Background: United Nations Relief and Works Agency for Palestine Refugees in the Near East (UNRWA) was established in 1949 and has delivered health care services for over 70 years. The epidemiological transition in disease burden is changing the context in which UNRWA’s health programme operates and poses new challenges that require new ways of providing health services. Hypertension and diabetes are two major health problems for Palestine refugees. UNRWA has been providing diabetes and hypertension care since 1992 in its primary health care centres. Of late, through a structured process of care delivery the UNRWA health system is making significant strides in addressing diabetes and hypertension. Given that most developing countries either have no or only rudimentary services for diabetes and hypertension at the primary care level and may face similar resource and capacity constraints, UNRWA’s efforts can serve as a model and inspiration to set up similar initiatives. Aim: Provision of needed medicines to patients with diabetes at home and vaccination of patients against COVID 19 in close coordination and cooperation of host countries. Method: Deliver of medicines and vaccination to targeted patients with Diabetes as below Since COVID 19 pandemic started UNRWA, Health department developed its emergency plan to continue delivering diabetes care to more than 156,000 as detailed belowTabled 1Morbidity typeJordanLebanonSyriaGazaWest BankAllDiabetes mellitus type I1,1622734071,3926453,879Diabetes mellitus type II11,6053,1523,52514,1526,26438,698Diabetes with hypertension35,85710,98812,38334,63320,077113,938Total48,62414,41316,31550,17726,986156,515 Open table in a new tab Results: Deliver of medicines to all patients at home during lockdown and closures and ensure all safety measures and minimizing the risk for getting the COVID 19. This was accomplished with help of UNRWA staff, community members and volunteers, almost all patients received their medicines during early time of pandemic. From other side once vaccination was available UNRWA with cooperation of Ministries of Health in hosting authorities started vaccination of patients with Diabetes considering them within the vulnerable groups. Discussion: UNRWA health programme managed to ensure continued services during COVID 19 pandemic by delivery of medicines to patients with diabetes in its five areas of. UNRWA with cooperation of Ministries of Health in hosting authorities provided vaccination to patients with Diabetes considering them within the vulnerable groups. through organized work with different stakeholders UNRWA ensured continued care of patients with diabetes during COVID 19.
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