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Health Sector Bulletin HEALTH SECTOR BULLETIN June 2019 Syrian Arab Republic Emergency type: complex emergency Reporting period: 01.06.2019 to 30.06.2019 13.2 9.5.2 1.16 MILLION 6.1 MILLION 3 MILLION 2.2 MILLION MILLION MILLION in need of internally with children women of in HTR health displaced disabilities (under 5) reproductive locations assistance age HIGHLIGHTS HEALTH SECTOR 812,648 Number of medical procedures We see you 659,476 Number of treatment courses We stand with you 65,601 Number of trauma cases supported You are not forgotten You are #NotATarget 2,054 Number of deliveries attended by skilled attendant #TheWorldIsWatching 3,042 Number of physical rehab sessions In 2019 (up to 25 June), there have been 35 confirmed 9,247 Number of mental health consultations attacks on health care across Syria, resulting in 31 health 38.1 % of treatment courses provided to workers killed and 55 health workers and patients severity scale > 3 injured. 38.9 of medical procedures supported to Extensive follow up priority issues for health sector severity scale > 3 (see below) 1,940 Number of referred cases Number of reporting organizations into 11 North-east Syria remains one of the most complex 4W operating environments in Syria. Number of implementing sector partners 38 on the ground A total of 2 vaccination teams, 12 medical points, 5 ambulances, 3 field hospitals and 18 mobile medical 95 Districts are reached by health sector teams, 2 specialized leishmaniosis teams, 3 normal partners delivery clinics and a stabilization center for the 82 Reached sub-districts complicated malnutrition cases are engaged in the 32 Reached sub-districts in severity scale response in Al Hol camp. above 3 449 Required (US$ m), WoS 38.3 Funded (US$ m), WoS 8.5 Coverage (%) HEALTH SECTOR BULLETIN June 2019 In the memory of Dr Jeya Kulasingam Health sector Syria hub extends its deep condolences to the family of Doctor Jeya Kulasingam, who had worked for three years (2013-2016) as a Health Delegate of the International Federation of Red Cross and Red Crescent in Syria. Dr Jeya passed away at home in Malaysia on 22 June 2019. He will be greatly missed by all of us. SITUATION OVERVIEW The security situation within the country remains volatile and unstable. The main hot spots remain Al-Hassakeh, Deir-er-Zoir, Hama, Aleppo, Lattakia and Idlib governorates. North-west Syria: In 2019 (up to 25 June), there have been 35 confirmed attacks on health care across Syria, resulting in 31 health workers killed and 55 health workers and patients injured. A total of 27 health facilities were impacted by these attacks. On 6 June Al-Mahabah private hospital in north-west Hama was reportedly targeted by indirect rockets three times. A flash update was prepared. Statement by Panos Moumtzis, Regional Humanitarian Coordinator for the Syria Crisis on Civilians and Humanitarian Workers Being Killed and Ongoing Suffering, Gaziantep, 21 June 2019 Syria: Humanitarian leaders, standing with civilians under fire in Idlib, send a message that ‘The World Is Watching’ (New York/Geneva 27 June 2019) – Eleven chiefs of global humanitarian organizations today spearhead the launch of a worldwide campaign in solidarity with civilians under fire in north-western Syria. We see you We stand with you You are not forgotten You are #NotATarget #TheWorldIsWatching Hostilities intensify despite the ceasefire announced on 12 June. The humanitarian situation continues to deteriorate within or in the vicinity of the de-militarized buffer zone (DMZ) particularly in southeastern Idleb and north-western Hama Governorates with airstrikes reaching the outskirts of Idleb city. The majority of affected communities are situated along the International Hama-Aleppo and Lattakia-Aleppo Highways (M4 and M5). Population movements in NSAGs controlled-areas: According to various sources on the ground, between 2 February and 17 June an estimated 493,913 individuals (75,987 HHs), the majority originally from western Aleppo, north and north-western rural Hama and south-eastern rural Idleb, were displaced. Most headed towards multiple locations in Idleb governorate mainly in areas located near the Turkish border in northern Idleb – including Harim collective camps and neighboring towns and villages. And more than half in Dana PAGE 2 HEALTH SECTOR BULLETIN June 2019 sub-district. Many IDPs are still out in the open due to overcrowded shelters and camps. Temporary population movements are reported in GoS controlled-areas as well. Afrin IDPs: The latest IDP figures by SARC - as of 28 May 2019, a total of 38,192 families (approximately 186,000 people) are registered for assistance. The total number of individuals is estimated based on five-member family size, except for Sheikh Maqsoud neighborhood in Aleppo City. The number of families in five IDP camps (Ziyara, Shahba, Tal Qrah, Afrin, and Fafin) have increased by five percent, from 1,655 families as per the February 2019 figures to 1,743 families reported in May 2019. The 2018 Humanitarian Response Plan Year-End Report highlighting the collective achievements of humanitarian partners was released. The report is available online http://bit.ly/2MSkuN2. The first Syria Humanitarian Response Monitoring product for Q1 2019 was published. The report can be accessed http://bit.ly/2IkYnZQ . The Syria humanitarian response monitoring will now be published quarterly – for a more in-depth analysis and to account for the data from all hubs by the sectors. Hub-level response data will continue to be published on a monthly basis: http://bit.ly/2wCpNow for Syria hub and http://bit.ly/2WgFWiO for Turkey hub. South-west Syria: Growing instability in the southern governorates as tensions appear to mount. Areas under reconciliation agreements in Dara’a governorate have witnessed increased tensions since the beginning of May due mostly to frustrations over delays in fully implementing local agreements; an arrest campaign against former NSAGs leaders and the establishment of additional GoS checkpoints. Syria population data (end of April 2019, source: OCHA) Final Est of Self-Organized Final Est of Res Final Est of total Spontaneous-IDP- Refugee Returns to Final Est of IDPs Governorate pop Pop Returnees Syria during the (April 2019) (April 2019) (April 2019)** (Jan-Apr 2019) calendar year*. Aleppo 2,832,452 26,982 969,681 3,829,115 Al-Hassakeh 735,976 4,267 277,619 1,017,862 Ar-Raqqa 617,907 3,366 139,285 760,558 As-Sweida 301,165 1,081 70,961 373,207 Damascus 1,223,074 20 615,214 1,838,308 Dar'a 848,567 50,935 72,939 972,441 Deir-ez-Zor 515,828 22,755 187,949 726,532 Hama 1,199,731 3,694 235,893 1,439,318 Homs 1,116,807 5,760 312,101 1,434,668 Idleb 1,357,080 4,825 1,216,287 2,578,192 Lattakia 724,478 - 451,327 1,175,805 Quneitra 91,860 7,555 4,829 104,244 Rural Damascus 2,041,544 4,290 1,172,182 3,218,016 Tartous 712,225 - 178,964 891,189 Grand Total 14,318,694 135,530 29,993 5,905,231 20,389,448 North-east Syria As of 20 June, Al Hol camp population stands at 73,043 individuals. Response efforts to address the situation in Al Hol remain significant with 35 partners implementing a range of activities and services in the camp. No additional returns of Syrian IDPs have taken place to areas of origin since 3 June. PAGE 3 HEALTH SECTOR BULLETIN June 2019 PUBLIC HEALTH RISKS, PRIORITIES, NEEDS AND GAPS: Situation in the north-west Syria Out of 157 public health facilities, located in NSAG controlled areas (including military operations areas) of northern Hama and Idleb. 20% (32) HFs are located in Aleppo, 7% (11) in Hama, an 73% (114) in Idleb. 3% (4) are hospitals (all are non-functioning but three are operating through cross border partner support), and 97% (153) are PHCs. 97% (153) are located in NSAG controlled areas, while 3% (4) are located in GoS controlled area. 25% (40) partially functioning, 74% (116) non-functioning (completely out of service), while the functionality status of 1% (1) of HFs is unknown. 61% (96) were reported accessible, 21% (33) hard-to-access, and 16% (25) were inaccessible, while the accessibility status of 2% (3) HFs was unknown. 17% (26) were reported fully damaged, 39% (61) partially damaged], 29% (45) were reported intact, while the building’s condition of 16% (25) health centres were unknown. Availability of HR: (26) practitioner, (27) specialists doctors, (0) emergency physician, (4) residents doctors, (16) dentist doctors, (327) nurses, (90) midwives. North-east Syria remains one of the most complex operating environments in Syria due to a combination of ongoing hostilities, weather-related hazards and population movements. Currently, 1.65 million people are in need of humanitarian assistance in NES – 14 percent of the overall total. As of April 2019, NES is hosting 604,853 IDPs, including 133,675 in 57 camps, collective shelters, and last resort sites. Field fires across NES: Health sector partners report that due to fire accidents and fire breaks across NES, there is an increase of patients in need of burn care. The capacity of Hassakeh national hospital is proposed to be further enhanced. Currently many patients undergo medical treatment in Tal Abiyad hospital. It is estimated that 1-2% of the agricultural planted lands have been destroyed by the fires. The food security sector is currently carrying out its CFSAM assessment which may help capturing the impact of these events. Northern rural Aleppo: Serdam camp, one of the five camps hosting IDPs from Afrin district since mid-2018. About 3,500 people (735 families) currently live in the camp.
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