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WHO issues situation report calling for urgent action to address malnutrition in northeast Syria

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18 May 2022 – Seven hundred thousand more children face hunger in Syria due to the country’s continuously deteriorating economy, especially in northeast Syria. In the last 6 months, the total number of food-insecure children across the country has risen to more than 4.6 million. After more than 10 years of conflict and displacement, an unprecedented number of children in Syria are now battling soaring rates of malnutrition.

The World Health Organization and the Nutrition Sector continue to expand detection, as well as preventive and specialized inpatient nutrition services for children with acute malnutrition and ensure the availability of critical supplies. 

Malnutrition refers to deficiencies, excesses or imbalances in a person’s intake of energy and/or nutrients. The term malnutrition covers two broad groups of conditions. One is ‘undernutrition’, which includes stunting (low height for age), wasting (low weight for height), underweight (low weight for age) and micronutrient deficiencies or insufficiencies (a lack of important vitamins and minerals). Malnutrition affects people in every country. Worldwide, some 159 million children are stunted and 50 million are wasted. Many families cannot afford or do not have access to nutritious foods like fresh fruits, vegetables, legumes, meat, and milk. 

Over the past 11 years, northeast Syria has suffered enormously due to the ongoing crisis. The deterioration of health services, the economic crisis, and the decrease in purchasing power, coupled with the difficulty of accessing safe drinking-water have all led to an increase in malnutrition rates. As evidence shows, in 2022–2023 about 5.5 million people, including mothers and children aged 0–59 months in Syria will need direct nutrition assistance; half of them live in northeast Syria. Subsequent surveys have shown that the incidence of acute and chronic malnutrition is twice as much in northeast Syria as compared to the rest of the country. 

WHO continues to confront the deteriorating nutritional situation in northeast Syria by providing a package of different nutritional service programmes. The main aim is to detect cases of malnutrition and ensure they get the appropriate management needed. WHO supports the management of malnutrition associated with complications in stabilization centres, in addition to fulfilling the need to prevent malnutrition through multiple programmes, such as infant and young child feeding counselling, as well as the Baby-Friendly Hospitals Initiative. 

Addressing malnutrition is one of the key priorities for WHO in northeast Syria. The latest survey that was conducted in 2019 indicates that the rates of acute and chronic malnutrition cases in northeast Syria exceeded those recorded in other regions across the country. WHO expanded nutrition services in northeast Syria in 2021 to reach a large number of health facilities operating in the 3 governorates. Despite the challenges and the shortage of health care providers, WHO has covered large parts of northeast Syria, including hard-to-reach areas. However, more needs to be done to prevent or treat acute and chronic malnutrition in Syria. 

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Malnutrition in northeast Syria: the case for urgent action

COVAX supply update on COVID-19 vaccination in Syria, 10 May 2022

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may-vaccination-factsSummary

As of 9 May 2022, the total number of COVID-19 vaccines delivered to Syria through the COVAX Facility is 11 347 640 doses, in addition to 2 763 640 doses received through bilateral agreements. The available doses will enable Syria to reach about 45.4% of the population.

Between 23 March and 4 April 2022, 1 043 700 doses of AstraZeneca Covishield reached Syria via COVAX. So far, vaccines received from bilateral agreements represent 20% of the total vaccines received, and the remaining 80% were delivered through COVAX.

The vaccines are administered as part of the ongoing national vaccination campaign across the country. 

Vaccination process

Vaccination activities continue across Syria at both fixed health facilities and through mobile medical teams in rural areas. 

An increase of 44% in the number of administered doses was observed in April compared to March, due to the intensification of vaccination activities at mosques and shopping centres. 

The Ministry of Health made vaccines available not only in designated health centres, but also in places where people visit the most. During the month of Ramadan, the implementation of vaccination during Tarawih prayers was carried out at 468 selected mosques in 6 governorates accompanied by workshops for religious leaders in different governorates. In addition, 13 churches, 2 malls and 2 parks were included in these activities.

Readiness for vaccines

Government and northeast Syria vaccination strategy as per the National Deployment and Vaccination Planto deliver vaccines 

1037 fixed health facilities, including 43 hospitals and 994 PHC centres

361 mobile teams to cover rural and hard-to-reach areas 

In total: 1398 vaccination teams are deployed (5499 health workers)

Northwest Syria

Increasing COVID-19 vaccination teams from 61 to 100 teams: 60 will work as outreach teams, while the other 40 teams will be located as fixed sites in the most populated areas, such as internally displaced persons camps and different cities in northwest Syria. 

Priority groups

As per the National Deployment and Vaccination Plan, the vaccination priority groups include all adults over 18 years of age with special emphasis on health care workers, elderly, and people with comorbidities.

Challenges

The late arrival of vaccines makes it difficult for timely implementation of vaccination putting pressure on an already fragile health system. Overall vaccine hesitancy and the short expiry dates of some vaccine shipments create another challenge in achieving high vaccination rates. 

Brussels VI Conference: "Supporting the future of Syria and the region": side event on health and the impact of the socio-economic crisis in Syria

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Join the important side event on health and the impact of the socio-economic crisis in Syria to be convened by WHO, in partnership with the Italian Agency for Development Cooperation and the United Nations Development Programme. The event will take place on 6 May, at 10 am Brussels time on the margins of the Brussels VI Conference on Syria.  

Watch the event livestreamed on: 

Twitter (English):     www.twitter.com/WHOEMRO   

Facebook (Arabic):  www.facebook.com/WHOEMRO

YouTube (French):   www.youtube.com/whoemr

Join this important panel discussion with Q&A that will focus on new multilateral partnerships and actions needed now to revitalize Syria’s severely disrupted health care system.

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thumbnail-annual-reportSyria annual report 2021

Syria launches national strategy on reproductive, maternal, neonatal, child and adolescent health

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The Ministry of Health of Syria has recently launched its national strategy on reproductive, maternal, neonatal, child and adolescent health, with support from WHO, the United Nations Population Fund and UNICEF. The strategy will contribute to reducing neonatal, child and maternal mortality and enhancing the well-being of women, children and adolescents through comprehensive access to health services. 

“Too many women and children are still dying because they lack access to quality health care, resources, and information,” said Dr Akjemal Magtymova, Head of Mission and WHO Representative in Syria. 

WHO has been involved in the development of the strategy since its conceptualization and the situation analysis, and will support its implementation through operational planning with an indicators framework and costing. WHO has been supporting the reproductive, maternal, and children’s health in many ways, which include some of the most recent work in 2021, such as: 

Integrated Management of Childhood Illnesses programme through 540 health centres that received over 1 million child patient visits in a year.

Nutrition surveillance through 968 health centres that provided over 1 million services and detected 20 000 cases of malnutrition.

Nineteen (19) stabilization centres that treated over 1500 complicated cases of malnutrition.

Infant and young child feeding programme in 761 health centres, providing more than 285 000 services.

Neonatal resuscitation programme in 38 hospitals that offered different interventions to prevent asphyxia in more than 70 000 deliveries.

Youth-friendly centres that provided over 25 000 services.

Newborn care-at-home programme that conducted 20 000 home visits to detect risk signs in pregnant women and newborns and referred them, when needed, to special care.

Capacity of reproductive health professionals built through specialized training courses to 630 midwives. 

Development and distribution of reprodcutive guidelines and awareness-raising materials on pre-marital testing, sexually transmitted infections and family planning. 

“We all can contribute to the implementation of the strategy, so that mothers can experience safe childbirth, babies are born healthy and develop to their fullest potential from birth to their adolescence and adult life," Dr Akjemal noted.

Opening remarks by WHO Representative Dr Akjemal Magtymova 

Story of Muhdia: Health services in Syria support hundreds of TB patients

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Story of Muhdia: Health services in Syria support hundreds of TB patients27 March 2022 - 25-year-old Muhdia from Karm Myasser district in Aleppo, Syria, was diagnosed with tuberculosis (TB) after being examined by the TB mobile clinic. Muhdia was losing weight, coughed frequently, had fever and difficulties in breathing. Thanks to the agility of physicians, she was immediately referred to the TB centre in Aleppo where doctors started the treatment and explained the importance of taking medication for the next two years for the full recovery.

After three months of intensive multiple drug-resistant treatment, Muhdia started recovering. She became pregnant and for the fear of harming an unborn baby, she initially refused to continue the treatment.

“I was panic-stricken at the thought of losing my baby,” said Muhdia.

TB professionals convinced her to maintain the treatment and observe any side effects. The centre also provided follow up services at Muhdia’s home. She has delivered a healthy child and has been continuing her treatment.

“Thanks to the treatment and supportive health professionals, I feel much better, and my baby is healthy. It helped me get through a time of great worry and uncertainty,” Muhdia said.

Since the Aleppo TB centre reopened in 2018, it has admitted many patients. The centre, which is the only health care facility in Aleppo governorate that specializes in treating TB, provides free diagnosis and treatment services to patients from four neighbouring governorates in northern Syria.

The daily operation of the centre and of the mobile clinics is supported by WHO through the contribution of the Global Fund to Fight AIDS, TB and Malaria, while the Government of Japan supported the rehabilitation. TB services, including diagnosis, treatment and awareness sessions, are provided to internally displaced people and other vulnerable populations in emergency response areas, as well as penitentiary facilities since March 2020. Since then, more than 78 606 people throughout the country have benefited from the services of mobile clinics, and 180 TB cases have been diagnosed in Aleppo alone.

In 2021, over 685 people with TB in Aleppo were diagnosed and offered treatment. WHO also helps provide financial aid and food baskets to support TB patients and their families during their treatment journey.

“WHO is committed to facilitate active case-finding to identify people with the disease and give them the help they need,” said Dr Akjemal Magtymova, Head of Mission and WHO Representative in the Syrian Arab Republic. “As low as the TB prevalence in Syria might be, the pre-conditions for contracting TB are quite high. Undernutrition, poverty, HIV, diabetes and tobacco are among the key drivers of the TB epidemic. I believe that with joint efforts elimination of TB is possible,” Dr Akjemal Magtymova added.

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