Qato Dima, Doocy Shannon, Tsuchida Deborah, Greenough P Gregg, Burnham Gilbert
Johns Hopkins University Center Refugee and Disaster Response, Baltimore, Maryland, USA.
Prehosp Disaster Med. 2007 Jul-Aug;22(4):263-6. doi: 10.1017/s1049023x00004829.
In 2001, the Israeli government announced the construction of the West Bank barrier. The stated purpose of construction to prevent attacks by Palestinians on Israeli citizens. In a subsequent advisory opinion, the International Court of Justice decided the wall would block access to health care and education, and was "contrary to international law".
The Barrier, with its limited number of gates, has been criticized by humanitarian agencies for limiting access of Palestinians to employment, health care, and education, but was defended by the Israeli government as an important security measure.
A survey of key informants was conducted in May 2004 at 78 health facilities and 121 schools in the northern West Bank districts ofJenin, Qalqilya, and Tulkarem, in order to assess the impact of the Barrier on access and use of health and educational services.
The Barrier negatively affected access to education and health care, in terms of statistically significant increases in distance and travel time to schools and health facilities. In several areas, service utilization, assessed by weekly visits to health facilities and student enrollment, was affected by barrier construction, although these findings were not statistically significant. A significant decrease in staff attendance was observed at health facilities and schools.
The Barrier may have long-term effects on access and utilization of health and educational services among Palestinians in the northern West Bank.
2001年，以色列政府宣布在约旦河西岸建造隔离墙。建造的既定目的是防止巴勒斯坦人袭击以色列公民。在随后的一份咨询意见中，国际法院裁定该隔离墙会阻碍人们获得医疗保健和教育，并且“违反国际法”。
隔离墙的大门数量有限，人道主义机构批评其限制了巴勒斯坦人获得就业、医疗保健和教育的机会，但以色列政府将其作为一项重要的安全措施进行辩护。
2004年5月，在约旦河西岸北部的杰宁、盖勒吉利耶和图勒凯尔姆地区的78家医疗机构和121所学校对关键信息提供者进行了一项调查，以评估隔离墙对获得和使用医疗及教育服务的影响。
隔离墙对获得教育和医疗保健产生了负面影响，前往学校和医疗机构的距离和时间在统计学上显著增加。在几个地区，通过每周前往医疗机构的次数和学生入学率评估的服务利用率受到隔离墙建设的影响，尽管这些结果在统计学上并不显著。在医疗机构和学校观察到工作人员出勤率显著下降。
隔离墙可能会对约旦河西岸北部巴勒斯坦人获得和利用医疗及教育服务产生长期影响。
