Annual Report ٢٠١٧ 2017 Annual Report • www.uossm.org Union of Medical Care and Relief Organizations (UOSSM) is a union of humanitarian medical or- ganizations, non-governmental, non-political, registered in the United States, Canada, the Unit- ed Kingdom, France, Germany, the Netherlands, Switzerland and Turkey. Member organizations mobilize and coordinate their resources for joint projects with a mission to provide medical aid. UOSSM is a neutral and independent humanitarian organization established for victims affected by crises, working within the framework of a unified strategic union association to increase the effectiveness of the humanitarian response in crisis areas. The Union of Medical Care and Relief Organizations (UOSSM) was established in Paris in Janu- ary 2012 in response to the Syrian humanitarian crisis, by eight Syrian doctors from around the world, and has become one of the largest providers of medical relief services in Syria, UOSSM is local and international and provides humanitarian relief and medical care to all victims of crises, regardless of their nationality, race, religion, or political affiliation. Cover photo: Doctor “Naji Al-Ahmad” is examining an infant in a pediatric clinic within the complex of Al-Rihaniyah clinics - Turkey 2 2017 Annual Report • www.uossm.org Convoys of displaced persons from the city of Aleppo, the moment of arrival at the point zero in Al-Rashedin-Western Aleppo countryside Overview of Humanitarian Situation in Syria 2017 The human impact of the Syrian cri- exposing them to protection risks, meet basic needs. sis remains deep and far-reaching, including child labor, and early mar- The humanitarian impact of the Syrian where the population is exposed to riage. crisis continues to spread throughout significant risks in the protection do- In 2017, Syrians continued to bear the the country and the region. The crisis main. burden of the conflict in the absence has left millions of people facing a 13.1 million people are in need of of a political solution. Continuing vio- daily struggle for survival amid wide- humanitarian assistance. lence contributed to the world’s larg- spread threats to their lives, safety In the past seven years, hundreds of est displacement crisis, and like the and dignity. These people are stuck thousands have been killed or injured previous year, about 1.8 million pop- in a protection crisis where various in Syria. At least 5.2 million people ulation displacements occurred in the forms of violence permeate daily life, have sought refuge in neighboring first nine months of the year alone. particularly affecting women and chil- countries, 6.1 million are displaced Most of the 5.5 million Syrian refu- dren, while protracted conflict and within Syria, and 13.1 million are still gees worldwide remain in neighboring large-scale displacement continue to in need of humanitarian assistance, countries. Of the limited number that disrupt Syria’s social and economic including 5.6 million facing dire sit- returned, they were faced with con- structure, which compounded imme- uations. It has become increasingly ditions and little or no opportunity for diate suffering and jeopardized Syr- difficult for Syrians to adapt and cope sustainability. In contrast, prolonged ia’s long-term future under extreme pressure due to very stay and intensive displacement, has limited opportunities to earn income made access to services and liveli- and a livelihood. This is leading to an hood opportunities extremely rare. increasing number of Syrians resort- Thus, people’s ability to cope is weak- ing to harmful coping mechanisms, ened and deeply limit their ability to 3 2017 Annual Report • www.uossm.org 2017 in Numbers 12,960 6,542 18Primary Healthcare Centers CT- Scan Services Trainees Completed Training Courses Provided Services to 422 Patients 22,080 Male Trainees 13Mobile Clinics Laboratory Analysis 66% Provided Services to Female Trainees 34% 125,113 Patients Ambulance21 Cars 1,040 2,141 Total Training Days Normal Deliveries 52,800 Patients have been Served Certificates Gained ISO 26000 258,037 175,763 Patients Treated in People Benefited ISO 9001:2015 Bab Al-Hawa Hospital from Nutrition Services $24,404,048 14,437 5,583 Cash Expenses Total Specialized and Malnutrition Cases Emergency Surgical Operations 92 4,558 189,501 Cents of Each Dollar Renal Dialysis Community Health Received Directly Services by Beneficiaries 1,605 16,722 22,955 People Recieved Total Employees Number Blood Bank Services MHPSS Services Located Inside Syria 31,034 75,564 90% Radiographic People Supported and Echographic Films by Protection Services 63% Medical Staff 4 2017 Annual Report • www.uossm.org Content Mental Health and Primary Health ٦ Care ١٣ Nutrition ١٨ Facilities Hospitals ٢٢ Protection ٢٦ Training ٣٧ Survey Renewable Secondary and Tertiary Energy 49 Health Care 4٢ ٥١ Supply Administrative Summary Advocacy Quality 5 ٥4 ٥٧ ٦٢ 2017 Annual Report • www.uossm.org Primary Health Care Little girl (Inas) receives an ECO test at Deir Hassan Health Center - Idlib country side 6 2017 Annual Report • www.uossm.org Syrian civilian’s access to health services has severely deteriorated over the past seven years. More than half of the primary health care centers in Syria have been closed or are only partially functioning. Nearly two-thirds of health care workers have fled the country. Many health care facilities still operate but lack clean water, electricity and supplies. The World Health Organization (WHO) reports that local health networks and referral networks suffer from fragmentation, which complicate the patient’s pathway to seeking services. Due to restrictions on access to medicines and life-saving care, those with life-threatening chronic diseases, such as diabetes, kidney failure, asthma, epilepsy, cancer and cardi- ovascular ailments, are at higher risk of complications or death. First: Primary Health Care Facilities In 2017, UOSSM supported 18 primary health care centers and 13 mobile clinics. Some of these facilities/clinics were temporarily or permanently suspend- ed for various reasons throughout the year. Primary Health 18 Care Centers Mobile Clinic A the mother of two children receives prescription after tests in the mobile clinic of Jisr Primary 13 Al-Shughour – Idlib country side The Pains of War for a Two Year Old Health Hanan has already been through so much at the tender age of 2...she has felt the pains of war since she was born. She knows what it feels like to travel for a whole month just to find a Care safe shelter to live...the struggle is real, and her pain is real. Her tiny body was neglected as she was forced to endure the kind of suffering no child should ever have to experience. UOSSM’s Community Services team visited and examined Hanan which showed that the sweet baby was suffering from ex- treme malnutrition. She was immediately admitted to UOSSM’s Primary Health Care Center in Jisr Al-Shaghoor. Hanan weighed only 8 kilograms and was only 79 cen- timeters tall. The young toddler was provided with medications, nutrition- al supplements and iron. Hanan also needed to continuously follow up with the doctor once a week. Hanan has been under UOSSM’s care and has gained some weight. Her level of mal- nutrition has decreased. The MUAC bracelet level has moved from red to Little girl Hanan Al-Sayer before receiving nutrition services at the Jisr Al-Shughour clinic– yellow and she is getting stronger by Idlib country side the day. 7 2017 Annual Report • www.uossm.org February July September October November December June August March March May April January Jisr Al-Shoghour Al-Soura Al-Smerieh Hamer Qurania Ariha Al-Zaafaraneh Afrin Meshmashan x Manbj Afes Deir Hassan x Barra Adwan x Nimer Rihaniyah x MC5 MC1 MC6 MC2 x MC7 MC4 MC12 MC3 x MC13 MC11 x Center suspended The center is under construction Mobile clinic Primary health care centers A child with bronchitis is waiting to be treated at the mobile clinic in Sinjar – Idlib country side 8 2017 Annual Report • www.uossm.org Primary health care facilities are de- signed to meet Essential Health Ser- Population Type of Primary Population vices Package (EHSP) standards coverage Health Care Service coverage that were developed and approved 500 10.000 Mobile Primary Health Care Clinic 1 by organizations working in Syria and sponsored by the World Health 10.000 30.000 Primary health care center for pre-hospital patients 3 Organization. UOSSM intervenes in primary health care services through A comprehensive primary health care center supplied 30.000 50.000 with basic obstetrics and neonatal care 4 first, third, and fourth type primary health care facilities. Turkey اﻟﺤﺴﻜﺔ Arn Rana Deir Hassan arra Ar Raqqah urana esmasan Aes Jisr Al-Shoghour Ara Aleppo le دﻳﺮ اﻟﺰور ataa Al-Smerieh ama Tartus Alaaarane oms amasus Primary health Mobile clinic mer care centers Awan araa amer اﻟﺴﻮﻳﺪاءAl-Soura Buser al Harir Mobile Primary health 13 Clinic 18 care centers 1 1 3 8 1 6 1 3 7 Daraa Homs Aleppo Idleb Turkey Daraa Homs Aleppo Idleb Number of medical services Number of health services provided provided 125,113 964,662 9 2017 Annual Report • www.uossm.org Second: Services Provided at 13% of the population’s Training of all health workers in pri- mary care medical protocols that have Primary Health Care Facilities health needs have been cov- ered in the following areas. been mentioned, where 1,329 train- Primary health care facilities provide (Idlib, Daraa, Northern Homs coun- ees were trained in 2017 as follows: an integrated package of services de- tryside, Latakia countryside, South- pending on the health needs and the ern Aleppo countryside) health gaps on the ground including: Third: Capacity Building Reproductive Health There is a major lack of trained and Child Health qualified medical staff in Syria due to Oral and Dental Health the conflict.