Health Sector Bulletin - Syria Arab Republic - Emergency type: Level 3 Emergency Reporting period: 01-10-2019 to 31 -10-2019

Situation Report
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  • A total of 277 Health Facilities are supported by Health Sector Partners in 14 governorates.

  • WHO and Health Sector conducted health needs assessment at 47 collective shelters in north east Syria from 21-26 October 2019. The most needed services are emergency care, reproductive and child health.

  • More than 10 Health Partners are delivering health care services in Al Hole Camp despite all challenges with 14 functional static health centers, 4 mobile clinics and 03 hospitals.

  • The Emergency Immunization Campaign was conducted by MoH in collaboration with WHO and UNICEF in all accessible districts of AL Hassakeh and Ar Raqqa; almost 11,112 children were vaccinated.

  • WHO delivered shipment of 3.1 tons of medical supplies to Ar-Raqqa DOH on 30 October. The shipment which is sufficient to provide about 780 treatments was the first shipment in five years to reach Debsi Afnan.

  • More than 100,000 consultations were provided by the Health Sector in North East Syria since 9th October to newly displaced people at Collective Shelters, Camps and living in population.

  • The National Polio campaign in Syria was conducted from 13-17 October where 2,774,310 children 0-59 were targeted to receive one dose of bivalent OPV. All 13 governorates were involved.

Situation update

The security situation remained volatile and unstable. Hundreds of thousands of people in northeast and northwest Syria are at risk amid ongoing violence. The civilians continue to pay a very high price.

The Turkish army- supported offensive led to massive displacement of population toward south areas of Hasakeh, Raqqa, Ein issa and Tel Tamir. More than 200,000 people who fled the fighting in recent weeks have not yet been able to return home and are dispersed across improvised camps and collective shelters. Moreover, 45,575 children and 27,130 women of reproductive age remain displaced.

Of those displaced, 91,721 are residing in host communities in Al-Hasakeh, Ar-Raqqa and Deir-ez-Zor governorates; the remaining 16,793 (3,697 families) are being accommodated in 79 active collective shelters in Al-Hasakeh (78) and Ar-Raqqa (one) governorates. Twenty-six collective shelters previously hosting displaced populations in Ras al-Ain (16), Al-Hasakeh (8) and Al-Malikeyyeh (2) are now empty.

Almost all active collective shelters are schools, depriving at least 51,200 children of learning opportunities. Most of the Collective Shelters are served by the nearest health facilities whereas in some sites health partners have delivered mobile health services.

These recent displacements have compounded an already dire situation in which 710,000 people were already displaced, and approximately 1.8 million people are in need of humanitarian assistance.

Over 13,000 Syrians have entered Iraq through informal crossing points; 74 percent are women and children.

The situation in Al Hol camp changed after 9th October leading to some disruption of health services provision due to the decrease in the number of health workers in Al Hol hospitals and health facilities and temporary suspension of XB supported activities. Some partners relocated their operations to support new IDPs in Al Hassakeh while referrals were limited to emergency cases only. Towards the end of the month, the health workers returned and the organizations resumed the activities.

The total number of people who left Rukban remains at 18,386, including 18,057 people who left Rukban through self-organized departure and 329 people who left Rukban supported by UN/SARC. The total number of people remaining at the shelters is 393.

WHO lead the sector partners in a needs assessment evaluating the availability of health services and needs of newly displaced people. The assessment covered 47 Collective Shelters in North East Syria with estimated population of 9000. The finding of the assessment is shown in figures,