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2023 Prioritization�Health Sector Syria Coordination

2 March 2023

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Health sector and information management functions

Level

100% Dedicated Coordinator

UN/NGO

Co-lead

Information Management

Recommendations:

Damascus (national)

Yes

No

Yes

No change

Aleppo (sub-national)

No, 50%

No

National level support

Re-purpose staff to support coordination; allocate 1 IM national staff.

Homs (sub-national)

No, 50%

No

National level support

Re-purpose staff to support coordination; allocate 1 IM national staff; to cover Hama and Idleb as well.

Hama (sub-national)

No

No

National level support

Covered from Homs.

Idleb (sub-national)

No

No

National level support

Covered from Homs.

Lattakia/Tartous (sub-national)

No, 50%

No

National level support

Re-purpose staff to support coordination; allocate 1 national IM staff.

Deir-ez-Zor (sub-national)

No, 50%

No

National level support

Re-purpose staff to support coordination; allocate 1 national IM staff.

Qamishli (sub-national)

Yes

No

National level support

Allocate 1 national IM staff.

South (sub-national)

Not established

 

Not established

Assign staff to support coordination. Assign staff to support IM.

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National, sub-national, and sub-sector working groups

Coordination group

Lead/co-lead

Active (Yes/No)

Recommendations:

1. National reproductive health sub-sector WG

UNFPA, WHO

Yes

No change.

2. National MHPSS sub-sector WG

WHO, UNHCR, IMC

Yes

No change.

a. Sub-national NES MHPSS sub-sector WG

WHO, UNHCR

Yes. Launched in February 2023.

To be followed.

b. Sub-national Aleppo MHPSS sub-sector WG

WHO, UNHCR

Yes. Launched in February 2023.

To be followed.

3. National RCCE sub-sector WG

MoH, UNICEF, WHO

Yes

No change.

4. National trauma and physical rehabilitation sub-sector WG

MoH, WHO

No

To be operationalized.

a. Sub-national Aleppo trauma sub-sector WG

DoH, WHO

Yes. Launched in February 2023.

To be followed.

5. NES Inter-Hub Health Coordination Group

HCC, WoS

Yes

No change.

6. National reconstruction and rehabilitation sub-sector WG

MoH, WHO

No

To be operationalized.

7. National information-management sub-sector working WG

WHO

No

To be operationalized.

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Health sector annual plan for 2023

Sector performance is managed via developed and agreed upon annually updated Health Sector Workplan against the 7 core cluster functions:

  1. Support service delivery

  • Inform the HC/HCT's strategic decision-making

  • Planning and Strategy Development

  • Advocacy

  • Monitoring and Reporting on implementation of sector strategy and results

  • Contingency Planning/Preparedness

  • Accountability to Affected Populations

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Prioritization Criteria

Number

Criteria

1

MOH priority/ WHO as last resort

2

WHO priority

3

Life saving

4

Regional global public scale of impact e.g., prevention and control of diseases outbreaks, IHR priorities, targeted population groups and settings

5

Localization including with civil society

6

Contribution to early recovery

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2023 priority activities with set targets

Category

Activity

Baseline

Target

Prioritization criteria (sum)

Strategic support (strategic)

Conduct national health sector, sub-national, sub-sector working group meetings (Damascus, Aleppo, Homs, Hama, Idleb, Lattakia, Deir-ez-Zoir, Qamishli, and South).

192

192

5

Regular support to sub-sector working groups (MHPSS, SRH, RCCE, Trauma and Physical Rehabilitation, Reconstruction, IM).

72

72

5

Elect co-coordinator from international or national NGO.

1

1

1

Participation in HCT and ISC meetings.

48

48

2

Preparation of health sector HNO.

1

1

5

Organize national health sector NGOs Forum, in coordination with WHO

0

2

4

Develop HRP, objectives, activities, indicators, targets.

1

1

4

Enhance participation and contribution of health sector partners (100%) with projects for HRP.

28

35

3

Develop standardization of costing for health sector supported activities (e.g., HRP process, capacity building, etc.).

1

1

2

Participate in regular WoS Health Cluster and WoS WHO meetings representing health sector Syria.

4

4

2

Provide health sector updates for RDM, SSG meetings.

12

12

3

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2023 priority activities with set targets

Category

Activity

Baseline

Target

Prioritization criteria

Strategic support (technical)

Update contact list and health sector email list of national and sub-national health partners, observers, etc.

3

3

3

Develop the list of health sector advocacy issues for Syria.

4

4

4

Update overview of impact of economic sanctions on health sector Syria.

2

2

4

Produce Flash Updates on attacks on health care.

Ad hoc

Ad hoc

2

Produce various briefing notes/talking points/key asks on health sector.

Ad hoc

Ad hoc

3

Ensure and report on health sector participation in XL convoys to NWS and NES.

12

12

3

Updates on impact of fuel and electricity shortages.

2

2

4

Prioritization of proposals based on severity scale approach.

Ad hoc

Ad hoc

3

Preparation, submission, regular updates of health sector projects for various resource mobilization activities, if and when called (CERF, SHF, etc.).

Ad hoc

Ad hoc

3

Develop overview of the impact of underfunding of health sector.

1

1

4

Provide health sector inputs for formulation of funding priorities by key donors (e.g., ECHO, FCDO, OFDA).

1

1

2

 

 

Strategic support (operational)

Jointly with WHO Syria operationalization of the Emergency Operation Center.

1

1

4

Develop contingency and operational response plans (national and sub-national levels), if and when situation develops (scenario based, NES, South, NWS, cholera, earthquake, etc.).

15

TBC

4

Participate in joint health and inter-sector field missions.

2

12

3

Implement developed action plan on mainstreaming protection into health.

0

1

4

Conduct calls and meetings with traditional and non-traditional donors on priorities areas of work.

Ad hoc

Ad hoc

2

To provide monthly and quarterly update (FTS) of health sector funding situation.

4

4

2

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2023 priority activities with set targets

Category

Activity

Baseline

Target

Prioritization criteria

Health intelligence

Collection of monthly updates on 4Ws (2023 HRP), production and dissemination of monthly snapshots, interactive dashboards.

12

12

3

Regular contribution to all WoS Health Cluster IM deliverables (4W, EWARS(N), COVID-19, AWD/Cholera, Earthquake, HeRAMS, etc.).

12

12

3

Regular review of health sector severity scale and its integration in planning and response

2

2

4

Provision and consolidation of regular operational updates.

Ad hoc

Ad hoc

4

Operational review of supported capacity building activities.

3

3

4

Operational review of physical rehabilitation and reconstruction activities.

3

3

4

Preparation of inventory of health sector projects.

1

1

4

Preparation of updates of health sector assistance with medical equipment.

3

3

4

Updating comprehensive mapping of health sector service delivery (mobile medical teams, fixed health points) via all operational hubs.

2

2

4

Updating health sector referral pathway.

Ad hoc

Ad hoc

4

Updating of health sector assessment registry.

2

2

4

Update of PHSA (Public Health Situation Analysis) Syria.

1

1

3

Update of Health Sector Field Directory for Syria.

3

3

4

Preparation of Health Sector Syria bulletin.

12

12

3

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Current 2022 achievements against set targets, as per annual CCPM

Support to Service Delivery

 

  • Meetings

Good

  • Cluster Strategic Decisions

Good

  • Cluster Mapping

Good

  • Identification of Needs, Gaps and Response Priorities

Good

Informing Strategic Decision-Making of the HC/HCT

 

  • Assessments

Good

  • Situation Analyses

Satisfactory

  • Analysis Topics Covered

Good

  • Cross-Cutting Issues

Good

  • Support for Decision Making

Good

Planning and Strategy Development

 

  • Strategic Plan

Good

  • Technical Standards and Guidelines

Good

  • Prioritization of Proposals

Good

  • Updates on Funding Status against Needs

Good

Advocacy

 

  • Identification of Advocacy Issues

Good

  • Discussion on Advocacy Issues

Good

Monitoring and Reporting

 

  • Cluster Bulletins

Good

  • Programme Monitoring and Reporting Formats

Good

  • Consideration of the Diverse Needs of Women, Girls, Boys and Men in Response Monitoring

Good

Preparedness for Recurrent Disasters

 

  • Preparedness Plans

Good

Accountability to Affected Populations

 

  • Mechanisms for Consulting and Involving Affected Populations in Decision Making

Good

  • Mechanisms to Receive, Investigate and Act on Complaints by Affected People

Good

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Early Recovery – in health sector

2023 HRP Sector Activity

2023 HRP Indicator (at output level)

Link to HRP SO

Activity 3.1  Strengthen the capacity of health care providers and community health care workers to provide essential health services

# of health staff trained/re-trained on mental health topics including mhGAP, Problem Management Plus (PM+) and Psychological First Aid (PFA)

SO3

# of health staff trained/re-trained on GBV first-line response including CMR, GBV in emergencies, GBV referral.

SO3

# of health staff trained/re-trained on cholera case management.

SO3

# of health workers trained/re-trained on infection prevention and control (IPC).

SO3

# of health staff trained/re-trained on other health topics not mentioned above.

SO3

# of community health workers trained/re-trained on different health topics.

SO3

Activity 3.2   Increase access to quality health services by establishing functional health facilities and mobile medical units and supporting referral

3.2.1 # of health facilities refurbished or rehabilitated.

SO3

  • Access to healthcare
  • Disrupted management
  • Reduction in financing
  • Inability of non-state providers to maintain services
  • Supply (including pharmaceutical) chain disruption
  • Health workforce disruption
  • Damage to health facilities
  • Integration of resilience/recovery planning, response and reporting SHOULD BE YET established BUT a lot of ambiguity among sectors and health sector partners.
  • WoS reporting on early recovery is inaccurate.
  • ER is a standing agenda item of national health sector coordination meetings in Damascus. Largely WHO driven agenda.
  • Health sector profile for locations defined for Area-Based Response System developed and shared with RRWG (returns) BUT remaining questions and ambiguity about the next steps.

COMMON CROSS CUTTING THEMES:

  • Technical consultations with the GoS on CCS.
  • Progress on UN Strategic Framework 2022-2024.
  • National Strategy for NGOs.
  • National Essential Health Service Package for Syria.
  • National Health Information System (including Electronic Medical Records, Routine HIS, ICD-11).
  • WHO Localization Strategy.

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Mechanism for monitoring implementation

  • Monthly 4W snapshots and interactive dashboards.

  • Monthly Health Sector Syria Bulletins.

  • Ad hoc regular situation updates based on the evolving situation across the country

  • Annual Health Cluster Coordination Performance Monitoring (CCPM).

  • Bi-annual Health Sector Field Directory.

  • Mid-year HRP PMR.

  • Follow up on FCDO evaluation of health cluster coordination in Syria.

  • Follow up on recommendations of the WoS WHO evaluation.

  • Identification of Third-Party Monitoring for health sector response.

  • Health sector team’ field visits across the hubs.

  • Bi-annual Inventory of health sector projects.

  • Quarterly overview of capacity building events assisted by health sector.

  • Quarterly overview of health sector assistance with reconstruction and rehabilitation.

  • Quarterly updates of health sector assistance with medical equipment.

  • Quarterly comprehensive mapping of health sector service delivery (mobile medical teams, fixed health points).

  • Health sector referral pathway.

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Funding required

Budget line

Funds requested

Coordination meetings

150,000

Technical monitoring

250,000

Assessments and surveys

400,000

Consultants

250,000

Capacity building

150,000

HR

608,154

TOTAL:

1,808,154 USD

2023 HRP: 4,833,939 USD, including PRIORITY 1,808,154 USD)