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Efsharibari in the City 2022: The Old and New Authorities that Work for the Health of the Residents

The fourth year of the project sees a new route for supporting the authorities in the early stages of establishing a health unit and a leap in health promotion activities in the authorities

What is new in the Efsharibari in the City project in 2022?

Efsharibari in the City, led by the Ministry of Health, issued a call for support of local authorities for the fourth time. In 2022, 57 authorities are recognized as Efsharibari in the City authorities and carry out promotion activities on a significant scale for their residents. This year, for the first time, 20 more authorities have been selected to receive support for the first stages and to establish a health unit in the authority as early as this year.

Efsharibari in the City is the main move led by Ministry of Health to establish health units in the local authorities as part of the Ministry of Health's strategic plan to strengthen health activities in the urban space.

The invitation to join the Efsharibari in the City project is intended to encourage local authorities in Israel to establish the role of health units and administrative infrastructure in the authority and carry out an annual plan to promote the health of residents.
In 2022, support was given to the authorities in two tracks:

Track 1: Intended for authorities that meet Efsharibari in the City conditions. These authorities will be provided support to implement an annual health promotion work plan.
Track 2: Support for authorities that have begun the establishment of health units and are obligated to meet the recognition conditions of Efsahribari in the City during the year of support and carry out a health promotion work plan.

Later on, this year the ministry plans to launch another unique program, with the purpose of helping weaker authorities join the venture.
The leap in the numbers of authorities in the Efsharibari in the City project indicates that mayors and residents believe the authority has an important role in promoting health in general, and a healthy lifestyle in particular. The COVID epidemic has created a window of opportunity to accelerate the process in local authorities and strengthen the connection between the Ministry of Health and the local authorities.

In the Efsharibari in the City project, the Ministry of Health gives a significant portion of the resources to the field levels, in cities and neighborhoods, who know best the needs and characteristics of the residents and prepare activities that suit them.

Efsharibari in the City - in numbers

  • 57 local authorities meet the conditions of Efsharibari in the City.
  • 20 more authorities are commited to meet the recognition conditions by the end of the year.
    The authorities participating in the project are home to almost 5.5 million residents, who constitute about 60% of the total Israeli population.
    77 authorities from Eilat in the south to Ghajar and Golan Local Council in the north.
  • The largest authority is Jerusalem with over 950,000 residents and the smallest is Ghajar with 2,702 residents.
  • 40% of the authorities are in the lower (1-4) peripheral socioeconomic clusters.
  • 16 (21%) authorities participating in the program are from the Arab sector and another 25% are mixed authorities.
  • 13 authorities are Haredi or have a Haredi population that constitutes over 10% of their residents.
  • The support provided by the Ministry of Health to Efsharibari in the City authorities as part of this program jumped from NIS 7.4 million in 2021 to 11.3 million in 2022.
For the past two years, Efsharibari in the City activity has supported coping with life alongside COVID. As part of the activity, the authorities continued to promote a healthy diet, encourage physical activity and provide tailored and flexible solutions for different populations, in the various frameworks, as well as a combined response on the issue of strengthening resilience and more.

Efsharibari in the City strengthens the authority's activity in designing a healthy environment where more residents can walk the trails and be active in the public space, more children receive healthy food in educational institutions, and residents enjoy a smoking free environment. The authorities promote the health of various populations according to their needs.

The model of Efsharibari is designed to enable the existence of a health unit in the authority. The health unit will consider the city's health needs in various fields at times of routine and emergency. The authorities are required to meet standards in order to be recognized as Efsahribari in the City authorities. It requires, among other things, the mayor's commitment to lead the program, hiring a health coordinator, an active steering committee for health promotion, an annual work plan and compliance with professional standards and more.

Beyond the financial support, the Ministry of Health professionally accompanies the authorities with the staff of the Efsahribari in the City National Program and the staff of the Department of Health Education and Promotion, the Nutrition Division and the health bureaus of the Public Health Services. Learning days are held in collaboration with the Healthy Cities Network at the Federation of Local Authorities, and through inter-departmental collaborations in the Ministry of Health and between certain ministries.

Efsahribari in the City authorities, socioeconomic ranking and number of residents – recognized authorities (Track 1)

Number Name of authority Authority type Socioeconomic cluster Number of residents
1 Umm al-Fahm Municipality 2 56,777
2 Ofakim Municipality 3 32,555
3 Or Yehuda Municipality 5 36,770
4 Eilat Municipality 6 52,519
5 Ashdod Municipality 4 226,154
6 Ashkelon Municipality 5 146,519
7 Baqa al-Gharbiyye Municipality 3 30,457
8 Be'er Ya'akov Local council 7 29,015
9 Beer Sheva Municipality 5 210,595
10 Bu'eine Nujeidat Local council 2 9,996
11 Beit Jann Local council 4 12,151
12 Beit Shemesh Municipality 2 132,544
13 Bnei Brak Municipality 2 208,793
14 Bnei Shimon Regional council 7 11,194
15 Jisr az-Zarqa Local council 2 15,127
16 Golan Regional council 6 18,516
17 Gezer Regional council 8 27,350
18 Daliyat al-Karmel Local council 4 17,866
19 Upper Galilee Regional council 7 19,042
20 Hod HaSharon Municipality 9 64,489
21 Central Arava Regional council 7 3,714
22 Herzliya Municipality 8 98,966
23 Hevel Eilot Regional council 5 4,528
24 Holon Municipality 7 197,246
25 Turan Local council 3 14,436
26 Yavne Municipality 7 49,836
27 Yokneam Illit Municipality 7 24,091
28 Yeruham Local council 4 10,773
29 Jerusalem Municipality 3 951,149
30 Kafr Kanna Local council 2 23,265
31 Kfar Saba Municipality 8 101,830
32 Mevaseret Zion Local council 8 24,247
33 Maghar Local council 3 23,275
34 Modi'in-Maccabim-Re'ut Municipality 9 94,657
35 Mateh Asher מועצה אזורית 7 30,338
36 Ma'ale Adumim Municipality 6 37,846
37 Ma'alot-Tarshiha Municipality 5 22,122
38 Mitzpe Ramon Local council 3 5,185
39 Merchavim Regional council 6 14,206
40 Netivot Municipality 3 39,703
41 Netanya Municipality 6 222,129
42 Acre Municipality 4 49,503
43 Jordan Valley Regional council 6 14,050
44 Jezreel Valley Regional council 8 39,689
45 Petah Tikva Municipality 7 250,484
46 Kiryat Ata Municipality 6 59,364
47 Kiryat Bialik Municipality 7 41,912
48 Kiryat Gat Municipality 4 58,482
49 Kiryat Malakhi Municipality 4 24,384
50 Rishon LeZion Municipality 7 256,053
51 Ramla Municipality 4 76,987
52 Ramat Gan Municipality 8 167,556
53 Ra'anana Municipality 8 76,277
54 Sderot Municipality 4 29,074
55 Sha'ar HaNegev Regional council 7 8,836
56 Shafir Regional council 5 12,349
57 Tel Aviv - Yafo Municipality 8 463,808

Authorities participating, socioeconomic ranking and number of residents – joining authorities (Track 2)

Number Name of authority Authority type Socioeconomic cluster Number of residents
1 Bustan al-Marj Regional council 3 8,030
2 Bir al-Maksur Local council 2 9,730
3 Gush Etzion Regional council 6 24,936
4 Gan Yavne Local council 7 23,925
5 Ganei Tikva Local council 9 21,551
6 Zvulun Regional council  5 13,704
7 Hevel Modi'in Regional council 7 24,014
8 Tirat Carmel Municipality 5 24,296
9 Yoav Regional council 8 9,108
10 Kafr Qara Local council 4 19,294
11 Kfar Tavor Local council 9 4,400
12 Modi'in Illit Municipality 1 77,967
13 Nahal Sorek Local council 5 10,038
14 Sakhnin Municipality 3 32,195
15 Ghajar Local council 3 2,702
16 Afula Municipality 5 56,769
17 Arraba Municipality 3 26,252
18 Arad Municipality 4 27,208
19 Rosh HaAyin Municipality 7 67,624
20 Reineh Local council 3 19,141

Further reading

Efsharibari at the municipalities
Public Appeal 14584 for Supporting Local Councils as Part of the Efsharibari in the City Initiative 2022
Efsharibari in the City guide (HE)