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World Health Organization Syrian Arab Republic Donor Update 2016 (Q3) World Health Organization Syrian Arab Republic Donor Update, 2016 (Q3) Contents 8 Foreword 12 Overview 18 WHO’s Response Technical leadership and coordination Trauma care Primary health care including vaccination Contact Details Secondary health care WHO Country Office (Damascus, Syrian Arab Republic) Elizabeth Hoff, WHO Representative Mental health [email protected] Disease surveillance WHO Country Office (Damascus, Syrian Arab Republic) Health information system Noha Alarabi, Donor and Reporting Officer [email protected] Partnerships with NGOs WHO Headquarters (Geneva, Switzerland) Nutrition Cintia Diaz-Herrera, Team Leader, Resource Mobilization for Appeals Emergency Risk Management and Humanitarian Response WASH [email protected] 26 Capacity building Cover photo credit: WHO/Mohammed Badra 30 Financial overview for Q3, 2016 Printed in the Syrian Arab Republic 31 Humanitarian Response Plan for 2017 © World Health Organization 2016. All rights reserved. 32 WHO web stories and media updates Photo credit: Ashweh WHO/Khalil “AT LEAST TWICE A WEEK FOR THE PAST FEW MONTHS, WE HAVE HAD TO CONDEMN ATTACKS ON HOSPITALS AND CLINICS IN SEVERAL COUNTRIES OF THE REGION” - DR ALA ALWAN, WHO REGIONAL DIRECTOR FOR THE EASTERN MEDITERRANEAN Foreword THE THIRD QUARTER (Q3) OF classified as besieged and three 2016 saw a dramatic escalation are classified as hard-to-reach. of military activities, especially Together, they are home to over 5 around Aleppo. The city has million people. Attempts to deliver become the most visible face of aid to these areas have been Syria’s suffering. As of the end of deliberately obstructed or delayed, September 2016, around and many medical and surgical 250 000 people were estimated supplies have been routinely to be trapped in the eastern part removed from aid convoys. of the city. East Aleppo has just Despite these challenges, and over 30 doctors. Almost 80% thanks to sustained funding from of its hospitals have either been its humanitarian donors, WHO destroyed or are functioning only has continued to implement the partially. Supplies of food, water, emergency health programmes medicine and fuel are dwindling set out in the Humanitarian rapidly. According to local health Response Plan for Syria for 2016. WHO IS CALLING FOR authorities, in the last week of This report describes the main September 2016 alone hundreds achievements of WHO’s country A PAUSE FOR MEDICAL of people in East Aleppo were office in Damascus and its hubs EVACUATIONS killed and more than one thousand in Gaziantep (Turkey) and Amman were injured. These numbers (Jordan) during the third quarter of WHICH ARE CRITICAL were reported from functioning 2016 TO MAKE SURE health facilities; the real figures are probably much higher. SERIOUSLY WOUNDED WHO has called for the HAVE THE RIGHT TO immediate and safe evacuation of the sick and wounded out of east OBTAIN HEALTH CARE Aleppo, and the safe passage of Elizabeth Hoff AND ALSO PEOPLE medicine and medical supplies WHO Representative to the WITH CHRONIC into the area. At the time of writing, Syrian Arab Republic WHO has been forced to abandon DISEASES NEEDING its meticulously negotiated plans Thirteen-year old Luma has suffered from kidney failure for more than two years. REGULAR CARE. to evacuate wounded and critically ill patients. WHO continues to As haemodialysis treatment was not available in her home town of Afrin, her work with the International Syria family brought her to the Al-Ihsen charity centre in northern Aleppo. With support Support Group (ISSG) to negotiate from WHO, Al-Ihsen is managing five health centres in Aleppo and surrounding a ceasefire that will be honoured by areas. all parties and allow it to implement its evacuation plans. Over half of Syria’s public hospitals and almost half of its public health care centres are either closed or are only partially functioning. Health needs throughout Syria remain acute. Photo credit: WHO/Aleksander Nordahl Photo credit: Eighteen locations in Syria are WHO/Bassam Khabieh Photo credit: 8 Donor Update Q3, 2016 World Health Organization - Syrian Arab Republic 9 Q3, 2016 Highlights In the third quarter of 2016, WHO: Delivered more than 73 tons of essential Facilitated the evacuation of 39 people from medicine, medical and laboratory equipment the besieged towns of Madaya, Foah, and and supplies and emergency kits to all eastern Ghouta, and from Homs. besieged locations across Syria. Just under half of these supplies were delivered through Vaccinated over 600 000 children under five cross-border operations to northern Syria. years of age in hard-to-reach and besieged locations. Delivered 1 468 632 treatments from within Syria, of which 38% went to people in Improved timely response to diseases besieged and hard-to-reach areas. surveillance from 72% in Q2 to 85% in Q3. Delivered 296 700 treatment courses through Assessed the status of functionality of all cross-border operations from WHO’s hub in public hospitals and health care centres in Gaziantep. Syria. Participated in 21 inter-agency convoys, and Screened more than 160 000 children under undertook nine cross-border missions to five years of age for malnutrition. hard-to-reach locations. Trained over 3800 health workers on Worked with the World Food Programme to health assessments, trauma care, the case organize airdrops of medical supplies to the management of specific diseases, mental besieged city of Deir-ez-Zor, as a result, health, nutrition and other topics. 22 800 medical treatments and 500 Photo credit: WHO/Bassam Khabieh Photo credit: treatments for trauma cases were delivered. 10 Donor Update Q3, 2016 Overview As of September 2016, according to WHO’s Health Resource Availability Mapping System (HeRAMS), over half of Syria’s public hospitals and half its public health care centres were either closed or functioning only partially. STATUS OF HEALTH CARE FACILITIES IN patients and their families in hard-to-reach evacuation and treatment that provide a into east Aleppo would require a sufficiently SYRIA and besieged locations. This includes framework for coordinated action by local long ceasefire window (at least 48 hours). It As of September 2016, according to WHO’s guaranteeing their safe return following health care providers, authorities and cross- also depends on the availability of sufficient Health Resource Availability Mapping System treatment. border partners. The framework sets out numbers of ambulances, drivers and health (HeRAMS), over half of Syria’s public hospitals WHO’s efforts have met with some success. the conditions and approvals that must be care staff to transport approximately 200 and around half of its public health care In August, following an urgent appeal by obtained to allow critically ill patients to be patients and their families out of east Aleppo. centres were either closed or only partially Staffan de Mistura, the United Nations evacuated or treated in situ: Lastly, in order to succeed, these operations functioning. WHO regularly assesses the Special Envoy for Syria, up to 36 people were require that all parties guarantee the safe status of health care facilities in the country, evacuated from the besieged towns of Foah 1. Approvals for east Aleppo health authorities, passage of patients out of east Aleppo and and continuously monitors the numbers of and Madaya. WHO was also involved in the ambulances and medical teams (with support the safe delivery of supplies into the area. people ill and injured, including those requiring evacuation of conjoined twins from eastern from the Syrian Arab Red Crescent (SARC) At the time of writing, the Organization is medical evacuation and/or specialist health Ghouta to Damascus, and the evacuation of to facilitate the safe transport of patients and still awaiting the removal of all obstacles that care. a severely burned three-year old boy from their families through government-controlled would allow it to implement these plans. Homs. areas to Idleb for medical care. ACCESS TO PEOPLE IN NEED In the last week of September 2016, well 2. Approval for SARC ambulances and medical REMOVAL OF MEDICAL ITEMS FROM INTER- Beyond its immediate objective of delivering over a thousand people in besieged East teams to evacuate patients and their families AGENCY CONVOYS life-saving medical supplies, WHO has Aleppo were reported to have been injured from east to west Aleppo. Government security forces continue to continued to advocate at the highest levels following the intensified shelling of the 3. Approval to dispatch medical teams to east remove life-saving treatments and medical of government for the lifting of the siege on city. Establishing humanitarian corridors to Aleppo to treat patients in situ. items from inter-agency convoys. In Q3 of all affected areas across Syria. WHO has evacuate the wounded and critically ill is 2016, national security forces removed large consistently advocated for the immediate imperative. Working with all partners, WHO The medical evacuation of patients and their quantities of medicine and medical supplies evacuation of wounded and critically ill has painstakingly negotiated plans for medical Aleksander Nordahl WHO/ Photo credit: families and the delivery of medical supplies from 18 of the 21 convoys transporting 12 Donor Update Q3, 2016 World Health Organization - Syrian Arab Republic 13 “It has been a long time since anyone came to visit me. I don’t know anything about my family”, said tearful Nadia. Sitting in Ibn Khaldoun
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