Situation Report: WHO Syria, Week 19-20, 2019
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WHO Syria: SITUATION REPORT Weeks 32 – 33 (2 – 15 August), 2019 I. General Development, Political and Security Situation (22 June - 4 July), 2019 The security situation in the country remains volatile and unstable. The main hot spots remain Daraa, Al- Hassakah, Deir Ezzor, Latakia, Hama, Aleppo and Idlib governorates. The security situation in Idlib and North rural Hama witnessed a notable escalation in the military activities between SAA and NSAGs, with SAA advancement in the area. Syrian government forces, supported by fighters from allied popular defense groups, have taken control of a number of villages in the southern countryside of the northwestern province of Idlib, reaching the outskirts of a major stronghold of foreign-sponsored Takfiri militants there The Southern area, particularly in Daraa Governorate, experienced multiple attacks targeting SAA soldiers . The security situation in the Central area remains tense and affected by the ongoing armed conflict in North rural Hama. The exchange of shelling between SAA and NSAGs witnessed a notable increase resulting in a high number of casualties among civilians. The threat of ERWs, UXOs and Landmines is still of concern in the central area. Two children were killed, and three others were seriously injured as a result of a landmine explosion in Hawsh Haju town of North rural Homs. The general situation in the coastal area is likely to remain calm. However, SAA military operations are expected to continue in North rural Latakia and asymmetric attacks in the form of IEDs, PBIEDs, and VBIEDs cannot be ruled out. II. Key Health Issues Response to Al Hol camp: The Security situation is still considered as unstable inside the camp due to the stress caused by the deplorable and unbearable living conditions the inhabitants of the camp have been experiencing . During the reporting period, 126 people left the camp to Manbij district in Aleppo governorate . WHO distributed batches of medical supplies containing life-saving medicines, antibiotics, therapeutic milk, intravenous fluids, anesthetics and analgesics to both WHO-contracted Al-Hikmah and Al-Hayat private hospitals to strengthen the health response to the referred patients from the camp. Moreover, a shipment which contains 10 836 treatments and 100 trauma kits was delivered to health partners at the camp. WHO health partners launched the provision of mental health services at the previously distributed two prefabricated caravans in different sectors at the camp. During the reporting period, WHO health partners provided 27 psychiatric consultations about the most common mental health cases like depression and post- traumatic stress disorder. 12 new cases of severe acute malnutrition with complications were referred to join the already referred children who are receiving the proper treatment at the WHO-contracted Al-Hikmah private hospital in Al- Hasakeh governorate. During the reporting period, 9 children were discharged, quite cured, while the rest are still under treatment. III. WHO Response Non-Communicable diseases & Primary health care: Updated the NCD country profile 2018 in cooperation with MOH. Page | 1 Shared the online link survey with health partners and MOH OIC for Elderly Programme, on Decade Of Healthy Aging action plan 2020-2030 developed by WHO . A Total number of 53,258 of PHC/NCD treatments were provided during the reporting period. Carried out needs assessment mission to DOH Hama. Visited locations including diabetes center, Thalassemia center & national hospital. Needs assessment was discussed with DOH Hama to support provide dialysis machines, trauma kits and ambulances. Trauma Trained 50 health workers on trauma and disability related topics in Damascus. Finalized the contract with Khotwa NGO to provide artificial limbs to 66 persons in need ( 55 lower limbs and 11 upper lombs) as well as spare of artificial limbs for 102 beneficiaries. 38, 667 treatments and 200 trauma cases of medicines and medical kits ( 5 IEHK supplementary kit, 7 basic IEHK kit, 2 trauma kit A & B)were delivered to Nor Al Hoda NGO in Hama, in addition to 25 trauma cases delivered to SARC in Al Hassakeh. Participated in a technical meeting by concerned technical officers in UN agencies (UNFPA, WHO, UNERWA,UNICEF and UNHCR) to follow up on IM transition from emergency to early recovery context CRVS (Civil Registration and Vital Statistic) for deaths and births modules in terms of documenting and framing the joint work between UN sister agencies and reflect best practices in support of MoH to reactivate death and birth notification mechanism in line with WHO standards and ICD classification in health facilities . Conducted a mission to Al Hasakeh with the emergency officer from WHO Regional Office and visited Al Hol Camp to assess the three field hospitals working there (ICRC, KRC and MSJM). In addition, the WHO- contracted hospitals in Al Hasakeh (Al Hekma and Al Hayat hospitals) were also visited to follow up on the ongoing support to the referred cases. Immunization Unicef and WHO delegation met with HE the deputy Minister of Health to follow up on the finalization of the GAVI (PEF); HE is holding meetings with the MOFA and MOE to develop the government policy towards the GAVI proposition. Internal WHO meeting, led by theWHO country Representative a.i., to strengthen interdepartmental coordination within the country programs was held . During the discussion the EPI program has received the 2 recommended Prefabs to be installed in the camp for the fixed Routine Immunization activities implemented by Emergency/EWARS program. The MOH will provide the cold chain and assign the vaccinators while WHO provides the prefab with electric power and AC and the transport of the service providers from and to the camp site. WR a.i. recommends regular interdepartmental meeting prior to any field mission to be aware of the local needs and priorities of different sections well in advance. The two week long EPI accelerated implementation of Routine Immunization in Der Ez Zor (eastern Euphrates districts) succeeded to reach 53,344 children. MOH mobilized 35 vaccination teams with supplies (Vaccine and Non-Vaccine), WHO supported technical and operational cost and UNICEF supported the social mobilization component. The local population demand for continuous vaccination services was a plus in the campaign New cold chain equipment (freezers) and reagents were procured for the National Polio Laboratory as part of the requested items by the MOH Syria for the year 2019. The discussion is still ongoing with the Director of Primary Health Care department and the National EPI manager for the access of Ain al Arab and Tel Abiad districts since the vaccination activities are still on hold since the beginning of 2019 despite the many opportunities that can have been seized. Mental Health MHPSS services were delivered by NGOs partners through five active family wellbeing centers . Integrated MHPSS services were delivered on community level in Qunaitra, Rural Damascus, Aleppo, Homs and Al-Hassakeh through agreement with 10 local NGOs. In the pipeline: an integration project with Trauma programme through a pilot and focused community center with KHOTWA NGO to provide psychological rehabilitation beside the physical one. Number of MH consultations provided through NGOs partners reached 18260 in July, which reflects the up trending of MHPSS services delivery through NGOs partners, as well the healthy process of integration. Page | 2 Extract from MH KPIs from the 1st half of 2019: o Number of mental health and psychosocial support interventions provided at NGOs & community health facilities, and by mobile teams : 48,527 o Number of mental health and psychosocial support interventions provided at MoH health facilities: 74,339 Mental health focal point in Al-Hol camp provided specialized psychological and psychiatric services for 45 cases. MHPSS preparedness and emergency plan has been updated on the level of HUBs and verified by NGOs unit, with special consideration for NS possible response. Finalize with MOH/ MH directorate the Global survey on Syria progress on SDG health target 3.5 (2019), the data will be analysed and the results will be extracted at Cairo regional meeting in September. Conducted MHPSS TWG on the central level with the participation of up to 20 national and international active partners in the field the meeting led to finalizing referral pathway and capacity building activities mapping tools before digitalizing both, Also finalizing the MHPSS work plan for TWG in 2019 in depth discussion about the MH preparedness plan in NS emerging response. A workshop titled M&E for MHPSS Global framework in emergencies has been conducted for the first time on Syria level, on 7-8th August for project managers and key personals in 10 NGOs that are supported by WHO, and active in Damascus, R. Damascus and DEZ. The second batch of 25 community workers in CARITAS Aleppo has been trained on psychological first aid and self-care strategies to provide MH basic services in eastern Aleppo. Nutrition and Child Health The response of the first semester of the stabilization center in Al Hol camp is : 597 admissions of severe acute malnutrition with complications , low mortality rate ( 3.6 % ) and high gain weight during hospitalization ( 10.5 g/kg / day ) . Monitoring of integrated Management of Childhood Illness training for 15 trainees from Deir ez Zor governorate. Data collection of IMCI in AL Hol Camp of 940 children: 83 cases