Provision quality secondary and mental health care services in Rural Idleb and Aleppo. The project aims to respond to the most urgent needs identified by the cluster and health directorate, targeted interventions were built on the results of RNA in high severity areas in rural Idleb and Aleppo, the project will apply community based integrated approach in providing quality secondary health care service and mental health services.
The project will support two of the key hospitals, Jisr Al Shugur and Wasim Hsaino Hospital which were identified as frontline and second line hospitals, by HC and IHD. SEMA will operate the two hospitals and secure medication and medical supplies (Orthopedic Consumables) as a part of preparedness strategy for any deterioration in the security condition in Idleb. OPD consultations, IPD admissions, trauma and surgical intervention, diagnostic test, and free of charge medications will be provided to IDPs and Host communities.  Moreover, the two hospitals will be rehabilitated to ease the access of PWD. In each hospital physicians will be trained on MH-Gap protocol and one of them who will show good skills will be assigned to receive mental health case in the hospital under supervision of HRO’s technical staff.
The project will support Waseem Hsaino hospital for 7 months, and Jisr Al-Shoughour hospital for 5 months.
SEMA through the sub-agreement with HRO will work to improve the access to and the quality of MHPSS services through the provision of a comprehensive package that links community based services to health facility based activities by expanding the number of entry points to seven Al Bab, Atme, Kafar Takharim, Jisr Alshughur, Shmarekh, Salqeen countryside, and Jisr Al Shughur countryside. It is designed as a multi-layered approach that incorporates support to static facilities, the establishment of robust referral systems and community outreach activities. Mental health services will be available to host populations and IDPs who are experiencing extreme adversity and distress from living in a war zone for the past eight years. HRO’s psycho-social workers, and trained doctor will address issues such as anxiety, acute stress, grief, despair, anger issues, attention deficiencies and problems with interpersonal relations, among other symptoms that result from humanitarian emergencies. Meanwhile the community health workers will conduct awareness raising sessions within the communities to inform them about the newly available services, and to increase knowledge and understanding about mental health and well-being, which HRO believes will in turn reduce stigma.
As a part of the project, the technical staff will focus on delivery of awareness sessions, strengthening family support on MHPSS, assessment and case study (evaluation), Formulating care plan in coordination among the psycho-social worker, mhGAP doctor, counselling through PM+ and interpersonal therapy, psychological first aid, psycho-education (Group amp Individual), referral to other services providers (Specialized and non-specialized), based on case management module, identification of vulnerabilities of child protection and GBV, support in mobile clinic over most of the above-mentioned services in the surrounding communities, providing specialized MHPSS services for beneficiaries who suffer from psycho-social consequences of child protection and GBV cases, providing non-pharmacological forms of psychotherapy (under supervision) Cognitive Behavioral Therapy, Eye Movement Desensitization and Reprocessing, Children’s Accelerated Trauma Treatment, and other means of psychotherapy.It should be mentioned that all individual and structured group services are supervised according to WHO recommendations. The technical clinic staff will be consisting of 10 mhGAP doctors (3 in MU, and 7 in fixed facilities) and 14 PSWs along with field supervisor for mhGAP doctors and field supervisor for PSWs.