The International Covenant on Economic, Social and Cultural Rights
ry health care centres, beds, medical staff, and list of medicines and health
services to be provided to service recipients. In addition to drugs for chronic
and perilous diseases, these data will outline the extent to which the list of
medicines available at pharmacies of the Ministry of Health for the health
insured are adequate and inclusive.
Against this backdrop, the ICHR recommends that:
Health be considered as a right, rather than a service. This right should be
enshrined in the Palestinian Basic Law. A law on health insurance will be
approved to replace the current Regulation on Health Insurance, based on
World Health Organisation (WHO) standards of health care provision. The
existing health system will be improved in view of the significant challenges
that came to light in the context of the COVID-19 pandemic.7 While paying attention to primary health care, medical professionals, medicines, and
paramedical services will be made available.
Right to education
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Although budgeted allocations of the Ministry of Education (MoE) account
for almost one fifth of the State’s general budget, salaries and wages take up
half this appropriation. On the other hand, development expenditures are
just 25 percent of the MoE budget. Of note, the MoE spends little amounts
on programmes aiming to improve the educational process. This spending
is not sufficient to achieve set objectives. Accommodating some 78 percent
of all university students, Palestinian universities are crippled by a permanent budget deficit, ranging from 20 to 50 percent. A primary cause of this
deficit is the lack of regulations and policies, which should regulate government financing of the higher education sector.
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According to ICHR monitoring, the right of vulnerable and marginalised
groups to education is abused. MoE data showed that the percentage of
governmental kindergartens was 18.3 percent only. Pupils at these kindergartens only represented 6.2 percent of the entire pupil population.
7
Within the framework of its persistent activity, the ICHR carried out the National Inquiry into Health
Insurance 2019-2021, an exercise that is at the core of the work of national human rights institutions.
Informed by international human rights benchmarks and WHO standards, the inquiry adopted a public
wide approach through a quantitative survey conducted by the PCBS in 2019. It also used regional focus
groups across the West Bank, Gaza Strip, and East Jerusalem. The inquiry reached many conclusions.
Mainly, the current health system is incompatible with WHO standards on all levels: availability, accessibility, acceptability and quality. Beneficiaries expressed low satisfaction with the services provided by
health insurance. Key recommendations included the need to enact a law on health insurance and establish an independent body to manage and supervise health care service delivery.
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