- March 31, 2022
- Posted by: humanitarianweb
- Category: Humanitarian News
Ratiba and her husband arrived by motorcycle to the Doctors Without Borders/Médecins Sans Frontières (MSF) supported hospital in Idlib governorate, northwestern Syria. She was in labor. The couple have three other children, all born in the 11 years since the war began. They are displaced and live in a tent, struggling to make ends meet. Like thousands of other pregnant and lactating women in Syria, Ratiba was diagnosed with malnutrition and suffered from continuous dizziness, hypertension, and fatigue throughout her pregnancy.
Four million people—2.7 million of whom are displaced—live in northwestern Syria, and 80 percent are women or children. Throughout the war in Syria, MSF has witnessed the additional consequences the conflict has had on women. Many live in precarious conditions and suffer from food insecurity. Existing challenges—such as gender-based violence—further compound women’s vulnerabilities. “Even the normal stages in a woman’s life, such as menstruation, pregnancy, or breastfeeding, become a complex burden,” said, Teresa Graceffa, MSF medical coordinator in Syria.
Mental health consequences
Access to health care is a huge challenge due to insecurity, long distances to reach health facilities, and the cost of services and transportation. “A woman coming from afar recently gave birth near the entrance of an MSF-supported hospital,” said Caroline Masunda, MSF medical referent in Syria. She was waiting for enough money to pay for transportation, as there was no ambulance available. This is concerning as late arrivals for delivery could lead to medical complications for both the mother and the baby.”
Eleven years of war have also taken a toll on women’s mental health, and many are struggling with anxiety, depression, or post-traumatic stress disorder. Most women and adolescent girls who receive psychological support in MSF facilities say that their distress is directly or indirectly related to the conflict. “I recently referred a 25-year-old displaced mother of five to a mental health specialist because she presented [with] symptoms of depression,” says Soumaya*, an MSF health promoter. “She was so overwhelmed with sadness that she could no longer breastfeed her newborn child.”
MSF has offered sexual and reproductive health (SRH) services to women in northwestern Syria since 2012. This includes prenatal, postnatal, and newborn care; management of deliveries including C-sections; gynecological consultation; family planning; and mental health support. In 2021, our teams assisted over 18,000 deliveries in Aleppo and Idlib governorates and provided more than 200,000 SRH consultations, through co-managed and supported hospitals, health centers and mobile clinics.
Funding shortfalls
As humanitarian needs continue to grow in northwestern Syria, huge gaps in health care remain: The fragile health system faces structural challenges and funding shortfalls remain a major challenge. In the displacement camps where MSF runs mobile clinics, women regularly express to our teams concerns about the decreased availability of maternal and childcare services. “Every time we head to the nearby hospital, we see fewer doctors and nurses, and most services are often unavailable,” said Fatima*, a mother of seven who recently experienced a miscarriage. “I learnt that the hospital in which my daughter was born is now closed.”
Over the last year, MSF has seen various health facilities and projects downscale their activities or close after losing their funding. In addition, hundreds of medical facilities have been damaged or destroyed due to the conflict. Many medical staff have been killed or have fled the country. Essential medicine and medical supplies are often unavailable. All of this has negatively impacted the access to essential services for women, girls, and newborns.
As a response, MSF stepped up its activities to respond to a 50 percent increase of deliveries in three of the hospitals we co-manage—cesarean sections also tripled in 2021. This increase continued in the first two months of 2022.
The humanitarian response in northwestern Syria does not match the needs, and there is an urgent need to increase funding for lifesaving activities, including SRH services. “Women in northwestern Syria need long-term quality provision of sexual and reproductive health services to have a chance to lead healthy lives. Now is certainly not the time to let them down,” said Dr Faisal Omar, MSF head of mission for Syria.
*Names have been changed.
In northwest Syria, MSF is currently supporting seven hospitals including a burns unit, 12 primary health care centers and three ambulances for referrals. MSF also supports 11 mobile clinics serving camps for internally displaced people (IDP). MSF is also running water, sanitation and hygiene (WASH) activities in almost 100 IDP camps across the northwest region.
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Dispositivos de calibracion: importante para el operacion suave y efectivo de las maquinarias.
En el campo de la ciencia actual, donde la rendimiento y la fiabilidad del aparato son de gran importancia, los aparatos de balanceo tienen un funcion esencial. Estos dispositivos adaptados estan concebidos para ajustar y estabilizar partes giratorias, ya sea en equipamiento de fabrica, automoviles de traslado o incluso en equipos domesticos.
Para los profesionales en reparacion de dispositivos y los especialistas, trabajar con dispositivos de balanceo es fundamental para proteger el rendimiento uniforme y seguro de cualquier aparato giratorio. Gracias a estas alternativas innovadoras sofisticadas, es posible minimizar considerablemente las sacudidas, el zumbido y la presion sobre los soportes, extendiendo la vida util de componentes valiosos.
Asimismo significativo es el rol que juegan los equipos de ajuste en la atencion al cliente. El asistencia experto y el reparacion constante aplicando estos aparatos posibilitan proporcionar soluciones de excelente nivel, aumentando la agrado de los compradores.
Para los duenos de empresas, la inversion en unidades de balanceo y medidores puede ser clave para aumentar la rendimiento y eficiencia de sus equipos. Esto es particularmente significativo para los empresarios que manejan medianas y pequenas empresas, donde cada detalle es relevante.
Por otro lado, los dispositivos de ajuste tienen una gran implementacion en el sector de la prevencion y el gestion de excelencia. Habilitan identificar eventuales problemas, evitando mantenimientos costosas y averias a los equipos. Ademas, los informacion recopilados de estos aparatos pueden usarse para mejorar metodos y incrementar la exposicion en sistemas de consulta.
Las areas de utilizacion de los aparatos de balanceo comprenden diversas sectores, desde la elaboracion de ciclos hasta el monitoreo de la naturaleza. No interesa si se trata de extensas manufacturas productivas o pequenos espacios hogarenos, los aparatos de balanceo son indispensables para garantizar un funcionamiento efectivo y libre de paradas.
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Equipos de balanceo: importante para el operación uniforme y efectivo de las equipos.
En el entorno de la innovación actual, donde la rendimiento y la estabilidad del aparato son de suma trascendencia, los equipos de ajuste juegan un papel crucial. Estos dispositivos dedicados están desarrollados para ajustar y fijar elementos giratorias, ya sea en maquinaria productiva, medios de transporte de movilidad o incluso en equipos domésticos.
Para los especialistas en mantenimiento de sistemas y los ingenieros, trabajar con aparatos de balanceo es importante para garantizar el rendimiento suave y confiable de cualquier aparato dinámico. Gracias a estas alternativas tecnológicas avanzadas, es posible limitar notablemente las oscilaciones, el zumbido y la presión sobre los sujeciones, prolongando la duración de componentes importantes.
De igual manera relevante es el rol que desempeñan los equipos de calibración en la servicio al consumidor. El apoyo experto y el mantenimiento regular empleando estos equipos habilitan ofrecer servicios de gran nivel, incrementando la bienestar de los clientes.
Para los titulares de proyectos, la aporte en sistemas de calibración y dispositivos puede ser importante para optimizar la productividad y eficiencia de sus sistemas. Esto es especialmente relevante para los dueños de negocios que gestionan medianas y pequeñas negocios, donde cada detalle es relevante.
Por otro lado, los sistemas de calibración tienen una vasta utilización en el sector de la prevención y el gestión de nivel. Permiten identificar eventuales defectos, previniendo arreglos elevadas y problemas a los sistemas. Incluso, los resultados recopilados de estos aparatos pueden emplearse para mejorar procedimientos y potenciar la exposición en plataformas de exploración.
Las zonas de aplicación de los equipos de balanceo abarcan variadas sectores, desde la manufactura de vehículos de dos ruedas hasta el control de la naturaleza. No afecta si se habla de enormes elaboraciones productivas o reducidos espacios hogareños, los dispositivos de balanceo son necesarios para proteger un desempeño óptimo y sin riesgo de paradas.
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