Secondary & Tertiary Health Care

We support hospitals inside Syria to provide necessary emergency medical relief and healthcare to affected Syrian people-

Conflict remains the main culprit depriving people of their needs while being exposed daily to great dangers, threatening their lives, health, dignity, and well-being.Due to the constant, deliberate attacks, many of the sick or wounded to go to hospitals as a last resort. UOSSM continues to support hospitals with medicines, consumables, salaries and operational costs to ensure vital medical and emergency services are available to all those in need.  The secondary and tertiary care program supports the services of Bab Al-Hawa Hospital, the ambulance system, capacity building, coordination, and physical rehabilitation centers. Rehabilitation centers help those suffering from physical weakness or disabilities by providing physical and medical specialized care, increasing independent individuals able to positively contribute to society. UOSSM invests in capacity building for medical and administrative staff to raise technical and management skills, ensuring the highest quality care is provided. 

Supply Medications, Medical Supplies, and Equipment- UOSSM assesses the needs of medical 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 medical facilities, patients' visits, admissions and treatments, including the number and types of specialized surgeries conducted. This helps UOSSM determine the actual amount of medications, medical consumables, and financial support needed at these medical facilities. UOSSM distributed over $13,000,000 worth of medications and medical consumables 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 UOSSM Bab Al-Hawa Hospital and Al Bernas Hospital in the Northern region in Syria, and post-operative centers in Sarmada and Reyhanli. 

 


OUR MAJOR HOSPITALS AND EMERGENCY RELIEF PROJECTS

UOSSM Bab Al-Hawa Hospital (BHH)

One of UOSSM’s major initiatives is the establishment of Bab Al-Hawa Hospital (BHH), which launched its initial operations at the end of 2012. Bab Al-Hawa Hospital is currently the most strategic, important healthcare facility and the largest emergency and specialty hospital in northern Syria and is considered the “Referral Hospital” in the region, because of its safe location near the Turkish border, in addition to the extensive services and complex clinical care it provides. With its 9 operating rooms, adult, pediatric, and neonatal Intensive Care Units (ICUs), and 15 specialty outpatient medical clinics, BHH not only has the capacity to provide emergency triage and lifesaving surgeries, but also conducts many specialized surgeries and provides specialty medical services to thousands of people on a monthly basis.

The hospital provides a broad range of specialty medical and surgical services including general, thoracic, vascular, orthopedic, neuro, urologic, ophthalmic, maxillofacial, E.N.T, pediatric surgeries and medical care, in addition to dialysis, outpatient cardiology, colonoscopy and others. Within BHH lies the largest advanced blood bank in the area, producing 1000 blood bags, with different blood components, per month to hospital and medical points in the region. BHH conducts an average of 900 major surgeries and provides medical services to an average of 20,000 patients per month.

Bab Al Hawa Hospital

The Emergency Department: Provides emergency surgical operations, trauma care, and minor surgeries. The emergency department consists of 2 emergency operating rooms, a fully equipped emergency hall that contains 8 beds, providing around the clock, emergency services to patients. It is considered the only referral center to Turkish hospitals, for cases that cannot be dealt with at the hospital inside Syria.

Specialty Surgery Department: The Specialized Surgery Department is equipped with 7 operating rooms, offering a wide range of specialized surgeries to around 700 patients a month. Most rare, specialized surgeries are performed in this department, such as, eradication of cancerous tumors, vitrectomy and retinal detachment, repair of congenital defects in children and newborns, neurological surgery, arthroscopic surgery, Whipple operations, esophagus reconstruction and ERCP. The Specialty Department includes the intensive care unit (ICU) of 8 beds, recovery unit, post-op care units of 6 fully equipped beds, and inpatient wards that admit approximately 150 patients per month.

The Pediatric and Neonatal Surgical Department: A group of highly experienced medical staff work in this department dealing with various neonatal and pediatric medical conditions. Surgical services are provided to correct congenital malformations in newborns, as well post-operative care to newborns and children. This department provides a variety of specific surgeries such as genital reconstruction, congenital malformations repair, oncology procedures, as well as hernial deformations in neonates. The department consists of 7 incubators and 2 artificial ventilators, 13 beds which are used for post-op care, and includes Neonatal and Pediatric ICU's.

Bab Al Hawa Hospital Pediatrics

Specialized Outpatient Department: Considered one of the most important departments as it combines the provision of both specialized surgical and non-surgical medical services. This department contains 15 clinics providing prep for elective surgeries and a wide range of specialized services, such as general, vascular, orthopedics, neurology, thoracic, pulmonology, urology, gastrointestinal, ENT, cardiology, echography, pediatrics, and ophthalmology.

Specialized Cardiology Department: Includes a 24-hour urgent care unit treating emergency and regular cardiac cases and consists of a Cardiac Clinic, Cardiac Care Unit (CCU), and a Cardiac Lab; currently the only one of its kinds in northern Syria.

Dialysis Department: Consists of 2 rooms equipped with 6 dialysis machines which offer urgent and chronic dialysis to patients with acute and advanced kidney failure, and provides medications needed to patients.

Advanced Blood Bank Department: Is the most advanced blood bank in northern Syria, which has the capacity to provide different blood components, including packed red blood cell (PRBC) concentrate, platelet concentrate, fresh frozen plasma and others.

Department of Diagnostic Procedures:

  • Radiology Department (X-Ray, CT Scan, Echo). The Radiology Department provides vital diagnostic tests and reports for all hospital departments and offers specific diagnostic services for vascular, urological and general surgeries. This department also contains an Echo-Doppler device and a fixed X-Ray device that produces high resolution imagery and specific contrast images. This enables the medical team to share and store images digitally and improve quality of services. In addition, the CT/CAT Scan Imaging Department contains a high accuracy, multi-slice imaging device (16 slices) with or without dye injection.
  • Laboratory and Microbiology Department is equipped with the most advance laboratory equipment processing a full range of laboratory and microbiology testing.
  • Pathology Department is the only laboratory of its kind in northern Syria. 
  • Electroencephalogram (EEG), Electromyogram (EMG) and other neurodiagnostic procedures

Inpatient Pharmacy Department: Which provides hospital medications, medical supplies and consumables.

Sarmada Rehabilitation Center: Which contains a Recovery Center, a Physiotherapy Center, and a Urology Rehabilitation Center

  • Recovery Center: Nursing services, medication and long-term care accommodations are provided.
  • Physiotherapy Center: The center is comprised of a waiting area, physiotherapy equipment room, and different treatment centers for men, women and children. The center offers services for medical conditions such as: peripheral and central nerve injuries, Guillain Barré Syndrome, spinal cord injuries, brain injuries, orthopedic injuries that may lead to movement restriction, or arthropathy.

Bab Al Hawa Hospital Sarmada Rehabilitation Center

  • Urology Rehabilitation Clinic: This is the only clinic of its kind in Northern Syria which is in high demand and provides the following services: cystometrogram (useful in the differential diagnosis of bladder diseases due to spinal cord injuries, congenital malformation in children, and prostatomegaly), Urodynamics, diagnostic and therapeutic cystoscopy, diagnostic urethroscopy, blood analysis laboratory, diagnostic biopsies, operating room, installation of ureter catheter.

Due to its strategic importance, relative safety and proximity to the Turkish Border, many donors and partners had, and continue to have, great interests to support our Bab Al-Hawa Hospital, with few donors fully supporting all functions and services provided at the hospital. We appreciate the recent support of The King Salman Foundation that fully supported BHH for 2 years. Recently, after the sudden disruption of funding for BHH towards the end of 2019, Syrian American Medical Society (SAMS) Foundation agreed to assist UOSSM in supporting the staff and operational costs of the hospital until the end September of 2020, while UOSSM continues to provide the medications, medical supplies and consumables to the hospital during this period. We appreciate SAMS’s initiative to assist UOSSM to continue operating the largest and most important referral hospital in northern Syria. UOSSM will continue seeking more funding for BHH to be able to continue the operation of this significant hospital, to continue saving lives and building hope.

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Al Bernas Maternity Hospital

UOSSM supports Al Bernas Hospital, in northern Syria. The hospital provides Obstetric/Gynecological and Pediatric services, along with General surgery. In 2015 the hospital provided services to 37,813 patients including a total of 2430 natural deliveries in the maternity ward and 1200 Cesarean section deliveries. 

UOSSM Rehabilitation Centers

  • Syrian Medical Center (SMC) Reyhanli Post-Operative Center:

One of UOSSM’s major initiatives is the establishment of the post-operational, rehabilitation center in Reyhanli, Turkey. Since June 2012, SMC has expanded its services to include both inpatient and outpatient departments (Ob/Gyn, Orthopedic, Cardiac, Pediatric, General Medicine and Psycho Social Support), providing quality wound care, physiotherapy, psychotherapy, medical therapy, urological care to spinal cord injuries, radiology, and cardiac echography, in addition to laboratory and pharmacy services.

In 2015 over 50,000 patients received services in the center. 

It provides complimentary healthcare services to more than 130,000 Syrian refugees in Reyhanli and it also has an office for documenting human rights violations, in coordination with Physicians for Human Rights.

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    Sarmada Post-Operative Center

Sarmada Post-Operative Center is located in Idlib suburb inside Syria, was established in the end of 2014. Under the management and supervision of UOSSM, the center provides medical and rehabilitation services, minor surgeries,and firs aid to civilians with war-related injuries, with a capacity of 60 beds. Wound-care, physiotherapy, and psychotherapy are provided along with other medical healthcare services. Most of its patients come from UOSSM Bab Al-Hawa Hospital for post-op care.There are a total of five patient rooms where patients are provided with three meals a day.

  •  Dar Al Karama Inpatient Center

Dar Al Karama Center is located in Daraa suburb, in the Southern region of Syria. It is equipped with 71 beds and it provides medical healthcare services to an average of 1,950 patients on monthly basis.

Distribution of Medical Consumables

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One of the earliest UOSSM’s initiative is the acquisition of distribution of medical equipment, supplies and medications to medical points and hospitals across Syria. With a total budget over 8 Million dollars, UOSSM has distributed medical consumables to 120+ hospitals and 200+ medical points and health clinics across Syria, last year.  It covered more than 65% of overall medical consumables needs in northern Syria.

Electronic Medical Record System (EMR)

With the collapse of the healthcare system in Syria, UOSSM introduced the first electronic data collection system, in 2013, at many hospitals affected by the crisis, including Bab Al-Hawa Hospital; when no other such system was in place, at the time.

This system, with its underlying devised coding system, has been providing valuable source of info to optimize resource allocation to the different hospitals (i.e., effective and efficient delivery of medical aid). In addition, the EMR system is intended to be used, with its built-in variables, for research and quality improvement objectives and is the basis for UOSSM’sHospital Support Initiative; ensuring sustainable quality surgical hospital work.

The EMR includes, but not limited to, patient demographics, ER and hospital admissions, types of injuries, types of surgeries & procedures, complications, ICU admissions, & discharge status. Currently, data are maintained from over 50 surgical hospitals inside Syria.

Hospital Support Initiative

This initiative was started shortly after establishing the EMR system in 2013, to support the work of hospitals and medical staff, inside Syria, to:

  • Establish a support system for hospitals, based on quality and work-volume
  • Maintain hospital and medical staff inside Syria and provide them with a life of dignity; vital for thebhh4.jpg continuum and sustenance of quality medical careINSIDE Syria

To ensure consistency, the Hospital Support Initiative was built on the devised coding system for hospitals and certain inclusion criteria, including surgical work volume (i.e., number of major surgeries per month), existence of main surgical services, availability of specialized surgical or hospital staff, and absence of financial support by other organizations.

Until October 2014, this initiative provided hospital support to over 50 LOCAL hospitals across the country, serving tens of thousands of patients and conducting over 3000 major surgeries on a monthly basis. Each major surgery was evaluated to cost about $100 per surgery, at the time. Currently, this initiative is on hold, awaiting funding.

 


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