Provision of life-saving integrated Health  Nutrition services for the PIN in NWS This project consists of 2 integrated components:
1) Ambulance system: to support running of existing ambulatory referral system with 18 equipped ambulances with all the medical equipment and devices needed for
first aid and critical cases, and 36 paramedics amp 36 drivers for 7 months, and in each sector we'll have 2 female paramedics with 1 morning shift and this will be the first time females working as paramedics in NWS.
The project will contribute in providing ambulance and referral services and filling the gaps through 18 equipped ambulances through 3 branches in 3 different locations to serve the PiN in the most crowded areas with IDPs:
- Dana with 6 ambulances.
- Harim with 4 ambulances.
- Afrin with 8 ambulances
There will be a main centre of the system and we will use the same communication system with the health directorates to direct the ambulances to targeted areas or to respond to the calls of the hospitals to refer the patients.
The staff of each ambulance is 2 drivers with basic first-aid experience and 2 paramedics with advanced first aid experience.
The ambulances will work daily 7 days a week and 24 hours a day.
The system will work to mobilize the critical patients from the field or between specialized hospitals or to transport critical patients to diagnostic centres and also to refer to the
Turkish hospitals.

2- Nutrition: Providing nutrition services to CU5 and PLW, which are being provided by our CHWs in Dana subdistrict, the nutrition activities in this project will implemented by 1 fixed OTP and 1 stabilization center located in Sarmada children’s hospital which considered as one of the pediatric specialized referral hospitals for health and nutrition cases, and 6 rapid response teams (RRTs) will cover the communities of Sarmada, camps and communities around Sarmada and the area between Sarmada and Dana and near Bab Alhawa, Burdaqly, Babisqa, Al Kufir, Sarjaleh, Kafr Kafaldin:
A. RRTs: Each team will be consisted of 1 nutritionist, 2 CHW, 1 nurse and 1 data entry, these teams will work on screening and referral of children under 5 (CU5) and pregnant and lactating women (PLW) with dangers signs and medical problems to the OTP and SC centers. and providing emergency infant and young child feeding (IYCF-E) counseling and disseminating messages on IYCF-E recommended feeding practices, amp they will distribute micronutrients for preventing of anaemia and malnutrition among children and pregnant, lactating women for the far communities and non able to be referred cases.
AHF- Sarmada Children specialized hospital provides 24/7 pediatric healthcare services include:
B. Outpatients therapeutic Program Centre (OTP), which run by 1 pediatrician, 1 Nutritionist, 1 nurse and 1 data Entry, covers OPD services on daily basis, providing assessment and management of outpatient pediatrics with malnutrition including SAM, MAM patient follow up, routine assessment and treatment for MAM and SAM without complication and receives referral from RRTs to OTP Centre.
C. Stabilization center in Sarmada children’s hospital: which run by 1 pediatrician, 1 Nutritionist, 3 nurses (1 nurse every 8 hours , 3 shifts) and 1 data Entry , 3 cleaners, covers inpatient services on daily 24/7, providing daily assessment and management of inpatient pediatrics for SAM with complications.
The staff of the centers and the RRTs is qualified and trained in many topics in nutrition cluster.

So the project will contribute in covering the urgent gaps in the nutrition services in Dana sub-district, also it'll covering the needs for ambulance and referral services in Dana, Harim and Afrin. 
HSYR19-HEA-156395-1
HSYR19-HEA-156765-1
HSYR20-HEA-164728-1
HSYR20-NUT-165428-1
The integration between sectors and services is explained in "Coordination and Complementarity" paragraph under "other info" tab,