Week 21, 19-25 May 2018

General developments & political & security situation  On 22 May, a convoy of an estimated 400 people from Yarmouk arrived in Madiq Castle in northern Governorate, following a local agreement reached between parties. This development renders the whole of and Rural Damascus governorates under GoS control.  From 15 - 22 May, over 8,000 of the some 44,000 displaced people in IDP collective sites in Rural Damascus reportedly returned to eastern Ghouta. They have been displaced since March when military operations resulted in mass displacement.  According to Syrian media, the Syrian Minister of Health’s intervention at WHA71 called for lifting the unilateral economic measures on that affect the health of its people … on the occupied Golan, he stressed that despite Syria's repeated demands, Israeli occupation authorities deliberately deprive the area of health facilities, to pressure its population to leave; also noting the continued suffering of Syrian prisoners in Israeli jails that lack the minimum standards of hygiene and health care …. He noted that over 7 years of war, Syrian health institutions continued providing free services, which exceeded 40 million services, at a cost of about 81 billion SYPs in 2017.

OVERVIEW KEY HEALTH ISSUES Health response to multiple and simultaneously evolving emergency situations across the country:  Cases of measles across the country, leishmaniasis in northern Syria and acute diarrhea in NE Syria.  An estimated 137,070 individuals remain displaced from to the Tall Refaat, Nabul, Zahraa and areas.  In East Ghouta, about 44,000 IDPs remain in eight shelters, and an estimated population between 100 and 140,000 in the communities that remain largely inaccessible to health assistance.  Approximately 35,648 people have evacuated Northern through Rastan exit point since 7 May 2018 towards governorate. A total of 150,000 people in rural Homs remain in areas inaccessible to health assistance.

KEY GAPS & CHALLENGES  Lack of information or access to areas recently regained by GoS.  Little known about the status of public health care facilities in the areas occupied by the Turkish government and the Kurdish Self-Administration.

OPERATIONAL UPDATES

1. Coordination:  No update.

2. Information and planning:  Produced HeRAMS snapshot for April 2018 for public hospitals across Syria; Flash update # 29 for monitoring violence against a medical mobile clinic donated by WHO to an NGO in Deraa (12 May 2018).  Site visit to WHO-Homs hub to provide technical support in HIS issues and to develop response monitoring indicators for Northern Rural Homs.  New maps: - Current situation and functionality of public health facilities in Southern Damascus (Al-Yarmouk city) along with control areas, as of 21 May 2018; - Distribution of health facilities for Syria Pulse in Deir-ez-Zor , May 2018.

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- Distribution of health facilities for Al-Ihsan Charity (NGO) in , May 2018.

3. Health operations:

Aleppo Afrin response: Situation update  Returns into Afrin district have increased. From 21-24 May 2018 up to 600 vehicles carrying IDP families from various displacement locations (Tal Refaat, Fafin, and surrounding areas) crossed into Afrin city.  All IDPs crossed from Ibin village (under GoS) – (under NSAGs) – Maryamayn then to Afrin. The crossing point opened after an agreement between the Afrin local council and Turkish forces to strengthen the position of Afrin Local council (supported by Turkey).  The limitation of movement for IDPs remains a key concern. IDP movement only between reception areas. These limitations of movement mean that displaced people continue to be prevented from moving forward to areas where they would potentially have better access to services and humanitarian assistance. Disease surveillance &immunization:  Acute Diarrhoea, URIs, and Lice are the most reported diseases among IDPs.  Continuous decreasing in reporting of measles suspected cases in week 20.  Essential outreach services: 26 medical mobile teams, health units and medical points that have been mobilized: 5 DoH donated mobile clinics, 5 SARC mobilized mobile clinics, 8 mobile medical teams by NGOs, 2 DoH PHC centers ,3 SARC PHC, 1 NGO PHC, 1 dialysis center, and 1 local hospital NGOs Activities  >50,000 bed nets are in pipeline, and preparedness for vector control is ongoing (4 months starts in June). NGO activities  13 WHO Supported mobile teams are operated through 5 national NGOs.  1 fixed PHC is supported in Nabul, in addition to the support of referral system to the local hospital in Zahraa town (in total 143 patients who received STHC services including 46 obstetric deliveries)  3336 outpatient consultations were provided, as the service is available on daily basis. In addition to 84 services were provided to people with special needs. Nutrition activities:  10 WHO supported nutrition surveillance teams running activities in Afrin IDPs sites.  835 children under 5 years screened during this week, 10 SAM cases were registered and began treatment. Mental Health  890 MHPSS and medical services have been provided through the 13 WHO Supported mobile teams Medical transportation for critical cases  Ongoing coordination between SARC, DoH, and WHO to enhance the mechanism to transport critical cases.  7 critical cases were transported by SARC to Aleppo University Hospital, including severe fractures, people with cancer and renal failure. Response to student from HTR for national exam:  3042 students from HTR areas reached Aleppo for the final exams, accompanied by 400 parents, hosted in 16 collective shelters in Aleppo city. WHO responds to the health needs of students through partnership with 5 national NGOs response to the health needs of resident students.

East Ghouta response No update.

Homs response: Response to Northern Rural Homs  On 17 May 2018 the 9th (final) convoy of evacuees from NRH (from Al‐Houla) entered Idleb and western rural Aleppo through Al‐Madik castle crossing point. Evacuation of the NSAGs from the northern countryside of Homs and southern countryside of Hama is now completed. The collective total number of evacuees was 35,648 individuals between 7 - 17 May. 2

 Nutrition screening was conducted for 50 children <5, detecting 24 moderate and 2 severe acute Malnutrition cases, 13 pregnant and 17 lactating women were screened, detecting 14 moderate malnutrition cases.  Inside NRH, DOH teams vaccinated 227childern with routine vaccination program (193 of them dropout) in 3 points: Dar Kabira, Rastan and AlGanto. Access to other health actors not yet provided.  WHO dispatched shipment of medicine and Permethrin 1% Shampoo to SARC Homs, to cover needs of mobile clinic which provided health services to Northern Homs area. Routine program  Participation in IA mission for humanitarian assessment for Alqareeten town.  HIS field visits conducted to Fairoze and Zeidal PHC (in eastern Homs area).  Annex 4 for number of beneficiaries of Albir NGO- WHO partner in Homs.

Lattakia response:  Prepared two shipments to be dispatched to Douma and YBB in the upcoming IA convoys.  Prepared shipments to replenish Homs, Aleppo and Al-Qamishlli stocks.

Northeast Syria (Al-Hassakeh; Ar ; Deir-ez-Zoir) response: Coordination  Follow up: diarrhea cases in Zghair and Al-Kasra in Dier Ezzour with NES health actors; WASH sector in water quality control issues in camps.  Coordination meetings with the directorate of the DOH in Al-Hasakah with the MH technical officer to discuss the current situation of MH services in the governorate; the governor of Al-Hasakah to provide the needed facilitations; IRC to discuss the collaboration pathways in terms of Mental health Acute diarrhea in Dier Ezzor  Acute diarrhea cases have been reported to WHO from Deir Ezzor Governorate in north eastern Syria since 26 April. Several villages on the eastern bank of the Euphrates have reported cases. o 28 cases including 5 deaths have been reported to WHO from health facilities. o As per update on 23 May 2018, KRC reported 353 cases and 0 deaths of acute diarrhea.  The laboratory results of (18) stool samples tested by MoH indicated that E. coli as the predominant etiology, while lab tests to identify E. coli O157:H7 were negative. The laboratory results of (14) stool samples tested by Kurdish Red crescent were negative for shigellosis and salmonella.  Water quality disinfection programme is in progress in Husseiniya district east of Euphrates River in the Governorate of Deir Ezzor. As of 22 May, 41, 677 chlorine tablets have been consumed, chlorinating approximately 83,000 liters of water distributed by 9964 water tankers with capacities varying between 5 and 10 cubic meters. Further details in outbreak sitrep. Pharmacy and STHC program:  Delivered 4 tons of kits, medicines and equipment to Al-Kasra hospital northern Deir Ezzor, the supplies support different health needs in areas located eastern the river and respond to the high number of water- born infectious cases, providing in total supplies for 61,330 treatments and 200 trauma cases.  Delivered 4 tons of kits, medicines and equipment to Al-Taqba hospital in Ar-Raqqa to complete rehabilitation works and expand hospital services, providing supplies for 62,271 treatments and 225 trauma cases. National NGOs coordination:  St. Ephram committee in coordination with three NGOs, GOPA and Al-Hikmah private hospital are WHO’s current partners.  2 health working group meetings in both of Al-Mabruka camp and Ain Issa camp with all the health actors, the meetings addressed the last health situation updates, gaps and the action points.  Conducted a field visit with MH technical officer to follow up service provision (GOPA and St.Ephrem committee).

4. Technical Expertise 3

Non-Communicable diseases / Primary healthcare  Under Biennium program 2018-2019; advocated 2 PHC/NCDs workshops In cooperation with MOH as follows: - “Diabetic Foot management & approaches for Diabetic Elderly People “workshop 12-14 in Damascus, targeting doctors in MOH. Total number of trainees 25. - Tobacco Control TOT workshop 19-21 May in Homs, targeting doctors & directors of Tobacco control program in DOHs from Aleppo, Tartous, Hama , Homs & Latakkia. Total # of trainees 25.  Followed up MOE plan, with the Regional Center for Training & Oral Health Research, to cover oral health services for school students & children residing in IDPs shelters from EG & newly accessible towns inside EG.

Immunization:  Syria’s polio lab has achieved the target of implementing the ITD testing, accredited by polio regional adviser.  WHO consultant has visited Syria polio Lab during the period 13-20 May 2018 to train the laboratory personals for Poliovirus diagnosis on real time Reverse Transcriptase Polymerase Chain Reaction (rRT-PCR) version 5.0. Overall, 7 participants participated in this training.  The final results of the National Immunization Week (22 – 30 April 2018): o 928,672 children under 5 ,were vaccinated against polio in 7 governorates (coverage rate 103%), 277,383 children vaccinated in Deir-ez-Zor and 194,460 in Raqqa. o 425,019 children under 5 were vaccinated against measles in 5 governorates (coverage rate 79%) 111,654 children in Deir-ez-Zor and 134,157 in Raqqa. o 1,443,872 children were screened for their vaccination status, 145,053 drop out children were vaccinated in line with the national vaccination schedule, o In Deir-ez-Zor governorate 128,151 were screened for their vaccination status and vaccinated in line with the national vaccination schedule. o In Raqqa no routine vaccination activities were conducted during the national vaccination week.

Mental health program:  Site visits were conducted to 12 PHCs and community health centers in Hama, As-Sweida’a and Rural Damascus to follow up on the implementation of mhGAP programme.  Mission was conducted to Al Hassakeh governorate to follow up on the on implementation of the MHPSS programme in the governorate. The following activities were conducted during this mission: - Meeting with the Director of Health Directorate - Meeting with the management of GOPA NGO to discuss the MHPSS cooperation plan - Site visit to Ein Issa camp and participated in the health working group meeting attended by the health actors in the camp.

Nutrition and child health:  The national nutrition surveillance for April 2018: 89,452 children <5 were screened, 1397 children are reported with a Global Acute Malnutrition. 283 children – Severe Acute Malnutrition. 1114 children – Moderate Acute Malnutrition. 80 patients referred to the stabilization centers.  5 Social mobilization meetings in new borne care at home for 90 focal points in 6 governorates : Deir Ezzor, Hama, Aleppo, Tartous, Lattakia.

Secondary health care program:  Delivered approximately 15,147 treatments of life-saving and essential medicines including insulin, IV fluids, anesthetics, analgesics, and antibiotics to Tabka hospital in Ar-Raqqa , Al-Kasra hospital in Deir Ezzour, SARC Homs, and NGOs in Damascus and Rural Damascus.

Trauma:  High-level meetings with Deputy Minister of Health:

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o Requests from MOH to support the Directorate of Disability and Physical Rehabilitation with manufacturing supplies for artificial limbs. o Request for WHO support in organizing a high level national workshop for enhancing the capacities of postgraduate medical students at university hospitals and faculties of medicine in the Syrian universities in the field of Intensive Care.

Disease surveillance and response:  See Deir-Ezzor diarrheoa in NES section.  WHO coordinated the training of health workers from 8 health facilities in Al Hassaka on EWARS reporting mechanism.

WASH  Water quality monitoring in: o 8 East Ghouta camps is in progress is in collaboration with SARC. o NES camps in progress is in collaboration with UNICEF and UNHCR. Detailed discussions are ongoing with NES WASH coordinator to ensure that disinfection of Jerry cans is given proper priority. o Northwest Syria camps (Afin IDP camps) is in progress in collaboration with SARC. o Uncontrolled sources in Aleppo is in progress in collaboration with Directorate of Environment, Directorate of Health, Directorate of Water Resources and Aleppo Water Establishment. Over 1080 wells monitored to date. Contour maps of pollutants will be produced geographically including nitrates, nitrites, ammonia and total count. These maps should serve for better decision making on how to mitigate the issue of pollutants in groundwater. o Homs for reservoirs and groundwater wells is in progress. DoH has issues using field monitoring instruments. WHO sent monitoring teams to train on proper usage of equipment.  Upgrading water supply and storage system of St Louis hospital in Aleppo is under implementation.  A water supply consultant assessed water supply situation in heart surgery hospital (MoHE) and Gynecology hospital (MoH), both in Aleppo. Results of assessment will be utilized to address the needs of these hospitals  Medical waste trucks for Damascus Waste Directorate are being shipped to Lattakia.

National NGO coordination:  Coordination with MOH has been established to conduct two training courses on infection control for DOH and NGOs health workers in EG IDPs shelters and Eastern Ghouta at the end of May and in Mid of June.  NGOs is on process to set up a new HeRAMS reporting mechanism for health facilities affiliated to NGOs.  2 Grant agreements have been cleared to strengthen WHO response in Eastern Gouta IDPs shelters.  Current NGO MoUs in Annex 1

External Relations, Coordination and Communications:  Met Director of Tobacco Control Programat MOH to follow up on the preparation concerning the upcoming World No Tobacco Day 31st May 2018, providing different advocacy media materials to raise health awareness on the adverse effects of smoking.  Documenting WCO training activities in different areas, conducting field visits to health facilities to follow up on WHO capacity building support covering three intervention areas (EWARS, HIS, and Trauma).  WHO-Syria Twitter account: several tweets about WHO interventions and health response.

Operational support and logistics:  Dispatched 13.3 tons (approximately 132,200 treatments) of medical and nutritional supplies to 9 governorates (Rural Damascus, Damascus, Lattakia, Raqqa, Homs, Tartous, As-Suwayda, Deir Ez-Zor, Al- Hasakah).  Recipients included 6 MoH facilitates, MoE, SARC, 2 NGOs and a private hospital supported by WHO. o Dentistry research equipment delivered to ministry of education 5

o Nutrition equipment delivered to Damascus, Lattakia, Tartous and As-Suwayda DoHs. o 6000 insulin vials delivered to 2 NGOs in Damascus and rural Damascus. o EWARS, nutrition, PHC, STHC and trauma medicines and consumables delivered to Homs SARC.

RESPONSE PRIORITIES - Afrin, Eastern Ghouta, Rural Homs, North-East Syria.

Annex 1: Current WHO agreements with national NGOs

# ongoing # in Governorate Location of current of ongoing MOUs MOUs preparation

Damascus Dummer Al Balad - Al Midan - 4 4 Dahyet Qudsayeh - Hai Al Wourood - Bludan, Madaia, Sargayah, Sasaa , Kharbet Al Ward, Rural Damascus Kharbet Al Shaiab 2 2 EG Response Herjaleh, Harasta, Kfer Batna, Ein Terma 3 3 Homs Wear, Al Hamra, Al Hamediayeh ,Al Qaryatain, Al Fruklus 1 5 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 Aleppo Jbeen - Ibeen - said - Salah AL-Deen - Al-Mshatia - Bostan AL-Zahra - Al-Villat - Menbej 3 5 Al Hasakeh Hasakeh city - Mabroukeh camp 3 2

Ar Raqqa Al-Tabqa - Al-Twehena camp - Ain Issa campAl-Karama/Alhamrat 1

Deir Ez zor Deir Ez zor city + Abu Khashab 1 1 Total 18 25

Annex 2: WHO supported capacity strengthening:

# Date participan Details/Field Program ts

19/05/2018 25 Educational and awareness lectures on AIDS in Al Qunaitira EWARS

19-21/05/2018 25 Early Warning and Rapid Response Program for Workers in Expansion Centers in Tartous EWARS

Prevent HIV transmission from pregnant mother to fetus in Damascus governorate 20-22/05/2018 25 EWARS duration of 1st quarter 2018 in Damascus Improve utilizing and investing the collecting HeRAMS data using office program for 20-22/05/2018 30 HIS MoH staff in Damascus Mental health GAP intervention guide phase1- Part1 for NGOs in Damascus and R. 20-21/05/2018 25 MH Damascus

20-22/05/2018 25 Acute Flaccid paralysis samples collection and transportation in Damascus EWARS

20-22/05/2018 25 Major Incident Medical Management Support “MIMMS” in Damascus Trauma 3 Social marketing meetings for newborn care at home programme in Deir Ezzor, Hama 20/05/2018 45 NUT and Aleppo

20-24/05/2018 25 Baby Friendly Hospitals (BFH) in Tartous NUT

20-21/05/2018 25 Mental health GAP intervention guide refresher for MoH of Lattakia-Doctors MH

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21-23/05/2018 25 Surveillance program workshop for Surveillance officers - Part 1 PHC

2 Social marketing meetings for newborn care at home programme in Tartous and 21/05/2018 30 NUT Lattakia

23-26/05/2018 25 Basic Trauma Life Support “BTLS” Trauma

23-24/05/2018 25 Mental health GAP intervention guide refresher for MoH from R. Damascus MH

19/05/2018 25 Educational and awareness lectures on AIDS in Al Qunaitra EWARS

19-21/05/2018 25 Early Warning and Rapid Response Program for Workers in Expansion Centers in Tartous EWARS Prevent HIV transmission from pregnant mother to fetus in Damascus governorate 20-22/05/2018 25 EWARS duration of 1st quarter 2018 in Damascus Improve utilizing and investing the collecting HeRAMS data using office program for 20-22/05/2018 30 HIS MoH staff in Damascus Mental health GAP intervention guide phase1- Part1 for NGOs in Damascus and R. 20-21/05/2018 25 MH Damascus 20-22/05/2018 25 Acute Flaccid paralysis samples collection and transportation in Damascus EWARS

20-22/05/2018 25 Major Incident Medical Management Support “MIMMS” in Damascus Trauma 3 Social marketing meetings for newborn care at home programme in Deir Ezzor, Hama 20/05/2018 45 NUT and Aleppo 20-24/05/2018 25 Baby Friendly Hospitals (BFH) NUT

20-21/05/2018 25 Mental health GAP intervention guide refresher for MoH of Lattakia-Doctors MH

21-23/05/2018 25 Surveillance program workshop for Surveillance officers - Part 1 PHC 2 Social marketing meetings for newborn care at home programme in Tartous and 21/05/2018 30 NUT Lattakia 23-26/05/2018 25 Basic Trauma Life Support “BTLS” Trauma

23-24/05/2018 25 Mental health GAP intervention guide refresher for MoH from R. Damascus MH

Annex 3: WHO Supported Health services in NES

# of # of Mental # of # of secondary # of # of assisted beneficiaries Health Governorate Area outpatient health trauma people with reached with Psychosocial consultations consultations referrals disability the medicines Services

Al-Hassakeh Hassakeh city center 664 509 37 50 0 4

Al-Hassakeh Al-Mabrouka camp 391 391 0 0 41 0 0 Al-Raqqa Al-Tabqa 762 762 0 79 0

Al-Raqqa Al-Twehena camp 739 739 0 0 141 0

Al-Raqqa Ain Issa camp 1336 1288 0 0 89 0

Al-Raqqa Al-Karama/Alhamrat 373 345 0 0 25 0 0 Aleppo 848 845 0 0 51

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Dier Ezzour Abu Khashab camp 656 641 0 0 46 0 Dier-Ezzor city Dier Ezzour 306 225 0 0 0 0 center

Sub-total: 6075 5745 37 50 472 4

Annex 4: WHO Supported Health services in Homs

# of outpatient # of SHC # of trauma Partner District Commune/Village/Town consultations PHC services patients services

AL-Birr Alhamra clinic Homs city 3425 188 24

AL-Birr ALWaer clinics ALWaer 1845 179 27

AL-Birr Furqlus Furqlus village 759 94 19 AL-Birr Qaryatayn Qaryatayn village 486 113 26 AL-Birr Hamediyeh clinic Homs city 2912 148 24

Sub-total: 9427 722 120

Annex 5: WHO Supported Health services in Aleppo

Afrin IDPs Host community Humanitarian Area NO NO Comments actor NO families NO individuals families individuals Tal Refaat 4,011 19,149 Dir Jmal 1,619 8,091 Including host community 573 2,872 Zahraa 4,000 24000 Estimated number by SARC, Nubul 6,000 36000 re-assessment is on-going Shahbaa Camp 110 615 SARC Barkhadan (Fafin) 675 3700 Camp A'ser Camp 255 1000 Afrin camp 74 400 Aloushiyeh Camp 140 840 Before and during the first 2 Aleppo City 919 4595 weeks of the military operation in Afrin Ahl Al-Khaier Kafr Naya 1,205 7,100 Registration still on-going Tallouf Oqibeh 1,328 7968 Khirbet Al-Hayat 690 2,929 Al-Ihsan Ziyaraa 977 4,082 Tal Ajar 40 193 33 159 For Aleppo Kafr Anton 33 160 31 148

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Tenb 30 152 84 412 Kashtaar 106 512 84 405 Subtotal 22,785 124,358 232 1,124

Annex 6: Health services provided through national NGOs health facilities to Afrin IDPs

# of patients # of # of outpatient received #of MHPSS # of SHC Services provided # Partner Health facility District consultations assistance services services for people with PHC services with special needs medicines Al-Ihsan Meskaan-Kafr Naseh 136 114 114 22 1 Mobile team

Mobile team 306 306 15 2 Al-Ihsan kafen 67

3 Al-Ihsan Mobile team Abin 73 181 181 19

Mobile team Kishtaar – Tenib 84 140 140 28 4 Al-Ihsan

Mobile team Kherbet Al-Hayat 196 284 5 Yadan Biyad

Mobile team Zyara 455 406 6 Yadan Biyad

Mobile team Fafin Camp 386 362 7 Yadan Biyad

Mobile team Tall Shuair 550 529 8 Yadan Biyad

Mobile team Afrin Camp 68 93 10 9 SCC

Mobile team Al-Asser Camp 119 80 19 10 SCC Mobile team 11 Al-Taalouf Al-Aloushiya camp 86 86

Mobile team 12 Al-Taalouf Al-Ukaiba 62 62

Mobile team 98 13 GOPA Al-Shahbaa camp 45 39

PHC Al-Ihsan Nubbol 1014 987 2

Sub total 3336 3678 890 2 84

Annex 7: Nutrition surveillance activities in Aleppo for Afrin IDPs

MUAC <12.5cm but MUAC <

MUAC > 12.5 >11.5cm 11.5 SAM Locations NGO Health facility Normal Cases cases Green MAM Cases Yellow Red Male Female Male Female Male Female Al-Ihsan Nubbol PHC 47 61 3 0 Charity

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Al-Ihsan Kafen ,Meskaan Mobile team 59 69 Charity 1

Al-Ihsan Kafr Naya , Burj , Al-Zouk Mobile team 127 42 0 Charity 1

Al-Ihsan Deer Jmal Mobile team 39 22 Charity 1

Al-Ihsan Kishtaar , Tenib Mobile team 41 38 Charity 1

Fafin Camp YBY Mobile team 20 17

Tall Shear YBY Mobile team 18 33 1

Al-Asser Camp SCC Mobile team 63 57 1 1

Al- AL-Ukaiba , Al-Aloushiya , Tall refaat Mobile team 39 33 Taalouf

Sub total 453 372 3 7 0 0

Annex 8: number of health services provided through national NGOs health facilities under regular program:

# of # of patients # of # of outpatient received # of # of people with Partner District Commune/Village/Town SHC trauma consultations assistance MHPSS disability services patients PHC services with medicines

1411 1204 0 0 14 0 Al-Ihsan PHC Jabal Samaan AL-Mogambo 360 489 0 0 0 0 Al-Ihsan PHC Jabal Samaan Sheikh said 505 630 0 0 0 0 Al-Ihsan PHC Jabal Samaan Salah AL-Deen 798 601 0 0 16 0 Al-Ihsan PHC Jabal Samaan Al-Mshatia 1202 1204 0 0 14 0 Al-Ihsan PHC Jabal Samaan Bostan AL-Zahra 502 468 0 0 0 0 Al-Beer PHC Jabal Samaan Old Shahbaa 519 624 0 0 0 20 GOPA Jabal Samaan Al-Villat 5297 5220 6025 0 28 0 Sub-total:

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