Follow up action

Progress

• To further support existing permanent coordination body between the DoH Raqqa and the health sector on evidence-based prioritization. To enhance coordination between NNGOs/INGOs and the DoH Raqqa across the governorate.

• In place. To be continued by UN agencies, INGOs and NNGOs. This is essential to ALL operational organizations.

• To address a disbalanced operational sector coverage between the east and west side of the governorate.

• To be continued.

• To further support existing assistance with vaccination, communicable disease and nutrition surveillance systems, TB/HIV, etc., including in 3 IDP camps.

• In place. Full level coordination. To be continued, in coordination with the Governor’s Office and DoH.

• To provide support for health sector operational response (direct service delivery via mobile teams and static health points / transportation and distribution of health supplies / provision of capacity building, etc.).

• In place. Full level coordination. To be continued, in coordination with the Governor’s Office and DoH.

• To support the DoH with non-communicable disease medicines and dialysis services as largely relying on referral outside of the governorate in Aleppo and Deir-ez-Zoir.

• To be continued. Remaining challenge.

• To facilitate support for the use of DoH infrastructure (buildings), by humanitarian health partners, across the governorate.

• To be continued, in coordination with the Governor’s Office and DoH. Remaining challenge.

• To support advocacy on rehabilitation and activation of public hospitals. Maadan hospital is one of the recommended locations.

• Secured funding is required and the MoH support.

• To advocate on negative consequences of impact of sector underfunding in Raqqa.

• High level advocacy support is necessary to approve pending and future project proposals.
• NNGOs – to enhance quality of project proposals.

Establish & operate mobile and fixed/static health points / centers.

Referral system to access emergency services, as well as specialized health care services, including diagnostics.

Provide lifesaving and life-sustaining medical supplies (medicines, consumables, life-saving medical equipment) to health facilities (PHCs, hospitals, laboratories).

Provide capacity building and community level support with a focus on RCCE (risk communication and community engagement), MCH (maternal and child health), Disease Surveillance and Outbreak Response, MHPSS (mental health and psychosocial support), SRH (sexual and reproductive health), Vaccination, Trauma and Disability.

Health Sector Coordination

Vaccination

Health Information Management

Disease Surveillance

Direct Service Delivery - by mobile medical teams and static health points

Secondary Health Care

Distribution of Health Supplies

Child Health and Nutrition

Sexual and Reproductive Health

Water Quality Control

Reconstruction and Rehabilitation

Capacity Building

Mental Health and Psychosocial Support

Risk Communication and Community Engagement

Operational Health Sector Coordination Platforms in Raqqa

Lead/Co-lead

Sub-national health sector coordination group

DoH, WHO

Sub-national SRH sub-sector working group

DoH, UNFPA, WHO

Sub-national MHPSS sub-sector working group

DoH, WHO, UNHCR

Sub-national RCCE sub-sector working group

DoH, UNICEF, WHO

Sector level response through monthly 4W

Number

# of outpatient consultations

100,886

# of trauma consultations supported

15,654

# of mental health consultations supported

3,481

# of physical rehabilitation sessions supported

9

# of vaginal deliveries attended by a skilled attendant

1

# of cases referred for specialized treatment

44

# of children under the age of 1 received DPT3

18,752

# of children under the age of 2 received MMR2 vaccine

25,904

# of Ante-Natal Care (ANC) visits

5,804

# of treatment courses delivered to health facilities

94,757

# of health staff trained/re-trained on health topics

126

# of operational mobile medical units, including medical teams

13

Reporting Organizations & Final Implementing Partners

Greek Orthodox Patriarchate of Antioch and all the East (GOPA)

Nour Foundation For Relief And Development (NFRD)

Soureon Foundation (SF)

St. Ephrem Patriarchal Development Committee (EPDC)

Syria Al Yamama Charity Association (SYCA)

Syria Pulse Association (SPA)

Syrian Youth Council (SYC)

United Nations Children's Fund (UNICEF)

United Nations Population Fund (UNFPA)

World Health Organization (WHO)

Organization

Subject

Category

Number of participants

WHO

EWARS

Health workers

3

Health system

Health workers

2

HIS

Health workers

1

PHC

Health workers

1

Polio

Health workers

4

Facility Name

Category

Supporting organization

Status

AlNamissah HC/مركز النميصة

Health Center

UNICEF

Completed

Partnership with

Operated by

Facility Type

UNICEF

St. Ephrem Patriarchal Development Committee (EPDC)

H&N mobile team

St. Ephrem Patriarchal Development Committee (EPDC)

Static medical point (SMP)

Syria Al Yamama Charity Association (SYCA)

H&N mobile team

Syria Al Yamama Charity Association (SYCA)

Static medical point (SMP)

UNHCR

Greek Orthodox Patriarchate of Antioch and all the East (GOPA)

Community Center

Greek Orthodox Patriarchate of Antioch and all the East (GOPA)

Health point

Syria Al Yamama Charity Association (SYCA)

Community Center

Syrian Arab Red Crescent (SARC)

Community Center

UNFPA

Syria Al Yamama Charity Association (SYCA)

RH Clinic

Syria Al Yamama Charity Association (SYCA)

RH+ GBV Mobile team

Syrian Youth Council (SYC)

RH+ GBV Mobile team

WHO

Syrian Youth Council (SYC)

Medical mobile team (MMT)

Reproductive Health services:

• UNFPA, in collaboration with its three implementing partners (Al Yamama Foundation, NFRD and GOPA-DERD), provides comprehensive sexual and reproductive health (SRH). UNFPA’s service network comprises two static clinics in Raqqa and Tabqa cities and 4 mobile teams that integrate health services across rural areas, camps, and collective shelters. In addition to community well-being centre CWC and two affiliated mobile teams. Total number of beneficiaries reached till the end of October is 36,315.

Returnees’ response:

• UNFPA responding through its partners Al Yamama and GOPA-DERD at the crossing point level and the host community level providing comprehensive SRH and GBV services. The number of beneficiaries during the last period: 1225 beneficiaries , distribution of PLW kits (12), in addition to distributing 2886 sanitary napkins.

Coordination:

• The Raqqa governorate will be under the Deir Ezzor SRH WG, and the GBV AoR in Qamishli is covering Raqqa governorate.

Capacity building:

• Menstrual Hygiene Management training in collaboration with the Directorate of Education (DOE) in Raqqa targeting 20 health supervisors.( the training was held in Homs).
• Comprehensive Sexual Education for Community Volunteers. \Small Projects Grant Training: 25 beneficiaries received the training.\ Community Initiatives Training : 25 beneficiaries received training

Distribution of health supplies:

• 450 pregnant and lactating women Kits in the RH clinic in Raqqa and the RH clinic in Tabqa.
• 6919 Sanitary napkins in the RH clinic in Raqqa and the RH clinic in Tabqa.
• 310 solar lights in coordination with DOSAL
• IARH kits: IARH Kit 2A: 2 sets for Al Yamama \IARH Kit 4 : 2 sets for Al Yamama
• Total number of Sanitary napkins distributed is 22,132 and 250 MHM kits distributed.
• Distribution in the pipeline for DOH: 2 sets of IARH Kits 2A\ 2 sets of IARH kits 2B \ 1 set of IARH kits 6B\ 1 set of IARH kits 9.

​

Achievements

Coordination and Meetings

​

MHPSS Services Delivery

​

Capacity Building

​

Specialized Support

​

Awareness and Advocacy

​

Assessments and Planning

​

Coordination and Meetings

​

Formation of Working Groups

​

Capacity Building Trainings

​

Activation of Community Networks

​

Awareness Campaign

​

Assessments and Monitoring

​

Feedback Mechanisms & Community Trackers

​

Community-Led Initiatives

​

Critical shortage of health staff, functional health facilities.

A significant lack of hospital care, mental health, supply chain, mother-child services.

Continued violence against health care. High levels of disability, trauma and burns.

Dual health authority and weak health governance remarkably contribute to the overall deterioration of health services and narrowing the window for coordination and collaboration on priorities for health system strengthening and early recovery.

​

Outbreaks reported in 2022-2024 include: Acute water diarrhea (AWD)/Cholera, Measles, Meningitis, Severe acute respiratory infections (SARI) in very young children. Other endemic and recurring disease threats include Hepatitis A, Leishmaniasis, Rabies exposure, Lice & scabies, Tuberculosis (TB).

Unaffordable private sector costs and full dependence of NCD treatment at private sector.

​

The rapid deterioration of socio-economic conditions has increased malnutrition rates and elevated food insecurity (in 2023-2024, 40% of total treated severe malnutrition cases reported in Hasakeh).

Lack of infectious disease referral and treatment capacity; specialized care for specific diseases (cancer, specialized pediatric care, tertiary interventions).

Support with health referrals outside of NES camps: Non availability of specialized public hospital services. Increasing numbers (10,000 patients) per year of patients in need of immediate life-saving and life-sustaining referral support.

Lack of funding for health: Absence of earmarked humanitarian funding for NES in 2022- 2024: Short-term nature of supported humanitarian health projects. Unpredictability of funding to sustain ongoing health response. A very high number of INGOs and NNGOs – non-operational, without any funding support, dependent of UN sub-contracts, limited SHF funds.

Major contingency plans on northern Syria, Al Hol mid-term strategy, border closure, displacement from Lebanon, etc. developed in 2023-2024 remain non-funded.

Severity

2024

2025

Sub-districts

PIN 2024

Sub-districts

PIN 2025

3

1

7,105

4

7

490,079

8

274,025

5

2

118,200

2

482,362