This initiative aims to quantify amputations and collect detailed data on those affected, essential for improving planning, resource management, and avoiding service duplication.
The project was carried out in two phases. Phase one involved setting up two clinical committees to evaluate patients and gather data. In collaboration with ICRC, the Ministry of Health (MoH) launched an amputee registration website. Two teams were formed, each consisting of an orthopedic surgeon, two prosthetists & two physiotherapists from the Artificial Limbs and Polio Center (ALPC), a coordinator, and a data entry specialist. Data were collected over four weeks in two areas, ensuring access for southern residents. Phase two will be the implementation of interventions based on needs identified in phase one.
As of September 22, 2024, 311 individuals with amputations have been assessed, resulting in a total of 439 limb amputations. Of these, 324 (73.8%) were lower limb amputations, and 115 (26.2%) were upper limb amputations. Additionally, 67 (15.3%) of stumps required stump wound care, 49 (11.2%) needed stump revisions, and 295 (67.2%) requested pre-prosthetic rehabilitation. Current rehabilitation services are insufficient and will require significant expansion to meet the growing demand. Even with the restoration of prior services, a considerable scale-up in rehabilitation efforts will be necessary.
These early findings have enabled ICRC, MoH and ALPC to plan pre-prosthetic rehabilitation sites and helped decision-makers gauge the scale of the problem, despite the ongoing violence. Plans are also to extend the registration and assessment of those who have lost limbs, as the conflict and the limb injuries continue. Barriers to registration and clinic attendance remain, including limited information access, security and safety concerns, and transportation difficulties.
Information gathered will guide international NGOs, local organizations, and authorities in managing amputee care and optimizing resources. It has also informed ICRC’s planning for pre-prosthetic rehabilitation and has determined the necessary types and quantities of prosthetic materials to meet immediate needs.
The results will support policymakers in strategic planning, improving the quality of life for amputees. It will also influence physiotherapy practices, management, education, and policies, ensuring better care for those affected.
Gaza conflict
prosthetic needs
