Conclusions and Recommendations: Syrian Medical System

From the data obtained in this report we identified the need to:

  1. Incorporate regular updated data from hospitals inside Syria to build a strategic plan for delivery of health services as an integral part of all medical relief efforts, and increase donor confidence by providing real-time evidence of need for specific health services
  2. Set minimum requirements for the work volume of hospitals and to develop the health sector support based on these minimum standards.
  3. Analyze the health sector en bloc with the goal of providing quality, integrated health services for the largest number of patients
  4. Foster cooperation between all international and local organizations through joint ventures and coordination of services provided and sharing of data
  5. Campaign to increase financial support for critically limited health care human resources in Syria, with a focus on standardizing salary scales and expanding support for critical services and in areas of specific geographic needs, such areas as under siege
  6. Balance distribution of available resources as per work volume and results in light of the scarcity of donor resources
  7. Develop biomedical engineering capacity to leverage the large number of medical devices that are available in Syria but not in use due to maintenance and repair needs
  8. Augment capacity for documentation and information management to raise the ability of hospitals to continually improve the quality of health data maintenance
  9. Develop and expand training programs for cadres of health professionals based on geographic distribution of health needs
  10. Implement a proposed project to mobilize Oxygen generators with an appropriate geographical distribution to ensure the mobilization of oxygen cylinders needed for each area
  11. Launch a campaign to increase the number of infant incubators, specifically for the besieged hospitals in the Southern region of Syria, where occupancy rates revealed critical shortages
  12. Intiate a Project to expand intensive care capacity throughout Syrian hospitals with increased numbers of central oxygen generators and ventilators available
  13. Increase the capacity of our data collection team and research committee to regularly collect, audit and analyze health data from Syrian hospitals

Future Plans:

  1. Planning for the next stage of data collection will take place in November 2015, and will include both follow-up on the core elements of this survey, as well as allow for the inclusion of additional survey inquiries to be implemented in February 2016 version
  2. The coming survey will focus on more detailed hospitals equipment status that came to light in the current survey including, for example, the types and capacity of ventilators available in various hospitals inside Syria
  3. Revisions will be made to the coding system used to capture the types and extent of injuries of patients presenting to Syrian hospitals
  4. Detailed surveys will be conducted on the implementation of dialysis inside Syria to include data on the number and type of dialysis units in operation, the number of hours of dialysis provided, the availability of desalination units, as well as the number of dialysis patients served by Syrian hospitals.
  5. A dedicated portion of the survey will focus on unmet need for biomedical engineering services to catalog all non-functional devices and categorize them by the type of malfunction and the feasibility for repair

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