The health system in the city of Manbej and its countryside deteriorated under the control of Daesh, as the public hospitals and desperancies were unable to deliver health care services to the locals due to the lack of equipment and the departure of many medical staff members from the city. Since the capturing of the city by the SDF, the health system has changed from bad to worse, leading to the emergence of the private sector, represented by some private clinics and hospitals, as the only beneficiaries from the miserable situation. Amid the absence of any competitors, the private hospitals are earning large amounts of money.
They have increased prices of medical treatments on the guise of the increase of the USD exchange rate, and force the patients to pay all expenses of their treatments as a condition to be received. Hamman, a young civilian who was displaced from Aleppo to Manbej, described the medical situation in Manbej city as being miserable, indicating in an interview with Aleppo24, ‘The medical situation in the city has become worse than it was under Daesh’s control. Some activists also accused the SDF of looting most of medical equipment from the public hospitals in the city, which were later transported to Ayn Al Arab.’
The medical expenses in the private hospitals are sky rocking when taking into account the strangling economic situation the residents are facing. For instance: the Caesarean operation costs around 100.000 SYP (185 USD), while natural childbirth costs around 30.000 SYP (56 USD ). Civilians have to pay at least 1.000 SYP for full examination in the clinics.
Contrary to the deteriorating medical situation in Manbej, civilians in Jarablus were receiving free medical treatment as a result of the efforts of the local council, which is backed by Turkey. However, this was only limited to the city, while the countryside remained overlooked. In a dangerous development, the governor of the Turkish Karkamish city ordered the closure of the medical center in Jarablus after disputes between the local council and the Aleppo Health Directorate, which is backed by the Syrian National Coalition. According to a source, the center would receive around 300 patients and carry out five surgery operations a day.