SyrianSyrian Arab Arab Republic Republic Snapshot Sanpshot on on WoS WoS Health Health Resources Resources and and Services Service Availability Monitoring System (HeRAMS) 2021December Q1 : Jan-Mar 2018

Functional Hospitals¹ Hospital Beds (Including ICU) 250,000 Population/District Beds/10,000 Population/District

Al-HasakehAl-Hasakeh Al-HasakehAl-Hasakeh Aleppo LattakiaLattakia Aleppo LattakiaLattakia Aleppo Ar-RaqqaAr- Ar-RaqqaAr-Raqqa IdlebIdleb Idleb Idleb Idleb

TartousTartous Tartous Tartous Hama Hama Deir-ez-ZorDeir-ez-Zor Hama Deir-ez-ZorDeir-ez-Zor

HomsHoms HomsHoms

DamascusDamascus DamascusDamascus

QuneitraQuneitra RuralRural DamascusDamascus Hospitals QuneitraQuneitra RuralRural DamascusDamascus # OfOf Hospital Hospital Beds, Beds, Including Including ICU ICU (15,403 Beds)* (15,403 Beds)* More Than 2.0 10.0 and Above 1.00 - 2.00 5.0 - 9.9 0.01 - 0.99 0.1 - 4.9 As-SweidaAs-Sweida As-Sweida 0.1 - 4.9 Dar'a Dar'a As-Sweida Dar'a 0.00 Dar'a 0.0

IASC² standards : 1 hospital per 250,000 population Although current SPHERE³ Standards call for 18 hospital beds per 10,000 population, given the very low number of beds in , the health sector continues to use the 2010 IASC² standard of 10 hospital beds per 10,000 population in order to illustrate meaningful differences in service availability across Syria.

Number of Hospitals providing Number of Hospitals Providing Number of Health Facilities with a CEmONC⁴ Services/ 500,000 Population Surgeries/Trauma services / 250,000 Population FullyFunctional Blood Bank Services

Idleb 5.4 As-Sweida 2.6 Idleb 29 Quneitra 4.8 Idleb 2.5 Aleppo 23 As-Sweida 3.9 Quneitra 2.4 12 2.9 1.9 Dar'a Damascus 9 2.7 1.9 Rural Damascus Tartous Tartous 7 Lattakia 2.1 Lattakia 1.4 Lattakia 2.0 Homs 1.4 Tartous 7 Aleppo 2.0 Aleppo 1.2 Hama 5 Ar-Raqqa 1.4 Ar-Raqqa 1.1 Homs 5 Hama 1.3 Dar'a 1.0 Al-Hasakeh 4 0.8 Rural Damascus 1.3 Hama As-Sweida 4 1.3 Rural Damascus 0.7 Al-Hasakeh Dar'a 3 Deir-ez-Zor 0.7 Deir-ez-Zor 0.7 3 Damascus 0.5 Al-Hasakeh 0.4 Deir-ez-Zor Ar-Raqqa 1 Syria 2.2 Syria = 91/200 hospitals Syria 1.4 Syria= 113/200 Hospitals Quneitra 1 Syria = 113* 8% increase in hospitals providing 3% increase in hospitals providing 18% inccrease in health facilities providing CEmONC⁴ Services between Q1 2020 and Q1 2021 Surgeries/Trauma services between Q1 2020 Blood Bank Services between Q1 2020 and Q1 2021 IASC² Standards : 1 hospital providing CEmONC⁴ services per 500,000 population and Q1 2021 * Blood banks can be either within hospitals or standalone facilities 1: includes fully and partially functional facilities Data sources: WHO Whole of Syria HeRAMS database; OCHA Regional Office for the Syria Crisis population data Date of production: 16 July 2021 For inquires please contact Khalid El Taher [email protected] 2: Inter-Agency Standing Committee Nasr Mohammed [email protected] Page 2/21/4 3: The Sphere Handbook, 2018 Edition 4: Comprehensive Emergency Obstetric and Newborn Care services Hamza Geshouqa [email protected] SyrianSyrian Arab Arab Republic Republic Snapshot Sanpshot on on WoS WoS Health Health Resources Resources and and Services Service Availability Monitoring System (HeRAMS) 2021December Q1 : Jan-Mar 2018

Functional PHCHospitals Facilities¹ ¹ EPIHospital² Services Beds (Including ICU) 250,00010,000 Population/Sub-District Population/District Facilites/25,000Beds/10,000 Population/District Population/ Sub-District

Al-HasakehAl-Hasakeh Al-HasakehAl-Hasakeh Aleppo Aleppo LattakiaLattakia Aleppo LattakiaLattakia Aleppo Ar-RaqqaAr-Raqqa Ar-RaqqaAr-Raqqa IdlebIdleb Idleb Idleb Idleb

TartousTartous Tartous Hama Tartous Hama Hama Deir-ez-ZorDeir-ez-Zor Hama Deir-ez-ZorDeir-ez-Zor

HomsHoms HomsHoms

DamascusDamascus DamascusDamascus

QuneitraQuneitra RuralRural DamascusDamascus PHCsHospitals QuneitraQuneitra RuralRural DamascusDamascus #EPI Of HospitalCenters* Beds, Including ICU (15,403 Beds)* More Than 2.02.0 10 and More 10.0 and Above 1.00 - 1.99 5.0 - 9.9 1.00 - 2.00 0.01 - 0.99 0.15.0 -- 4.99.9 0.010.00 - 0.99 0.0 As-SweidaAs-Sweida As-Sweida 0.1 - 4.9 Dar'a Dar'a As-Sweida Dar'a 0.00No Data Dar'a No Data 0.0 No Population No Population IASC³ standards : 1 functional primary health facility per 10,000 population *1,127 EPI centers in Syria in Q1 2021. EPI centers may be embedded within PHCs or standalone IASC² Standards : 10 hospital beds per 10,000 population

Health Staff** /10,000 Population HOSPITALS PHC Specialized Centres 80

70 4 4 60 Number of Facilities 4 200 1,786 162 50 1 3,932 Midwife 45 2% 3% 40 55 19% 34 23 2 Fully Functioning 25% 30 Partially Functioning 22% IASC³ 4 3 30,376 Nurses 18 64% Standards: 2 Non-Functioning 60% 55% 20 17 19% 20% health staff > 22 21 3 15 11% 1 1 10 24 1 1 1 1 21 19 14 5 17,958 Doctors* Not Reported 12 17 10 8 8 8 8 7 10 7 9 0 2 2 4 4 3 2 6% 1% 5% 9% 5% r s s s a a a a a h b o ' a o u u u q e d p i t r m s l i Not Damaged c c i a r p r

- Z 17%

o 12% e a m t o e a k e a q z I d e D y l H H n w 23% a r a � k i - e a s - R A u S T r L r Partially Damaged - S i a m s a m s s Q - H A e l D A D D A

a l Fully Damaged # of Health Health # of Staff *General Practitioners, Specialists, Emergency Physicians, Residents Doctors, and Dentist Doctors r 77%

u 71% 74% * * In all types of functional health facilities R

1: Includes fully and partially functional facilities Data sources: WHO Whole of Syria HeRAMS database; OCHA Regional Office for the Syria Crisis population data Date of production: 16 July 2021 For inquires please contact Khalid El Taher [email protected] 2: Expanded Program on Immunization Nasr Mohammed [email protected] Page 2/22/4 3: Inter-Agency Standing Committee Hamza Geshouqa [email protected] SyrianSyrian Arab Arab Republic Republic Snapshot Sanpshot on on WoS WoS Health Health Resources Resources and and Services Service Availability Monitoring System (HeRAMS) 2021December Q1 : Jan-Mar 2018

FunctionalAntenatal Care Hospitals (ANC)¹ Services Non-CommunicableHospital Beds (Including Diseases ICU) (NCD) Services 250,000Facilities/10,000 Population/District Population/Sub-District Facilities/10,000 Beds/10,000 Population/Sub-District Population/District

Al-HasakehAl-Hasakeh Al-HasakehAl-Hasakeh Aleppo Aleppo LattakiaLattakia Aleppo LattakiaLattakia Aleppo Ar-RaqqaAr-Raqqa Ar-RaqqaAr-Raqqa IdlebIdleb Idleb Idleb Idleb

TartousTartous Tartous Hama Tartous Hama Hama Deir-ez-ZorDeir-ez-Zor Hama Deir-ez-ZorDeir-ez-Zor

HomsHoms HomsHoms

DamascusDamascus DamascusDamascus

QuneitraQuneitra RuralRural DamascusDamascus FacilitiesHospitals providing ANC services* QuneitraQuneitra RuralRural DamascusDamascus #Facilities Of Hospital providing Beds, Including NCD ICUservices** (15,403 Beds)* More thanThan 2.0 2.0 10.0More and than Above 5.0 1.001.0 - -2.0 2.00 1.1 - 5.0 5.0 - 9.9 0.1 - 0.9 0.1 - 1.0 0.01 - 0.99 As-SweidaAs-Sweida 0.0 As-Sweida 0.10.0 - 4.9 Dar'a Dar'a As-Sweida Dar'a 0.00No Data Dar'a 0.0No Data No Population No Population * 1,284 of 1,609 partially and fully functional health facilities (80%) offer ANC services. ** 1,258 of 1,609 partially and fully functional health facilities (78%) offer NCD services. IASC² Standards : 10 hospital beds per 10,000 population

Number of Health Facilities providing Number of Health Facilities providing Number of Health Facilities Providing Renal Dialysis Cancer Diagnosis/Treatment Tuberculosis (TB) Diagnosis/Treatment Services/ 100,000 Population Idleb 10 Damascus 6 Tartous 10.8 Rural Damascus 8 Tartous 3 Lattakia 8.3 Aleppo 7 Aleppo 2 Rural Damascus 2.9 Hama 2.8 Damascus 6 Hama 2 Idleb 1.2 Homs Homs 6 2 Damascus 0.9 Lattakia 6 Rural Damascus 2 Aleppo 0.7 Dar'a 5 As-Sweida 1 Homs 0.6 Hama 5 Idleb 1 Ar-Raqqa 0.4 Tartous 5 Lattakia 1 Deir-ez-Zor 0.4 As-Sweida 4 Al-Hasakeh 0 Dar'a 0.2 Syria = 69 * Syria = 20** Al-Hasakeh 0.2 Syria = 424*** Ar-Raqqa 3 Ar-Raqqa 0 As-Sweida No data Al-Hasakeh 2 5% increase in health facilities Deir-ez-Zor 0 33% decrease in health facilities 2% decrease in health facilities Quneitra No data Deir-ez-Zor providing Renal Dialysis between Dar'a providing Cancer Diagnosis/ providing TB Diagnosis/Treatment 1 Q1 2020 and Q1 2021 No data Treatment between Q1 2020 and Q1 2021 Services between Q1 2020 and Q1 2021 Quneitra 1 Quneitra No data Syria 2

* 69 of 1,609 partially and fully functional * * 20 of 1,609 partially and fully functional health *** 424 of 1,609 partially and fully functional health health facilities (4%) offer Renal Dialysis services facilities (1%) offer cancer diagnosis/treatment facilities (26%) offer TB diagnosis/treatment Services

Data sources: WHO Whole of Syria HeRAMS database; OCHA Regional Office for the Syria Crisis population data Date of production: 16 July 2021 For inquires please contact Khalid El Taher [email protected] Page 2/23/4 Nasr Mohammed [email protected] Hamza Geshouqa [email protected] SyrianSyrian Arab Arab Republic Republic Snapshot Sanpshot on on WoS WoS Health Health Resources Resources and and Services Service AvailabilityAvailability MonitoringMonitoring SystemSystem (HeRAMS)(HeRAMS) 2021December Q1 : Jan-Mar 2018

FunctionalMental Health Hospitals Services¹ PhysicalHospital Beds Rehabilitiation (Including ICU) Services 250,000Facilities/10,000 Population/District Population/Sub-District Facilities/10,000Beds/10,000 Population/District Population/Sub-District

Al-HasakehAl-Hasakeh Al-HasakehAl-Hasakeh Aleppo Aleppo LattakiaLattakia Aleppo LattakiaLattakia Aleppo Ar-RaqqaAr-Raqqa Ar-RaqqaAr-Raqqa IdlebIdleb Idleb Idleb Idleb

TartousTartous Tartous Hama Tartous Hama Hama Deir-ez-ZorDeir-ez-Zor Hama Deir-ez-ZorDeir-ez-Zor

HomsHoms HomsHoms

DamascusDamascus DamascusDamascus

QuneitraQuneitra RuralRural DamascusDamascus FacilitiesHospitals providing Mental Health services* QuneitraQuneitra RuralRural DamascusDamascus #Facilities Of Hospital providing Beds, Including Physical ICU Rehabilitation services** (15,403 Beds)* More thanThan 5.0 2.0 0.5 - 1.0 10.0 and Above 1.1 - 5.0 1.00 - 2.00 0.1 - 0.49 5.0 - 9.9 0.1 - 1.0 0.0 0.00.01 - 0.99 As-SweidaAs-Sweida As-Sweida 0.1No -Data 4.9 Dar'a Dar'a As-Sweida Dar'a No0.00 Data Dar'a No Population 0.0 No Population * 657 of 1,609 partially and fully functional health facilities ( 41%) offer Mental Health services ** 77 of 1,609 partially and fully functional health facilities (5%) offer Physical Rehabilitiation Services IASC² Standards : 10 hospital beds per 10,000 population

Health Facilities Functionality and Level of Damage Trends over Q1,Q2, Q3, Q4 2020 and Q1 2021 # OF # OF # OF HOSPITALS FACILITIES PHC FACILITIES SPECIALIZED CENTRES FACILITIES

(2020) Q1 50% 19% 28% 3% (205) Q1 51% 20% 28% 1% (1,817) Q1 59% 9% 28% 4% (164)

Q2 58% 17% 22% 3% (199) Q2 52% 19% 28% 1% (1,811) Q2 61% 11% 24% 4% (162) Functionality Q3 57% 18% 22% 3% (200) Q3 52% 20% 27% 1% (1,800) Q3 63% 10% 24% 3% (162)

Q4 59% 19% 19% 3% (191) Q4 54% 20% 26% (1,778) Q4 63% 10% 22% 3% (162)

(2021) Q1 60% 19% 19% 2% (200) Q1 54% 20% 26% (1,786) Q1 63% 10% 24% 3% (162) Fully Functioning Partially Functioning Non-Functioning Not Reported (2020) Q1 66% 24% 7% 3% Q1 72% 19% 6% 3% Q1 81% 13% 5% 1%

Q2 66% 25% 6% 3% Q2 74% 17% 6% 3% Q2 81% 13% 5% 1% Level of Damage Q3 70% 24% 6% Q3 77% 17% 5% 1% Q3 72% 13% 5% 10% Q4 69% 26% 6% Q4 74% 17% 6% 3% Q4 73% 12% 5% 9% (2021) Q1 71% 23% 6% Q1 77% 17% 5% 1% Q1 73% 12% 5% 9% Not Damaged Partially Damaged Fully Damaged Not Reported

Data sources: WHO Whole of Syria HeRAMS database; OCHA Regional Office for the Syria Crisis population data Date of production: 16 July 2021 For inquires please contact Khalid El Taher [email protected] Page 2/24/4 Nasr Mohammed [email protected] Hamza Geshouqa [email protected]