uossm in brief 2016 - english

Union des Organisations de Secours et Soins MédicauxUnion of Medical Care and Relief Organizations2016

WHERE WE WORK

Our programs are managed and supervised by UOSSM offices in Turkey. UOSSM has currently over 850 staff and doctors working across the following regions:

Northern Region The northern region includes Reyhanli and Gaziantep, Turkey, and the northern and eastern regions of Syria including, Idleb, Hama, Aleppo, Raqqa, Dayr al Zour and Homs.

Southern Region: Includes Amman, Jordan, and the southern region in Syria including, Daraa, Quneitra, Southern Damascus, and Eastern Al Ghota.

OUR VISION

We believe in a world in which everyone has the right to life, health and

well-being.

OUR VALUES

ACCOUNTABILITY INTEGRITY NEUTRALITY TRUST AMBITION

OUR MISSION

To achieve our vision, we strive to raise funds and implement or fund projects that support the

health-related needs and well-being of communities affected by crises and their aftermath, regardless of

nationality, ethnicity, gender, religion or political affiliation.

Union of Medical Care and Relief Organizations (UOSSM) is an independent nonprofit humanitarian and medical non-governmental organization, founded to support the health-related needs and well-being of the people and communities affected by crises and their aftermath, regardless of nationality, ethnicity, gender, religion or political affiliation.Today, UOSSM is one of the largest non-governmental organizations (NGOs) in Syria with more than 850 staffers, and medical centers throughout Syria, Turkey and Lebanon.

Since UOSSM was established in 2012, UOSSM has contributed to the foundation and organization of several primary health care centers, rehabilitation centers, mental health care centers, medical training centers, Bab al Hawa Hospital (the largest emergency and specialty hospital in Northern Syria), and the provision of medical support and medical consumables for the majority of Syria especially in the northern region. UOSSM was the pioneer in electronic data collection in hospitals and primary health care centers that provide service to areas affected by the crisis inside Syria and in Turkey. Electronic Medical Data Collection proved vital for the efficiency and performance of humanitarian, medical aid.

WHERE WE WORK

Our programs are managed and supervised by UOSSM offices in Turkey. UOSSM has currently over 850 staff and doctors working across the following regions:

Northern Region The northern region includes Reyhanli and Gaziantep, Turkey, and the northern and eastern regions of Syria including, Idleb, Hama, Aleppo, Raqqa, Dayr al Zour and Homs.

Southern Region: Includes Amman, Jordan, and the southern region in Syria including, Daraa, Quneitra, Southern Damascus, and Eastern Al Ghota.

OUR VISION

We believe in a world in which everyone has the right to life, health and

well-being.

OUR VALUES

ACCOUNTABILITY INTEGRITY NEUTRALITY TRUST AMBITION

OUR MISSION

To achieve our vision, we strive to raise funds and implement or fund projects that support the

health-related needs and well-being of communities affected by crises and their aftermath, regardless of

nationality, ethnicity, gender, religion or political affiliation.

Reyhanli

Adn

Zarqaa

Saida

Bab alhawaReyhanli

Deraa

ReyhanliAfrin

Mayadin

Raqqa

Akcakale

QourqaniaReyhanli

Gouta Gouta

Karameh

Bab alhawaBernas

Sarmada

Qualification andTraining

Mental Healthand PsychosocialSupport

PrimaryHealth Care

Trauma andHospitals

MarjehMenbej

Sad Teshreen

Zammar

Zaafaraneh

Ariha

HabitMadiq Castle

Obien

ArihaSarmadaQah

Ma`araHabit

Obien

Adn

Afrin Menbej

Gaziantep

Working Centers

Closed Centers

Mobile Clinics

Mobile Teams

Medicines and Consumables Support

Shaam Relief FoundationUSA

Syrian British Medical SocietyUK

UOSSM USA

UOSSM Germany

UOSSM France

UOSSM Netherland

UOSSM Turkey

UOSSM Switzerland

Syria Relief CharityUK

Syrian American FoundationUSA

UOSSM Canada

Reyhanli

Adn

Zarqaa

Saida

Bab alhawaReyhanli

Deraa

ReyhanliAfrin

Mayadin

Raqqa

Akcakale

QourqaniaReyhanli

Gouta Gouta

Karameh

Bab alhawaBernas

Sarmada

Qualification andTraining

Mental Healthand PsychosocialSupport

PrimaryHealth Care

Trauma andHospitals

MarjehMenbej

Sad Teshreen

Zammar

Zaafaraneh

Ariha

HabitMadiq Castle

Obien

ArihaSarmadaQah

Ma`araHabit

Obien

Adn

Afrin Menbej

Gaziantep

Working Centers

Closed Centers

Mobile Clinics

Mobile Teams

Medicines and Consumables Support

1,000,000 Medical consultations at primary health carecenters

825,000Beneficiaries at primary health care centers

9,000Medical Training beneficiaries

29,000 Surgical Operations in UOSSM-supportedhospitals

128,000 Beneficiaries of mental health care, andpsychosocial support centers

1,369,000Indirect beneficiaries from the trauma department

397,943 Beneficiaries of hospitals and post-operativecenters

2,873Natural and Caesarean Births

1,625Beneficiaries of psychosocial training

SINCEESTABLI-SHMENT

2015

And the numbers are constantly growing…

The

stat

istic

s (s

ince

est

ablis

hmen

t) ar

e ap

prox

imat

e

TRAUMA AND HOSPITALS:We efficiently contribute with saving lives in the most difficult conditions ever

The continued siege of some areas in Syria for more than three years, has led to instability in funding medical projects due to difficulty of access, inflation of prices, and the reluctance of many international organizations to operate in besieged areas.Hospitals witnessed unprecedented, systematic targeting and bombing that has led to either a partial or complete halt of provision of services in many locations, and the loss of large numbers of medical staff due to the targeting of medical facilities and staff which led to impeding injuries and death, or migration of staffers to safe areas.

This sector is considered one of the most important functions of UOSSM as it represents %76 of the total work in three years, through the following projects:

Supply necessary medications, medical supplies and equipment in Syria for first aid and to save lives:

UOSSM assesses the needs of health facilities inside Syria, including besieged and hard-to-reach areas, based on medical records, and a data collection system initiated by UOSSM at different facilities since 2013. These data provide accurate information about the health facilities, patients’ visits, admissions and treatments, including the number and types of specialized surgeries conducted. This helps UOSSM determine the actual amount of medicines, medical consumables and financial support needed at these medical facilities.

Medications and medical consumables valued at 13,000,000$ were distributed to over 120 hospitals and 200 medical facilities in 2015.

Support of Hospitals and Post-Operative Centers:

The support of hospitals is considered one of the top priorities of UOSSM, since the beginning of the crisis in Syria, funds were allocated to support and rebuild affected hospitals, completely support Bab al Hawa Hospital and Al Bernas Hospital in the northern region in Syria, and post-operative centers in Sarmada and Reyhanli. Approximately 400,000 have benefitted in 2015.

UOSSM, in collaboration with the advocacy group from

the Office of Coordination of Humanitarian Affairs, (OCHA) documented the targeting of

approximately

177facilities from August 2012-December 2015.

$13 MMedications &

medicalconsumables

WereDistributedto

200Medical

Facilities

120Hospitals

130,000Surgery

400,000Have benefitted

in 2015

UOSSM'sOrganizationsSupportingThis Department

EMERGENCY DEPATMENT

CARDIOLOGYDEPARTMENT

PEDIATRICAND NEONATAL

SURGICALDEPARTMENT

OUTPATIENTDEPARTMENT

SPECIALTYDEPARTMENT

Provides emergency surgical operations, trauma care, and minor surgeries, and admits approximately 4000 patients a month.

Cardiology ClinicCardiac Care UnitCardiac Operating Room

Includes neonatal and pediatric intensive care units

There are a total of 9 clinics focusing on different specialties including General surgery, Vascular surgery, Orthopedic surgery, Maxillofacial surgery, Neurosurgery, Urologic surgery, Pediatric surgery, Ear, Nose and Throat (ENT) surgery, Thoracic surgery, Ophthalmic clinic, Cardiology clinic, Internal Medicine clinic, gastrointestinal clinic, EMG-Neurology clinic.This department admits approximately 10,000 patients a month.

4,000Patients a month

Patients a month10,000

900Surgeriesper month

8Beds

8 150Beds

40Beds

Patientsper month

400patients per month

20Scans a day

4Incubators

GASTROINTESTINAL

DEPARTMENT

EndoscopyColonoscopyERCP

An average of 900 surgeries per month in the specialty department.

There are 6operating rooms.

The intensive care unit includes 8 beds, and admits approximately 150 patients per month.

The dialysis department has 5 dialysis units and admits 400 patients per month.Blood Bank: the first of its kind in hard-to-reach areas inside Syria.

20 CT Scans a day

Patient wing has 40 beds6Rooms

The most important

and largest hospital in

the northern region of

Syria


Bab al Hawa Hospital:Established in 2013, is considered one of the most important and largest hospitals in the the northern region of Syria, and is considered the main hospital for surrounding areas.

EMERGENCY DEPATMENT

CARDIOLOGYDEPARTMENT

PEDIATRICAND NEONATAL

SURGICALDEPARTMENT

OUTPATIENTDEPARTMENT

SPECIALTYDEPARTMENT

Provides emergency surgical operations, trauma care, and minor surgeries, and admits approximately 4000 patients a month.

Cardiology ClinicCardiac Care UnitCardiac Operating Room

Includes neonatal and pediatric intensive care units

There are a total of 9 clinics focusing on different specialties including General surgery, Vascular surgery, Orthopedic surgery, Maxillofacial surgery, Neurosurgery, Urologic surgery, Pediatric surgery, Ear, Nose and Throat (ENT) surgery, Thoracic surgery, Ophthalmic clinic, Cardiology clinic, Internal Medicine clinic, gastrointestinal clinic, EMG-Neurology clinic.This department admits approximately 10,000 patients a month.

4,000Patients a month

Patients a month10,000

900Surgeriesper month

8Beds

8 150Beds

40Beds

Patientsper month

400patients per month

20Scans a day

4Incubators

GASTROINTESTINAL

DEPARTMENT

EndoscopyColonoscopyERCP

An average of 900 surgeries per month in the specialty department.

There are 6operating rooms.

The intensive care unit includes 8 beds, and admits approximately 150 patients per month.

The dialysis department has 5 dialysis units and admits 400 patients per month.Blood Bank: the first of its kind in hard-to-reach areas inside Syria.

20 CT Scans a day

Patient wing has 40 beds6Rooms


Bab al Hawa Hospital admits approximately 10,000 patients a month, and had 29,000 surgical operations in 2015.

Al Bernas Hospital:

The hospital, located in the Latakia countryside in the northern region of Syria, started operating in the end of 2014. It provided Obstetric/Gynecological and Pediatric services along with General surgery. The hospital provided care to 37,813 patients, the maternity ward had 2430 natural births, and 1200 caesarean births. On December 2015 ,8 the hospital was targeted by 5 missiles, 2 directly hit the hospital forcing it to shut down for a period of time.

Syrian Medical Center (Reyhanli Post Operative Center):

One of the most important medical centers, providing medical care to wounded and ill Syrians. The Center provides free services through the following clinics: Obstetric/Gynecological services, Orthopedic, Cardiac, Pediatric, General medicine, and Psychological clinic), in addition laboratory and pharmacy services, a physiotherapy section, wound care and a radiology department. In 2015 the total number of patients treated at the center was 50,335 and the total number of medical services was 104,347.

37,813

Patients

2,430

Naturalbirths

1,200

Caesareanbirths

10,4347

Medicalservices

50,335

Patients

We want to set the perfect

example of health care for Syrian patients

in Turkey.

In this hospital we hope to

provide the care women and

their children need.


Sarmada Post-Operative Center:

This center, established in the end of 2014, in northern, rural Idleb, is under management and supervision of UOSSM to provide care and follow-up treatment to the wounded. The center also conducts minor surgeries, wound care and suturing, and first aid for the wounded and injured. There is also a physical therapy center, and a mental health and counseling department. There are a total of 5 patient rooms where patients receive three meals a day. The total number of beneficiaries from July through October 1516 ,2015 patients of all ages, and 1500 received physical therapy.

Equipping and renovating hospitals that were damaged by attacks insures the continuation of medical services despite the collapsing medical system:

The endless war in Syria, along with the constant targeting of hospitals, led UOSSM to take initiative in rebuilding and renovating the damaged buildings, and providing fuels to some hospitals and medical points, especially in besieged areas due to high costs and scarce availability. 22 hospitals and 3 medical points received this aid for 3 months. A similar aid project also took place in Eastern Ghouta.

1,500

Physicaltherapy

1,516

Patients

we provide care to post-

operative patients until their recovery



Emergency Funds was established in response to the needs of hospitals in order to ensure the continuation of running hospitals and projects that have been stalled:

The fund provides to: » Partially supporting projects with other organizations. » Contribution to rebuilding of hospitals damaged by airstrikes and missiles. » Rebuilding the ambulatory system, providing operational costs, especially in besieged

areas, and was on the verge of shutting down numerous times due to lack of funding. » Covering salaries of medical staff in besieged areas, or funding projects that may have

been stalled for many months and led to its partial or complete halt. » Funding to families of staff that were wounded in the line of fire.

10

Ambulances

10

Evacuationcars

6

Emergencyresponse units

+25

Villages


The quick response to the internally displaced and wounded in Aleppo in one of the worst human disasters of our time:

The recent violence in rural Aleppo and the changing events in and controlled areas led to a huge internal displacement of the citizens of the area. UOSSM in partnership with World Health Organization (WHO) and Aleppo’s Health Director, provided evacuation vehicles, 10 ambulances and the support of 6 emergency response units, with complete coverage of fuel and operating costs.This project provides emergency response services to more than 25 villages in rural Aleppo.


Primary Health Care:

Primary health care is of utmost importance in a thriving population, it maintains the well-being and overall health of the citizens of the country.

Primary Health Care Centers:

One of the most important goals that UOSSM focuses on in medical relief efforts is the restoration and strengthening of primary health care in Syria, with the 12 primary health care centers in 8 cities throughout Syria. Due to the dire situation in many areas, difficulty reaching many areas, and the constant danger staff were threatened by, changes had to be made, new PHC’s opened in Turkey, while many centers were moved and four centers were transformed into mobile clinics.

» General medicine » Internal medicine » Gynecological » Pediatric clinics

Some PHC’s also contain dental clinics, dermatologic clinic, orthopedic clinic, psychological clinic, and nutrition departments. There was also the addition of an obstetrics department in four centers since the beginning of 2016.

We strive to insure the daily medical care for patients reach

our centers

We provide the utmost care to every patient


1,000,000Medical consultations

8Governorates

12Primary Health Care centers

2015

2016

Adding two new PHCcenters in TurkeyUrfa

Hatay

Converting 4 PHC centersto mobile clinics

Establishing 4 maternity centers

825,000Patient

We began 2016 with 9

PHC centers, 9 mobile clinics

and 4 maternity centers

Mobile Clinics:

The Urgent Response to Provide Health Care to the Internally Displaced in Idleb, April 2015.

In response to the escalation of events in Idleb in April 2015, there was a large number of internally displaced citizens in the area, such as Jisr al Shaghoor. In response UOSSM responded with four equipped mobile clinics for a total of three months, approximately 23,000 patients received services from these clinics.

The response to the emergency displacement cases and relieve the suffering of internally-displaced peoples:

UOSSM added 6 new mobile clinics in the middle of 2015. Each clinic provides, medical consultations, reproductive health services, nutrition services, psychosocial support, and referral systems. and also added dental mobile clinic that covers several villages to benefit a large numbers of beneficiaries.

We reach patients who

can’t reach us

Diagnostics services,

psychological and psychiatric medications and treatment are

offered by sub-centers located in different areas within Syria via a remote treatment service using Syria Tele-Mental

Health (STMH) network and through Collegium Telemedicus site of (YALE)

University.

We relieve the mental illnesses resulting from one of the biggest humanitarian

catastrophes in the world

QahCenter

includes

5Sub Clinics

2MobileClinics Beneficiaries

(According togeographicaldistribution)

In Atma and Qah camps in

addition to another 130 more camps in western

and northern rural of

Aleppo and western Idlib's

suburbs

1,250,000People

Mental health care is a crucial aspect of health care:The MHPSS has five one major center in Qah along with five sub clinics within primary health care centers, and two mobile clinics offering the following services: treatment, rehabilitation, special education, evaluation/assessment, training, follow-up, statistics and psychosocial support.128,000 benefitted from services in all centers in Syria and Turkey. We help those that are suffering from mental illnesses by providing the following services:

» Providing psychiatric treatment » Providing individual and collective psychological treatment » Training and qualifying the field staff » Training and qualifying the staff who are working in the

mental health department » Raising the skill levels of staff, working in the mental

health department » Psychological first aid (Diagnosis and Treatment) through

psychological mobile clinic

We want to reach the largest possible number of citizens and displaced Syrians, by providing services and care in more than one country.

In Qah Center and sub-centers, we are able to provide services to a wide population of the internally displaced inside Syria:Internally displaced in over 130 camps and over 200,000 people in Atma and QahRural West Idleb area, where there are over 700,000 people.

Syria:» Qah andsub centers» southern

region

lebanon:» Adn

Turkey:» Gaziantep» Reyhanli

QahCenter

includes

5Sub Clinics

2MobileClinics Beneficiaries

(According togeographicaldistribution)

In Atma and Qah camps in

addition to another 130 more camps in western

and northern rural of

Aleppo and western Idlib's

suburbs

1,250,000People



1,014Training

Days

8,285TrainingHours

8,566Male

Trainees

1,460FemaleTrainees

120Training

Mannequins

Schools Camps ServiceProviders

CareCenters

Post OperativeCenters

We provide mental health and psychosocial support services to all who directly request or need services including:


1,014Training

Days

8,285TrainingHours

8,566Male

Trainees

1,460FemaleTrainees

120Training

Mannequins

We want to provide the best possible care and services by raising skill levels of all staff in all

different fields

Qualification and Training Department:

The medical training and education center was established in 2013 in northern Syria with the support of Professor Dr.Raphael Pitti, who specializes in Emergency Medicine at Times of War.The main goal of the center is to train and qualify staff the required skills needed to deal with wounds and injuries as a result of war, and to deal with the ever changing medical situation due to the war. UOSSM, in partnership with Physicians Across Continents (PAC) conducted a survey to assess the medical and human resources in Syria and found:

» 90 students were forced to quit medical school » Many midwives have not had hands on training, probably due to the fact that they

don’t work in hospitals. » Approximately one third of technicians are non-qualified and require training to

qualify them for their jobs. » More than 550 medical staff were killed as a result of the war.

» Hosting- Staff, services and materials are provided when training is offered by a partner that uses the facilities to offer training courses.

» External Support- Trainers and materials are provided to support a course offered by an outside partner.

» Local Training- This includes training courses that the training center offers.

» Field Training- This includes courses that were under the supervision and support of the training center, the training takes place outside of the training center preferably in places of work.

» Local Capacity Building- This includes non-medical courses provided by UOSSM to raise the skill level of all staff/ or citizens in the training center.

» One Day Activities- This includes lectures and educational activities that last only one day, coordinated and hosted by the training center.

» Meetings- This includes coordination, organization or follow up meetings.

since 2012 our scope is to deliver training courses to staffers inside

Syria

External Support-

Local Training- Field Training-

Local Capacity Building-

Meetings-

One Day Activities-

Hosting- Staff,

Activities of Medical Training and Education

MedicalTraining

PsychologicalTraining

ManagementTraining

4,641Trainees

15MedicalCourses

153Completed

Sessions

8Management

Courses

12Completed

Sessions155

Trainees

2,076Trainees

27Psychological

Courses

122Completed

Sessions

Qualification and Training Department

Courses

MedicalTraining


ManagementTraining

4,641Trainees

15MedicalCourses

153Completed

Sessions

8Management

Courses

12Completed

Sessions155

Trainees

2,076Trainees

27Psychological

Courses

122Completed

Sessions


Courses

MedicalTraining


ManagementTraining

4,641Trainees

15MedicalCourses

153Completed

Sessions

8Management

Courses

12Completed

Sessions155

Trainees

2,076Trainees

27Psychological

Courses

122Completed

Sessions


Courses

MedicalTraining

ManagementTraining


External Support-

Local Training- Field Training-

Local Capacity Building-

Meetings-

One Day Activities-

Hosting- Staff,

Activities of Medical Training and Education

Scientific Research Department:

Health care in Syria is under tremendous pressure due to the lack of human and material resources, for that reason a survey was taken to assess the needs of hospitals that specifically provide emergency care.The collapse of health care system in Syria, especially in opposition-controlled areas, indicates a lack of effective management and strategic planning in determining the health crisis in Syria, and this is because of:

» The weakness of strategic planning and and proper response and providing proper services.

» The unbalanced distribution of medical resources based on inaccurate and incomplete information.

» Little or insufficient provision of health care services in the general population which is leading to a higher number of deaths.

» The migration of doctors and medical personnel which increases the destruction of the health care sector.

In response to the healthcare crisis, UOSSM and PAC, along with other non-governmental organizations inside Syria, conducted a systematic survey of hospitals.The first survey was in April 2015, of 90 hospitals in Syria, the survey determined variables and included them in KOBO programming to analyze the data of 113 hospitals.

The second survey was conducted in 113 hospitals in August 2015, by trained survey collectors. The data collected was from hospital managers about the work, type of services provided, available medical equipment, and financial support of these hospitals.The survey revealed many problems including a high lack of medical staff, especially trained, specialized staff. Of 169 general surgeons that were surveyed, %50

worked in more than one hospital. %36 of hospitals do not receive any type of financial support which leads to difficulty providing services.


113Hospitals

Survey in Aug. 2015

90Hospitals

Survey in Apr. 2015

The most important results of hospitals survey

169general surgeons that were surveyed,50% worked in more than one hospital.

%36of hospitals do not receive any type of financial support which leads to difficulty providing services.

Achieving medical need assessment

surveys allow us to equitably distribute the

medical resources


Artificial RespiratorsICU Beds

Central Oxygen GeneratorsAnesthesia Devices

DefibrillatorsX-ray machines

CT Scan Machines Working Devices Need Repair Devices Out of Service

124248+

19

226 35214 40

506

22 4

The survey also showed a major lack of medical equipment such as:

» Respirators » Oxygen Generators » Blood Gas Machines

The survey also showed an urgent need for engineers in medical science. Many hospitals were able to obtain medical equipment despite the situation, unfortunately many of the devices and equipment require repair or maintenance. Approximately 50 X-ray machines, six CT Scan Machines, and 19 respirators need maintenance. With the proper care and maintenance of the equipment many of these devices could be used once again or redistributed to other hospitals.The survey also showed an uneven distribution of artificial respirators as there were only 124 artificial respirators for double the amount of ICU’s. Also out of 22 central oxygen generators, %23 are out of service, and 35 out of 226 anesthesia devices need repair and maintenance, while 40 out of 214 defibrillators are out of service.

You can participate by donating through our bank account:Bank account: Societe Generale - Account holder: UOSSMIBAN: FR76 3000 3037 2000 0505 9795 889BIC / SWIFT: SOGEFRPP

UOSSM`s humanitarian work couldn`t be possible without the invaluable support of our donors,

partners and member organizations.

We Thank you On behalf of all people whose lives and bodies are saved and secured because of your

generosity.

[email protected]/uossmfb.com/uossm.org

Together, Saving Lives & Bulidning Hope

uossm in brief 2016 - english

Documents