WHO , Week 48, November 24 -30 November 2018

General developments & political & security situation

• President al-Assad issued Decree No. 360 of 2018 stipulating for a Cabinet reshuffle which included a change of 9 ministers including the Minister of Interior, Water Resources, Domestic Trade and Consumer Protection, Tourism, Education, Higher Education, Public Works and Housing, Communications and Technology, and the Minister of Industry. • The 11th round of Syria peace talks in the Astana format is scheduled to start in the Kazakh capital on 28 November. • North East Syria: Dozens of reported civilian casualties as military operations resume against the last remaining areas under ISIL control. • Idleb/Northern : intensified hostilities result in civilian casualties and displacement. On 26 November, the Abu Dhour crossing point in south rural opened for the civilian movement in one direction, from NSAGs to GoS areas. Most of the people crossing are women and children; they are returning to their original villages in Hama, Idleb (Sinjar), and south rural Aleppo. In total: 280 families / 1,327 individuals (including 367 children). An estimated 60 percent of people crossing went to rural Hama, 10 percent to Sinjar area, while the rest headed for Aleppo (south rural and city). Area in Hama is being covered by WHO partner. • Hama: Deteriorating humanitarian situation in Northeast and East Hama. North East Syria: Ar city security concerns. Northern Aleppo: Improved shelter and wash facilities in IDP camps in the Tal Rifaat Enclave. East Ghouta: Improved humanitarian access but access to health care and water remain insufficient. Yarmouk camp: Residents allowed returning. • Ministry of Health’s AIDS Program: “Ministry provides free treatment to patients living with AIDS and conducted scan of 15,000 people to investigate new infections in conflict-affected areas.” • Medical Doctors Syndicate’s President: “6,000 doctors left due to crisis, and more than 4,000 private clinics damaged … there are no funds to compensate affected doctors.” • “Deir Ez-Zor hospitals suffer lack of specialized service in neurosurgery, vascular surgery and anesthesiology.”

OVERVIEW

KEY HEALTH ISSUES

Acute Jaundice Syndrome in Aleppo and Dara’a governorates –please see below.

Suspected chemical exposure or unknown hazard in Aleppo city, , November 24, 2018 - WHO has received unconfirmed reports of patients arriving in health facilities in Aleppo city with symptoms that may be consistent with exposure to chemical agents. WHO is not involved in the process of verifying the alleged perpetrators, or the cause of the event. As a health agency, WHO concern is with the health dimension of the reported event. WHO has previously prepositioned supplies and conducted training of health workers to prepare for such events and now activating emergency procedures to assist in the public health response if needed. WHO Syria is in direct contact with the hospital managers in Aleppo and the Directorate of Health of Aleppo. As of morning 25 November, based on the information received, patients have been discharged from the hospitals.

Access to Menbij –only one health service provider from side.

Access to massive displacement in Deir-ez-Zor governorate - due to ongoing fights against ISIS – area.

Deir-ez-Zor: Support DoH in development of plans to increase access to health services by local population, including rehabilitation of PHC centers, strengthening EPI coverage microplans; enable more services by mobile teams; regular provision of medicines, consumables and medical equipment for DoH facilities; continue the support to the national Al Assad hospital; provide the required medical equipment for newly rehabilitated hospital wards on 3rd and 4th floors; provide support to Ath-Thawra PHC center (rehabilitation and equipment) considering its 24/7 functionality; support for 1

the setup of the ambulance center in area as located between and DeZ cities; focused support to routine vaccination in east and west side of the governorate; prioritizing response to PHC centers with the largest catchment areas.

Ar Raqqa (Tabqa health facilities): Set up of nutrition stabilization center; enhancement of vaccination coverage; establishment of immunization point; enhanced continuous capacity building of staff; provision of hospital beds (75) and regular health supplies; strengthening lab and x-ray capacity; operationalize dialysis machines and water purification unit; find solutions for oxygen generating unit.

Southern Syria: – functionalizing 65 (58%) partially functioning and 24 (21%) non-functioning PHC centers. - functionalizing 22 (37%) partially functioning and 13 (22%) non-functioning PHC centers.

KEY GAPS & CHALLENGES

Key areas where humanitarian actors from within Syria face access challenges remain and are the focus for scaled up advocacy and programming efforts:

Dara’a and Quneitra: Regular and sustained access to formerly NSAG-held areas in the south remains challenging for Syria based partners due to security concerns, administrative impediments, UXO contamination and extensive infrastructure damages.

Eastern Ghouta: Humanitarian and commercial access, as well as civilian movements, has improved, with variations in access to locations inside the area: Duma and continue to be considered by the UN as hard-to-reach due to restrictions on humanitarian access and civilian movement.

Northern Rural : Since May 2018, when the Government of Syria and non-state armed groups reached a local ‘reconciliation’ agreement, access to some areas was limited. Since September 2018, however, access for the UN and INGOs to the area has improved following a blanket authorization provided by the Governor.

Deir-ez-Zor and Ar-Raqqa city: Ongoing fighting and insecurity, shifting front lines and landmine/ contamination remain key challenges to scaling up the response, particularly to some rural areas of southern Deir-ez-Zor. Contamination and growing insecurity have also constrained further efforts by UN agencies in Ar-Raqqa City.

Menbij: Humanitarian partners from within Syria have sought to address unmet humanitarian needs in Menbij through the Inter-Agency convoy modality. However, an ongoing challenge has been gaining acceptance for SARC due to the presence of the Kurdish Red Crescent in the area. As result, emergency assistance has only been provided on a few occasions by partners (including health sector) in Qamishli based on ad hoc requests from the Governor of Hassakeh.

Afrin: Humanitarian partners from within Syria have also sought to address unmet humanitarian needs in Afrin through the Inter-Agency convoy modality. However, challenges relate to the ongoing presence of the Turkish Red Crescent in the area and pending Government approvals.

Rukban: a humanitarian convoy was successfully completed in November 2018, providing humanitarian assistance to some 50,000 people and carrying out a vaccination campaign for over 5,000 children. However, the convoy took a year of negotiations and efforts are underway to dispatch a second convoy in December 2018.

OPERATIONAL UPDATES

20- 25 November – WHO HQ technical mission for “Syria Health Diplomacy Project: Contributing to Social Cohesion through Health”. An adapted approach to meet the demands of a changing context while to contribute to improving social cohesion, by strengthening and enhancing the Syrian Public Health System’s capacity to deliver a package of

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adapted emergency response and long-term interventions that serve the most vulnerable in all 270 sub-districts of Syria: Workforce: Grow & capacitate a new generation of Syrian Health Professionals; Services: Restore, strengthen, and protect health services; People & Minds: Expand capacities to address MHPSS as well as disabilities.

1. Coordination:

• Conducted health sector meeting in . • Updated list of public health facilities for reconstruction /rehabilitation across Syria 28 November 2018, Syria hub. Produced Health Cluster Bulletin for November.

2. Information and planning:

• Developed infographics of summary of key performance indicators for Q3 and Q1-Q2 2018 (across Syria; North-east Syria; North-west Syria; Southern Syria). • Developed 4W (WHO and Health Sector) snapshots for October 2018. • Monitored a weekly update on shift of control, functionality status of public HFs, and control areas for regained areas in the south of Syria. • Completed the analysis of health sector Syria performance against 2018 HRP indicators (based on WoS health sector 2018 HRP severity scale). • Updated assessment registry for WHO. • Data processing and analyzing for producing Neonatal resuscitation infographic - October 2018 for nutrition programme. Developed infant home caring data entry tool. • Participated in the second regional workshop on Development of National eHealth Strategies, Beirut, Lebanon.

3. Health operations:

Northern Syria response:

• Afrin response: 2 national NGO mobile teams continue to be deployed in area of Afrin displacement. PHC, MHPSS services, nutrition screening activities are provided by MMTs. • Eastern rural Aleppo response: 2 national NGOs mobile teams continue to be deployed in eastern rural Aleppo, in addition to 1 WHO-supported PHC in Dier Hafeir run by a national NGO. 1 MMT also serves Debsi Afnan (western rural Ar-Raqqa). • NW response: 2 WHO-supported MMTs are deployed in Tal Ad-Damman, Al-Boudier and surrounding areas. PHC, MHPSS services, nutrition screening activities are provided by MMTs. • Aleppo city: Implementation of HIV outreach activities continues for 30 days. There are 5 DoH teams which targeted 1000 families. Mental health services continue through the support to DoH facilities (Ibn Khadloun and DoH MhPSS services) and NGOs. Some of the supplies are provided to SARC (1 burn dressing kit, 500 bottles of gentamycin), Al Razi hospital (x-ray), 2.050 2,050 bottles of permethrin to several NGOs.

Lattakia response:

As part of HIV screening campaign, visited sites are Jbleh, Kassab, Lattakia (a total covered 370 families by 5 teams). Mobile team covered Raml Jnoubi and Al-Shaeb areas. A total of 750 medical consultations, 200 nutritional cases, 100 psychosocial supported cases were provided.

Homs response/ Northern Rural Homs response:

• As part of HIV screening campaign, different areas in Homs were visited. • 3 mobile health teams provided health services (medical consultations and medicines) in Northern Homs area.

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• 6 mobile health teams provide health services (medical consultations and medicines) in villages across Northern and eastern Rural Hama.

Northeast Syria (Al-Hassakeh; Ar Raqqa; Deir-ez-Zor) response

• Health sector coordination meeting took place on 27 November. A coordination meeting was attended in Al Hol camp on 26 November. • 1 SAM case with complications completed the treatment and discharged from Al-Hikma hospital. A field visit to Ein Issa camp was conducted to evaluate the nutrition activities, to coordinate with UNICEF the referral pathway and conduct orientation session to the doctors and nurses in OTP on the complication that required referral. • Water quality control for drinking water test was done in Areesha camp. HIV screening is ongoing this week in Ein Issa camp, Al Hol camp and random neighborhoods in Al-Hassakeh city. • Training on early warning training in Al-Hassakeh was completed for 17 NGO health workers. • Delivered medical shipments to Tal Abyad, Kobani and Al-Tabqa hospitals (7,800 treatments and 110 trauma cases). Provided a local health actor with 14,150 treatments of essential medicines for Al-Hassakeh, Ar Raqqa and Deir-ez- Zor governorates. Distributed about 870 treatments of leishmaniosis to 7 locations in Ar . • Three MoUs are ongoing (Armenian charity, Syria Pulse association and Al-Hikmah hospital). Finalized the initial MoU’s documents to support the health services provision in Al-Hasakah city, Al-Shaddadeh city and Mhemedah villages. Plans to establish new community centers in NES. Supported 53 cases with the needed SHC services and 111 trauma services in Al-Hikmah hospital (most of the cases were referred from NES camps). 30 cases received trauma services (first Aid) through the paramedical staff in Al- camp. 12 medical teams in various areas of NES still suspended awaiting for the medicines to be bought by procurement unit in WCO. Coordinating with pharmaceutical unit to support the medical teams with the available medicines in Al-Qamishly stock to re-activate the health provision temporarily.

Southern Syria

• Daraa: 1,928 medical consultations and medications provided for IDPs of Dara’a, Jbab, Ibtaa and Tasiel till 27 Nov. 79,702 patients have been assisted through 2 static medical points and 4 medical mobile teams. • Quneitra: 2 medical mobile teams and 12 psychosocial support started working since 2 Sep 2018.

Technical Expertise (See Annex 2 for capacity building activities this week)

Non-Communicable diseases / Primary healthcare

Conducted a joint meeting with the Head of Regional Centre for Oral Health at MoE in Damascus to discuss possible measures to expand the field activities to enhance coverage for schools’ students in eastern Ghouta.

Immunization:

The final results of independent monitoring of the sub national November polio campaign were 88% at national level. The campaign was still on hold in rural Deir-ez-Zor. MOH is continuing the negotiations with the local authority to get their approval of implementation of the campaign.

Mental health program:

• Site visits were conducted to 2 PHC and community health centers in Damascus and Rural Damascus to follow up on the implementation of MHGAP programme, The WHO mental health professionals provided the needed technical support to 47 health professionals previously trained on MHGAP-Intervention Guide and other training packages. • Meeting with executive management in CCFP to discuss supporting them with MHPSS services provided in Quneitra, through community center or mobile teams. 4

Nutrition and child health:

A nutrition screening was conducted: • Quneitra for 11,278 children under 5, detecting 392 moderate acute Malnutrition and 42 severe acute Malnutrition. • Afrin displacement, 88 children under 5 were screened, detecting 2 moderate acute Malnutrition. • Eastern Aleppo, 296 children under 5 screened, detecting 1 moderate acute Malnutrition and 3 severe acute Malnutrition. • Dar’a, 488 children under 5 screened, detecting 4 moderate acute Malnutrition and 12 severe acute Malnutrition.

Secondary health care program:

• Followed up on the progress of the rehabilitation project of Children hospital. • Continued the assessment of the heath needs of medical equipment and supplies needed for the functionality of the Bioavailability and Bioeqvuilance Laboratory at Ministry of Health.

Trauma:

Reported under the logistic update

Disease surveillance and response and WASH:

• Acute Jaundice Syndrome, among Afrin IDPs, Aleppo Governorate - Cases of Acute Jaundice Syndrome among Iferin IDPs in the northern rural of Aleppo have been reported to WHO. Number of AJS cases reported between 21 July to 27 November is 659 cases predominantly among schoolchildren under 15 years. The lab results of 13 blood samples were positive HAV for 10 samples. . Additional sequence-base genotyping is in progress. • Acute Jaundice Syndrome, Dar’a Governorate - Increase of suspected Hepatitis A cases has been reported in Dar’a governorate since week 35. The increase reported mainly from the eastern rural areas. The cumulative number of cases reported through EWARS between weeks 35 to 47 is 936; in week 47 a decrease in reported cases was observe, number of reported AJS cases was 42. The diagnosis was made according to clinical symptoms and liver functions tests. In addition, private laboratories in Daraa reported 1128 probable hepatitis A cases from districts of Jeza and Daraa (laboratory diagnosis SGPT test above 50). The lab results of 6 blood samples were positive HAV for 5 samples. . Additional sequence-base genotyping is in progress. • HIV screening activities among IDPs - WHO, in collaboration with the National AIDS Program (NAP), is working on strengthen the surveillance and detection of HIV among vulnerable populations. The activity is running in 12 governorates. In order to control the quality of implementing phase, WHO is conducting a monitoring exercise using structured observation methodology to ensure that the implementation of the activity meets all quality criteria, identify the weakness areas during the implementation and take timely corrective actions when needed. • Treatment support through health workers - Direct Observation Thereby Strategy (DOTS) is a key element to control TB, break the cycle of transmission, and prevent the development of drug-resistant strains of TB. Therefore, one of the activities under the GF/MER1 project in Syria is to enhance the implementation of this strategy by providing finical support for TB patients’ treatment supporters to enable them to reach patients in all governorates. WHO supported the national TB control program by covering the transportation cost of 223 treatment providers.

National NGO coordination:

• The first phase (data collection) of updating HeRAMS data for health facilities affiliated to NGOs has completed; • Third party monitoring conducted 1 field visits to 1 implementing partners in ; • 3 bilateral meetings were conducted to review 3 project proposals, of which 2 to strengthen health provision inside Eastern Ghouta and 1 for YBB.

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External Relations and Communications:

• Communicating officially with MoFA & MoH concerning: a survey on Oral Health situation in Syria in cooperation with Dundee University; The Regional Parliamentary meeting on Universal Health Coverage in the Eastern Mediterranean Region” taking place on the 3rd and 4th of December 2018 in Beirut, Lebanon. • Following up closely on the final agenda and logistic arrangements cornering WCO team mission to Deir-ez-Zor governorate. • Providing EMRO communication unit with visibility photos with caption and credits concerning WHO support to disabilities in Syria. • Following up on WHO-Syria Twitter account, posting several tweets about WHO interventions and health response.

Operational support and logistics:

Dispatched 8.4 tons of medical & lab supplies, equipment, health kits and printing materials - covering 8 governorates (Al-Hassakeh, Raqqa, Aleppo, Daraa, Homs, Quneitra, rural Damascus & Damascus). The recipients included 10 MoH facilities, 3 MOHE facilities, 1 nongovernmental hospital, 7 NGOs and 7 PHC centres. Total number of treatments is 45,573 and 310 trauma cases. The dispatched supplies included: • 10 PPE kits, 1000 bag of serums and 500 ampoules of Atropine 1 ml delivered to Aleppo DoH. • Different types of office furniture were delivered to both Al-Massaranyeh & Al-Khaldyeh health centre as part of the rehabilitation process for those centres. • 200 vials of anti-rabies vaccine delivered to Al-Luluwa hospital in Al-Hassakeh. • 500 vials of anti-rabies vaccine delivered to Qamishli national hospital in Al-Hassakeh • 200 vials of anti-rabies vaccine and 2,600 ampoules of Glucantime® 1.5 g/ 5 ml were delivered to 7 PHC centres in Raqqa. • 1 Italian emergency kit A, 1 Burn dressing kit and different types of PHC & STHC medicines delivered to Al-Tabqa national hospital in Raqqa. • Different types of PHC & STHC medicines were delivered to Tall Abiad national hospital in Raqqa. • 500 vials of yellow fever vaccine and 150,024 tablet of Diazepam were delivered to MoH central warehouse in Damascus. • 2 safety biological cabinets with its accessories were delivered to MoH – public health lab – polio lab. • Different types of ICT equipment were delivered to MoH central warehouse in favour of Qunaitra DoH. • 4 pneumonia kits A and different types of PHC & STHC medicines were delivered to KRC in Al-Hasakeh. • 10 PPE kits and 500 ampoules of Atropine 1 ml were delivered to Aleppo university hospital. • 300 vials of Vancomycin 1g was delivered to Gyn/Obs hospital in Aleppo. • 4,700 vials of human albumin was delivered MoHE central warehouse. • 1 pneumonia kit both A&B and different types of EWARS, PHC and STHC medicines were delivered to Kobani hospital in Aleppo. • 2 mercurial sphygmomanometer + stethoscope, 5 digital thermometer with alarm clock, 8 adult wheelchairs, 2 Italian emergency kits B, and different types of EWARS, PHC, STHC and trauma medical supplies & printing materials were delivered to 7 NGOs in Aleppo, Daraa, Homs & rural Damascus governorates.

RESPONSE PRIORITIES

North-west Syria, north-east Syria

Annex 1: Current WHO agreements with national NGOs

# of on- # of MOUs in Governorate Location of current of ongoing MOUs going preparation MOUs 6

Damascus Al Midan - Mezzah/Kiwan, Al Zahera, Ruken Al Din 4

Rural Damascus Bludan, Madaia, Sargayah, Sasaa , Kharbet Al Ward, Kharbet Al Shaiab, Al Qutaifeh 1 1 Adra Electricity shelter, Herjaleh shelter, Dweir Shelter, Al Nashabyeh, Bludan, Madaia, Sargayah, Sasaa, Kharbet Al Ward, Kharbet Al Shaiab, Najha rown, Harjalleh town , Sbaineh, EG Response 1 4 , Douma,Kafar Batna , Ain Tarma, Hamouryeh, , Al Muadamyeh, Hejjeira and Al Bouayd shelters Lattakia 2

Homs 7

Hama 0 3 Nabul - Zanairta - Mayasah - AL-Mogambo - Burj Al-Kaaf -Al-Zouk - Tall Refaat - Kafar Naya - Al-Zyara - Deer Jmal - Ihras - Kashtaar - Al-Ukaibeh - Kherbat AL-Hayat - Tal Jbeen - Ibeen - Aleppo / Efrin Sheikh said - Salah AL-Deen - Al-Mshatia - Bostan AL-Zahra - Al-Villat - Menbej - Agior , Deir 2 3 Response Hafer and surrounding villages ((Babiri -Upper Babiri , Babiri -Lower Babiri , Rasm Elbokhar , Kayariyieh , Big Habbuba , little Habobieh , Southern Rasm Elharmal ) Al Hasakeh - Qamishli - Deir ez-zor 3 NES Deir- Ez-zor - Ar Raqqa city - Al Hasakeh. 4

Total 11 24

Annex 2: WHO supported capacity strengthening (Supported 18activities for 485 participants).

Estimated No of Date Subject Program participants 24-26/11/2018 50 2 Workshops on the Monthly report in Deir-ez-zor and Dara'a PHC 2 training activity School mental health program "SMHP" for MoE/ Aleppo in Aleppo and for 25-29/11/2018 50 MH MoE/ Al Quneitra in Damascus 25–27/11/2018 25 Pediatric Advance Life Support in Damascus Trauma 25-27/11/2018 25 Informative workshop on IMCI program in Lattakia Nutrition/IMCI 25-27/11/2018 25 HIV awareness for media workers in Damascus HIV/GF 25-27/11/2018 30 The role of public health information systems in crises in Damascus HIS 25-29/11/2018 30 Implementation mechanism of assessments and surveys at the health level in Damascus HIS 25-29/11/2018 50 2 workshops on Managing complicated SAM cases in hospital in R. Damascus and Hama Nutrition 26-29/11/2018 25 Diagnosis , management and ongoing health care for Diabetic patients in Homs PHC 26-27/11/2018 30 HeRAMS online for Hospitals focal points in different governorates in Damascus HIS 27–30/11/2018 25 Hazmat management and evacuation of buildings in Hama Trauma 28-29/11/2018 90 3 HeRAMS follow up workshops at Health District level in Homs, Hama, Al Raqqa HIS 28-29/11/2018 30 Follow up workshop at governorate level for SARC FPs and Data entry in Damascus HIS

Annex 3: Outpatients consultations provided for Afrin IDPs:

# of patients # of # of outpatient received # of MHPSS NGO Health facility District consultations assistance SHC services PHC services with services provided medicines 1 Al-Ihsan Mobile team 1 - Abin 138 95 0 39 2 Al-Ihsan Mobile team 2 Tenib - Deer Jmal 178 123 0 24 Total 538 312 0 316

Annex 4: Outpatients consultations provided in eastern rural of Aleppo:

# of patients # of received # of MHPSS outpatient # of SHC NGO Health facility District assistance services consultations services with provided PHC services medicines Maskanieh - Upper/ upper Babiri - Health 1 Mobile team 1 Rasm Elabed Rasm AL-Harmil AL- 301 249 0 69 promotion Emam 7

Health Rasm Al-Harmel AL-Emam – 2 Mobile team 2 242 200 0 60 promotion Kayariyeh – Zaaraya - Mufliseh Health 3 PHC Dier Hafir 121 104 0 8 promotion Total 664 553 0 137

Annex 5: Outpatients consultation provided in Aleppo city:

# of patients # of # of outpatient received # of MHPSS NGO Health facility District consultations assistance SHC services PHC services with services provided medicines 1 ASSLS PHC Akioul -east Aleppo city 1186 81 36 27

Annex 6: WHO supported health services in northern and eastern Hama

Area Provision of medical consultations Medicines Eastern rural Hama : 5 villages 1113 +258 1066 + 258 Northern rural Hama 3 villages 775 + 187 737 + 187 Total 1888 + 445 1803 + 445

Provision of medical surveys conducted by the # of Providing individual Area Medicines consultations malnutrition team psychological support Kaferlaha 86 86 48 32 Western Farhania 37 36 22 19 Altaiba 77 76 81 9 Alain 57 57 43 0 Alsabel 90 89 36 5 Taldo 111 111 24 0 Alazfarana 195 195 123 24 Alramadi 68 68 56 7 Alghanto 111 111 37 9 Gurnata 106 106 39 11 Total 938 935 509 116

Annex 7: WHO supported Health services in NES

# of mental # of # of beneficiaries # of secondary # of trauma health Governorate Area outpatient reached with the health referrals psychosocial consultations medicines consultations services Hassakeh city center 310 124 66 112 0 Al-Qamishli city 204 191 10 0 0 Al-Hassakeh Rural of Al-Qamishli 215 200 0 0 0 Al-Mabrouka camp 235 245 0 30 63

Deir-ez-Zor city 0 46 0 0 0 Der-ez-Zor Sub-total: 964 806 76 142 63

Annex 8: WHO supported health services in the southern Syria

Governorate Type of health No. of beneficiaries No. of beneficiaries (medical received City Name Name facility (medical consultation) medication) Dara’a Dara’a Static medical point 275 254 Dara’a Dara’a Mahata shelters + Naima Village medical health unit 497 497

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Dara’a Jbab Static medical point 295 248 Dara’a Da'el - Ibtaa Medical mobile team 256 245 Dara’a Tassil Medical mobile team 387 359 Dara’a Lajat Medical mobile team 218 176 Total 1928 1779

No. of beneficiaries Governorate Type of health No. of beneficiaries No. of beneficiaries City Name (medical received Name facility medical consultation) (Mental Health) medication) Quneitra Momtaneh Medical mobile team 52 52 189 Quneitra Um Batna Medical mobile team 151 151 64 Quneitra Mashara Medical mobile team 49 49 19 Quneitra Ofania Medical mobile team 50 50 34 Quneitra Hameidiyyeh (Quneitra) Medical mobile team 65 65 177 Quneitra Samadaniyeh Medical mobile team 37 37 24 Quneitra Ayoba Medical mobile team 97 97 54 Quneitra Khan Medical mobile team 200 200 113 Total 701 701 674

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