Health Sector Bulletin, February 2021
HEALTH SECTOR BULLETIN FEBRUARY 2021
WHO-delivered medical supplies in Syria
SYRIAN ARAB REPUBLIC Emergency Type: Level 3 Emergency Reporting Period: 1-28 February 2021
12.4 M 11.6 M 6.7 M $ 618 336,200 Targeted with health PIN of health assistance IDPs Funds required Returnees interventions
HIGHLIGHTS HEALTH SECTOR
As of 28 February 2021, the Ministry of Health 70 HEALTH SECTOR PARTNERS COVID-19 reported cases in Syria have reached 15,588 including 1027 deaths and 9,801 KITS DELIVERED TO HEALTH FACILITIES/PARTNERS recoveries1. The first confirmed case was 15 IEHK BASIC & SUPPLEMENTARY KITS declared on 22 March 2020 and the first death on 9 TRAUMA KITS 29 March 2020. 5 CHOLERA KITS
Minister of Health declared the Government’s SUPPORTED MOBILE HEALTH UNITS
approval of the COVID-19 vaccine application 127 MOBILE HEALTH UNITS/TEAMS through the COVAX facility. HEALTH ACTION The Syrian Arab Republic is allocated 912,000 705,651 MEDICAL PROCEDURES doses of the AstraZeneca AZD1222 vaccine 529,389 TREATMENT COURSES
An online Cluster coordination performance 23,748 TRAUMA CONSULTATIONS monitoring survey was conducted. The response Number of deliveries attended by skilled VACCINATIONattendant Number of deliveries attended by rate was 70%. skilled attendant
WHO dispatched 208 tons of health supplies 30,862 PENTA 3 (medical, WASH and lab supplies, kits, equipment EWARS etc.) to MOH, MOHE, and non-governmental 1,361 REPORTING SITES organizations). FUNDING $US IDPs departure to Manbij, has taken place on 21 Feb 2021.The number of IDPs who left Al Hol 618 M REQUESTED WOS IN 2021 camp is 102 families/336 individuals.
1 Currently, there are 17, 240 confirmed cases of COVID-19 including 1153 associated deaths as of 21March 2021.
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SITUATION UPDATE As the Syrian crisis enters its 11th year, the scale, severity and complexity of humanitarian needs remain extensive. This is the result of continued hostilities in localized areas, new and protracted displacement, spontaneous returns and sustained erosion of communities’ resilience during more than nine years of crisis. Syria is still one of the biggest and most complex crises globally. The Syrian crisis has generated more than six million refugees and displaced further six million Syrians inside their own country. Health needs in Syria are already significant. Thousands of children are suffering from severe malnutrition. Thousands more are suffering from cancer, diabetes and other chronic conditions for which treatment is limited.
In 2021, more than 12.4 million people (out of the total estimated population of 20 million) require health assistance. COVID-19 has aggravated the situation further. In February health authorities announced 1540 confirmed cases, as compared 2,614 in January, 3,547 in December, 2,159 in November, 1,528 in October, 1,435 in September, 2,008 in August, 478 in July, 157 in June and 79 confirmed cases in May 2020. All indicators point out to the disease occurrence across the communities in the country. The health sector agencies continue supporting interventions to suppress the transmission of the virus through risk communication and community engagement; procurement and distribution of medical supplies, personal protective equipment’s; supporting COVID-19 clinical readiness; supporting case management and maintaining essential health care services and system.
PUBLIC HEALTH RISKS, PRIORITIES, NEEDS AND GAPS The ongoing conflict, violence and displacement have had grave public health consequences with increased morbidities, mortalities and disabilities among affected and vulnerable populations. The most affected are children, women and elderly people. Despite challenges, the Ministry of Health, WHO as well as humanitarian partners continue to assist people in need where access is possible, with a focus on vulnerable people, by delivering essential health services and supporting referrals. The first confirmed case of COVID-19 was announced on 22 March 2020. As of 28 February 2021, the number of reported cases in Syria has reached 15,518 including 1027 deaths and 9,801 recoveries. The areas of concern are densely populated, notably Damascus/Rural Damascus, Aleppo and Homs, in addition to those living in camps and informal settlements in Northeast Syria (NES), collective shelters throughout the country. Populations living in low-capacity settings face enhanced vulnerabilities in the COVID-19 context. Persons who are homeless or displaced, whether internally or as a refugee or asylum-seeker, as well as those who are stateless and migrants with tenuous legal status, face additional compounding risk factors, which may dramatically increase the risks they face in the context of the COVID-19 pandemic. It is important to recognize the extent to which the COVID- 19 outbreak may affect people differently according to their age, sexual orientation and gender identity, ethnicity, disability, education, employment, displacement, migration status and other socio-cultural attributes. COVID-19 testing is taking place in six laboratories in Damascus, Rural Damascus, Aleppo, Homs and Lattakia governorates. One GeneXpert machine is functioning at the health centre located at the Syrian-Lebanese border, mostly for returnees, another GeneXpert machine was donated by WHO to Al Qamishli National hospital.
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There are 32 quarantine centres with 5,182-bed capacity; 86 hospitals with 956 ICU beds; and 22 designated isolation hospitals with 1,090 beds and 214 ICU beds.
ASSESSMENTS An inter-agency field assessment mission including WHO, WFP, FAO, UNICEF, UNFPA and OCHA was conducted to Darayya –Rural Damascus. The health center is delivering the following services: maternal health, general clinic, first aid and minor surgeries and recently the immunization services are provided twice a month. Furthermore, the center has a pharmacy that provides some medicines for free, such as antibiotics, antipyretic, diabetic and hypertension medications. About 900 visits to the center are recorded per month.
Needs Support the center with health professionals. Provide medicines, equipment, and an ambulance. Proper health care waste management system Referral system for emergency cases
Gaps: Lack of electricity, accumulation of rubbles and wastes, unavailability of a well-functioning sewerage network, disturbed communication network. All these can undermine the health situation and aggravate any health emergency. Specific health professionals are needed based on priority, gynaecologist, Internists, paediatrician, endocrinologists, emergency physician, ophthalmologists, dentists, etc. There is a gap in some specific cardiovascular and diabetic medicines, shortage of antibiotics and antipyretics and flu palliative medicines. Medical devices and equipment from different categories, first aid and surgery consumables. No obstetric delivery service is available. No ambulance is dedicated for this city, the center is using nearby ambulances either from Sahanaya or other health facilities in the health area based on operation center at the ambulatory system.
EWARS and epidemiological updates at national level (week 5-8,2021) Surveillance performance:
A total of 1,140 out of 1,361 active reporting sites (84%) in all 14 governorates of Syria reported through early warning alert and response system (EWARS) with 94% of timeliness. Out of the 766,105 total consultations, a total of 107,563 EWARS notifiable cases were reported
Morbidity: The leading causes of morbidity among all age groups were influenza-like illnesses, and acute diarrhoea (Figure 1). The breakdown was as follows:
Influenza-like illness (ILI): 67,172 accounting for 62% of total cases. Most cases reported from Deir-ez-Zor, Aleppo and Rural Damascus, the average number of ILI case per week was 16,793. Acute diarrhea (AD): 22,053 (21% of total cases), most reported from Aleppo, Deir-ez-Zor and Al-Hasakeh.
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Severe acute respiratory infection (SARI): 1,490 case were reported. Acute jaundice syndrome (AJS): 2,184 most reported from Deir-ez-Zor, Ar-Raqqa and Aleppo. Suspected measles (SM): 47, most reported from Al-Hasakeh and Idleb. Acute flaccid paralysis (AFP): 10, reported from Damascus and Aleppo. Suspected COVID-19: 2,648. Most reported from Tartous, Hama and Aleppo. For the “other diseases” category 11,019 cases were reported, with the most reported cases is Leishmaniasis (5,328), Lice (1,534) and Scabies (1,419).
Figure 1: Proportion of Morbidity of top 5 diseases among the total consultation between week 1 and week 8 0.12
0.10
0.08
0.06
0.04
0.02
0.00 1 2 3 4 5 6 7 8
AD LSH AJS ILI
EWARS and epidemiological situation in Al-Hol camp (week 5-8,2021) Surveillance performance: Total number of reporting site is 17. Average completeness of reporting 64%. Total number of consultations were 2,583 Out of the total consultations, 2,484 EWARS notifiable cases were reported. 57.9% of the cases were among females, and 44.93% were distributed among children under 5 years.
Morbidity:
The leading causes of morbidity among all age groups were influenza-like illnesses (48.28%/1,247). Then acute diarrhea (32.91%/850) 7 suspected measles cases were detected in Al hol camp in December, all cases were investigated, and no positive measles case was reported
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COVID-19 updates 28 February: Situation:
- As of 28 of February 2021, 15,588 cases - in 13 governorates as figure (2, 3). Of them MoH reported 9,801 cases, the recovery rate is 62.8% - Number of COVID-19 deaths is 1,027 and CFR= 6.6%. COVID-19 deaths. - Cases distribution by gender is 56% male and 44% female. The average age is 51 (ranging from 1 to 108), figure (4). - A decrease in cases reported in February by 41% compared with January cases. Figure (5). - 169 cases (1.1%) are travel related cases, 791 cases (5.1%) are contacts of confirmed cases, and 14,628 cases (93.2%) are community infection. - The number of confirmed COVID-19 cases among health workers increased to 604 in mainly in Damascus hospitals, Lattakia, and Aleppo and Rural Damascus. 25 HWs deaths were reported among positive COVID- 19 cases. - The number of confirmed COVID-19 detected in school settings is 2,339. Of them 899 are students and 1,440 teachers. And 1,891 cases were recovered, 21 cases were deceased (17 school staff, 3 school health doctors, and 1 student). - Total number of 62,334 lab tests were performed in public health laboratories in seven governorates Damascus, Aleppo, Homs, Lattakia, Rural Damascus, and Hasakeh. The current testing rate is 306 tests per 100,000, and positivity rate is 25%. Table 1: The number of confirmed cases by governorate.
Figure 2: EPI curve of COVID-19 cases, 28 February 2021 180 160 140 120 100 80 60 40 20
0
3/1/2020 6/9/2020 7/9/2020 8/8/2020 9/7/2020 1/5/2021 2/4/2021
7/19/2020 12/6/2020 3/11/2020 3/21/2020 3/31/2020 4/10/2020 4/20/2020 4/30/2020 5/10/2020 5/20/2020 5/30/2020 6/19/2020 6/29/2020 7/29/2020 8/18/2020 8/28/2020 9/17/2020 9/27/2020 10/7/2020 11/6/2020 1/15/2021 1/25/2021 2/14/2021 2/24/2021
10/17/2020 10/27/2020 11/16/2020 11/26/2020 12/16/2020 12/26/2020
Recovered Active Death
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Figure 3: Distribution of COVID-19 cases by governorate Quneitra, 261, 2% Al-Hasakeh, 35, 0% Ar-Raqqa, 7, 0% Deir-ez-Zor, 61, 0% Hama, 716, 5% Damascus As-Sweida, 853, 5% Lattakia Dar'a, 945, 6% Aleppo Damascus, Homs 3113, 20% Tartous, Rural Damascus 1174, 8% Lattakia, Tartous 2375, 15% Rural Damascus, 1500, Dar'a 10% Homs, 2259, Aleppo, 2289, As-Sweida 15% 14% Hama Quneitra
Figure 4: Distribution of COVID-19 cases by age group and gender
80+ 70-79 60-69 50-59 40-49 30-39 20-29 10-19 0-9
1,800 1,300 800 300 200 700 1,200 1,700 Female Male
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Figure 5: number of COVID-19 cases by month
4000 3547 3500 3000 2614 2159 2500 2008 2000 1435 1528 1540 1500 1000 478 157 500 10 33 79 0
Governorate Population Test Testing Number Positivity Incidence Deaths CFR size done rate / positive rate / 100,000 100,000
Damascus 1,835,380 18,880 1029 3113 16.49% 169.6 305 9.80% Rural Damascus 3,160,454 6,660 211 1500 22.52% 47.5 27 1.80%
Homs 1,451,058 3,966 273 2259 56.96% 155.7 215 9.52%
As-Sweida 379,170 1,366 360 853 62.45% 225.0 47 5.51%
Al-Hasakeh 1,060,341 407 38 35 8.60% 3.3 2 5.71%
Dar'a 1,015,275 2,894 285 945 32.65% 93.1 44 4.66%
Lattakia 1,186,494 15,765 1329 2375 15.07% 200.2 93 3.92%
Aleppo 3,933,168 6,726 171 2289 34.03% 58.2 106 4.63%
Ar-Raqqa 690,801 15 2 7 46.67% 1.0 0 0.00%
Deir-ez-Zor 741,249 211 28 61 28.91% 8.2 10 16.39%
Hama 1,342,187 2,000 149 716 35.80% 53.3 40 5.59%
Quneitra 103,269 1,480 1433 261 17.64% 252.7 24 9.20%
Tartous 906,362 1,964 217 1174 59.78% 129.5 114 9.71%
Idleb 2,588,454 0 0 0 0.00% 0.0 0 0.00%
Total 20,393,662 62,334 306 15,588 25.01% 76.4 1,027 6.6%
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Response activities WHO works with MoH to strengthen the surveillance of COVID-19 through engagement of private hospitals in reporting of COVID-19 cases. WHO facilitated a training workshop on EWARS and COVID-19 surveillance for 25 health workers at private hospitals in Aleppo, the participants were trained on case definition of EWARS prioritized diseases including COVID-19, and reporting mechanism for suspected cases. the engagement of private hospitals in the surveillance will enhance the detection of new cases and conduct rapid response measures. WHO continues to provide needed support for the Rapid response teams (RRTs) to undertake investigation and response of COVID-19 alerts by facilitating the transportation of RRTs, samples collection and transporting to designated laboratory in 5 governorates. During the reporting period more than 2,681 suspected COVID-19 cases were investigated properly within 24 hours, in addition WHO supported the transporting of 461 specimens of COVID-19 suspected cases to the central laboratories in four governorates.
HEALTH FACILITY FUNCTIONALITY Public Hospitals - - By the end of 4th quarter 2020, and out of the 113 assessed public hospitals [MoH & MoHE], 48% (54) were reported fully functioning, 28% (32) hospitals were reported partially functioning (i.e., shortage of staff, equipment, medicines or damage of the building in some cases), while 24% (27) were reported non-functioning 78% (88) hospitals were reported accessible, 8% (9) hard-to-access, and 14% (16) were inaccessible The general practitioner (0.2%) and emergency physician (0.3%) were the lowest proportion of health staff in public hospitals, followed by dentists (0.7%), pharmacists (0.7%), midwives (4.7%), laboratory (5.0%), specialists (12.2%), resident doctors (24.1%), and nurses (52.1%)
Public health centres - By end of the 4th Quarter 2020 and out of 1,790 assessed public health centres, 48% (861) were reported fully functioning, 21% (376) partially functioning (i.e., shortage of staff, equipment, medicines or damage of the building in some cases), 31% (553) non-functioning (completely out of service). 82% (1,465) health centres were reported accessible, 3% (54) hard-to-access, and 15% (264) were inaccessible, while the accessibility status of 0.4% (7) health centres were unknown The pharmacists represented (1%) of total health staff at centres’ level, followed by resident doctors (2%); general practitioners (4%); laboratory (6%); Specialist (7%); dentists (9%); midwives (11 %); and nurses (60%).
HEALTH SECTOR ACTION Health Sector Coordination and service delivery During this month, two virtual health sector coordination meetings were held in Damascus and were attended by national Syrian NGOs, international NGOs, SARC and observers. The Health Working Group meetings were also held at hubs and in Al-Hol Camp with a special focus on COVID-19 response and continuity of essential health care.
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The health sector partners delivered-health services and cumulative monthly indicators (December 2020 and January 2021) are summarized in the below table.
HRP Indicator 2021 (Per Month) December January 1.1.1 Number of outpatient consultations provided 1,364,940 671,133
1.1.2 Total number of trauma consultations supported 10,002 23,748 1.1.3 Number of mental health consultations supported 6,611 5,780 1.1.4 Number of physical rehabilitation sessions 3,047 2,399 supported 1.1.5 Number of vaginal deliveries attended by a skilled 1,166 912 attendant Medical procedures Medical 1.1.6 Number of caesarean sections supported 957 898 1.1.7 Number of cases referred for specialised treatment 1,662 781
CHILD HEALTH 30,862 children were immunized for Penta-3 in January, as compared to 23,768 children in December.
REPRODUCTIVE HEALTH Skilled birth attendants conducted 912 normal deliveries while 781 mothers underwent cesarean sections.
COVID 19 RISK COMMUNICATION AND COMMUNITY ENGAGEMENT WORKING GROUP UPDATES Risk Communication and Community Engagement is being stepped up, particularly through enabling environment and system strengthening, as key to break the chains of transmission and mitigate pandemic impact. Key priorities are to: 1. Improve prevention behavior, through community system strengthening and social media. 2. Improve health-seeking behavior, through linkages between community and health care providers. 3. Generate demand and communicate for COVID-19 vaccines deployment (COVAX).
Governance and system strengthening - Inter-agency coordination is ongoing through the C19 RCCE Coordination Group-HCT (at national level, with UN agencies) and the C19 RCCE Working Group-NES (at sub-national level in NES, with UN agencies, the NES Forum and the ICRC) focusing on harmonization and complementarity through, respectively, advocacy for GoS/MoH leadership with integration of the C19 RCCE Sub-Sector/Cluster for joint implementation and linkages with Health Service delivery for stop-gap measures. - UNICEF and WHO are working closely with MoH to develop the 2021 C19 RCCE Strategic Plan engaging 10+ ministries and counterparts, in line with findings and recommendations from the C19 Intra-Action Review, focusing on evidence-based strategic planning and joint implementation. - The Demand Generation and Communication component of the global COVAX Facility for COVID-19 vaccines deployment is being supported through Technical Assistance for strategic planning including (i) social and behavioral data/information to inform and guide interventions particularly on vaccine hesitancy, demand and uptake, (ii) training, and (iii) public information campaign with key messages and information education and communication materials.
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Knowledge Management - The Community Rapid assessment on C-19 in Al Hol Camp in North East Syria is completed, including a Health component focusing on signs and symptoms (WHO support) and an RCCE component focusing on information and knowledge (UNICEF support). RCCE findings indicate low levels of knowledge and practice of prevention and health seeking behaviors due to the impact of curfew on all activities including RCCE and limited access to COVID-19 focal points. Rapid stop-gap measures are being actioned and findings are being integrated into the RCCE strategy and action plan for North East Syria (development underway). Joint report development is underway. - The Syrian Opinion Public Survey is completed. Preliminary findings indicate low levels of knowledge and practice of prevention and health-seeking behaviors (except handwashing). The dataset is awaited to review and finalize the report in a user-friendly and actionable format to inform and guide the 2021 Strategic Plan. - A rapid assessment on C19 vaccines hesitancy and acceptance is being developed to inform and guide COVID-19 vaccines Demand Generation and Communications among priority target groups (the Health Workforce, the elderly, patients with underlying chronic pathologies, refugees/internally displaced people and other Persons of Concern). In North East Syria, the assessment will also include questions on C19 risk perception, levels of knowledge and practice of infection prevention and health-seeking behaviors, so to generate up-to-date and representative information.
Activity coverage C19 RCCE activities are ongoing through field offices (Aleppo, Homs, and Qamishli) focusing on awareness-raising on preventions and health-seeking behaviors. Activities are integrated across sectors: WASH including soap/hygiene kit distribution and hygiene promotion sessions in schools and learning centers, and through theatre performances; Nutrition through Infant & Young Child Feeding sessions in health facilities and camps/informal settlements. Key messages are delivered through advocacy meetings with traditional and religious leaders, individual or group sessions with Information Education and Communication materials in health facilities, schools and learning centers, camps/informal settlements, and through mobile teams. Cumulative coverage (1-28 February 2021): 76,008 beneficiaries (parents/caregivers, teachers, students, and children).
HEALTH CLUSTER PARTNERS UPDATES
WHO
40 000 treatments of life-saving medicines were provided centrally to MOH and MOHE for further distribution to public hospitals in the governorates, based on need priority to enhance their capacity for a timely and appropriate response to emergency cases, including COVID-19. 50 health workers from Lattakia and Aleppo were trained on “Children and Adults Life Support” to enhance their capacities in responding effectively to emergencies in the country. 75 health workers from Damascus and Rural Damascus (Prosthetics and orthotics technicians, physiotherapists, and physiatrists) were trained in the MOH Center of Prosthetics and Rehabilitation in Damascus, focusing on disability and rehabilitation on “Manufacturing of Knee-Ankle-Foot Orthoses (KAFOs), and “Rehabilitation of patients with upper limb amputation.”
In cooperation with MOHE, WHO trained 25 cancer registrars and resident doctors on cancer registry as part of the International Classification of Diseases for Oncology (ICD-O-3)
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4 hemodialysis machines were installed at Harasta National Hospital.
WHO has supported screening efforts at the designated POE by providing PPEs, infrared thermometers, barriers, registration forms and one thermal scanner camera.
Supported training 125 health workers from Damascus, Rural Damascus, and Tartous on different trauma and disability topics including: Immediate Life Support and Ventilator Management, Manufacturing of Ankle- Foot Orthoses (AFOs), Rehabilitation of Sports’ Injuries, Children and Adults Life Support, and Rehabilitation of patients with lower limb amputation. Supported people with disabilities in Homs governorate by providing physical therapy for more than 275 beneficiaries along with the provision of the needed assistive devices. Through sub- contracting with Al Hekma hospital, WHO strengthened life-saving and life-sustaining health care services in NES. 105 benefited from trauma care services and 31 from advanced surgical intervention mainly from IDPs camps and informal settlement. Supported MOH with 17,700 hemodialysis sessions for adults and children, 2500 hemodialysis sessions to Homs hub, 121,500 ampoules of Erythropoietin injection to MOH/MOHE central warehouse and health partners in NWS, NES, SARC Aleppo. Delivered 14 desktops to PHC Directorate in favor of Healthy Villages programme. Dispatched 56,630 PPE items to health partners in Aleppo (DOH, SARC Aleppo, Genecology university hospital), Qamishly hub to cover needs for NES including isolation centers.
UNHCR
During February an estimated 20,200 IDPs, and 2116 refugees & asylum seekers assisted to access basic package of primary health care services through 14 PHCs supported by UNHCR in Damascus, rural Damascus, Homs, Hama, Aleppo and Al Hasakeh. Services included medical consultations, investigations. Treatment courses were provided to 8300 IDPs and 1320 refugees & asylum seekers. 303 refugees & asylum seekers in need for secondary care were referred by UNHCR partners to hospitals and received free of charge secondary care services.
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10,818 POCs (1232 individuals received basic medical consultation in the clinics of the health points and 9586 individuals participated in and benefited from the health promotion and disease prevention activities) reached by community-based health activities through 31 health points in community centers. UNHCR procured one steam sterilizer to support testing by the Genexpert machine provided earlier in 2020 to MoH- PHC at the Syrian Lebanese border to facilitate testing for vulnerable returnees. Delivery is expected in March. UNHCR will start soon the delivery of diapers for persons with specific needs (physical or mental disability) through over 100 community and satellite centers in 11 governorates to support the basic needs of PoCs with vulnerability. Planning for a frame agreement for PPEs is underway to support preventive measures in UNHCR programs with partners, expected to be launched in March. Online training for UNHCR partners NGO and offices on the implementation of “medical in kind assistance” took place. 6 offices over 16 NGOs partners covered. The assistance include wide range of devices, instruments and supplies defined in the updated SOP.
UNFPA Two Reproductive health mobile teams in western and eastern rural as well as a static clinic in Deir Azzour city were activated by (ASSLS) NGO to deliver Reproductive health services including, for the first time, referrals to advanced Reproductive health medical interventions; medical test; X-ray. In Feb 2021, 4.256 women were reached with Reproductive health interventions.
With support from the mother association, established a fixed center in Mayadeen city, Deir Ezzour to support UNFPA and UNICEF mobile teams working there in terms of storage, office works, and provision of Reproductive health services in Mayadeen city one day a week.
UNFPA supported NGO, (SSSD) activated Reproductive health component in one of its two integrated Sexual Reproductive Health and Gender Based Violence mobile teams in rural Mayadeen, Deir Ezour. The team is well equipped with staff and medicines to offer good services there. In Feb 2021, 693 women were reached with Reproductive Health interventions.
E-voucher in partnership with WFP is operational in two locations in Deir Azzour governorate (DEZ and Mayadeen cities). Pregnant women referred from WFP program receive Reproductive Health package of services including antenatal / postnatal care, FP, awareness sessions on RH issues and others, in addition to those required by WFP to join the program “confirmation of pregnancy and fetal age”. Out of the total target of 550 for Mayadeen, 196 woman clients have so far benefitted from both UNFPA and WFP interventions (Nutrition, hygiene items, and RH). WFP has a plan to expand to Abu Kamal district in 2021.
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Al Yamam Clinic : Credit UNFPA MEDAIR MEDAIR Syria is implementing the following intervention, mainly in the following governorates, Deir el Zor, Aleppo, Hama, South Idleb, Quneitra, Daraa: health facilities rehabilitation and re-equipping, Capacity building and supporting Health Workers and Community Health workers (including malnutrition management trainings and support), support of People Living with Mobility Impairment with the distribution of appropriate assistive devices and Special Hygiene Kits.
During February MEDAIR received MoH approval for the selected clinics, preparing BoQs with related DoHs is on process.The selected clinics are:
o Raqqa Governorate: Al-Hamadanieh . Hama Governorate: Majdal, and Karnaz. . Qneitra governorate: Speineh, and Shabaa
HWs, CHWs training are ongoing.
Working on preparing training schedule for Q2 2021
CHWs of Al-Mayadine, Al-Umal and Al-Masrab will participate in delivering vaccination messages during UNICEF C4D campaign, to support them, because UNICEF is finding difficulties in covering Rural areas.
Growth Monitoring Credit: MEDAIR
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AL-TA’ALOUF Association The association supported primary and secondary health care services at the AL-Akrameya Clinics and Al-TA'ALOUF Hospital in Aleppo through abdominal clinic, gynecology clinic, pediatric clinic, dental and ophthalmology clinic, in addition to the nutritional screening for children .2308 / Beneficiaries of primary health care services (consultations, medicines, laboratory tests, x-rays, echo).193 / Beneficiaries of secondary health care services, including surgeries. 161/ CMAM nutrition scanning beneficiaries. 899 / Beneficiaries of dental clinic services. 254/ Beneficiaries of Ophthalmological clinic
EYE CLINIC – CREDIT AL TA’ALOUF
Provide inputs on 2021 HRP –Health Chapter to WoS team Finalization of Health Sector COVID 19 Preparedness and Response Plan for 2021 Production of Health sector annual report 2020 Conducting consultative meeting to discuss cluster coordination performance monitoring survey results and prepare plan of action.
CONTACT US
DAMASCUS ALEPPO HOMS LATTAKIA/TARTOUS AL-QAMISHLI – NES DEIR-EZ-ZOR NATIONAL LEVEL SUB-NATIONAL LEVEL SUB-NATIONAL LEVEL SUB-NATIONAL LEVEL SUB-NATIONAL LEVEL SUB-NATIONAL LEVEL COORDINATORS Dr Jamshed Tanoli Dr Fares Kady Dr Nadia Aljamali Mr Hamza Hasan Dr Oday Ibrahem Dr Haitham Alshaher Health Sector Coordinator Head of WHO sub-office Head of WHO sub-office Head of WHO sub-office Head of WHO sub-office Head of WHO sub-office [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] INFORMATION MANAGEMENT UNIT Mr Mutasem Mohammad Mr Ayman Al Mobayed Information Management Officer, WHO Syria, [email protected] Information Management Officer, WHO Syria, [email protected]
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