Health in Syria

In 2019, the average life expectancy at birth for Syrians was 72.7 years, 67.9 for males, and 78.1 for females, compared to the average life expectancy in 1960, which was roughly 52 years.[4] The dependency ratio in 2020 was 54.5, while the median age was 24.3 in 2021.[5][6]

Life expectancy in Syria

In 2019, the Infant mortality rate in Syria was at 17.9, which is higher than the pre-war number, but less than the world's average of 28.2. While the under-5 mortality rate was at 21.5 deaths also lower than the global average of 37.7. In 2009, low birth weight newborns accounted for 10% of all births.[9]

Maternal Mortality Ratio in Syria 2000-2017

Since most births before the war were attended by skilled health workers (96.2%), the Maternal Mortality Ratio was as low as 26 maternal deaths per 100,000 live births in 2009 when the world's average was 257. During the war, more pregnant women did not receive proper maternal care because of safety, accessibility and economic reasons. The numbers increased dramatically after the war reaching 31 maternal deaths in 2017.[12][13]

In 2017, the adult prevalence rate for obesity was 27.8, and in 2009 10% of children under 5 were obese.[14] In 2016, Syria ranked 35th in the list of countries by body mass index, according to the World Health Organization data on Prevalence of Obesity, published in 2017.[15]

In 2015, 95.7% of the population had access to sanitation and 90.1% of the population had access to clean water.[14] Although water pollution poses a threat to the availability of clean water and sanitation, as analyses of water samples for ammonia, suspended solids and BOD in Aleppo's Quweiq River and the lower part of the Orontes exceeded the allowable limits.[16] In the coastal region, wells used for drinking purposes are contaminated with high concentrations of nitrates and ammonia because of sewage discharge and use of fertilizers, as well as seawater intrusion into the fresh groundwater aquifers.[16]

Smoking in Syria is steadily increasing in popularity amongst Syrians, mainly in the forms of cigarettes or Narghiles. Syrians collectively spend about $600 million per year on tobacco consumption.[17] In 2010, 20% of women and 60% of men smoke and 98% of the overall population is affected by passive smoking.[18] Despite the assumption that smoking, specifically the narghile, is embedded in Syrian culture, this phenomenon has only recently become widespread.

Despite this, whatsoever, Smoking in Syria has been banned inside cafes (hookah bars), restaurants and other public spaces by a presidential decree which was issued on 12 October 2009 which went into effect on 21 April 2010. Syria was the first Arab country to introduce such a ban. The decree also outlaws smoking in schools, universities, health centers, sports halls, cinemas and theaters and on public transport. The restrictions include the narghile. According to the official Syrian Arab News Agency, fines for violating the ban range from LS 500 to LS 100,000 (US$11 to $2,169).[19]

People under the age of 18 are not allowed to buy tobacco in Syria.[20]

Out-of-pocket payments represent the leading source of healthcare financing in Syria. In 2008, out-of-pocket payments made up 61% of the total per capita expenditure on health in the country. The majority of these costs go to private healthcare providers. Despite the above-average health indicators, Syria's total expenditure on health is among the lowest in the region, and public healthcare facilities provide low-quality services and suffer from corruption. Additionally, The pooling function of the healthcare financing system is highly fragmented, and the country has not implemented national health insurance.[23]