Provision of specialized child healthcare services in Dana sub-district through Sham pediatric hospital In NWS the access to early and preventive care is interrupted in many areas and the effects of conflict produced increased burden of disease and poor health conditions, so this project aims to reduce mortality and morbidity rates among children by maintaining the provision of primary, secondary and tertiary specialized healthcare services for 52,137 children through supporting Sham pediatric hospital in Sarmada / Dana sub-district for 9 months, which considered as a key referral hospital in Idleb governorate.
The hospital plays a significant role of filling the gap of paediatric services 24/7 and serving a population of 732,000 through the following departments:
1- Outpatients department (OPD): 5 pediatricians and 3 nurses cover OPD services on daily basis, providing assessment and management of outpatient pediatrics patients including General Pediatrician, Pediatric Nephrology, pediatric Hematology amp Oncology, Pediatric Cardiology, Radiologist and Pediatric Rehabilitation amp Physical therapy. (The pediatric hematologist amp Neurologist are the only 2 doctors in NWS)
2- Pediatric inpatient department (IPD) with 6 pediatricians, 6 resident doctors, 13 nurses and 3 nurses assistance working with 3 shifts covering 24/7, the IPD has a capacity of 80 beds for children required inpatients medical treatment, close monitoring and follow-up by specialized health professional. In addition, there is isolation ward devoted for highly contagious communicable diseases (as meningitis, measles and hepatitis A), moreover, the children with malignancy (cancer) will be admitted to the IPD to receive anti-cancer drugs that need carefully observation on supervision of pediatric hematologist.
3- Pediatric intensive care unit (ICU), 20 ICU beds (NICU 6 incubators, PICU 14 beds), supported by 10 neonatal and pediatric ventilators, 5 CPAP machines, portable X-ray machine, ABG analyzer device and phototherapy device, the unit has 19 qualified anaesthetic technicians with 3 shift 24/7 under supervision of pediatricians and guidance of structured emergency treatment protocols, the project covers ICU services after the frequent closure of Cilvagozu border and decrease number of referrals to Turkey.
4- Neonatology department has 15 incubators, two 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.
5- Pediatric Rehabilitation amp Physical therapy department (the only one for children in NWS) provides the services under a specialist doctor supervision and 5 physical therapists (including females) with 1 shift 8 hours daily.
6- The hospital equipped with emergency treatment protocols, basic equipment, X-ray amp laboratory services and essential medicines and consumable medical supplies.

The project will support the hospital with medicines, medical consumable, and running costs of the facility, including cleaning materials, stationary, waste management, maintenance, fuel/electricity, and other supplies that are essential for the facility to continue to function and provides standard quality health services.

Project services integrates with: 
- OTP center provides nutrition consultations, screening CU5 and PLW for malnutrition and providing treatment micronutrient supplementation (iron, folic acid, multi-vitamin and V.A) and fortified food. (UNICEF)
- SC (the only 1 in Dana) with 20 beds, providing assessment and management of inpatient pediatrics for SAM with complications. (UNICEF)
-12 RRTs in Dana sub-district. (UNICEF)
- EPI routine vaccine center with 1 mobile team. (WHO)
- 4 ambulances (2 advanced amp 2 emergency COVID-19) transport the cases to/from the nearby HFs, CCTCs and Alsham isolation hospital in Dana. (SCHF)

HeRAMS: G0703097
2021 HRP: HSYR21-HEA-179060-1