Union des Organisations de Secours et Soins MĂŠdicaux Union of Medical Care and Relief Organizations
2016
Union of Medical Care and Relief Organizations (UOSSM) is an independent nonprofit humanitarian and medical nongovernmental 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.
OUR VISION
OUR MISSION
We believe in a world in which everyone has the right to life, health and well-being.
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.
OUR VALUES ACCOUNTABILITY
INTEGRITY
NEUTRALITY
TRUST
AMBITION
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.
Shaam Relief Foundation USA Syrian American Foundation USA Syria Relief Charity UK
UOSSM Switzerland UOSSM Turkey UOSSM Canada
Syrian British Medical Society UK UOSSM USA
UOSSM Germany
UOSSM France UOSSM Netherland
Reyhanli Bab alhawa
Reyhanli Qourqania Obien
Sarmada
Bernas
Madiq Castle
Afrin
Menbej Marjeh
Ariha
Akcakale
Sad Teshreen
Zammar
Habit
Raqqa
Mayadin
Zaafaraneh
Gouta
Trauma and Hospitals
Gouta
Primary Health Care
Karameh
Gaziantep
Reyhanli Obien
Afrin Menbej Qah Sarmada Ariha Ma`ara Habit
Reyhanli Bab alhawa
Adn
Adn
Deraa
Mental Health and Psychosocial Support
Saida
Qualification and Training
Working Centers Closed Centers
Zarqaa
Mobile Clinics Mobile Teams Medicines and Consumables Support
2015
SINCE ESTABLISHMENT
1,000,000
1,369,000
Medical consultations at primary health care centers
Indirect beneficiaries from the trauma department
825,000
397,943
9,000
2,873
Beneficiaries at primary health care centers
Beneficiaries of hospitals and post-operative centers
Medical Training beneficiaries
Surgical Operations in UOSSM-supported hospitals
128,000
Beneficiaries of mental health care, and psychosocial support centers
The statistics (since establishment) are approximate
29,000
Natural and Caesarean Births
1,625
Beneficiaries of psychosocial training
And the numbers are constantly growing‌
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
$13 M
Medications & medical consumables
177
Were Distributed to
120
facilities from August 2012-December 2015. 200
Hospitals
Medical Facilities
130,000 Surgery
400,000
Have benefitted in 2015 UOSSM's Organizations Supporting This Department
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
Provides emergency surgical operations, trauma care, and minor surgeries, and admits approximately 4000 patients a month.
CARDIOLOGY DEPARTMENT
Cardiology Clinic Cardiac Care Unit Cardiac Operating Room
GASTROINTEST INAL DEPARTMENT
Endoscopy Colonoscopy ERCP
PEDIATRIC AND NEONATAL SURGICAL DEPARTMENT
Includes neonatal and pediatric intensive care units
OUTPATIENT DEPARTMENT
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.
SPECIALTY DEPARTMENT
An average of 900 surgeries per month in the specialty department.
900 Surgeries per month
There are 6 operating rooms.
6
Rooms
The intensive care unit includes 8 beds, and admits approximately 150 patients per month.
8
Beds
150
Patients per month
Bab al Hawa Hospital admits approximately 10,000 patients a month, and had 29,000 surgical operations in 2015.
4,000
Patients a month
4
Incubators
8
Beds
10,000
Patients a month
Patient wing has 40 beds 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
40 400
Beds
patients per month
20
Scans a day
UOSSM's Organizations Supporting This Department
In this hospital we hope to provide the care women and their children need.
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):
We want to set the perfect example of health care for Syrian patients in Turkey.
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
2,430
1,200
10,4347
50,335
Patients
Natural births
Caesarean births
Medical services
Patients
Sarmada Post-Operative Center:
we provide care to postoperative patients until their recovery
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.
1,500
1,516
Physical therapy
Patients
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.
UOSSM's Organizations Supporting This Department
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.
+25 Villages
6
10
Emergency Ambulances response units
10 Evacuation cars
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.
UOSSM's Organizations Supporting This Department
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:
We strive to insure the daily medical care for patients reach our centers
We provide the utmost care to every patient
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.
UOSSM's Organizations Supporting This Department
We began 2016 with 9 PHC centers, 9 mobile clinics and 4 maternity centers
12
Primary Health Care centers
8
Governorates Urfa
Adding two new PHC centers in Turkey
Hatay
2015 Converting 4 PHC centers to mobile clinics
Establishing 4 maternity centers
2016
825,000 Patient
1,000,000
Medical consultations
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.
We reach patients who can’t reach us
The response to the emergency displacement cases and relieve the suffering of internallydisplaced 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 relieve the mental illnesses resulting from one of the biggest humanitarian catastrophes in the world
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.
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.
lebanon: » Adn
Syria:
» Qah and
sub centers » southern region
Turkey:
» Gaziantep » Reyhanli
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 Qah Rural West Idleb area, where there are over 700,000 people.
2
Qah Center
Mobile Clinics includes
5
Sub Clinics
UOSSM's Organizations Supporting This Department
Beneficiaries (According to geographical distribution)
In Atma and Qah camps in addition to another 130 more camps in western and northern rural of Aleppo and western Idlib's suburbs
1,250,000 People
We provide mental health and psychosocial support services to all who directly request or need services including:
Schools
Camps
Service Providers
Care Centers
Post Operative Centers
We want to provide the best possible care and services by raising skill levels of all staff in all different fields
120
Training Mannequins
8,566 Male Trainees
1,460 Female Trainees
1,014 Training Days
8,285 Training Hours
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.
UOSSM's Organizations Supporting This Department
since 2012 our scope is to deliver training courses to staffers inside Syria
Activities of Medical Training and Education
Hosting- Staff, External SupportLocal TrainingField TrainingLocal Capacity BuildingOne Day ActivitiesMeetings-
»» 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.
153
Completed Sessions
4,641
Trainees
Psychological Training
12
Completed Sessions
155
Trainees
Management Training
15
Medical Training
Medical Courses
122
27
2,076
Completed Sessions
Psychological Courses
Trainees
8
Management Courses
Qualification and Training Department Courses
Management Training
Psychological Training
Medical Training
Achieving medical need assessment surveys allow us to equitably distribute the medical resources
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
Survey in Aug. 2015 in 113 hospitals in August 2015,
by trained survey collectors. The data collected was from hospital Hospitals managers about the work, type of services provided, available medical equipment, and financial support of these hospitals. Survey in Apr. 2015 The survey revealed many problems including a high lack of medical staff, especially trained, Hospitals 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.
113
90
The most important results of hospitals survey
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.
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.
UOSSM's Organizations Supporting This Department
Artificial Respirators ICU Beds Central Oxygen Generators Anesthesia Devices Defibrillators X-ray machines CT Scan Machines
124 19 22 4
6
226 35 214 40
50 Working Devices
248+
Need Repair Devices
Out of Service
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.
You can participate by donating through our bank account: Bank account: Societe Generale - Account holder: UOSSM IBAN: FR76 3000 3037 2000 0505 9795 889 BIC / SWIFT: SOGEFRPP
Together, Saving Lives & Bulidning Hope
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