BACKGROUND

1. Context

Northeast Syria is a area with a fancy and dynamic socio-political panorama. It is located within the northern a part of Syria and bordered by Turkey to the north, Iraq to the east, and the Syrian Desert to the south.

Humanitarian challenges in Northeast Syria are exacerbated by the aftermath of battle, the presence of extremist parts, and financial hardship. The area has witnessed intensive destruction of infrastructure and important providers throughout years of battle. Access to healthcare, schooling, and fundamental requirements stays restricted, particularly in areas affected by the battle towards IS. Additionally, the continued battle and insecurity have hampered humanitarian organizations’ capacity to supply assist successfully. Despite these challenges, numerous worldwide and non-governmental organizations are actively concerned in offering humanitarian help, striving to deal with the pressing wants of the susceptible populations and help restoration and stabilization efforts within the area. However, the humanitarian scenario stays fragile, necessitating continued consideration and coordinated efforts to deal with the various wants of the communities in Northeast Syria.

2. Project profile

Project title

• Health Recovery in Northeast Syria (HERNES)

Donors

• French Ministry of Europe and Foreign Affairs (French MoEFA)

Project finances

Project length

01/02/2023

31/01/2024

The current mission constitutes a 3rd part of the HERNES program. The program began in August 2019 and has been carried out till January 2023 by Expertise France, in partnership with the NGO Mehad. The two first phases of this system have been collectively financed by the Crisis and Support Centre (CDCS) of the French Ministry for Europe and Foreign Affairs (MoEFA) and the European Union (EU) Foreign Policy Instrument (FPI) for a complete quantity of EUR 14,715,611.

The context that has guided the event of HERNES 3 has remained largely unchanged, and the mission’s justification and relevance continues to be largely legitimate, though the protracted disaster additionally requires a higher concentrate on problems with sustainability and sturdy interventions, involving a bigger concentrate on capacity-building of well being actors and on coordination and harmonization throughout companions. The battle has triggered a major “brain drain” and the disruption of medical schooling that has resulted in an total scarcity of human sources throughout the NES, particularly in distant places. As one of many key constructing blocks of a practical well being system, it’s important that healthcare suppliers and coordination groups are capacitated and are supported, to supply a high-quality respectful evidence-based care, at every degree of the well being system. Thus, the mission constructed upon the achievements, challenges and classes learnt throughout HERNES 1 and a couple of, concerning enhancement of high quality of care and capability constructing of the well being workforce in Reproductive, Maternal, Newborn and Child Health (RMNCH).

The method is three-fold. Firstly, on the NES degree, EF meant to proceed main the event and harmonization of actions within the discipline of RMNCH throughout the Health Working Group (HWG) and to conduct operational analysis that may generate new info and permit actors to make knowledgeable choices for planning and improvement of coverage and apply to help a functioning well being system in Syria. Secondly, on the well being facility degree, EF supported the capability of RMNCH service suppliers, to help these well being care suppliers remaining within the NES, to assist handle the present human sources gaps, to enhance in addition to to widen providers which are supplied. Finally, to safe partly achievements reached by HERNES 1 and a couple of and to display effectivity of promoted practices, the mission continued to help the supply of providers within the Maternity Hospital of Al Hol in addition to supply of fundamental providers within the main well being care middle of Al Karama. This continuity of providers is seen as important within the present context, whereby the well being system and consequently well being providers within the NES can’t be supported by public authorities and the State finances, and whereas ladies and youngsters are essentially the most impacted by the battle and have the best burden of illness and well being wants.

3. Project goals and anticipated outcomes:

Overall goal

To strengthen stability and resilience of conflict-affected populations in North East Syria by enhancing their residing situations

Specific goal

• Harmonization and coordination of well being providers’ methods and approaches throughout the NES.
• The most susceptible inhabitants have entry to high quality well being providers.

4. Project predominant achievements[1]

During the mission lifetime, the actions have been carried out throughout 2 healthcare amenities (one PHC and one Maternity Hospital). Additionally, well being actors have been technically supported via Training of Trainers packages, Cascade coaching, and supportive supervision trainings.

Service supply:

• Provided important well being providers, medicines, tools, Infection prevention and management (IPC), and information assortment to 1 Primary Healthcare and one Maternity Hospital.
• 46,424 consultations have been supplied to 40525 beneficiaries throughout the two healthcare amenities. This consists of the outpatient or clinic visits (together with CD, NCD, ANC, PNC, FP, and different reproductive well being providers).

Capacity constructing help to the restoration of the well being system:

• Training of Trainers: 31 acquired TOT workshop in Reproductive Health in Derik. This coaching focused midwives, nurses, medical docs, obstetrician-gynecologists and Reproductive Health Coordinators in addition to current Master Trainers in NES who want to replace their expertise. The content material of the coaching consisted of matters masking Reproductive Health together with Family Planning, Sexually Transmitted Infections, Gender-Based Violence and Common Gynaecological Problems.
• Supportive Supervision: 25 medical professionals from 13 amenities and 6 organizations are supported to boost practices on key topic of RMNCH. The exercise was launched in March and the group met once more in August to change on their enhancements.
• Cascade coaching: In complete 122 well being care suppliers acquired coaching – 59 healthcare suppliers attended Still Birth Attendance (SBA) and EmONC cascade coaching workshops and 63 attended ANC and PNC cascade coaching workshops. The majority have been midwives.

[1] The figures signify achievements as finish of August 2023. The analysis ought to cowl all of the precise achievements by finish of Project (three months remaining in implementation).