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EMRO-EMO Biweekly Sitrep Wk9-10 2019 Syriahub.Pdf (Английский (English))

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EMRO-EMO Biweekly Sitrep Wk9-10 2019 Syriahub.Pdf (Английский (English)) WHO Syria, Weeks 9-10, 1-14 March 2019 General developments & political & security situation The main hot spots remain Deir Ez-Zour, Ar Raqqa, Aleppo and Idlib governorates. SDF military operation in east rural Deir Ez-Zor resumed. Evacuation of civilians and ISIL families took place with surrender of dozens of ISIL militants. While NSAGs conducted an attack against SAA in north rural Hama, which raised the expectations of an incoming SAA/RF operation in the area. Hostilities continue to intensify in Idlib and surrounding areas causing civilian death, injuries and mass population displacements. On the eve of the foreign ministers’ meeting at the third Brussels Conference on Supporting the Future of Syria and the Region, three UN Principals today warned that the Syria crisis is not yet over and called for sustained and large-scale support to vulnerable Syrians, refugees and the communities hosting them. United Nations and Humanitarian Partners’ Key Messages for Brussels III Conference were produced. The United Nations refugee agency should have a bigger presence inside Syria to observe and help refugees returning from abroad and from displacement within the war-torn country, UNHCR Commissioner Filippo Grandi said. Consultations between the United Nations and the Government of Syria on the 2019 Humanitarian Response Plan for Syria are ongoing. The portfolio of projects approved under the 2019 HRP, available through the following link: https://fts.unocha.org/appeals/663/summary. The portfolio includes 666 projects developed by 15 UN agencies, 52 INGOs and 87 national NGOs appealing organizations, amounting to a total of $ 3.3 billion to provide multi-sectorial assistance to 11.7 million with 9 million people targeted with direct humanitarian assistance and 11.7 million people with service delivery interventions. Sectors Requested funds (US $) Camp Coordination / Management 48,605,651 Coordination and support services 52,866,753 Early Recovery 173,630,051 Education 257,528,610 Emergency Telecommunications 831,423 Food Security 1,094,934,176 Health 449,133,271 Logistics 6,428,472 Nutrition 83,900,275 Protection 352,576,214 Water Sanitation Hygiene 277,159,857 Shelter / NFI 533,508,549 Grand Total 3,331,103,302 OVERVIEW KEY HEALTH ISSUES North-East Syria: Al Hol camp exceeds maximum capacity as people continue to arrive from Al-Baghouz. Hajin response: shortage of basic services and commodities in areas that recently shifted control. 7 PHC centers and 1 national hospital in Hajin city are not functioning. 1 On reported increased mortality and outbreaks in Rukban camp: No cases of suspected cholera or leprosy were detected in the camp. No increase diarrhea cases. The most reported morbidity is upper tract respiratory infections. The monthly death average is seven cases per month (from all causes). No health event was notified during the last period. A separate update was shared on referrals to UN clinic in Jordan. On 7 March, the UN and SARC completed an interagency convoy delivering humanitarian assistance to meet the urgent needs of 50,000 people in Menbij and surrounding areas in northeast Aleppo Governorate. This was the first time that assistance was delivered to Menbij from Aleppo. WHO delivered 20 tons of health supplies for 82,000 treatments courses and 800 trauma cases. In collaboration with WHO Regional Office, and with the mental health programme conducted a ToT training on first line support for GBV survivors. The aim of the training was to strengthen health response to violence against women and girls, which will have direct impact on the enhancement of women and gilrs’ health. Its specific objectives were: Enhance the skills of health care providers to respond appropriately and provide first line support to VAWG survivors; Build knowledge on why health providers must respond to VAWGs; Reflect on values and beliefs that affect care to survivors; Become familiar with the GBV/VAWGs referral pathways; Build training skills to train other health providers on the health system response to GBV/VAWGs. KEY GAPS & CHALLENGES Al Hol camp: The humanitarian situation in Al Hol continues to be challenging. In total, the camp population is more than 67,000 people, the vast majority of them women and children. Health response is being carried according to the “Operating Principles Guiding the Humanitarian Response to Al Hol camp”. A total number of deaths since the influx is 120. Mortality rate is being reviewed internally and analyzed separately on a daily basis. 80% are children under 5 years old. 56% are female. The reported mortality for Al-Hikma hospital increased from 11% to 35% comparing with the mid-February following the increase number of referrals, their transportation and overall critical condition while being en route. The referral systems remains overstretched in the situation of limited hospital capacity. Nutrition: 89 SAM cases are in stabilization center. Urgent health interventions needed in Al Hol (total requirements: US$ 5 million) including: o Support 24/7 KRC/UPP fixed health clinic (comprehensive polyclinic) in phase 1 (UPP reported funding problems to support this clinic the services of which are essential for the camp). o Support 24/7 static medical point (operated by 4 medical teams on shift basis) in the reception area (triage and post-triage service in phase 1 (next 2 months). o Support 1 mobile medical team for phase 2. o Support a fixed health clinic in “Annex” (foreign nationals). o Support 24/7 fixed health clinic in phase 5 (most of newly displaced were relocated here). o Support fixed health clinic (pre-fab container) in phase 5 (currently set up by MSF-H and ready to handover after May). o Support 24/7 fixed health clinic in newly constructed phase 7 and1 mobile medical team. o Support 2 24/7 mobile medical teams (operated by 4 medical teams on shift basis) in any of established transit sites (Al Sewar and Omar oil field). o Support with operational costs for DoH teams to enhance vaccination, nutrition, disease surveillance, leishmaniosis, and specialized medicine across the camp. o Support 5 MHPSS mobile teams across the camp. o Supporting secondary and trauma health care services on referral basis including direct engagement with Al Hayat private hospital and expansion of Al Hikma private hospital. 2 o Procurement of health supplies to enable non-interrupted services of mobile medical teams and health clinics. o Set up of a field hospital (20-50 beds). Scale up across the camp – the current scale up with covering the reception area (triage teams, plus mobile teams) and different phases of the camp was for the camp population when it grew to 35,000-40,000 people, the present camp population is more than 67,000. Therefore, technical and operational discussions are required at Qamishli and Damascus levels for a continued scale up in: a) mobile teams; b) fixed health clinics; c) mobile clinics. Access for health teams to the Foreign Annex - it remains essential for health sector to ensure uninterrupted, sustained and predictable access to the Foreign Annex. All teams with plans to cover the Annex were asked to feedback on every single instance when access was not granted for health teams to enter the Annex. Enhanced coordination between health, protection and WASH sectors. While strengthening health presence in phase 7 to ensure a streamlined and agreed upon way forward for this area. Phase 5 and phase 7 require a continuous follow up. OPERATIONAL UPDATES 1. Coordination: In collaboration with WCO Lebanon conducted two-day technical WHO consultations on return and reintegration of Syrian refugees: planning and response. Technical consultations are held with the MoH on 2019 health sector HRP narrative. Technical Discussion on Syria planning by regional Peer Support Group (PSG) and Programme Management Team (PMT) Syria is planned on 19th March 2019, Amman, Jordan. The UNCT has asked to conduct full review for the Programme Criticality Assessment (29-30 April). A meeting is scheduled with Mr. Geir Pedersen, Special Envoy of the United Nations for Syria, (OSE-Syria) on 17 March. 2. Information and planning: Developed infographics of summary of key performance indicators for January 2019 (across Syria; North-east Syria; North-west Syria; Southern Syria). Developed 4W (WHO and Health Sector) snapshots for January 2019. Developed infographics for key performance indicators January 2019 at WoS level. Developed health profiles for five of the potential return areas for refugees (Rural Damascus, Aleppo, Homs, Al- Hassakeh and Dar’a), based on available HeRAMS information. Data processing and analyzing for producing Neonatal resuscitation infographic – December and Annual 2018 for nutrition programme. Conducted site visits to Al-Bairouni hospital (MoHE) to install the CanReg5 program in children department and conduct a training session for staff on using this program. Participated in Joint technical meeting with MoH Head of planning & international cooperation to discuss the HeRAMS workshops plan 2019. In addition, agreed on MoH hospitals Automation, Monthly Report for hospitals, NHIS (National health information system), CRVS (Civil registration and vital statistics) and distribution of IT equipment for HeRAMS team. Produced draft HeRAMS annual report 2018 of the public Hospitals in Syria. Participated in training of trainers on Geographic Information Systems (GIS) in Cairo, 10-14 March. 3. Health operations: Northern Syria response: 3 Almost on a daily basis Aleppo hospitals provide services to UXO victims. WHO continues provision of trauma supplies and follow up with patients’ treatment. Monitoring visits are in place for post-distribution of medical equipment to Aleppo hospitals. 2 field visits to TB center are conducted as well to Fafin camp and Fafin hospital. There are 2 new TB cases in Fafin area. The total number is 54 cases (15 patients complete their treatment successfully, 4 patients dropped out, and 35 patients are under treatment). Support with mental health activities continues: DoH: Ibn khadloun provided 4924 MHPSS services.
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