Increase access to essential health services in NW- Syria This project aims to continue accessibility to essential life-saving health services to address the dire and increasing needs of health services for all age and sex groups boys, girls, women, and men, with attention to people with special needs physical disability, elderly, people with chronic diseases and psychosocial problems without any sexual discrimination, among IDPs and host communities, in NW Syria, 
Where the project will provide health services for 36385 beneficiaries (12970 men, 12700 women, 5280 boys, 5435 girls) (21979 IDPs and 14346 HCs,60 Returnees) (1090 PWDs) including all age groups children, adolescences, young adults, middle-aged adults, and older adults.

These objectives will be achieved by continue supporting the already existed and functioning Harim General hospital (HeRAMS code G0703149), located in Harim subdistrict which crowded with IDPs, it is now considered one of the most crucial facilities in NW Syria covering more than 100,000 people, this hospital is already funded by SCHF, and this project aims to continue providing essential health care services including: 
Provision of integrated primary health care services as per the Essential Health Service Package (EHSP) through the outpatient unit. 
Provision of outpatient consultation 
Provision of prevention and control of NCDs, provide an adaptive response that is required to account for the needs of people with NCDs according to NCD- COVID 19 guideline. 
provision of essential medicines, medical supplies, and equipment for direct beneﬁciaries, focusing on the essential medicine list of EHSP.
Provision surgical, trauma, injury care, minor and major surgeries with attention to acute medical emergencies requiring immediate surgical intervention.
Provision of hospitalizing services. 
Provision of intensive health care services through support ICU.  
Integrate WASH services, particularly medical waste management, save water provision, hand hygiene resources, etc.
Integrate PSS services through conduct awareness sessions about mental health issues and aspects related to COVID 19 response.
Ensure referral pathways for cases that need further management through coordination on a high level with referral network.
operate the central oxygen concentrator to supply the health facilities in surrounding area with oxygen cylinders in coordination with health directorate 

In addition, this project aims to continue supporting Afrin blood bank (HeRAMS Code B0203082) located in Afrin city. 
The only blood bank that covers Afrin district in Aleppo governorate, monthly it provides blood components for 400 patients including women, men, boys, and girls, the supported cases include major surgeries, acute hemolytic anemia, acute hemorrhages, chronic anemia, thalassemia, as well as normal and C-section deliveries, it will provide treatment of thalassemia patients including chelating therapy and medications interventions. 

The project will contribute to the response to limit transmissions of COVID 19 in NW Syria, through applying triage protocol, providing extra PPE, and applying precautions measures to protect the staff and patients in accordance to triage and IPC- COVID-19 guideline, Integrate RCCE to enhance prevention and reduce risk of spread of COVID-19 by improve community compliance and adherence with updated recommendations and procedures, and encourage beneficiaries to have COVID vaccination as vaccination campaign is coming.

SDI will monitor the quality and accountability to ensure the activities meets the standards, the supply chain department will ensure all needed equipment and operational supplies are delivered on time. 
SDI will provide quantitative and qualitative reports that include disaggregated information about cases/age, sex, gender, and disability.