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Introduction
Medicine in Lebanon was "celebrated by its absence" until the middle of the 19th Century when the propagation of medical education by western missionaries started . ...
Lebanon was governed by the French mandate following World War I and the Department of Health was created for the first time. special division for the analysis and care of the familiar infectious diseases, such as rabies, plague, typhus and cholera were organized. ... The Office of Social Development (OSD) was initiated in 1959 to cultivate the diverse regions of Lebanon in the field of health, education, social welfare and community development. Exceptional for that time was the emphasis on community participation in designing, funding, implementation and evaluation of these programs, a quality that was subsequently embraced by the World Health Organization as an integral attribute of primary health care. ... The jobs of the Ministry of Public Health were confined to provision of non-personal health services, health legislation, quality control and overall health planning like the French model of medical care organization (5). ... The underwriting of medical care was to be delegated to the National Social Security Fund to which all citizens would ultimately subscribe. ... The Ministry increased its underwriting of the cost of care of public patients in private hospitals (6).
Physician Manpower
In 1983, the sum of physicians in Lebanon was appraised to be 2950. ... Physicians in Lebanon graduate from one of the three native medical schools: The American University of Beirut, the French Faculty of Medicine, and the state-run Lebanese University. ... The present figure of physician specialists in Lebanon is 57%, which leaves 43% of physicians who have an MD degree, without standard training in a primary care specialty and work as general practitioners (6).
The Effect of Civil War
Health has been one of the hardest hit of all area of economy during the fifteen years of civil war in Lebanon (6). There has been gradual fragmentation, interruption and final disappearance of operative program of health care for an increasingly drained and susceptible population (2). Concern for emergency care, treatment of the injured and handicapped, and the assistance of refugees have remained the Ministrys highest priorities for well over 15 years. ...
Nineteen governmental hospitals, most of them became entirely inactive and overlooked, whereas, the budget of the Ministry of Health is employed to subsidize private hospitals for treatment of patients who cannot afford them, the entire cost of subsidized care of Ministry patients in 1983 was 35 times as much as in 1971 (6).
Approximate Word count = 1965
Approximate Pages = 7.9
(250 words per page double spaced)
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