DDI-PSE-PCBS-ESHC-2008-V1.0 Palestinian Central Bureau of Statistics 2011-11-23 NADA V1.0 Environmental Survey for Health Care Centers, 2008 ESHC مسح البيئة لمراكز الرعاية الصحية، 2008 PSE-PCBS-ESHC-2008-V1.0 Palestinian Central Bureau of Statistics

Palestinian National Authority

Core Funding Group

Swiss Development and Cooperation Agency

Ministery of Health © All Rights Reserved. Palestinian Central Bureau of Statistics, Environmental Survey for Health Care Centers, 2008. NADA Palestinian National Authority Core Funding Group Swiss Development and Cooperation Agency Division of user service Administrative Records, Health (ad/hea] This report presents the main findings of the Health Care Environmental Survey. It is one of a series of expected reports to be published by PCBS on the environment and natural resources in Palestine according to the plan for the Environment Statistical Department, as a tool for describing the status of environment in the Palestinian Territory. The frequency of implementing the survey is 2 years. V1.0: (Public use file) Dumping Site Wastewater Health care and medical treatment [8.5] Environmental statistics in the health care centers are very interested and these statistics are an important instrument to make decisions, planning, and draw the outlines for environment. And relating to infrequency of data about this subject in the Palestinian Territory, the Palestinian Central Bureau of Statistics (PCBS) builds up and develop a database about the environment in the health care centers. For all of this PCBS implemented a specialist surveys on the environmental of governmental sector, and non-governmental organizations health sector through administrative records during the period 20/03/2008 to 01/10/2008, and for health private sector environmental economic survey was implemented during the period 20/04/2008 to 03/08/2008. The main objective of this survey is to provide statistical data about the health care centers on the following indicators: ·Water consumption and water sources ·Wastewater ·Medical waste management Palestine Palestinian Territory. Health Care Center The target population of this survey is all health care centers in the Palestinian Territory, divided into: 1.Governmental health care centers (Ministry of Health, Health Care Military Service, and Lijan Azakah). 2.Non-governmental health care centers (Health Union Committees, Union of Palestine Health Care Relief Committees, Patients Friends Benevolent Society, UNRWA, Red Crescent Society, and Red Cross) in the Palestinian Territory. 3.Private health care sector. Administrative records data [adm] The main objective of this survey is to provide statistical data about the health care centers on the following indicators: ·Water consumption and water sources ·Wastewater ·Medical waste management Palestinian Central Bureau of Statistics Ministery Of Health The Governmental health care centers was comprehensive enumeration, where as the sample of the Non-governmental health care centers was a single-stage stratified cluster random sample. PCBS fieldworker team was unable to obtain the survey data in the Gaza Strip from the field, but data for 2008 were estimated from a survey data for the years 2003-2006. For further data assessment methodology can be found the fourth chapter of this report. Self Assessment Directed Questionnaire [SAQ] The environmental questionnaire was designed in accordance with similar country experiments and according to international standards and recommendations for the most important indicators, taking into account the special situation of the Palestinian Territory. Stages of designing and checking the questionnaire: The questionnaire design passed the following steps: ·It was referred to the UN recommendations ·It was referred to PCBS questionnaires in this field such as household environmental survey, industrial environmental survey and. economical environmental survey. ·A draft questionnaire was suggested. ·Finally, a filling questionnaire and editing instructions was prepared. Questionnaire divisions: ·Cover page with data about the health care center ·Water and wastewater ·Solid waste management Environmental assessment Data from the Gaza Strip should be handled carefully because is not collected from fieldwork but it's a estimated data form data collected in the same methods in several year (2003-2006). Water quantities, and solid waste quantities were based on the estimations by respondents. Fieldwork The fieldwork is necessary to obtain the required 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 has a method for collecting data about the health care centers. The data which comes from administrative records source, involved apportioning the questionnaires to the respondents to be filled by themselves, during 20/03/2008 to 01/10/2008. Concerning the data which comes from the sampling survey collected by fieldworkers during 20/04/2008 to 03/08/2008, this type of collection method must pass two stages: 1.Training fieldworkers on the main skills before the start of data collection. 2.Distribution of the team of fieldworkers into groups. The weight is used to substitue for the non-response cases. The data processing stage contain of the following operations: Editing before data entry: all questionnaires were edited again in the office using the same instructions adopted for editing in the fields. Data entry: In this stage data were entered into the computer, using Access 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. None response rate = (Sum of none response cases / Net sample) x 100% = (455/3,660) x 100% = 12% Response rate = 100% - none response rate = 100% - 12% = 88% These types of errors evolved as a result of studying a part of the society and not all of it, and because this survey is sample based, the data of this survey will be affected by sampling errors due to using a sample and not the whole frame of the society, and therefore differences appear compared with the actual values that could be obtained through a census. For this survey, variance calculations were made for amounts of water consumed in the economic establishments by region and activity, and the main source of obtaining water in the economic establishments by region and activity. 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, Environmental Survey for Health Care Centers, 2008. V1.0 (11-2011). 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. Restrictions applies to any data duplication or transformed setting for purposes other than meeting the requirements of the statistical programs used in data analysis. 2. Utilization of “data” or any copies thereof is limited to personal computers normally . 3. 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. PCBS provid data collected for purely statistical purposes, and therefore does not assume any responsibility for legal or professional from any claim or analysis or interpretation or misuse of this data. Solidwaste This report presents the main findings of the Health Care Environmental Survey. It is one of a series of expected reports to be published by PCBS on the environment and natural resources in Palestine according to the plan for the Environment Statistical Department, as a tool for describing the status of environment in the Palestinian Territory. This report presents statistical data of water consumption in the health care centers by water source, the methods of solid waste disposal and their main components, and the disposal of wastewater. 520 18 Health Care Center Number Health Care Center Number Health Care Center Number Health Care Center Number Health Care Center Number Health Care Center Number 520 7 227001437 45833255.265 54692694.273 Health Care Center Type Health Care Center Type Health Care Center Type Health Care Center Type Health Care Center Type Health Care Center Type 520 1 2 3 Ownership Ownership Ownership Ownership Ownership Ownership 520 1 Ministry of Health 2 Lijan Azakah 3 Union of Palestine Medical Relief Committees 4 Union of Health Committees 5 Union of Health Work Committees 6 Patient's Friends Society 7 Red Crescent Society 8 UNRWA 9 Charities 10 Health Care Military Service 11 NGO’s 12 Source of obtaining water Source of obtaining water Source of obtaining water Source of obtaining water Source of obtaining water What is the main source of obtaining water? 517 3 1 Public water network 2 Collection water well 3 Buying tanks 4 Others Sysmiss Quantity of used water (Cubic meter) Quantity of used water (Cubic meter) Quantity of used water (Cubic meter) Quantity of used water (Cubic meter) Quantity of used water (Cubic meter) What was the used quantity from these sources during the last month (m3)? 520 2 800 52.177 87.206 Wastewater disposal method Wastewater disposal method Wastewater disposal method Wastewater disposal method Wastewater disposal method What was the wastewater disposal method in the health care center? 515 5 1 Wastewater network 2 Tight cesspit 3 Porous cesspit 4 Randomly Sysmiss Wastewater Used water, typically discharged into the sewage system. It contains matter and bacteria in solution or suspension. Wastewater treatment Wastewater treatment Wastewater treatment Wastewater treatment Wastewater treatment Does the produced wastewater treat in the health care center? What was the produced solid waste quantity in Kgm monthly? If the answer of this question is (2) 513 7 1 yes 2 no 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. Type of wastewater treatment Type of wastewater treatment Type of wastewater treatment Type of wastewater treatment Type of wastewater treatment What is the used wastewater treatment type? 14 506 1 Mechanical treatment 2 Chemical treatment 3 Biological treatment Sysmiss Biological Treatment Wastewater treatment employing aerobic and anaerobic microorganisms that results in decanted effluents and Separate sludge containing microbial mass together with pollutants. Biological treatment processes are also used in combination or in conjunction with mechanical and advanced unit operations. Wastewater Mechanical Treatment Wastewater treatment of physical and mechanical nature that results in decanted effluents and Separate Sludge. Mechanical treatment processes are also used in combination with biological and advanced unit operations. Mechanical treatment includes Processes such as sedimentation and flotation. What was the produced solid waste quantity in K gm monthly What was the produced solid waste quantity in K gm monthly What was the produced solid waste quantity in K gm monthly What was the produced solid waste quantity in K gm monthly What was the produced solid waste quantity in K gm monthly Does the produced wastewater treat in the health care center? If the answer of this question is (2) What was the produced solid waste quantity in Kgm monthly? 520 79.5 45000 527.147 3198.855 Existence of solid waste separation before final dispose Existence of solid waste separation before final dispose Existence of solid waste separation before final dispose Existence of solid waste separation before final dispose Existence of solid waste separation before final dispose Did the produced wastes separate before disposing ? Did the health care center produced the following Separated Solid Waste? If the answer of ES02 question is the first choice. Did the health care center produced the following non Separated Solid Waste? If the answer of ES02 question is the third choice. 515 5 1 Yes totally 2 Yes partially 3 Do not separate Sysmiss Solid Waste Useless and sometimes hazardous material with low liquid content, solid wastes include municipal garbage, industrial and commercial waste, sewage sludge, wastes resulting from agricultural and animal husbandry operations and other connected activities, demolition wastes and mining residues. Separation (Segregation) The system separation of solid waste into designated categories Solid Waste Collection Mean Inside the Health care Center monthly Solid Waste Collection Mean Inside the Health care Center monthly Solid Waste Collection Mean Inside the Health care Center monthly Solid Waste Collection Mean Inside the Health care Center monthly Solid Waste Collection Mean Inside the Health care Center monthly Where was the solid waste dispose after its collection inside the health care center? Where did the solid waste collect before its final disposal ? If the answer of literal question is the fifth choice. 512 8 1 Municipality open container 2 Municipality closed container 3 Health care Center open container 4 Health care Center closed container 5 Without container Sysmiss Waste Collection Collection or transport of waste to the place of treatment or discharge by municipal services or similar institutions, or by public or governmental and non-governmental corporations, specialized enterprises or general government. Collection of municipal waste may be selective, that's to say carried out for a specific type of product, or undifferentiated, in other words, covering all kinds of waste at the same time. The waste collection place monthly The waste collection place monthly The waste collection place monthly The waste collection place monthly The waste collection place monthly Where was the solid waste dispose after its collection inside the health care center? If the answer of ES14 question is fifth choice. Where did the solid waste collect before its final disposal ? What was the doer of transporting solid waste to the final disposal place? If the answer of ES16 is the first or seconed choice. 512 8 1 Inside health care Center building 2 Inside health care Center square 3 Outside health care Center Sysmiss The distance between the health care Center and waste collection place The distance between the health care Center and waste collection place The distance between the health care Center and waste collection place The distance between the health care Center and waste collection place The distance between the health care Center and waste collection place What was the distance (in m) between the health care center and waste collection place last month? 232 288 1 less than 50 2 51-55 3 More than 151 Sysmiss The doer of transporting solid waste from health care Center to the final disposing place The doer of transporting solid waste from health care Center to the final disposing place The doer of transporting solid waste from health care Center to the final disposing place The doer of transporting solid waste from health care Center to the final disposing place The doer of transporting solid waste from health care Center to the final disposing place Where did the solid waste collect before its final disposal ? If the answer of ES16 is the first or seconed choice. Who was the doer of transporting solid waste to the final disposal place? 514 6 1 The health care Center 2 Local authority 3 Private contractor 4 UNRWA 5 Others Sysmiss Transport of the Health Care Waste The movement of the health care waste from the point of generation to any intermediate point and finally to the point of treatment or disposal. Transport does not include the movement of health care waste from a health facility or agency to another health facility or agency for the purposes of testing and research The solid waste transport for final disposing The solid waste transport for final disposing The solid waste transport for final disposing The solid waste transport for final disposing The solid waste transport for final disposing Where were the solid waste transport for final disposal ? 513 7 1 Local authority dumping site 2 Private dumping site 3 Randomly 4 Others Sysmiss Solid Waste Disposal Ultimate deposition or placement of refuse that is not salvaged or recycled. The solid waste transport for final disposing The solid waste transport for final disposing The solid waste transport for final disposing The solid waste transport for final disposing The solid waste transport for final disposing What was the frequency of transporting solid waste during the last week? 512 8 1 1-3 2 4-6 3 More than 7 Sysmiss REGION REGION REGION REGION REGION 520 1 North of West Bank 2 Middle of west Bank 3 South of West Bank weight weight weight weight weight 520 1 1.06666666666667 1.12121212121212 1.16666666666667 1.2 1.27777777777778 1.33333333333333 1.39285714285714 1.3943661971831 1.42857142857143 1.5 1.6 1.7948717948718 2.70909090909091 10.109375 17.3526140155729 19.9494505494506