Lutheran WorldFederation supplies 100bedsunderasharing agreement. Duringthe year,detailed plansforup-grading andpossible expansion weredeveloped, atthe AgencySs initiative. Italsooperates asmallhospital inQa1qi1ya, WestBank(36 beds)andninematernity centres (totalling 71beds),mostlyintheGazaStrip. In ajointoperation withthePublicHealthDepartment inGaza,theAgencyrunsa 70-bedtuberculosis hospital intheBureijcamp,whichservesrefugees andlocal residents fromtheGazaStrip,andafewfromtheWestBank. 77.Ithasbeendifficult toarrange forsufficient bedsforthehospital treatment ofrefugees inLebanon. Inpartthishasbeenduetotheextravagant demands bysomehospitals. Theseproblems havebeeneasedbyconcluding agreements withthreeadditional hospitals (seepara.16above). 78.Therefugees inGazaareaskingthatfreehospital treatment bemadeavailable tothembyUNRWA,asintheWestBank,tosupplement government facilities in Gaza.Thesehavebecomeveryexpensive forpersons notenrolled inthe Government's medical insurance scheme. Increasing economic difficulties, including a~iseinunen~loyment, together withasubstantial increase inthecostofthe insurance scheme, haveledmorerefugees toseekreimbursement fromUNRWAfor hospitalization andothermedical costs. TheAgency's financial crisisdelayed the appointment ofstaffforthenewdentalclinicinRafahandtheMaghaziclinical laboratory. 79.IntheSyrianAraoRepublic, newhealthcentrepremises atDera'aopenedin December 1984.Thesepremises havebeenmadepossible byagenerous donation from theDanishRefugee Council. Thecontinuing planforimprovement indentalcare services hassince1982seenanincrease oftwodentalteamstofive,andofthree dentalclinics tosix,plusonemobileteamwithonefullyequipped vehicle. 80.InJordan, untilanagreement isconcluded byUNRWAandtheMinistry of Health. nOsubsidized surgical bedsareavailable fortherefugees. The 30Agency-subsidized medical andpaediatric bedsattheItalian Hospital andeight paediatric andminorgynaecology bedsattheRedCrescent Hospital arehardly sufficient. Intheinterim, theAgencyoperates asystemoffinancial support. Refl.gees mayapplyforarefundofcharges incurred iftheyneedsuchhelp.There -13-;1 'I ,'I ;1 ,:1 I :1 I8 I a iti S i r c r w 0 8 m b Ahavebeenimprovements, however, indentalcare. Adental teamcomposed ofa dentalsurgeon andapractical nursewasestablished toprovide dentalservices in JarashandSufcampsforthreedaysperweekeachinstead ofoneday.This arrangement madeitpossible toprovide dentalservices atBaqa'a Campforsixdays perweekinstead offour. 81.IntheWestBank,largeamounts ofmedical supplies andequipment were received fromAmerican NearEastRefugee Aid,Inc.(ANERA)fortheAgency's health centres andfordistribution tosubsidized hospitals. TheFrenchHospital in Bethlehem ceasedoperations attheendofJanuary 1985andarrangements weremade tohaveeightENT(ear,noseandthroat) bedsattheFrenchHospital inJerusalem. AnewENTspecialist wasemployed oncontract. 82.TheAgency hadtoincrease itssubsidies tohospitals andotherfacilities serving refugee patients inallFieldsexceptGazatomatchcontinuously rising costsinthearea.InGaza,theAgencyincreased therateforreimbursing uninsured refugees forhospital costs. InJordan, theAgencyincreased theamount ofmoneyavailable torepaythemedical costsofneedyrefugees. Inaddition, refugees inallFieldshaddirectaccesstolocalgovernment, private andvoluntary hospitals. 83.UNRWAcontinued tomeetpartofthecostofspecialized andemergency lite-saving care,mainlyintheformofcardiac andneuro-surgery, fromwhich25 patients benefited during1984.Inaddition TerredesHommes, Netherlands~ contributed tosuchcarebycovering asubstantial partofthehospital costsof23 children whoreceived cardio-vascular treatment atspecialized centres inth~area ofUNRWAoperations. 84.Thereisagrowing needformentalhealthcareforchildren ofPalestine refugees. UNRWAandUnitedNations Children's Fundhadameeting withWorldHealth Organization inGenevaon12-14March1985.Experts inchildpsychiatry, psychiatry, paedriatics, community healthandrepresentatives ofinterested non-governmental organizations discussed waysofdeveloping mentalhealthcare activities. Theparticipants atthemeeting recommended setting uparesearch project toinfluence andobserve behavioural patterns andtheefficient useof existing healthservices. Thestrategy includes apractical planforthetraining ofhealthpersonnel.
**Analysis**
The text appears to be a report on the activities and challenges faced by the Lutheran World Federation in providing healthcare services to refugees in the Middle East. The report highlights the difficulties in arranging sufficient hospital beds, the need for subsidized surgical beds, and the increasing costs of medical care. It also mentions the agency's efforts to improve dental care services and provide financial support to refugees. The text does not seem to be focused on economic development, natural resources, agriculture, industry, transport, international trade, education, employment, or culture. While science and technology are mentioned in the context of medical equipment and healthcare services, they are not the primary focus of the report.

**Category**
Health, Humanitarian aid and relief