DDI-PSE-PCBS-ESHC-2000-V1.0 Palestinian Central Bureau of Statistics 2013-04-04 NADA V1.0 The Environmental Survey for Health Care Centers 2000 ESHC المسح البيئي لمراكز الرعاية الصحية 2000 PSE-PCBS-ESHC-2000-V1.0 Palestinian Central Bureau of Statistics

Representative Office of Norway to the PNA

Swiss Agency for Development and Cooperation

© All Rights Reserved. Palestinian Central Bureau of Statistics, The Environmental Survey for Health Care Centers 2000 NADA Core Funding Group Palestinian National Authority UK Department for International Development The European Commission The World Bank Division of user services Administrative Records, Health (ad/hea] This survey started on 13/5/2000 and lasted until 15/7/2000 ,This survey is issued for the third time V1.0(Public use file) Health care health care and medical treatment [8.5] This survey is based on the health care centers administration records; it provides data on the main indicators of environment in the governmental and non-governmental organizations working in the health care sector, including water, management of health Care waste, and management of wastewater Palestine Palestinian Territory Health care centers All the Palestinian private national services establishment in the Palestinian Territory whether profit or non-profit. Complete enumeration [enu] The main objective of this survey is to make overview about the main indicators of environment in the health care centers in three sectors (governmental, non-governmental organizations and private sector), which including: • Water consume. • Management of wastewater. • Management of health care waste. Palestinian Central Bureau of Statistics The sample is a single-stage stratified cluster random sample. Sampling Frame: The Sampling frame was based on the finding of the 1997 Establishment Census conducted by PCBS, which was updated by frame modification survey1999. Sample Design: The sample of this survey is part of the sample of the Services Survey that is conducted annually. The selected establishment in the medical survey module were all medical establishment in the sample of the Services Survey and classified as private national where the national private sector or individuals owned 51% of the establishment capital or more no applicable Self Assessment Directed Questionnaire [SAQ] The environmental questionnaire was designed in accordance with the similar country experiments and according to international standards and recommendations for the most important indicators, taking into account the special situation of Palestine. The fieldwork is the real work to get the demanded data from the primary source, and guarantee a good orthopedist for this stage is the main affair which works on in this stage. The data in this report come from two sources and each one have a method to collect data about the health care centers. The data which come from administrative record source, where they apportion the questionnaires to the respondents to filed by them himself. And about the data which come from sampling survey collecting by field workers, and this type of collection method mast be pass on tow stage: 1.Training Fieldworkers on the main skills before the start of data collection. 2.Distribution the team of Fieldworkers to groups. Field work visits. It is Necessary when calculating estimates of survey indicators to calculate weights, so that each analysis unit weight proportionate with the probability of selection of the unit from the target population, therefore the weights of primary care centers have been calculated when were selected from frame, and after the completion of the data collection phase the weights were modified to compensate for non-response cases. In this stage data were entered into the computer, using ORACLE 8.0 database. The data entry program was prepared to satisfy a number of requirements such as: ·Duplication of the questionnaire on the computer screen. ·Logical and consistency check of data entered. ·Possibility for internal editing of questions answers. ·Maintaining a minimum of digital data entry and fieldwork errors. ·User-Friendly handling. ·Possibility of transferring data into another format to be used and analyzed using other statistical analytical systems such as SAS and SPSS. 82.7% 1. Statistical Errors This type of errors could be determined easily, and it is result from sampling errors, and this type of errors concern the data of private health care centers. And to reduce this errors the data mast pass tow stage: 2. Non-Statistical Errors This type of errors result from non-sampling errors, and could not be determined easily due to the diversity of sources (e.g. the interviewers, respondent, editor, data entry operator... etc). General Statistics Law No. (5) for Year 2000 Article (17( 1. All individual information and data submitted to the Bureau for statistical purposes shall be treated as confidential and shall not be divulged, in whole or in part, to any individual or to a public or private body, or used for any purpose other than for preparing statistical tables. 2. The Bureau shall endeavor to issue official statistical publications in aggregate tables, which do not disclose individual data, in conformity with the confidentiality of statistical data. Palestinian Central Bureau of Statistics Palestinian Central Bureau of Statistics, The Environmental Survey for Health Care Centers 2000. V1.0 (04-2013). Ramallah - Palestine. 1. Pledges the utilization of "data" or any copies thereof shall be limited to the purposes agreed upon including not granting any third parties any access to these data. 2.Restrictions applies to any data duplication or transformed setting for purposes other than meeting the requirements of the statistical programs used in data analysis. 3.Utilization of "data" or any copies thereof is limited to personal computers normally . Pledges not to alter the value of any observation in the original "data"; nevertheless, this does not apply on subjecting data to any processes or procedures aiming to derive new variables. The first party does not bear any professional, administrative or financial responsibility for any losses incurred as a result of changes in the variables values. The Palestinian Central Bureau of Statistics (PCBS) provide you with the data as is, without any warranty or responsibility implied. PCBS accepts no responsibility for the results and/or implications of any analysis and/or other actions conducted with this data. Data of the Medical Establishment Data of the Medical Establishment 148 24 Medical Waste Separation Medical Waste Separation 194 10 Medical Waste Treatment Medical Waste Treatment 35 8 Type and quantity of Medical Waste Type and quantity of Medical Waste 38 6 Medical Center Number Medical Center Number Medical Center Number Medical Center Number Medical Center Number Medical Center Number Governmental and Non-governmental Health care centers Private Health Care Sector 148 2512.568 120543 13572043 7502502.595 7191195.744 4145713.243 4274631.108 Establishment:An enterprise or part of an enterprise in which one group of goods and services is produced (with the possibility of having secondary activities). Activity code Activity code Activity code Activity code Activity code Activity code Governmental and Non-governmental Health care centers Private Health Care Sector 148 2512.568 8511 8519 8513.189 8513.073 2.836 2.553 8511 8512 8519 Quantities of consumed water by invoice Quantities of consumed water by invoice Quantities of consumed water by invoice Quantities of consumed water by invoice Quantities of consumed water by invoice Quantities of consumed water by invoice Governmental and Non-governmental Health care centers Private Health Care Sector 148 2512.568 1 3500 153.328 58.235 492.151 223.457 Wastewater disposal method Wastewater disposal method Wastewater disposal method Wastewater disposal method Wastewater disposal method Wastewater disposal method Governmental and Non-governmental Health care centers Private Health Care Sector 148 2512.568 1 Public network 2 Tight Cesspit 3 Porous Cesspit 4 Others Wastewater:Used water, typically disNumericalged into the sewage system. It contains matter and bacteria in solution or suspension. The wastewater treated before disposing …….. The wastewater treated before disposing …….. The wastewater treated before disposing …….. The wastewater treated before disposing …….. The wastewater treated before disposing …….. The wastewater treated before disposing …….. Governmental and Non-governmental Health care centers Private Health Care Sector 148 2512.568 1 Totally 2 Partially 3 There are no treatment Wastewater Treatment:Process to render wastewater fit to meet environmental standards or other quality norms. Three broad types of treatment may be distinguished: mechanical, biological, and advanced. The wastes separated before disposing The wastes separated before disposing The wastes separated before disposing The wastes separated before disposing The wastes separated before disposing The wastes separated before disposing Governmental and Non-governmental Health care centers Private Health Care Sector 148 2512.568 1 Totally 2 Partially 3 There are no separation The total quantity of the disposal waste The total quantity of the disposal waste The total quantity of the disposal waste The total quantity of the disposal waste The total quantity of the disposal waste The total quantity of the disposal waste Governmental and Non-governmental Health care centers Private Health Care Sector 136 2271.816 12 240.752 1 91000 761.636 189.949 7802.746 3817.173 Units Units Units Units Units Units Governmental and Non-governmental Health care centers Private Health Care Sector 136 2271.816 12 240.752 1 Liter 2 Kilogram 3 Ton Sysmiss The non-separated wastes collected The non-separated wastes collected The non-separated wastes collected The non-separated wastes collected The non-separated wastes collected The non-separated wastes collected Governmental and Non-governmental Health care centers Private Health Care Sector 148 2512.568 1 Special nylon bags 2 Special plastic box 3 Special carton box 4 Special metal cans 5 Plastic cans 6 Nylon bags 7 Others 8 All types are separated Seperation (Segregation) : The system separation of solid waste into designated categories The method of transfere the non-separated waste inside the medical center The method of transfere the non-separated waste inside the medical center The method of transfere the non-separated waste inside the medical center The method of transfere the non-separated waste inside the medical center The method of transfere the non-separated waste inside the medical center The method of transfere the non-separated waste inside the medical center Governmental and Non-governmental Health care centers Private Health Care Sector 148 2512.568 1 Manually 2 Special vehicles 3 Both methods 4 Other 5 All types are separated Seperation (Segregation) : The system separation of solid waste into designated categories The no. of time of the non-separated waste collected inside the center per day The no. of time of the non-separated waste collected inside the center per day The no. of time of the non-separated waste collected inside the center per day The no. of time of the non-separated waste collected inside the center per day The no. of time of the non-separated waste collected inside the center per day The no. of time of the non-separated waste collected inside the center per day Governmental and Non-governmental Health care centers Private Health Care Sector 148 2512.568 99 24.128 17.538 41.815 37.037 Seperation (Segregation) : The system separation of solid waste into designated categories The no. of time of the non-separated waste collected inside the center per week The no. of time of the non-separated waste collected inside the center per week The no. of time of the non-separated waste collected inside the center per week The no. of time of the non-separated waste collected inside the center per week The no. of time of the non-separated waste collected inside the center per week The no. of time of the non-separated waste collected inside the center per week Governmental and Non-governmental Health care centers Private Health Care Sector 148 2512.568 99 27.453 20.216 40.112 35.909 Seperation (Segregation) : The system separation of solid waste into designated categories The medical waste treated The medical waste treated The medical waste treated The medical waste treated The medical waste treated The medical waste treated Governmental and Non-governmental Health care centers Private Health Care Sector 148 2512.568 1 Yes 2 NO Wastewater Treatment:Process to render wastewater fit to meet environmental standards or other quality norms. Three broad types of treatment may be distinguished: mechanical, biological, and advanced. The wastes collected before disposing in The wastes collected before disposing in The wastes collected before disposing in The wastes collected before disposing in The wastes collected before disposing in The wastes collected before disposing in Governmental and Non-governmental Health care centers Private Health Care Sector 148 2512.568 1 Public container 2 Container owned by center 3 Without container Type of container that used to collect the waste before disposing Type of container that used to collect the waste before disposing Type of container that used to collect the waste before disposing Type of container that used to collect the waste before disposing Type of container that used to collect the waste before disposing Type of container that used to collect the waste before disposing Governmental and Non-governmental Health care centers Private Health Care Sector 121 2104.745 27 407.823 1 Open container 2 Closed container 3 Others Sysmiss The material of the used container The material of the used container The material of the used container The material of the used container The material of the used container The material of the used container Governmental and Non-governmental Health care centers Private Health Care Sector 121 2104.745 27 407.823 1 Metallic container 2 Plastic container 3 Wooden container 4 Others Sysmiss Used container volume Used container volume Used container volume Used container volume Used container volume Used container volume Governmental and Non-governmental Health care centers Private Health Care Sector 112 1871.151 36 641.417 1 600 31.561 24.99 107.613 95.72 Units Units Units Units Units Units Governmental and Non-governmental Health care centers Private Health Care Sector 112 1871.151 36 641.417 1 Cubic meter 2 Liter Sysmiss Waste collection place before final disposal Waste collection place before final disposal Waste collection place before final disposal Waste collection place before final disposal Waste collection place before final disposal Waste collection place before final disposal Governmental and Non-governmental Health care centers Private Health Care Sector 148 2512.568 1 Inside the center’s building 2 Inside the center’s court 3 Outside the center The distance between the center and waste collection place The distance between the center and waste collection place The distance between the center and waste collection place The distance between the center and waste collection place The distance between the center and waste collection place The distance between the center and waste collection place Governmental and Non-governmental Health care centers Private Health Care Sector 69 1122.992 79 1389.576 2 200 29.014 29.382 29.204 27.612 The doer of transferring the waste from the center to the final disposal place The doer of transferring the waste from the center to the final disposal place The doer of transferring the waste from the center to the final disposal place The doer of transferring the waste from the center to the final disposal place The doer of transferring the waste from the center to the final disposal place The doer of transferring the waste from the center to the final disposal place Governmental and Non-governmental Health care centers Private Health Care Sector 148 2512.568 1 The medical center 2 Local authority 3 Private contractor 4 UNRWA 5 Others The final disposal place The final disposal place The final disposal place The final disposal place The final disposal place The final disposal place Governmental and Non-governmental Health care centers Private Health Care Sector 148 2512.568 1 Dump for local authority 2 Dump other than the local authority 3 Randomly thrown 4 Others 5 Unknown The no. of times the waste transfer to the final disposal place The no. of times the waste transfer to the final disposal place The no. of times the waste transfer to the final disposal place The no. of times the waste transfer to the final disposal place The no. of times the waste transfer to the final disposal place The no. of times the waste transfer to the final disposal place Governmental and Non-governmental Health care centers Private Health Care Sector 146 2456.024 2 56.544 12 4.61 4.224 2.882 3.261 Sample weight Sample weight Sample weight Sample weight Sample weight 148 1.5 60.5 16.977 20.06 Medical Center Number Medical Center Number Medical Center Number Medical Center Number Medical Center Number Governmental and Non-governmental Health care centers Private Health Care Sector 194 2397.017 120543 13567653 7624155.526 6780306.514 4413048.984 4719709.762 Establishment:An enterprise or part of an enterprise in which one group of goods and services is produced (with the possibility of having secondary activities). Section (include medical waste separation type ) Section (include medical waste separation type ) Section (include medical waste separation type ) Section (include medical waste separation type ) Section (include medical waste separation type ) Governmental and Non-governmental Health care centers Private Health Care Sector 194 2397.017 1 General waste 2 Infectious waste 3 Chemical & pharmaceutical waste 4 Sharp waste 5 Radioactive waste 6 Others General waste:All non hazardous waste, similar in nature to domestic waste Hospital waste: Waste coming out of hospitals. Such waste is around 85 % non-hazardous, around 10 % are infectious, around 5% non-infectious but hazardous. Incineration (Dry Thermal Disinfection):Controlled burning of solid, liquid or gaseous waste materials at high temperatures. Infectious Waste: All kinds of waste, which may transmit viral, bacterial or parasitic diseases to human beings. It includes infectious animal waste from laboratories, slaughter- houses, veterinary practices and so on. Type of wastes separated Type of wastes separated Type of wastes separated Type of wastes separated Type of wastes separated Governmental and Non-governmental Health care centers Private Health Care Sector 194 2397.017 1 Yes 2 NO Seperation (Segregation) : The system separation of solid waste into designated categories The waste quantities per month The waste quantities per month The waste quantities per month The waste quantities per month The waste quantities per month Governmental and Non-governmental Health care centers Private Health Care Sector 167 1962.956 27 434.061 0.04 1000 28.566 15.816 104.118 61.745 Units Units Units Units Units Governmental and Non-governmental Health care centers Private Health Care Sector 167 1962.956 27 434.061 1 Liter 2 Kilogram 3 Gram Sysmiss The separated waste collected in The separated waste collected in The separated waste collected in The separated waste collected in The separated waste collected in Governmental and Non-governmental Health care centers Private Health Care Sector 194 2397.017 1 Special nylon bags 2 Special plastic box 3 Special carton box 4 Special metal cans 5 Plastic cans 6 Nylon bags 7 Others Seperation (Segregation) : The system separation of solid waste into designated categories The no. of time the waste collected inside the center The no. of time the waste collected inside the center The no. of time the waste collected inside the center The no. of time the waste collected inside the center The no. of time the waste collected inside the center Governmental and Non-governmental Health care centers Private Health Care Sector 194 2397.017 1 35 4.773 3.422 5.182 3.546 The period the waste collected inside the center The period the waste collected inside the center The period the waste collected inside the center The period the waste collected inside the center The period the waste collected inside the center Governmental and Non-governmental Health care centers Private Health Care Sector 194 2397.017 1 Week 2 Month The method of waste’s transferring inside the medical center The method of waste’s transferring inside the medical center The method of waste’s transferring inside the medical center The method of waste’s transferring inside the medical center The method of waste’s transferring inside the medical center Governmental and Non-governmental Health care centers Private Health Care Sector 194 2397.017 1 Manually 2 Special vehicles 3 Both methods 4 Other Sample weight Sample weight Sample weight Sample weight Sample weight 194 1.5 60.5 12.356 17.019 Medical Center Number Medical Center Number Medical Center Number Medical Center Number Medical Center Number Governmental and Non-governmental Health care centers Private Health Care Sector 35 366.567 336133 13567653 7342636.143 7740177.628 4361722.972 3555693.697 Establishment:An enterprise or part of an enterprise in which one group of goods and services is produced (with the possibility of having secondary activities). Section (include medical waste separation type) Section (include medical waste separation type) Section (include medical waste separation type) Section (include medical waste separation type) Section (include medical waste separation type) Governmental and Non-governmental Health care centers Private Health Care Sector 35 366.567 1 Disinfection2 2 Open BurningIncineration 3 Open Burning 4 Storage 5 Mechanical 6 treatment 7 Disposal it in 8 Other Seperation (Segregation) : The system separation of solid waste into designated categories Is there any treatment methods used Is there any treatment methods used Is there any treatment methods used Is there any treatment methods used Is there any treatment methods used Governmental and Non-governmental Health care centers Private Health Care Sector 35 366.567 1 Yes 2 NO The method of treatment used The method of treatment used The method of treatment used The method of treatment used The method of treatment used Governmental and Non-governmental Health care centers Private Health Care Sector 19 171.064 16 195.502 1 Chemical Disinfection 2 Thermal Disinfection 3 Rdiological Disinfection 4 Thermal isolation 5 Radioactive isolation 6 Pressed 7 Crashed 8 Others Sysmiss Chemical Disinfection: Chemicals used for effective killing of all organisms capable of causing infectious diseases. Chemical Treatment:Treatment methods that are used to effect the Complete breakdown of hazardous Waste in to non-toxic gases or, more frequently, to modify the chemical properties of the Waste, for example, through reduction of water solubility or neutralization of acidity or alkalinity. The doer of medical waste treatment The doer of medical waste treatment The doer of medical waste treatment The doer of medical waste treatment The doer of medical waste treatment Governmental and Non-governmental Health care centers Private Health Care Sector 35 366.567 1 The center 2 Another establishment that treats and returns the waste back 3 Another establishment that treats and disposal the waste The no. of time the waste treated inside the center The no. of time the waste treated inside the center The no. of time the waste treated inside the center The no. of time the waste treated inside the center The no. of time the waste treated inside the center Governmental and Non-governmental Health care centers Private Health Care Sector 34 364.233 1 2.333 1 7 3.147 2.82 2.217 2.182 1 2 3 4 5 6 7 Sysmiss The period the waste treated inside the center The period the waste treated inside the center The period the waste treated inside the center The period the waste treated inside the center The period the waste treated inside the center Governmental and Non-governmental Health care centers Private Health Care Sector 34 364.233 1 2.333 1 Week 2 Week 3 Year Sysmiss Sample weight Sample weight Sample weight Sample weight Sample weight 35 1.5 60.5 10.473 15.322 Medical Center Number Medical Center Number Medical Center Number Medical Center Number Medical Center Number Governmental and Non-governmental Health care centers Private Health Care Sector 38 377.264 336133 13567653 7305177.211 7728024.905 4455666.063 3623246.288 Establishment:An enterprise or part of an enterprise in which one group of goods and services is produced (with the possibility of having secondary activities). Section (include medical waste separation type) Section (include medical waste separation type) Section (include medical waste separation type) Section (include medical waste separation type) Section (include medical waste separation type) Governmental and Non-governmental Health care centers Private Health Care Sector 38 377.264 1 Disinfection 2 Incineration 3 Open Burning 4 Storage 5 Mechanical 6 treatment 7 Disposal it in Sewage 8 Other Seperation (Segregation) : The system separation of solid waste into designated categories Type of treated waste Type of treated waste Type of treated waste Type of treated waste Type of treated waste Governmental and Non-governmental Health care centers Private Health Care Sector 35 318.513 3 58.751 1 General waste 2 Infectious waste 3 Chemical & pharmaceutical waste 4 Sharp waste 5 Radio active waste 6 Others Sysmiss Wastewater Treatment:Process to render wastewater fit to meet environmental standards or other quality norms. Three broad types of treatment may be distinguished: mechanical, biological, and advanced. Quantity of the treated waste Quantity of the treated waste Quantity of the treated waste Quantity of the treated waste Quantity of the treated waste Governmental and Non-governmental Health care centers Private Health Care Sector 32 308.689 6 68.575 0.5 1000 66.336 29.98 206.006 132.89 Wastewater Treatment:Process to render wastewater fit to meet environmental standards or other quality norms. Three broad types of treatment may be distinguished: mechanical, biological, and advanced. Units Units Units Units Units Governmental and Non-governmental Health care centers Private Health Care Sector 32 308.689 6 68.575 1 Liter 2 Kilogram 3 Gram Sysmiss Sample weight Sample weight Sample weight Sample weight Sample weight 38 1.5 60.5 9.928 14.809