DDI-PSE-PCBS-ESHC-2010-V1.0 Palestinian Central Bureau of Statistics 2011-08-29 NADA V1.0 الاصدار Environmental Survey for Health Care centers , 2010 ESHC مسح البيئة لمراكز الرعاية الصحية، 2010 PSE-PCBS-ESHC-2010-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 , 2010. NADA Palestinian National Authority Core Funding Group Swiss Development and Cooperation Agency Users Services Division Administrative Records, Health (ad/hea] Environmental statistics in the Health Care Centers (Governmental and Non-Governmental) are an important instrument for decisions, planning, and drawing the framework for environment. Responding to the lack of data about this subject in the West Bank, the Palestinian Central Bureau of Statistics (PCBS) builds up and develops a database about the environment in the Health Care Centers (Governmental and Non-Governmental). For this, PCBS implemented specialist surveys on the environment of the governmental sector and non-governmental organizations health sector through administrative records during the period 20/03/2010 to 10/10/2010. V1.0 Dumping Site Wastewater Health care and medical treatment [8.5] Environmental statistics in the Health Care Centers (Governmental and Non-Governmental) are an important instrument for decisions, planning, and drawing the framework for environment. Responding to the lack of data about this subject in the West Bank, the Palestinian Central Bureau of Statistics (PCBS) builds up and develops a database about the environment in the Health Care Centers (Governmental and Non-Governmental). For this, PCBS implemented specialist surveys on the environment of the governmental sector and non-governmental organizations health sector through administrative records during the period 20/03/2010 to 10/10/2010. The Objectives of the report The main objective of this survey is to provide statistical data about the Health Care Centers for the following indicators: . Water consumption and water sources . Wastewater . Medical waste management Palestine Health Care Centers in West Bank Health Care Center Health Care Centers Complete enumeration [enu] Environmental statistics in the Health Care Centers (Governmental and Non-Governmental) are an important instrument for decisions, planning, and drawing the framework for environment. Responding to the lack of data about this subject in the West Bank, the Palestinian Central Bureau of Statistics (PCBS) builds up and develops a database about the environment in the Health Care Centers (Governmental and Non-Governmental). The main objective of this survey is to provide statistical data about the Health Care Centers for the following indicators: ·Water consumption and water sources ·Wastewater ·Medical waste management Palestinian Central Bureau of Statistics Ministery Of Health The target population of this survey is all Health Care Centers (Governmental and Non-Governmental) in the West Bank, divided into: 1.Governmental Health Care Centers (Governmental and Non-Governmental) (Ministry of Health, Health Care Military Service, and Lijan Azakah). 2.Non-governmental Health Care Centers (Governmental and Non-Governmental) (Health Union Committees, Union of Palestine Health Care Relief Committees, Patients Friends Benevolent Society, UNRWA, Red Crescent Society, and Red Cross) in the West Bank. Sampling Frame: The frame for all centers in the health care sector operated by governmental and non-governmental health care centers is updated annually by the PCBS through administrative records. The private health care sector was not covered in 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. 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. Fieldwork covers the data collection from the primary sources. All necessary technical and administrative preparation were setup prior to fieldwork operations. The data in this report come from two sources and each one has a method for collecting data about the Health Care Centers (Governmental and Non-Governmental). The data that comes from administrative records involved delivering the questionnaires to respondents to be self-filled, during the period 20/03/2010 to 10/10/2010. 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 (Governmental and Non-Governmental). The data which comes from administrative records source, involved apportioning the questionnaires to the respondents to be filled by themselves, during 20/03/2010 to 10/10/2010. The variable "weight" is in the data file to substitue the non-response cases. Data Processing The data processing stage consists 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 field. Data entry Then data was entered into the computer, using Microsoft Access. 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 answered. 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 analytical statistical systems such as SPSS. 73% Sampling errors are measurable and very limited in this report. 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, 2010. V1.0 (9-2011). 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. 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. Health_E The main objective of the survey was to provide reliable data on the environmental reality on the Health Care Centers (Governmental and Non-Governmental) in the West Bank, including the methods used to handle solid waste and wastewater. It also include the role of the local authority in providing the suitable environment to reduce the negative effect of the different types of pollution on the Health Care Centers (Governmental and Non-Governmental). 431 43 Center Number Center Number Center Number Center Number Center Number 431 2450586 620105559 29461857.471 39652453.859 public water network source for obtaining water public water network source for obtaining water public water network source for obtaining water public water network source for obtaining water public water network source for obtaining water Do public water network used by the health care center for obtaining water? What is the Wastewater disposal method in the health care center ? if there isnt any source for obtaining water 404 27 1 2 1 Yes (Main source) 2 Yes (Secondary source) 3 . Not source Sysmiss Public Water Network: A net of pipes for the purpose of providing clean water to households. It normally belongs to a municipality, the council or to a private company collection rain water well source for obtaining water collection rain water well source for obtaining water collection rain water well source for obtaining water collection rain water well source for obtaining water collection rain water well source for obtaining water Do collection rain water wel used by the health care center for obtaining water? 404 27 1 2 1 . Yes (Main source) 2 Yes (Secondary source) 3 . Not source Sysmiss buying tanks source for obtaining water buying tanks source for obtaining water buying tanks source for obtaining water buying tanks source for obtaining water buying tanks source for obtaining water Do buying tanks used by the health care center for obtaining water? 404 27 1 2 1 Yes (Main source) 2 Yes (Secondary source) 3 . Not source Sysmiss there anther source for obtaining water there anther source for obtaining water there anther source for obtaining water there anther source for obtaining water there anther source for obtaining water Do another source used by the health care center for obtaining water? 404 27 1 2 1 Yes (Main source) 2 Yes (Secondary source) 3 . Not source Sysmiss the average monthly consumed water in the health care center from public water network ((M3)\Month) the average monthly consumed water in the health care center from public water network ((M3)\Month) the average monthly consumed water in the health care center from public water network ((M3)\Month) the average monthly consumed water in the health care center from public water network ((M3)\Month) the average monthly consumed water in the health care center from public water network ((M3)\Month) What is the average monthly consumed water in the the health care center from public water network 431 4000 94.142 378.491 the average monthly consumed water in the health care center from collection rain water well ((M3)\Month) the average monthly consumed water in the health care center from collection rain water well ((M3)\Month) the average monthly consumed water in the health care center from collection rain water well ((M3)\Month) the average monthly consumed water in the health care center from collection rain water well ((M3)\Month) the average monthly consumed water in the health care center from collection rain water well ((M3)\Month) What is the average monthly consumed water in the the health care center from collection rain water well? 429 2 20 0.205 1.29 1 2 3 6 10 20 Sysmiss the average monthly consumed water in the health care center from buying tanks ((M3)\Month) the average monthly consumed water in the health care center from buying tanks ((M3)\Month) the average monthly consumed water in the health care center from buying tanks ((M3)\Month) the average monthly consumed water in the health care center from buying tanks ((M3)\Month) the average monthly consumed water in the health care center from buying tanks ((M3)\Month) What is the average monthly consumed water in the the health care center from Buying tanks? 430 1 1000 7.693 83.458 the average monthly consumed water in the health care center from anther source ((M3)\Month) the average monthly consumed water in the health care center from anther source ((M3)\Month) the average monthly consumed water in the health care center from anther source ((M3)\Month) the average monthly consumed water in the health care center from anther source ((M3)\Month) the average monthly consumed water in the health care center from anther source ((M3)\Month) What is the average monthly consumed water in the the health care center from another source? 431 1000 2.814 49.101 the average monthly payment for consumed water in the health care center from public water network ((NIS)\Month) the average monthly payment for consumed water in the health care center from public water network ((NIS)\Month) the average monthly payment for consumed water in the health care center from public water network ((NIS)\Month) the average monthly payment for consumed water in the health care center from public water network ((NIS)\Month) the average monthly payment for consumed water in the health care center from public water network ((NIS)\Month) What is the average monthly payment for consumed water in the health care center from public water network? 431 8000 228.387 908.975 the average monthly payment for consumed water in the health care center from collection rain water well ((NIS)\Month) the average monthly payment for consumed water in the health care center from collection rain water well ((NIS)\Month) the average monthly payment for consumed water in the health care center from collection rain water well ((NIS)\Month) the average monthly payment for consumed water in the health care center from collection rain water well ((NIS)\Month) the average monthly payment for consumed water in the health care center from collection rain water well ((NIS)\Month) What is the average monthly payment for consumed water in the health care center from collection rain water well? 429 2 101 1.329 8.238 the average monthly payment for consumed water in the health care center from buying tanks ((NIS)\Month) the average monthly payment for consumed water in the health care center from buying tanks ((NIS)\Month) the average monthly payment for consumed water in the health care center from buying tanks ((NIS)\Month) the average monthly payment for consumed water in the health care center from buying tanks ((NIS)\Month) the average monthly payment for consumed water in the health care center from buying tanks ((NIS)\Month) What is the average monthly payment for consumed water in the health care center from buying tanks? 431 2400 11.538 130.157 the average monthly payment for consumed water in the health care center anther source ((NIS)\Month) the average monthly payment for consumed water in the health care center anther source ((NIS)\Month) the average monthly payment for consumed water in the health care center anther source ((NIS)\Month) the average monthly payment for consumed water in the health care center anther source ((NIS)\Month) the average monthly payment for consumed water in the health care center anther source ((NIS)\Month) What is the average monthly payment for consumed water in the health care center from other sources? 431 800 1.972 38.568 the Wastewater disposal method in the health care center the Wastewater disposal method in the health care center the Wastewater disposal method in the health care center the Wastewater disposal method in the health care center the Wastewater disposal method in the health care center Do any of these sources used by the health care center for obtaining water? if there isnt any source for obtaining water What is the Wastewater disposal method in the health care center ? 404 27 1 3 1 Wastewater network 2 Tight cesspit 3 Porous cesspit 4 Others Sysmiss Wastewater: Used water, typically discharged into the sewage system. It contains matter and bacteria in solution or suspension. Porous Cesspit: A well or a pit in which night soil and other refuse is stored, constructed with porous walls. Tight Cesspit: A well or a pit in which night soil and other refuse is stored, constructed with either tight walls. the monthly estimated amount of money paid for wastewater disposal in the health care center the monthly estimated amount of money paid for wastewater disposal in the health care center the monthly estimated amount of money paid for wastewater disposal in the health care center the monthly estimated amount of money paid for wastewater disposal in the health care center the monthly estimated amount of money paid for wastewater disposal in the health care center What is the monthly estimated amount of money paid for wastewater disposal in the health care center ? 431 6800 96.271 472.122 the produced wastewater treat in the health care center the produced wastewater treat in the health care center the produced wastewater treat in the health care center the produced wastewater treat in the health care center the produced wastewater treat in the health care center Did the produced wastewater treat in the health care center ? What is the average monthly of produced solid waste quantity in the health care center (Kg)? If the produced wastewater not treated in the health care center 404 27 1 2 1 Yes 2 . No Sysmiss the used wastewater treatment method the used wastewater treatment method the used wastewater treatment method the used wastewater treatment method the used wastewater treatment method What is the used wastewater treatment method? 18 413 1 2 1 Mechanical treatment 2 . Chemical treatment 3 Biological treatment Sysmiss Wastewater 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. 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. the average monthly of produced solid waste quantity in the health care center (Kg) the average monthly of produced solid waste quantity in the health care center (Kg) the average monthly of produced solid waste quantity in the health care center (Kg) the average monthly of produced solid waste quantity in the health care center (Kg) the average monthly of produced solid waste quantity in the health care center (Kg) Did the produced wastewater treat in the health care center? if the wastewater not treated in the health care center What is the average monthly of produced solid waste quantity in the health care center(Kg)? 404 27 80000 605.785 5097.571 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. the most important mean of putting this kind of solid waste the most important mean of putting this kind of solid waste the most important mean of putting this kind of solid waste the most important mean of putting this kind of solid waste the most important mean of putting this kind of solid waste If the solid waste not separated where did the waste put after collection? 403 28 1 6 1 Nylon bags 2 Special bags 3 Carton boxes 4 Metal boxes 5 . Plastic boxes 6 Others Sysmiss Dumping Site: Site used to dispose of solid wastes without environmental control. weekly periodicity for collection solid waste inside the health care center weekly periodicity for collection solid waste inside the health care center weekly periodicity for collection solid waste inside the health care center weekly periodicity for collection solid waste inside the health care center weekly periodicity for collection solid waste inside the health care center If the solid waste not separated what is weekly periodicity for collection solid waste inside the health care center? 403 28 1 3 1 1-3 times 2 4-6 times 3 7 times and more 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 main separated solid waste transporting method inside the health care center the main separated solid waste transporting method inside the health care center the main separated solid waste transporting method inside the health care center the main separated solid waste transporting method inside the health care center the main separated solid waste transporting method inside the health care center If the solid waste not separated What is the main separated solid waste transporting method inside the health care center? 403 28 1 3 1 Manual 2 Special tools 3 Both methods Sysmiss Separation (Segregation): The system separation of solid waste into designated categories the following solid waste components treated the following solid waste components treated the following solid waste components treated the following solid waste components treated the following solid waste components treated If the solid waste not separated Does any of the following solid waste components treated? Does infectious waste treated? if the general waste not treated 403 28 1 2 1 Yes 2 No Sysmiss the used method for treating the used method for treating the used method for treating the used method for treating the used method for treating If the solid waste not separated What is the used method for treating? 11 420 1 3 1 Open burning 2 Incineration 3 Buried 4 Chemical treatment 5 Disinfection 6 Mechanical treatment 7 Insulation 8 Thrown in the sewerage with water Sysmiss the periodicity of treating solid waste per month the periodicity of treating solid waste per month the periodicity of treating solid waste per month the periodicity of treating solid waste per month the periodicity of treating solid waste per month If the solid waste not separated What is the periodicity of treating solid waste per month? 11 420 1 3 1 1-3 times 2 4-6 times 3 7 times and more Sysmiss treating the solid waste treating the solid waste treating the solid waste treating the solid waste treating the solid waste If the solid waste not separated Who is treating the solid waste? 11 420 1 3 1 The health care center itself 2 Another health care center 3 Both Sysmiss the solid waste collect before its final disposal the solid waste collect before its final disposal the solid waste collect before its final disposal the solid waste collect before its final disposal the solid waste collect before its final disposal Where did the solid waste collect before its final disposal? How to deal with the waste after collection by the institution and before final disposal?If the solid waste collected inside the health care center 404 27 1 3 1 Inside health care center building 2 Inside health care center square 3 Outside health care center Sysmiss the distance (in m) between the health care center and waste collection place the distance (in m) between the health care center and waste collection place the distance (in m) between the health care center and waste collection place the distance (in m) between the health care center and waste collection place the distance (in m) between the health care center and waste collection place What was the distance (in m) between the health care center and waste collection place? 194 237 1 3 1 50 m and less than 2 51 to 150 m 3 151m and more Sysmiss the waste after collection by the institution and before final disposal the waste after collection by the institution and before final disposal the waste after collection by the institution and before final disposal the waste after collection by the institution and before final disposal the waste after collection by the institution and before final disposal Where did the solid waste collect before its final disposal?If the solid waste collected inside the health care center How to deal with the waste after collection by the institution and before final disposal? who is transporting solid waste to the final disposing place?If The Corporation not transferred the waste to the nearest container 404 27 1 5 1 The Corporation transferred to the nearest container 2 Is collected directly from the institution by the local auth 3 The Corporation transferred to the nearest landfill waste 4 The Foundation is shifting the random 5 Other Sysmiss Dumping Site: Site used to dispose of solid wastes without environmental control. the volume of the used container (in m3) the volume of the used container (in m3) the volume of the used container (in m3) the volume of the used container (in m3) the volume of the used container (in m3) What is the volume of the used container (in m3)? 265 166 1 3 1 . 1- 3 2 . 4-6 3 7 m3 and more Sysmiss the material of construction of the used container the material of construction of the used container the material of construction of the used container the material of construction of the used container the material of construction of the used container What is the material of construction of the used container? 265 166 1 3 1 . Metal 2 Plastic 3 Others Sysmiss the solid waste dispose after its collection inside the health care center the solid waste dispose after its collection inside the health care center the solid waste dispose after its collection inside the health care center the solid waste dispose after its collection inside the health care center the solid waste dispose after its collection inside the health care center Where was the solid waste dispose after its collection inside the health care center ? 265 166 1 4 1 Municipality open container 2 Municipality closed contain 3 Health care center open container 4 Health care center closed container 5 Without container Sysmiss Solid Waste Disposal: Ultimate deposition or placement of refuse that is not salvaged or recycled. transporting solid waste to the final disposing place transporting solid waste to the final disposing place transporting solid waste to the final disposing place transporting solid waste to the final disposing place transporting solid waste to the final disposing place How to deal with the waste after collection by the institution and before final disposal?If The health care center not transferred the waste to the nearest container who is transporting solid waste to the final disposing place? 404 27 1 5 1 The health care center 2 Local authority 3 Private contractor 4 UNRWA 5 Others Sysmiss responsible for the disposal of waste from the place of the transfer assembly to dumping site responsible for the disposal of waste from the place of the transfer assembly to dumping site responsible for the disposal of waste from the place of the transfer assembly to dumping site responsible for the disposal of waste from the place of the transfer assembly to dumping site responsible for the disposal of waste from the place of the transfer assembly to dumping site Are you responsible for the disposal of waste from the place of the transfer assembly to dumping site? 404 27 1 4 1 Yes, Local authority dumping site 2 Yes, Private dumping site 3 No, Throw randomly 4 No, Unknown location Sysmiss the frequency of transporting solid waste during the last week the frequency of transporting solid waste during the last week the frequency of transporting solid waste during the last week the frequency of transporting solid waste during the last week the frequency of transporting solid waste during the last week What is the frequency of transporting solid waste during the last week? 404 27 1 3 1 1- 3 2 4-6 3 7 m3 and more Sysmiss Public Water Network: A net of pipes for the purpose of providing clean water to households. It normally belongs to a municipality, the council or to a private company the estimated payment for the disposal of solid waste in the health care center (NIS) the estimated payment for the disposal of solid waste in the health care center (NIS) the estimated payment for the disposal of solid waste in the health care center (NIS) the estimated payment for the disposal of solid waste in the health care center (NIS) the estimated payment for the disposal of solid waste in the health care center (NIS) What is the estimated payment for the disposal of solid waste in the health care center ? 431 2500 57.831 193.228 Health care centers Evaluation for Used Water Quality Health care centers Evaluation for Used Water Quality Health care centers Evaluation for Used Water Quality Health care centers Evaluation for Used Water Quality Health care centers Evaluation for Used Water Quality Health care center's Evaluation for Used Water Quality 404 27 1 3 1 Good 2 Fairly good 3 Bad Sysmiss Health care centers Evaluation for Water Supply Service Health care centers Evaluation for Water Supply Service Health care centers Evaluation for Water Supply Service Health care centers Evaluation for Water Supply Service Health care centers Evaluation for Water Supply Service Health care center's Evaluation for Water Supply Service 404 27 1 3 1 Good 2 Fairly good 3 Bad Sysmiss Health care centers Evaluation for Wastewater Disposal Service Using Wastewater Network Health care centers Evaluation for Wastewater Disposal Service Using Wastewater Network Health care centers Evaluation for Wastewater Disposal Service Using Wastewater Network Health care centers Evaluation for Wastewater Disposal Service Using Wastewater Network Health care centers Evaluation for Wastewater Disposal Service Using Wastewater Network Health care center's Evaluation for Wastewater Disposal Service Using Wastewater Network 404 27 1 4 1 Good 2 Fairly good 3 Bad 4 Not applicable Sysmiss Health care centers Evaluation for Quality of Container which Used for Solid Waste Collection Health care centers Evaluation for Quality of Container which Used for Solid Waste Collection Health care centers Evaluation for Quality of Container which Used for Solid Waste Collection Health care centers Evaluation for Quality of Container which Used for Solid Waste Collection Health care centers Evaluation for Quality of Container which Used for Solid Waste Collection Health care center's Evaluation for Quality of Container which Used for Solid Waste Collection 404 27 1 3 1 Good 2 Fairly good 3 Bad Sysmiss Health care centers Evaluation for Comparing the Container Size with the Produced Waste Quantity Health care centers Evaluation for Comparing the Container Size with the Produced Waste Quantity Health care centers Evaluation for Comparing the Container Size with the Produced Waste Quantity Health care centers Evaluation for Comparing the Container Size with the Produced Waste Quantity Health care centers Evaluation for Comparing the Container Size with the Produced Waste Quantity Health care center's Evaluation for Comparing the Container Size with the Produced Waste Quantity 404 27 1 2 1 Sufficient 2 Inadequate Sysmiss Health care centers Evaluation for Periodicity of Waste Collection Health care centers Evaluation for Periodicity of Waste Collection Health care centers Evaluation for Periodicity of Waste Collection Health care centers Evaluation for Periodicity of Waste Collection Health care centers Evaluation for Periodicity of Waste Collection Health care center's Evaluation for Periodicity of Waste Collection 404 27 1 2 1 Appropriate 2 Inappropriate Sysmiss Reg Reg Reg Reg Reg 431 1 3 1 North 2 Middle 3 South weight weight weight weight weight 431 1 3 1.441 0.336