Provision of specialized child healthcare services and Emergency referrals to the PiN in NWS (Envelope 2) ltpgtIn NWS the access to early, preventive and emergency care is obstructed in many areas which increased burden of disease and poor health conditions, this project aims to reduce mortality and morbidity rates by maintaining the provision of specialized healthcare services for over 35,000 children and emergency referrals for over 9,000 beneficiaries through the following two crucial components:ltbrgtltbgt1) Specialized Pediatric Services in Dana sub-district through the largest pediatrics hospital in NWS (Sham Children's Hospital):lt/bgtltbrgtThe hospital plays a vital role in providing pediatric services and serving a population of 1,153,807 through:ltbrgt1- Outpatients department (OPD): 7 pediatricians and 3 nurses assistant and nutritionist cover OPD services on daily basis, providing screening for malnutrition, assessment and management of outpatient pediatric patients including General Pediatrics, Nutrition, Nephrology , Cardiology, Radiologist, and Rehabilitation  Physical therapy.ltbrgt2- Pediatric inpatient department (IPD) 75 Beds, with 3 pediatricians, 6 GPs, 24 nurses, and 6 nurses assistants working with 3 shifts covering 24/7, the IPD will serve the children require inpatient medical treatment, close monitoring, investigation, and follow-up by specialized professionals, 10 beds will be dedicated for SAM with complications cases.ltbrgt3- Pediatric  neonatal ICU, 30 ICU (24 ICU  8 Post ICU pre discharge), with 3 pediatricians, 3 GPs, 18   ICU nurses  technicians with 3 shifts covering 24/7.ltbrgtThe unit is supported by a portable X-ray machine, ABG analyzer device.ltbrgtThe Pediatric  Neonatal ICU combines advanced medical technology with compassionate and family-centered care to ensure the best possible outcomes for the patients.ltbrgt As next:ltbrgt	Pediatric intensive care unit (PICU), 14 ICU total bed supported by 8 neonatal and pediatric ventilators, the unit has 12 qualified nurses  anesthetic technicians with 3 shift 24/7.ltbrgt	Neonatal intensive care unit (NICU), 8 incubators ICU total beds, supported by 4 neonatal and pediatric ventilators, 4 CPAP machines, portable X-ray machine, ABG analyzer device, and phototherapy device, the unit has 6 qualified nurses  anesthetic technicians with 3 shift 24/7.ltbrgt	Post ICU care (4 NICU + 4 PICU).ltbrgt One isolation department will be available in the Neonatal  Pediatric ICU.ltbrgt4- Neonatology department: has 15 incubators including two reserves for intensive phototherapy devices (submarine), two over incubators phototherapy devices, and equipped with both the manpower and the infrastructure required to care for the newborn with 6 qualified nurses with 3 shifts covering 24/7 under supervision of pediatricians and guidance of structured neonatal protocols.ltbrgt5- Pediatric Rehabilitation  Physical therapy department (the only one specialized for children in NWS) provides the services under specialist doctor supervision and 6 physical therapists with 1 shift 8 hours daily.ltbrgtThe project will support the hospital with medicines, medical consumables, and running costs of the facility to continue to function and provides standard quality health services.lt/pgtltpgtltbrgtltbgt2) Emergency referral services:lt/bgtltbrgt12 pre-existing ambulances will provide emergency referral services  transport critical cases between levels of care, cross-border, Hospitals, and other health facilities, to serve the health facilities and surrounding communities in Dana (4), Harim (1), Haranbush (1),  Aenalbeda (1), Salamah (1), Afrin (2), Sharan (1), and Atareb (1), each ambulance will operate 24/7 through three shifting teams, each team consists of 1 paramedic with advanced first-aid experience and 1 driver with basic first-aid experience, the ambulances will be provided with operating costs including fuel, maintenance, and cleaning materials, etc., we'll have 1 ambulance with female paramedic full time 24/7.ltbrgtltbrgtlt/pgtltpgtTogether, these initiatives aim to mitigate child mortality, enhance pediatric healthcare, and address the pressing healthcare needs in NWS.ltbrgtlt/pgtltpgtHeRAMS Codes:lt/pgtltpgtHospital: G0703097lt/pgtltpgtReferral: G0700030ltbrgtlt/pgt