Palestinians/Arabs

Clalit HMO, East Jerusalem – adapting clinics to Arabic speaking patients – November 2, 2008

Kupat Holim Clalit, who is also the largest Israeli Health Management Organization in East Jerusalem, was the first to join the Jerusalem Cultural Competence in Health Project of the Jerusalem Inter-Cultural Center and the Jerusalem Foundation. As part of the process two steering committees were formed to tackle cultural competence issues in East Jerusalem and in the Ethiopian community.

Today the first meeting of the steering committee focusing on East Jerusalem was held in the Sheikh Jerah Clalit HMO clinic. This is the central clinic in East Jerusalem serving around 200,000 people. The committee drafted a list of many challenges in this clinic and in other parts of the East Jerusalem health system. It was decided that the JICC staff, together with Clalit staff, would map the main cultural competency issues in the Sheikh Jerah clinic towards the next meeting. In parallel, we will examine some of the issues related to Arabic-speaking patients who are sent to experts in West Jerusalem, most of them are Hebrew-speaking Jews. Language was found to be an important barrier, but also other cultural barriers were identified as central to the quality of health care.

Next meeting of the committee will proceed with the planning of the cultural competence project in the Clalit HMO.

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Tsur Baher – educational issues – October 6, 2008

Short background: Mr. Fouad Abu-Khammed, a businessman who was on the JICC board for many years, is one of the main lay-leaders of Tsur Baher – a Palestinian/Arab village in South-East Jerusalem. The JICC helped Abu-Khammed in establishing a connection between the lay-leaders’ education committee that he heads in the village, and Jerusalem municipality high officials. As a result, a unique process for improving the education system in Tsur Baher has been instigated, and a project coordinator, Carol Kasbari, was hired especially for this task. With the help of the Jerusalem Foundation and the Municipality Education Department, results are being seen on the ground. The JICC played a significant role in creating an enabling setting for the inter-cultural talks between the sides, which in Jerusalem are so often linked to global politics. At this point, the JICC serves as a consultant to the process and as an inter-cultural problem solver.

Today, we held one of the monthly meetings at the office of the head of the municipality Education Department. Representatives of the Tsur Baher lay-leadership, the Jerusalem Foundation, the municipality, and of course ourselves, heard Carol’s report on the achievements to date. Following a year and a half of discussions, many of which dealing with issues of inter-cultural communication and conflicts, today’s meeting revealed growing tendency for partnership and for understanding of the shared mission. Although many current solutions focus on “low hanging fruits”, these are very important, for example investment in laboratories and in classroom assistance. The strategic plan will have to tackle issues such as quality of teaching, violence and discipline. The role of the principals in leading the process was emphasized, but it is important to note that one of the original challenges in Tsur Baher was the lack of trust between these principals and the residents (although some of the principals reside in the village).

In November we will hold another meeting, and we’ll be able to see whether the positive attitude is still sustained in this important process.

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