Provision of Integrated Primary Health Care, Nutrition and Mental Health Services in Existing Health Facilities and Outreach Services in Northwest Syria. This project aims at supporting a comprehensive package of health and nutrition services including: Primary Health Care, Nutrition and Mental Health in two of the existing health facilities in northwest Syria and through outreach activities in the surrounding areas. The motivation of this project is to continue providing services in the already established and equipped centers and through trained nutrition teams to the population in western rural Aleppo and rural of Idleb focusing on the most vulnerable people (women, boys, girls and PwDs) with outreach and referral activities to the higher level of health and nutrition services. The project will comprise three convergent components: primary health care, nutrition services and mental health care services, and their activities will be provided through the following plan:

Health Component:

1- Al-Jeineh Comprehensive PHC Center with basic obstetric and neonatal care (level 4) (HF-Code: B0200004). The center is located in in the western rural of Aleppo (Aleppo, Jebel Samaan, Atareb, Jeineh), and is providing a package of of health services as per the essential primary health care these services include: pediatric services, Reproductive Health (including BeMONC) services, nutrition activities, management of communicable and non-communicable diseases, providing essential medicines and medical supplies as well as dental health services. Through the proposed project, Shafak will continue supporting mental health component, which will comprise services related to diagnosis and management according to mhGAP this component was integrated to Al-Jeineh center last year through trained health workers and PSWs according to WHO protocols. This center was selected based on Shafak's need assessment, last updated HeRAMS and the recommendation from Aleppo Health Directorate. With the stabilizing security situation, many IDPs are returning back to Atareb sub-district, which adds to the existing needs. 

2- Harbanoush PHC center (level 2) (HF-Code :G0700005): The center is located in the rural of Idleb (Idleb,Idleb, Maaret Tamsrin,Harbanoush), and provides a package of health services as per the essential primary health care package these services include: pediatric services, reproductive health services, nutrition activities, management of communicable and non-communicable diseases, referral services, providing essential medicines and medical supplies as well as dental health services. Similarly, in this facility Shafak will continue providing mental health services, which will comprise services related to diagnosis and management according to mhGAP. This project is currently supported by Shafak through WHO fund which will be finished in 13 July, and it is very urgent to continue supporting this facility due its location facing a high numbers of IDPs according to the recent CCCM reports.

Nutrition Component:

1- Continue providing nutrition activities (TSFP,OTP and referral to SC) in the above mentioned centers and surrounding areas through outreach teams to ensure continuity and increased coverage of services for treatment of acute malnutrition (SAM and MAM) among children aged 6-59 months and to maintain continuity and increased coverage of services for management of acute malnutrition among pregnant and lactating women (PLW)

2- Continue supporting 6 Rapid Response Teams (RRTs): 3 in Atareb sub-district and 3 in Maaret Tamsrin,sub-district to maintain Increasing delivery of life-saving nutrition services in high needs and remote locations through including screening and referral, distribution micro-nutrients supplements, and providing Infant and Young Child Feeding in Emergencies (IYCF-E) consultations.

By achieving above components, Shafak will ensure continuation of essential and lifesaving health and nutrition interventions in addition to maintaining essential health services during and after an outbreak of COVID-19 (Pillar 9 of COVID 19 Preparedness and Response Plan)