Provision of integrated life-saving health and protection services to the PiN in NWS (Envelope 1) In the 11th year of the crisis, NWS continues to suffer from multiple and complex socio-economic difficulties, including the interruption of the access to critical care in many areas and the effects of conflict producing an increased burden of disease, poor health conditions, and multiple protection risks. This 11-months multisectoral project aims to reduce mortality and morbidity rates and mitigate the protection risks to the most vulnerable groups through the following integrated components:

1) Sham internal medicine hospital: a referral hospital that will provide critical healthcare services to 26,246 patients in Tal Alkarama/Dana sub-district, which is considered a key referral hospital in the area.
The hospital plays a significant role in filling the gap in critical and ICU care services by serving a population of 732,000 through the following departments:
A) Emergency department with 3 specialist doctors, 3 GPs, 3 ICU technicians, and 3 nurses covers ER services on daily basis 24/7, providing assessment and management of emergency health conditions including General internist, Gastroenterology, Pulmonary, and Cardiology.
B) Inpatient Department (IPD) with 3 GPs and 15 nurses working with 3 shifts covering 24/7 under 3 specialist doctors' supervision with a capacity of 35 beds for patients who required inpatient medical treatment, close monitoring, and follow-up by specialized health professionals, with a fully separated 5-beds isolation ward for COVID-19 cases.
C) Intensive care unit (ICU), 20 ICU beds, supported by 20 ventilators, 20 CPAP machines, X-ray machine, ABG analyzer device, with 3 resident doctors, 18 qualified ICU technicians working with 3 shifts 24/7 under the supervision of 3 specialist doctors and guidance of structured emergency treatment protocols, in addition to a fully separated 5-beds isolation ICU for COVID-19 cases.
The project will support the hospital for 9 months starting on 1/9/2022 with Gastrointestinal Endoscopy device, medicines, medical consumables, and running costs of the facility, including cleaning materials, stationery, waste management, maintenance, fuel/electricity, and other supplies that are essential for the facility to continue to function and provides standard quality health services.

2) Sham ambulance system: to provide emergency referral services amp transport critical cases between levels of care, cross-border, Hospitals, and other health facilities, through six pre-existing ambulances (2 first aid amp 4 cardiac) to serve the health facilities and surrounding communities in Sarmada (1), Tal alkarama (1), Bab Alhawa (1), killi (1), qorqania (1), and Alatareb (1), each ambulance will operate 24/7 through two shifting teams, and each team consists of one paramedic with advanced first-aid experience and one driver with basic first-aid experience, within this project, the ambulances will be provided with operating/running costs including fuel, maintenance, and cleaning materials, etc., we'll have one ambulance with one female paramedic with 1 morning shift and 1 will be dedicated for the PwDs and these features are being provided only by AHF.

3) Protection intervention aim to reduce protection risks for children, PwDs, and people benefiting from health services in Tel Al Karama, Dana, Sarmada, Taladaa, and Termanin, in addition to the HCs and IDPs within the camps and schools in line with the minimum standards for CP through improving the protection environment for beneficiaries of health and education activities through:
- Awareness-raising campaigns for CP and PwD will target 37,950 IDPs, HCs, and beneficiaries from health services.
- PSS activities to 6,412 beneficiaries.
- CM services target 620 children and PwDs.
- Referral services to protection and non-protection services.
- ECF meets the protection needs of 620 beneficiaries.
- Building the capacity of 288 humanitarian workers trainees, teachers, and members of educational CPiE and referral services