Evaluation of the Harim Network in Northwest Syria


Northwest Syria is a complex and extremely fragile operating environment with more than 4 million residents, of whom an estimated 2.8 million need humanitarian assistance. To support a common standard of care delivery and enable coordination among the multiple providers in the region, the World Health Organization (WHO) Gaziantep office developed an Essential Health Services Package (EHSP) in 2016-17 and subsequently supported a facility network model to deliver the EHSP.


The Harim Integrated Services Network aims to integrate the operations of health facilities and ensure the coordinated and comprehensive delivery of care services in the city, with a specific focus on referrals. It has an ultimate aim of increasing access to health services for displaced and host populations in the region and ensuring efficient service delivery.


This research study provides an evaluation of the network (over its first six phases of operation, 2017-21). The specific objectives are:

• To identify how the Integrated Health Service Delivery Network in Northwest Syria has evolved.
• To identify opportunities for strengthening the network’s integration and effectiveness, with particular focus on tracer conditions/ services (ANC and NCD).


About the research team

The current research is a collaboration between the World Health Organization (WHO) Gaziantep Field Office [opens new tab] and Queen Margaret University, Edinburgh with support from ReBUILD for Resilience and the Alliance for Health Policy and Systems Research, WHO HQ [opens new tab].


Image: Map depicting the study location in Idlib Province in Northwest Syria


"ReBUILD for Resilience brings together partners to share experiences, to discuss our contexts, and to create an appropriate model that helps build resilience in health systems across the country and beyond"

Sushil Baral, HERD International