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I. UNESCO ADOPTS DECISIONS RELATED TO QUESTION OF PALESTINE<\/strong><\/p><\/div>\n\n
During its meeting held in Paris from 2 and 15 April 2014, the Executive Board of the Âé¶¹APP Educational, Scientific and Cultural Organization (UNESCO) made the following decisions related to the question of Palestine.<\/i><\/p><\/div>\n\n
Implementation of 37 C\/Resolution 44 and 192 EX\/Decision5 (I)(D) relating to the Ascent to the Mughrabi Gate in the Old City of Jerusalem<\/strong><\/p><\/div>\n\n
The Executive Board, <\/p><\/div>\n
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1. Having considered the report of the Director-General (194 EX\/5 Part I (C)), <\/p><\/div>\n
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2. Recalling the relevant provisions on the protection of cultural heritage, including the four Geneva Conventions (1949), the relevant provisions of the Hague Convention for the Protection of Cultural Property in the Event of Armed Conflict of 1954 and its protocols, the Conventions for the Protection of the World Cultural and Natural Heritage 1972, the inscription of the Old City of Jerusalem and its Walls at the request of Jordan on the World Heritage List (1981) and the List of World Heritage in Danger (1982), and the recommendations, resolutions and decisions of UNESCO, <\/p><\/div>\n
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3. Also recalling previous UNESCO decisions relating to the Ascent to the Mughrabi Gate in the Old City of Jerusalem, including 180 EX\/Decision 5 (II), 189 EX\/Decision 5 (II), 191 EX\/Decision 5(I), 192 EX\/Decision 5 (I.D) and decision 37 COM 7A.26 of the World Heritage Committee (Phnom Penh, 2013), <\/p><\/div>\n
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4. Taking note of the 12th Reinforced Monitoring Report and of all previous reports, together with their addenda prepared by the World Heritage Centre, <\/p><\/div>\n
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5. Deplores the fact that neither the reactive monitoring mission to the Old City of Jerusalem and its Walls nor the meeting of experts on the Mughrabi Ascent have taken place despite the relevant Executive Board and World Heritage Committee (WHC) decisions: 189 EX\/Decision 5(II), 189 EX\/Decision 8, 191 EX\/Decision 5 (I), 192 EX\/Decision 5 (I.D), 191 EX\/Decision 9 and WHC decision 34 COM 7A.20 (Brasilia consensus decision), and urges Israel to honour its commitments to implement the aforementioned decisions; <\/p><\/div>\n
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6. Recognizes the concerns raised, in this regard, about the decision by the Jerusalem District Planning and Construction Commission on the town planning scheme for the Mughrabi Ascent, and the subsequent decision by Israel’s National Council for Planning and Construction to adopt “an alternative plan for the Mughrabi Ascent”, approved on 31 October 2010 by the aforementioned Commission; <\/p><\/div>\n
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7. Requests that, despite the decisions mentioned in paragraph 6 of this decision, the process for the design of the Mughrabi Ascent be inclusive of and accepted by all parties, in accordance with the obligations and duties of such parties as stipulated in the content of the conventions mentioned in paragraph 2 of this decision and in previous World Heritage Committee decisions. <\/p><\/div>\n
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8. Affirms, in this regard, that the UNESCO process for the follow-up of the design of the Mughrabi Ascent, which is aimed at finding an accepted and monitored solution concerning the Mughrabi Ascent, be coordinated among all parties concerned, in accordance with the spirit and content of previous World Heritage Committee decisions, recognizes the concerns raised regarding Israel’s submission and the content of its plan for the Mughrabi Ascent referred to in paragraph 6 of this decision, and requests that the World Heritage Centre be proactive and follow closely, in the context of the Reinforced Monitoring Mechanism, the developments associated with this process and the evaluation of the Jordanian design received; <\/p><\/div>\n
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9. Reaffirms in this regard that no measures, unilateral or otherwise, shall be taken which affect the authenticity, integrity and cultural heritage of the site, in accordance with the Convention for the Protection of the World Cultural and Natural Heritage of 1972, and the relevant provisions on the protection of cultural heritage of the Hague Convention for the Protection of Cultural Property in the Event of Armed Conflict of 1954 and the relevant decisions of UNESCO’s Executive Board and World Heritage Committee referred to above; <\/p><\/div>\n
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10. Reiterates its thanks to Jordan for its cooperation, urges Israel to cooperate with Jordanian Awqaf Department in accordance with the relevant provisions of UNESCO Conventions for the protection of cultural heritage referred to above, and calls on Israel to facilitate access of Jordanian Awqaf experts with their tools and material to the site; <\/p><\/div>\n
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11. Expresses its concern regarding the continuous, intrusive Israeli archaeological demolitions, excavations and works in and around the Ascent to the Mughrabi Gate despite World Heritage Committee decisions 36 COM 7A.23 and 37 COM 7A.26, and requests the Israeli authorities to end such excavations and works in conformity with this decision and the relevant UNESCO conventions for the protection of cultural heritage; <\/p><\/div>\n
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12. Deplores the recent construction by Israel of a platform in the Burāq (Western Wall) Plaza, in violation of its obligations under the conventions referred to above, and requests Israel to remove the structure built, immediately restore the site to its original character, and refrain from taking any further unilateral steps which jeopardize the site, and its integrity and authenticity; <\/p><\/div>\n
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13. Expresses its concern regarding the Israeli authorities’ admittance of provocative religious-extremist groups and uniformed forces into the al-Aqṣà Mosque compound (also known as the al-Ḥaram ash-Sharīf compound) through the Mughrabi Gate, and regrets the systematic violations of the sanctity of the compound and the continued interruption of the freedom of worship therein; <\/p><\/div>\n
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14. Affirms in this regard, the need to protect and safeguard the authenticity, integrity and cultural heritage of the al-Aqṣà Mosque compound; <\/p><\/div>\n
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15. Expresses its thanks to the Director-General for her attention to the sensitive situation in the Ascent to the Mughrabi Gate in the Old City of Jerusalem, and calls on the Director-General to facilitate the meeting of experts as well as confidence-building measures by dispatching the necessary expertise to assess possible damage incurred through the conduct of recent Israeli works on the site; <\/p><\/div>\n
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16. Invites the Director-General to submit to it at its 195th session a progress report thereon.<\/p><\/div>\n
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Follow-up to the UNESCO reactive monitoring mission to the Old City of Jerusalem and its Walls and the UNESCO experts meeting on the Mughrabi Ascent<\/strong><\/p><\/div>\n\n
The Executive Board, <\/p><\/div>\n
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1. Having examined document 194 EX\/5 Part I (D), <\/p><\/div>\n
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2. Recalling 191 EX\/Decision 5(I), 191 EX\/Decision 9, 192 EX\/Decision 5 (I) (D), 192 EX\/Decision 11 and 192 EX\/Decision 42, as well as World Heritage Committee decision 34 COM\/7A.20, <\/p><\/div>\n
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3. Decides to implement paragraph 11 of decision 34 COM\/7A.20 adopted by the World Heritage Committee in Brasilia at its 34th session as follows: <\/p><\/div>\n
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– (a) Phase I<\/strong>: the dispatch, on an agreed date prior, at least 10 days, to the 38th session of the World Heritage Committee, of the joint World Heritage Centre\/ICCROM\/ICOMOS reactive monitoring mission to the Old City of Jerusalem and its Walls to assess, as a first phase, the 18 sites included in the Action Plan as pilot sites;<\/p><\/div>\n\n
– (b) Phase II<\/strong>: the dispatch, on an agreed date, of the joint World Heritage Centre\/ICCROM\/ICOMOS reactive monitoring mission to the Old City of Jerusalem and its Walls, to assess, as second phase, the major monumental complexes designated in the Action Plan (i.e. al-Ḥaram ash-Sharif, the Citadel, the Western Wall, the Holy Sepulchre and the City Walls); <\/p><\/div>\n\n
4. Invites all parties concerned to participate in the experts meeting on the Mughrabi Ascent, to be held at UNESCO upon an agreed date prior, at least 10 days, to the 38th session of the World Heritage Committee; <\/p><\/div>\n
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5. Requests that the report and recommendations of the mission as well as the report of the technical meeting on the Mughrabi Ascent in Paris, be presented to the parties concerned before the 38th session of the World Heritage Committee; <\/p><\/div>\n
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6. Takes note of the technical adjournment of the five Middle East items on the agenda of its 194th session and their inclusion in the agenda of its 195th session; <\/p><\/div>\n
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7. Also invites all parties concerned to facilitate the implementation of the above-mentioned UNESCO joint mission; <\/p><\/div>\n
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8. Thanks the Director-General for her continuous efforts to implement the above-mentioned UNESCO joint mission and all related UNESCO decisions and resolutions; <\/p><\/div>\n
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9. Decides to include this item in the agenda of its 195th session, and invites the Director-General to submit to it a follow-up report thereon.<\/p><\/div>\n
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Jerusalem and the implementation of 37 C\/Resolution 44 and 192 EX\/Decision 11<\/strong><\/p><\/div>\n\n
The Executive Board, <\/p><\/div>\n
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1. Having examined document 194 EX\/11, <\/p><\/div>\n
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2. Recalling resolutions and decisions of UNESCO on Jerusalem, as well as the provisions of the four Geneva Conventions (1949) and their Additional Protocols, the 1907 Hague Regulations on Land Warfare, the Hague Convention for the Protection of Cultural Property in the Event of Armed Conflict (1954) and its related Protocols and the Convention for the Protection of the World Cultural and Natural Heritage (1972), <\/p><\/div>\n
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3. Affirming that nothing in the present decision, which is aimed at the safeguarding of the distinctive character of East Jerusalem, shall in any way affect the relevant Âé¶¹APP resolutions and decisions, in particular the relevant Security Council resolutions on the legal status of Jerusalem, <\/p><\/div>\n
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4. Regrets the absence of progress in the implementation of previous UNESCO decisions concerning Jerusalem, particularly 185 EX\/Decision 14, and reiterates its request to the Director-General to appoint, as soon as possible, a permanent and eminent expert(s) to be stationed in East Jerusalem to report on a regular basis about all the aspects covering all UNESCO fields of competence in the City of East Jerusalem; <\/p><\/div>\n
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5. Reaffirms the requirement to implement promptly and fully the above-mentioned decisions, and urges the Israeli authorities to facilitate their implementation, in conformity with the provisions of relevant UNESCO conventions, resolutions and decisions; <\/p><\/div>\n
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6. Deplores the failure of Israel to cease its persistent excavations and works in East Jerusalem, and reiterates its request to the Israeli authorities to prohibit all such works, in conformity with the provisions of relevant UNESCO conventions, resolutions and decisions; <\/p><\/div>\n
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7. Also deplores the continuous Israeli unilateral measures and practices, as well as the settlers’ incursions in East Jerusalem, which dangerously and irreversibly affect the city’s distinctive religious, cultural, historical and demographic character, and urges the Israeli authorities to take the necessary measures to end these abuses; <\/p><\/div>\n
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8. Thanks the Director-General for her efforts to implement previous UNESCO decisions on Jerusalem, and asks her to maintain and reinvigorate such efforts; <\/p><\/div>\n
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9. Decides to include this item in the agenda of the 195th session of the Executive Board and invites the Director-General to submit to it a progress report thereon.<\/p><\/div>\n
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Implementation of 192 EX\/Dec.12 on “The two Palestinian sites of al-Ḥaram al-Ibrāhīmī\/Tomb of the Patriarchs in al-Khalīl\/Hebron and the Bilāl ibn Rabāḥ Mosque\/Rachel’s Tomb in Bethlehem”<\/strong><\/p><\/div>\n\n
The Executive Board, <\/p><\/div>\n
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1. Having examined document 194 EX\/12, <\/p><\/div>\n
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2. Recalling UNESCO decisions on the two Palestinian sites in al-Khalīl\/Hebron and in Bethlehem, as well as the provisions of the four Geneva Conventions (1949) and their Additional Protocols (1977), the 1907 Hague Regulations on Land Warfare, the Hague Convention for the Protection of Cultural Property in the Event of Armed Conflict (1954) and its related Protocols and the Convention for the Protection of the World Cultural and Natural Heritage (1972); also recalling the Convention on the Means of Prohibiting and Preventing the Illicit Import, Export and Transfer of Ownership of Cultural Property (1970), <\/p><\/div>\n
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3. Reaffirming that the two concerned sites located in al-Khalīl\/Hebron and in Bethlehem are an integral part of Palestine, <\/p><\/div>\n
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4. Affirming that nothing in the present decision, which is aimed at the safeguarding of the Palestinian cultural heritage, shall in any way affect the relevant Security Council and Âé¶¹APP resolutions and decisions on the legal status of Palestine, <\/p><\/div>\n
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5. Expresses its deep concern over the ongoing Israeli construction of private roads for settlers and a separation wall inside the Old City of Hebron, which dangerously and irreversibly affect the city’s distinctive religious, cultural, historical, and demographic character, and urges the Israeli authorities to end these violations, in compliance with provisions of relevant UNESCO conventions, resolutions and decisions; <\/p><\/div>\n
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6. Regrets the denial of freedom of movement and freedom of access to places of worship due to the above-mentioned Israeli violations and restrictions; <\/p><\/div>\n
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7. Also regrets the Israeli authorities’ refusal to comply with 185 EX\/Decision15 concerning this item, and urges them to act in accordance with that decision; <\/p><\/div>\n
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8. Decides to include this item in the agenda of the 195th session of the Executive Board, and invites the Director-General to submit to it a follow-up report thereon.<\/p><\/div>\n
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Implementation of 37 C\/Resolution 67 and 192 EX\/Decision 33 concerning educational and cultural institutions in the occupied Arab territories<\/strong><\/p><\/div>\n\n
The Executive Board, <\/p><\/div>\n
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1. Recalling 37 C\/Resolution 67 and 185 EX\/Decision 36 as well as Article 26 of the Universal <\/p><\/div>\n
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Declaration of Human Rights with regard to the right to education, Articles 4 and 94 of the Fourth Geneva Convention with regard to the denial of the right of children to education, as well as the Hague Convention (1954) and its Protocols and the Convention for the Protection of the World Cultural and Natural Heritage (1972), <\/p><\/div>\n
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2. Having examined document 194 EX\/27, <\/p><\/div>\n
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3. Committed to the safeguarding of monuments, works of art, manuscripts, books and other historical and cultural properties to be protected in the event of conflict, <\/p><\/div>\n
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4. Supports the efforts made by the Director-General with a view to the implementation of 36 C\/Resolution 81 and 185 EX\/Decision 36, and requests her to do everything possible to ensure that they are fully implemented; <\/p><\/div>\n
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5. Expresses its appreciation for the substantial contributions of all concerned Member States and intergovernmental organizations and non-governmental organizations to UNESCO’s action in Palestine, and appeals to them to continue assisting UNESCO in this endeavour; <\/p><\/div>\n
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6. Thanks the Director-General for the results that have been obtained in relation to the implementation of a number of current educational and cultural activities; <\/p><\/div>\n
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7. Invites the Director-General to strengthen UNESCO’s assistance to the Palestinian educational and cultural institutions in order to address new needs; <\/p><\/div>\n
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8. Expresses its continuing concern about the harmful impact of the Separation Wall and other practices on the activities of cultural and educational institutions, as well as obstacles resulting therefrom which prevent Palestinian schoolchildren and students from being an integral part of their social fabric and from exercising fully their right to education, and calls for the observance of the provisions of relevant UNESCO conventions, resolutions and decisions, particularly 185 EX\/Decision 36, <\/p><\/div>\n
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9. Notes with deep concern the Israeli authorities’ censorship of the Palestinian curricula of schools and universities in East Jerusalem, and urges them to immediately halt such censorship; <\/p><\/div>\n
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10. Regrets the Israeli order to close for two weeks, in May 2013, the Hakawati Theatre in East Jerusalem, which was supposed to host, during that period, an international festival of puppets for children; <\/p><\/div>\n
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11. Encourages the Director-General to continue to reinforce her action in favour of the protection, reconstruction, rehabilitation and restoration of the Palestinian archaeological sites and cultural heritage, and invites her to address the needs for capacity-building in all UNESCO’s fields of competence by expanding the financial assistance programme for Palestinian students;<\/p><\/div>\n
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12. Requests the Director-General to organize, as soon as possible, the ninth meeting of the Joint UNESCO-Palestine Committee; <\/p><\/div>\n
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13. Also invites the Director-General: <\/p><\/div>\n
\n\t\t\t\t(a) to continue the efforts she is making to preserve the human, social and cultural fabric of the occupied Syrian Golan, in accordance with the relevant provisions of this decision;\n\t\t\t\t<\/div>\n
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Report by the Director-General on the reconstruction and development of Gaza: implementation of 192 EX\/Decision 34<\/strong><\/p><\/div>\n\n
The Executive Board, <\/p><\/div>\n
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1. Having considered document 194 EX\/28, <\/p><\/div>\n
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2. Recalling the provisions of the four Geneva Conventions (1949) and their additional Protocols (1977), the Hague Convention for the Protection of Cultural Property in the Event of Armed Conflict (1954) and its Protocols, and the Convention for the Protection of the World Cultural and Natural Heritage (1972), and the relevant recommendations, resolutions and decisions of UNESCO on the protection of cultural heritage and on the right to education,<\/p><\/div>\n
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3. Also recalling 185 EX\/Decision 37, <\/p><\/div>\n
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4. Noting with deep concern the slow progress in the reconstruction of schools and other cultural heritage sites in the Gaza Strip that were damaged during the 2008-2009 war and the November 2012 war, <\/p><\/div>\n
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5. Deeply regrets the damaging impact of the November 2012 war on UNESCO fields of competence in Gaza, where 280 education facilities were damaged, affecting approximately 250,000 students, as reported in document 191 EX\/35, as well as the severe damage inflicted to one cultural heritage site of the Palestinian Tentative List, the Port of Anthedon (the old port of Gaza); <\/p><\/div>\n
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6. Affirms, in this regard, that schools, universities and cultural heritage sites should not be involved and\/or targeted in military conflicts; <\/p><\/div>\n
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7. Deplores the continuous Israeli blockade of the Gaza Strip, which harmfully affects the free and sustained movement of personnel and humanitarian relief items for the successful implementation of UNESCO reconstruction projects, as well as the injury of children, the attacks on schools, and the denial of access to education, as reflected in document 190 EX\/39; <\/p><\/div>\n
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8. Thanks Member States and donors for their generous financial contributions to the UNESCO projects for Gaza, and invites Member States, international organizations and relevant international, national and private institutions to provide further assistance in this regard through extrabudgetary funding; <\/p><\/div>\n
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9. Thanks the Director-General for initiatives that have already been implemented in the field of education, and for the safety of media professionals, and calls upon her to continue her involvement actively in the reconstruction of its damaged educational and cultural heritage components; <\/p><\/div>\n
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10. Requests the Director-General to organize an information meeting to provide Member States with an update on the outcome of the projects conducted in the Gaza Strip-Palestine; <\/p><\/div>\n
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11. Decides to include this item in its agenda at its 195th session, and invites the Director-General to submit to it a progress report thereon.<\/p><\/div>\n
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II. WHO REPORTS ON HEALTH CONDITIONS IN OCCUPIED PALESTINIAN TERRITORY<\/strong><\/p><\/div>\n\n
On 17 April 2014, the Secretariat of the World Health Organization issued the following report entitled “Health conditions in the occupied Palestinian territory, including east Jerusalem, and in the occupied Syrian Golan”, prepared for the 67th World Health Assembly (A67\/41):<\/i><\/p><\/div>\n\n
1. In 2013, the Sixty-sixth World Health Assembly adopted resolution WHA66.5, which requested the Director-General, inter alia, to report on progress in its implementation to the Sixty-seventh World Health Assembly.<\/p><\/div>\n
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2. The current population of the occupied Palestinian territory is 4 420 549 (2 719 112 in the West Bank and 1 701 437 in the Gaza Strip).<\/span>1<\/sup><\/span> <\/span>It is a predominantly youthful population: 40.1% of Palestinians are aged 0-14 years and 29.9% are aged 15-29 years. The proportion of the population living in urban areas increased from 62.5% in 1980<\/span>2<\/sup><\/span> to 73.8% in mid-2012, while the proportion living in rural areas and refugee camps was 16.8% and 9.4% respectively.<\/span>3<\/sup><\/span><\/p><\/div>\n\n
In the fourth quarter of 2013 the unemployment rate was 18.2% in the West Bank and 38.5% in the Gaza Strip. For the Gaza Strip, this was the highest quarterly rate in the past three years.<\/span>4<\/sup><\/span> <\/span>Palestinian exports have been in steady decline since 1994, dropping to 7% of gross domestic product in 2011, one of the lowest rates in the world. World Bank.<\/span>5<\/sup><\/span><\/p><\/div>\n\n
3. Restrictions on the movement of people remain; these involve the blockade on the Gaza Strip, the presence of checkpoints and barriers within the West Bank, and the travel permit regime. Four of the 14 checkpoints around Jerusalem are accessible to non-Jerusalemite Palestinians with permits; the city has been separated from the rest of the West Bank by a barrier wall since 2006.<\/span>6<\/sup><\/span> In order to access health care, 14.3% of Jerusalem’s Palestinian population of 404 165 must cross the wall.<\/span>7<\/sup><\/span><\/p><\/div>\n\n
4. The Palestinian Ministry of Health, UNRWA and nongovernmental organizations together provide extensive geographic coverage of public health and non-profit primary health care services, especially preventive health services and immunizations. However, the burden on households is high (39.8% of health expenditure comes from the general population) and two thirds of health expenditure concern curative care.<\/span>8<\/sup><\/span> <\/span>The restrictions imposed on the movement of patients, health staff and goods have hindered the functioning and development of the health system. In recent years, the functioning of the Ministry of Health, the main health provider, has been seriously affected by the financial crisis of the Palestinian Authority. This has reduced the Ministry of Health’s ability to procure adequate stocks of essential drugs and medical disposables; the Ministry reported that for 2013, an average of 29% of essential drugs and 52% of disposables were out of stock in the Gaza Strip. Although referrals increased by 10% compared with 2012 — in part owing to shortages of medicines — the financial crisis has also lead to an increase in debts to specialized hospitals for the care of patients referred within and outside the occupied Palestinian territory.<\/span><\/p><\/div>\n\n
5. The Ministry of Health operates four different levels of primary health care clinics according to population size and anticipated demand, but the distribution of both service components and human resources within the system remains inequitable. The current model is out-dated, providing services through a vertical, disease-focused approach, aimed predominantly at the main health challenges of the past, namely: communicable diseases and maternal and child mortality. The leading causes of death are cardiovascular disease, cancer, cerebrovascular disease and diabetes, reflecting the high prevalence of noncommunicable diseases and their risk factors. Data indicate that unhealthy behaviours start early in life.<\/span>9<\/sup><\/span><\/p><\/div>\n\n
6. Infant and under-five mortality rates have declined over the last decade. In 2012, infant mortality was 19.2 per 1000 live births, compared with 23.9 per 1000 live births in 2002. The under-five mortality rate was 22.6 per 1000 in 2012, down from 28.5 per 1000 in 2002.<\/span>10<\/sup><\/span><\/p><\/div>\n\n
7. The prevalence of disability in Palestine is 2.7% using a narrow definition, with about 113 000 persons reporting at least one disability; the rate is higher for males and higher in the West Bank. Some 53.1% of persons with disabilities are illiterate; more than one third of persons with disabilities over <\/span>15 <\/i><\/span>years of age have never been enrolled in school; 22.2% dropped out of school because of access difficulties; and 87.3% are not employed.<\/span>11<\/sup><\/span><\/p><\/div>\n\n
KEY AREAS OF WHO SUPPORT TO THE PALESTINIAN MINISTRY OF HEALTH<\/strong><\/p><\/div>\n\n
8. WHO and the Palestinian Ministry of Health have engaged in a continuing dialogue on modernizing the primary health care system based on a family practice model. In September and October 2013 in collaboration with the Ministry of Health, WHO conducted a comprehensive situation analysis of the current primary care system as a foundation for the necessary transformation.<\/p><\/div>\n
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9. Noncommunicable diseases constitute a key public health concern in the occupied Palestinian territory. WHO supported the Ministry of Health in implementing the WHO package of essential noncommunicable disease interventions for primary health care. The interventions aim at improving access to good-quality, evidence-based noncommunicable disease care in a close-to-client environment. Between January 2013 and 2014, the package was successfully introduced in three pilot districts. The Ministry of Health and WHO are currently working on expanding the implementation of the package of interventions to all districts.<\/p><\/div>\n
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10. In 2013, WHO continued to work closely with the Ministry of Health focal point for tobacco control, focusing on raising public awareness of the dangers of tobacco use. With technical guidance from WHO, the Ministry of Health conducted a mass media campaign on the theme “It is my right to live in a smoke-free world”. WHO also supported the Ministry of Health and the Ministry of Education to reach over 12,000 secondary school students through an online competition aimed at improving their knowledge of tobacco-related health and social issues.<\/p><\/div>\n
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11. WHO, with the support of the Norwegian Government, maintained its support to the establishment of a Palestinian National Institute of Public Health. During 2013, the project team pursued the implementation of several recommendations of the qualitative assessment of the Cause of Death Registry; began a detailed description of the Cancer Registry; developed a draft report of the systematic review of water quality and health in the Gaza Strip; created the Hospital Management Dashboard and presented it to hospital directors in the West Bank and Gaza Strip for their use; finalized and printed the National Health Information System Strategy and the Health Information System assessment report; and began activities to establish a national Road Traffic Accidents Registry.<\/p><\/div>\n
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12. WHO is currently implementing a three-year mental health and psychosocial support project. The project represents the second phase of a European Union-funded initiative to strengthen mental health care in the occupied Palestinian territory. Over the past decade, WHO has supported the Palestinian Ministry of Health in reforming mental health services, with a move from institutionalized care in psychiatric hospitals towards community-based care and rehabilitation. In 2013, WHO supported the Ministry of Health in drafting a human resource plan for mental health professionals and an operational policy for community mental health centres. Mental health professionals were trained on cognitive behavioural therapy and child and adolescent mental health. Mental health has been fully integrated into primary health care in two districts in the Gaza Strip. As part of this effort, friends and family associations provided the general population and health professionals with a range of community-level education and advocacy activities on the rights of service users.<\/p><\/div>\n
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13. In support of activities against HIV\/AIDS and with funding provided by the Global Fund to Fight AIDS, Tuberculosis and Malaria, WHO continues to act as technical adviser to the Âé¶¹APP thematic group for tuberculosis and HIV\/AIDS in the West Bank and Gaza Strip. With regard to HIV\/AIDS, WHO conducted the first bio-behavioural survey among injecting drug users in the West Bank in 2013. The aim of the survey was to understand the epidemiological pattern of HIV\/AIDS in this low-prevalence setting, following a similar survey conducted in 2010 in Jerusalem, which has a different social context. WHO further provided a range of capacity-building support for voluntary counselling and testing, antiretroviral therapy and adherence to treatment. The Ministry of Health has integrated HIV\/AIDS treatment into primary health care services in the Ramallah and Gaza Strip governorates and has added dental services to its Ramallah special clinic. A technical mission by an external international expert monitored patients clinically to ensure that WHO standards of treatment and care continue to be used. An inventory study on tuberculosis was also conducted in the West Bank and Gaza Strip. The aim of the study was to determine the extent of: (a) tuberculosis case notification by the national tuberculosis programme; (b) tuberculosis case ascertainment in the country; and (c) tuberculosis under-detection through underreporting and under-diagnosis. In addition, a screening survey was undertaken of the Bedouin population in the West Bank.<\/p><\/div>\n
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14. With support from the European Union, WHO is working to improve the quality of hospital services at the six specialized medical referral facilities in east Jerusalem which comprise the East Jerusalem Hospitals Network. WHO is collaborating with the hospitals to build local capacity in the areas of quality management, risk management, facility safety and infection prevention. The objective is to ensure that standards at all the hospitals are ultimately ratified by the Joint Commission International, the international body for hospital quality accreditation. In 2013, the first two hospitals were accredited by the Commission. WHO supported the Network to develop a sustainable five-year strategy with a work plan. Network committees were established to facilitate coordination and collaboration, as well as joint activities. Since December 2013 the Network has been registered as an official body, which will enable it to appoint staff, conduct joint initiatives, and begin fundraising.<\/p><\/div>\n
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15. WHO is working with the Palestinian Ministry of Health to improve the Ministry’s service delivery system. A focal point for quality improvement and patient safety has been appointed at each of the district hospitals and in the primary health care department. A national team was trained in Jordan on the Patient Safety Friendly Hospital Initiative. This national team will work in collaboration with the national patient safety focal point to train government and nongovernment hospital staff on the Initiative, conduct initial assessments and ensure regular follow-up on implementation with participating facilities. To date, three hospitals (two governmental and one nongovernmental) have begun implementing the Patient Safety Friendly Hospital Initiative. In 2014, it is anticipated that all government hospitals in the West Bank, one government hospital in the Gaza Strip, and one non-government hospital in the West Bank will begin implementation.<\/p><\/div>\n
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16. WHO continues to support the Ministry of Health to develop its institutional capacity as well as the national health system. WHO supported the Ministry’s policy and planning department to lead the national health planning process and develop the 2014-2016 national health strategy. WHO is also working with this team to institutionalize a monitoring and evaluation mechanism to ensure accountability among all stakeholders in the health sector, particularly the Ministry of Health and the donor community. In order to improve human resource planning and policy development, WHO is supporting the Ministry of Health in the development of a Human Resources Observatory. In late 2013, a Palestinian delegation conducted a study tour to observe the implementation of the human resources observatory at the Ministry of Health in Khartoum. To support national health financing improvements, WHO collaborated with the Ministry of Health to complete the WHO’s health financing assessment tool.<\/p><\/div>\n
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17. With funding from the Government of Switzerland, WHO is working in the area of health advocacy in order to: improve data quality regarding human rights indicators and social determinants of health; monitor critical humanitarian issues affecting the public health sector; and provide advocacy with, and to, legal duty-bearers under international humanitarian and human rights law. Barriers to patient access from the West Bank and the Gaza Strip to the east Jerusalem hospitals, which serve as the main referral centres for tertiary care, are a major issue, as are barriers to the access of ambulances, hospital employees, and medical and health students from the West Bank. In 2013, 38 083 patients from the West Bank and the Gaza Strip were referred by the Palestinian Ministry of Health to hospitals in east Jerusalem, Egypt, Israel and Jordan. In the same year, 20.5% of requests for travel permits to access medical treatment made on behalf of West Bank patients, and 12.0% of requests on behalf of Gaza Strip patients, were denied or not answered.<\/span>12<\/sup><\/span> For the Gaza Strip, this rate represents a 60% increase compared with 2012. WHO also undertook advocacy to the Ministry of Health and the humanitarian community concerning shortages of essential drugs, disposables and fuel in the Gaza Strip<\/span>13<\/sup><\/span> and to the Government of Israel for access to health services on the part of Palestinian prisoners.<\/span><\/p><\/div>\n\n
18. Under the Âé¶¹APP Partnership to Promote the Rights of Persons with Disabilities, WHO began to work jointly with five other Âé¶¹APP agencies on mainstreaming disability rights in the agencies concerned and in their counterpart line ministries, including the Ministry of Health. The project was launched in January 2014, supported by the Âé¶¹APP Humanitarian Coordinator for the occupied Palestinian territory.<\/p><\/div>\n
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19. WHO continues to lead the Health and Nutrition Sector, which it co-chairs with the Ministry of Health. The Sector provides a platform for joint coordination and partnership that aims at strengthening the collective capacity to respond efficiently to humanitarian health needs. The Ministry of Health and 30 humanitarian health organizations from Âé¶¹APP agencies, nongovernmental organizations, and the private and public sectors are participating in the activities of the Sector. The partners provide essential primary health care and nutrition services to vulnerable communities with restricted access. WHO conducts monthly meetings with partners to discuss humanitarian health updates and to identify gaps and needs in support of better coordinated responses.<\/p><\/div>\n
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20. Together with the Ministry of Health and partners in the Health and Nutrition Sector, WHO developed the Humanitarian Needs Overview for 2014. The Overview provides an analysis of the humanitarian health situation and highlights priority needs, vulnerable communities and groups, and obstacles and difficulties in accessing essential health services in the following areas: the Gaza Strip, east Jerusalem peripheries, Area C in the West Bank, closed military areas, and the “seam zone”. Based on this, the Health and Nutrition Sector was able to develop its Strategic Response Plan for 2014, the main objectives of which are: to ensure the access by vulnerable communities to good-quality and affordable essential health services, and the referral of victims of violence to protection organizations and advocacy; and to ensure that vulnerable communities are better prepared to cope with the impact of current and potential man-made and natural disasters.<\/p><\/div>\n
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21. In 2013, as lead agency for the Health and Nutrition Sector and provider of last resort, WHO continued to support the reduction of shortages in life-saving drugs and medical disposables. Furthermore, WHO assisted in filling some of the gaps in the supply of pharmaceuticals and continued to help to coordinate the importing of medical supplies donated to the Gaza Strip. The Organization also provided urgently needed technical assistance, medical equipment and spare parts to maintain, repair and improve existing equipment, especially generators and medical equipment damaged as a result of the unstable power supply and the frequent blackouts caused by fuel shortages.<\/p><\/div>\n
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SITUATION IN THE OCCUPIED SYRIAN GOLAN<\/strong><\/p><\/div>\n\n
22. WHO has no access to the occupied Syrian Golan and thus cannot provide a report on the prevailing health conditions there. The Secretariat has requested the Governments of the Syrian Arab Republic and Israel to provide information in this regard.<\/p><\/div>\n
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ACTION BY THE HEALTH ASSEMBLY<\/strong><\/p><\/div>\n\n
23. The Health Assembly is invited to note the report.<\/p><\/div>\n
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III. UN SPECIAL COORDINATOR CONFIRMS CONTINUED SUPPORT FOR PALESTINIAN UNITY<\/strong><\/p><\/div>\n\n
On 24 April 2014, the Office of the Âé¶¹APP Special Coordinator for the Middle East Peace Process, Robert Serry, issued the following statement regarding his meeting with Palestinian President Mahmoud Abbas in Ramallah:<\/i><\/p><\/div>\n