ASSESSING THE PERFORMANCE OF THE HEALTH CARE SYSTEM IN YEMEN USING THE WHO BUILDING BLOCKS FRAMEWORK

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Published: 2022-08-30

Page: 1050-1058


AHLAM ALNAQEB *

Doha Institute for Graduate Studies, School of Economics, Administration and Public Policies, Qatar.

*Author to whom correspondence should be addressed.


Abstract

Background: Yemen, a low-income country in the MENA region is facing one of the worst humanitarian crises in the world due to the ongoing conflict that has begun in 2013.This paper seeks to assess the performance of the healthcare system in Yemen before and during the conflict 2010-2020 and examine the impact of the conflict on the healthcare system performance during the period 2015-2020.

Methods: A literature review from 2010 to 2020 of the evidence reported by international and local organizations as well as in published and unpublished articles and reports. The study used the Building Blocks frame work developed by the WHO (2007; 2009) (hereafter WHO-BB).

Results: The results shown before the war, the healthcare system in Yemen suffered from governance weaknesses and corruption, a huge gap in health financial structure, the unequal density of healthcare workers, poor pharmacological regulations, and weak health information. Moreover, the impact of war on the healthcare system was devastating

Conclusion: Healthcare system in Yemen is weak and fragmented. To overcome this issue the government requires restructuring of the internal healthcare sector with the support of international health agencies.

Keywords: Health care system, WHO, Yemen, WAR, international health agencies


How to Cite

ALNAQEB, A. (2022). ASSESSING THE PERFORMANCE OF THE HEALTH CARE SYSTEM IN YEMEN USING THE WHO BUILDING BLOCKS FRAMEWORK. Asian Journal of Advances in Research, 5(1), 1050–1058. Retrieved from https://mbimph.com/index.php/AJOAIR/article/view/3132

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References

United Nations Development Program. Assessing the Impact of War in Yemen: Pathways for Recovery; 2021.

Available:https://www.undp.org/publications/assessing-impact-war-yemen-pathways-recovery

World Bank. Yemen Republic. GDP Data; 2020.

Availablehttps://data.worldbank.org/indicator/NY.GDP.PCAP.CD?locations=YE

World Health Organization. Health services are deteriorating as the conflict continues in Yemen; 2016.

Available:http://www.emro.who.int/ar/2016-arabic/health-services-decline-as-conflict-in-yemen-continues.html

International Committee of the Red Cross. Yemen: Conflict has catastrophic consequences for health Care; 2017.

Available:https://www.icrcnewsroom.org/story/en/1694/yemen-conflict-has-catastrophic-consequences-for-health-care

Fuss M. Increasing Health Care Access in Yemen through Community-Based Health Insurance. The Indiana Journal of Global Legal Studies. 2016;23:2.

Available:https://www.repository.law.indiana.edu/cgi/viewcontent.cgi?article=1630&context=ijgls

World Bank. Health Sector in Yemen: Policy Note; 2021.

Available:https://www.worldbank.org/en/country/yemen/publication/health-sector-in-yemen-policy-note

United Nations. World Population Prospects; 2019.

Available: https://population.un.org/wpp/

The Integrated Food Security Phase Classification. IPC Yemen Acute FI Situation; 2012.

Available:https://www.ipcinfo.org/ipc-country-analysis/details-map/es/c/459507/?iso3=YEM

Holst J, Gericke CA. Healthcare financing in Yemen. International Journal of Health Planning and Management. 2012;27:198–225.

Qirbi N, Ismail S. Health System Functionality in Low-Income Country in the Midst of Conflict: The Case of Yemen. Health Policy and Planning Journal. 2017:911-922.

DOI: 10.1093/heapol/czx031

Al Serouri A, Al Rukeimi A, Bin Afif M, Al Zoberi A, Al Raeby J, Briggs C, Hanafi H. Findings from a needs assessment of public sector emergency obstetric and neonatal care in four governorates in Yemen: a human resources crisis. Reproductive Health Matters. 2012;20:122–8.

AL-Tamimi S, Hassali M, Alrasheedy A. Challenges to generic medicines utilization in Yemeni healthcare system. Generics and Biosimilars Initiative Journal. 2013;2(2):63-4.

DOI: 10.5639/gabij.2013.0202.017

Cunningham A. To stay and deliver? The Yemen humanitarian crisis 2015. Medecins Sans Frontieres Emergency Gap Series. 2016;2.

Available:https://emergencygap.msf.es/sites/default/files/Emergency%20Gap%20Series_2_Stay%20and%20Deliver_Yemen%20Crisis%202015_April%202016.pdf, accessed 28 December 2016

OCHA financial Tracking Services. Yemen Humanitarian Response Plan; 2020.

Available: https://fts.unocha.org

El-Bcheraoui C, Jumaan A, Collison M, Daoud F, Okdad A. Health in Yemen: losing ground in war time. Globalization and Health Journal; 2018.

Available: https://doi.org/10.1186/s12992-018-0354-9

Garber K, Fox C, Abdalla M, Tatem A, Qirbi N, Lloyd-Braff L, Al-Shabi K, Ongwae K, Dyson M, Kebir Hassen K. Estimating access to health care in Yemen, a complex humanitarian emergency setting: a descriptive applied geospatial analysis. The Lancet Journal. 2020:E1435-E1443.

Available: https://doi.org/10.1016/S2214-109X(20)30359-4

Looi M. COVID-19: Deaths in Yemen are five times global average as healthcare collapses. The BMJ; 2020.

Available:http://dx.doi.org/10.1136/bmj.m2997

MedGlobal. A tipping point for Yemen’s health system: the impact of COVID-19 in a Fragile State; 2020.

Available: https://medglobal.org/yemen-covid-report-july2020/

Ibrahim M, Alshakka M, Al-abd N, Bahattab A, Badulla W. Availability of Essential Medicines in a Country in Conflict: A Quantitative Insight from Yemen. Int. J. Environ. Res. Public Health. 2021;18:175.

DOI: 10.3390/ijerph18010175

Namakula J, Witter S. Living through conflict and post-conflict: experiences of health workers in northern Uganda and lessons for people-centered health systems. Health Policy and Planning. 2014;29:ii6–14.

Ministry of Health and Population; 2022.

Available: https://moh-ye.org/

OCHA. MENA: Crises in Focus - an Overview of Humanitarian needs in the Region; 2016.

Available: https://gallery.mailchimp.com/

Available:https://pubmed.ncbi.nlm.nih.gov/25274642/

Al-Awlaqui A, Tambor M, Duplaga M. Evaluation of the National Health Cluster Performance in Yemen: A Qualitative Study; 2019.

Available:https://ruj.uj.edu.pl/xmlui/handle/item/234822

AlKarim T, Abbara A, Attal B. Armed Conflict alone Does not Explain the Devastation of Yemen’s Health System. BMJ Glob Health. 2021;6(2): e004740.

DOI: 10.1136/bmjgh-2020-004740

Transparency International. Corruption Perceptions Index 2015.

vailable:http://www.transparency.org/cpi2015

World Bank. Yemen - Governance and Anti-Corruption Diagnostic Survey; 2010.

Available:https://documents.worldbank.org/en/publication/documents-reports/documentredirects?url=/curated/en/2010/03/16620607/yemen-governance-anti-corruption-diagnostic-survey

World Health Organization. Health System Profile: Yemen; 2006.

Available:729-doc-11.pdf(sesric.org)