Envelope 2: Support the Gaps in Primary and Secondary Health Care in Dana Sub-district. The proposed project aims to enhance access to critical life-saving and life-sustaining primary and secondary healthcare services to extremely vulnerable IDPs and host communities in Idleb governorate, which is performed through supporting the provision of CEmONC and child health services in Iman Hospital, beside primary health services in Mashhad Ruhin PHC for six months.

‘’Iman’’ Sarmada Maternal and pediatric hospital in Sarmada/ Dana sub-district/ Harim district/ Idleb governorate (HeRAMS identifier code: G0703086).
Mashhad Ruhin PHC in Mashhad Ruhin/ Dana sub-district/ Harim district/ Idleb governorate (HeRAMS identifier code: G0703160).

The two proposed facilities are located Dana sub-district which is hosting the largest number of IDPs in Syria (972,592) and classified among the areas of most people in need with a severity score 5 according to health sector severity report in HNO 2023. The project will provide health services for 60,538 beneficiaries including 39,650 women and girls, 53, 275 IDPs, and 1163 PwDs.

Mashhad Ruhin PHC under this project will provide preventive and curative primary (EHSP) healthcare services for people in need within catchment areas as follows: RH services ( ANC, PNC, family planning, STI treatment…etc.), child health consultations, general medicine consultations (CDs amp NCDs), nutrition, Lab tests, trauma services, referrals, and MHPSS services. Whereas Iman Hospital in addition to primary health care services will provide 7days/ 24-hours delivery services, C-section amp obstetric and gynecological surgeries, blood transfusion, phototherapy, as well as in-patient RH amp newborn services. Human Appeal had and is still driven by its desire to assist the most vulnerable groups mainly women and children, and thus is proposing to support both CEmONC and child health services in the pre-existing Iman Hospital, which is equipped with trained staff and medical equipment for labor and delivery rooms, two operating rooms, in-patient, and infants incubators.

Over the project period, Human Appeal HA support will include provision of technical support, training, facilities’ staff salaries, pharmaceuticals, medical and lab consumables, minor maintenance costs, electricity, and other operational costs needed to ensure smooth implementation of the proposed activities.

Besides referring to the health cluster/ dashboard of health facilities, and for the purpose of ensuring coordinated and non-duplicating intervention, HA during the design and implementing phase was very keen to coordinate and communicate with the partners and coordination bodies including WHO, IHD, SRH TWG, and local authorities.

Through the proposed project, HA will enhance the physical access to the facilities to those most in need, especially elderly, PwDs ,this will be achieved through implementing some adjustments to the facility to be more accessible through removing architectural barriers, installing grab bars in the toilets, installing handrails to the stairs, establishing ramps at the entrances, having assistive devices, beside transportation for elderly and PWDs.

Monitoring the services delivery and activities implementation through random technical and MampE filed visits using standard checklists and tools, beside conducting satisfaction surveys periodically. Feedback Response Mechanism developed by HA collected via various designated channels allows for relevant and timely intervention, to respond to the acute needs of the most vulnerable groups of beneficiaries, to adjust its intervention accordingly. As HA has a zero-tolerance toward sexual exploitation amp abuse, the accountability team will verify the validity of the complaints and reporting them to a committee with verification methods for handling the complaints according to HA (PSEA) Policy. HA also has advanced information management system which produces sex and age disaggregated health data which will be shared with the relevant parties.