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Batoul’s journey to recovery: WHO providing quality mental health services to people in need

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Batoul

10 October 2021, Damascus – Prior to being displaced to Al Hol camp in north-east Syria, Batoul, 28, used to live in Al Bab city in rural Aleppo. She knows very well how the sudden loss of home and loved ones can affect mental health and well-being. 

“I was around 27 when I developed a severe psychological condition. I could hear a lot of powerful voices inside my head, and I would have many suspicious thoughts. I suffered as I started mistrusting everyone and lived in constant fear. I went downhill very fast. It became extremely difficult to get control of my life, and I remember acting strangely, scaring people around me. I began hearing voices giving me commands and live with that even until today. To control the symptoms, I became addicted to self-harm,” said Batoul, describing her suffering. 

Batoul is one of the thousands of internally displaced persons at Al Hol camp feeling anxious and uncertain about the future and constantly anxious. This state of mind has become “normal” for camp residents like Batoul.    

With WHO support and in close coordination with health partners and camp management, Batoul was referred to a psychiatrist who diagnosed her with schizophrenia and offered an individually tailored treatment plan that did not compromise her confidentiality or dignity. For over 9 months she was counselled by a WHO-supported community worker who looked after Batoul and helped her work towards recovery by ensuring she took timely medication, attended individual counselling sessions, participated in social skills development training, and was regularly followed up. 

“Every day I struggled to get through the day. The treatment along with care from the medical team was very helpful, and my recovery and my life have changed for the better. Without this care and support, I would not have been here today living a normal life. I received help to survive when I was grappling with my mental health issues, and I am very thankful to my doctor and the whole team,” added Batoul.  

This year only, WHO supported around 50 000 consultations across Syria through community-based projects and over 65 000 consultations through primary health centres, helping people in urban, rural and hard-to-reach areas with mental and physiological challenges. Since the onset of COVID-19, WHO and partners have reached over 333 000 children, elderly people, and caregivers through mental health campaigns in the governorates of Aleppo, Homs, Hama, Lattakia, Tartous, Deir-Ez-Zor and Rural Damascus, providing skills on how to cope with stress and fears, and combat stigma associated with COVID-19.  

This year to date, WHO has delivered over 323 000 treatment courses as part of therapeutic interventions of mental health conditions, through health partners across the country, including in northeast Syria. The current coverage for the management of mental health conditions and psychosocial support services at functioning primary health care centres across Syria is 40% – one of the highest in the Eastern Mediterranean Region.

“The health and mental well-being of people in Syria, already troubled by years of war, has been worsened by the impact of COVID-19 and the country’s current economic situation. Addressing mental health and providing psychosocial support is an integral part of the World Health Organization’s work to protect those people in need. We work with our partners to ensure that the humanitarian health response is holistic, and mental health and psychological support is integrated,” said Dr Akjemal Magtymova, Head of Mission and WHO Representative in Syria. 

 

 

 

 

 

 

 

 

Update on COVID-19 vaccination in Syria, 22 September 2021

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table-1Summary

As of 19 September 2021, a total of 610,257 doses of COVAX and bilateral donations delivered vaccines were administered in government-controlled areas and northeast Syria; and 119,158 doses in northwest Syria.  

A total number of vaccinated people in government-controlled areas and northeast Syria is 448,399 (of which 271, 276 are fully vaccinated and 177,123 received their first dose). In northwest Syria, 119,158 people were vaccinated (of which fully vaccinated are 20,953 and those who have received their first dose are 98,205).

The Syrian Ministry of Health launched the nationwide vaccination campaign from 5 to 16 September 2021 targeting 394,031 people above 18 years old through 199 fixed facilities (hospitals and health centres) and 197 mobile teams in all governorates. Specific health facilities were selected to vaccinate an estimated number of 127,000 teachers to ensure the proper functioning of the education during the new school next year.

So far, 2% of the total population received at least one dose of the vaccine and only 1.2% completed their full vaccination schedule.

table-2Syria expects the arrival of the third batch of 170,400 doses of AstraZeneca vaccine supported by Sweden through the COVAX facility that will be administered in GoS and northeast Syria. 

The third batch of 358 000 doses of Sinovac vaccines supplied through COVAX arrived in northwest Syria Syria on 3 September 2021 and the fourth batch of 45,200 doses of AZ/AZD1222 from Sweden donation through COVAX was delivered to northwest Syria on 13 September.  

Vaccination strategies

Two different vaccination strategies are applied in various parts of the country. In northwest Syria, the first batch of vaccines was used for the first dose vaccination, while in government-controlled areas and in northeast Syria (where vaccination is administered as part of the National Immunization Programme) the total quantity of available vaccines from the first batch were equally split into two parts to rollout the first and the second dose vaccination accordingly. With the second batches sent to overnment-controlled areas, northeast Syria and northwest Syria, the strategy is to use all available vaccines since new consignments are expected in the nearest future.  

table-3Priority groups

As per the National Deployment and Vaccination Plan, the vaccination priority groups include high-risk population groups such as: 1) health workers; 2) the elderly; and 3) people with comorbidities. In the last vaccination campaign, teachers and education sector personnel have been added as well as all population above 18. 

Challenges

As of September 2021, vaccines supplied under COVAX ensures so far the vaccination of less than 2.2% of the population of Syria with at least one dose. In addition, bilateral donations add further 2% to the vaccination rate, still Syria being at risk of not reaching the global target of 40% by December 2021. 

Due to lack of knowledge and public trust in COVID-19 vaccine coupled with limited demand creation efforts, initially there was a visible hesitancy among the target population – even among health workers - to accept a COVID-19 vaccine. With the launch of the media campaign on vaccination, with more vaccines becoming available, with community-level efforts for demand generation, with more people receiving vaccines without severe side effects, the public confidence in vaccines grew gradually. 

Syrian national stakeholders assess preparedness for public health threats

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22 September 2021, Damascus – This week stakeholders from the Ministry of Health, Foreign Affairs, Education, Higher Education, Finance, Local Administration and Environment, Social Affairs and Labour, Water Resources, Agriculture, Defense, Interior, and Transportation will collectively assess the country’s capacity to address health threats and public health emergencies through a joint external evaluation (JEE) as part of the International Health Regulations (IHR)'s monitoring and evaluation framework.

Syria adopted IHR in 2007 and committed to enhancing the national core capacity to prevent, detect, assess, notify and report events, and promptly and effectively respond to public health risks and public health emergencies of international concern. The first JEE self-assessment in Syria was completed in December 2019, and this week’s consultative meeting of national stakeholders aims to update the self-assessment, reflecting the significant efforts and developments Syria has made while collectively responding to COVID-19 pandemic. 

“Diseases have no borders, hence we must address health issues through partnerships. Health is everybody’s business and it affects our daily lives, economy, and the future of our children, especially now in the times of pandemic,” stated Dr Akjemal Magtymova, WHO Representative, in her opening remarks. “A founding member of the World Health Organization, Syria has collaborated with WHO across all sectors in addressing public health issues through the years of peace and crisis. Syria has a voice in steering the contemporary issues related to global health agenda,” Dr Akjemal Magtymova noted.

Throughout the next 2 days partners will assess the current national capacities to ensure health security across 19 technical areas, such as suvelliance, immunization, points of entry and other, through a comprehensive multisectoral approach by prioritizing opportunities and developing recommendations for enhanced preparedness and response to health threats.

Media contact:

Gulalek Soltanova
External Relations/Communications Officer
WHO Syria Office
Damascus, Syrian Arab Republic
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+963 953 888 477

World Patient Safety Day in Syria

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22 September 2021 – On World Patient Safety Day on 17 September WHO Syria partnered with the Ministry of Higher Education to Syria in lighting up the Damascus Maternal and Pediatrics hospitals in orange. Orange is landmark signature of the global campaign on the occasion of World Patient Safety Day which this year focused on safe maternal and newborn care.

Every sector in Syria has a role to play in addressing social determinants of health and influencing health outcomes

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30 August 2021, Damascus – The conditions under which people are born, grow, live and age, as well as the forces and systems that shape the conditions of daily life, have an enormous impact on health outcomes. These non-medical factors are called the social determinants of health.

They include economic policies and systems, development agendas, social norms, social policies and political systems, all of which greatly influence health inequities. Peace and conflict, income and social protection, job security, education, food security, housing, social inclusion, and access to affordable social services – all influence equity and have an adverse or positive impact on health. Overall, the lower a person or community’s socioeconomic standing, the worse their health.

WHO strives to build back a fairer and healthier future for the people of Syria by providing the most vulnerable with lifesaving services. WHO addresses broader determinants of health through collaboration with social and economic sector partners in a bid to reduce social inequities, protect health rights and build resilient communities.

“The 2030 Agenda for Sustainable Development emphasizes the interconnectedness of social, economic, and environmental concerns, highlighting the importance of addressing the social determinants of health. Prevention is more cost-effective than treatment and health promotion must be an be integral part of healthy cities, villages and settlements if we are to achieve the Sustainable Development Goals,” said Dr Akjemal Magtymova, Head of Mission and WHO Representative in Syria. “Investment, policy and legislation that address emerging health threats at the community level and empower local governments to act quickly will ensure Syrians are better protected.” 

Social determinants of health have been top of the agenda during discussions between the WHO Representative and line ministries in Syria this week. Meetings were held with the Ministers of Local Administration and Environment, Information, Higher Education and Scientific Research, Education, as well as Social Affairs and Labour. WHO will collaborate with ministries on safe school reopening and health education, waste management and safe water, sharing evidence-based information, and strengthening the research and academic curriculum on health as key intersectoral interventions that will positively influence the population’s health. 

Dr Magtymova called on each sector to unite efforts to ensure quality services under their mandate and reconfirmed WHO’s commitment to partners to achieve better health outcomes for all.   

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