Provision of Essential Basic Primary Health Care to Vulnerable Conflict-Affected Populations in Idlib and Aleppo

Between October 2022 and September 2023, 56,916 individuals were provided with multiple primary health care consultations. Most beneficiaries (57% or 32,375 out of 56,916) were female, while children under 5 years old constituted 21% (11,671 out of 56,916) of all beneficiaries. Across the four BHA-supported PHCCs, Afrin, Jandairis, and Jalma PHCCs in Aleppo and Sarmada PHCC in Idlib, each of these individual patients benefitted from multiple and inclusive services. In total, 142,458 outpatient consultations, including PHC and SRH, were provided (71% of the target). A total of 3,086 MH consultations were made, with most beneficiaries (64%) being female, while children (under 18 years old) accounted for 15%. A total of 3,871 external referrals were made to specialized service providers over the past 12 months. The project duration was extended from 12 months to 24 months, and the budget increased from $1,970,000 to $4,970,000. The new project period is between 01.10.2022 and 30.09.2024. This amendment ensured the continued funding of the 4 BHA-supported PHCCs after DoTW-T experienced sudden funding cuts in July 2022 that threatened the continuity of operations. Indicators for the nutrition sector were removed at the request of BHA in the amendment in March 2023. The situation in Syria was further complicated by the devastating earthquakes that hit Türkiye and NWS on February 6th, causing significant damage to the region. There were 4,500 officially identified deaths and 10,000 injuries reported. Over 10,600 buildings were destroyed, and nearly a third of the 601 health facilities in NWS (Aleppo and Idlib) were non-functional, 70 of which were damaged by the disaster. DoTW-T's PHCCs survived the earthquakes and continued to provide emergency responses. The quake caused new waves of internal displacement and health needs. The population and demand for health care services are increasing in Jandairis. New camps established post-earthquake to house displaced people were entirely by September.