WHO Taskforce helps dialysis units in Northwest Syria
16 October 2021- Generated in response to the coordination needs between the multiple NGOs managing dialysis units in northwest Syria, WHO’s Dialysis Taskforce was established by the Health Cluster as an emergency project with Johns Hopkins University, Baltimore, USA, to analyze long-standing deficiencies, problems and challenges in hemodialysis units in the area, and develop and implement a series of activities to improve the quality of services for patients.
Health services in northwest Syria suffer from a lack of staff, equipment, medicine and consumables, as well as funding for operational and running costs. While maintaining access to general primary and secondary healthcare is the main objective of the humanitarian response, providing access to specialized healthcare -- especially for chronic conditions -- remains the principal challenge in a continuously changing context.
An estimated 600 patients, at least, receive hemodialysis treatment in northwest Syria. A variety of NGOs run 14 dialysis units with limited supervision from specialists. Five additional units operate in the Turkish-controlled areas to the northeast. While WHO provides kits, medicines and technical supplies to many of these NGOs at an estimated cost of $1.5 million a year, some are presented by NGO individual donors, while others still arrive through the Consolidated Appeal Process (CAP). The supplies delivered to WHO are rapidly passed to the NGOs, who store them in their warehouses in Syria.
Reports have detailed that the human and material resource capacity in dialysis units are limited, physical infrastructure is lacking, and major problems with infection control are common. Minimum defined standards for supply, process, and quality of care for dialysis units are lacking. Furthermore, the unit locations and consequent distances limit patient access.
The findings of assessments conducted by the Dialysis Taskforce on dialysis needs/services in the Idlib and Aleppo governorates in 2019 and 2020 revealed high levels of viral infections, lack of infection prevention and control (IPC) measures and minimum quality standards in practice.
The data collection process is ongoing for the quality improvement assessment. A technical team of two doctors from Johns Hopkins University arrived to Gaziantep on 16 October, 2021 to support in analyzing the data and present the results at a workshop.
Recommendations found were the need for centering on creating a series of standards appropriate to northwest Syria in the areas of patient, care, laboratory testing, record keeping, and equipment maintenance which will define the function of hemodialysis units under circumstances specific to the area. A strong emphasis in these standards will be IPC, consistent with the WHO hospital IPC standards.
WHO Gaziantep extends its gratitude to all workshop attendees, particularly to Dr Gilbert and Dr Samee of Johns Hopkins University, Baltimore, USA.
For more information, please contact:
Grattan Lynch
Communications Officer
E-mail:
WHO alleviates human suffering in northwest Syria
20 September 2021- The onset of COVID-19 has further challenged the already exhausted healthcare system in countries of conflict such as Syria. To prevent its collapse, the WHO has unremittingly supported Syria’s healthcare system - whether before the emergence of COVID-19 or since -- by providing supplies and ensuring access to healthcare. Meet some of the Syrian people who found care and treatment in Dana Hospital, one of many receiving WHO’s support to continue functioning.
Originally from Al-Lataminah -- a town in northern Syria’s Hama Governorate -- Abdul Karim Al-Naasan, 73, was displaced to the north of Idlib, in the overcrowded Deir Hassan camps notorious for their lack of healthcare services. When his health weakened noticeably, the elderly man was admitted to one of the region’s isolation centers where he had tested positive for COVID-19 infection.
During his stay at the center, his condition deteriorated further due to severe hypoxia, forcing his transfer to Dana Hospital where he could receive the necessary treatment, including oxygen. There, a specialized medical team closely monitored Abdul Karim’s health and implemented a precise treatment plan until his successful recovery.
Abdul Latif Ibrahim Al-Mahmoud, another 73-year-old, recounted: “I was displaced from Morek. I went to Dana Isolation Center after symptoms appeared 15 days ago. There is no weariness, no worry, thank God, because the staff is always there. I am well.”
“I experienced a problem with my breathing five days ago,” said Khalidiya Hussein Sarhan, 55 years old, “I was taken to the clinic and then to the isolation center located in Dana, where they told me that I was infected with COVID-19. The services are good here and I feel at home. I was given the appropriate treatment and oxygen. I’ve been here for seven days now and I feel fine.”
Also in his 70s, Ahmed Duraii Ramadan was transferred from Al-Quds Hospital after the onset of fatigue: “I was moved to Dana Hospital for isolation once I was diagnosed with COVID-19. I say it in all honestly: I received special treatment for more than 15 days at Dana Hospital and have not found similar care anywhere else. Everyone treats me like a father. Even the food is good. Frankly, I feel very much at home and I thank all those in charge of this great work.”
Located in the conflict zone of northwest Syria, Dana Hospital exists without a Ministry of Health to support or manage it. Furthermore, the hospital operates within a region with scores of nearby Internally Displaced People (IDP) Camps at full capacity and is therefore under tremendous strain to provide healthy conditions for persons of all ages.
The WHO’s support of Dana Hospital allows it to maintain proper operation, saving lives every day in northwest Syria. WHO relies graciously on funding via a multi-donors’ approach from ECHO and USAID to support such Primary Health Centers as Dana Hospital.
For more information, please contact:
Grattan Lynch
Communications Officer
E-mail:
Improving lives in northwest Syria with support from ECHO
1 August 2021 – Each month we present some human interest stories about people whose lives have been changed thanks to the generous and continuous support of the European Civil Protection and Humanitarian Aid Operations (ECHO) and the relentless dedication of our partners on the ground in northwest Syria.
The story of Um Khaled and her experience with depression disorder
Um Khaled is 42 years old and was displaced from the Damascus countryside to Idlib. She has been divorced for a long time and her daughter lives far from her and her other child has been living with his father since the divorce. She is currently living alone in her friend's house without any privacy, far from all her family members who all live in and near Damascus. She has no relatives in Idlib and was displaced there due to the conflict.
For more than 7 months, Um Khaled had suffered from symptoms of chest tightness, headaches, sleep disturbance, and a lack of interest in daily activities. Also, her bad financial status increased the severity of her symptoms and she was always crying and generally in a heightened state of depression. One day, she took action to visit the mobile clinic run by the Qatar Red Crescent Society and supported by WHO through the ECHO fund.
At the centre, the psychosocial worker developed a comprehensive approach and established an appropriate care plan for Um Khaled to reduce the severity of her client’s psychological symptoms and provide psychosocial support to improve overall well-being and resilience. The psychosocial worker implemented interventions to achieve these goals that focused on providing psychoeducation to her client about depression, its symptoms and how to deal with them. She also communicated with the client’s friend and her family (the only trusted people in displacement) and engage them in the psychosocial support programme and referred her to a women's centre to help her engage in the programme and empowerment activities.
Due to the ECHO fund that enabled WHO to support the mobile clinic, the life of Um Khaled has dramatically improved and her outlook on life has become more positive and focused. Um Khaled’s depressive symptoms were reduced after she received mental health and pyschosocial interventions and her social status improved. Also her friend succeeded in resolving the marital dispute between her and her husband as she has since been granted access to see her young child. We are also very happy to report that she has become a seamstress after engaging in empowerment activities in the women's centre and is now able to work and support herself.
The story of Abdullah and his experience with psychosis disorder
Abdullah is 37 years old has been separated from his wife for the past 4 years due to a worsening psychological condition. He lives in the Aleppo countryside with his widowed mother and his married brother, who has 3 children and they live in a very basic house that is not really inhabitable.
After his separation from his wife, he started to experience strange symptoms and behaviours. He became afraid of many things, sometimes even the sound of people's voices, and a state of nervousness, panic, anxiety and tension overcame him. He started to isolate himself so he quit his job and he refused to leave his house. As a result, his economic situation declined and his problems multiplied. The severity of his condition and symptoms worsened. He began to suffer from auditory and visual hallucinations and started clinging to false beliefs and delusions. He slowly became addicted to captagon pills.
Abdullah’s mother heard of the mobile mental health clinic in their place of residence, so she visited the clinic asking for assistance. The psychosocial worker developed a comprehensive approach and established an appropriate care plan to reduce the severity of his psychological disorder and provide psychosocial support for the other family members. Abdullah was referred to the mental health hospital in Azaz because of the severity of his disorder
The psychosocial worker implemented interventions to provide psychoeducation for the client's family (mother and older brother) about the psychological disorder and the client’s needs during the period ahead. He also set about providing psychological support to the mother to deal with her symptoms of distress that included severe crying and fatigue and referred the family to a organization which provides shelter services to improve the conditions of people's houses. Also, the psychosocial worker referred the children of the older brother to an organization that provides child protection services because risks were identified among the children.
The effect of such treatment was astounding and has changed the life of Abdullah and his whole family and within a month in Azaz hospital his psychotic symptoms were greatly reduced. His health improved as too did the health and psychological status of his mother. The house that they lived in underwent improvements with support from the organization. The children of his brother too have benefited and are now all safe and functional and back at school.
Due to the ECHO funds that enabled WHO to support this mobile clinic, the life of Abdullah and his immediate family have become more hopeful and he is slowly regaining calmness and serenity. Abdullah’s case was one of the more extreme cases of mental health disorder and we are very pleased to announce that due to ECHO’s continual support to WHO and this mobile clinic, both he and his family are living in a healthy and happy home, with bright visions of the future.
WHO’s partner in northwest Syria, INSAN, increases access to life-sustaining health services
1 August 2021 – With the kind support of the European Civil Protection and Humanitarian Aid Operations (ECHO) WHO was able to continue to support INSAN that means ‘human’ in Arabic. INSAN, is a non-profit organization that offers psychosocial support to Syrian refugees, plus training to those working in refugee camps. It was set up by a group of psychologists back in 2012. We cannot stress how important the work of INSAN is on the ground and to the people most in need across northwest Syria.
With ECHO funding INSAN was able to operate from mobile clinics supported by WHO through war-torn northwest Syria to dramatically increase access to those that need life-saving and life-sustaining, coordinated, equitable health services. One such story is that of Um Muhammad in 2021.
Um Mohammad's story
Um Muhammad is a 71 year old woman who was displaced from eastern Almaara 3 years ago and moved to the Al-Jeb camp in Maaret Tamasrin. As an elderly lady she suffers from health problems that include joint and bone pain, in addition to high blood pressure.
One day as the INSAN mobile clinic was passing, her son brought her to be examined by a doctor. The doctor checked her and measured her blood pressure which he found high, so he immediately gave her medicine to reduce it. The doctor also referred her to specialized hospital in order to receive cardiac consultation. After several days, the nurse of the mobile clinic visited Um Muhammad in her tent to follow up on her case and to check her pressure again and make sure that she had recovered. This is the level of medical services and respect that all people deserve, especially the elderly. WHO would like to thank ECHO for their generous and continuing support of INSAN.
Um Ahmad's story
Um Ahmad was displaced from her home so many times across the Aleppo governorate to eventually Idleb where she has finally settled down in Allyth Camp in Haranbush. Now she has twins aged 6 months old. When the INSAN mobile clinic was in the camp she came to the clinic to have her children screened in its nutrition clinic. Community health workers screened the 2 children using the mid-upper arm circumference method and discovered that they both suffered from malnutrition. They instantly provided curative nutrition supplies and dietary instructions to be followed by their mother. They also set a follow-up date to return to the clinic to monitor both children until they had fully recovered. All people deserve this level of treatment and care, and particularly the most vulnerable, such as mothers and young children. WHO would like to thank ECHO for their generous and continuing support of INSAN.