Envelopes 12 "Provision access to high-quality SRH, secondary health care, and cholera management services in NWS". SEMA, under the support of SCHF, aims to ensure the introduction of emergency services in NWS to address the acute needs in underfunded, high-need, and prioritized facilities as per the health cluster.
By implementing this project, SEMA will be able to fill the critical gaps in the secondary health care and Cholera response to complement and scale up the ongoing capacity of the targeted facilities.
The project will focus on trauma management and surgeries, medical supplies and pharmaceutical provision, CEmONC, and pediatric services, in addition, to supporting the implementation of the Cholera preparedness and response plan through the following:
-Filling the gap in the support of already existing and functioning two maternity and childhood hospitals Al-Ikha'a hospital, (HeRAMS code: G0703071) at Dana sub-district and Alfarabi hospital (HeRAMS code B0202024) located in Albab sub-district, where the support of Al-Ikha'a and Alfarabi hospitals (under this project) will start on 10 January, as Al-Ikhaa is out of support since July 2021, and Al-Farabi is supported through SCHF till 31 Dec 22.
-Supporting one general hospital Arrahma hospital (HeRAMS code: “G0704003) in Darkosh sub-districts which will start on 01 March as the hospital is now supported under SCHF.
-Continue the support of the two cholera centers Idleb and Atma centers) which is supposed to start in February as they are now under SCHF support.
By supporting these five core facilities, which are prioritized by the health cluster, the targeted areas will have access to the following services:

1. Provision of outpatient health services, where there are eight clinics in Arrahma hospital introduce the following services: Urology, general surgery, orthopedic surgery, ENT, thoracic surgery, neurology surgery, cardiology, pulmonology, gastroenterology, pediatric and maxillofacial, where these clinics are supported with lab and radiological services. Moreover, outpatient services will be introduced in Al-Ikha'a and Alfarabi hospitals through the pediatric, obstetric, and gynecology clinics.

2. Provision of trauma and surgical procedures (minor and major surgeries) through 6 operating rooms in Arrahma hospital.

3. Provision of emergency health consultations through the emergency departments, working 24 hours a day for seven days a week, and contain 13 beds in Arrahma hospital, 2 beds in Al-Ikha'a hospital, and one bed in Alfarabi.

4. Provision of inpatient services, where the IPD in Arrahma hospital contains 53 beds in addition to introducing the intensive care service through the 13 ICU beds, while Al-Ikhaa contains 42 beds, 12 incubators, 3 ventilators (including two devices for preterm infants), 4 bubble CPAP devices and two incubators for intensive phototherapy, and Al-Farabi hospital contains 25 beds.

5. Provision of normal and C-section deliveries through 1 Labor room and 2 operating rooms in each of Al-Ikha'a and Al-Farabi hospitals.

6. The two CTCs manage the moderate and severe cholera cases through the medical staff who will be re-trained on cholera case management and cholera IPC standards. The current capacity of the centers is 50 beds in Idleb CTC and 35 beds in Atma CTC (with the possibility to secure additional beds reaching 135 in both centers), with linkage with Oral Rehydration Points (ORPs) and health facilities to receive the cases that need a referral.

The project will provide integrated MHPSS services within the CTCs, in addition to conducting psychoeducation sessions specific to cholera and its effects on the mental well-being of the patients, their families, and frontline workers.

All the facilities are fully accessible for people with disabilities and elderlies, as their buildings are prepared with all measures to facilitate reception of PwDs (Ramps, wheelchairs, and handrails)