4Ws MHPSS mappingand MHPSS:SYRIA

WHO Country office Syria

Acknowledgements

Insert acknowledgment text about here

1

Summary

1. MHPSS Syria. Who’s doing what and where until when............................................ 32. Results............................................................................................................................ 3 2.1. Introduction...................................................................................................... 3 2. 2. Who................................................................................................................. 4

2.2.1. List of Institutions and groups that responded to the 4Ws Mapping Survey................................................................................................... 4 2.3. What.................................................................................................................. 6 2.3.1. Type of activities available................................................................ 6 2.3.2. Activities by specific target............................................................... 6 2.4. Where................................................................................................................ 7 2.4.1.Ventilation of activities per Governorates........................................ 7 2.4.2. . Ventilation of activities per specific location................................ 7 2.5. When................................................................................................................. 8 2.5.1. Funded and unfunded activities in 2014.......................................... 8 2.5.2. End of funding of activities............................................................... 8 2.6. Additional information..................................................................................... 9 2.6.1. Do agencies have a referral mechanism.......................................... 9 2.6.1. Ventilation Employees and Volunteers in MHPSS, Protection and Health activities.................................................................................. 9 2.6.3. Participation in coordination activities............................................104. Main elements of this report.........................................................................................105. Lesson learned and recommendation.........................................................................11

2

3

Who’s doing what and where until when

The present report is the result of the MHPSS 4Ws mapping realized in Syria in 2014. This report includes 25 agencies and was done between May and August 2014. The purpose of the report is to better understand Who is doing What, Where and until When. The report is also the opportunity to look back at the activities and especially some of the outputs and better learn from actions, in order to further increase the efficiency of activities in the same context for future operations. The MHPSS Syria operation is still ongoing, therefore the present report has to be understood as a work in progress and a tentative to better understand the situation to strengthen technical improvements, rather than an accurate statements of what is done.

2.1. Introduction

The data collection started at the end of May 2014. After an initial workshop for data collector, a list of agencies working in the country has been identified. This list was compiled from available information available through the Ministry of foreign affairs. WHO and its partners in data collection (UNICEF, UNHCR and IMC) started sending e-mails to all agencies and, to avoid duplication in data collection and strengthen coordination, participated in weekly meetings. This step was followed by the field data collection and /or technical support on how to fill the MHPSS 4Ws Excel sheet. Field support was also the opportunity to advocate for the MHPSS 4Ws by high-lighting its possible outcomes. Data collected were reviewed on a systematical basis to avoid inconsistencies. Many agency (mostly international) didn’t need any support, however, other small scale agencies were in need of technical support that were organized through repeated visits. The data were initially gathered at the end of August, however another agency was added to the database at the end of October. The analysis and preparation of the report took place in November.

1. MHPSS Syria

2. Results

4

2. 2. Who2.2.1. List of Institutions and groups that responded to the 4W

s Mapping Survey

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2.2.1. List of Institutions and groups that responded to the 4Ws M

apping Survey2. 2. Who

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6

2.3. What

2.3.1. Type of activities available

Two main activities are emerging from the analysis: Psychosocial support in educa-tion and supporting inclusion of social/psychosocial, CP and GBV consideration. This result is in accordance with the next figure (section 2.3.2.) who highlights that both CP and GBV have been effectively mainstream during the operation.

2.3.2. Activities by specific target

20

24

31

82

84

9

5

7

61

9

50

0 10 20 30 40 50 60 70 80 90

7

PROTECTION SERVICES

PROTECTION MONITORING

GENERAL ACTIVITIES TO SUPPORT MHPSS, CHILD PROTECTION (CP), ORGENDER-BASED VIOLENCE (GBV)

CLINICAL MANAGEMENT OF MENTAL DISORDERS BY SPECIALIZED MENTALHEALTH CARE PROVIDERS

CLINICAL MANAGEMENT OF MENTAL DISORDERS BY NON SPECIALIZEDMENTAL HEALTH CARE PROVIDERS

PSYCHOLOGICAL INTERVENTION

SUPPORTING THE INCLUSION OF SOCIAL/PSYCHOSOCIAL, CHILD PROTECTIONAND/OR GENDER-BASED VIOLENCE CONSIDERATIONS

PSYCHOLOGICAL SUPPORT IN EDUCATION

SAFE SPACES

STRENGTHENING OF COMMUNITY AND FAMILY SUPPORT

FACILITATION OF CONDITIONS FOR COMMUNITY MOBILIZATION

INFORMATION DISSEMINATION

MPHSS

GBV

CP

As we can see in the above figure, general MHPSS activities remained the major primary focus of activities, immediately followed by MHPSS/CP related activities and MHPSS/GBV activities. This clearly indicates that both CP and GBV compo-nents have been considered throughout the entire MHPSS operation. It also high-lights an efficient coordination mechanism between agencies.

The data indicate that the vast majority of activities were taking place in Damascus, rural Damascus as well as Alepo. However, other governorates are well represented, such as Idleb, Lattalia or Tartous.

2.4.2. . Ventilation of activities per specific location

7

2.4. Where

Al Hasakeh

Hama

Homs

Tartous

Latakia

Idleb

Aleppo

Rural Damascus

As Sweida

Dar’A

Ar Raqqa

Dear ez zor

Damascus

0 50 100 150 200 250

Others

House Community center

Clinics

Social Centers

Schools

Religious placesShelters

We observe that most of the activi-ties were taking places in shelters. However schools were also a privi-leged place to offer psychosocial support activities. Clinics are eventu-ally identified as place were support is provided, while houses and religious places, even if represented in the sample, seemed more anecdo-tal for MHPSS related activities

8

2.5. When

2.5.1. Funded and unfunded activities in 2014

As we clearly notice, out of 406 activities identified in this mapping, 403 are funded and implemented, while only 3 activity reported were not funded and implemented. These non-implemented activities were supposed to focus on psychosocial support tin education and information dissemination to the community at large.

2.5.2. End of funding of activities

While 188 activities funding remain uncertain, when it comes to the end of funding, 217 activities are scheduled to reach end of funding by the end of 2014.

Undrer implementation Unfunded + not yet implementation

99%

1%

220215210205200195190185180175170

2014 Undetermined

9

2.6. Additional information

2.6.1. Do agencies have a referral mechanism

Out of 25 agencies who participated in the mapping exercise, 11 have a referral mech-anism while 10 don’t.

2.6.1. Ventilation employees and volunteers in MHPSS, Protection and Health activities

As indicated in this figure, the number of employees and volunteers seems to be equivalent from MHPSS and health related services. This effect is not present for protection. This could be explained by the level of training necessary to be involved in protection activities, limiting therefore the participation of untrained volunteers.

12

8

6

4

2

0

10

YES NO Unknown

900800700600500400300200100

0MHPSS

employees Volunteers

Protection Health services

10

2.6.3. Participation in coordination activities

As indicated in the above figure, the majority of agencies were involved in the coordi-nation mechanisms. This high level of involvement allows to explain the efficient repartition of activities from both technical and geographical points of views.

4. Main elements of this reportThe main observations can be summarized as follows:- 25 agencies participated in this MHPSS mapping exercise;- The majority of the organizations were involved in coordination mechanisms;- Employees and volunteers have been involved in providing MHPSS, Protection and Health support;- Approximately 50% of agencies who participated in this exercise reported having referral mechanisms;- A total of 406 activities have been identified in this exercise and 403 of them are funded and implemented;- 217 activities are considered to reach end of funding by December 2014;- No activities focusing on alcohol or drug of abuse prevention have been identified;- Psychosocial support in education, and supporting inclusion of social/psychoso-cial, CP and GBV consideration are the two main activities reported;- Many other activities have been reported too, such as information dissemination, strengthening community support or psychological interventions;

20181614121086420

UnknownNOYES

2.6. Additional information

11

- While the majority of activity took place in Damascus, other governorates have been effectively supported as well, this is the case of Aleppo, Idleb or rural Damascus.; - Protection (including Child Protection), and Gender based violence prevention have been effectively mainstreamed;- Shelters and schools are the main locations were activities took place;- Out of a total of 406 specific activities reported, 217 are scheduled to reach end of funding period by the end of 2014.

5. Lessons learned and recommendationsThe main lesson that is emerging from this MHPSS 4Ws mapping Syria is that, despite the complexity of the setting, agencies managed to offer a wide range of activ-ities to beneficiaries in various locations. Furthermore, both protection and GBV have been mainstreamed throughout activities. Altogether, these element highlight the benefit of the active involvement of agencies in coordination mechanisms. By shar-ing information and coordinating activities on a regular basis, agencies managed to avoid duplications and used their resources in an efficient manner throughout the operation. Therefore, based on the analysis of the MHPSS 4Ws mapping SYRIA, the main lessons is that coordination is the most crucial element of the operation. As we see in this report it allowed an optimal use of strengths, despite hardship. The only critic that could be addressed, and this is a recurrent one when it comes to 4Ws map-ping, is to invite agencies to agree on age categories. This would allow to have disag-gregated data and better understand if the efforts are translating equivalently to all age categories. This is especially important when it comes to vulnerable populations such as children. Eventually, when looking at the Protection activities we noticed that less volunteers were involved in this type of activities. This might be explained by the higher technical knowledge requirement to get involved in protection related activi-ties , therefore limiting the direct involvement of volunteers. Considering at the beginning of an operation more volunteer training on protection might increase signif-icantly the human resources at this level at the beginning and throughout the opera-tion.

2.6. Additional information