02 Monthly Report 7 February - 7 March 2020.Pdf (Английский (English))
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WHO Syria: SITUATION REPORT (7 February – 7 March 2020). I. General Development, Political and Security Situation ✓ The security situation in the AOO remains unstable and volatile, with the main hot spots remain in Al- Hasakah, Ar-Raqqah, Aleppo, Latakia, Daraa and Idlib governorates. ✓ During the reporting period, NSAGs advanced on two different axes in southern and eastern rural Idlib and managed to regain control over several towns in Saraqib front (eastern rural Idlib) and in Kafr Nobl front (southern rural Idlib). ✓ The UN on March 2nd conducted a one-day inter-agency mission in northwestern Syria to "better understand the humanitarian realities on the ground and to assess the feasibility of a sustained UN presence there." In a statement, Kevin Kennedy, the regional humanitarian coordinator for the Syria crisis, said “the need for humanitarian aid and protection is growing more desperately every day in northwestern Syria”. ✓ Syrian Arab army units entered Saraqeb on 02 March, an strategic city on Aleppo-Damascus international highway in Idleb governorate after expelling the Turkish r backed- armed groups from the area. II. Highlight of WHO key achievements for January 2020 • 50% % of public hospitals are either partially functioning or non-functioning as assessed by HeRAMS • 53% % of public health centres are either partially functioning or non-functioning as assessed by HeRAMS • 575,900 # of delivered treatment courses provided • 65 Total weight (tons) of regular deliveries across the country including IA convoy • 95% % of sentinel sites submitting weekly surveillance reports • 93,250 # of children under 5 screened • 13 # of national NGOs as implementing partners • 44,493 # of PHC outpatient consultations provided by WHO partners • 8 # of people with disabilities assisted by WHO partners Highlights of attacks on health care during January 2020 at WoS level • 2 Total Attacks • 0 Killed • 1 Injured • 2 Total Attacks • 0 Killed • 1 Injured 1 III. WHO Response Non-Communicable diseases & Primary health care: NCD program: ✓ Thalassemia sectoral meeting was held to discuss and agree on the way forward to alleviate burden of disease and to reduce its prevalence among the new generation, under the MOH slogan (Syria free of Thalassemia). Capacity building: ✓ Strengthened the capacity of medical staff on PHC & NCD topics including Tobacco cessation clinics, NCDs early detection, prevention and management approaches with a focus on WHO PEN protocols, data entry for diabetes registry, Essential Health Service Package including NES governorates, with a total of 200 trainees. 2 ✓ Oral health project is still ongoing in EG schools targeting students to ensure dental examination, prevention and treatment measures along with health promotion sessions for both students and teachers. So far, a total of 4689 students were reached with health promotion sessions, and 16,738 oral health services were provided including promotion, preventive and management interventions in addition to 82 teachers covered with health promotion activities. Trauma ✓ Conducted a meeting for the Physical Rehabilitation Working Group in Syria. The participants included MOH, SARC, UN agencies (UNFPA, UNHCR and UNDP) and NGOs (Dorcas, ICRC and MEDAIR) with operational update per group members and key priority actions coordinators . ✓ Trained 175 MOE staff and health workers on trauma and disability related topics in five governorates (Lattakia, Homs, Hama ,rural Damascus and Damascus). ✓ Prepared a concept note regarding the launching of a national integrated approach to improving access to assistive technology in Syria in collaboration with the regional office. It includes conducting a system capacity assessment (using the WHO global tool) to inform the development of a national action plan to improve access to assistive technology (guided by the regional action framework). Immunization ✓ The first national polio campaign in 2020 was conducted during the period 16-20/2/2020 targeting all U 5 children, the total target was 2,804,279 children. During the campaign MOH reached 2,632,605 children ( coverage rate 93,9%). Field workers reached most of the targeted children except for Idleb and Jarables due to the security situation there .The campaign was implemented through health centers and mobile teams. 4198 fixed officers were working in the health centers in addition to 4693 mobile teams working in the field in most of the governates .The independent monitoring was 76% conducted by finger markers and 89% by family recall . WHO covered the operational cost of the campaign including (transportation for vaccines delivery and incentives for field workers). ✓ Development of Comprehensive Multiyear plan where 4 experts from the regional office supported the finalization of the 2021-23 plan in coordination with EPI managers of all the 14 governorates in Syria and senior leading MOH officers. ✓ The country office was represented in the Seventh Inter-Country Meeting of WHO Polio Staff of the Eastern Mediterranean Region Amman, Jordan. 24 -27 February 2020. Discussions dealt with achievements, main concerns and challenges to the program and the way forward in the midst of an ongoing Polio virus circulation in the EMR. Proposed mitigating measures were put in place for children protection through strengthening surveillance and quality vaccination activities. Mental Health ✓ Continuing coordination with WHO GZT MH for medevac of 78 mental health patients to Ibn Khaldoun hospital with partners on the ground “ Ibn Khaldoun-SARC-OCHA”, with full support of WCO senior managers. ✓ Providing comprehensive, integrated and responsive mental health and social care services in community- based settings. ✓ Translating IASC MHPSS guideline “ Briefing Note on Addressing Mental Health and Psychosocial Aspects of COVID-19 Outbreak- Version 1.1” into Arabic, after obtaining the EMRO technical advisor approval , with IASC MHPSS RG permission. Arabic translation could be found in the link below: https://interagencystandingcommittee.org/iasc-reference-group-mental-health-and-psychosocial-support- emergency-settings/briefing-note-about ✓ Initiating a Task force on the level of MHPSS TWG. The outcome of coordination efforts will re-shape the preparedness plan over time to achieve best results at health facilities , community, schools and other social facilities. ✓ Integrating the MHPSS component in the developed UN staff safety plan. ✓ Conducting several workshops for MHPSS program as follows : mhGAP and mhGAP refresher workshops for MoH and NGOs doctors in different governorates, PFA and self-care strategies in emergency response areas 3 in Aleppo with GBV component. Also, supervisory sessions were organized on country level for trained health and community workers on different MHPSS programmes. ✓ MHPSS workers in 9 MMTs teams with 5 NGOs are engaged in NWS emergency area with further need for scaling up the provision of services according to the current escalation of violence and the newly gained areas by GoS, and Affrin response, and HTR areas in the eastern rural areas of Aleppo. ✓ Updating NES emergency response, promoting coordination with partners at Qamishli hub and with other health partners in the field who are providing MHPSS services, taking into consideration the updating of psychotropic medications and capacity building activities needs. ✓ MHPSS services were provided at different locations across NES and NWS, through many modalities: " static health facilities, mobile teams, family wellbeing centers, and caravans" providing mainly psychological first aid, basic counselling for newly IDPs and traumatized population and mhGAP consultations' in health facilities as well as raising awareness sessions. Nutrition and Child Health ✓ Holding an annual review meeting with directors on nutrition from all governorates to review the 2019 plan and follow up on the 2020 workplan. ✓ Holding an annual review meeting with directors on new borne care at home program with the participation of representatives from 6 governorates to review the 2019 plan and put 2020 plan . ✓ Data collection at 828 health centers of nutrition surveillance ( 9350 services ) , admissions of complicated severe acute malnutrition at 25 stabilization centers ( 95 admissions ) , new borne care at home program in 44 healthy villages ( 992 home visits ) , IMCI program in 202 health centers ( 2523 services ) , neonatal resuscitation program in 36 hospitals ( 3143 services ). ✓ Training UN and NGO’s health workers on how to implement the new borne care at Home program in AL Hol camp . Secondary Health Care ✓ Supporting Basma NGO with cancer medicines and medical equipment needed for the planned expanded unit for children cancer care, in addition to supporting MOHE as well. ✓ Supporting hospitals in Damascus, Lattakia, Aleppo, Homs, Hama, Tartous , Hassakeh ,Der Zour and Raqqa with basic medical equipment for ICU, operation theaters, dialysis units in addition to supplies needed for IPC interventions, as follows: ✓ Damascus: - Al Assad university hospital: 2 Patient Monitor. - 2 Monitor Battery for Draeger Anesthesia Machine to MOH central warehouse ( final lend user TBC). - Pediatric hospital: 4 neonate/infant ventilators. Aleppo: - Aleppo university hospital :1 infant ventilator for pediatric department, 200 vials of Albumin. Hassakeh: - CADUS hospital at Al Hol IDPs camp :1 patient monitor & 1 ventilator for adults/ children. - Qamishli national hospital : 5 sphygmomanometer devices, 1 otoscope, 20 Tourniquet for the self-