WHOs Humanitarian Response in Countries Hosting Syrian Refugees 3RP - - PDF document

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WHOs Humanitarian Response in Countries Hosting Syrian Refugees 3RP - - PDF document

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World Health Organization 24 February, 2015 WHOs Humanitarian Response in Countries Hosting Syrian Refugees 3RP Countries Egypt, Iraq, Jordan, Lebanon and Turkey 1 | Background: Key Humanitarian Issues February 2015 - total registered

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World Health Organization 24 February, 2015 1

1 |

WHO’s Humanitarian Response in

Countries Hosting Syrian Refugees 3RP Countries

Egypt, Iraq, Jordan, Lebanon and Turkey

2 |

Background: Key Humanitarian Issues

  • February 2015 - total registered Syrian

refugees 3.8 million

  • Large numbers of unregistered refugees
  • Expected to reach 4.27 million by the end of 2015
  • < 20% of refugees in camps, remainder

informal settlements/host communities

  • Mostly substandard shelter especially out of

camps (ITSs, overcrowding, makeshift or unfinished buildings), limited access to safe water & adequate sanitation

  • Significant issues:
  • Political turmoil in host countries, long term crisis &

displacement, economic hardships, unemployment

  • Dwindling host government resources, limited

employment opportunities, exploitation, food security

  • Tensions between refugees and host communities

Refugee-Host population: Egypt 0.2%, Iraq 0.7% Turkey 2%, Jordan 10%, Lebanon 30% Characteristics: M/F = 49:51; 18% < 5 years, 34% 5-17 years, 45% 18-59 years, & 3% 60+

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World Health Organization 24 February, 2015 2

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Background: Key Health Issues

  • Host governments granted access to public sector health services as for

nationals (even nationals pay out-of-pocket for some health services) but health systems are becoming significantly stretched by additional needs

  • Health needs of Syrian refugees are multiple, including:

– Access to quality services at the primary, secondary and tertiary levels, including referral services and emergency care – Prevention and management of communicable disease threats including immunization – Maternal, newborn and child health care / reproductive health / SGBV – Non-communicable diseases including medications – Trauma care – Services for the disabled – Mental health and psychosocial support

4 |

WHO’s Presence/Capacity in 3RP Countries

  • Country offices with

emergency staff in all 5 countries with significant refugee burden

  • Sub-national offices in turkey

(Gaziantep) and Iraq (Erbil) specifically supporting response to refugee crisis

  • Emergency support team

based in Jordan (Amman) supporting all 5 countries

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World Health Organization 24 February, 2015 3

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Key Health Sector Partners

  • MoHs, local health authorities and other Line Ministries
  • National Disaster Management Organizations
  • UN Agencies – UNICEF, UNFPA, UNHCR, UNRWA, UNDP
  • IOM
  • National Red Cross / Crescent Societies
  • INGOS – DRC, HI, IMC, SCI, IRC, Mercy Corps, Medair ++
  • National NGOs

6 |

Health Sector Actions in 2014

  • Improved access to quality health services (primary,

secondary and tertiary)

  • Strengthened PHC services including:
  • Immunization (routine & campaigns for polio & measles)
  • Reproductive Health (incl. emergency obstetric care)
  • Management of NCDs & MH support
  • Essential medicines and supplies
  • Strengthened referral systems
  • Established/expanded EWARS & disease surveillance
  • Monitored water quality (camps / host communities)
  • Developed capacity of health workers and systems
  • Raised health awareness (refugees & hosts)
  • Established community health volunteer teams
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World Health Organization 24 February, 2015 4

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Specific Achievements Attributable to WHO

Leadership and Coordination:

  • In 2014 WHO took on the lead / co-lead of the HSWGs

in the five countries

Information

  • Generating and disseminating health information (SitReps,

Bulletins, Donor Snapshots, Health Impact Analysis)

  • Supporting health assessments (20 assessments in 5 countries)
  • Strengthening communicable disease and EWARS (early

warning, alert and response system)

8 |

Specific Achievements Attributable to WHO

Technical Support

  • Planning & implementation of immunisation

campaigns against polio and measles

  • 27 million children immunized across the Region
  • Technical support to MoHs and other partners on

strategy / policy for priority public health issues

  • Building capacity of partners on detection & rapid

response to outbreaks & public health threats

  • 3,500 trained on EWARS & disease surveillance
  • Developing capacity of front line health workers
  • 2,000 trained in a range of disciplines
  • Developing & disseminating technical guidelines
  • Supporting cutting edge Mental Health programmes
  • Supporting improvement of water quality in camps
  • Supporting vector control in camps & communities
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World Health Organization 24 February, 2015 5

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Specific Achievements Attributable to WHO

Health Service Provision (POLR)

  • Improved access to quality preventive and curative

health services

  • Including 60 staff & 6 clinics within camps in Iraq
  • Strengthened capacity of nearly 300 health

facilities through providing equipment

  • Supported provision of quality and equitable

secondary & tertiary care services

  • 2,400 services supported in Egypt and Jordan
  • Supported referral services
  • Provided medicine and medical equipment for

services for hundreds of thousands of Syrians and host communities

  • Provided support to refugees with disabilities

10 |

Health Sector Response Plan for 2015

Major planned interventions for the health sector under 3RP

  • Supporting equitable and sustainable access to and coverage of quality

health care services (primary and essential secondary/tertiary)

  • Strengthening existing national health systems with a focus on key

components (NCDs, MH, MNCH / RH, SGBV & Emergency preparedness)

  • Prevention and control of communicable diseases including timely

detection and response to outbreaks

  • Increasing immunization coverage among under-fives
  • Supporting access to mental health and psychosocial services
  • Monitoring health indicators and achievements through an improved

health information system

  • Enhancing the community health approach
  • Effectively coordinating the inputs of health sector partners
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World Health Organization 24 February, 2015 6

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Specific Challenges Related to Operations and Programming

Refugees

  • Increasing numbers of refugees in camps and in impacted communities
  • High mobility of Syrian population inside and cross border

Funding

  • Shortage of funds
  • Bridging humanitarian activities to more sustainable development interventions in

health requires strong advocacy at regional level in order to secure donor funding Health Services / Systems

  • Strained / overwhelmed health systems
  • Limited health system capacity and resilience
  • Targeting / reaching the most vulnerable population groups for health services
  • Fragmented health information systems

Security

  • Highly volatile security situation and unstable socio-political context in some host

countries

12 |

Funding Requirements for 2015

Current/recent donors (under the RRP6)

  • Canada, China, EU, Kuwait, Norway, Republic of Korea, UK, and

USA

  • CERF (UNOCHA)

Funding Requirements for 2015 (US$) Required amount Received amount Carry-over funds Gap (%) – Range in 3RP Countries Health Cluster / Sector 369 million (261m for refugees + 108m for resilience) 22.7 million Not available 92 – 100% (93.9%) WHO 33.6 million 1.6 million 63 – 100% (95.1%)

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World Health Organization 24 February, 2015 7

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Consequences of Funding Failures

  • Reduced access for refugees and affected host communities to

health services at all levels

  • Reduction of immunization coverage
  • Increased risk of communicable disease outbreaks
  • Further movement of refugee to new areas where they feel that

health services can be accessed

  • Social tension among refugees and with host communities
  • Economic consequences and burdens on the health system and
  • ther government services further straining limited resources
  • All above have the potential to increase morbidity and mortality

among refugee populations and host communities

14 |

Key Interventions and Targets

  • Responding to the immediate health needs of refugees with emphasis on life-saving

activities through PHC

  • Implementing a comprehensive PHC package including provision of medications for

both refugees and impacted communities

  • Strengthening communicable diseases surveillance, detection and response, including

immunization

  • Optimizing specialized secondary and tertiary health care & strengthening the referral

mechanism

  • Strengthening capacity of health workers and the national health system and promoting

sustainable services

  • Strengthening Health Information Systems
  • Strengthening coordination and streamlining of decision making in partnership with

health authorities and other actors

  • Supporting MoH and other health partners in strengthening the health service delivery

capacity at the community level for refugees and host populations

  • Gender and age specific Behaviour Change Communication with broader engagement
  • f communities
  • Targeting the most vulnerable populations and special groups
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World Health Organization 24 February, 2015 8

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Thank You