GZT TURKEY XB HEALTH Monthly Health Indicators April 2020 DASHBOARD

Total OPD Consultations Total Major Surgeries Total Deliveries Hospital Admissions

Over 750,416 outpatient consultations provided Over 28,982 trauma consultations and 5,335 10,127 deliveries assisted by skilled birth attendant. 22,472 number of admissions (Hospitalisation) by the health partners, 17 % of the total provided major surgeries were performed. by mobile services. Out of them 2,277 (22.5%) cesarean section. of which 4.3% were admissions to ICU. Over 182,489 outpatient consultations provided Out of the total major surgeries, 28% were emergency surgeries. in Idleb and 255,418 in Harim districts. 15.5% of assisted deliveries for female under 18 years.

Partners Distribution At Subdistrict Level Medical Procedures At Subdistrict Level

Darbasiyah Darbasiyah Ain al Arab Lower Shyookh Ain al Arab Bulbul Lower Shyookh Jarablus Bulbul Raju Ghandorah Raju Ghandorah Jarablus Sharan Tell Abiad Tell Abiad Suran Ar-Ra'ee Ras Al Ain Sharan A'zaz Suran Ar-Ra'ee Ras Al Ain Ma'btali Tal Tamer Ma'btali A'zaz Tal Tamer Menbij Menbij Sheikh El-Hadid Aghtrin Sheikh El-Hadid Aghtrin A'rima Sarin Tall Refaat Sarin Afrin Tall Refaat Abu Qalqal Afrin Mare' A'rima Jandairis Ein Issa Suluk A l - H a s a k e h Jandairis Ein Issa Suluk A l - H a s a k e h Mare' Al Bab Al Bab Abu Qalqal Nabul Al-Hasakeh Nabul Al-Hasakeh A l e p p o Haritan Tadaf Haritan Tadaf A l e p p o DanaDaret Azza DanaDaret Azza Rasm Haram El-Imam Harim Rasm Haram El-Imam Harim Jebel Saman Jebel Saman Qourqeena Eastern Kwaires Areesheh Qourqeena Eastern Kwaires Areesheh Salqin Atareb SalqinKafr Takharim Atareb Ar- Dayr Hafir Ar-Raqqa Jurneyyeh Zarbah Jurneyyeh Maaret Tamsrin Zarbah Maaret Tamsrin As-Safira As-Safira Karama Shadadah Karama Shadadah Teftnaz Maskana A r - R a q q a Armanaz Teftnaz Maskana A r - R a q q a Hadher Banan Darkosh Bennsh Hadher Banan Darkosh Bennsh Idleb Janudiyeh IdlebSarmin Janudiyeh Hajeb Hajeb Saraqab Al-Thawrah Jisr-Ash-Shugur Kisreh Saraqab Al-Thawrah Kisreh Jisr-Ash-Shugur Ariha Markada Mhambal Maadan Maadan Abul ThohurTall Ed-daman Mhambal Abul Thohur Ehsem I d l e b I d l e b Al-Khafsa Ehsem Ma'arrat An Nu'man Khanaser Sabka Ma'arrat An Nu'man Al-Khafsa Mansura Sur Tall Ed-daman Khanaser Sabka Kafr Nobol Sanjar Mansura Sur Heish Tabni Kafr Nobol Sanjar A l - H a s a k e h Heish Tabni A l - H a s a k e h A l e p p o Khan Shaykun Tamanaah Tamanaah I A r - R a q q a Khan Shaykun d A l e p p o l e A r - R a q q a b L a t t a k i a I d l e b Deir-ez-Zor Khasham Deir-ez-Zor H a m a L a t t a k i a D e i r - e z - Z o r Basira H a m a Khasham H a m a D e i r - e z - Z o r Basira H a m a D e i r - e z - Z o r D e i r - e z - Z o r T a r t o u s Medical T a r t o u s Muhasan Thiban H o m s Muhasan Procedures H o m s Partners Thiban Al < 10,000 T a r t o u s Distribution Hajin Al Mayadin Ashara T a r t o u s 10,001 - 20,000 1 - 2 D a m a s c u s R u r a l D a m a s c u s Hajin R u r a l D a m a s c u s Ashara H o m s 2 - 5 Q u n e i t r a 20,001 - 40,000 Jalaa H o m s a 5 - 8 ' Q u n e i t r a r 40,001 - 80,000 a A s - S w e i d a Jalaa D a r ' a 8 - 11 A s - S w e i d a D Abu Kamal > 80,001 > 11 ±

Total REACH OPERATIONAL PRESENCE

357 out of the 822,930 269,398 28,982 53,247 38 out of the 48 implementing 4 Trauma Consultations Antenatal Care (all visits ) 360 Reported *Medical Procedures Treatment Courses partners reporting Governorates

17,516 40 132 7,359 8,530 Physical Rehabilitation 9,815 8,777 DPT3 & 10,337 MMR Mental Health Consultations Total Referrals Sessions Provided Antenatal Visits ( 4Th visit ) Sub-districts Communities

*Medical procdures includes: OPD consultations at PHC and hospital, referral cases, mental health consultation, trauma cases , physical rehabilitation sessions and deliveries by SBA GZT TURKEY XB HEALTH ANALYSIS of REACH by SEVERITY April 2020 DASHBOARD SUB-DISTRICT SEVERITY Medical Procedures by severity and District

Al-Malikeyyeh Severity score less than 3 Severity score = 3 Severity score greater than 3 Quamishli Jawadiyah Amuda Darbasiyah Qahtaniyyeh Lower ShyookhAin al Arab Ya'robiyah Bulbul Tell Abiad 2,679 Raju GhandorahJarablus Tal Hmis Sharan Tell Abiad Be'r Al-Hulo Al-Wardeyyeh Suran Ar-Ra'ee Ras Al Ain Ma'btali A'zaz Menbij Tal Tamer Sheikh El-Hadid Aghtrin Afrin A'rima Sarin Al-Hasakeh Jandairis Mare' Abu Qalqal Ein Issa Suluk Ras Al Ain 1,951 Nabul Al Bab Hole Daret Azza Haritan Tadaf AL - H AS A K E H Rasm Haram El-Imam QourqeenaDana AR - RA Q Q A Jebel SAamaLnEEastPernPKwOaires Areesheh SalqinHarim Ar-Raqqa Jisr-Ash-Shugur 29,919 22,317 Atareb Dayr Hafir Jurneyyeh DarkoshMaaret Tamsrin Hadher As-Safira Karama Shadadah Zarbah Maskana ArmanazIdleb Banan Kasab Jisr-Ash-Shugur Saraqab Hajeb Ariha Al-Thawrah Kisreh Markada Jebel Saman 16,849 33,794 Qastal MaafRabee'aBadamaID L E B Tall Ed-daman Maadan KansabaZiyaraEhsem Abul Thohur Al-Khafsa Al-Haffa Salanfa Khanaser Mansura Sabka Lattakia Kafr NobolHeish Sanjar Tabni L AT TAKShIatA-ha Jarablus Tamanaah 3,910 3,648 Al-QardahaMadiq Castle Hamra DE I R -E Z - Z O R Sur Jablah Karnaz Suran As-Saan Deir-ez-Zor DalyehTell SalhibMuhradah H A M A Khasham Anaza Basira Banyas Saboura Severity Legend Idleb 5,221 194,011 Oqeirbat Soda KhawabiQadmousMasyaf As-Salamiyeh Muhasan Sheikh Badr Thiban Dreikish HarbanifseTalbiseh Eastern Bari 2 Governorate Oj TATarRtouTs OQUabuS Taldu Ein Elniser Al Mayadin Harim 44,234 242,039 Kherbet Elma'azaSafita Hajin Shin Al Makhrim Ashara 3 Safsafa Jeb Ej-Jarrah Tall KalakhHadideh Sokhneh District Hameidiyyeh Kherbet Tin Noor Kareemeh Farqalas Jalaa Al-Qusayr Susat 4 A'zaz 86,518 Raqama Subdistrict Abu Kamal Hasyaa SadadMahin 5 Areas Working of GZ Qaryatein Tadmor ² Ariha 3,424 7,096 Deir Attiyeh H O M S T An Nabk Al Bab 675 33,858 Esal El-Ward Jirud Ma'loula Raheiba Dimas RankusAl Qutayfah North West Az-ZabdaniAt Tall Duma RU R AL D A M A SC U S Ain al Arab Afrin 15,199 7,448 68,140 DA MDamAascSusCNaUshaSbiyeh Lower Shyookh Maliha Dhameer Sabe Byar Bulbul Bait Jan Ghandorah Jarablus 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% KiswehGhizlaniyyeh Raju Khan ArnabaSa'sa' Sharan Tell Abiad Masaada GhabaghebMasmiyyeh Suran Ar-Ra'ee Little Sura Ma'btali A'zaz As-Sanamayn Menbij QAUl-KhNashEniyIyeTh R A Aghtrin Jasim Ariqa Shaqa Sheikh El-Hadid Medical Procedures by Severity and Activity Al-Butayhah ' Tall Refaat Fiq Nawa Sarin DA R ' A Afrin Mare' A'rima Ash-ShajaraDa'el HrakMazra'a Mashnaf Jandairis Ein Issa Severity score less than 3 Severity score = 3 Severity score greater than 3 Mzeireb AS - SW E ID A Al Bab Abu Qalqal As-Sweida Nabul Dar'aMseifra Milh Total Referrals Jizeh Qarayya Haritan Tadaf Busra Esh-ShamSalkhad 182 1,020 7,328 ThibeenGharyeh DanaDaret Azza Harim Rasm Haram El-Imam Jebel Saman AL E P P O Nmber of physical rehabilitation sessions Qourqeena Eastern Kwaires Salqin Atareb Kafr Takharim Dayr Hafir 121 ,713 15,791 Jurneyyeh Maaret Tamsrin Zarbah Ar-Raqqa As-Safira Armanaz Teftnaz Number of outpatient consultations Hadher Maskana Darkosh Bennsh Banan Idleb 14,983 104,199 631,234 Janudiyeh Sarmin Al-Thawrah Hajeb Jisr-Ash-Shugur Saraqab Total number of trauma consultations. Rabee'aBadama ID L E B AR - RA Q Q A 7,849 21,133 Kansaba Mhambal Ariha Abul Thohur Ehsem Ziyara Al-Khafsa Number of mental health consultations Ma'arrat An Nu'man Khanaser Mansura Salanfa Tall Ed-daman 22 580 6,757 Kafr Nobol Sanjar Heish L ATMTzaiAr'a SKhaIt-hAa Total deliveries Madiq Castle Tamanaah Al- Khan Shaykun 949 9,178 Hamra Sokhneh As-Suqaylabiyah H A M A Kafr Zeita Suran Medical Procedures Karnaz As-Saan Oqeirbat H O M S DalyehTell Salhib Saboura 15,199 116,310 691,421 GZT TURKEY XB HEALTH ANALYSIS OF REACH BY ACTIVITY April 2020 DASHBOARD OPD Consultations At Subdistrict Mental Health Consultations At Subdistrict

Bulbul ah siy Raju rba Da OPD Consultations Monthly trend Sharan Mental Health consultations Monthly trend

u Bulbul n j a Jarablus a r Suran - a Ghandorah R h Tell Abiad Ras Al Ain Mabtali Ma'btali S A'zazSuran Ar-Ra'ee Sheikh El-Hadid Aghtrin Aghtrin in fr Mare' ab Ein Issa Jandairis A l B Suluk A l - H a s a k e h Number of mental health consulta�ons (new cases+ follow-up cases) A 794,196 800,000 Afrin DanaDaret Azza Qourqeena A l e p p o SalqinHarim Atareb Al Bab Number of new pa�ents who received mental health consulta�on ArmanazMaaret Tamsrin 780,000 Teftnaz A r - R a q q a Jisr-Ash-ShugurIdleb 15,000 JanudiyehI d l e bSaraqab 750,416 Dana Ariha 760,000 Daret Azza A l e p p o 9,785 Ehsem 740,076 Harim 731,874 Qourqeena 10,000 7,072 6,519 7,359 L a t t a k i a 740,000 Salqin Atareb 3,398 Maaret Tamsrin 2,945 2,914 3,364 H a m a 5,000 < 10,000 720,000 Armanaz D e i r - e z - Z o r < 50 Darkosh Idleb 10,001 - 20,000 Janudiyeh 51 - 100 - T a r t o u s 700,000 I d l e b 20,001 - 40,000 J A N - 2 0 F E B - 2 0 M A R - 2 0 A P R - 2 0 Badama 101 - 500 J A N - 2 0 F E B - 2 0 M A R - 2 0 A P R - 2 0 Jisr-Ash-Shugur H o m s 40,001 - 80,000 501 - 1,000 L a t t a k i a > 80,000 H a m a > 1,001 OPD Consultations By District & Partners OPD Consultations By Gender and Age Mental Health consultations By District & Partners Mental Health By Age and Gender # of Partners # of Partners 3,500 11 Reported 12 Reported 2,972 10 300,000 30 3,000 # MHPSS 10 24 # ODP By District By District 164,384 , 250,000 25 2,500 20 22% 8 255,418 1,832 6 1,108 , 15% 200,000 15 20 275,124 , Female >=18 2,000 14 5 5 5 6 >= 18 Female 150,000 182,489 10 10 15 37% 1,500 1,213 Female < 18 2,799 , 38% < Female 100,000 6 10 3 4 4 3 1,000 50,000 86,391 2 2 5 Male >=18 504 >= Male 80,717 47,360 46,780 29,602 9,943 7,243 2,537 1,936 133,771 , 377 315 2 500 146 2,365 , 32% - - 18% Male < 18 < Male - - 1,087 , 15% 177,137 , 23%

Physical Therapy At Subdistrict Trauma Consultations At Subdistrict

Bulbul Raju Tell Abiad Physical Rehabilitation Monthly trend Trauma Consultations Monthly trend A'zaz Suran A'zaz Afrin Number of physical rehabilita�on sessions provided Aghtrin Al Bab number of trauma consulta�ons.(new cases+ follow-up cases) number of new pa�ents who received Physical Rehabilita�on Afrin Mare' Jandairis Number of hos�lity-related trauma consulta�ons (war related) Harim Dana A l e p p o Al Bab Qourqeena Salqin 20,000 17,516 35,000 Maaret Tamsrin 28,982 Armanaz 14,260 14,547 Darkosh A r - R a q q a Dana Daret Azza A l e p p o 30,000 Idleb 15,000 Harim 24,341 11,537 Qourqeena Badama 25,000 19,848 I d l e b SalqinKafr Takharim Atareb 18,845 10,000 Maaret Tamsrin 20,000 Armanaz Teftnaz < 100 Darkosh 15,000 4,194 Bennsh <100 L a t t a k i a 3,426 3,589 3,193 Janudiyeh Idleb 101 - 500 5,000 101 - 500 10,000 Badama 2,771 501 - 1,000 1,989 1,614 1,100 Jisr-Ash-Shugur Ariha 501 - 1,000 5,000 H a m a 1,001 - 2,000 - 1,001 - 2,000 - H o m s J A N - 2 0 F E B - 2 0 M A R - 2 0 A P R - 2 0 T a r t o u s < 2,001 J A N - 2 0 F E B - 2 0 M A R - 2 0 A P R - 2 0 H o m s H a m a I d l e b > 2,000 Physical Rehabilitation By District & Partners Physical Rehabilitation By Age and Gender Trauma Consultations By District & Partners Trauma Consultations By Gender and Age # of Partners # of Partners 12,000 8 Reported 9 12,000 Reported 12 10 9,669 8 10,378 10,000 # Physical Rehab 10,000 # Trauma 10 By District 7 8 By District 8,000 6 8,000 8,344 8 6 4,918 , 17% 4 4 4 5 6,000 3,755 , 21% 6,000 6 Female >=18 4 4,287 , 25% Female >=18 4 8,679 , 30% 2 4,000 3,199 3,133 8 3 4 4,000 2,405 1 3 Female < 18 2 Female < 18 2,105 1 1,622 4,630 , 16% 1,348 1,087 2 1,314 1 2,000 760 2,000 510 2 Male >=18 142 1 Male >=18 477 - - 2,562 , 15% - - Male < 18 Male < 18 6,912 , 39% 10,755 , 37% GZT TURKEY XB HEALTH ANALYSIS OF REACH BY ACTIVITY April 2020 DASHBOARD Total Deliveries At Subdistrict Total Major Surgeries At Subdistrict

Ghandorah Ghandorah Deliveries Monthly trend Major Surgeries Monthly trend A'zaz A'zaz Aghtrin Aghtrin Afrin Total Major Surgery Number of Minor surgery Afrin Jandairis Jandairis vaginal deliveries C-sec�on deliveries Al Bab 16,000 8,024 14,000 15,000 Daret Azza 11,528 Dana Aleppo 4,760 a 12,000 n Harim a A l e p p o 4,186 Harim D Salqin Qourqeena n i 7,850 Atareb 10,000 3,364 q 10,000 l Qourqeena 7,297 Kafr Takharim a 6,921 Atareb S Kafr Takharim 8,000 Maaret Tamsrin 5,483 in 5,335 z sr Armanaz 4,819 a am T Teftnaz 4,370 n t T e 6,000 a re ft 5,000 2,406 2,460 a na 2,286 2,277 Darkosh < 50 m a Bennsh r M z Darkosh A < 100 Idleb 4,000 Idleb Idleb Janudiyeh 51 - 100 101 - 200 2,000 I d l e b - Jisr-Ash-Shugur Ariha 101 - 200 201 - 500 J A N - 2 0 F E B - 2 0 M A R - 2 0 A P R - 2 0 - Jisr-Ash-Shugur Lattakia 201 - 500 J A N - 2 0 F E B - 2 0 M A R - 2 0 A P R - 2 0 501 - 1,000 Hama > 501 H a m a > 1,001

Deliveries By District & Partners Deliveries By Age Major Surgeries By District & Partners Major Surgeries By Type 9 # of Partners # of Partners 5,000 Reported 10 8 Reported 4,332 2,000 1,736 9 4,500 9 1,800 1,671 8 # Major Surgery 8 4,000 7 # Deliveries 8 By District By District 1,600 7 3,500 7 1,418 , 14% C-sec�on >=18 1,400 5 6 3,000 6 1,200 4 2,500 2,035 4 5 2,129 , 21% 5 1,484 , 28% 1,000 752 3 3 2,000 3 3 3 4 C-sec�on < 18 800 4 1,224 1,145 5325 3 # Elec�ve surgeries 1,500 819 3 148 , 1% 600 1,000 1 2 400 279 276 1 1 2 277 128 # Emergency surgeries 500 154 141 1 vaginal deliveries >= 200 11 1 - - 18 - - 3,851 , 72% 6,432 , 64% vaginal deliveries < 18

Antenatal Care All visits At Subdistrict Hospital Admissions At Subdistrict

Ghandorah

u B j ulbu Antenatal Care 4th visit Monthly trend Hospital Admissions Monthly trend a l n Jarablus R a r Ghandorah a Tell Abiad li h A'zaz ta S Suran b az n ' A'z i a r M t Total number of Ante-Natal Care (ANC)all visits Aghtrin Sheikh El-Hadid h g Number of admissions (Hospitalisa�on - Wards ) in r A f Mare' b Jandairis A a l B Antenatal care 4Th Visit Or More Al Bab A Jandairis Afrin Number of admissions (Hospitalisa�on - ICUs )

a n Daret Azza a 80,000 21,962 21,495 Harim D A l e p p o 61,734 61,942 25,000 21,560 SalqinQourqeena Atareb 56,194 Dana Daret Azza 18,268 Kafr Takharim 53,247 Aleppo Maaret Tamsrin 60,000 Harim Armanaz Teftnaz 20,000 Qourqeena Darkosh Idleb Bennsh A r - R a q q a Salqin Janudiyeh Kafr Takharim Sarmin Atareb 15,000 Badama 40,000 I d l e b Maaret Tamsrin Armanaz Teftnaz Jisr-Ash-Shugur Ariha 16,576 Darkosh Ehsem < 200 13,247 Bennsh 10,000 20,000 8,442 9,815 < 200 201 - 500 Janudiyeh Idleb Idleb 5,000 851 761 655 977 L a t t a k i a 201 - 500 501 - 1,000 - Jisr-Ash-Shugur 501 - 1,000 - J A N - 2 0 F E B - 2 0 M A R - 2 0 A P R - 2 0 Ariha 1,001 - 2,000 1,001 - 2,000 J A N - 2 0 F E B - 2 0 M A R - 2 0 A P R - 2 0 H a m a Lattakia H o m s Hama > 2,001 T a r t o u s > 2,001 Antenatal Care By District & Partners Antenatal Care By Type Hospital Admissions By District & Partners Hospital Admissions By Type # of Partners 19 Reported # of Partners 20,000 20 9,000 9 Reported 10 18,000 16 18 8 # antenatal 8,000 By District 16 # admission 16,000 17,583 7,000 8,264 By District 8 14,000 12 14 10 6,000 977 , 4% 12,000 13,683 12 5,000 6,028 6 10,000 8 10 4 4,000 3 3 3 admissions 8,000 6 8 18% 4 4 3,000 Hospitalisa�on - ICUs 6,000 7,362 6 2,000 1 1 1 4,000 2 4 2,431 2 5,155 1 1 1 1,000 2,285 1,675 729 578 471 11 admissions 2,000 3,497 3,162 1,383 884 430 58 50 2 - - - - Hospitalisa�on Wards 0% 20% 40% 60% 80% 100% 21,495 , 96%

AnteNatal Care (ANC)all visits

Antenatal Care 4Th Visit GZT TURKEY XB HEALTH ANALYSIS OF REACH BY ACTIVITY April 2020 DASHBOARD Referrals Monthly trend Total Referral At Subdistrict Number of referrals inside Syria Number of referrals to Turkey 11,290 12,000 10,869 9,788 10,000 8,495 8,000

6,000 Darbasiyah 4,000 Bulbul Jarablus Raju Ghandorah Sharan Tell Abiad Suran Ar-Ra'ee Ras Al Ain Ma'btali A'zaz 2,000 417 525 Sheikh El-Hadid Aghtrin 203 35 Afrin Jandairis Ein Issa Suluk A l - H a s a k e h Mare' Al Bab -

Dana Daret Azza J A N - 2 0 F E B - 2 0 M A R - 2 0 A P R - 2 0 Harim A l e p p o Qourqeena SalqinKafr Takharim Atareb Maaret Tamsrin Armanaz Teftnaz A r - R a q q a Darkosh Bennsh Idleb Janudiyeh Sarmin Badama Number of referral cases per treatment type ( To Turkey - Within Syria ) Saraqab Jisr-Ash-ShugurI d l e b 40% Ariha Ehsem 34% 35% L a t t a k i a 30% 26% 26% H a m a 23% 23% D e i r - e z - Z o r 25% 20% 18% 17% Syria 16% T a r t o u s < 50 15% Turkey 51 - 100

H o m s 101 - 500 10% 7% 7% 501 - 1,000

> 1,001 5% 3% 0% 0% 0% 0% 0% 0% Internal Medicine Obs & Gyn Pediatric Surgery Trauma�c Surgery Non-Truma�c Mental Health Physical Rehabilita�on Other

# of Partners Total Referrals By District & Partners Reported Total Referrals inside Syria By Gender and Age # Total Referral

# Referral inside Syria 4,000 25 # Referral to Turkey 3,504 3,474 3,500 20 20 Female >=18 3,000 17 2,243 , 27% 2,500 2,127 2,125 15 2,650 , 31% Female <18 12 2,000 # Indicators # Partners 8 8 10 Male >=18 1,500 1,182 1,182 5 1,000 4 594 594 Male <18 473 470 3 5 1,719 , 20% 364 364 500 1 1 133 133 100 100 1,883 , 22% 30 2 - - 3 - - - 38 38 - 15 15 - - - Harim Idleb Al Bab Afrin A'zaz Jebel Saman Jisr-Ash-Shugur Ariha Jarablus Ras Al Ain

Total Referrals To Turkey By Gender and Age Percentage of Referral Cases out of The Ttotal Percentage of Referral Cases Per Referral Destination inside Syria 35 , 0% 904 , 11% 4 , 11% Female >=18

referrals inside Syria to Female <18 referrals to Turkey 16 , 46% 8 , 23% PHCs Male >=18 referrals inside Syria referrals inside Syria To Hospitals 7 , 20% Male <18 7,592 , 89% 8,495 , 100%

Disclaimer: the boundaries shown and the designations used on this map do not imply offical endorsement or acceptance by the United Nations. Admin Source OCHA. Data Source 4Ws Health Cluster Partners Created by Abdullah Alismail Information Management Officer World Health Organization, Email: [email protected]