Ukraine War and Syria: Opportunities, Challenges for External Powers

Combination photo: The top of the bombing in Kyiv on March 14, and the second of the destruction in Aleppo, northern Syria, in December 2016. (Getty Images)
Combination photo: The top of the bombing in Kyiv on March 14, and the second of the destruction in Aleppo, northern Syria, in December 2016. (Getty Images)
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Ukraine War and Syria: Opportunities, Challenges for External Powers

Combination photo: The top of the bombing in Kyiv on March 14, and the second of the destruction in Aleppo, northern Syria, in December 2016. (Getty Images)
Combination photo: The top of the bombing in Kyiv on March 14, and the second of the destruction in Aleppo, northern Syria, in December 2016. (Getty Images)

In Syria, the immediate effects of the war in Ukraine have made an already difficult humanitarian situation even worse. Protracted violence in Ukraine or an expansion of the Ukraine war into a larger NATO-Russia confrontation would endanger multilateral cooperation on conflict management, conflict resolution and humanitarian issues in Syria.

Protracted conflict in Ukraine could also disrupt the volatile status quo in Syria, potentially endangering ceasefire agreements, tilting the power balance in favor of Iran and thereby increasing the risk of military escalation between Iran and its antagonists, complicating the fight against ISIS, and endangering cross-border humanitarian aid deliveries.

While large-scale military operations have been reduced significantly over the past few years, stability in Syria has remained fragile, and conflict resolution has witnessed a protracted stalemate. Five foreign states as well as a multitude of domestic and foreign militias have a military presence on the ground. Russia, Turkey, the US, and Iran have each established zones of influence, whose boundaries remain contested.

Asharq Al-Awsat has published a summary of a report published by the German Institute for International and Security Affairs. The report tackles the impact of the war in Ukraine on Syria.

Immediate effects of the war

The effects of the war in Ukraine were felt immediately in Syria. It has led to a worsen­ing of an already grim humanitarian situation in this former lower-middle-income country. Syria’s economy had already all but collapsed due to war damage, large-scale displacement, poor governance, sanc­tions, Covid-19 and repercussions of the financial meltdown in Lebanon.

Even before the war in Ukraine, 90% of Syria’s population lived in poverty, two-thirds were dependent on humanitarian aid and 55% were food insecure. In December 2021, the UN Food and Agri­culture Organization warned of the risk of famine against the backdrop of severe drought and a steep decline in Syria’s wheat harvest.

Early in the war, Russia announced that it would not keep its December 2021 com­mitment to deliver wheat to Syrian regime-controlled areas that were meant to fill the gap.

Northwest Syria is also likely to suffer shortages as it procures wheat from Ukraine and Russia as well as Turkey, where pro­duction has been affected by drought.

In addition, the World Food Program, which largely depends on Ukrainian pro­duc­tion, is set to come under strain due to supply loss, soaring food prices and an increase in the number of people in need worldwide.

Starting May 2022, it will have to reduce life-saving food assistance to some 1.35 million people in northwestern Syria.

While the Syrian regime has adopted austerity measures, such as rationing, price controls and export restrictions, it has not been successful in preventing the spiraling of food and energy prices.

In contrast, direct effects of the war in Ukraine on the geopolitical dynamics in Syria seem to have been limited to date.

The main external powers with a military presence on the ground in Syria have so far insulated their cooperation there from tensions over Ukraine: military deconfliction between Russia and the US as well as Russia and Israel continues; Russia and Turkey maintain joint patrols in the north of Syria based on the March 2020 ceasefire arrangements; and informal talks among Russia, Turkey, the US and European countries on humanitarian access have still taken place.

At the same time, Israel-Iran relations have been tense ever since the killing of two Iranian Revolutionary Guard Corps officers in Syria in early March 2022; this has resulted in Iranian attacks on Israel-linked targets in Iraq, as well as Israeli airstrikes on Iran-linked targets in Syria.

Yet, some players – in particular Russia and Iran – have started to adapt their presence in Syria. Accordingly, Syria would not necessarily be left unscathed even if the war in Ukraine were to come to an end sooner rather than later.

While the overall interests of the dominant external players are likely to remain the same, their priorities, approaches and capacities are likely to be affected, prompting further adaptations, and risking renewed and heightened conflict in Syria.

The extent of these changes will depend on the duration and evolution of the conflict in Ukraine and its potential escalation into a wider NATO-Russia confrontation.

Russia – From pro-regime stabilizer to spoiler?

The war against Ukraine directly impacts the capacities available to Russia for its involvement in Syria. In addition, a shift in priorities in Russian foreign policy can already be observed. To what extent this will affect Russia’s specific interests in the Syrian conflict will depend on the duration and trajectory of the conflict in and beyond Ukraine.

The Kremlin cannot afford to see its Syria policy fail. The military operation in Syria has become too much of a symbol for Russia’s ambition to return to being a great power.

Russia therefore now faces the challenge of securing its position in Syria and the MENA region with reduced capabilities.

Russia has a strategic interest in maintaining its air and naval bases in Syria. They underpin Russia’s military pres­ence in the eastern Mediterranean, which becomes even more important in the face of increasing confrontation with the US and NATO.

Russia’s invasion of Ukraine doesn’t risk significantly undermining its official military posture in Syria in the short-term as this presence primarily revolves around aerospace defense forces and military police rather than substantial ground forces, which only number around 4,000 according to the Military Balance 2022 report published by the International Institute for Strategic Studies (IISS).

However, the war in Ukraine may have a greater impact on Russia’s deployment of irregular armed forces.

In order to fill gaps in the Ukrainian theater, Russia might find it useful to send private military companies and “volunteers” from Syria to Ukraine, which might undermine the striking power of the Syrian armed forces.

Furthermore, Turkey’s closure of the shipping route through the Bosphorus and the Dardanelles to military vessels from/to Russia’s Black Sea ports is likely to cause problems and increase costs for Moscow.

Specifically, supplies and reinforcements for Russian troops in Syria will largely need to be flown in.

In the medium-term, the sanctions-induced deterioration of Russia’s economic capacities will also have an impact on its Syria policy. Russia’s ability to engage in Syria’s reconstruction and to influence its economic development is likely to significantly diminish.

At least in the short-term, Moscow is likely to avoid steps that could trigger significant armed confrontations in Syria as this risks stretching Russian forces thin.

Yet, against the backdrop of Russian-Western confrontation, there are still in­centives for Moscow to exploit its spoiler potential with regard to Syria, for example with respect to humanitarian access or military deconflicting.

Geopolitical dynamics

Protracted violence in Ukraine or an expansion of the war in Ukraine into a larger NATO-Russia confrontation is likely to have an impact on conflict dynamics in Syria beyond the adaptations of individual external actors.

With regards to Russia’s posture and approach in Syria, three trajectories seem plausible: First, Moscow might be forced to reduce its military presence and decrease its attention and resources spent in Syria.

In that context, Russia might no longer block the expansion of Iranian influence over Syria’s military-security infrastructure and post-war economic activities as long as Moscow’s strategic interests in maintaining dominance over the Mediterranean ports of Latakia and Tartus are duly observed.

Tehran’s ultimate desire to expel the US from Syria might also become more accept­able to Moscow. Such a development could therefore tilt the power balance in Syria in Iran’s favor.

Second, if Russia is forced to move air assets from Syria to Ukraine, this could have a negative effect on Russian (and the Syrian regime’s) efforts to contain ISIS in the Badia, as well as other regime-held areas. To date, air assets, especially attack helicopters, have been employed to prevent ISIS resurgence in these areas. However, there are rising concerns that an ISIS comeback in regime-held areas could be a real threat in the time to come.

The problem could be compounded if Syrian soldiers and pro-regime militias are deployed to Ukraine in considerable numbers, as this would undermine the striking power of Syria’s armed forces.

According to Ukrainian mili­tary intelligence, over 40,000 Syrian fighters had registered for deployment in Ukraine by mid-March 2022, including soldiers from the Syrian Armed Forces.

Up to the end of March, according to press reports, only several hundred fighters from Syria arrived in Russia for training. None have yet been deployed to Ukraine.

Third, while Moscow has aimed at preserving the status quo in Syria for the time being, against the backdrop of a perceived threat to the security of its own regime, the Kremlin might radically shift its approach in Syria and exploit its spoiler potential. This could happen with the aim of coercing NATO members, including Turkey, into offering concessions with regard to Ukraine or perhaps just to deflect attention away from Ukraine.

In concrete terms, this sce­nario might play out by Russia complicat­ing or denying US-led counter terrorism operations in areas under its control, in engaging in risky encounters with US aircraft over Syria or in taking aggressive action against Western warships in the eastern Mediterranean.



Doctor at the Heart of Türkiye Newborn Baby Deaths Case Says He was a 'Trusted' Physician

A doctor takes the footprint of a newborn baby for his birth certificate at a private clinic in Ankara, October 16, 2011. The world's population will reach seven billion on October 31, according to projections by the United Nations. Picture taken October 16, 2011. REUTERS/Umit Bektas (Türkiye - Tags: SOCIETY HEALTH)
A doctor takes the footprint of a newborn baby for his birth certificate at a private clinic in Ankara, October 16, 2011. The world's population will reach seven billion on October 31, according to projections by the United Nations. Picture taken October 16, 2011. REUTERS/Umit Bektas (Türkiye - Tags: SOCIETY HEALTH)
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Doctor at the Heart of Türkiye Newborn Baby Deaths Case Says He was a 'Trusted' Physician

A doctor takes the footprint of a newborn baby for his birth certificate at a private clinic in Ankara, October 16, 2011. The world's population will reach seven billion on October 31, according to projections by the United Nations. Picture taken October 16, 2011. REUTERS/Umit Bektas (Türkiye - Tags: SOCIETY HEALTH)
A doctor takes the footprint of a newborn baby for his birth certificate at a private clinic in Ankara, October 16, 2011. The world's population will reach seven billion on October 31, according to projections by the United Nations. Picture taken October 16, 2011. REUTERS/Umit Bektas (Türkiye - Tags: SOCIETY HEALTH)

The Turkish doctor at the center of an alleged fraud scheme that led to the deaths of 10 babies told an Istanbul court Saturday that he was a “trusted” physician.

Dr. Firat Sari is one of 47 people on trial accused of transferring newborn babies to neonatal units of private hospitals, where they were allegedly kept for prolonged and sometimes unnecessary treatments in order to receive social security payments.

“Patients were referred to me because people trusted me. We did not accept patients by bribing anyone from 112,” Sari said, referring to Türkiye's emergency medical phone line.

Sari, said to be the plot’s ringleader, operated the neonatal intensive care units of several private hospitals in Istanbul. He is facing a sentence of up to 583 years in prison in a case where doctors, nurses, hospital managers and other health staff are accused of putting financial gain before newborns’ wellbeing, The AP reported.

The case, which emerged last month, has sparked public outrage and calls for greater oversight of the health care system. Authorities have since revoked the licenses and closed 10 of the 19 hospitals that were implicated in the scandal.

“I want to tell everything so that the events can be revealed,” Sari, the owner of Medisense Health Services, told the court. “I love my profession very much. I love being a doctor very much.”

Although the defendants are charged with the negligent homicide of 10 infants since January 2023, an investigative report cited by the state-run Anadolu news agency said they caused the deaths of “hundreds” of babies over a much longer time period.

Over 350 families have petitioned prosecutors or other state institutions seeking investigations into the deaths of their children, according to state media.

Prosecutors at the trial, which opened on Monday, say the defendants also falsified reports to make the babies’ condition appear more serious so as to obtain more money from the state as well as from families.

The main defendants have denied any wrongdoing, insisting they made the best possible decisions and are now facing punishment for unavoidable, unwanted outcomes.

Sari is charged with establishing an organization with the aim of committing a crime, defrauding public institutions, forgery of official documents and homicide by negligence.

During questioning by prosecutors before the trial, Sari denied accusations that the babies were not given the proper care, that the neonatal units were understaffed or that his employees were not appropriately qualified, according to a 1,400-page indictment.

“Everything is in accordance with procedures,” he told prosecutors in a statement.

The hearings at Bakirkoy courthouse, on Istanbul’s European side, have seen protests outside calling for private hospitals to be shut down and “baby killers” to be held accountable.

The case has also led to calls for the resignation of Health Minister Kemal Memisoglu, who was the Istanbul provincial health director at the time some of the deaths occurred. Ozgur Ozel, the main opposition party leader, has called for all hospitals involved to be nationalized.

In a Saturday interview with the A Haber TV channel, Memisoglu characterized the defendants as “bad apples” who had been “weeded out.”

“Our health system is one of the best health systems in the world,” he said. “This is a very exceptional, very organized criminal organization. It is a mistake to evaluate this in the health system as a whole.”

Memisoglu also denied the claim that he shut down an investigation into the claims in 2016, when he was Istanbul’s health director, calling it “a lie and slander.”

Turkish President Recep Tayyip Erdogan said this week that those responsible for the deaths would be severely punished but warned against placing all the blame on the country’s health care system.

“We will not allow our health care community to be battered because of a few rotten apples,” he said.