Supporting essential primary and secondary healthcare provision in northwest Syria This proposal aim addresses the urgent health needs for the most vulnerable IDPs and host communities in northwest Syria by a.) sustaining the access to primary and secondary health care and ensure continuity of care through supporting 8 primary health care facilities and the referral system network in North Aleppo and supporting Harem Maternal newborn child health (MNCH) hospital in Harem communities. 
Thus, the WHO propose to support 8 PHCs to ensure the population has access to essential primary health care services including Basic emergency obstetric and newborn care (BEmONC) integrated management of childhood illness (IMCI) and management of communicable and non-communicable diseases. The implementation of the PHC activities will be through the selected implement partner (IP) includes QRC and UDER organizations. Thus, under the technical guidance and support WHO IP/QCR will support 4 PHCs located in Salqin (G0704004), Maarat Tamasrin Zardana (G0700037), Janudiyeh (G.0703006) and Darkosh (G 0704016), for the duration of 8 months to cover approximately 96,798 direct beneficiaries ( 29,040 men  26,135 women,  22, 236 boys and 19,360girls ). While the IP/ UDER will support 4 PHCs located in Sarmada (G0703011), Termini (G. 0703028), Zarzur (G.0704018) and Mashhad Ruhin (G.0702031) for the duration 10 months to cover of 177,860 direct beneficiaries’ coverages includes  29,287men,  76,295 women and 35,027 boys and 37,251girls. therefore, under the technical guidance and support IP/ QRC and UDER will be responsible recruitment of human resources, monitoring the progress of the implementation activities, procurement of the essential medicines, medical supplies, and equipment. 
Furthermore, WHO will support the referral system in North Aleppo (Azaz, Albab and Jarabulus districts) for 8 months through IP/SD, this includes the creation of 2 referral field teams for capacity building activities and supportive supervision of referral system and HIS,  the operational support of 11 ambulances, 10 non-emergency patient transportation vehicles, the equipment, and the operational cost of the central referral desk. In addition, the WHO will contribute to supported 8PHCs with the provision of supplementary medicines, medical supplies, IPC kits, and capacity building training to the 8 supported PHC and referral system.
For the hospital care the WHO will support Harem Maternal Newborn and Child Health (MNCH) hospital (HeRAMS code: G-0703096) which considered is an only available referral hospital in Harem community and subdistrict that provides comprehensive emergency obstetric and newborns care service (CEmONC), outpatient and inpatients medical services for newborn, children and pregnant and lactating women (PLW). The WHO will extend its support to Harem MNCH hospital through Syria Relief and Development (SRD) for a period of 12 months to ensure the targeted beneficiaries 54,466 including 29,698 children age lt 5years old newborns, children, and 24,768 PLW have access to essential newborn and reproductive health (RH) care services. Thus, under technical guidance and support of the WHO, the implementing partner (SRD) will be ensuring the availability of skilled medical and non- medical staff, procurement of medicines, medical and logistic supplies. Furthermore, the WHO and IP/ SRD will be monitoring and evaluate the progress of the implementation activities through revision, analysis, and feedback of monthly, quarterly, and final technical reports. In addition, the WHO will provide additional technical support through ongoing the WHO supporting projects of improving CEmONC and early essential maternal newborn quality of care and infection prevention control (IPC), thus, both projects will contribute on providing capacity building and provides field technical support, on the job training and coaching through the WHO implementing partners mentoring team.