Ensure safe access to essential life-saving and life-restoring health care services through the Limb Reconstruction Unit at Naser Hospital There is currently no other dedicated physical unit that manages complex limb reconstruction surgery within the MoH health system Shifa hospital manages some such cases but with no dedicated bed capacity and the remaining partners predominately support minor reconstructive surgery.   WHO along with the MoH are in the process of establishing a well-equipped Limb Reconstruction Unit located at Naser Hospital in Khan Younis. With its 2 OR and 40 beds capacity, it is planned to work as a referral center providing Limb Reconstruction services to male and female patients of all ages and also people with temporary or permanent disabilities. With international standards of work qualities, the center is expected to cover patients from all areas of the Gaza Strip.

Qatar Red Crescent Society will complement the efforts of the Unit by providing some essential staff to run the unit and provide on-job and clinical training for a period of one year.  This includes setting working protocols and building the capacities of other MOH staff working at the unit, in order to sustain and enhance the quality of service.  

The proposed intervention is necessary to fill a serious gap and will ensure starting provision of safe, high quality and sustainable limb reconstruction services in Gaza strip through implementing the following activities:

-       Recruiting and contracting a specialized multi-disciplinary team along with essential supplies necessary for one year (2 orthopedic consultants with previous limb reconstruction experience, 2 orthopedic specialists, 2 anesthetists, 1 vascular surgeon, 1 plastic surgeon, 10 nurses, 2 physiotherapists, 2 X-ray Technicians, and 2 mental health specialists). This team will be responsible for followings 
-	Coordinate with MOH to complete the needed unit’s staff through MOH employees.
-	Developing working protocols for the unit and coach other staff on their applications through on the job training
-	Developing different patients’ referral mechanisms (admissions, discharge home, discharge rehabilitation centers/ mental health centers, …)
-	Starting operation of the unit
-	Communicate with MOH, donors (MAP) to cover supply needs
-	Organizing knowledge exchange sessions with the remaining unit’s staff to ensure adequate transfer of needed knowledge and experience needed to sustain the quality of service beyond the end of the project and the possible exit of recruited project’s team
	
It is worth mentioning that the proposed intervention meets strategic objectives, and health and nutrition cluster objectives:
Strategic Objective #2: The basic needs of vulnerable Palestinians living under occupation are met through the provision of quality basic services and improved access to resources, in accordance with the rights of protected persons under International Humanitarian Law.
Health Cluster Objective #1: Ensure the availability, accessibility, acceptability, and quality of essential lifesaving health services to the most vulnerable communities in Gaza and West Bank/EJ, including through health system strengthening, preparedness and community resilience building.
In addition, the proposed intervention meets QRCS's general strategy: Saving lives and preserving dignity.