SHF emergency response for saving lives of the  Affected population in besieged Eastern Ghouta Due to the escalation of violence In eastern Ghouta The health systems are broken and lost almost 35-40% capacities  two months of shelling  . 
The remaining health facilities are over stretched and resources are scarce.
The access to health care is severely restricted, hampered by security factors and disrupted services
. The routine operations are affected and many elective interventions suspended.

As a response to the collapse of the health system in Eastern Ghouta ,SHF will implement This project  which aims to provide health services directly and indirectly to the affected People, IDPs and host communities

Considering the area fragmentation in Eastern Ghouta  due to the conflict, and the scattered health facilities the support of an ambulatory system will allow a maximization of the remaining functional health resources to continue providing life-saving services to the patients, including:
1. Increasing the coverage scope of medical evacuation using the ambulatory system.

2. Enhancing the response speed by linking the ambulances’ systems with a communication network that would contribute to a better use of existing resources and increased coordination.
3. empowering the health directorate in managing the referral system by sharing one communication network and the same operating room to avoid all types of duplication and overlapping 

The project aims to support expanding the existing ambulatory referral system (32 ambulances) by renting another 10 ambulances cars and supporting the full maintenance/fixation for 12 damaged ambulances which were attacked in the last attacks in EG, to be the total of running cars (42 ambulances) 

And supporting all the ambulatory system in EG with the daily needs of fuel for cars (42 ones) as the daily consumption of each car in this emergency situation is about 23 liters per day (due to the over loading on the ambulances) 
And supporting the routine maintenance for all ambulances

And through this project we will fill the gaps in supporting the staff of the existing ambulances (42 paramedics amp42 drivers ) all of them are hired now 

And we will support  a new temporary   teams of the rented cars (20 Paramedics amp 20 drivers) to be hired , the health directorate have a list of staff from some non supported facilities they can    
 as the team of each ambulance car is 4 person in tow shift  2 person (paramedic amp driver ) 
The duration of this project will be 45 days as an emergency response to the situation in EG   

all the ambulances are equipped now with most of the medical equipment’s and devices needed for first aid and critical cases. And the new rented cars will be equipped with a simple tools and will be used in transporting of the non-critical cases  
the ambulances will be distributed in the communities of the following sub districts 
Douma, (11) 
 Harasta ( 4) 
, Erbin, ( 8 ) 
 Nashabiyeh, 4
Kafr Batna 15 
( the targeted locations and  HFS is in the attachments with the # of ambulances ) 
there will be a main center of the system which will be at of the emergency room in the health directorate building, from where all the operations will be managed,
and we will use the same communication system with the health directorate to direct the ambulances to targeted areas or to the response to the calls of the hospitals to refer the patients between the different hospitals .
The staff of each ambulance are 2 drivers with basic first-aid experience and 2 paramedics with advanced first aid experience
The 42 ambulances will work daily 7 days a week and 24 hours a day. 
The system will work to mobilize the critical patients from the field or between specialized hospitals or to transport critical patients to diagnostic centers and in the medical evacuation from EG if there was need for that 

All services will be provided free of charge and there will be no discrimination based on age, gende