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The coordinator of the project, told the "cities" that the decision to "suspend the project" was "a moral commitment of the funder and that it would not have any financial impact before the end three months ", adding that the decision was" to cancel certain activities of the project, Other activities during this period ".
The source pointed out that "lifting the suspension" should be part of the important discussions and efforts of the medical situation in Idlib, unless the donor insists on the final termination of the project.
Deputy Director of Health, Idlib Mustafa Al-Aido, told "cities" that the cessation of external aid to health directors would be "a disaster in every sense of the word, the lack of local resources able to cover the sector's significant expenses and the inability of the population to pay for the private sector's treatment ".
Medical researcher Maamoun al-Sayed Issa told Al-Madinat that the consequences of the suspension of support are the cessation of blood bank services, thalbademia centers and tuberculosis, drug control, the referral system , forensics, destruction of medical waste, the ambulance system consisting of 37 cars in Idlib and 31 in Aleppo.
According to Mr. Issa, there is no doubt that the coordination of the health activities of the directorates will be deactivated after the control of the health situation. In addition, the governance process of these directions may be disrupted after reaching advanced stages of medical licensing, work organization, and support coordination.
As a result, 93 hospitals, 117 medical centers and 112 primary health care centers will be damaged, providing free services to Syrians in the liberated areas.
Repeated comment
"Any intervention that could be made in the health sector, whatever its size, by a military or administrative authority badociated with it would have consequences," he said. "I also think that they are related to the political changes that occur in decision-making circles in donor countries."
He added that donor countries usually study the land control map in a continuous, military and administrative manner, and badess the progress of the political process, and cross-check all this information to provide a picture of continued support and investment in the region. The issue is different depending on the nature of the support, whether it is humanitarian aid or stability support.
This is not the first time that help to health directorates is suspended. In early 2019, during the Sham Liberation Organization's control over most of Idlib, GIZ had made a similar decision and the "government of salvation" had expanded. The agency lifted the suspension after three months, but imposed strict conditions on the need not to interfere with an entity. The work of the health directorates was to reduce the value of the financial block allocated to the project.
Turkish side
Medical services in the northern Turkish countryside of Aleppo, supervised by the Turkish health directorates, are significantly better than those in Idlib, the western Aleppo countryside and the northern Hama countryside under the "government of rescue".
The Turkish Health Directorate is currently preparing the Azzaz Hospital, which will soon enter the medical service, in addition to the Mara hospitals, Bab El-Ra's ee. Turkish health covers the salaries of the personnel of these hospitals and applies the Turkish laws.
"The medical staff numbers in northern Aleppo are better compared to Idlib, apart from the latest medical equipment provided by Turkish health, which is fully supervised by medical staff," said a senior official. 39, local organization Syria Relief and Development. "The difference is a very good infrastructure for medical work in Idlib, with large national hospitals built for medical work."
Alternative plans
Faced with any decision to discontinue support, Health Departments have put in place contingency plans that provide for voluntary solutions until alternative solutions are made and cooperation with D & # 39; 39 other existing medical facilities to guide patients through a referral system for stable medical facilities. Support.
Hama Ibrahim North, director of the health department's media department, told the "cities" that there is work under way to launch a campaign to support health directorates at the highest level, in order to deter donors to make the decision to comment in the first place, or to draw the attention of humanitarian organizations to the continuation of the work of the directorates. Abandon one's efforts, which have reached advanced stages of government service.
It is also possible to use charities by deducting a token amount of patients to provide acceptable material return. This is difficult to apply in practice, given the physical conditions and difficult living conditions of the population, which adds new financial pressures.
Retention of medical staff may be hampered by a suspension of long-term support, which will result in a gradual decline in services and quality degradation, as well as increased migration of managers. The negative effects of this comment could appear within 6 months, according to Edo estimates.
Commentary and military escalation
The decision was made in difficult circumstances for the Syrians in Idlib and in the Hama campaign, in light of the fierce attack of the Russian regime's militias, which resulted in the displacement of 330,000 people. This was a major challenge for the medical sector, especially after hospitals, clinics and medical staff became a regular target for Russian aircraft. According to Al-Aido, 31 medical facilities were bombed, 20 destroyed and partially or fully released, and 50 facilities were suspended due to the security situation, resulting in the denial of 175,000 free medical services in the region.
Thus, the weakening of the role of health directorates at this stage will be catastrophic and deepen the suffering of the population. "We affirm that the ownership of health facilities belongs to society and will therefore continue to function in all circumstances, its role can be strengthened or weakened and its services can be of varying quality, depending on the availability of human resources and financial resources and knowledge that will remain attached to its humanitarian mission and community service. "
Where are the medical organizations?
Medical organizations play a very important role in financing health care expenditures, as well as in health departments with supervisory and regulatory powers. These organizations include Sima, Sams, Osem and Shafak, as well as international organizations such as the International Relief Committee and Relief International.
These organizations support various medical projects on the basis of a non-permanent monthly or annual contract and non-fixed projects that can be stopped at any time. But it has a very important role to play in bridging the gap in this vital sector, which is consistent with the existence of the health directorates, the real coordinating body on the ground that can direct medical badistance to various fields. released people.
"In previous periods, the directorates have directed some organizations to new areas that were not previously medically provided, and health departments are often responsible for organizing medical staffing contests." required by the organizations of each district in its area of activity ", according to the North.
The fluctuation of financial aid to the medical sector, the backbone of the areas controlled by the resistance, is the biggest challenge for medical personnel, especially with the violent escalation of the Russian regime's militias, which is aimed primarily at vital facilities and the resilience of the population.
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