Critical support to dialysis centers. The proposed project seeks to ensure life-saving continuity of care to most vulnerable people living in under-served areas in Idleb and Aleppo Governorates. This will be achieved by supporting 14 dialysis centers, six in Aleppo and eight in Idleb (Annex A-List of targeted dialysis centers). IR is already supporting these centres. However, further financial support is required to ensure uninterrupted provision of dialysis sessions to the registered patients in these centers for the next three months. The total number of registered dialysis patients in these centers is 640. 

Following IR standard procurement process, the basic dialysis sessions will be procured. A total of 19,200 sessions will be procured and will be provided to the targeted dialysis centers. On average each patient will receive 10 sessions per month and 30 sessions in 3 months. 

The proposed project will be part of HRP 2020 with code HSYR20-HEA-164114-1 

IR programme and Monitoring, Evaluation, Accountability and Learning (MEAL) team will ensure to keep a close liaison and follow up with the targeted centers. This will help to monitor that the free of cost and quality regular dialysis sessions are provided to registered patients without any discrimination. This will also support in receiving regular feedback from the relevant stakeholders which will be incorporated to ensure quality project implementation. The registered patients have a mix of IDP and host community's members. Thereby the project will ensure to comply with do no harm principles and conflict sensitivity. 

This project is part of the emergency response of the Islamic Relief Syria Mission. IR being an active part of health cluster and dialysis task force has conducted a preliminary discussion to ensure that the support provided is complementary and in line with the objectives of reserve allocation. since another humanitarian organisation has secured funds to provide drugs of dialysis kits in these centres so IR will only provide basic sessions (filters, liquids, fistula etc).

The project duration of 5 months is planned as through this reserve allocation IR intends to fill in the critical gaps in support of the dialysis centers as highlighted by dialysis task force. The dialysis task force conducted the detailed and comprehensive need assessment for all the dialysis centers in northern Syria with details of patients, facilities infrastructure, available resources and stock. As per the last meeting held in Gaziantep the Task force recommended the partners to secure dialysis session as the available stock for all the centers is enough for less than 2 months collectively.

under this project, for three months hemodialysis sessions will be provided. one month in start is dedicated for procurement and the last month will provide time for proper exit and if possible mobilise funds to ensure continuity of service.This time period does not allow a more sustainable approach however, it is designed in such a way that the dialysis centers are provided and equipped with dialysis kits to operate until IR Syria can find another source to continue these activities. This will benefit the community in the future ensuring that the staff at the center are experienced and efficient. The continuation will also increase the links between the community and the center. Beneficiaries will inform prior to the implementation that the project is available upon funding. IR Syria will have clear, consistent and repeated communications with stakeholders at all levels in order to prevent a spontaneous closure of the project.