Capacity enhancement of referral hospital in Syria

Project Capacity enhancement of referral hospital in Syria
Objectives

To increase the capacity and quality of medical services in Syria, especially the referral hospitals • To reduce the specialist services gaps in medical institution identified by MERCY Malaysia by attaching relevant medical specialists there • To relieve existing medical specialists and boost their morale • To train hospital volunteers (with no medical background) on basic nursing knowledge • To provide medical supplies including basic equipment to hospitals in Syria

Project Partners Relief Without Borders, M10 Hospital & El Ehsan Hospital
Activities

• Assessment and identification of hospital needs based on discussion with stakeholders • Selection of medical specialists to be deployed based on critical needs at that moment • Deployment of medical volunteers: • Surgical specialists consisting of general surgeons, E&T surgeons and vascular surgeons attached at M10 Emergency Hospital • Paediatrician and Respiratory specialists attached at Al-Ehsan respiratory and paediatrics hospital •Procurement of medical supplies including medicine and basic instruments for hospitals in Syria

Locations M10 Hospital & Al Ehsan Hospital, Syria
Period July to November 2013 (five months)
Accomplishments

• Deployment of five medical specialists and one OT nurse over the period of two months to serve at M10 & Al-Ehsan Hospital in Syria • Consulted more than 60 emergency and elective cases including surgical and medical as stated in the table below • Training of four volunteer nurses (non-medical) on basic nursing knowledge on topics as stated below • Procurement of 20 wheelchairs, medical equipment, medical instrument and essential medicine for camps service provider in Turkey and medical institutions in Syria

BACKGROUND

The conflict in Syria started as a revolution in 2011 and has escalated into a civil conflict. More than 6 million people have been affected by the conflict and more than 1.5 million have fled the country to seek asylum. This has resulted in further complexity in host countries such as Lebanon, Jordan, Turkey, Egypt and Iraq which are experiencing overstretched resources, lack of funding, coordination issues, local national policies and other issues. 2013 saw the number of people in need in Syria increase from 4 million to over 9 million, while the number of refugees registered with UNHCR in neighbouring countries increased from around 550,000 to 2,300,000. Humanitarian response efforts have been constrained by lack of security, funding and capacity. Access constraints continue to impede the delivery of humanitarian aid mostly in northern governorates and the outskirts of Damascus. In rural Damascus, localised negotiations allowed for limited amounts of humanitarian aid to enter Madamiyet, Elsham, Barzeh and Yarmouk and some evacuation of the critically ill.

MERCY MALAYSIA’S EFFORTS

MERCY Malaysia deployed an assessment team in July 2013 to conduct an initial assessment in Turkey, Syria and Lebanon. As a result, the team has identified health and food as the main issues across the three countries resulting from the prolonged crisis and limited funding and resources. As an immediate intervention MERCY Malaysia deployed a second team to procure and deliver medical supplies to medical facilities identified in Syria. The team also conducted a more detail assessment on health and medical services in Syria.

In September, MERCY Malaysia launched a ‘Cycling for Syria’ event in Putrajaya, Malaysia to raise awareness on the conflict within the Malaysian population. The event was widely received and highlighted.

In October and December, MERCY Malaysia deployed a medical team to Syria to assist the local referral hospital in the provision of medical and surgical relief towards the conflict-affected population. Teams consisting of surgeons and medical specialists were attached to two medical institutions in Syria to consult patients and perform surgeries. We also trained the volunteer nurses in one hospital which was non-medical due to the shortage of medical personnel in the area. MERCY Malaysia trained the nurses on the following:

1. Setting of intravenous infusion for post trauma patients.
2. Toilet and suture of the wound and cuts.
3. Dressing post-operative patients with external fixation
4. Insertion of Catheter.
5. Naso gastric feeding of ICU patients
6. Giving intra muscular injection for post trauma patients.
7. Blood taking.
8. Checking of Emergency Trolley in Trauma Bay.
9. Teaching the female volunteer nurses how to insert Foleys catheters for female patients, toilet and suturing of the wound and injection.