Improve access to trauma care in AlMar'ra District, Idleb Governorate. The proposed humanitarian action will improve access to  trauma care in Alma’ra District, Kafr Nobol Sub- district, Kafr Nobol City, by provision of covering running costs and supplies to the existing specialized surgical Hospital for 7 months and by constructing an cave ( Underground space) in the same location to move essential and critical services of the hospital to the secure underground safe place during the last quarter of the project. The hospital has been in operation for 4 years.

In details the project will have two components: 
1- The project will support primary and secondary health care services for both the host community and IDPs in Alma’ra District by providing health care services based on standard package of care cover the need in the area. The project will be located at Kafr Nobol Hospital in Alma’ra district. 

Both outpatient and inpatient trauma and surgical health care will be provided, With support from, Anesthesia team, Radiography unit, Laboratory and Pharmacy.
 The clinic will cover the following services: General surgery, Orthopedic,  Orthognathic (Jaw) surgery,  Ear, Nose, and throat (ENT), and Internal Medicine. 
Emergency services / care will also be provided. 
The outpatient clinic will have an admission mechanism to the inpatient department in place in addition to follow up services.
In the area of operation rooms: the hospital will have three operation rooms to conduct General surgery , Orthopedic, Orthognathic (Jaw), and  ENT surgeries. 

Inpatient services will provide health care through: Post-operative  care unit, Inpatient unit with 27 beds, 
, Intensive care services, Dialysis Unit that has by 5 dialysis machines, 

The facility will provide training for health providers to enhance the quality of health services and will focus on trauma care topics. A training for advance trauma live support (ATLS) will also be provided. 

2- The second component of the project include Construction and Fortification of an underground cave (Space) including the finishing work involved. The Cave will be attached and linked to the hospital via the basement floor. This will provide a safe place for the patients and medical providers against airstrikes.

The initial work of digging the cave was completed by the local council using private donations. 

The cave measures 1700 m2 (square meters) and we will complete the construction and finishing work for 1000 m2 of it. 
It is expected to take 6 months for the work to be completed. 

HIHS  in-house engineers worked closely with the local council and a full Architecture and Structure Design has been drawn and is attached to the proposal.
The project will start with the preparation of the Cave ground before enhancing the walls and roofs.
Plumbing and insulation of the walls will follow.
The final stage will be sanitary and water accessories, electrical accessories, central air conditioning, and protection elements.
Upon completion, 4 gates will be available: One main entrance lead directly to the emergency unit, and three 3 gates for emergency exit (Evacuation) . Also will be a linkage between existing hospitals and  the cave.
The newly prepared cave will house 3 operations theaters, 4 inpatient wards  with 32 beds, intensive care unit, emergency room, 3 clinics, laboratory, radiography  unit, doctors’ rooms, and administrative offices .