Enhancing life saving activities for the most vulnerable categories through supporting hemodialysis centers with requirements of dialysis kits in the North West of Syria. The objective of this project is to support dialysis centers in North and west of Syria with full package of dialysis requirements.
The partners planned to receive the dialysis kits , they are going to provide the hemodialysis services in the centers.
the project will start in two main lines  , the first line is coordination with the health cluster "Dialysis Task Force" to set the distribution plan to meet the needs of the dialysis centers in the North West Syria.
and after coordination we concluded the flowing distribution plan:
- the total number of hemodialysis centers are 20, through this allocation we will cover 11 hemodialysis centers for six months (6 will be covered by PAC , 5 will be Covered by Shafak)
the centers are : 
- Bahar Hospital / Afrin / 45 ESRD patients / 2700 hemodialysis kits.
- Aghtrin Hospital "SRD" / Aghtrin / 35 ESRD patients / 2100 hemodialysis kits.
- Surgical alrahma Hospital / Drakosh / 38 ESRD patients / 2280 hemodialysis kits.
- Salqin dialysis center "SEMA" / Salqin / 36 ESRD patients / 2160 hemodialysis kits.
- ALHIDAYA Hospital"HCO"/ Dana/ 36 ESRD patients / 2160 hemodialysis kits.
- Al-Ameen Dialysis Center / Ariha / 16 ESRD patients / 960 hemodialysis kits.
- Idleb Health Directorate / 10 ESRD patients / 600 hemodialysis kits " Reserved hemodialysis kits"
- Aleppo Health Directorate / 9 ESRD patients / 540 hemodialysis kits " Reserved hemodialysis kits"

the second line is starting the logistic operations of supply chain management for securing the dialysis sessions and then starting the distribution process to the partners based on the agreed plan.

the list of items for the dialysis sessions will be accompanied with HBV and HCV test kits "covered from PAC" and the total amounts of sessions (13500) shall be divided into three shipments.
 
the total expected end-stage renal disease  (ESRD) in the North East Syria is 840 (60 of them are under 18)
through this project 13500 sessions will be secured and 1236 test kits of HBV and 1236 test kits of HCV .
this project was designed to cover the expected gap in North West of Syria  ( the total patients are 840 and the dialysis kits will cover 225, the remaining are already covered by available resources ) 

Services will be provided to the most vulnerable and conflict affected people : 
This activities  are in three main divisions:
1- preparation for procurement 
2- procurement and logistic operations
3- receiving the shipments and distribution process prior to service delivery.

Advantages of the project:
- free cost for HCV and HBV test kits , for each patient . 
- most of the essential items of the dialysis kit are manufactured by Fresenius , and the rest of the items are from Turkey and Switzerland which is very compatible with dialysis machines inside Syria.
-  the effectiveness and the quality of the material are guaranteed due to our previous experiences in our facilities in Jarablus/Syria and Dale'e/Yemen.
- there is no need for further items outside of the listed items planned to be procured.( medicines and supplies )
- disinfectant for surfaces in dialysis machines are included in the cost of the dialysis sessions to ensure quality infection control 
those agents are chemo-thermal cleaning and used as disinfectant in hemodialysis machines (Bactericidal, fungicidal, tuberculocidal and virus-inactivating (including HBV, HCV, HIV) Excellent cleaning power, particularly against biofilms compatible with dialysis machines