Strengthen access and delivery of the essential package of health care services to the vulnerable groups and IDPs in Duma. According to HNO 2021 reports, areas which located on  rural of  Damascus  including (Duma – Harasta) are considered ate high severity of needs due to low availability of basic services while most of health facilities are partially damaged or out of service on the mentioned areas . These locations also typically have overburdened and weak health systems and lack sufficient primary and / or secondary health care, in addition to poor education options (overcrowded schools), poor and damaged water and sewage networks as well as limited livelihood opportunities. the previous violence actions and harsh living conditions result in a very low quality health environment and causes health declines of individuals suffering from those cruel events. On the other hand, host communities, IDP's, and returnees to Rrural of Damascus are lacking livelihoods or any income resources. Thus, they can’t recover from health declines they are facing they can’t even meet their basic needs. In addition, the disturbance of exchange rate caused an unreasonable increase in medical services prices, especially, that many governmental medical facilities are out of service as mentioned before, while the demand on these services is in increase. All the aforementioned factors caused a massive flow of individuals seeking for medical support.

Eastern Ghouta witness a comprehensive lack of basic service provision, particularly access to safe and clean water and healthcare, According to health actors, most of health facilities are partially damaged. Across the south, rehabilitation efforts – both of personal property and civilian infrastructure – are consistently hampered by a lack of resources and materials, as well as high prices. 
As Lamset Shifa is well known among the communities and people in need to be a medical service provider, it became the main distention to people who have been returned  to Eastern Ghouta, those people were  in need of medical treatment and cannot afford it. Lamset Shifa was able to respond to all people who seek the association’s support using the fund of the (SHF, 1st standard allocation 2019) grant where more than 3900 people have been served with urgent and life-saving health services . 
In line with the SHF priorities in Provide lifesaving and life-sustaining humanitarian assistance to the most vulnerable in areas with high severity of needs Lamset Shifa continues to provide free medical services through static medical point in Eastern Ghouta which is located at Duma city and funded by WHO where more than 32,000 patient have been served with life-saving and life-sustaining health services. The pre-fabricated center is consisting of four rooms. Specialized medical consultations will be provided on shift basis including: Internist, Gynecologist, Cardiologists, Ophthalmologist, Urologist and Pediatric.  
This proposed project aims to provide integrated lifesaving services for people suffers critical health situation, including host communities, IDPS and returnees who are located in Eastern Ghota. In order to ensure that the services provided is efficient, patient will receive primary health care services including medical consultation, medicine and diagnosis investigation. Then, cases which require secondary health services will be referred to hospitals to conduct the surgeries or any other treatment recommended by the doctors. Therefore, More than1089 beneficiaries will be severed under the proposed fund. as following:  
1-Orthopedic surgeries
20- neurological surgeries.
3- Caesarean delivery 
4 –incubation new born.
5- General surgeries 
6- Dialysis sessions