an assessment and reform agenda. Lancet 373:1207–1217

    Article  Google Scholar 

  • Mataria A, Raad F, Abu-Zaineh M, Donaldson C (2010) Catastrophic healthcare payments and impoverishment in the occupied Palestinian territory. Appl Health Econ Health Policy 8:393–405

    Article  Google Scholar 

  • Palestinian Central Bureau of Statistics (2011) Ministry of Health [online]. Nablus. http://www.pcbs.gov.ps/

  • Palestinian Central Bureau of Statistics (2016a) Main statistical indicators in the West Bank and Gaza Strip [online]. Palestinian Central Bureau of Statistics, Nablus. http://www.pcbs.gov.ps. Accessed 11 May 2016

  • Palestinian Central Bureau of Statistics (2016b) Statistical report, Palestinian health accounts 2014. Palestinian Central Bureau of Statistics, Nablus

    Google Scholar 

  • Palestinian Health Information Center (PHIC) (2011) Health annual report Palestine 2010. Palestinian Ministry of Health, Nablus

    Google Scholar 

  • Palestinian Health Information Center (PHIC) (2014) Health annual report Palestine 2014. Palestinian Ministry of Health, Nablus

    Google Scholar 

  • Palestinian Ministry of Health (2011) Palestinian National Authority: pharmaceutical country profile. World Health Organization, Ramallah

    Google Scholar 

  • Park P (2010) Lethal counterfeits [Online]. http://www.worldpolicy.org/blog/lethal-counterfeits

    Article  Google Scholar 

  • Qadah K, Al-Aker M, Sabbah HA (2011) Pharmacy practice in occupied Palestinian territory: reality and difficulties. Lancet. https://els-jbs-prod-cdn.literatumonline.com/pb/assets/raw/Lancet/abstracts/palestine/palestine2011-11-1411682974817.pdf

  • Salah H (2015) Gaza struggles with shortage of medical. Al-Monitor. Washington, DC

    Google Scholar 

  • Schoenbaum M, Afifi AK, Deckelbaum RJ (2005) Strengthening the Palestinian health system. RAND Corporation, Santa Monica

    Google Scholar 

  • State of Palestine Ministry of Health (2013a) Palestinian essential medicines list. Palestine Ministry of Health, Nablus

    Google Scholar 

  • State of Palestine Ministry of Health (2013b) Therapeutic protocols 2013. In: State of Palestine Ministry of Health, Ramallah, Palestine

    Google Scholar 

  • Sweileh WM, Sawalha AF, Zyoud SH, Al-Jabi SW, Bani Shamseh FF, Khalaf HS (2010) Storage, utilization and cost of drug products in Palestinian households. Int J Clin Pharmacol Ther 48:59–67

    Article  CAS  Google Scholar 

  • Sweileh WM, Zyoud SEH, Al-Haddad MS (2016) Pharmacy practice in Palestine. In: Fathelrahman A, Ibrahim M, Wertheimer A (eds) Pharmacy practice in developing countries: achievements and challenges. Elsevier, Cambridge, MA

    Google Scholar 

  • United States Agency for International Development & International Chamber of Commerce Palestine (2013) WTO and the Palestinian pharmaceutical sector: impact assessment. Washington DC

    Google Scholar 

  • United States Agency for International Development & Palestinian Federation of Industries (2009) The current status of industrial sector in Palestine. United states agency for international development. Ramallah, Palestine. https://www.ppu.edu/ppuittc/sites/default/files/The%20Current%20Status%20of%20the%20Industrial%20Sector%20in%20Palestine.pdf

  • World Bank (2009) Reforming prudently under pressure: health financing reform and the rationalization of public sector health expenditure. West Bank and Gaza health policy report. World Bank, Washington DC

    Google Scholar 

  • World Bank (2015) GDP per capita (current US$) [online]. World Bank. http://data.worldbank.org/indicator. Accessed 11 May 2016

  • World Bank (2016) World development indicators: West Bank and Gaza [online]. Accessed 5 May 2018

    Google Scholar 

  • World Health Organization (2000) Drug situation analysis for the West Bank and Gaza strip. World Health Organization, Ramallah, Palestine

    Google Scholar 

  • World Health Organization (2006) Health system profile: Palestine. World Health Organization, Ramallah, Palestine

    Google Scholar 

  • World Health Organization (2011) Essential medicines in Palestine. World Health Organization, Ramallah, Palestine

    Google Scholar 

  • World Health Organization (2012) Access to essential medicines and disposables in the Gaza Strip. Jerusalem, Israel. http://www.emro.who.int/palestine-press-releases/2012/access-essential-medicines-gaza.html

  • World Health Organization (2013) Health conditions in the occupied Palestinian territory, including East Jerusalem, and in the occupied Syrian Golan. World Health Organization, Geneva

    Google Scholar 

  • Younis MZ, Hamidi S, Forgione DA, Hartmann M (2009) Rational use effects of implementing an essential medicines list in West Bank, Palestinian territories. Expert Rev Pharmacoecon Outcomes Res 9:243–250

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Dima M. Qato .

Editor information

Editors and Affiliations

Section Editor information

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Springer Nature Switzerland AG

About this entry

Check for updates. Verify currency and authenticity via CrossMark

Cite this entry

Qato, D.M., Guadamuz, J.S., Al-Shehri, B., Al-Sultan, R., Shahin, R. (2019). Pharmaceutical Sector in Palestine. In: Laher, I. (eds) Handbook of Healthcare in the Arab World. Springer, Cham. https://doi.org/10.1007/978-3-319-74365-3_64-1

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-74365-3_64-1

  • Received:

  • Accepted:

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-74365-3

  • Online ISBN: 978-3-319-74365-3

  • eBook Packages: Springer Reference MedicineReference Module Medicine

Publish with us

Policies and ethics