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Direction générale de la Coopération au
Développement – DGCD (D2 –
Programmes Spéciaux).
Service D2.1 – Aide d'urgence –
Réhabilitation – Aide alimentaire.
FORMULAIRE UNIQUE POUR LE FINANCEMENT D'ACTIONS DE PREVENTION, AIDE
D'URGENCE, AIDE A LA REHABILITATION A COURT TERME ET ACTION HUMANITAIRE
1
(Base légale: Loi du 19/03/2013, Arrêté Royal du 19/04/2014, Budget général des dépenses,
allocation de base 14 54 52 35.60.83).
1. INFORMATIONS GÉNÉRALES
1.1 Nom de l’Organisation humanitaire/date de l'agrément par le Ministre de la Coopération
au développement: « Croix-Rouge de Belgique, Communauté francophone-Activités
internationales »/ date de l’agrément : 12 décembre 2012
1.2 Titre de l'action: Access to health services for the victims of the conflict and population with
disabilities in Gaza Strip
1.3 Zone d’intervention (pays, région, localités): Occupied Palestinian Territories/ Gaza Strip/
Khan Younis and Rafah
1.4 Date de démarrage de l’action: 01 October 2015
1.5 Durée de l’action en mois (selon le type d'actions, cf. point 1.7): 12 months
1.6 Date de début d'éligibilité des dépenses: 01 October 2015
Si cette date diffère de la soumission de la proposition initiale, veuillez en donner la raison
(cf. 1.8)
1.7 Type d'action humanitaire:
1° le soutien de mesures qui favorisent une réponse rapide en cas de survenance de crises
humanitaires;
2° la protection et l'assistance aux victimes de crises humanitaires par la prise en charge des
besoins vitaux et l'amélioration des conditions de vie des populations touchées;
3° la reconstruction et le renforcement des institutions et la réhabilitation des infrastructures;
4° les actions de transition qui permettent la relance du tissu socioéconomique et de la
société civile;
5° la préparation aux catastrophes;
6° la réalisation d'études et d'évaluations et la mise en œuvre d'actions, destinées à rendre
l'aide humanitaire plus efficace et efficiente;
7° la promotion du droit international humanitaire.
(NB: la durée des opérations ne peut excéder 12 mois).
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Les spécifications utilisées dans ce formulaire ont été en grande partie reprises sur base du
"Formulaire Unique" en usage, pour le même type d'actions, à la Commission Européenne
(ECHO).Pour une bonne compréhension de celles-ci, se référer aux lignes directrices édictées par
ECHO Au stade de la proposition, complétez les paragraphes numérotés, sauf ceux qui
commencent avec [INT] (à remplir au stade du rapport intermédiaire) ou [FIN] (à remplir au stade
du rapport final). Au stade des rapports intermédiaire et final, ne modifiez (biffez) que les données
principales dans les paragraphes numérotés.
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1.8 Proposition et rapports:
Proposition initiale
Proposition révisée n°.
Date de l'Arrêté Ministériel d'octroi
Date Acte Unilatéral
Date lettre d'acceptation
Rapport intermédiaire
Rapport final

date:
date:
date:
date:
date:
date:
date:
06-07-15
jj-mm-aa
jj-mm-aa
jj-mm-aa
jj-mm-aa
jj-mm-aa
jj-mm-aa
1.9 [INT]
Énumérez les échanges de lettres intervenus après la signature de l'acte
unilatéral jusqu'au stade du rapport intermédiaire
1.10[FIN]
Énumérez les échanges de lettres intervenus après la soumission du rapport
intermédiaire jusqu'au stade du rapport final
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2. ÉVALUATION DES BESOINS
2.1 Date(s) d’évaluation; méthodologie et sources d’information utilisées;
organisation/personne(s) responsable(s) de l’évaluation
The present proposal relies in three different types of information:
- Palestine Red Crescent Society (PRCS) assessments and Emergency Appeal
A preliminary Emergency Appeal was launched on 14 July 2014 to respond to some immediate
and medium term effects on the population affected by the conflict. The initial appeal was based
on general assessments and information gathered through different sources such as: PRCS and
International Committee of the Red Cross (ICRC) assessments, OCHA and UNRWA updates and
Ministry of Health and other partners’ assessments. Following more in depth evaluations on the
evolving situation, PRCS launched in November a Revised Emergency Appeal for USD
63.071.438 (in kind or in cash) to cover the most basic needs of 400.000 people in occupied
Palestinian territories (oPt). See Annex 1. PRCS revised Emergency Appeal.
The PRCS Emergency Appeal is in line with the conclusions from the IFRC DREF operation
conducted from July 2014 until January 2015; it is supported by several partners including IFRC
and ICRC. See Annex 1b. DREF operation – Final Report/ oPt: Complex Emergency.
- Review and analysis of available reports on the humanitarian situation in Gaza and more
concretely of the health sector
The overall humanitarian situation in Gaza Strip, and more concretely the situation of the health
sector, has been thoughtfully assessed and reported by different humanitarian organizations and
agencies (WHO, OCHA, Ministry of Health), especially since the last conflict during the summer of
2014. The situation analysis provided in the present proposal is also the result of the review of the
latest and more reliable documents as the “Report of a field assessment of health conditions in the
occupied Palestinian territory” (WHO. April 2015) and the “Joint Health Sector Assessment
Report” (Health cluster. September 2014), attached as Annex 2 and 3 respectively.
- PRCS data gathered in the course of their activities, as well as lessons learned in previous
experiences
The technical information related to this project is based on the data collected by Al Amal Hospital
during the course of their activities in 2014 (patients’ statistics, activity reports) as well as on reports
and lessons learned from previous projects in the field of rehabilitation. See “Al Amal Hospital
statistics Jan-Dec 2014” in Annex 4.
Finally, a Spanish Red Cross (SpRC) delegate was deployed to Palestine from 22 to 30 June to
support SpRC delegation and PRCS in finalizing and formalizing the present proposal.
2.2 Exposé du problème et analyse des parties prenantes
The last conflict in Gaza in July and August 2014 caused an unprecedented level of human loss
and damage that worsened drastically the humanitarian situation of the Palestinian population,
already precarious after decades of crisis.
Following the above mentioned WHO report, the 51 days of conflict resulted in 2.260 casualties,
including 612 children and 230 women; 10.625 were injured, among them 3.827 children and 1.773
women; out of the injured, around 899 people were left permanently disabled. As for health
infrastructure, 87 health facilities were damaged, 25 of them severely damaged or destroyed.
In such a context, patients had to be discharged prematurely or received insufficient care, thus
increasing the risk of long term negative consequences. In addition, the increased number of
explosives remnants of war (ERW) continues to cause fatalities and permanent disabilities.
Ongoing movement restrictions within and between Palestinian territories and the blockade on
Gaza are hampering access of the most vulnerable to basic services and adding challenges to
humanitarian support. The blockade is also targeting construction materials, so there are little
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chances of health sector recovery of a health system already affected by chronic shortages of
medicines, medical supplies and equipment.
As stated in the “Joint Health Sector Assessment Report” (September 2014), direct consequences
on the health of the population were:

“The loss of life due to limitations in providing emergency care and secondary/tertiary care to
severe trauma patients and delays in the referral of those to health services abroad and the
worsening of injuries including avoidable disability and lengthening of recovery period for
injured patients due to premature release from hospitals and limitations in follow up care;

Access issues keeping non-trauma patients from receiving health care potentially leading to a
deterioration of acute or chronic illnesses, especially for patients on regular drugs;

Destruction, damage and closure of health facilities during and after the conflict reducing
service availability and straining services in functioning facilities”.
Indirect consequences include "(…) Loss of savings, assets and income further limiting access to
health care for large parts of the population, rendering them unable to mount the minimal health
service fees and/or the purchase of over the counter drugs in absence of sufficient stocks at health
facilities”.
2.3 Veuillez résumer les résultats de l’évaluation (le cas échéant, annexer un rapport
complet) en établissant un lien avec l’action
As mentioned above, after the first Preliminary Emergency Appeal, PRCS carried out several indepth assessments in order to determine a plan of action coherent with the needs as well as with
its own capacities and expertise. The results of these assessments pointed at the following
priorities:
1. Emergency stocks of essential drugs and disposable, together with emergency surgical kits,
both for PRCS health facilities and to support other health providers;
2. Continuation of provision of Emergency Medical Services by PRCS both to direct victims of the
hostilities, and to chronic patients who are impeded under hostilities to access lifesaving health
care. Additional ambulances are needed to extend coverage under present clashes and
hostilities and replace damaged ones. Spare parts for existing ambulances are also needed;
3. Basic non-food items such as blankets, heaters, hygiene kits, mattresses, for the families
whose houses have been damaged or destroyed;
4. Build the capacity of PRCS in the rehabilitation field by improving the excellence centre of the
rehabilitation in Khan Younis;
5. Emergency psycho-social support to victims of the conflict, especially children from the affected
families, building on the extensive work by PRCS in the domain and according to PRCS specific
contingency plan;
6. Improve the logistics capacities to ensure a sustained flow of goods and aid inside Gaza and
from outside Gaza;
7. Emergency renovation of PRCS damaged premises.
The present proposal, framed within the priority number four, intends to increase the capacity of Al
Amal Medical Rehabilitation Hospital through the adaptation of the available facilities (basic
arrangement and accessibility works), the procurement of specialized equipment, medical supplies
and tools, and the mobilization of two Outreach Medical Rehabilitation teams.
Humanitarian organizations in oPt have also recognized disabilities as a key area of concern,
particularly in Gaza, and people with disabilities (PWD) have been identified as one of the most
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vulnerable groups, together with women, children and elderly. According to MAP/IDEALS2, “(…) the
Ministry of Social Affairs (MoSA) has the lead responsibility for ensuring an integrated package of
care for persons with disability (PWD) and their families in Gaza. However, despite the presence of
very favorable legislation, implementation is poor.
In terms of rehabilitation there are no specialized services provided by the government or UNRWA:
services are found only in the NGO and private sectors. However, UNRWA has provided the
buildings and limited core funding for NGO-led Community Based Rehabilitation (CBR) centres in
each of the refugee camps. The focus of these centres varies from camp to camp, but in general
services include day care activities (providing some educational and leisure opportunities for
disabled and non-disabled persons), information sharing, liaison with other rehabilitation agencies
and advocacy campaigns. Rehabilitation services are not available within the existing network of
primary health care centres.(…) Many NGOs are registered with the MoSA as providing
rehabilitation services for PWD in Gaza. In reality, very few provide a sustained, credible level of
service.”
For detailed information regarding rehabilitation-related services available in Gaza, see Annex 5.
“Mobile and Static Physiotherapy and Wound Management Services. Gaza Strip. September
2014”: it is worth to note that, in the project area (Khan Younis and Rafah), besides the Red
Cross/Red Crescent Movement, only two local NGO’s and one international NGO (Help Age) are
present.
The table hereunder shows the main data related to rehabilitation services in Al Amal Hospital
during the year 2014.
JANMAR
APRJUN
JULSEPT
OCTDEC
TOTAL
Nº Patients medical rehabilitation
58
66
72
63
259
% Bed Occupancy medical rehab.
98%
126%
121%
99%
111%
43
32
36
23
33,4
16.328
18.265
22.588
23.492
80.673
380
310
364
496
1.550
CONCEPT/ SERVICE
Average stay in medical rehab (days)
Other services (laboratory tests, X Ray,
ultrasound, pharmaceutical prescriptions…)
Referrals to Ministry of Health
The occupancy rate shows that Al Amal Hospital was operating beyond its capacities even before
the conflict started in July (126% during the second quarter); the occupancy rate reached the
highest peak in August, with 162%.
Other rehabilitation related services as X-rays, ultrasound or tests also increased considerably
during and after the conflict.
Al Amal Hospital, in Khan Younis, was the first one established by PRCS and has been providing
primary and secondary health care services to the most neglected population in the southern areas
of Gaza Strip since its establishment in 1996. In 2013 a new Medical Rehabilitation ward was
opened to meet the growing needs of the population and facilitate access to these services, when
movement and patients referrals remain a challenge. The Medical Rehabilitation Hospital counts
with 11 patient rooms with a maximum capacity of 20 beds. Besides the regular medical and
nursing services, the MR Hospital provides physiotherapy, occupational therapy, speech therapy
and psycho-social support.
2
MAP-IDEALS Medical Assessment Report Gaza.18-814.https://www.humanitarianresponse.info/ru/operations/occupied-palestinianterritory/assessment/assessment-mission-mapideals-medical-team-east
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The relevance of Al Amal Medical Rehabilitation Hospital became more significant since the only
specialized rehabilitation centre, in north Gaza Strip, Al Wafa, was completely destroyed during the
last conflict, therefore leaving the people with disabilities in the south of Gaza Strip with very limited
access to medical rehabilitation. The remaining specialized facility is the Artificial Limbs and Polio
Centre (ALPC), in Gaza City, which provides prosthetic and orthotic services to people in need of
artificial limbs, with the support of the ICRC. The ALPC services are overwhelmed and waiting lists
are long, even more after the last conflict, hence a number of PWD are not taken care of on time or
receiving deficient treatment, increasing the risk turning from temporary disabilities to permanent
disabilities.
As construction materials are difficult to get into Gaza, the reconstruction of Al Wafa or the
construction of a new specialized hospital are not expected in a near future. However, Al Amal
Hospital has available the needed space to be arranged and equipped in order to absorb at least
part of the patients that the destruction of Al Wafa left unattended (cf. point 6.1. for the Red
Cross/Red Crescent solution to the issue of transport for construction material).
On the other hand, an undetermined number of people with disabilities remain unassisted due to
lack of access, be it for physical impediments, lack of resources or administrative impediments.
Aware of this situation, PRCS created in 2003 (after the second intifada) the Rehabilitation
Outreach teams aiming at reaching the most vulnerable, especially women and girls.
Two Outreach teams will work to identify, register, diagnose and provide adequate care to people
with disabilities that would not be able to access these services otherwise (due to any of the
reasons mentioned above). It is important to mention that due to its unique level of acceptance
within Palestine territories, PRCS is sometimes the only humanitarian organization to have access
to certain zones.
It is also worth to mention that due to cultural considerations, PWD are stigmatized (PWD
perceived as non-capable human beings) and therefore hidden and neglected by their families and
relatives, thus not seeking health care or social inclusion. On the other hand, traditional care-givers
are women (mother, sister…) who find extremely challenging to carry out their culturally attributed
tasks at the same time they provide due care to PWD.
Based on past experience, communities with the support of local authorities and other institutions
often coordinate to organize social events in order to promote inclusion and disseminate and
sensitize population about PWD rights and needs. Whenever these initiatives are proposed, the
project will try to facilitate the participation of its beneficiaries and families so as to reduce the
stigmatization and social barriers.
2.4 [INT]Si des changements sont intervenus dans l’évaluation des besoins au stade du
rapport intermédiaire, veuillez préciser
2.5 [FIN]Si des changements sont intervenus dans l’évaluation des besoins après le rapport
intermédiaire, veuillez préciser
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3. ORGANISATION HUMANITAIRE DANS LA ZONE D’INTERVENTION
3.1 Présence de l’Organisation humanitaire dans la zone d’intervention: bref aperçu de la
stratégie et des activités actuelles ou récentes dans le pays
Belgian RC (BRC) is working in the Middle East since 2006, and has been regularly supporting
PRCS (Lebanon branch) since then:

It has been present in Lebanon since the conflict with Israel in 2006. In response to that crisis,
the BRC strengthened the Lebanese Red Cross Emergency Medical Services (EMS), providing
vehicles and rebuilding infrastructures. From 2009 until 2015, BRC worked together with the
Lebanese Red Cross Youth Department on the dissemination of humanitarian norms towards
Lebanese youth. Since 2014, regular visits from BRC headquarter staff replace permanent
presence in Beirut;

In the frame of the Syrian crisis, BRC supported PRCS (Lebanon branch), Syrian Red Crescent
and Lebanese Red Cross between 2012 and 2014 with emergency projects;

Finally, BRC supported the PRCS in Lebanon with Blood Transfusion projects (2008 to 2011)
and Community-Based Health projects (2009 to 2012) in Palestinian refugee camps.
Spanish Red Cross has a long standing partnership with the PRCS; since their first collaboration in
2000 both organizations have carried out numerous projects mainly in the health sector, including
rehabilitation and mental health. The following table shows the lasts PRCS projects supported by
SpRC:
PROJECT TITLE
Reduction to mother-child mortality in Jordan Valley in Nablus, Jericho
and Tubas.
Improvement of psychosocial capacities of the population in 11
provinces of West Bank.
Strengthening resilience in 6 communities of C Area through healthrelated activities
To contribute to build the resilience and enhance the psychosocial
wellbeing of the population affected by the conflict in the area of the
enclave of Barta’a
Rehabilitation services for disabled people affected by the conflict in
Jenin
Strengthening the access for population in the occupied Palestinian
territories to primary health services – clinical services, home visits and
psychosocial support – with special focus on chronic diseases, and
promoting a healthy life style among patients and people at risk
Support to PRCS Emergency Appeal for Gaza (“Defensive Pillar”
military operation)
Improvement of the psychosocial structure of PRCS
Summer camps for children with and without disabilities in Gaza Strip
Support to PRCS Emergency Appeal for Gaza. (“Cast Lead” military
operation)
Strengthening rehabilitation services for disabled people in Gaza
Strengthening rehabilitation services for disabled people in Jericho and
East Jerusalem.
Strengthening basic health services in 11 areas of Wes Bank.
DURATION
TARGETED AREAS
2015-2016
West bank
2015
West bank
2014-2015
West bank
2014
West bank
2013-2015
West bank
2011-2013
Silwad, Beddya, Bani
Nain, Beit Fajjar,
Halhoul y Biddo.
2012
Gaza
2010
2009
Gaza
Gaza
2009
Gaza
2009-2011
Gaza
2009-2010
West bank
2007-2010
West bank
In addition, SpRC has contributed to the current PRCS Emergency Appeal with 936.450 € for the
procurement and delivery of medicines and disposables, medical equipment, fuel for ambulance
services, health staff salaries and assistive devices.
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3.2 Actions en cours et demandes de financement introduites auprès d’autres donateurs),
dans la même zone d'intervention – veuillez indiquer comment les chevauchements et
le double financement seraient évités
BRC did not introduce any other funding request for this operation.
Together with the Emergency Appeal, PRCS produced a Resources Mobilization table that
provides detailed information on contributions made by each donor and how this has been used so
far (see Annex 6. Resource Mobilization table). The table is updated regularly to show the
execution of expenditure. Any time a new contribution is granted, the Resource Mobilization table is
also updated showing which activities within the Appeal have funds granted and to which
percentage. This way PRCS ensures both transparency and avoids overlapping.
Although numerous partners and donors have contributed to the Appeal, up to now the funding only
covers 21% of the total budget. If new contributions are granted, they will be assigned to activities
planned in the Appeal and not covered with previous funds.
Moreover, PRCS in cooperation with ICRC and IFRC has developed guidelines related to cash and
in-kind donations in order to ensure a coordinated and needs-driven response, thus an efficient
response to the affected population (see Annex 7. PRCS Procedures for Donations).
Although Al Amal Hospital received support from various partners and donors, the medical
equipment for Al Amal Rehabilitation section has not been yet covered by any partner national
societies, hence remaining as a non-funded gap (as it is shown in Annex 6. Resources Mobilization
table - Feb 2015).
The Belgian contribution would represent approximately 10 % from the total contributions so far
(21% of 57 million euros) to the PRCS Emergency Appeal.
3.3 [FIN] Enumérez les autres opérations exécutées par l’Organisation humanitaire ou ses
partenaires de mise en œuvre au cours de la même période dans cette zone
d’intervention et décrivez comment les risques de double financement ont été évités
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4.
CADRE OPÉRATIONNEL
4.1 Localisation exacte de l’action (veuillez inclure une carte permettant de localiser le
projet)
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4.2 Bénéficiaires
4.2.1
Nombre total de bénéficiaires directs: approx. 8.250 persons (1.650 patients and their
families); on the longer term, the project doubles the capacity of the hospital (see 4.3.2)
4.2.2
Spécificités des bénéficiaires directs (veuillez préciser, si possible, en vous référant
aux groupes selon le cas, p. ex.: mineurs non-accompagnés, handicapés, enfants,
anciens combattants…)
Population (men, women, children and elderly) with physical impairments in Khan Younis and
Rafah areas, south of Gaza Strip as well as their direct care givers (mother, sister…) and their
families.
The project main target groups are:

People that acquired disabilities due to wounds during the last conflict in Gaza, their direct care
givers, and family members;

People with disabilities (PWD) that have long term rehabilitation needs and cannot access
rehabilitation services, their direct care givers, and family members.
Other members of the family (apart from care givers) will benefit from the action as PWD improve
their independence and autonomy, consequently reducing the burden and stigma. As the average
family size is around 5, the estimated number of beneficiaries is 8.250.
The hospital will be open for the population of Gaza Strip from North to South, while the outreach
will go to only south of Gaza Strip. The rest of the territory will be covered by other projects.
4.2.3 Mécanismes et critères d’identification des bénéficiaires directs
Beneficiaries will be identified based on medical and vulnerability criteria exclusively; according to
the Fundamental Principles of the Red Cross and Red Crescent Movement no other standards
related to nationality, gender, age, religion, or political affiliation are applied.
A) Medical criteria of in & out rehabilitation patients in Al Amal Hospital are:

Spinal cord injuries and related neurological disorders;

Traumatic brain injuries;

Traumatology & post fracture rehabilitation;

Neuro-muscular diseases;

Cerebrovascular accident (CVA);

Amputation – upper & lower limbs.
Priority will be given to patients with spinal cord injury, head injury and gun-shot wounds to upper
and lower limb extremity resulting in nerve, orthopaedic or soft tissue injury of a permanent nature.
Other considerations will include acute cases discharged from hospital early to clear beds for
others and patients in need of more than one service.
B) Outreach teams will identify patients as per criteria mentioned above that cannot access the
hospital rehabilitation services due to:

Physical and architectural barriers;

Lack of adequate transport means;

Administrative impediments (non-authorized medical treatment outside Gaza).
Outreach teams will also assume the follow up of cases in need of home visits referred by Al Amal
Medical Rehabilitation Hospital.
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4.2.4
Décrivez l'ampleur et les modalités d’implication des bénéficiaires directs dans la
conception de l’action
The overall goal of the Medical Rehabilitation Hospital is to help people who have severe injuries or
diseases which caused a temporary or permanent disability, to rebuild their lives with hope, dignity
and independence, and to help them integrate in all aspects of community life. The philosophy of
the Medical Rehabilitation Hospital is to provide a comprehensive and multidisciplinary care to
PWD with the ultimate goal of enabling them to fully integrate in their communities. Therefore, not
only patients but also their families are at the centre of the treatment and intervention plans are
designed for each individual case.
4.2.5 Autres bénéficiaires potentiels (indirects,"catchment", etc.)
Broadly, we could consider the PWD of Khan Younis and Rafah as a whole, as the coordinated
work of the outreach services with other organizations (i.e. social events, sportive events,
celebration of the Day of People with Disabilities) will contribute to raise the awareness of the
communities regarding the needs and rights of PWD.
The population from the zone covered by the Outreach teams could benefit from the increased
capacities built by the project, representing more than half a million persons (Palestinian Central
Bureau of Statistics - http://www.pcbs.gov.ps/Portals/_Rainbow/Documents/gover_e.htm).
The whole population from Gaza Strip could have access and therefore benefit from the services
provided by the hospital (approximately 1,8 million people).
4.2.6
Bénéficiaires directs par secteur (se référer aux "lignes directrices d'ECHO)
Secteur
Nombre de bénéficiaires
Health/ Rehabilitation of infrastructure/ Medical supplies
1.750 (350 patients +
families)
Health/ Outreach/ Medical supplies
6.500 (1.300 patients +
families)
4.2.7
[INT] En cas de changement, veuillez expliquer
4.2.8
[FIN] En cas de changement, veuillez expliquer
4.2.9
[FIN] Estimation par type de bénéficiaires
Femmes:
…%
Nourrissons … % Enfants
(< 5 ans):
Hommes:
…%
(total femmes + hommes = 100 %)
… % Personnes âgées: … %
(< 18 ans):
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4.3 Objectifs, résultats et activités
4.3.1
Aperçu opérationnel de l'action: cadre logique3 (maximum 3 pages)
Titre de
l’action
Access to health services for the victims of the conflict and population with disabilities in Gaza Strip
Objectif
principal
The living conditions of the population in occupied Palestine territories are improved.
Logique d’intervention
Objectif
spécifique
Sources de vérification
The access of targeted
population to specialized
rehabilitation services is
improved.
The total number of PWD cases treated 
by PRCS has increased by at least 20 % 
with respect to 2014.

- PRCS statistics
- Hospital statistics
- Outreach teams reports
R1. The specialized medical
rehabilitation capacity of Al
Amal Hospital is increased.
IOV1.1. The number of PWD benefiting
from rehabilitation services in Al Amal
Hospital has increased by at least 33 %
with respect to 2014.


- Hospital statistics
- Equipment and supplies
procurement documents
- Photography dossier
R2. PWD who cannot access
specialized rehabilitation
services receive adequate
rehabilitation care at home.
IOV2.1. 80 % from PWD non-chronic
case personalized intervention plans are
successfully completed by Outreach
teams and do not need close follow-up
anymore.

IOV2.2. 80 % from PWD chronic cases
families are able to provide independently
the necessary care to the patient.
Résultats
Activités
Indicateurs objectivement vérifiables

- Field reports from
Outreach teams showing
results of screening,
diagnosis and
intervention plans
- Sessions photography
report
R1.A1. Basic accessibility works to adapt the existing facilities
R1.A2. Procurement of specialized equipment and medical supplies
R1.A3. Delivery and installation of equipment
R2.A1. Procurement of mobile equipment medical supplies and assistive devices
R2.A2. Screening, registration and diagnose of PWD in Khan Younis and Rafah
Risques et hypothèses
The Israeli Authorities do not
increase the blockades, curfews
and movement restrictions.
Political and social situation does
not worsen. A new armed conflict
does not erupt.
Restrictions related to the
entrance of medical equipment to
oPt do not worsen and ICRC is
able to deliver the equipment.
3
* Ce tableau doit donner un aperçu général complet des différents éléments de l'action. Il contiendra seulement des informations concises sur les
résultats et les activités. Tout changement apporté au cadre logique au stade du rapport intermédiaire ou du rapport final sera communiqué.
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R2.A3. Elaboration of individual intervention plans for selected outreach patients
R2.A4. Implementation of individual therapy interventions
R2.A5. Training to families/ relatives of PWD when needed
R2.A6. Provision of assistive devices if and when needed
R2.A7. Participation in potential community events
There are no difficulties in
crossing the checkpoints and the
Outreach teams can access
beneficiaries.
Conditions préalables
Local institutions and communities
continue to support PRCS in the
implementation of rehabilitation
activities.
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4.3.2
Informations plus détaillées par résultat4
Résultat 1: The specialized medical rehabilitation capacity of Al Amal Hospital is increased.
4.3.2.1.1 Au stade de la proposition
- Secteur: Health
- Sous-secteur associé: Health infrastructure rehabilitation/ Medical supplies
- Bénéficiaires (statut + nombre): 350 people with physical disabilities as per medical criteria
stated in chapter 4.2.3
- Indicateurs pour ce résultat: The number of PWD benefiting from rehabilitation services in Al
Amal Hospital has increased by at least 33 % with respect to 2014 (259 patients in 2014).
The project will more than double the number of beds (from 20 to 45), hence, the number of
patients, amounting to an average of 535 patients per year. Nevertheless, it will take
approximately 8 months to make the increased capacity operational, leaving only 4 months
during the implementation period to increase the number of beneficiaries.
- Activités associées au résultat
R1.A1. Basic accessibility works to adapt the existing facilities
The existing Rehabilitation services are located on the third floor of Al Amal Hospital, occupying a
total of 500 m2 in the third floor, with a capacity of 20 beds.
The hospital has 300 m2 available on the second floor, and intends with the present project to
arrange and adapt them in order to increase its capacity and be able to treat a larger number of
patients. The works contemplated under this activity focus on eliminating physical and
architectonical barriers and ensure accessibility of PWD to the rehabilitation facilities. See more
details about accessibility and adaptation works in Annex 8.
R1.A2. Procurement of specialized equipment
Tender and procurement process will be carried out by PRCS. PRCS financial rules and
procedures will ensure transparency and efficiency in the purchase process. The project delegate
will be part of the Procurement Committee set up to monitor the purchases contemplated in this
project.
Based on experience, the estimated time lapse between the tender and the delivery of goods by
suppliers is around 7-8 months.
The table below details the type of equipment, purpose and type of patient treated with it:
Equipment
Oxygen generating
station with all fitting
C-T scan with laser
camera Machine 16
slice with all fitting
Electric medical bed
Multi fowler
Hydraulic medical bed
Multi fowler
Ultraviolet light
Sterilization machine
EMG machine Digital
Purpose
Type of disability treated
concentrates the oxygen from a gas supply (typically
all hospital patients
ambient air) to supply an oxygen enriched gas
to produce tomographic images (virtual 'slices') of
all patients who need to be diagnosed
specific areas of a scanned object, allowing the user
and follow up treatment
to see inside the object without cutting.
all patients needed physiotherapy or
For patients residency in the medical rehabilitation
occupational therapy training for transfer
department
activities and bed mobility activities
all patients needed physiotherapy or
For patients residency in the medical rehabilitation
occupational therapy training for transfer
department
activities and bed mobility activities
provide Sterile area in operation rooms, patient
all hospital patients
rooms
evaluating and recording the electrical activity
For appropriate diagnosis and also
4Par résultat identifié dans le cadre logique, des informations plus détaillées nécessaires à la bonne compréhension de la
proposition/du rapport seront assemblées ici. Une sous-section spécifique par résultat au stade de la proposition, du
rapport intermédiaire et du rapport final a été prévue (veuillez ne pas mettre à jour l'information d'un stade précédent
dans cette section, veuillez commenter le changement dans la sous-section appropriée du résultat).
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EEG machine Digital
produced by skeletal muscles
to record electrical activity of the brain along the
scalp
Urodynamic machine
For better diagnosis and help in toilet training
Gel foam mattress
for all immobilize patients to prevent bed ulcers
Electrical wide bed for
Physiotherapy
use to provide physiotherapy sessions, and training
for bed mobility activities with more comfortable
positions of the therapist, and allows multiple levels
of high to facilitate transfers activities
Electrical Tilting Table
for standing and weight bearing exercises and
training
Standing frame
electrical
for standing and weight bearing exercises and
training
Short waves machine
Hot packes machine
Treadmill for
physiotherapy
Robot (gait trainer)
Electrical wheelchair
Patient lifting system
Electrical
Dumbbells set
Goniometer stainless
steel (different sizes)
Hand Dynamometer
Pinch Dynamometer
Multi gym optimal
Electrical bicycle
stationary
Continuous passive
movement (CPM) for
knees
Continuous passive
movement (CPM) for
elbows
Parallel bar
prognosis of the therapy
For appropriate diagnosis and also
prognosis of the therapy
all patients who are suffering from
urinary incontinence
all bedridden patients and patients with
limited mobility
all patients needed physiotherapy or
occupational therapy training for transfer
activities and bed mobility activities
all patients with specific conditions and
injuries such as stroke, traumatic brain
injury, spinal cord injuries, etc.
all patients with specific conditions and
injuries such as stroke, traumatic brain
injury, spinal cord injuries, etc.
use of high-frequency electromagnetic currents as a
form of physical or occupational therapy and in
surgical procedures
provide superficial heating and healing modalities for all patients with specific conditions with
all joints of the body
pain, spasticity, etc.
all patients with specific conditions and
gait training, and muscle endurance
injuries such as stroke, traumatic brain
injury, spinal cord injuries, etc.
all patients with specific conditions and
gait training with stimulation of normal gait pattern
injuries such as stroke, traumatic brain
and eliminating the patient weight
injury, spinal cord injuries, etc.
quadriplegia, and other muscle
training for indoor and outdoor locomotion
weakness conditions
all patients with specific conditions and
to transfer the over weight and completely
injuries such as stroke, traumatic brain
dependent patients
injury, spinal cord injuries, coma
patients, etc.
all patients with specific conditions and
upper limbs strengthening
injuries such as stroke, traumatic brain
injury, spinal cord injuries, etc.
all patients with specific conditions and
Measurement tools to measure range of motion in
injuries such as stroke, traumatic brain
all body joints
injury, spinal cord injuries, muscle
weakness, etc.
all patients with specific conditions and
injuries such as stroke, traumatic brain
Measurement tool for hand grasp
injury, spinal cord injuries, hand injury,
muscle weakness, etc.
all patients with specific conditions and
injuries such as stroke, traumatic brain
Measurement tool for fingers grasp
injury, spinal cord injuries, hand injury,
muscle weakness, etc.
all patients with specific conditions and
muscle strengthening, and endurance
injuries such as stroke, traumatic brain
injury, spinal cord injuries, etc.
all patients with specific conditions and
for endurance and strengthening exercises
injuries
provide Continuous passive movement (CPM) for
knees joint after injury or post-Surgery, it may be
all patients with knee problems or injury
used for specific problems with knee joint and
complications after specific conditions
provide Continuous passive movement (CPM) for
elbow joint after injury or post-Surgery, it may be
all patients with elbow problems or injury
used for specific problems with knee joint and
complications after specific conditions
all patients with specific conditions and
injuries that uses wheelchairs such as
gait training
stroke, traumatic brain injury, spinal cord
injuries, etc.
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Foot placement ladder
gait training
Wrist roll wall mounting upper limb exercises and strengthening
Shoulder wheel manual shoulder training
Shoulder wheel
electrical
shoulder training
Axial shoulder
exerciser
shoulder training
Autoclave 150 liter
machine
sterilize equipment and supplies by subjecting them
to high pressure saturated steam
all patients with specific conditions and
injuries such as stroke, traumatic brain
injury, etc.
all patients with specific conditions and
injuries such as stroke, traumatic brain
injury, hand injuries, etc.
all patients with specific conditions and
injuries such as stroke, traumatic brain
injury, hand and shoulder injuries, etc.
all patients with specific conditions and
injuries such as stroke, traumatic brain
injury, hand and shoulder injuries, etc.
all patients with specific conditions and
injuries such as stroke, traumatic brain
injury, hand and shoulder injuries, etc.
R1.A3. Delivery and installation of equipment
The crossing of equipment and supplies procured outside Gaza will be carried out in close
collaboration with the ICRC as they benefit from a special status.
Health staff of Al Amal Medical Rehabilitation Hospital will not need specialized training for the use
and management of the procured equipment.
4.3.2.1.2 Rapport intermédiaire
- Mise à jour5 des indicateurs
- Mise à jour4 des bénéficiaires (statut + nombre)
- Mise à jour4 des activités
4.3.2.1.3 Rapport final
- Indicateurs pour les résultats obtenus
- Bénéficiaires (statut + nombre)
- Activités réalisées
- Moyens et coûts associés finalement engagés
4.3.2.1.4 Résultat 2: PWD who cannot access specialized rehabilitation services receive
adequate rehabilitation care at home.
4.3.2.1.5 Au stade de la proposition
- Secteur: Health
Sous-secteur associé: Community outreach/ Medical supplies
- Bénéficiaires (statut + nombre):
- Indicateurs pour ce résultat:
80 % from PWD non-chronic-case personalized intervention plans are successfully completed
by Outreach teams and do not need close follow-up anymore.
80 % from PWD chronic cases families are able to provide independently the necessary care to
the patient.
According to PRCS experience, each Outreach team can treat approximately 650 cases per
year.
- Activités associées au résultat
5
La mise à jour et les explications doivent porter tant sur les progrès que sur les changements faits par rapport à la
proposition.
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R2.A1. Procurement of mobile equipment, medical supplies and assistive devices.
Same as for R1.A2
R2.A2. Screening, registration and diagnose of PWD in Khan Younis and Rafah
The present proposal foresees 2 Outreach teams, one based in Khan Younis and one in Rafah.
PRCS counts with branches in both locations, which will serve as a working base for the teams.
Each team is composed of 7 members:

1 Medical Rehabilitation Doctor

2 Physiotherapist (one male, one female)

1 Nurse

1 Occupational therapist

1 Psychologist

1 Health educator
Teams are coordinated by the project manager, who holds the overall responsibility of the case
management.
In the initial stage, Outreach teams will liaise with the Community Based Rehabilitation (NGO’s
working on rehabilitation) in the Rafah and Khan Younis and other local organizations and
institutions in order to identify within the community PWD which is not being treated and has no
access to treatment, or people who received treatment but needs follow up and is not accessing it.
Based on the criteria stated in chapter 4.2.3., teams will select final beneficiaries for the outreach
services.
R2.A3. Elaboration of individual intervention plans for selected outreach patients
According to the diagnosis, the teams elaborate a personalized intervention plan and agree on the
role of each specialist on it, as well as the length and timing of interventions.
Individual cases are re assessed by the team on a monthly basis and the intervention plan modified
accordingly if need be.
A file will be created and updated for each patient.
R2.A4. Implementation of individual therapy interventions.
Treatments are based on individualized plans of care. This will include occupational therapy,
physiotherapy, nursing care and Rehabilitation Medicine and communication. Visits will occur in
95% in peoples’ homes but may also include visits in the community where the patient is in
(governmental hospitals, schools, places of work and community centers3). The frequency of visits
will vary from 1 to 3 times per week depending on the clients’ needs.
The experience of the rehabilitations services of the PRCS shows that the average length of each
treatment is around 2 months.
Case coordination referrals to other services available in the community as well as liaison with
other community partners for referrals and follow up, including Governmental hospitals and
Community Based Rehabilitation program.
Patients with amputations will be referred to ALPC (supported by ICRC) which can provide
prosthesis and orthosis services. Referrals to other services do not mean the cease of the follow up
from PRCS Rehabilitation services.
R2.A5. Training to families/ relatives of PWD when needed
According to the case assessment, some activities can be implemented by the families in order to
complement the work of the specialist, so as to accelerate and improve the results. This homeprogram is drafted with the participation of the family and followed by the specialist in each visit.
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Treatment includes the donation of educational materials (brochures, leaflets, guidelines) providing
patients and their families with what they need to know about their condition and the related issues
which may affect their daily life, so they can better deal with their challenges and treatments.
On the other side, chronic cases need very long term interventions, sometimes life-long ones; for
these cases the teams will train the families so they can gain independence and learn how to help
their relative in an independent manner.
R2.A6. Provision of assistive devices if and when needed
Based on the diagnosis and needs, patients will receive assistive devices as: Wheel chair, canes,
ankle braces, crutches or air mats.
According to the PRCS Rehabilitation services experience, around 50% of the patients will need
one or more of the above mentioned devices.
R2.A7. Participation in potential community events
Communities with the support of local authorities and other institutions often coordinate to organize
social events in order to promote inclusion disseminate and sensitize population about PWD rights
and needs. Whenever these initiatives are proposed, the project will try to facilitate the participation
of its beneficiaries and families so as to contribute to the reduction of stigmatization and social
barriers.
The project does not foresee to organize these activities on its own, as they are subject of
administrative approval and collaboration of other rehabilitation services, but a lump sum is
allocated in the budget in order to ensure participation.
4.3.2.1.6 Rapport intermédiaire
- Mise à jour4 des indicateurs
- Mise à jour4 des bénéficiaires (statut + nombre)
- Mise à jour4 des activités
4.3.2.1.7 Rapport final
- Indicateurs pour les résultatsobtenus
- Bénéficiaires (statut + nombre)
- Activitésréalisées
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4.4 Plan de travail (par exemple, annexe diagramme de Gantt)
Oct
Nov
Dec
R1A1 X
X
X
R1A2 X
X
X
Jan
Feb
Mar
Apr
May
X
X
X
X
X
R1A3
X
Jun
Jul
Aug
Sep
X
R2A1 X
X
X
X
X
X
X
X
R2A2 X
X
X
X
X
X
X
X
R2A3
X
X
X
X
X
X
X
X
X
X
R2A4
X
X
X
X
X
X
X
X
X
X
X
R2A5
X
X
X
X
X
X
X
X
X
X
X
R2A6
X
X
X
X
X
X
X
X
X
X
X
R2A8 -
-
-
-
-
-
-
-
-
-
-
-
4.4.1
[INT] Plan de travail révisé en cas de changement après la proposition
4.5 Suivi, évaluation, audit et autres études
4.5.1 Suivi des activités (expliquer comment, par qui)
PMER (Planning, Monitoring, Evaluation, Reporting) will be crucial to the delivery of the planned
operation to ensure evidence-based reporting, upholding accountability and compliance with the
established standards. In this regards monitoring is required regularly to track the effects and
impact of response actions, track progress of activities and the delivery of outputs.
The PRCS as well as Spanish RC Representative in country will conduct regular field visits to the
target locations for monitoring purposes. In addition procurement updates/reports will be shared
regularly on monthly basis.
The BRC will also conduct field visits to the target locations for monitoring purposes.
The 3 partners (PRCS, SpRC, BRC) will constitute a Steering Committee for the project. The
Steering Committee will communicate via telephone/internet and/or gather during field visits in
order to assure a close follow up for the project major steps (tendering, reception of works and/or
equipment etc.).
4.5.2
Cochez les cases correspondant aux études qui seront éventuellement entreprises:
Évaluation externe pendant l’action
Évaluation externe après l’action
Audit externe pendant l’action
 Audit externe après l’action
 Evaluation interne ou audit interne relatif à l'action
The budget foresees resources for an internal evaluation as well as for an external audit.
It is worth to mention that PRCS as a whole is audited by an external company on a yearly basis.
4.5.3
N/A
Autres
préciser:
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5. QUESTIONS TRANSVERSALES
5.1 Veuillez décrire le niveau escompté de durabilité et/ou de connexité6.
Hospital: The arrangement of the new space for the Medical Rehabilitation Hospital as well as the
equipment provided (both for the hospital and for the Outreach teams) will ensure better access to
quality and comprehensive rehabilitation care in the long term, not only for the beneficiaries
contemplated in the present proposal, but for many other patients in the future. Indeed, activities
related with the first result are a one-off action that will benefit a large number of patients in the
coming years.
Outreach: Though PRCS has limited financial resources to guarantee the sustainability of the whole
of its humanitarian activities in the long term, the strong commitment of partners (cf. 3.2.) and its
unique relation with governmental institutions (i.e. Agreements signed with MOSA and Ministry of
Health, see also chapter 7.1 and 7.2) increase the probabilities of continuation of these activities in
the midterm.
5.2 Stratégie de continuité (liens entre l’aide d’urgence, la réhabilitation et le
développement)
N/A
5.3 Intégration (par exemple, réduction des risques de catastrophes, enfants, droits de
l’homme, égalité des sexes, impact environnemental, autres à préciser)
The comprehensive and multidisciplinary approach of the PRCS rehabilitation services contributes
to reduce PWD’s vulnerability vis a vis catastrophes and increases their level of resilience.
The improved hospital’s capacity to respond to increased needs due to potential emergencies in
the future participates as well to the level of resilience of the Gaza population as a whole.
Moreover, it is expected that an improved access to proper rehabilitation services will reduce the
number of required referrals outside Gaza Strip, which are costly and quite often blocked by
authorities.
The project also foresees a positive impact on women, as they are the most neglected among PWD
and often suffer from even more reduced access to basic services7.The Outreach teams, as stated
above, will identify beneficiaries on medical and vulnerability criteria, therefore breaking the barriers
that keep women from equal access to essential health care.
Finally, the project will join any potential social and sportive events related to PWD (R2A7),
therefore contributing to raise awareness within the communities about rights and needs of the
population with disabilities.
5.4 [INT]
En cas de changements ou de problèmes à traiter, veuillez préciser
5.5 [FIN]
En cas de changements ou de problèmes à traiter, veuillez préciser
6
La durabilité et la connexité sont des concepts similaires, qui sont utilisés pour garantir que
les activités soient exécutées dans un contexte qui tient compte des problèmes à plus long terme
et interconnectés.
7
According to a study by Diakonia in 2011, girls with disabilities are less likely to attend schools
than boys (29% of girls with disabilities do not attend schools compared to 19% of boys).
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6. MESURES DE SÉCURITÉ ET D’URGENCE
6.1 Mesures d’urgence (plan B/ mesures d’atténuation à prendre si les risques et
hypothèses exposés dans le cadre logique se concrétisent)
Should the blockade of goods entering Gaza Strip worsen, the crossing of medical equipment and
supply could be delayed, but the project expects (based on experience) that ICRC will eventually
be able to negotiate the delivery of medical equipment and supplies procured outside Gaza. Based
on experience and cooperation/coordination between PRCS and ICRC, PRCS shall send a request
for coordination to ICRC logistics requesting their assistance in sending any items (medical
equipment, disposables, relief items, medicines, ambulances/ vehicles, spare parts of equipment
and ambulances, in-kind donations, etc.), where ICRC then follows up with the Israeli authorities
through its channels to get green light for coordination. In normal cases, coordination takes from 2
to 6 weeks.
In case movement restrictions become more severe and access of the Outreach teams to the
targeted areas is not possible anymore, the project team will consider targeting other areas of south
Gaza Strip. In that case, both the analysis of the situation and a justified proposal to modify
targeted areas will be submitted to the donor. Nevertheless, it is unlikely to happen as PRCS
enjoys of a unique level of respect and acceptance within Palestine territories and with its
authorities.
6.2 Aspects relatifs à la sécurité
6.2.1 Situation sur le terrain. Veuillez donner une brève description
Palestinian civilians across oPt continue to be subject to various threats to their life, physical safety
and liberty, restrictions from Israeli military and law enforcement operations, settler violence and the
actions of Palestinian armed groups and security forces. In the Gaza Strip, the recurrent outbreaks
of hostilities between Palestinian armed groups and the Israeli military remain a potential threat to
life, liberty and security of the civilian population.
Humanitarian organizations face a range of obstacles on movement and access in the Gaza Strip
as a result of political and administrative measures implemented by Israeli, Egyptian and Gaza
local authorities. Those measures include various degrees of restrictions on obtaining permits to
enter or exit Gaza, in particular for national staff, as well as other access difficulties at border
crossings and checkpoints, like intermittent closures or security procedures that often result in
delays or denial of passage.
Nevertheless, PRCS is highly respected and accepted within Palestine territories and as auxiliary to
the Palestine National Authority faces fewer challenges related to access and, consequently, the
Red Cross and Red Crescent Movement benefit from it.
6.2.2
Un protocole de sécurité spécifique a-t-il été établi pour cette action?
Oui
Non
Procédures standard

Si oui, précisez:
ICRC security rules apply for all personnel and operations supported by partner National Societies,
including this one.
6.2.3
Le personnel sur le terrain et les expatriés ont-ils reçu des informations et une
formation concernant ces procédures?
Oui

Non
6.3 [INT]
En cas de changements ou de problèmes à traiter, veuillez préciser
6.4 [FIN]
En cas de changements ou de problèmes à traiter, veuillez préciser
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7. COORDINATION SUR LE TERRAIN
7.1 Coordination sur le terrain (veuillez indiquer la participation de l’Organisation
humanitaire aux mécanismes de coordination avec d’autres parties prenantes, tels que
les "clusters", les ONG, les agences des Nations unies, autres (à spécifier), ainsi que
les liens avec la procédure d’appel consolidée, si nécessaire)
Inside the Red Cross/ Red Crescent Movement
PRCS counts with the support of 10 Movement partners with in-country representation: Danish RC,
German RC, Holland RC, Italian RC, Spanish RC, Swedish and Norwegian RC (in consortium),
Qatari RC, the IFRC and the ICRC.
Movement coordination meetings take place regularly in order to exchange updated information,
coordinate activities and discuss challenges and good practices. Movement partners are also called
to ad hoc meetings in case of emergency.
More technical meetings are held directly between partners and the different departments in order
to monitor the different projects, solve obstacles and ensure a smooth implementation of the
activities.
In terms of security, PRCS and ICRC hold regular meetings to monitor the security situation, to plan
or modify operations accordingly and to ensure the safety of Movement staff and premises.
Outside the RC/RC Movement
A) With Governmental institutions
PRCS is an active member of the Highest National Council for the Care of Persons with Disability
since its establishment. This council will contribute to ensure complementarity between
governmental organizations and NGOs through:

Planning and coordination of activities;

The follow up of the Law For People With Disabilities and other national and international
related legislation;

Community sensitization;

Follow up of developments in the rehabilitation sector by attending national and international
conferences;

Elaboration of researches and studies and development of a national data base on people with
disabilities.
PRCS has signed an agreement with the Ministry of Social Affairs (MOSA) for the delivery of
rehabilitation services, referral services and support to families of people with disabilities.
MOSA and PRCS are also working with the Ministry of Education in an explanatory memorandum
on signs language for interpreters that will be included in the governmental system according to the
Palestinian National Authority decision with respect of the use of signs language in the
administrative sector.
PRCS and the Ministry of Education have a joint project to support educational programs in schools
for deaf people by providing adapted didactic tools.
PRCS is also a member of the National Steering Committee for Enquiries carried out by the
Palestinian Central Bureau of Statistics (PCBS) and the MOSA; it is as well a member in the board
and technical committee for the micro credits program for people with disabilities.
B) With other organizations:
PRCS collaborates closely with Stars of Hope Society for the empowerment of women with
disabilities (SoH Society) so as to facilitate access to PRCS female beneficiaries of rehabilitation
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program and PRCS staff with disabilities to trainings offered by SoH. PRCS provides the interpreter
for these trainings.
The Union of People with Disabilities and the Union of Deaf People are also key partners for PRCS
rehabilitation activities as they organize joint trainings and social events (International Day for
People with Disabilities, sportive events…).
With regards to the emergency response to the last conflict, PRCS is part of the health cluster,
composed by around 32 national and international health partners. The cluster meets once a week
in Gaza and West Bank, in order to effectively coordinate the health sector response between all
relevant stakeholders. Its main activities are: production of assessment reports, discussions and
preparation of referral pathways for specific service delivery, maintaining an updated matrix of who
is doing what where and when (4W) for early detection of gaps, avoidance of overlapping and
regular discussions of key challenges of partners in order to find possible solutions.
7.2 Autorités nationales et locales (relations établies, autorisations, coordination)
As a Red Crescent Society, auxiliary to the Palestinian National Authority, Palestine Red Crescent
is in charge of liaising with the local and national authorities, ensuring that the proper coordination
is granted. This role of liaising and facilitating the coordination with local authorities allows running
activities well in line with the context and well integrated within the existing services and structures
(see previous chapter).
As Host National Society, the PRCS holds the lead in the Red Cross/ Red Crescent humanitarian
response in oPt, and therefore the responsibility of coordinating with other organizations and
agencies. Partner National Societies in country, the IFRC and the ICRC support PRCS in this
endeavour.
7.3 Eventuelle coordination avec la représentation diplomatique belge
The Belgian diplomatic representation will be informed when BRC delegates will carry out
monitoring visits in the country. The SpRC Representative could liaise as well with the Belgian
diplomatic representation.
Should the security situation and operations allow, BRC could invite Belgian diplomatic
representatives to visit the project activities in Khan Younis. The ICRC, as partner in charge of the
Movement staff and operations security, has the final decision on field visits.
7.4 [INT]
En cas de changements ou de problèmes de coordination, veuillez préciser
7.5 [FIN]
En cas de changements ou de problèmes de coordination, veuillez préciser
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8. PARTENAIRES DE MISE EN ŒUVRE
8.1 Nom et adresse du ou des partenaires de mise en œuvre
Palestine Red Crescent Society
Al Quds Street
Ramallah
Spanish Red Cross Society
Al Quds Street
Ramallah
8.2 Statut des partenaires de mise en œuvre (par exemple: ONG, autorités locales, etc.) et
rôle joué par eux
Auxiliary to the Palestine National Authority, the Palestine Red Crescent Society is a non-profit
organization funded in 1968 and recognized by the Palestine National Council on 01/01/1969. The
recognition was confirmed during the VI Cairo Conference the same year. Its mission is to provide
humanitarian assistance, health care and social services to the population (especially the most
vulnerable) where and when needed, as well as alleviate human suffering, protect and promote
respect to human beings, be it in times of peace or in times of conflict.
After the Oslo Peace Agreements in 1993 and the formal establishment of the Ministry of Health,
the Palestine National Authority assigned PRCS the mandate of providing blood bank, ambulance
and pre-hospital services at a national level to Palestinian population both in oPt and the diaspora.
SpRC is present in oPt as “Participating National Red Cross Society” and is supporting PRCS in
the implementation of projects. The roles and relations between PRCS, SpRC (and BRC) are also
in line as defined in the “Agreement on the Organization of the International Activities of the
Components of the Red Cross and Red Crescent Movement” (Seville Agreement).
See also chapter 7.1 and 7.2.
8.3 Type de relation avec le ou les partenaires de mise en œuvre et les rapports attendus de
la part du partenaire de mise en œuvre
PRCS and SpRC signed a Partnership Agreement on 2007 regulating collaboration modalities.
BRC and SpRC will sign a Memorandum of Understanding in order to formalize roles and
responsibilities for the implementation of the proposed project.
8.4 [INT]
En cas de changements, veuillez préciser
8.5 [FIN]
En cas de changements, veuillez préciser
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9. ACTIVITÉS DE COMMUNICATION, DE VISIBILITÉ ET D’INFORMATION
9.1 Activités de communication programmées
The Belgian Government grant will be mentioned on BRC web site and a press release issued or
drafted.
The contribution will also be stated in future PRCS Appeal Operations Updates as well as in the
Mobilization table.
Though no other communications have been foreseen so far, Belgium Government support will be
mentioned any time the Medical Rehabilitation Services communicate on their activities.
It is worth to mention that, as per ICRC security rules and regulations, any public communication,
as well as donors and media visits, must be coordinated with ICRC for security reasons.
9.2 Visibilité sur les équipements durables, les fournitures principales, ainsi que sur le lieu
du projet
The logos of the Belgium Cooperation, BRC, SpRC and PRCS will appear in the visibility material
of this project, namely:

Plaque at the entrance of the new Rehabilitation facilities, acknowledging the support of this
project’s donor and partners, to be installed upon inauguration;

Small stickers to be attached to the equipment procured;

Stickers to be placed in assistive devices before delivery (when possible);

(PRCS teams wear PRCS vests only in their field work, which is visible and gives credibility
towards communities and authorities);

Educative publications;

Banners and other material for social and sportive events.
9.3 Activités de publication prévues
The Belgian Government support will be reflected in the BRC and SpRC annual reports. It will be
communicated as well to the IFRC so that it can be integrated in its publications as well (see Annex
1b. page 3 as example: “The major donors and partners of DREF include the Australian, American
and Belgian governments”).
9.4 [INT]
En cas de changements, veuillez préciser
9.5 [FIN]
Rapport sur les activités pertinentes
10. RESSOURCES HUMAINES
10.1 Veuillez indiquer les chiffres globaux par fonction et par statut
Fonction
Statut8
Nombre de
personnes
Nombre
d’hommes/mois
Project manager (case
coordinator)
PRCS
1
12
Rehabilitation doctor
PRCS
2
12
Physiotherapists
PRCS
4
12
8
Remarques
dans le projet
2 male, 2 female
Expatriés, personnel local, personnel du partenaire de mise en œuvre,…
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Aide Urgence
Occupational therapist
PRCS
2
12
Staff nurse
PRCS
2
12
Health educator
PRCS
2
12
Psychologist
PRCS
2
12
Accountant
PRCS
1
12
Project delegate
Expatriate
delegate
0,5
12
In country already, 50 %
charged to the project
See Annex 9 for brief job descriptions
10.2 [INT]
En cas de changements, veuillez préciser
10.3 [FIN]
En cas de changements, veuillez préciser
11. INFORMATIONS ADMINISTRATIVES
11.1 Nom et titre du représentant légal signant la convention
Prof. D. Sondag-Thull, Administrateur Général, Croix-Rouge de Belgique, Activités
Internationales ASBL
11.2 Nom, numéro de téléphone, adresse e-mail et titre de la (des) personne(s) chargée(s)
de la gestion administrative du dossier
Philippe Gruson, Responsable opérationnel
Tel : 02 371 34 04 ; Fax : 02 346 12 48 ; Email : philippe.gruson@croix-rouge.be
11.3 Nom, numéro de téléphone et de fax et adresse e-mail du représentant dans la zone
d’intervention
Raquel Val Rivas, Spanish Red Cross Country Representative
PRCS Headquarters, Ramallah.
Tel. +972 59 999 72 09
Email: del.rvr@cruzroja.es
11.4 Compte bancaire
Nom de la banque: ING
Adresse de l’agence: Rue du Trône, 1, 1000 Bruxelles
Désignation précise du titulaire du compte: Croix-Rouge de Belgique asbl Activités
internationales
Code IBAN: BE59 3101 4630 8826
Code SWIFT: BBRUBEBB
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Aide Urgence
12. APERCU FINANCIER DE L'ACTION
L'utilisation des crédits octroyés dans le cadre du financement spécifique devront respecter les modalités reprises dans l'Arrêté Royal du
19/04/2014. Le budget soumis devra être un budget axé sur les résultats.
Budget line
Activities & services
Al Amal Hospital facilities adaptation works
Specialized rehabilitation equipment Al Amal
Assistive devices (wheel chairs, canes, braces, crutches, air mats etc.)
Splitting and orthotics materials
Medical disposables & medications
Portable physiotherapy equipment
Care-givers transportation
Training and educational activities (publications)
Outreach social events (lump sum)
Visibility (lump sum)
Total Activities and services
Operation support
3 lap tops + 2 printers + 2 projectors + 2 digital cameras
Telecommunications (14 * 32 USD)
Running costs for 2 PRCS local branches (electricity, internet, water etc.)
Total operation support
Human resources
SpRC delegate 50 % (incld. insurance, car, int'l. flight ticket, housing)
PRCS staff (16 collaborators cf. list 10.1)
PRCS teams transport & subsistence allowance (16 PRCS staff * 70 USD)
Total HR costs
Monitoring & evaluation
BRC monitoring missions (2 pers. * 3.000 USD * 3 missions)
Internal evaluation
External Audit
Total monitoring & evaluation
Cost/month
# months
Cost/unit in USD
# unit
200,00
0,50
12
5.000
Total Cost
in USD
240.218,69
477.000,00
35.600,00
17.100,00
13.222,00
14.000,00
2.400,00
2.500,00
3.000,00
3.000,00
808.040,69
216.413,24
429.729,73
32.072,07
15.405,41
11.911,71
12.612,61
2.162,16
2.252,25
2.702,70
2.702,70
727.964,59
6.000,00
5.400,00
3.600,00
15.000,00
27
Result 1
Result 2
216.413,24
429.729,73
1.351,35
647.494,32
32.072,07
15.405,41
11.911,71
12.612,61
2.162,16
2.252,25
2.702,70
1.351,35
80.470,27
5.405,41
4.864,86
3.243,24
13.513,51
1.621,62
1.621,62
5.405,41
4.864,86
1.621,62
11.891,89
450,00
300,00
12
12
7.067,00
13.600,00
1.120,00
6
12
12
42.402,00
163.200,00
13.440,00
219.042,00
38.200,00
147.027,03
12.108,11
197.335,14
19.100,00
9.189,19
756,76
29.045,95
19.100,00
137.837,84
11.351,35
168.289,19
3.000,00
6
18.000,00
8.250,00
1.800,00
28.050,00
16.216,22
7.432,43
1.621,62
25.270,27
8.108,11
3.716,22
810,81
12.635,14
8.108,11
3.716,22
810,81
12.635,14
1.070.132,69
Total Direct costs
Total Cost
in €
964.083,51 690.797,02 273.286,49
Aide Urgence
Structural costs
Total indirect costs
GRANT TOTAL
57.867,30
57.867,30
52.132,70
52.132,70
26.066,35
26.066,35
26.066,35
26.066,35
1.127.999,99 1.016.216,21 716.863,37 299.352,84
Structural costs will cover salaries at PRCS, SpRC and BRC HQs for the proposal and follow up of the project; salaries include among others: Disaster
Response Managers/Desk Officers, Disaster Response Assistants/Desk Assistants, Finance Officers, Heads of International Actions Service, Heads of zone,
Heads of International Departments, Internal Controllers etc.
13. RAPPORTS D'EXECUTION ET RAPPORTS FINAUX:
Ces rapports devront respecter les modalités de l'AR du 19/04/2014.
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