1.0. EXECUTIVE SUMMARY
1.1 Status of health care facilities
As of June 2017, according to WHO’s Health Resources Availability Mapping System (HeRAMS), over half of Syria’s 111 public hospitals and half its 1802 public health care centres were either closed or functioning only partially.
1.2 Access to people in need
In Q2 of 2017, many people in besieged and hard-to-reach areas remained without essential health care. WHO delivered essential medical supplies through nine approved inter-agency convoys to these areas, compared with 26 convoys for the same period in 2016.
Despite these challenges, almost two thirds of WHO’s deliveries in Q2, 2017 went to hard-to-reach and besieged areas where over 4.5 million people are living. In coordination with other partners including the Syrian Arab Red Crescent (SARC), the Office of the United Nations High Commissioner for Refugees (UNHCR) and the World Food Programme (WFP), WHO managed to deliver more than two million treatments to Al-Hassakeh, Ar Raqqa and Deir-ez-Zor.
WHO continues to advocate for regular access to people living in hard-to-reach and besieged areas to help ensure that they receive the health care they need.
Removal of medical items from inter-agency convoys
In Q2, 2017, government security forces removed medical items from four out of the nine approved inter-agency convoys. A total of 180 016 treatments were rejected, together with equipment and surgical supplies.
WHO informs the Ministry of Foreign Affairs (MoFA) and the Ministry of Health (MoH) of all rejected and removed items. It also includes detailed information on all items removed from inter-agency convoys in its contribution to the Secretary-General’s monthly report to the Security Council. WHO continues to advocate for the importance of the safe delivery of all medical supplies, including medical equipment for specialized diagnosis and advanced treatment.
1.3 Attacks on health care facilities and personnel
During Q2, 2017, 44 separate incidents of violence against health care were reported3.
A total of 25 people were killed and 41 people were wounded. The highest number of reported attacks came from Idleb governorate. Eleven of those killed and 21 of those wounded were health care staff, further affecting health care facilities’ capacity to provide essential health care.
In Q2, 2017, WHO:
• Delivered over 3.6 million treatments from Damascus, 63% of which went to hardto-reach and besieged locations. Over 757 600 treatments were delivered through cross-border operations.
• Participated in nine inter-agency convoys and seven cross-border missions.
• Supported at least 40 325 outpatient consultations (35 773 inside Syria and 4552 through cross-border support).
• Supported over 340 350 trauma cases inside Syria.
• Expanded the number of sentinel sites reporting to EWARS/EWARN from 1595 in Q1, 2017 to 1619 in Q2, 2017.
• Screened 169 513 children under five years of age for malnutrition.
• Vaccinated 2.4 million children against polio and 1.7 million children against measles in campaigns supported by WHO’s office in Damascus. Another 655 520 children were vaccinated against polio and 81 736 were vaccinated against other childhood diseases in separate campaigns supported by WHO’s hub in Gaziantep.
• Tested the quality of water in 170 points across the country.
• Continued to advocate for unhindered access to people in need.
• Monitored attacks against health care facilities and personnel, and advocated for their protection.
• Trained 6294 health care staff (5774 inside Syria and 540 through cross-border activities).