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 SPHERE³ Standards : 18 hospital beds per 10,000 population

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 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.IASC EPI² Standards centers may : 10 be hospital embedded beds within per 10,000 PHCs population or standalone

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 functionalIASC² Standards health : facilities10 hospital (78%) beds offer per 10,000NCD services. 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 functionalIASC² Standards health facilities : 10 hospital (5%) bedsoffer perPhysical 10,000 Rehabilitiation population Services

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]