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EfshariBari in the City 2023: 78 Authorities Have Joined the EfshariBari in the City Project

This is the fifth year of the EfshariBari in the City project, which is designed to improve the health of residents. The number of recognized authorities increased by 36% compared to 2022.

What is new in the EfshariBari in the City project?

78 local authorities have joined the EfshariBari in the City project – a 36% increase compared to 2022.

EfshariBari in the City 2023

  • 78 local authorities met the terms of EfshariBari in the City 2023. An addition of 21 authorities.
  • 7 million people, or 60% of the entire population of Israel reside in the local authorities that participate in the project.
  • The largest authority is Jerusalem, with over 966,000 residents, and the smallest authority is the Central Arava Regional Council.
  • 30% of the authorities are part of the low and peripheral socio-economic clusters (1-4).
  • The project involves Arab authorities as well as authorities with Haredi and mixed populations.
  • The Ministry of Health reduced its support for the EfshariBari in the City authorities as part of this public appeal from 11.3 million NIS in 2022 to 7 million NIS in 2023.

 What is the EfshariBari in the City project?

EfshariBari in the City is the major initiative led by the Ministry of Health for establishing health units in the local authorities as part of the Ministry of Health’s strategic plan to enhance health activities in the urban space.

How did the authorities gain recognition and support?

Every year, the Ministry of Health issues a public appeal, and local authorities apply for support for enhancing their health units and health promotion programs. Only authorities that meet the requirements are recognized and their activities are supported. There has been a significant increase in the number of authorities participating in the project this year, with 21 new authorities joining.

The surge in the number of authorities applying for the Efsharibari project and obtaining support shows the change of perspective among the authorities and residents. Everyone now understands that local authorities play a significant role in making behavioral changes and creating an environment that supports healthy and active living.

How does joining the project benefit the head of the local authority and residents?

The heads of the local authorities recognize that a healthy and active lifestyle starts in early childhood and affects education, employment, social involvement, and quality of life in the local authority.

The public appeal for the Efsharibari in the City project was created to establish the role of the health unit and the administrative infrastructure of the local authority. Its goal is to execute an annual work plan for the health of the residents.

The Efsharibari in the City project allocated resources to urban and neighborhood field experts who are familiar with the requirements and characteristics of the residents, enabling them to design and implement effective activities.

The Efsharibari in the City project empowers the authorities to establish a healthier environment, for a larger number of residents, and encourages them to walk through the city’s trails and exercise in public spaces. More children now have access to healthy food in educational institutions and enjoy a smoke-free environment. The project's activities are tailored to diverse populations across all stages of life. In line with the project's spirit, real change is made in the community, with consideration of its culture - residents helping residents.

What does the work model actually look like?

The Efsharibari work model is designed to help the health unit be present and active in the local authority, so that the locality's health needs are taken into consideration in different situations, in times of routine and emergency. To be recognized as an Efsharibari authority, authorities must meet certain standards, such as guaranteeing the commitment of the head of the authority to lead the program, employing a designated health coordinator, establishing a health promotion steering committee, launching an annual work plan, and meeting professional standards.

In the previous year, support was provided to approximately 20 local authorities as they took their initial steps toward submitting an application for 2023. This was part of the Ministry's efforts to include new participants who had encountered challenges in meeting the standards.

In addition to financial assistance, the Ministry of Health provides professional support to the authorities through the Efsharibari team, as well as teams from the Health Education and Promotion Department, the Nutrition Division, the health bureaus of the Public Health Service, and the Federation of Local Authorities in Israel.

The Efsharibari project is intertwined with the Ministry's efforts to increase the commitment of all stakeholders to promote health in the urban space. We believe that every individual should live in a local authority that actively promotes the health of its residents.

Efsharibari authorities, their socio-economic index and number of residents

 Name of authority

opulation (in thousands)

Central Bureau of Statistics  index

Umm al-Fahm

 57,677

 2

Ofakim

 33,999

 3

Or Yehuda

 36,815

 5

Elad

 49,593

 2

Ashdod

 225,975

 5

Eshkol

 15,205

 6

Ashkelon

 149,160

 5

Baqa al-Gharbiyye

 30,973

 4

Be'er Ya'akov

 29,852

 7

Be'er Sheva

 211,251

 5

Bustan al-Marj

 8,137

 3

Beit Jann

 12,307

 4

Beit Shemesh

 141,764

 2

Bnei Brak

 212,395

 2

Bnei Shimon

 11,419

 7

Jisr Az-Zarqa

 15,315

 2

Golan

 19,214

 6

Gush Etzion

 25,691

 6

Gezer

 27,622

 8

Gan Yavne

 24,251

 7

Ganei Tikva

 22,694

 9

Daliyat al-Karmel

 18,061

 5

Deir al-Asad

 12,935

 4

Dimona

 35,892

 5

Upper Galilee

 19,440

 7

Lower Galilee

 12,795

 7

Hod HaSharon

 65,363

 9

Central Arava

 3,772

 7

Herzliya

 103,318

 8

Hevel Eilot

 4,745

 5

Hevel Modi‘in

 24,107

 7

Holon

 197,464

 7

Tur'an

 14,655

 3

Tirat Carmel

 26,806

 5

Yavne

 53,595

 7

Yoav

 9,197

 8

Yokneam Illit

 24,158

 7

Yeruham

 11,031

 4

Jerusalem

 966,210

 2

Kfar Saba

 101,801

 8

Kafr Qara

 19,691

 5

Kfar Tavor

 4,425

 8

Mevaseret Zion

 24,943

 8

Maghar

 23,624

 3

Modi'in-Maccabim-Re'ut

 97,097

 9

Modi'in Illit

 80,996

 1

Mateh Asher

 30,846

 7

Mateh Binyamin

 73,497

 5

Ma'ale Adumim

 37,555

 6

Ma'alot Tarshiha

 22,315

 5

Mitzpe Ramon

 5,178

 3

Merhavim

 14,605

 6

Neve Midbar

 13,309

 1

Naḥal Sorek

 10,189

 5

Netivot

 42,039

 3

Netanya

 224,066

 6

Sajur

 4,425

 4

Acre

 49,614

 4

Emek HaYarden

 14,390

 7

Emek Hefer

 42,880

 8

Jezreel Valley

 40,146

 8

Afula

 59,075

 5

Arad

 27,582

 3

Petah Tikva

 252,270

 7

Kiryat Ata

 60,102

 6

Kiryat Bialik

 43,267

 6

Kiryat Gat

 60,582

 4

Kiryat Malakhi

 25,022

 4

Karnei Shomron

 9,663

 6

Rosh HaAyin

 71,651

 7

Rishon LeZion

 257,128

 7

Ramla

 77,798

 5

Ramat Gan

 169,706

 8

Ra'anana

 78,562

 8

Sderot

 30,553

 5

Sha'ar HaNegev

 9,071

 7

Shafir

 12,853

 5

Tel Aviv-Jaffa

 467,875

 8

Total

 5,655,244