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Syria Crisis

Monthly humanitarian

situation report

16 SEPTEMBER – 13 OCTOBER 2014: SYRIA, JORDAN, LEBANON, IRAQ, TURKEY AND EGYPT

SITUATION IN NUMBERS

UNICEF 2014 43%

Funding Gap

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Highlights Heightened insecurity in northern Syria has resulted in fresh displacement of

Syrian refugees into Turkey and Iraq, as well as internal displacement inside Syria. The insecurity has impacted on the humanitarian situation in northern Syria, limiting access. Meanwhile the Syrian civil war continues unabated, as witnessed by explosions near two elementary schools in Homs city on 1st October killing 29 children and injuring 37 more.

Preliminary results of the 2014 Nutrition Assessment in Syria are available, showing a Global Acute Malnutrition rate of 7.2 per cent, and a Severe Acute Malnutrition (SAM) rate of 2.3 per cent. The Governorates of Hassakeh, Hama and Tartous had the highest SAM rates.

The 2014/15 school year has begun across the region and to date education sector partners report enrollment of over 19,000 children in refugee camps in Jordan and over 14,000 children in refugee camps in Iraq. Back to Learning campaigns continue across the region, including the delivery of over 440,000 school bags with learning materials to students in Syria. Nevertheless data from the 2013/14 school year reveals that significant investment needs to be made to avoid a Lost Generation of children who do not have access to education, with nearly 70,000 children not in any type of education in Jordan, and over 60% of children not in school outside camps in Iraq. UNICEF Turkey video: https://www.youtube.com/watch?v=mtkR0ntVVuk

In Lebanon the Ministry of Social Affairs (MOSA) launched the National Plan to Safeguard Women and Children on 1 October, following UNICEF support. The plan defines the MOSA child protection and gender based violence (GBV) response plan in Lebanon, aiming to reach over 198,000 children through psychosocial support and primary health care services and more than 410,000 individuals with information, orientation, counselling and awareness-raising over 18-months.

The winter season is about to start, and early rains have begun. In Syria, winter material assistance, including plastic sheets and children’s winter clothing kits have reached almost 8,000 children and women to date. However, UNICEF Syria urgently requires US$ 10 million to provide winter clothes to 400,000 children. UNICEF planning to support refugees through the winter is underway across all countries hosting Syrian refugees, with initial distributions set to begin.

In Syria 5,090,000 # of children in need

10,803,500 # 0f people in need (SHARP, July 2014)

Outside Syria 1,649,941

# of registered refugee children and children awaiting registration

3,206,481

# of registered refugees and persons awaiting registration (15 August 2014)

UNICEF Funding Appeals Syria Appeal 2014*

US$ 193.79 million

Regional Appeal 2014* US$ 576.29 million *January – December 2014 following the Mid-Year Review.

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Syria

Situation Overview & Humanitarian Needs The security situation in Syria has worsened with ongoing air-strikes affecting the north and east in Raqqa, Hassakeh, Deir ez Zour and Idleb Governorates. Reports indicate most schools in Raqqa are closed. There are fears that damage caused to oil fields and refineries could lead to a fuel shortage and a significant reduction in water pumping. The intensification of conflict in Idleb continues to constrain provision of humanitarian assistance to the people in need, and the planned UN Humanitarian convoy to Idleb from Tartous could not take place due to the increased level of insecurity. Furthermore, following the escalation of fighting in the Syrian Kurdish town of Ayn Al Arab (Kobane), around 1,000 families (5,000) people have reportedly re-entered Meidan Ekbis, north west of Afrin in Aleppo Governorate. Similar displacements have been reported in Hassakeh, where around 600 Syrian Kurdish from Ayn Al Arab made their way through the Turkey border and arrived in Neworz camp, already hosting over 4,000 Iraqi Yazidi refugees. The UNICEF hubs in Aleppo and Qamishli are monitoring the situation as they prepare to deliver immediate assistance. UNICEF, through local partner NGOs, provided water, sanitation and hygiene assistance to over 4,000 people, and psychosocial service (PSS) to 600 children. The tragic twin explosions near two elementary school facilities in Homs City on 1 October caused mass casualties and injuries of civilians, mainly school children when students were breaking for the day. While UNICEF is verifying the numbers, the Department of Health in Homs stated that 36 persons including 29 children were killed as a result of the explosion while 37 children (including 20 boys and 7 girls) were injured. Preliminary results of the 2014 nutrition assessment, conducted in IDP shelters in 13 governorates in 2014, are available. The results indicate a global acute malnutrition (GAM) rate of 7.2%, and severe acute malnutrition (SAM) of 2.3%, a poor nutrition situation based on the WHO classification. The Governorates of Hassakeh, Hama and Tartous showed the highest SAM rates above 3%, while Aleppo, Damascus, Deir ez Zour, Quneitra and Rural Damascus had SAM rates above 2.5%. Comparison to previous surveys could not be made as this assessment was only carried out in IDP formal and informal shelters and concentration areas. The assessment also showed high rates of stunting among IDP children at 22.3% with 7.9% of children severely stunted. The percentage of underweight children was 13.8 including 3.6 severely underweight.

Humanitarian Leadership and Coordination The UN estimates that close to 4.3 million people, of whom up to one million are children, live in hard to reach areas. UNICEF and partners have developed a comprehensive strategy to provide humanitarian assistance, including through inter-agency coordinated cross line convoys. During the reporting period UNICEF dispatched three cross line convoys to eastern Aleppo and participated in 3 inter-agency convoys to Al-Houla and Termalh in Homs Governorate. The UNICEF hub in Homs delivered assistance through two inter-agency aid convoys to 46,000 people in hard-to-reach locations in Al-Houla and neighbouring areas such as Taldo, Burj Qaei, Samalil, Kafer Laha, Tal Dahab, and Ghanato. UNICEF supplies included therapeutic food for malnourished children, High Energy Biscuits (HEB), water purification supplies, recreation kits and plastic sheets. A third UNICEF/OCHA mission to Al Houla, delivered five tons of calcium hypochlorite to the water station in Tadlo, Rural Homs, to enable over 90,000 people access to safe water. The last time water purification supplies reached Al Houla was in 2012. The Inter-Agency convoy to Termallh, Alghnto and Joboren, Homs delivered humanitarian supplies to 14,500 people (2,900 families), including UNICEF HEB, therapeutic food, family and baby hygiene kits, jerry cans, recreation kits and school in a box. Medical supplies were removed from the convoys. The last time humanitarian supplies reached Termallh, Alghnto and Joboren was in April 2014. The UNICEF specific convoys to eastern Aleppo city, Al Firdoz and Jisr Alhaj, provided nutrition and WASH supplies to 6,400 children under-five and 5,000 adults, UNICEF international and national staff accompanied the convoys to their destinations, including in non-government controlled areas, they also met with local Syrian Arab Red Crescent (SARC) branches and local health and education partners, and conducted rapid needs assessments. The UNICEF team in Homs visited the children injured by the school explosions, and assessed the needs of affected children and communities. Immediate actions have been implemented to support timely resumption of classes and a return to normalcy, including children and volunteers painting the school walls; school rehabilitation; distribution of stationary and school supplies for all children attending the schools; as well as provision of PSS to children and communities. UNICEF issued a statement reiterating the obligation of parties to the conflict to protect civilians and respect the sanctity of schools as safe havens. The activation of the Child Protection sub-working Group in Damascus led by UNICEF under the umbrella of Protection and Community Service Sector will contribute to overall Protection and Community Service sectors and strengthen technical discussions, coordination. The Child Protection sub-sector 3W partner mapping will be completed by November.

Estimated Affected Population * OCHA 2014. The remaining figures are calculated on CBS 2011 demographic distribution and UNOHCHR figures - estimate 47% of population are children under 18 years old

Population in Need* 10,803,500

Children in Need (Under 18) 5,090,000

Total Displaced Population * 6,455,000

Children Displaced 3,033,850

People in Hard to Reach areas 4.3 million

People in Besieged areas 255,000

Children in Hard to Reach areas Up to 1 million

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Humanitarian Strategy UNICEF continued to scale-up life-saving interventions, with focus on routine vaccination, polio and measles vaccination campaigns, and management of acute malnutrition. A total 2.9 million children, of whom 37% in hard to reach, were vaccinated against polio through seven national immunization campaigns and one sub-national round. Immunisation will be complemented by awareness raising among families on the importance of timely vaccination and completion of all required doses to ensure that all children are immunized against the main child killer diseases. WASH interventions focus on support to the water distribution network, prevention of water-borne diseases and hygiene promotion activities. Targeting communities and schools in hard to reach areas is a priority. UNICEF continues to support the national water network, including through distribution of water treatment supplies. UNICEF has scaled up coverage of WASH services in Aleppo, Rural Damascus, Homs and Hama through support to rehabilitation of water networks and systems, sanitation and hygiene facilities in schools and shelters, and increase local water production and storage and distribution of hygiene supplies. As part of the efforts to prevent a lost generation of Syrian children an integrated package of education, child protection and adolescent development programmes has been rolled out. This ‘No Lost Generation’ package, seeks to provide remedial education, self-learning, early childhood development, psychosocial support and school supplies. Child Protection programmes continue to expand to new areas and target groups such as the Yezidi refugees in Hassakeh where UNICEF is providing emergency psychosocial support. Explosive Remnants of War (ERW) Risk Education has been rolled out in schools in four governorates, with another five governorates beginning training in the coming week. A Psychical Support Awareness campaign is being developed. UNICEF will continue to advocate for the protection and safety of all children in Syria, regardless of their location. On-going efforts for setting up systems to independently monitor and verify grave child rights violations will be enhanced.

UNICEF has field hubs in Tartous, Homs, Aleppo and Quamishli, with outreach teams in all 14 Governorates of the country.

Summary Analysis of Programme Response

Winterization With the approaching winter season, UNICEF is planning to reach a further 400,000 children with winter clothing kits. UNICEF Syria urgently requires US$ 10 million to provide winter clothes to 400,000 children in 99 districts and sub-districts in Rural Damascus, Dara, Idleb, Aleppo, Hama, Homs, Lattakia, Hassakeh and Deir ez Zour. UNICEF is leveraging a new partnership with grassroots NGOs in locally sourcing children’s clothing kits. For example, through a partnership with a small scale women’s association which employs 225 IDP women in Qamihsli, 15,000 clothing kits will be produced and distributed before winter arrives.

WASH

In eastern Aleppo, UNICEF supported the local water authority to repair damaged water networks through provision of water pipes, providing 300,000 people with sustained access to safe water in the hard to reach neighbourhoods of Al Shaar and Jiser Al Haj. In areas where power supplies are disrupted, UNICEF provides fuel to run backup generators. During the reporting period, UNICEF delivered 167,216 litres of diesel fuel to the Aleppo Water Directorates, out of which 75,000 litres were provided to Tashreen, Sulaiman Al Halabi, and Bab Al Nairab water stations serving 1.5 million people with access to safe water. The remaining quantities of fuel are stored in the water authority fuel storage for future supply. UNICEF continues to support water treatment nationwide through provision of chlorine. It is estimated that 16.55 million people, out of whom 42 per cent in non-government controlled areas, are being served through access to safe water with this intervention. Regular shipment of water purification supplies continues despite challenges in accessing hard to reach governorates such as Hassakeh and Homs. During the reporting period, UNICEF airlifted 40 tons of water treatment supplies to Qamishli. In Raqqa, UNICEF is working with local suppliers to deliver these critical supplies, but concerns remain for reaching Deir ez Zour, where there are reports of extreme vulnerability due to the continuing security and access impediments. Since January, UNICEF has reached 1.4 million people with temporary safe water solutions, including in hard to reach areas, from a targeted 2 million people. Interventions include provision of water purification tablets which have benefited 139,500 people in Hassakeh and 287,000 people in Deir ez Zour. In rural Idleb, UNICEF with Oxfam is equipping three boreholes with submersible pumps and generators to enhance water production, pumping capacity and storage for 55,000 people. To improve access to sanitation facilities in schools, 45,228 school children have received access to properly designed toilets or latrines with hand washing facilities in 48 schools in Aleppo city and rural Aleppo. Since January a total of 78,000 IDPs and school children have benefited from improved access to improved sanitation facilities.

Education

Four weeks since the launch of the ‘2014/15 Back to Learning campaign’ 448,450 school bags with stationary and essential school supplies were delivered in priority locations in the nine governorates of Damascus, Rural Damascus, Tartous, Lattakia, Homs, Aleppo, Hama, Quneitra, and Idleb. These supplies, distributed through the Directorates of Education, are 45 per cent of the targeted 1 million children to be reached with school supplies by end of 2014. UNICEF targets the hard to reach areas in Dara, Raqqa and Deir

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ez Zour governorates through local partnerships. Supplies for 100,000 school children are en route through the Nusaybin border from Turkey into Hassakeh governorate. Education sector partners DRC, Syrian Society for Social Development, UNWRA, UNICEF, WFP, UNHCR, continue to lead on the sector needs assessment with questionnaires and sampling being finalized. Training of master trainers in Aleppo, Homs, Tartous and Hassakeh will be conducted on 14 October and field work planned to start immediately following enumerator training.

Child Protection

UNICEF child protection activities primarily focus on provision of PSS services to children and adolescents affected by the crisis. During the reporting period an additional 10,036 received PSS and participated in recreational activities through community outreach initiatives, and structured services such as fixed and mobile child friendly spaces, school clubs in Rural Damascus, Dar’a, Quneitra, Tartous, Hama, Lattakia, Homs, and Qamishli (including Newroz camp hosting Iraqi refugees). This brings the total number of children reached with PSS to 95,749 in 2014 against a target of 500,000. UNICEF is seeking to scale up this critically needed support through national systems such as schools, and provide recreation kits to communities for guided recreational activities. However challenges remain, such as the dependence on volunteers and facilitators to consistently and regularly access children. There are very few NGOs who have technical capacity in PSS, and it is difficult to find local resource persons. Therefore resource persons require training at national level and support to travel to areas in need. To date UNICEF has trained a total 45 psychological counsellors from the Ministry of Education and NGO workers representing 12 Governorates, not yet including Raqqa and Hassakeh.

Material assistance, including plastic sheets and children winter clothing kits have reached 7,892 children and women to enhance their protection. To date 109,525 people where reached with material assistance out of the targeted 500,000 in 2014.

Adolescent Participation and Programme In Syria, adolescent boys and girls represent around 25% of the population, with a cohort of young people (10-24 years) constituting around 28%. Adolescent boys and girls have witnessed and experienced unimaginable situations as a result of the conflict and are faced with ongoing instability and uneven access to basic services. UNICEF recognizes adolescent boys and girls as sources of opportunity, and empowering them as rights bearers, preparing them for adulthood and active citizenship, initiates a cycle of opportunity which can produce positive outcomes for both the individual and the community. During the reporting period, 800 new adolescents benefited from life skills interventions in Damascus and rural Damascus, in cooperation with the Ministry of Islamic “Awqaf” Endowments. The aim is also to challenge attitudes and behaviors of young students attending MoAwqaf institutes and equip them with skills to engage in productive community initiatives and model positive behaviors in and beyond their communities. In addition, 392 adolescents benefitted from non-formal and vocational training opportunities in three vocational spaces supported in Deir ez Zour governorate (Al Qusour, Al-baladeh area and Student housing).

Health Details of the August/ September sub-national immunization campaign were released, with 1,010,963 children vaccinated for polio. There were 1.2 million children under five years targeted in the campaign. Due to the escalated conflict, problems were experienced in accessing Ein Al-Arab in Aleppo; Al-Holula in Rural Homs; Al-Wa’er in Homs; Tal Abyad in Raqqa; Hageen in Deir ez Zour, and East Ghota (Harasta and Douma) in Rural Damascus. As a result, around 27,664 children were not immunized against polio. UNICEF and partners will use any window of opportunity to reach these children with polio vaccines when the security situation permits. It is noteworthy that despite extreme access challenges to deliver health supplies to Deir ez Zour governorate, the Ministry of Health delivered polio vaccine by airlift which enabled implementation of the sub-national polio immunization campaign in the governorate. In the provision of primary health care, UNICEF supports 55 mobile health teams and 40 fixed health centers run by local NGOs providing health care services to 406,582 children and women since January 2014. During the reporting period, 65,760 women and children benefited from essential health care services.

Nutrition

Enhancing partnerships and building the capacity of service providers in the treatment and prevention of malnutrition is a UNICEF priority to scale up life-saving nutrition in Syria. To that end, a range of trainings on Community Management of Acute Malnutrition and Infant and Young Child Feeding were delivered to 65 technical staff of the Ministry of Health (doctors, midwives and coordinators) in Damascus; UNICEF partner NGO staff in Rural Damascus, Aleppo, Homs, Dar’a, Idleb, and Deir ez Zour. So far, a total of 218 health practitioners were trained to improve the quality of nutrition services to children. In addition, various nutrition services reached children 6-59 months of age as follows: 48 children were treated for severe acute malnutrition in Aleppo and Hama, 69,858 screened for malnutrition in Aleppo, as Sweida, Damascus, Deir ez Zour, Hama, Lattakia, Rural Damascus and Tartous, and 1,707 received multi micronutrient supplementation in Aleppo.

Supplies During the reporting period, five trucks with WASH and Education supplies crossed the Nusaybin border from Turkey into

northern Syria. UNICEF is strategically pre-positioning supplies to respond to potential outbreaks and new displacement in Qamishli, this has enabled UNICEF to rapidly respond to new displacements. Recently arrived supplies include school bag kits, school in a carton, recreation kits, ECD kits, basic water kits, and will be distributed in 16 districts in Hassakeh Governorate in the coming weeks.

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SUMMARY OF PROGRAMME RESULTS (January – September 2014)

Sector 2014 target

Sector total 2014 results

UNICEF 2014 Target

UNICEF 2014 results

WASH*

# emergency affected population accessing safe water through temporary solutions (1)

3,500,000 2,081,742 2,000,000 1,452,118

# affected population periodically provided with hygiene items coupled with hygiene promotion messages (2)

3,000,000 1,060,260 700,000 559,032

# IDPs and children in schools with access to appropriately designed toilets and hand-washing facilities (3)

300,000 78,761

CHILD PROTECTION

# children receiving psychosocial support including in CFS, school clubs, Adolescent Friendly Spaces, and mobile CPU (1)

150,000 83,319

# children reached through psychosocial support and outreach initiatives CPU (2)

350,000 12,430

# children and women benefiting from materials assistance that enhance their protection (3)

500,000 109,525

# children and individuals in communities reached through ERW risk education messages (4)

550,000 208,308

EDUCATION - 2014 Need – 3.9 million (SHARP 2014)

# children receiving essential education materials (1) 2,900,000 565,880 2,900,000 565,880

# children with access to self-learning programme (2) 1,000,000 0 1,000,000 0

# children and adolescents with access to non-formal education (3) 382,000 290,581 360,000 290,581

# children receiving accessing safe, protective and gender sensitive learning environment

300,000 17,920 250,000 15,183

HEALTH - 2014 Need – 21 million (SHARP 2014) [Note WHO is the lead for the Health Sector]

# children under five reached with polio vaccine 2,500,000 2,760,242 2,500,000 2,760,242

# children vaccinated against measles, mumps, rubella 2,200,000 766,305 2,200,000 766,305

# children 6-59 months receiving Vitamin A supplementation 2,500,000 766,305 2,500,000 766,305

# children and women accessing basic health services (1) 406,483 870,000 406,483

NUTRITION 2014 Need – Nutrition Assessment Ongoing

# children 6-59 months screened for acute malnutrition 400,000 210,568 400,000 210,568

# children 6-59 months treated for SAM 7,000 789 6,000 758

# children 6-59 months receiving multi-micronutrients supplementation

400,000 448,801 150,000 107,579

Footnote

WASH * Estimated that up to 16.55 million people benefit from sustained supply of chlorine and rehabilitation/ repair of water supply systems (subject to regular revisions)

1) This indicator captures cumulative number of people accessing safe drinking water through water tankering, distribution of Aquatabs, temporary storage of water, household water treatment, mobile treatment and pumping units, and fuel for generators.

2) Affected population reached with periodic distribution of hygiene items including soap, women sanitary napkins in addition to family and baby hygiene kits. This is coupled with dissemination of hygiene promotion messages.

3) Target includes 200,000 IDPs and 300,000 children in learning facilities and CFS with access to hygienic toilets or latrines with hand washing facilities.

Child Protection 1) Beneficiaries of psychosocial support include children and adolescents receiving psychosocial support in Child Friendly Spaces (CFS), Adolescent Friendly Spaces, school clubs, and Child Protection Units (CPU)

2) Level 1 PSS activities including children benefiting from recreational from recreational kits, child protection open days, etc…

3) Number of children and women benefiting from materials assistance to enhance protection, including summer and winter supplies

4) Children and individuals in communities reached through explosive-remnants-of-war (ERW) Risk Education (RE) awareness through schools and mass communication, and through integrating RE in humanitarian initiatives

Education 1) Captures children who receive at least one education supply item including 2.9 million children in schools with selected subject textbooks

2) Target for 1 million internally displaced and/or out-of-school boys and girls provided with the self-learning materials.

3) Target includes 330,000 internally displaced and/or out-of-school boys and girls provided with remedial education, in addition to 30,000 vulnerable adolescents benefiting from peace building, vocational and life skills training

4) Includes 500 schools (250,000 children) benefitting from light school rehabilitation and 28,000 children through prefab classrooms with equipment and furniture.

Health 1) Target include IDP children reached through mobile clinics, and those who benefit from the supply and distribution of IEHK, midwifery kits, diarrhea kits and other essential health kits to ensure continuous function of PHCs and SARC clinics and mobile teams

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Lebanon Situation Overview and Humanitarian Needs Lebanon is hosting the largest number of refugees per capita in the world; one in every five people in the country is a refugee. Of the over 1.1 million registered Syrian refugees in the country, more than 78 per cent are women and children (53 per cent children). The scale of the needs of refugees has consistently outstripped available resources and capacities across all sectors. This has resulted in rising tensions of Lebanese communities with respect to refugees. As an example, with increased demand issues have arisen around solid waste management, following a decline in the level and quality of municipal services. In response, UNICEF has completed a survey on solid waste management in the 21 municipalities of the poorest quintile in the North and the Bekaa to identify the priority needs and appropriate responses. The situation in Aarsal continues to be volatile; the Lebanese army has stepped up efforts to quell fighting which continues to take place in the border town near Syria between armed opposition groups. Fighting from Syria has often spilled over into Aarsal and surrounding areas.

Humanitarian Leadership and Coordination In light of the preparation of the 2015 Lebanon Crisis Response Plan (LCRP) – which will constitute the Lebanon component of the regional inter-agency Refugee and Resilience Response Plan (3RP), UNICEF continues to work with partners and in close coordination with Field Offices to finalize the submissions for the LCRP.

Humanitarian Strategy The humanitarian response in Lebanon is currently coordinated under the sixth Regional Response Plan (RRP6), estimating that there will be 1.65 million Syrian refugees, Lebanese returnees and Palestinian refugees from Syria in Lebanon by the end of 2014, alongside 1.5 million affected in Lebanese host communities. UNICEF is focusing assistance in the 225 most vulnerable locations in Lebanon, in which 86 per cent of registered refugees and two-thirds of the vulnerable Lebanese population reside. UNICEF contributes to resilience, recovery and development within the framework of the RRP6, its regular country programme, the World Bank-led Stabilization Framework, the Education Proposal, known as RACE Lebanon, and the MOSA-UNICEF joint initiative. UNICEF co-leads the Education Working Group, the WASH Sector Working Group and the Child Protection in Emergencies Working Group, with UNHCR and the Ministry of Social Affairs (MOSA).

Summary Analysis of Programme Response

WASH UNICEF has undertaken a survey through SES (a consultancy firm) on solid waste management in the 21 municipalities of the poorest quintile in the North and the Bekaa. The purpose of this survey was to identify the priority needs and appropriate equipment required to improve solid waste management, taking into account the increased volume of solid waste as a result of the large numbers of refugees in the country. Priority supplies and garbage trucks will be procured in the coming months by UNICEF. In 2014, UNICEF has already provided almost 350,000 people with the means to dispose of solid waste at the household and communal levels. Each year on October 15, over 200 million people are involved in celebrations in over 100 countries around the world for Global Hand washing Day. This year, UNICEF and the Hygiene Promotion Technical Working Group plan to mark the day in Lebanon by promoting hand washing with soap to children and school students in vulnerable localities, informal settlements, and collective shelters to reduce infections and save lives. Twenty-two organisations will implement activities through theatre, races, quizzes, games, and dissemination of hygiene messages and soap to reach 120,000 individuals. A short hygiene message will be sent via SMS to one million people including vulnerable Lebanese, and Syrian and Palestinian refugees in collaboration with UNHCR and UNRWA in the 225 localities identified by UNICEF. “Your health is in your hands” is the slogan of the campaign, and information, education and communication materials will be produced to promote “how to wash your hands and when.” UNICEF has also finalized the installation of 19 chlorination systems in Beirut-Mount Lebanon to benefit 114,000 Lebanese and 28,000 Syrians refugees with a better access to safe water, through engagement with a private sector contractor. In addition, through other partnerships, in September some 50,000 people were provided access to safe water, bringing the 2014 cumulative total to over 478,000 beneficiaries. Over 4,880 people also received hygiene items (for a total of almost 55,000 in 2014).

Affected Population Registered refugee figures from UNHCR data portal as at October 15, 2014 **estimated as per RRP6

Registered Refugees 1,125,122

Persons Pending Registration 17,303

Child Refugees (Under 18) 598,565

Child Refugees (Under 5) 218,274

Estimated host community affected**

1,500,000

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Education

Raspberry Pi and the Pi for Learning Programme: It is estimated that 42 per cent of Syrians in Lebanon are school-aged children aged 3-18, and more than 300,000 are out of school. Ensuring adequate access to education and other services has been met with tremendous challenges, with resources in Lebanon being stretched to unprecedented limits. To tackle this problem, UNICEF has been working on innovative solutions for children. The Raspberry Pi computer offers an innovative solution for education. The Pi, which can be used in classrooms and refugee informal settlements to support children in learning skills in numeracy, literacy and technology, is an affordable solution that UNICEF Lebanon has developed to respond to this challenge. In Mid-September, the Pi for Learning (Pi4L) pilot programme was launched by UNICEF and the International Education Association (IEA). Pi4L provides refugee children access to learning opportunities in non-formal education programmes. The pilot programme, which runs for a six-week period employs the Raspberry Pi computer; as children use the computer – learning numeracy skill and basic programming – a teacher provides key messages on hygiene, safety and polio. The programme curriculum has been developed by UNICEF and IEA and teachers have been trained by IEA. Implementing partners AVSI, Beyond Association, IQRA and Mouvement Social are teaching 150 children in one Social Development Centre (SDC) in the South, two community centres (in Beirut and the South) and two informal settlements (in the Bekaa and South). Funding was provided by the Government of Canada, DFATD. In September 5,443 adolescents received a package of life skills education, bringing the 2014 cumulative total to 25,542, and in September 2,155 children accessed psychosocial support in education programmes, 31,715 in 2014. Some 6,845 children were provided with non-formal learning opportunities during the month, for a total of 57,916 for the year.

Child Protection On 1 October MOSA launched the National Plan to Safeguard Women and Children in Lebanon. This 18 month plan, developed by MOSA and UNICEF, defines MOSA’s child protection and gender based violence (GBV) response plan in 57 of the 225 most vulnerable localities in Lebanon. The plan is funded by the European Union with USD 11.6 million out of a total proposal amount of USD 18.9 million. The programme aims to promote access to basic and structured psychosocial support and primary health care services to over 198,000 children and adolescents. Additionally, more than 410,000 disadvantaged individuals of all ages and communities will benefit from information, orientation, counselling and awareness-raising on availability of services. The plan will also ensure that the 57 social development centres (SDCs) are provided with specialised human resources, technical equipment, medications and vaccination. UNICEF will contribute to achieving the objectives through funding, capacity building, and activities which will directly benefit children, caregivers and service providers. As a result of the launch of the Plan, UNICEF and partners will support MOSA to establish new safe spaces in SDCs selected jointly by MOSA, the SGBV Field Working Group, UNICEF and partners based on gaps in services for women and girls in GBV hubs. In addition, a capacity building plan for MOSA SDC staff on GBV preventions and response will be rolled-out. Training has commenced on the GBV Information Management System (which enables humanitarian actors responding to incidents of GBV to collect, analyse and share data reported by GBV survivors). The system targets UNICEF partners providing case management to GBV survivors with a total of 20 case managers participating in the training. In September 19,063 children were provided with access to psychosocial support services, a cumulative total of 295,089 for 2014. Furthermore, 10,009 caregivers benefitted from learning activities, information and orientation sessions, and emotional and social support activities in September, a 2014 cumulative result of 115,386. 585 service providers have been trained on child protection services and referral pathways this year. Finally, 2,755 vulnerable women and girls received dignity kits in September (21,176 in total in 2014) and 8,527 individuals accessed support activities within mobile and static safe spaces over the course of the month (41,967 in total in 2014).

Health

As a result of continuing efforts with the Ministry of Public Health (MOPH) and partners to ensure that all children in Lebanon are vaccinated against polio, over 120,000 children in July and 115,000 in August were reached during the summer immunisation campaigns. These campaigns took place in 210 municipalities determined to be at highest risk because of low routine immunisation rates, economic vulnerability, and high refugee density. This number is up from the originally selected 118 municipalities based on inputs from district physicians. UNICEF procured all vaccines for these campaigns and conducted monitoring visits. Results from the September campaign are pending. In October and November, two national polio campaigns will take place targeting about 550,000 children under 5 (regardless of nationality) per round. UNICEF has procured all vaccines for these campaigns (over 1.2 million doses). Rotary has been collaborating with MOPH, UNICEF and the World Health Organisation to support volunteer efforts for social mobilisation for these campaigns. Recreation days, funded by UNICEF, have also been scheduled in seven localities as part of campaign awareness-raising.

Figure 1. © Cyntec Ltd. 2014

The Raspberry Pi computer is an innovative, affordable solution developed by UNICEF and IEA to teach children with skills in numeracy, literacy and technology.

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Entertainment will be provided to attract children to visit locations where vaccination will be provided in areas where low turnout has been reported in the past. Furthermore, two public service announcements have been filmed (one with UNICEF Regional Goodwill Ambassador Nancy Ajram), two radio spots produced, and 8,000 posters, 1.5 million parent leaflets, 35,000 worker leaflets designed by UNICEF with appropriate messaging targeting all parents in Lebanon as part of the campaign communication efforts. Since September, at border crossings from Syria, individuals of all ages are being vaccinated as an additional preventive measure against polio. In September, 24,396 primary healthcare consultations were reported as a result of UNICEF support (bringing the 2014 total to 362,905). 1.163 children under 5 were screened for malnutrition, for a total number of 86,671 for 2014.

SUMMARY OF PROGRAMME RESULTS (January – September 2014)

1 The sector results are reported against the August 2014 sector dashboards as taken from: http://data.unhcr.org/syrianrefugees. The September data will be provided once available. 2 This is the number of children enrolled in public schools for the 2013/2014 school year 3 New partners have reported on this indicator in ActivityInfo including a review of previous month’s results. a Target only for high risk cases. b UNICEF target for the 2013/2014 school year. The 2014/2015 school year target it: 60,000 c Target for number of doses administered. d For the sector, the target is children under 5 receive routine vaccination * The number reported were reached as part of regular nutrition activities through partners. 1,056,830 children (6 month – 18 years) were reached with Vitamin A supplementation during the April 2014 immunization campaign. Results provided by the Ministry of Public Health. ** 1,165,871 children were vaccinated against measles and rubella during the April 2014 campaign. Results provided by the Ministry of Public Health. *** Of the reported result, 549,768 children were vaccinated against polio during the April 2014 campaign. 492,706 were vaccinated during the March 2014 campaign. Another 120, 142 were vaccinated during the July campaign and 115,124 were vaccinated during the August campaign. Results provided by the Ministry of Public Health. ^ Results provided by the Ministry of Public Health.

Sector 2014

target

Sector total 2014

results1

UNICEF 2014

target

UNICEF total 2014

results

WATER, SANITATION & HYGIENE

# emergency affected population provided with access to safe water 857,000 853,254 385,726 478,643

# individuals with access to hygiene items n/a n/a 75,000 54,962

# population provided with hygiene promotion messaging 904,700 351,642 713,000 230,3043

# individuals with access to adequate, appropriate and acceptable toilet facilities 370,924 125,676 214,900 35,474

CHILD PROTECTION

# children (and adolescents) with access to psychosocial support services 300,000 304,557 300,000 295,089

# children receiving specialised services from qualified frontline workers 2,500a 4,072 6,000 1,824

# caregivers benefiting from learning activities; information and orientation sessions; and emotional and social support activities

200,000 115,386 200,000 115,386

EDUCATION

# children enrolled in formal education (girls and boys)2 144,000 140,609 50,000b 61,490

# children with access to psychosocial support in education programmes 95,000 54,584 66,000 31,715

# children who have received school supplies n/a n/a 250,000 83,428

# children in non-formal learning opportunities (girls and boys) 200,000 78,332 155,000 57,916

# adolescents enrolled in life skills programmes n/a n/a 35,000 25,542

NUTRITION

# children under 5 years age screened for malnutrition n/a n/a 500,000 86,671

# children <5 receiving multi-micronutrient supplementation n/a n/a 365,650 41,518*

# malnourished children treated at PHC n/a n/a 24,000 1,406

HEALTH

# children 1-15 years vaccinated for measles n/a n/a 840,000 1,165,871**

# children under 5 years vaccinated for polio 2,906,497c 1,008,170 650,000 626,240***

# primary health care consultations 1,051,350 741,383 800,000 362,905^

# children under 2 receive routine vaccination 575,230d 284,163 80,000 71,306

# women of child bearing age (15-49 years) vaccinated with 2 doses of TT vaccines during the campaign

n/a n/a 400,000 41,532

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Jordan Situation Overview & Humanitarian Needs The influx of Syrian refugees into Jordan fell markedly in early October; less than 200 refugees have entered in the first two weeks of the month, while previous arrival rates averaged 200-300 persons per night. The Government of Jordan continues to extend protection to Syrian refugees within the country, but is increasingly wary of the potential security implications of the crises in neighbouring Iraq as well as Syria. Preparations for the upcoming winter are ongoing; UNICEF is procuring winter clothing kits which will be provided for children under the age of fifteen at border transit points and in the most vulnerable areas in Jordan. UNICEF also plans to provide winter clothes to all children under sixteen years old living in the camps in an innovative voucher approach, in cooperation with WFP and UNHCR.

Humanitarian Leadership and Coordination The humanitarian community and the Government of Jordan are developing a harmonized plan for 2015 and beyond, providing a basis for the 2015 humanitarian appeal. Coordination structures are being streamlined with the Government of Jordan and all involved humanitarian agencies. The national resilience plan is also under development to mitigate the impact of the Syrian crisis on Jordan and Jordanian host communities.

Humanitarian Strategy In 2013, UNICEF focused largely on scaling up emergency response in camps to ensure adequate services to newly arriving refugees. In 2014, UNICEF has turned its focus toward efforts to expand assistance and protection to the 80 per cent of refugees living in host communities, while seeking greater cost-effectiveness and sustainability of operations provided in camp settings. Health and Nutrition activities will continue to focus on protecting the health of infants and young children through emergency as well as standard immunizations, breastfeeding promotion, training for medical professionals on integrated management of childhood illnesses and multiple other initiatives. WASH efforts focus on establishing medium- to long-term reductions in operational costs for essential water and sanitation services, such as through the operation of boreholes, piping systems and wastewater treatment solutions for camp settings, and increased support for overstretched WASH resources in the northern Governorates. Child Protection and Education programmes will focus on psychosocial support and on expanding outreach to underserved refugees and Jordanians in host communities, especially vulnerable children at risk of dropping out of school and entering into child labour or early marriage. UNICEF also seeks to create options for adolescents, including youth who are no longer eligible to return to formal education.

Summary Analysis of Programme Response

WASH UNICEF and partners continue provision of daily essential water and sanitation support in Za’atari and Azraq camps. In Za’atari camp, UNICEF has handed over six dewatering pumps and 3 potable water testing kits to three WASH partners (ACTED, JEN and OXFAM). Routine water supply (3800 m3/day), waste water desludging (2000 m3/day) and solid waste management (750 m3/day) continues on a daily basis. Furthermore, 75% of the work to install and commission the waste water treatment unit have been completed. UNICEF partners have finalized the drilling of the third borehole in Za’atari, and finished installation of the washout pipe. Disinfection of public water storage tanks in districts 3, 4, 5, 6, 7, 8, 9 and 10 was also completed. In Azraq camp, a total of 10,948 m3 of water was distributed through the camp pipe network. Approximately 2,501 m3 waste water is dislodged and 2,214 m3 solid waste is collected on a monthly basis. A waste water unit for Azraq has been shipped from Afghanistan by the USAID to reach the camp by mid-October 2014. UNICEF has supported vulnerable communities, installing communal tanks and latrines in congested settlements, training WASH committees in maintenance/ dismantling/ assembling of the tanks and latrines. Distributions of NFI vouchers and hygiene promotion sessions will begin by end of October. UNICEF and partners completed the final design and tender documents for 9 water and sewerage projects in local communities. Work will start in November in Zarqa, Mafraq and Irbid. UNICEF support to wastewater improvement in Mafraq, Zarqa, Irbid and Balka governorates, has been done through rental of jetting trucks to remove sewer blockages and reduce risks of overflow until the Jordan Water Authority receive new trucks. UNICEF and ACTED commenced small household WASH rehabilitations in approximately 30 vulnerable Jordanian and Syrian households in Zarqa and Mafraq in early October. UNICEF has signed 10 completion certificates with landlords, who agreed not to increase rents or evict tenants following these improvements. UNICEF has completed 1,509 vulnerability assessments, selected more than 700 eligible households, and prepared site plans for 469 households.

Affected Population Registered refugee figures from UNHCR data portal as at October 15, 2014. There are no persons pending registration.

Registered refugees 619,376

Child Refugees (Under 18) 323,934

Child Refugees (Under 5) 110,868

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UNICEF and partners have completed rehabilitation of WASH facilities in 264 host community schools, and in 201 of these schools UNICEF/JEN has conducted hygiene promotion. Hygiene promotion in the remaining 63 schools will be completed during October. Another 100 schools will receive WASH renovation works and hygiene promotion activities in the next phase of activity.

Education

In September, over 220,000 school-aged Syrian boys and girls were registered as refugees in Jordan. At the end of the 2013/2014 school year, over 120,000 children were enrolled in school, 100,000 in host communities and 20,000 in camps. Another 30,000 have been assisted by UNICEF and Education sector partners through alternative and non-certified forms of education. Yet, nearly 70,000 children remain outside of any type of schooling, the majority of whom are eligible for formal education. These children require urgent access to alternative education opportunities, through scaling up of non-formal and informal education services country wide. The new school year 2014/2015 started on 24 August, and the ‘’Back to School’’ campaign, led by Save the Children with UNICEF support reached over 100,000 people in camps and host communities. The outreach campaign highlighted the urgent need for MoE, UNICEF and partners to address the needs of the high number of children (over 17,000 to date) who were out of schools during the year 2013/2014, the difficulties integrating Syrian children with disabilities in schools (over 1,000 cases referred to specialized organisations), and financial barriers forcing refugee families to adopt negative coping mechanisms. UNICEF implementing partner Mercy Corps is working with school authorities in camps and host communities to ensure integration of children with disabilities. Currently, 165 children with disabilities are integrated in the 3 schools in Za’atari and Mercy Corps is in the process of assessing the enrolment rate of children with disabilities in host communities. Enrolment records in camps show an increase compared to last year, with nearly 19,500 students attending school in the 3 camps in September 2014. As a result, temporary learning spaces were set up in Za’atari to reduce overcrowding, and UNICEF works with MoE to recruit and train additional teachers. Textbooks and school supplies were distributed to all children in the camp, and enrolment is being facilitated for new arrivals in Azraq. For host communities, the MoE has not yet released enrolment figures, however reports indicate high enrolment of Syrian students, waiting lists and a recommendation for expansion and double-shifting schools.

Child Protection

Since January, UNICEF and partners have reached 144,884 children (52 per cent girls) with psychosocial support services through a network of 132 child and adolescent friendly spaces and multi-activity centres in camps (63) and host communities (69). These interventions reached some 20,000 children in September. Since the start of the year, 14,500 children (46 per cent girls) in camps and host communities have received specialized case management services, including over 5,100 in September alone – a notable increase from last month’s 2,086 children. In September, UNICEF trained 38 people (24 women and 14 men), from frontline national and international NGOs on community-based protection networks, behaviour management strategies, referral pathways, the nature of profound stress. To date, UNICEF has reached 221 individuals working directly with children across Jordan through these trainings. In Azraq Camp, the IMC-run Youth Empowerment Program (YEP) celebrated International Peace Day on 23 September. Youth prepared handicrafts with messages of peace to use on the day of the celebration. The YEP is a ten-week program for youth participants to engage in a variety of psychosocial activities focused on empowering them to become agents of change. As part of the UNICEF-supported programme on Gender-Based Violence prevention and response in the host communities, IRC will build capacity of Child Friendly Space staff to identify and respond to GBV. Implementing partner AWO has conducted awareness raising activities reaching almost 500 Syrian, Jordanian, Palestinian and Iraqi women, girls, boys and men in August, covering domestic violence and early marriage as well as information about referral pathways and how to access health and legal services. In host communities, INTERSOS/JOHUD conducted awareness raising on parenting skills, including health and nutrition and encouraging positive child behaviour, reaching 152 mothers and fathers in high stress environments. With the commencement of the 2014/2015 school year, UNICEF – with the Ministry of Education, Sharek Academy, and Save the Children – began roll out of two large-scale initiatives to end violence against children as part of the Ma’an Campaign towards violence-free schools. Double-shifted schools are targeted in this training of trainers program to build the capacity of principals, teachers, parents and students to prepare and activate school-based plans and initiatives to reduce violence, to engage with communities on issues related to violence, and to better implement mechanisms used for monitoring violence in schools. The initiative also entails the scale up of the Tarbiyeh Program – an innovative school-based program that reinforces positive social behaviours among teachers and students through house system rewards, development of tools and computerized system to provide and monitor hands-on training and coaching of counsellors and principals, advocacy and team building events.

Health In September, a UNICEF and IOM vaccination team positioned at the Raba al-Sarhan centre for newly arrived refugees vaccinated 2,570 Syrian refugee children (aged 6 months to 15 years) against measles; 2,693 Syrian refugee children (ages 0 to 15 years against polio); and 1,123 infants and young children (from 6 months to 5 years) were provided with Vitamin A.

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Routine Vaccination for Syrian refugees at Za’atari, EJC and Azraq camps are ongoing through eight fixed vaccination-EPI teams in Za’atari, in addition to teams visiting EJC and Azraq camps twice per week. During September, 515 children received BCG vaccine and 378 children were fully immunized. In addition, 705 pregnant mothers and 1136 childbearing-aged women received the required doses of TT vaccine. During September, a total of 165 children under five years old visited the 16 Oral Rehydration Therapy (ORT) corners in Za’atari, and Azraq camps. The majority of cases were watery diarrhoea with no dehydration only 23 of them were referred to the Diarrhoeal Treatment Units (DTUs) for further investigation and medical treatment the rest of them received ORS. A total of 948 ORS sachets were distributed to children after a demonstration of how to make ORS and dissemination of key messages on how to prevent diarrhoea, importance of hand washing, personal hygiene and environmental sanitation issues. UNICEF delivered 5,000 ORS sachets to IMC in Azraq camp for the use of ORT corners and daily paediatric OPD.

Nutrition During September, 2,467 pregnant and lactating mothers were reached with infant and young child feeding (IYCF) promotion and counselling through UNICEF and Save the Children (SCJ) centres in Za’atari, EJC, Azraq camps, host communities, and at Raba al-Sarhan Centre. In addition, 13,361 children under five and lactating mothers received nutritional snacks during the reporting period. Through this project, UNICEF and SCJ provide nutritional support and guidance, including breastfeeding promotion, complementary child feeding, one-to-one counselling, and health education sessions for pregnant/lactating women in the camps and host community. Concerns over the increasing number of Severe and Moderate Acute Malnutrition cases (7SAM, 24 MAM) have been raised by SCJ, although the Global Acute Malnutrition rate is still in the acceptable range.

Community Mobilization and Behavior Change UNICEF is supporting the fourth and fifth nationwide polio immunization campaigns planned for October and November. Partners MoH, WHO, UNHCR, IOM, UNRWA, RMS have agreed that the 2 upcoming polio National Immunization Days in Jordan would target “hard to reach” areas identified during the August campaign. C4D pre-campaign activities focused on raising public awareness through different communication channels and community mobilization efforts to encourage families to immunize their children under five. TV & Radio spots were designed and produced by UNICEF, and will be broadcast on national TV and 5 radio stations, news websites and social media. UNICEF also produced and distributed banners, posters, flyers, and for all 12 governorates. An SMS will be sent for each campaign round to 2 million people encouraging vaccination against polio.

Supply and Logistics In the reporting period, UNICEF JCO Logistics completed security infrastructure improvements and renovations to Camp schools in Za’atari and Azraq.

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SUMMARY OF PROGRAMME RESULTS (January – September 2014)

* Where no sector result is yet provided this is awaiting the RRP6 dashboards through: http://data.unhcr.org/

1 A major part of this target is planned as a contingency in case of a measles outbreak which has not yet occurred. 2 Target is based on number of doses during four national immunisation days (NID) and two sub-NIDs in hard to reach areas. The target number of children fully vaccinated for polio is 949,163. 3 The result is the maximum number of beneficiaries at any time in 2014. The current total camp population is 94,725 (79,229-Zaatari, 14,496-Azraq, 800-KAP, CC-200). UNICEF do not provide WASH in the Emirati Jordanian Camp (EJC) of 3,840 persons. Interventions have begun in host communities and beneficiaries will be added as the interventions reach stages of completion estimated to be in October. 4 Beneficiaries in the camps figure who receive both temporary e.g. water trucking, and sustainable e.g. repair of a pipeline to control leakages, rehabilitation of bore holes, methods of water provision. 5 RRP6 (June revised version) targets for PSS have been revised and brought down to 281,660 children (down from 301,371 children) 6 Not all RRP partners have yet reported for September on the sector database. 7 Not all RRP partners have yet reported for September on the sector database. 8 Enrolment numbers for the camps only are reflected here. The MoE is yet to release official enrolment figures for Syrians in host communities for the school year 2014/2015. 9 Non-formal education activities are due to start in October 2014. 10 Distribution of school supplies is ongoing in camps and host communities, and will be completed in October 2014

Sector 2014

target Sector total 2014 results

UNICEF 2014 target

UNICEF total 2014 results

NUTRITION

# pregnant and lactating mothers reached with infant and young child feeding promotion and counselling

46,260 27,187 46,260 27,187

# infants and lactating mothers receiving supplementary feeding support

85,460 140, 204 85,460 140, 204

HEALTH

# children 6 mo-15y vaccinated for measles

UNICEF not health sector lead

242,6001 43,427

# children 0-59 months vaccinated for polio2 949,163 1,084,776

# children under 5 years (boys and girls) fully covered with routine Immunization antigens

49,000 9,863

# children 6-59 months (boys and girls) receiving Vitamin A supplementation

156,700 16,506

WATER, SANITATION & HYGIENE (96% of existing camp population of 94,725 covered with WASH)3

# emergency affected population provided with access to safe water4

680,000 166,875 440,000 101,973

# population provided with sanitation or hygiene kits 680,000 n/a 440,000 101,973

# population provided with hygiene promotion messaging 680,000 198, 757 440,000 101,973

# emergency affected population with access to functional appropriately designed toilets & sanitation services

390,000

n/a 295,000 101,973

# children with access to safe water, sanitation and hygiene facilities in their learning environment and child friendly spaces

250,000 n/a 200,000 188,000

CHILD PROTECTION

# children/ adolescents with access to psychosocial support services

281,6605 185,0166 180,900 144,884

# children receiving specialized services from qualified frontline workers

36,647 10, 1537 15,747 14,500

EDUCATION

# school aged Syrian boys and girls registered in Jordanian public schools

150,000 19,482 150,000 19,482 8

# children with access to psychosocial support in education 17,300 n/a 15,000 24,954

# children and adolescents benefitting from non-formal education services

13,281

35,140

2,600 09

# children and adolescents benefitting from informal and life skills education services

138,266 25,000 12,624

# boys and girls with specific needs provided with inclusive education and psychosocial services

3,290 n/a 2,000 797

# school aged children who attend remedial and catch-up classes 21,050 n/a 15,000 30,419

# children who have received school supplies 165,210 n/a 130,000 75,96810

# youth provided with post-basic education 2,500 n/a 2,500 1,537

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Iraq

Situation Overview & Humanitarian Needs According to UNHCR, 215,387 Syrian refugees11 are resident in the Kurdistan Region of Iraq (KR-I), representing 97% of all refugees in Iraq. Around 112,000 Syrian refugees in the KR-I currently reside in host communities, while the remaining 100,000 have settled in formal camps in Erbil, Dohuk and Sulaymaniyah Governorates. During the reporting period, the human displacement caused by the fluid security situation in Iraq negatively affected the provision of services to Syrian refugees in both camp settings and host communities, as Iraqi citizens displaced into the KR-I sought shelter in schools, churches and unfinished buildings. In early October, a new wave of Syrian arrivals fleeing violence in the Syrian-Turkish border town of Kobane were reported as arriving in the north of the KR-I, in and around Dohuk. More detailed information on the new Syrian arrivals is limited at time of reporting. The humanitarian community continues to support Syrian refugees, the internally displaced people (IDPs), and all others affected by the ongoing displacements. UN Agencies, the Kurdistan Regional Government (KRG) and implementing partners have identified reaching Syrians living in host communities as a particular challenge, along with access to education, with only 39% of school-aged children of non-camp based refugee households attending school across the region12. With the forthcoming winter, the provision of winterization items to the most vulnerable is an ongoing concern for humanitarian and government actors. Winterization planning is underway, with deliveries of children’s winter clothing and shoes beginning to arrive in Erbil, to be distributed in the coming weeks. The interconnected Syria refugee and IDP crises in Iraq are affecting 800,000 school-age children including Syrian refugees staying in host communities. In September, host community schools were still affected by the presence of Iraqi IDPs, who have sought refuge in school buildings, among other forms of shelter. While the great majority of non-camp schools will be re-opened only on 22 October after a delay of over a month due to the 1,400 schools occupied by IDPs, schools for Syrians in refugee camps re-opened on September 10. In response to two confirmed cases of polio in Iraq, UNICEF continues to support national immunization and awareness campaigns for all children under 5, including among the Syrian refugee community and IDPs.

Humanitarian Leadership and Coordination UNICEF and other UN humanitarian agencies continue to support humanitarian assistance for the urgent needs of the most vulnerable Syrian refugees and host communities. Following the outbreak of conflict in Anbar and spread of violence to surrounding governorates, the Humanitarian Coordinator officially activated six clusters in Iraq, which continue to coordinate inter-agency activities for the IDP crisis. Among the inter-agency working groups in Erbil, UNICEF leads WASH and Education cluster, as well as the Child Protection sub-working group, in close coordination with the relevant Government Ministries. UN Agencies and humanitarian partners work to coordinate the sector response to Syrian refugees with the cluster response to IDPs to promote an integrated humanitarian service where possible. In its role as WASH sector lead, UNICEF works in close coordination with the Disease Surveillance System to monitor and respond to instances of watery diarrhea. In fulfilling its Education sector lead role alongside Save the Children, UNICEF meets with the 14 active cluster members on a regular basis.

Humanitarian Strategy The UNICEF humanitarian response strategy and priorities in Iraq remain focused on providing access to basic and life sustaining services for Syrian women and children to protect them from further deprivation or exposure to violence. These interventions, organized according to RRP sectors, balance lifesaving and capacity building initiatives and remain engaged with the overall need to mitigate disruptions to child development with the aim of avoiding a lost generation of children. Concurrently, UNICEF works to strengthen the capacities of the Government of Iraq (GoI), KRG and Iraqi civil society to monitor and report on grave violations against children’s rights and to strengthen response mechanisms for children affected by these violations. The Regional Response Plan 6 (RRP6) currently guides the response to Syrian refugees in Iraq. The development of the 2015 Regional Refugee and Resilience Response Plan (3RP) is currently under finalization by UN agencies, partners and host country governments, and will include an additional focus on supporting resilience in host communities. A separate Strategic Response Plan (SRP) exists for the internal displacement crisis caused by continued violence in Iraq. At time of reporting, the SRP was also being updated.

11 http://data.unhcr.org/syrianrefugees/country.php?id=103 – last updated as of 30 Sept 2014 12 UNHCR/REACH Multi-Sector Needs Assessment (MSNA), downloadable from: http://reliefweb.int/report/iraq/multi-sector-needs-assessment-msna-syrian-refugees-outside-camps-kurdistan-region-iraq

Affected Population Registered refugee figures from UNHCR data portal as at October 15 2014.

Registered refugees 214,203

Persons Pending Registration 1,184

Child Refugees (Under 18) 88,984

Child Refugees (Under 5) 32,559

Samantha Robison/AptART

14

Summary Analysis of Programme Response

WASH

UNICEF and implementing partners continued to improve and strengthen the water, sanitation and hygiene facilities available to Syrians across the KR-I. In Qushtapa, Erbil and Arbat refugee camps, 1,536 families (7,680 individuals) benefited from the UNICEF-constructed permanent water supply network which provides up to 70 liters of water per person per day. In Kawergosk refugee camp, UNICEF constructed permanent household sanitation facilities that offer improved private access to sanitation for 512 families (over 2,560 individuals). In Dohuk Governorate UNICEF, via the Directorate of Surrounding Water, completed the water supply network for Gawelan camp which facilitates 800 families’ access (4,800 individuals) to safe water to meet their daily needs. To complete the network in the camp, a certain amount of excavation of internal roads and drainage was necessary. UNICEF and its contractor will carry out repairs to restore the road and drainage elements to their original condition, ensuring no reduction of service provision to camp inhabitants. In Domiz camp, UNICEF and the French Red Cross (FRC) continued activities to improve camp sanitation conditions including the provision of up to 80 new and 34 rehabilitated latrines, within the reporting period. The Norwegian Refugee Council provides water quality treatment at source on a daily basis, through batch chlorination for 11 boreholes. As part of the monitoring of safe water, 16 borehole operators received a 2-day training run by the Development and Modification Centre on safe water chlorination practices. An assessment for disabled people across Domiz camp was conducted, with 51 disabled identified and in need of tailored sanitation facilities. UNICEF and the DMC are considering appropriate design for latrines for those with these needs. Communication for development messages form an integral part of UNICEF WASH interventions for Syrian refugees in the KR-I. In September, 7,000 tent-to-tent visits by hygiene promotors encouraged the adoption of good hygiene practices.

Education As a result of UNICEF and partners’ social mobilization and awareness campaigns, 14,555 children were enrolled in schools in refugee camps during the reporting period. Ongoing challenges for those engaged in education interventions in the KR-I are a lack of appropriate teaching and learning materials, and the financial difficulties faced by the local authorities in providing teachers’ salaries. The financial constraints have impacted on scaling up access to schools for Syrian refugees. Through UNICEF implementing partner Save the Children (SC), community awareness activities were organized to increase participation and involve children, parents and teachers and to strengthen school-community links. SC has also established 6 catch-up clusters in Erbil and Dohuk governorates, reaching 974 students (512 girls and 462 boys) and training 74 teachers (40 males, 34 females). Catch-up clusters group together schools in close geographic proximity, targeting out-of-school Syrian children in urban areas, as well as vulnerable Iraqi children in need of additional educational support. Catch-up cluster activities focus on boosting the fundamental literacy and numeracy ability of children, and are offered during the summer holiday months. In close cooperation with the KR-I MoE and the Department of Education (DoE) of Erbil, UNICEF has started pre-service teacher training in 3 refugee camp schools namely Kawergosk, Basirma and Qushtapa whereby 124 teachers (63 males, 61 female) received training on child-centered methodologies and gained skills to improve lesson planning and to conduct learning assessments. The two-week training will be completed in the 2nd week of October 2014. Under the Strategic Response Plan for the IDP crisis, with the KR-I Ministry of Education (MoE), UNICEF is planning to rehabilitate around 200 primary schools, working through Parent Teacher Associations (PTAs) to ensure that all children affected by the IDP crisis, including urban Syrian refugees, have access to schooling. In the reporting period, UNICEF and its implementing partner Peace Wind Japan (PWJ) handed over a 12 classroom school in Arbat Refugee Camp in Sulaymaniyah to the DoE.

Child Protection

Child protection services provided by UNICEF and implementing partners supported nearly 10,500 Syrian children via ongoing psychosocial support services across refugee camps in Dohuk and Erbil governorates. In September 41 newly identified children received specialized services from frontline workers (Domiz camp 17, Waar City 2, Basirma camp 6, Kawergosk 6, Qushtapa 3, and Darashakran 7). Cases referred included children with learning disabilities, psychosocial disorders, cases of early marriage, unaccompanied and separated children, and child labor. The child helpline responded to calls related to psychosocial distress, school-related concerns and violence against children, and referred these children to appropriate service providers. In addition to services for Syrians in camps, UNICEF and partners continue to support child rights, including access to education. UNICEF and the Department of Labor and Social Affairs (DoLSA) resolved the issue of 210 children from non-camp areas of the KR-I who, despite being registered for school places, were unable to attend due to differences in curricula, language (Kurdish/ Arabic language provision in classrooms), and the lack of Arabic-speaking schools in Sulaymaniyah. DoLSA approved the enrolment of these children into schools, as of the academic year commencement at the end of October.

15

During September, UNICEF and implementing partners received an increased number of queries regarding children with disabilities. UNICEF is currently exploring ways to address this issue. A highlight during the reporting period was the regional ‘Paint Outside the Lines’ initiative, a UNICEF, ACTED collaboration with international NGO AptArt to increase the access Syrian refugee children have to creative and positive channels of expression. So far the project reached just under 250 children in Qushtapa, Kawergosk and Darashakran camps with the completion of 5 large scale pieces and 4 canvases. The team will soon be heading to Domiz and Domiz 2 camps in Dohuk Governorate to continue working with Syrian refugee children.

Health and Nutrition

UNICEF continues to provide health and nutrition related technical and logistics support to staff delivering vaccination services via the Expanded Program on Immunization (EPI) across all Syrian refugee camps in the KR-I. During the reporting period about 4,000 routine vaccine doses were given to under five children, including 425 doses of measles vaccine and 1,170 doses of polio vaccine. Due to the risk of polio outbreak in Iraq, UNICEF completed another Polio National Immunization Day (NID) in KR-I, including children in Syrian refugee camps. A total of 20,717 under five children were vaccinated of whom 12,833 were in camps. The program of home visits to new-borns and their parents continues to be effective in Syrian refugee camps. It consists of 6 visits that check the vital signs of the baby and provision of adequate referral in case of health concerns, while also taking care of post-delivery women by providing adequate breastfeeding counselling through trained Syrian refugee volunteer nurses. In September, teams visited over 9,000 households, during which 1,500 pregnant women received specialized advice and 1,000 new-born children received in-home care. The UNICEF-led ‘Baby Hut’ program, which has been running in all Syrian refugee camps since December 2013, continued in the reporting period. It provides nutritional support to under 5s and their families through monitoring the height and weight of the child and providing breastfeeding promotion alongside nutritional advice to breastfeeding mothers and women of childbearing age. In September 2014, 2,500 children under 5 were screened and 76 under 5s received food therapy to improve their nutrition status.

Communication for Development (C4D) In September C4D activities by UNICEF and implementing partners in Kawergosk, Darashakran, Qushtapa and Basirma refugee camps focused on hygiene promotion activities including 7,000 tent-to-tent visits disseminating hygiene messages and encouraging the adoption of good hygiene practices including information on hand-washing, food conservation, hepatitis, cholera and diarrhea. In Domiz camp, 2 dramas for children were staged addressing behaviour change in the proper use of toilets and on personal hygiene, while 10 hand-washing shows demonstrated good hand-washing practices, reaching 51,160 individuals. These messages are reinforced through 25 paintings with hygiene promotion messages, painted on latrines and household walls, that act as reminders to the refugee community. Women Empowerment Organisation ran information sessions for pregnant women and lactating mothers in Kawergosk on breastfeeding and immunization. Also in Kawergosk, facilitators followed up on the UNICEF-led Back to School campaign, ensuring that children are attending school and, in cases of non-attendance, addressing the causes. In Darashakran, Relief International (RI) worked to deliver health and safety information to 1,028 parents and 1,737 pupils (899 girls and 837 boys). In the same camp, 200 young refugees attended awareness raising sessions about addiction. In Qushtapa, UNICEF’s partner Family Planning and Awareness (FPA) supported women’s health through specific sessions run by an FPA-provided gynaecologist. In light of the coming winter, and the tented settlements in which many of the Syrian refugee community still live, Terre des Hommes (TdH) began a fire safety campaign that included training of camp staff, followed by awareness raising activities tent-to-tent that engaged 500 children in awareness raising activities designed to encourage safer practice when using stoves and other winter heating equipment.

Samantha Robison/AptART

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SUMMARY OF PROGRAMME RESULTS (January – September 2014)

Sector 2014

target1

Sector total 2014

results

UNICEF 2014

target

UNICEF total 2014

results

WATER, SANITATION & HYGIENE - 2014 Need – 250,000 (RRP6/ MYR) (112,500 camp; 137,500 non-camp)

# emergency affected population provided with sustainable access to safe water

157,5001

48,664

124,800

48,664

# emergency affected population provided with access to safe water through temporary solutions

65,320 48,898

# population provided with sanitation or hygiene kits in the last two months2 200,0002 46,060 156,000 44,560

# population provided with hygiene promotion messaging 157,5004 113,981 156,000 113,981

# emergency affected population with access to functional appropriately designed toilets & sanitation services

157,5003 101,314 124,800 72,699

# emergency affected population with access to adequate and sustainable solid and liquid waste disposal

157,500 88,133 124,800 32,209

# children with access to safe water, sanitation and hygiene facilities in their learning environment and child friendly spaces

60,938 18,450 31,200 17,350

CHILD PROTECTION

# children with access to psychosocial support services (Registered) 84,000 49,231 31,200 30,532

# children receiving specialized services from qualified frontline workers 1,170 1,217 1,170 955

EDUCATION - 2014 Need – 107,500 children (RRP6/ MYR) (48,375 camp; 59,125 non-camp) # school-aged children in affected areas in schools/learning programmes (Primary & Secondary)

76,156 14,926 71,324 14,5555

# children with access to psychosocial support in education programmes 83,000 22,229 71,324 13,625

HEALTH - 2014 Need – Services 250,000 (RRP6/ MYR) (112,500 camp; 137,500 non-camp); Total Need for Polio vaccination = 5.7 million

# children 0-59 months vaccinated for polio6

n/a

5,800,000 5,378,119

# children under 2 fully covered with routine immunization 21,340 25,094

# children 6-59 months receiving Vitamin A supplementation 48,700 21,489

# children under 1 are covered with measles vaccination 11,800 2,426

NUTRITION

# children under 5 receiving multi-micronutrient supplementation n/a

12,400 49,137

# 5 children under five treated for acute malnutrition 800 1,438

Sector Targets are for the whole year 1 Total present population in the camps is 89,679 (UNHCR as of 30th September) 100% population have access to safe water so numbers will remain same as of 31st August 2014. UNICEF, as sector lead agency, ensures that 100% of refugee populations are covered with adequate amount of water, be it through their own funding or by partners. As partners, including government, are able to support the provision of water and Sanitation services, UNICEF’s direct contribution has decreased. 2 The number of beneficiaries (UNICEF Funded) for hygiene kits has remain same since last few months because of competing priorities with the current IDP crisis. Given the stabilization of the refugee population and as part of a prioritization process, existing stocks of hygiene kits were used to reach the most at risk IDP populations as a life-saving measure. 3 UNICEF, as sector lead agency, ensures that 100% (89,679) of refugee populations with access to functional appropriately designed toilets & sanitation services, be it through their own funding or by partners. As partners, including government, are able to support the provision of water and Sanitation services, UNICEF’s direct contribution has decreased. 4 100% (89,679) population provided with hygiene promotion messages. 5 A review of children has begun with the new school year 2014/15. In camps, the new academic year started by Sept 10th 2014 and registration is still ongoing. In case of urban refugees, schools will be opened by Oct 22nd because currently most of the schools are occupied by the IDPs. 6 47,430 Syrian refugee children targeted, and 86,398 reached.

17

Turkey

Situation Overview & Humanitarian Needs Since Friday 19th of September 2014, due to the increased fighting on the border with Turkey and the ISIS advance towards the town of Ayn Al Arab (Kobane), the total number of new admissions of Syrian refugees as reported by the Disaster and Emergency Management Agency of the Government of Turkey (AFAD) is 173,969. Following an initial influx through eight border crossings between Mursitpınar (Turkey) and Ayn Al Arab (Kobane - Syria), the official border crossing points were reduced to one (Yumartalik), to ensure the controlled passage of people entering Turkey. From this influx, AFAD has stated that 79,773 Syrian refugees have been pre-registered as of 10 October. The additional influx on the border with Turkey has increased the total number of Syrian refugees in Turkey to 1,065,902 (of whom 896,702 are registered). The influx has also resulted in a focusing of resources and efforts by the Government of Turkey, relevant line Ministries and UN agencies on the provision of services to the newly arrived refugees, including the setup of transit camps and temporary accommodation centres and related services. Two camps were initially established (YIBO – temporary accommodation centre in a district boarding school and at Suleymanşah Park - south of Suruc). Due to the security situation south of Suruc, subsequently AFAD moved all of the refugees from Suleymanşah Temporary Accommodation Centre to a new location near YIBO boarding school (OnbirNisan). It is estimated that 80,000 Syrians are in Suruc and its surroundings, with 3,900 sheltering at the District Boarding School (YIBO), and 1,200 currently at OnbirNisan (both locations are at full capacity). Key needs also remain unmet for refugees living with host communities, particularly for Non-Food Items such as hygiene kits and clothing, of which UNICEF is prioritizing support to children.

Humanitarian Leadership and Coordination UNICEF Turkey has been heavily involved in coordination mechanisms at the local, governorate and national levels established and convened as a result of the recent influx. Regular participation of UNICEF Turkey at these forums has been key to developing a clear response plan and for providing regular updates on available resources and responses. In addition, UNICEF Turkey has been actively involved at the national and regional levels in the development of the 3RP (Refugee and Resilience Plan) for 2015/2016. UNICEF Turkey has also continued to be involved in the regular United Nations Country Team (UNCT) Task Force on Syria at the Ankara level (both technical and representative level), and in January 2014 similar UNHCR led coordination meetings were initiated at the field level in Gaziantep. UNICEF Turkey has participated in the protection working group, both in Ankara and Gaziantep, and the health, and cash transfers/vouchers working groups. Since January 2014, a general coordination working group for UN agencies has been actively meeting in Gaziantep and as a result, the Task Force on Syria at the Ankara level now only meets on a bi-weekly basis. The shift of the coordination mechanisms to the field is a welcome response due to the proximity to the Syrian population living in Turkey, access to relevant information and the potential for participation from INGOs and NGOs.

Humanitarian Strategy The UNICEF humanitarian work in Turkey is set out in the Regional Response Plan (RRP6), which details UNICEF’s main priorities and commitments in education, protection and health and nutrition, along with the Core Commitments to Children in emergencies. UNICEF maintains close partnerships with the Government of Turkey (GoT), including through AFAD and line ministries. UNICEF will also continue to work in 2014 in non-camp settings and participate in planning resilience, recovery and development work with UNDP, UNHCR other UN agencies. UNICEF in Turkey also promoting the No Lost Generation, initiated by UNICEF, UNHCR, Mercy Corps, Save the Children and World Vision to reach 400,000 Syrian children in Turley with access to education and psychosocial support (PSS), and vocational training opportunities. Since the current figures in Turkey estimate that only roughly 30 per cent of Syrian children are attending schools in host communities, this activity will be a key component of the initiative. Vulnerable children are more difficult to reach in host communities, but with 51 per cent of Syrians citing a need for some form of PSS for themselves or their families (as indicated in the AFAD host community survey) this activity will also be a priority for UNICEF Turkey. Under the 3RP for 2015, the UNICEF education response for refugees will continue to support the Government of Turkey to ensure Syrian children have access to quality education, whilst building resilience through system strengthening and policy support/ advice to the Ministry of National Education. For child protection, the focus will be the continuation of PSS services for children through the provision of Child Friendly Spaces (CFS) as well as parenting training and support, and child protection awareness and training; and as part of the resilience component continuing to the strengthen and support the national child protection system.

Summary Analysis of Programme Response

Education In October, UNICEF Turkey and the Ministry of National Education (MoNE) will finalise the Syrian Education Monitoring and Information System (SEMIS) and launch the provision of incentives to Syrian teachers inside and outside of the camp. The incentives

Affected Population Registered refugee figures from UNHCR data portal as at October 15, 2014.

Registered refugees 896,702

Persons Pending Registration 169,200

Child Refugees (Under 18) [Registered] 477,942

Child Refugees (Under 5) [Registered] 159,613

Distribution of diapers in YIBO boarding school housing newly arrived refugees

18

will be delivered through a partnership between UNICEF, MoNE, AFAD and PTT (Postal Bank) with incentive payments being available for Syrian teachers to access through ATMs and Post Offices across the south east of Turkey. UNICEF Turkey with AFAD has begun the second phase of the school building project, with UNICEF Turkey to provide funding for the construction of 13 schools located in 9 provinces: Adana – 2 prefab schools (both in urban settings); Gaziantep – 2 prefab schools one in the new Islahiye camp, one in Nizip camp; Kahramanmaraş – 1 urban prefab school; Kilis – 1 urban prefab school; Malatya – 1 urban prefab school; Mardin – 1 urban prefab school; Mersin – 2 urban prefab schools; Osmaniye – 1 urban prefab school; and Sanliurfa – 2 prefab schools (one in camp and one in urban setting). Four schools are close to being finalised in Nizip, Islahiye, Osmaniye, and Akcakale, with the remaining schools having difficulties securing appropriate land. Communication materials on the UNICEF Turkey school building program can be viewed at: https://www.youtube.com/watch?v=mtkR0ntVVuk. The establishment of libraries is ongoing with each of camp currently identifying a space for the location of the library and beginning the ground work in preparation for installation. As part of the Back to School campaign, UNICEF Turkey has provided 107,030 school bags and stationery kits to 21 camp and 5 host community schools, which were distributed to coincide with the beginning of the school year. School bags and education sets (1,120 sets) were also delivered to YIBO by UNICEF. UNICEF is also committed to provide support and contributions in terms of education activities for new arrivals in Suruc in coordination with AFAD, MoNE and the District Governorate as needed, however at this stage discussions are ongoing about setting up education facilities for the newly arrived Syrian refugees.

Child Protection Following the recent influx, UNICEF Turkey established 2 Child Friendly Spaces, one at YIBO and one at Suleymanshah Temporary Accommodation Centre. Since 29 September, at YIBO, approximately 1,200 children have attended the CFS (approximately 60% of all children accommodated at the centre) with respite and recreational activities undertaken with the support of 2 Turkish Red Crescent Society (TRCS) youth workers assigned from the regular UNICEF program in the other 21 camps in Turkey. Approximately 100-120 children benefit from the CFS every day. In addition the youth workers reached young volunteers aged between 14 and 18 to assist in the establishment and running of the space together with the youth workers. TRCS will continue to assign youth workers from other CFSs in the camps temporarily while the recruitment process continues for new youth workers. The youth workers are supported in their activities by AFAD and the local authorities in the camps. Due to the security situation south of Suruc, AFAD moved all of the refugees from Suleymanshah Temporary Accommodation Centre to a new location near YIBO boarding school (OnbirNisan). A new CFS will be established at OnbirNisan this week. Thermal underwear sets will also be provided to 35,000 children and adults specifically for the new arrivals, however this contribution is also part of a larger planned winterisation program of UNICEF Turkey. UNICEF Turkey and the Ministry of Family and Social Policies have been planning to implement a joint training program for parents and families to support them to respond to the needs of their children. The program has been adapted from an existing program run by the Ministry for Turkish parents, and was planned to begin in November in Kilis Elbeyli and Adana camps. However due to the recent influx in Sanliurfa it was decided to develop a brief training program (90 minute awareness sessions) to be used for Syrian families residing in temporary accommodation facilities in Suruc. The training will be delivered by 12 trainers from the Ministry and will focus on their status and rights in Turkey, child protection, registration, hygiene and reproductive health.

Health and Nutrition Since the first day of the influx (September 19th 2014), UNICEF through the TRCS has been providing high energy biscuits (HEB) to all new arrivals at the border. To date 5,760 boxes of HEB (115,200 individual packages) have been distributed to the new arrivals at the border crossings. Currently UNICEF has 29,715 prepositioned boxes of HEB (594,300 packages) at the Gaziantep Warehouse, for further distribution to Syrian families. Upon the request of TRCS and the District Governorate, UNICEF has provided 92,000 boxes of different sizes of diapers for babies/children, with 18,132 boxes already distributed to families living in temporary accommodation centres around Suruc. In addition to the baby/child diapers, UNICEF has supplied 10,000 boxes of adult diapers including for people with disabilities. The UNICEF Regional Immunization Specialist and UNICEF Turkey Immunization Specialist organized a mission from 24 September - 3 October to meet with key stakeholders, discuss with government counterparts and conduct a field trip to Sanliurfa province. Immediate needs of the newly arriving refugees were identified, and a longer term UNICEF strategy is being drafted to support Syrians in Turkey in the areas of health, immunization, nutrition and WASH. AFAD has reported that 40,000 children have been vaccinated against polio and measles. As part of the ongoing response to the influx the communication materials are currently being printed and distributed through the Ministry of Health, the Ministry of Family and Social Policies, AFAD and TRCS. These include 100,000 brochures on breastfeeding; 100,000 brochures on hygiene and hand washing; 20,000 brochures on MMR and polio vaccination; 100,000 brochures on child protection; 20,000 brochures on high energy biscuits (HEB).

Children play in the YIBO CFS

19

SUMMARY OF PROGRAMME RESULTS (January – September 2014)

** MMR vaccines have been provided to the Ministry of Health. They are currently in the process of being tested and will then be used for upcoming campaigns. *** Through the Government of Turkey, this number includes camp and non-camp enrolment, and is yet to be updated for the new school year.

Sector 2014

target Sector total 2014 results

UNICEF 2014 target

UNICEF total 2014 results

NUTRITION

# children <5 receiving multi-micronutrient supplementation n/a 150,000 192,820

HEALTH 2014 Need – 1,500,000 polio; 192,920 measles vaccination

# children 6 mo-15y vaccinated for measles n/a

192,920** 0**

# children 0-59 months vaccinated for polio* 1,500,000 851,812

CHILD PROTECTION

# children/ adolescents with access to psychosocial support services.

n/a 103,500 31,450

# children receiving specialised services from qualified frontline workers

n/a 9 5,175 9

EDUCATION 2014 Need – 424,000 children 3-18 years old (344,500 school age; 79,500 pre-school age) (RRP6 MYR)

# school-aged children in affected areas in schools/ learning programmes

305,280 107,714*** 198,329 107,714***

# children who have received school supplies 247,912 107,030 198,329 107,030

# educational facilities constructed / refurbished and accessible by Syrian children in camps and non-camp settings

120 22 50 22

# qualified teachers trained or supported 7,580 2,862 5,000 2,862

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Egypt Situation Overview & Humanitarian Needs Since the beginning of the year, at least 361 Syrian children have been detained in Egypt in connection with attempted irregular migration to Europe, including 37 in August. Although children and their families are normally released after a few days in police custody, migration by irregular means remains a cause for concern with dozens of families paying large amounts of money to smugglers, contracting debts and taking life-threatening risks. According to UNHCR, as of 30 June, 3,676 Syrian children had arrived to Italy by sea, of whom 585 were unaccompanied or separated from their parents. The number departing from Egypt is unknown. As of end July 2014, MoE figures indicate that the total number of 4-17 Syrian children enrolled in schools is 32,306 (23,385 children in public schools and 8,921 children in private schools). Updated figures for enrolment for the year 2014/15 will be provided by October 2014.

Humanitarian Leadership and Coordination UNICEF recruited a child protection specialist to co-chair the Child Protection Working Group (CPWG) with UNHCR to facilitate coordination, promote child protection policies, standards and procedures, reduce overlap in the interventions, address gaps, share information on programmatic responses with particular focus on psychosocial wellbeing, and other priority concerns such as abuse, violence and exploitation. During September UNICEF continued to take part in the Best Interest Determination (BID) panel. The BID panel is composed of UNHCR, partner staff and, whenever possible, government officials with different backgrounds and expertise in child protection and other related areas. The panel functions as a platform for analysing individual cases and for reaching decisions in the best interests of the child. The decisions are based on the assessment and recommendations of the child protection staff. UNICEF will continue to take part of BID panels and look for further ways in supporting the panel. The Education Working Group (EWG), co-chaired by UNHCR and UNICEF, reviewed and discussed the 3RP to develop the future education sector response plan with both humanitarian and resilience focus. The education survey, conducted by UNHCR to identify out of school Syrian children, is on-going to reach a target of a target 2000 households, to date 11% of children have been identified as out of school. UNICEF, UNHCR and health group partners conducted a series of meetings to prepare of the 2015 3RP and develop the terms of reference for the health services needs assessment among Syrian refugees.

Summary Analysis of Programme Response

Health Until end of August 2014, data collected from the 24 health districts across 10 Governorates revealed some increase in Syrian women and children’s access to Primary Health Unit (PHU) services. Since January 2014, 877 women visited PHUs to receive reproductive and antenatal care services. Of these women 106 visited the PHUs more than once to receive the antenatal care. In addition 5,189 Syrian children under five received primary health care and growth monitoring services, of whom 99 were diagnosed as mild cases of underweight where their parents continued receiving awareness for proper nutrition. UNICEF and UNHCR have produced and disseminated a public announcement, including brochures, on public health facility access for all Syrian refugees in Alexandria and Damietta, directing them to go to the public health premises to respond to their needs. Referrals to secondary and tertiary health care will only be from Ministry of Public Health (MoHP) PHUs. Information disseminated includes PHU locations, service type, and prices, information will be distributed at UNHCR registration offices and later by Syrian community health workers. At a later stage, the brochures will be distributed by the Syrian community health workers that will be recruited by UNICEF to Syrian families. UNICEF and UNHCR conducted a workshop in Alexandria where they announced that all registered Syrian refugees in Alexandria and Damietta must use public health premises to receive their needed primary health care and to receive secondary and tertiary health care they have to be referred from the primary health unites of MoHP. During the same workshop UNICEF gave a briefing about the upcoming October round of polio NIDs and the need to locate Syrian under 5 children to facilitate the vaccination process in addition to have a strong social mobilization plan of action to encourage Syrian care givers to offer their children to vaccination teams to be vaccinated.

Affected Population Registered refugee figures from UNHCR data portal as at October 15, 2014. There are no persons pending registration.

Registered refugees 140,023

Child Refugees (Under 18) 60,630

Child Refugees (Under 5) 18,343

21

The UNICEF supported MoHP community Health Workers Unit in the preparatory phase of the Syrian refugees community health initiative by recruiting 120 female Syrian community health workers in Alexandria and Damietta. The female Community Health workers will raise health awareness of a targeted Syrian families and promote the use of PHUs.

Child Protection During September, security officials transferred most Syrians attempting irregular migration to a youth centre in Alexandria which is now used as a holding facility. No access was given to the holding facility. However, 28 children were detained in cases relating to attempting irregular migration in one police station earlier in the month. The children have been visited and documented in Matrouh Governorate by UNICEF legal aid partner EFACC. Since January 2014, to date 4,652 Syrian boys and girls had access to non-specialized psychosocial support services through nine Child Friendly Spaces (CFS), 8 spaces in Alexandria with 1 recently opened in UNHCR office, and one space in New Damietta.

Education Public schools remained closed until September 19th, and preparations for the new school year continued. To date 8,013 Syrian boys and girls are enrolled in UNICEF supported primary schools in five Governorates (Qalubia, Giza, Cairo, Damietta, and Alexandria) with the highest concentration of Syrian refugees. In the reporting period, 118 teachers from 84 schools in Cairo, Kalubia, Giza, Damietta and Alexandria Governorates were trained to plan and manage school activities. To support students that need remedial classes, video recording of selected lessons from the Egyptian curriculum taught by Syrian teachers was approved by the Ministry of Education (MoE), and lesson planning is underway. Training of middle management on crisis management in all districts that received Syrian children is approved by MoE and was scheduled to start in September 2014. MoE postponed this activity until the preparation for the new academic year is completed. Community based kindergartens (KG) will continue for 310 Syrian boys and girls aged 3-5 in the 2014/15 school year. Identification of NGOs to establish new KG classrooms for Syrian children aged 3-5 years that need access to education is in progress. During the reporting period the implementing partners made agreements with five NGOs in Cairo, Giza and Alexandria governorates to establish 18 KGs and enrol 450 Syrian children for this academic year. Monitoring tools were developed and shared with the implementing partner. Field monitoring by UNICEF will also be conducted to validate data and upgrade program performance. A further 30 KG classrooms were provided with furniture and educational materials. The government highly centralized decision making process remain a cause of delays of implementation of emergency interventions.

SUMMARY OF PROGRAMME RESULTS (January – September 2014)

*Syrian children targeted = 36,250; Syrian children reached = 11,950 ** Registration of children by UNHCR is for children from 5 to 17 years old.

Sector

2014 target Sector total 2014 results

UNICEF 2014 target

UNICEF total 2014 results

HEALTH AND NUTRITION

# children 0-59 months vaccinated for polio during campaigns*

n/a

14,500,00 14,500,000

# Syrian women receiving reproductive health services1 30,000 877

# children 0- 47 months whose growth is monitored1 34,000 5,189

CHILD PROTECTION

# children/ adolescents with access to psychosocial support services 40,000 n/a 24,500 4,652

# Syrian girls and boys with access to specialized psychosocial support2 9,500

n/a 2,500 874

# children who received legal representation 1 n/a 2,250 344

# children receiving cash assistance1 4,000 n/a 2,500 244

EDUCATION

# school-aged children enrolled in primary and secondary education (6-14 years old)

72,000 41,689 25,000 8,013

# children aged 3-5 enrolled in pre-primary education 7,425 310 3,500 310

# teachers and supervisors who received training 6,000 n/a 4,000 918

# schools which have received material support furniture and equipment

n/a n/a 70 47

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Funding Status (US$ million)

Next SitRep: 17/11/2014 UNICEF Syria Crisis: http://childrenofsyria.info/ UNICEF Syria Crisis Facebook: http://www.facebook.com/unicefmena

UNICEF Syria and Syrian Refugees Humanitarian Action for Children Appeal: http://www.unicef.org/appeals/index.html

Funded

Required 52.10 81.02 25.00 35.67 193.79

Funded 17.75 21.40 14.26 44.73 98.21

Required 66.41 42.46 22.09 9.77 0.00 140.72

Funded 38.75 34.45 24.94 2.40 100.55

Required 90.10 114.83 35.00 36.19 10.00 286.13

Funded 39.89 56.22 26.77 23.23 7.02 153.12

Required 35.29 13.50 4.90 8.72 62.41

Funded 8.11 6.44 3.45 4.82 0.00 32.71

Required 0.00 37.25 17.65 10.07 64.96

Funded 0.00 18.14 5.32 4.22 27.67

Required 0.00 4.00 3.26 8.82 16.08

Funded 0.00 2.84 1.70 2.78 7.84

Required 1.50 1.50 1.50 1.50 6.00

Funded 0.61 0.00 0.31 5.98 6.90

Required 245.40 294.56 109.38 110.74 10.00 770.08

Funded 105.10 139.49 76.74 88.16 7.02 439.79

Gap 140.29 155.07 32.64 22.58 2.98 330.28

% Funded 42.8% 47.4% 70.2% 79.6% 70.2% 57.1%

* The total amount includes funds that are currently being allocated to country offices.

Total 57.1%

Basic

Needs

(NFIs)

Turkey 42.6%

Egypt 48.8%

MENA 115.1%

50.7%

Jordan 71.5%

Lebanon 53.5%

Iraq 52.4%

Total*In millions of US Dollars

Syria

Funding StatusChild

ProtectionEducationWASH

Health &

Nutrition

Who to contact for further information:

Geoff Wiffin Syria Crisis Emergency Coordinator UNICEF MENA Regional Office Mobile: +962 (0) 79 6835058 gwiffin@unicef.org

Simon Ingram Regional Chief of Communication UNICEF MENA Regional Office Mobile: + 962 (0) 79 5904740 Email: singram@unicef.org