© UNICEF/Syria hub 2014

Syria
Crisis
2014 Annual
situation report

JANUARY – DECEMBER 2014 SYRIA, JORDAN, LEBANON, IRAQ, TURKEY AND EGYPTHighlights
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Across the region, UNICEF vaccinated over 25 million children against polio including 2.9
million children in Syria alone resulting in the successful containment of the disease.
UNICEF and partners provided water treatment chemicals to clean water for the networkthat reached 16.5 million people inside Syria, and has provided 2.1 million people withsafe drinking water in host communities and camps in neighbouring countries
2,842,636 children benefited from the 2014/15 school year Back to Learning campaign
materials (98% of target), this is in addition to the 870,000 children who received supplies
in 2013/14. In neighbouring countries more than 372,000 students were assisted withschool supplies.

SITUATION IN NUMBERS

Inside Syria
5,600,000# of children in need

12,184,000# 0f people in need
(HNO, November 2014)

Outside Syria
1,941,584

Nearly 300,000 children have been reached with psycho-social support in Syria (60% of
the target) and more than 645,000have been reached in neighbouring countries (93% of
the target).

# of registered refugee children
and children awaiting registration

400,000 children have been provided with winter clothing and blankets in Syria, withanother 565,000 children provided cash, vouchers and winter supplies in neighbouring
countries.

# of registered refugees andpersons awaiting registration(18 January 2015)

3,800,109

Situation Overview
UNICEF Funding
Appeals
Syria Appeal 2014*
US$ 193.8 million
Regional Appeal 2014*
US$ 576.3 million*January – December 2014
following the Mid-Year Review.

US$ millions

The conflict in Syria is entering its fifth year, with no signs of abating. As of
November 2014 10.9 million Syrians were displaced within and outside Syria,
including over 3.3 million refugees across Lebanon, Jordan, Iraq, Turkey, and Egypt.
More than half of the refugee population are children (over 52 per cent). The armed
conflict in Iraq has further compounded the Syrian refugee crisis there, with over 2.2
million Iraqis displaced within Iraq since January 2014. Many of the 235,000 Syrian
refugees in Iraq are located in the same geographical area as Iraqi IDPs, placing amajor burden on host communities and services. The number of Syrian refugees
across the sub-region is expected to rise to 4.27 million by the end of 2015.
The scale and protracted nature of the Syrian crisis is challenging the ability of hostgovernments and the international community to meet the continuing need foressential life-saving humanitarian assistance. 2015 humanitarian efforts will thus becoupled with efforts to build the medium and long-term resilience of affectedindividuals, households, communities and institutions in refugee hosting countries.

Note: All targets inthis report areagainst December
projections through
RRP6 MYR

350
300
250
200
150
100
50
0

35% Gap1

SyriaSituation Overview and Humanitarian Needs
With the conflict in Syria entering its fifth year, the humanitarian andprotection situation continue to deteriorate as needs continue to overwhelm
available resources. Humanitarian conditions continue to worsen due to ongoing violence, destroyed infrastructure, collapsed public services, economic
recession, shrinking humanitarian space and reduced access to basic services
for significant portions of the population. As of December 2014, over 12.2
million people are in need of humanitarian assistance (up from 9.3 million in2013), including 5.63 million children. Out of the total affected population, 4.8
million people live in hard to reach areas inside Syria, including an estimated212,000 in besieged areas.

Estimated Affected Population* OCHA 2014. The remaining figures are calculatedon CBS 2011 demographic distribution and children under 18 year 46.27 %Population in Need*Children in Need (Under 18)

12.2 million
5.6 million

Total Displaced Population *Children internally Displaced
People in Hard to Reach areas
People in Besieged areas

7.6 million
3.5 million
4.8 million
212,000

Children in Hard to Reach areas

Up to 2 million

2014 witnessed the worst forms of violations and attacks on civilians. Parties to the conflict continue to target public infrastructureand facilities, such as water networks and schools. Frequent and deliberate water cuts in Aleppo, rural Damascus, Dier Ez Zor, Raqqa
and Idleb put even more pressure on populations who are already experiencing low availability of and access to drinking water as aresult of the lowest rainfall in fifty years.
Humanitarian relief efforts inside Syria have grown in breadth and scale, despite access constraints and insecurity. The clear impactof the assistance delivered can be seen for example through UNICEF-supported health interventions which have led to a significant
decrease in the number of cases of polio and other communicable diseases.

Humanitarian Leadership and Coordination
UNICEF leads the WASH, Education and Nutrition Sectors and the Child Protection Sub-Sector with dedicated capacities mobilized
across all these sectors to ensure effective sector coordination for planning, prioritization and resource mobilization. Under thewhole of Syria framework, UNICEF will further strengthen sector coordination mechanisms and information sharing in 2015 toimprove collaboration among humanitarian actors in planning, conducting needs assessment, implementation, monitoring andresource mobilization at sector level including amongst the three hubs - in Damascus, Gaziantep and Amman to expand
programme reach, particularly to hard- to- reach areas. Sector working group meetings have already started taking places at local
levels to ensure robust coordination and information sharing in line with the Whole of Syria approach. Some of the key
achievements of the UNICEF led sectors in 2014 are outlined below.
The UNICEF-led Nutrition sector conducted a Rapid Nutrition Assessment (RNA) of displaced children under five living in collective
shelters and host communities in Syria between March to July 2014, the first large-scale assessment of its type completed since thestart of the crisis in Syria. The study found that three governorates – Hama, Aleppo and Deir-ez-Zor – exhibited Global Acute
Malnutrition (GAM) rates among children sampled above 10 per cent: a nutrition situation considered as “serious” according to WHO
standards. The overall GAM rate was 7.2 per cent, while the Severe Acute Malnutrition (SAM) rate was 2.3 per cent –a “poor” nutrition
situation based on WHO classification. Findings have informed the 2015 Syria Strategic Response Plan and have been integrated into
community based nutrition management activities by the ministry of Health.
The UNICEF-led Education sector has rolled out sub-national sector coordination in Hassakeh Governorate chaired by the
Directorate of Education and co-chaired by UNICEF. The Sector already rolled out sub-national sector coordination in Tartous andHoms in August. Such coordination mechanisms further strengthen system-wide preparedness and technical capacity. The Sector isfacilitating preparation of the Back to Learning initiative by mapping partner presence in hard to reach areas.
The UNICEF-led WASH sector continues to provide coordination for all partners, leading the response in Aleppo during water cutscaused by increased violence and unrepaired infrastructure. The sector has also been instrumental as a discussion platform between
national and international actors, helping partners plan and front load programs to help the sector provide critical support. The sector
had set up an emergency stock targeting 100,000 people nationwide based on experience of rapid response to reoccurring sudden
onset emergencies. . The stock consists of mobile Water Treatment Units, jerry-cans, purification tablets and generator sets forpumping stations, and is stationed at the logistics cluster warehouse in Damascus to be able to respond to disease outbreaks, power
outages at pumping stations, or a sudden influx of people in need. However, the frequent and severe emergencies affecting large
numbers, as witnessed in Aleppo and rural Damascus, calls for a more robust coordination and response mechanisms. In 2015, thefocus will be on enhancing the role and capacity of these mechanisms.

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Humanitarian Strategy and Priorities
Throughout 2014, safe and unimpeded access in Syria remained a significant challenge for humanitarian partners due to widespread
insecurity and conflict, shifting front lines, bureaucratic impediments, conditions imposed by parties to the conflict, and insufficienthumanitarian partner response capacity. While access remains relatively unimpeded in large parts of central and coastal Syria andonly somewhat limited in the north-west and south, access to large swathes of north-eastern Syria, rural Damascus, and multiple
locations in northern, central and southern Damascus remain highly restricted or even blocked. Close to 4.8 million people live insuch hard to reach areas, including nearly 212,000 under siege. UNICEF and partners continued to provide humanitarian assistancethrough UNICEF-specific as well as inter-agency coordinated cross-line convoys and partnerships on the ground. In 2014, UNICEF
undertook 55 missions to hard to reach areas from inside Syria, of which 44 were cross-line to provide assistance to 659,500 people.
In addition, UNICEF has reached 600,000 people in hard to reach locations inside Syria through 21 cross border convoys from Turkey
and Jordan since the SCR 2165 was passed in July 2014. Supplies delivered include health kits, water and sanitation materials, andeducation and recreation kits.
In 2014, UNICEF continued to scale-up life-saving interventions, including in health and nutrition with a particular focus on routine
vaccinations to limit the spread of communicable diseases, special campaigns to stop polio transmission, and management of acutemalnutrition. Throughout 2014, UNICEF supported the scale-up of WASH services, with attention to the prevention of water-borne
diseases and hygiene promotion activities. UNICEF supported the roll-out of the ‘No Lost Generation’ initiative - an integrated
package of education, child protection and adolescent development programmes to ensure children affected by the conflict haveequitable access to quality education. Within the framework of the NLGI, UNICEF reached 2.8 million children with text books andother education supplies; over 116,600 adolescents were provided with life skills based education, and vocational training and 299,757 children with psychosocial support through mobile and static child and adolescent friendly spaces and school clubs. Following
the successful roll out of Explosive Remnants of War Risk Education package in schools, 272,000 children were reached with risk
education messages. UNICEF will continue to advocate for the protection and safety of all children in Syria.

Summary Analysis of Programme Response
WASH
The protracted nature of the conflict has had a devastating impact on the WASH sector. The reliability of urban piped schemes ishighly reduced and the quality of drinking water cannot be guaranteed due to a lack of testing facilities. UNICEF’s strategy for WASH
in 2014 was twofold: respond to the immediate needs of displaced people and host communities, and provide long term solutions insustaining the operations of existing WASH systems. Access to drinking water is now a major concern: large numbers of people,
especially those living across conflict lines, are reliant on trucked water as parties to the conflict have regularly cut water supplies tocities.
In 2014, UNICEF provided a regular chlorine supply of 450 tons a month throughout the country to water treatment plants, where
the necessary water treatment chemicals are not available, ensuring sustained access to safe water to an estimated 16.5 million
people across the country, 42 per cent of which are in non-government controlled areas. This has required significant logistic
resources as in some instances, the only option to deliver water treatment chemicals has been by airlift or cross line convoys.
In response to a chronic fuel shortage, which in turn affects water supply in many parts of the country, UNICEF provided 160,000
litres of fuel to run standby power for water supply to 1.5 million people in Aleppo and rural Damascus. An additional one million
litres are also prepositioned for distribution to Aleppo, Der-ez-Zor and rural Damascus. In support to public service infrastructure,
530,000 people were able to have sustained access to drinking water through the provision of a generator to Aleppo’s Tishreen areaand four more in Idleb, ensuring water supply during power outages. This year, over 2.4 million people were served with safe water
through rehabilitation of damaged water infrastructure, this repair to water systems has allowed UNICEF to meet our target for safe
water provision in 2014 despite insufficient funding. However quality of service for these beneficiaries remains a critical concern.
UNICEF provided water trucking to 497,046 people in Aleppo following the repeated cut-off of the city’s main water source. 378,000
people gained new access to clean water though the provision and installation of seven water tanks to boost water capacity in
Hassakeh City, located in one of the least accessible governorates. This was complemented with the distribution of 2,400 watercontainers and 976 family water kits to IDPs to improve water handling and storage at the household level.
In order to address the needs for appropriate hygiene and sanitation conditions in shelters, camps and other facilities hosting IDPs ,UNICEF provided critical hygiene supplies such as family hygiene kits, baby hygiene kits, soap bars to 887,385 Internally Displaced
People and host communities across the country: 27% higher than the target for the year.

Education
A UNICEF-led Education sector analysis noted remarkable achievements in improving school enrolment at the national level.
Evidence shows that the estimated number of boys and girls enrolled in basic education increased from 2.9 million in the 2012/13
academic year to 3.6 million in 2014/15. Likewise, the Gross Enrolment Ratio in basic education rose from 66% in 2012/13 to 79% in
2013/14.

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The 2014/15 school year “Back to Learning” (BtL) campaign focussed on hard-to-reach areas in all 14 governorates. UNICEF reached
2.8 million in-school children out of the targeted 2.9 million in the 2014/15 academic year, providing textbooks as well as teaching
and learning materials in all governorates except Raqqa and Deir-ez-Zour. A remarkable efforts was made by UNICEF to complete
the airlifting of 140 tons of textbooks to Hassakeh, one of the hardest to reach governorates, benefitting 378,534 children. 45 percent
of children that received textbooks are in hard to reach areas. 447,681 children, in 87 hard-to reach areas were given priority for BtL
materials. Among the 2.8 million, 731,424 children were also provided with school bags containing stationery, including 200,000
children in hard to reach areas.
Materials for self-learning (2.5 million booklets) for children in areas where formal education facilities are not operating are in theprocess of being completed and will be rolled out in 2015. UNICEF continued to support 360 school clubs in 13 governorates for
330,000 children, providing remedial classes and psychosocial support (PSS) for children attending the clubs. School clubs aim tostrengthen the learning performance of children while allowing them to participate in recreation activities under the care of qualified
school teachers and counsellors’ services. The Adolescent Development and Participation Programme has reached a further 13,420
adolescent with life skills and vocational training. 89 youth and school club facilitators were trained to become trainers on vocational
education programme.
To promote a safe learning environment, UNICEF partnered with the public and private sector to provide school rehabilitation
assistance, including latrines and hand-washing facilities, in 14 schools in Hassakeh and Aleppo, two of the most affected
governorates. A total of 15,183 children benefited from school infrastructure improvements including improved water, sanitationand hygiene facilities. In 2015, UNICEF plans to undertake an impact assessment and cost-benefit analysis for schools to help criticallyreview and inform UNICEF’s non-formal education approach in 2015/16.

Child Protection
The conflict in Syria has been characterised from the onset by wide scale, grave child rights violations, including killing and maiming,
recruitment and use of children by armed groups, abduction, arbitrary detention, ill treatment and sexual violence against girls andboys. As a result, children continue to experience profound psychological distress, large scale physical harm, neglect, an increased
risk of trafficking, and being forced to drop out of school and engage in child labour. Over 2,000 grave violations against children
were documented by the UN in 2014, including killing or maiming of more than 1,100 children. .
In 2014, a key milestone was achieved in standardizing the vital protection response through a Unified Basic Package for Psychosocial
Support adopted by the Child Protection sector. NGO partnerships grew from 6 in 2013 to 13 in 2014 and the number of Child Friendly
Spaces (CFS) more than doubled from 38 in 2013 to 87 in 2014. 4,993 recreational kits were distributed to CFS and school clubs topromote Psycho Social Support (PSS) among children more effectively. Through these efforts 127,600 of the targeted 150,000
children were reached with structured PSS activities and a further 172,157 children benefitted from outreach activities.
A Training Kit for Explosive Remnants of War – Risk Education (RE) has been rolled out, marking a significant step in protecting
children against the hazards of explosive remnants of war. Over 950 teachers, including 150 in hard to reach governorates, provided
risk education messages to 272,700 children (against a target of 550,000) in their respective schools across the country. This include
a total of 45,000 children reached with Risk Education Messages in hard-to-reach areas of Aleppo, Deir-ez-Zor, Raqqa, and Hassakeh.
As part of the winter plan for 2014-15, UNICEF procured winter clothes for 359,000 children and 195,000 blankets and has so far
distributed 195,000 children winter kits and 105,000 blankets. In addition, UNICEF supported the Department of Education to install
40 fuel tanks in and distributed 1500 heaters to 75 schools reaching 39,000 children and 1,418 teachers.

Health12.2 million people require access to health services. Four years of violence have shrunk the national health system: 35 per cent ofpublic hospitals are partially functioning, while 22 per cent are completely out of service. Amongst IDPs and their host communities,
there is a need to enhance access to preventative services for communicable diseases, including awareness campaigns and hygiene
support. Routine immunization from the national health structure has dropped significantly since the onset of the hostilities.
The outbreak of polio in October 2013 was a major public health care concern in 2014. In response to the polio emergency, 10
nationwide polio campaigns were implemented at monthly intervals in 2014, with the last campaign reaching over 2.9 million
children under-five. The 10th national polio immunization campaign was carried out from 30 November – 4 December 2014 targeting
2,910,682 children under-five across the country. According to reports from the Ministry of Health, a total of 2,953,069 children
under-five were vaccinated against polio during the campaign, including 588,342 children in hard to reach locations. The report notedthat a total of 65,225 children were able to receive their polio vaccines in previously inaccessible locations in Rural Damascus,
Damascus, Aleppo, Hama and Homs. It is estimated that up to 40,000- 60,000 children under-five still remain inaccessible and havemissed out on their polio vaccination. As a result of the polio vaccination campaigns, there has been only one confirmed case of Wild
Polio Virus1 in 2014 inside Syria, compared to 35 in 2013.

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UNICEF provided the Ministry of Health with 37.5 million doses of oral polio vaccines which were used during the 8 immunization
campaigns. In addition, UNICEF provided 34 cold-rooms, 2,000 vaccine carriers and cold boxes as well as 50,000 safety boxes tostrengthen routine immunization and restore the cold chain across the country. A further 5 million auto retract syringes were
provided to maintain the safety and quality standards of vaccines. UNICEF also provided the Ministry of Health with 1.3 million dosesof measles vaccines and 8 million doses of Vitamin A supplementation. In 2014, 846,443 children were vaccinated against measles
and provided with vitamin A supplementation in all the 14 governorates in Syria, out of the targeted 2.2 million.
UNICEF expanded its partnership with local NGOs who were able to work all-over the country through the establishment of 56 mobile
medical teams and 51 fixed health centers, including some located in opposition controlled areas including Al-Mshatiyeh and AlFardous health centers in the eastern part of Aleppo city. In 2014, 608,745 vulnerable children and women, out of the targeted
870,000, were provided with primary health care services through mobile and fixed health centers in 14 governorates. The
distribution of medical kits including 1,638 inter-agency Emergency Health Kits, 27846 newborn kits, 172 midwifery kits, 84 diarrhea
kits, 80 first aid kits and 153,523 bottles of hair lice and scabies solution increased the availability of primary health care to IDPs andvulnerable communities.

Nutrition
The on-going conflict has aggravated nutrition concerns in Syria. As food security has deteriorated, poor water, sanitation and healthservices have increased the risk of diarrhea, insufficient micro nutrient intake and under nutrition amongst children. It is estimatedthat 4 million women and children are now in need of preventative and curative nutrition assistance. In 2014, UNICEF’s key priority
was to enhance the limited technical capacity of the few partners on the ground to address malnutrition. UNICEF trained nearly 900
pediatricians, nurses, midwives and community volunteers on identification and community management of acute malnutrition(CMAM), infant and young child feeding in emergencies (IYCF-E) and community outreach. 448,047 children under-five werescreened for acute malnutrition in health facilities and communities in 10 of the 14 governorates, out of which 8,600 children wereidentified as moderately and severely malnourished and referred to nutrition centers where they received specialized treatment. In
partnership with the MoH, SARC and NGOs partners in Syria, 22 nutrition centers were established and equipped with necessary
nutrition supplies, equipment and technical knowledge in identifying and treating malnutrition and micronutrient deficiency. In 2013,
there were only 2 nutrition centers available in Damascus.
Over 128,000 (86% of the target) children under-five were provided with multiple micronutrients in all governorates except Raqqa.
Over 40,000 pregnant women and lactating mothers (31% of the target) were provided with critical nutrition counselling and multiple
micronutrients. In 11 out of the 14 governorates, 128,641 children aged 6 months to 5 years were provided with nutrient supplements
such as fortified spreads (Plumpy nut), SuperCereals and High Energy Biscuits to prevent their nutritional status from deteriorating
due to access related issues. Identification and treatment of severe acute malnutrition was hampered by numerous factors, including
the presence of only a limited number of implementing partners with technical capacity, and access to affected children and womenin hard-to-reach areas where needs are most dire. In addition, limited access to nutrition centers by beneficiaries and health staff
affected the program in reaching more children in need of support.

Communication for Development - Polio
Community mobilization and dissemination of critical information to parents on periodical polio immunization was an essential
component of the campaigns. More than 25,000 mothers werereached with critical information on immunization through a
network of volunteer adolescent groups during the December
2014 polio campaign in hard to reach governorates such as Idleb
and Deir-ez-Zor. In total 12 million mobile text messages weresent to people in governorates of low vaccine coverage. UNICEF
supported community outreach activities in Idleb, rural
Damascus, Aleppo and Homs, as well as in very difficult to accessareas such as Raqqa and Deir-ez-Zor where UNICEF used local
health and community workers. The rejection of polio
vaccination (among the surveyed non-vaccinated) has dropped
over the course of the 6 week campaign from 38% in October
2014 to 23% in November 2014, according to the independent
polio immunization monitoring report carried out by joint teamof UNICEF, WHO, the Ministry of Health and civil society
representatives.

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SUMMARY OF PROGRAMME RESULTS (January – December 2014)
Sector 2014
TargetSector total
2014 Results

UNICEF 2014
TargetWASH 12014 Need – 18 million people (estimated Syrian population)# emergency affected population accessing safe water through3,500,000
4,171,537
temporary solutions2# affected population periodically provided with hygiene items
3,000,000
2,658,753
coupled with hygiene promotion messages3# IDPs and children in schools with access to appropriately designed
toilets and hand-washing facilities4
CHILD PROTECTION# children receiving psychosocial support including in Child Friendly
Spaces, school clubs, Adolescent Friendly Spaces, and mobile CPU 5# children reached through psychosocial support and outreach
initiatives CPU6
# children and women benefiting from materials assistance thatenhance their protection7# children and individuals in communities reached through ERW risk
education messages8
EDUCATION 2014 Need – 3.9 million children between 6 to 12 years old# children receiving essential education materials9
2,900,000
2,941,056# children with access to self-learning programme10
1,000,000
11,58211
12# children and adolescents with access to non-formal education
382,000
404,835# children receiving accessing safe, protective and gender sensitive
300,000
58,812learning environment13
HEALTH# children under five reached with polio vaccine# children vaccinated against measles, mumps, rubella# children 6-59 months receiving Vitamin A supplementation# children and women accessing basic health services14
NUTRITION 2014 Need – 3 million people need of preventative and curative nutrition services (SHARP 2014)# children 6-59 months screened for acute malnutrition
400,000
469,853# children 6-59 months treated for SAM
7,000
1,256
# children 6-59 months receive multi-micronutrients supplementation
400,000
406,178
Footnotes

UNICEF total
2014 Results

2,000,000

2,421,727

700,000

887,385

300,000

112,300

150,000

127,600

350,000

172,157

500,000

611,054550,000

272,700

2,900,000
1,000,000
360,000

2,8426360360,534

250,000

15,1832,500,000
2,200,000
2,500,000
870,000

2,953,069
846,443
846,443
608,745

400,000
6,000
150,000

448,047
1,039
128,641

1 An estimated up to 16.55 million people benefit from sustained supply of chlorine and rehabilitation/ repair of water supply systems
2 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
3 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.
4 IDPs and children in schools with access to appropriately designed toilets and hand-washing facilities
5 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). 51 per cent girls.
6 Level 1 PSS activities include children benefiting from recreation kits and child protection open days. 52 per cent girls
7 Number of children and women benefiting from materials assistance to enhance protection, including summer and winter supplies
8 Children/ 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. Result corrected from last month due to verification.
9 Captures children who receive at least one education supply item including 2.9 million children in schools with selected subject
textbooks
10 Target for 1 million internally displaced and/or out-of-school boys and girls provided with the self-learning materials.
11 This is in addition to the 1 million targeted by the Sector and UNICEF to be reached with the new self-learning programme currently
under development jointly by UNRWA/UNICEF and MOE.
12 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
13 Includes 500 schools (250,000 children) benefitting from light school rehabilitation and 28,000 children through prefab classrooms withequipment and furniture
14Target include IDP children reached through mobile clinics, and those who benefit from the supply and distribution of IEHK, midwiferykits, diarrhea kits and other essential health kits to ensure continuous function of PHCs and SARC clinics and mobile teams.

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LebanonSituation Overview and Humanitarian Needs
After almost four terrible years of violence and uncertainty for children and theirfamilies, the impact of the Syria conflict continued to shape UNICEF Lebanon’s
Country Programme in 2014. By year end, the number of Syrian refugees surpassed
1.1 million – equivalent to an additional 25 per cent of Lebanon’s pre-crisis
population. Security concerns have continued to grow, affecting all vulnerable
people. Extremist armed groups crossing into Lebanon from Syria clashed with
Lebanese Armed Forces in 2014, displacing communities. Lebanese leaders havebeen increasingly active to ease tensions despite the heavy burden on public
institutions and the vulnerable communities relying on them.

Affected Population
Registered refugee figures from UNHCR data
portal as at January 18, 2015.
*estimated as per 3RP
Registered Refugees
1,148,844
Persons Pending Registration
11,624
Child Refugees (Under 18)
611,185
Child Refugees (Under 5)
Estimated host community
affected*

222,876
1,500,000

Some 53 per cent of Syrian refugees were children who, with each day of war, watched their futures slip away, their lives defined byfear, violence and dislocation. The crisis has meant that an increasing numbers of poor and marginalized Lebanese and Palestine
refugee children were at a greater risk of exclusion and exploitation. A critical factor was the concentration of the vast majority of
Syrian refugees (some 86 per cent), Palestine refugees (some 80 per cent) and Lebanese poor (some 67 per cent) in the 225 mostvulnerable localities in the country. UNICEF Lebanon continued responding through an equity approach, focusing on meeting theneeds of all affected children, rather than only those with refugee status.

Humanitarian Strategy
The humanitarian response in Lebanon in 2014 was coordinated under the sixth Regional Response Plan (RRP6). UNICEF focused
assistance in the 225 most vulnerable locations. In 2014, UNICEF provided services in 99 per cent of these locations, benefiting over
800,000 vulnerable children. Over 50 per cent of these localities received the full minimum package including WASH, health, childprotection, and education supplies and services. By supporting the provision of services to children in these locations, assistance
was prioritised to the most vulnerable.
UNICEF Lebanon bridged humanitarian response to development through a three pillar approach to programmes: a) assistance forbasic humanitarian needs, b) access to quality basic services, and c) strengthening Government systems. In 2014 alone, US$ 99
million of programme funds contributed to the response in Lebanon, national institutions and economy through improvement ofpublic service infrastructure, training of public service providers, procurement of local supplies and services, and partners’ local staff
salaries and operational costs.

Summary Analysis of Programme Response
WASH
Prior to the Syrian crisis and the consequent influx of refugees into Lebanon, the country faced a significant development deficit inproviding access to sanitation services. The Ministry of Energy and Water estimates that only eight per cent of waste water is treated
before being discharged. The major influx of Syrian refugees in the country has put additional pressures on the environment that
UNICEF addressed through stabilization projects in 2014.
A key achievement has been the extended provision of safe water. In 2014, over 1.5 million people received safe water through theupgrading or extension of five water networks and the replacement or installation of 48 pumps, 74 chlorination systems and 30
generators in the most vulnerable municipalities through UNICEF’s support, over-reaching the original target of 385,726.
As part of stabilization efforts, UNICEF Lebanon extended and upgraded four sewage systems in partnership with UN-Habitat and
one in partnership with ACF to benefit 34,000 Lebanese and 20,000 hosted Syrian refugees. Working directly with the private sector,
UNICEF Lebanon commenced a project aimed at reducing the contamination of the spring of Yamounneh in the Bekaa valley(eastern Lebanon) through the replacement of part of the village piped sewage system. This spring provides drinking water to 15
villages, with estimated beneficiaries of 50,000 Lebanese and 15,000 Syrian refugees.
Solid waste generation also significantly increased in areas with high concentrations of Syrian refugees. UNICEF Lebanon andpartners worked together to support refugees and host communities in solid waste management. Almost 18,000 refugees were
supported through the delivery of collection bins and financial support to pay for collection services, as a result of UNICEF Lebanon’s
partnerships with Concern, Oxfam, Première Urgence, Solidarités International and World Vision. In Akkar, NGO partner Concern
also implemented a project to support six municipalities with bins and the cleaning of solid waste from a river, which benefited
37,500 Lebanese and 18,000 Syrian refugees. In the Bekaa (eastern Lebanon), UNICEF Lebanon initiated a pilot project in partnership7

with World Vision and municipalities to clean the banks of a main river polluted from solid waste from neighbouring informal
settlements.

Education
The mass influx of refugees from Syria has significantly increased the demand on the public education system in Lebanon. With the
Ministry of Education and Higher Education (MEHE), in 2014, UNICEF and partners facilitated school enrolment for children
displaced from Syria and funding parent contributions for poor Lebanese children on an agreed cost-per-child basis. The first shift(morning classes) of the schools has expanded to include a large number of children displaced from Syria and a second shift(afternoon classes) has been created to accommodate a further caseload of children. In 2014, a total of 32,706 adolescents werereached with life skills education while 66,778 benefitted from non-formal education. 61,033 children were assisted by UNICEF toenrol in formal education and 116,526 received school supplies.
Palestinian children continued to be provided with educational services through UNRWA-managed schools. UNICEF supported
UNRWA to provide “Back-to-School” kits to all Palestine refugee students in grades 1-12 for the scholastic year 2013-14. The
provision of this stationery to 9,860 students supported refugee families who were increasingly facing difficulties in providing theirchildren with school items, fostering a positive learning environment, ensuring equity amongst children, and providing an incentive
for children to continue attending classes.
UNICEF Lebanon provided assistance in schools through the provision of learning and recreational equipment, enrolment support,
remedial classes, Accelerated Learning Programs to facilitate integration into the Lebanese curriculum, psychosocial support (PSS),
and minor repairs and rehabilitation of facilities to ensure schools are able to cope with increased student numbers and to alleviate
the impact on host communities. UNICEF Lebanon worked in over 675 school to deliver programs and services to children in 2014.
UNICEF provided significant technical support along with other partners to MEHE to finalise the Reaching All Children with
Education (RACE) strategy. Budgeted at US $600 million over three years, the multi-stakeholder strategy seeks to ensure access tolearning for over 400,000 crisis-affected children per year.
In addition, based on the results of the 2014 youth assessment, UNICEF and UNFPA have renewed their joint programme aiming ata) mapping youth humanitarian actors providing services to youth affected by the crisis, b) mapping of available youth life skills inemergency material, and c) development of youth life skills in a humanitarian setting package to respond to the recommendationsof the young people in the assessment.
In 2015, UNICEF will appeal for US $116 million for education activities, aiming to provide 290,000 children with access to learning
opportunities and school supplies, and deliver trainings on topics such as classroom management to over 1,280 education staff.

Child Protection
Aligned with UNICEF’s equity agenda, UNICEF Lebanon sought to support service delivery to all vulnerable children and theirfamilies in 2014. Through a number of gateways, UNICEF Lebanon reached refugees and vulnerable Lebanese. These gateways
included public schools, informal settlements, Primary Healthcare Centres (PHCs), Social Development Centres (SDCs), community
centres, Palestinian refugee camps, and UNHCR registration points.
In 2014, 11 new women’s and girl’s safe spaces were established as a result of UNICEF support. Over 55,000 individuals accessed safe
spaces, thanks to UNICEF’s support. In parallel, mobile psychosocial support was provided to women and children in informal
settlements and collective shelters. 346,810 children and 131,986 caregivers accessed psychosocial support services thanks to
UNICEF’s programmes. This support consisted of preventing and mitigating the impact of violence and conflict through coping
mechanisms, vocational training and life-skills.
In May 2014, as a result of findings on recruitment and use of children by armed parties in Syria, UNICEF supported a one-year pilot
for the rehabilitation and reintegration of children formerly associated with the armed forces or armed groups (CAAFAG) from Syria. .
Activities will include case management and the provision of an integrated package of services such as PSS, psychologicalcounselling and therapy, life-skills and employability training.
In 2014, 880 service providers and community members were trained on child protection services and referral pathways, exceeding
the target of 600. As part of the coaching plan to transfer capacities to local partners, trainings were conducted on the basic conceptsof child protection and GBV, including detection, referral and PSS. In 2014, UNICEF’s partners managed 2,318 child protection cases(1,268 male and 1,050 female).

HealthThis year, UNICEF Lebanon supported PHCs through medical supplies, equipment, cold chain systems, and human resource
assistance. In 2014, 185 PHCs received support for the provision of 431,855 consultations. To further improve service delivery,
UNICEF Lebanon completed a PHCs situation analysis with the Ministry of Public Health (MOPH). The assessment flagged gaps and8identified priorities in 139 PHCs. UNICEF Lebanon with MOPH, in partnership with other health sector actors, will move forward withthe results to adjust response based on these identified needs of the PHCs
In 2014, thanks to the dedicated efforts of MOPH, UNICEF, WHO and NGO partner Beyond, four nationwide polio immunisation
campaigns as well as supplementary immunisation activities took place, reaching over 1.16 million children with vaccination against
measles and 673,899 children with polio immunisation. This helped ensure Lebanon remained polio-free in 2014.
The Nutrition Sub-Working Group, led by the MOPH, also began updating the National Nutrition and Food Security Strategy planfor Lebanon (developed in 2009) to include nutrition in emergencies. As part of the initiative to build in-country capacities, UNICEF
has continued to support trainings of health workers. Trainings across Lebanon to increase the capacities of 250 nurses on health
topics such as immunisation, disease outbreak management, and epidemics were recently completed. This training will allow nurses
to be able to support medical staff at the PHCs.

Winter
UNICEF Lebanon’s winter response in 2014 was also expanded from the previous year as a result of increasing needs. The response
focused on those most vulnerable to climate exposure through the provision of winter items including children’s clothes, blankets,
mattresses, stoves and fuel for classrooms. As the interagency response to Lebanon’s winters increased, UNICEF worked incollaboration with other actors to address the needs of those most vulnerable.
As a result of the growth of UNHCR’s non-food item (NFI) distributions, UNICEF chose to focus on assistance gaps, specifically theprovision of children’s clothing, fuel for classroom heating, and site improvement of key informal settlements vulnerable to flooding.
Items of children’s clothing were delivered via a dual modality system – physical in-kind clothing kits and paper vouchers redeemableat local vendors. 60,650 clothing kits were distributed to children 14 and under living in all informal settlements country-wide, while
45,000 vouchers targeted those living in collective shelters and centres in more urban areas with better access to shops.
Classroom heating was also provided. Overall 222 schools were reached with up to 2,000 litres each (for 55,500 children), plus anadditional five schools operated by UNRWA (for 1,500 children) running double-shifts throughout winter which were provided anaverage of 2,000 litres of fuel each for classroom heating.
In total 246,138 children benefitted directly from UNICEF Lebanon’s winter projects in 2014. Results were reported on by partners
and verified through Field and Third Party Monitoring.

9

SUMMARY OF PROGRAMME RESULTS (January – December 2014)
Sector2014
target
WATER, SANITATION & HYGIENE# emergency affected population provided with access to safe
water
# individuals with access to hygiene items# population provided with hygiene promotion messaging# individuals with access to adequate, appropriate andacceptable toilet facilities
CHILD PROTECTION# children (and adolescents) with access to psychosocial support
services# children receiving specialised services from qualified frontline
workers# caregivers benefiting from learning activities; information andorientation sessions; and emotional and social support activities
EDUCATION# children enrolled in formal education (girls and boys)2# children with access to psychosocial support in education
programmes# children who have received school supplies# children in non-formal learning opportunities (girls and boys)# adolescents enrolled in life skills programmes
NUTRITION# children under 5 years screened for malnutrition# children under 5 years receiving multi-micronutrient
supplementation# malnourished children treated at PHC
HEALTH# children 1-15 years vaccinated for measles# children under 5 years vaccinated for polio# primary health care consultations# children under 2 years receive routine vaccination# women of child bearing age (15-49 years) vaccinated with 2
doses of TT vaccines during the campaign

Sector 2014
results1

UNICEF2014
target

UNICEF total 2014
results

857,000

n/aj

385,726

1,510,562

n/a904,700

n/a
726,61475,000713,000

132,740
395,563

370,924

193,362

214,900

50,576300,000

381,867

300,000

346,8102,500a

5,592

6,000

2,318

200,000

146,350

200,000

131,986

144,000

8,043

60,000bn/a95,00061,74766,00036,859n/a
200,000n/an/a
109,503n/a

250,000
155,000
35,000116,526
66,77832,706n/an/a

500,000

92,300n/an/a365,650

48,845cn/an/a

24,000

1,464

n/a
n/a
1,051,350
575,230gn/an/a
1,061,455
328,782

840,000
650,000
800,000
80,0001,165,871d
673,899e
431,855f
79,082n/an/a

400,000

41,532

1 The sector results are reported against the sector dashboards as taken from: http://data.unhcr.org/syrianrefugees.
2This is the number of children enrolled in public schools for the 2013/2014 school year

a Target only for high risk cases; hence sector target lower than UNICEF target
b UNICEF’s target for the 2013/2014 school year was 50,000 and 61,033 children were reached. For the sector, 140,609 children were reached.
c 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.
d 1,165,871 children were vaccinated against measles and rubella during the April 2014 campaign. Results provided by the Ministry of Public Health.
e 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. In October 516,967 were vaccinated and in November, 556,851. Results
provided by the Ministry of Public Health.
f Results provided by the Ministry of Public Healthg For the sector, the target is children under 5 receive routine vaccinationh To be updated as per sector
j Sector result being calculated.

10JordanSituation Overview & Humanitarian Needs

Affected Population
Registered refugee figures from UNHCR data
portal as at January 18, 2015. There are no
persons pending registration.
Registered refugees
622,384
Child Refugees (Under 18)
322,395
Child Refugees (Under 5)
107,672

In 2014, the crisis in neighbouring Syria continued to have a profound impact
on Jordan. The 82,938 refugees that arrived in Jordan in 2014 increased
pressure on Jordan’s scarce resources, such as water reserves, and increasingly
strained national institutions responsible for delivering social services. Refugees who rely on Jordan’s protection and on assistancefrom the international community were affected by cuts in food assistance and restricted access to primary health services.
The refugee population is projected to increase to 700,000 by the end of 2015, which constitutes about 12 per cent of Jordan’s
population.
Inequality in the country, as evidenced by significant disparities in key indicators, continued to be a key concern requiring innovative
solutions. Due to the protracted nature of the Syrian crisis, a significant proportion of the refugees that fled the country havedepleted their savings and are reliant on support from communities, the government and the international community. Although
incredibly resilient, many families are resorting to negative coping mechanisms directly impacting children, including increased childlabour, child marriage and school drop-outs.

Humanitarian leadership and coordination2014 marked a significant step forward for UNICEF Jordan in reinforcing key UN partnerships. UNICEF collaborated with WFP and
UNHCR (and other partners) to reach over 100,000 children with winter clothing assistance. With UNHCR, a new Letter ofUnderstanding was signed to define areas of collaboration and a more stringent joint monitoring system. The partnership will resultin increased cost efficiencies in 2015 via UNICEF planned unconditional child cash grant program, utilizing UNHCR’s innovative
biometric system.
In 2014, UNICEF strengthened monitoring of malnutrition among pregnant and lactating women and children under five years at
transit sites, camps and host communities, and coordinated with UNHCR to provide supplementary and therapeutic feeding for
identified moderate and acute malnutrition cases. UNICEF also began collaborating with UNWOMEN in 2014 to provide newborn
kits to all women in camp clinics following childbirth.
In terms of relations with line Ministries, UNICEF invested in the development of a resilience approach to strengthen the link between
the emergency response and national systems. An important agreement was signed with the Ministry of Social Development,
UNHCR and UNICEF, marking the investment in foster care for all separated and unaccompanied children. Furthermore UNICEF
strengthened a partnership with WHO, UNHCR and the Ministry of Health to enhance the coverage of the Expanded Programme on
Immunization Programme and establish a digital monitoring system.
The Government of Jordan launched the 2015 Jordan Response Plan (JRP) on 4 December 2014, with budget requirements totalling
US$1.2 billion, including UN funding needs and direct budget support. The JRP includes components for refugee response andresilience-building, and provides a basis for the humanitarian appeal for 12 months (Jan-Dec 2015). The JRP constitutes the Jordan
chapter of the 3RP regional humanitarian appeal. UNICEF requirements under the 3RP total US$144M whereas the 2015 UNICEF
Jordan budget totals US$179.5M (incorporating national programme and resilience programming).

Humanitarian Strategy
UNICEF continued providing humanitarian assistance to the most vulnerable children in the country at scale during 2014, withincreasing utilization of innovative solutions to further strengthen resilience of host communities in the country. Notable examples
include providing winter clothing cash assistance to Syrian refugees through cutting-edge technology; and large-scale monitoringof incidences of violence in schools and follow-up action. UNICEF also initiated the scale-up of an SMS-based U-report system incollaboration with Jordan’s largest GSM operator.
With the humanitarian crisis transitioning to a protracted emergency, greater emphasis is being placed on promoting cost efficiency
and sustainability of program interventions. Examples include the initiation of a large-scale water and sewage network constructionin Za’atari refugee camp which, once completed, will significantly reduce the recurrent costs of water and sanitation services in thecamp and have important public health, safety and environmental benefits. UNICEF is also increasing focus on strengthening thecapacity of relevant Government departments and national non-governmental organizations in effective planning and managing
services for children. Priorities in 2014 included promoting greater coherence between the various UNICEF interventions, including
PSS, life-skills training, and learning opportunities for children. This will result in a more comprehensive support to each child basedon their identified needs. Combining these services in one community platform will reduce costs in the coming years.

11Summary Analysis of Programme Response
WASH
The 2013/14 rains were only 77% of the long-term annual average, leading to an alarming reduction in underground water reserves
and a marked increase in underground water salinity in some well fields. In 2014, UNICEF provided life-saving water and sanitation
services on a daily basis to refugees in Za’atari, Azraq, Cyber City and King Abdullah Park. WASH services include delivery of water,
desludging/removal of wastewater, solid waste management, and hygiene promotion services. The establishment of WASH
Infrastructures in camps (i.e. sewerage and water network in Za’atari) will significantly reduce reliance on tankering. In 2014, 98,000
Syrian refugees living in camps received a comprehensive package of water, sanitation and hygiene services. Water infrastructures
were rehabilitated in communities, improving access to clean water for an estimated 450,000 people, including approximately
238,000 children.
In Za’atari, UNICEF and implementing partners are now providing 3,800m3 of water per day of which roughly two-thirds come fromthe two boreholes in Za’atari (using the standard of 35 litres per person per day). A fleet of some 120 water tankers, desludging
tankers and garbage trucks operate in the camp each day to ensure water supply and maintain sanitary conditions. In addition,
regular operation and maintenance, water quality monitoring and hygiene promotion is being carried out. The WASH working group
discussed options for a water network serving Za’atari, and agreed in principle to a network plan which would supply water at thehousehold level. This option, promises to improve monitoring and control of water output as well as ensure equitable access to waterfor camp residents.
In Azraq camp, almost 9,000 m3 of chlorinated water is distributed in the camp on a monthly basis. Six additional water tanks were
installed to increase the capacity of the water station as refugee numbers increased. In host communities, improvement of WASH
facilities and distribution of WASH NFIs have been completed in the planned 550 households in Mafraq and Zarqa (440 Mafraq, 110
Zarqa). Under the WASH in Schools initiative, 264 schools (188,000 students) have benefited from school WASH project as of theend of 2014. A new assessment began in December 2014 of WASH facilities in 3,041 schools nationwide.

Education
UNICEF and partners continued to work together for a better future for Syrian children by getting them back to school. Based on
lessons learned in 2013, a major Back to School campaign was launched on 5 August 2014. Volunteers travelled throughout thecountry until end September promoting the “Education is My Future’’ campaign, raising awareness of the importance and proceduresfor enrolment, through door-to-door visits, information materials, the support of religious and street leaders, and peer-to-peer
educators.
By December 2014, over 220,000 school-aged Syrian boys and girls were registered as refugees in Jordan. Official enrolment records
released by the Ministry of Education indicate that 127,857 Syrian children are enrolled in public schools across Jordan in the school
year 2014/2015; of these 19,108 enrolled in schools in the 3 refugee camps (Za’atari, EJC and Azraq) and 1,500 children are attending
public kindergartens. Of those school-aged children not attending formal education, 33,553 children were assisted in 2014 by UNICEF
alone through remedial classes, PSS and alternative and non-certified forms of education. The number of out-of-school children
remains high with nearly 60,000 children lacking access to learning opportunities.
In host communities, UNICEF’s partners in informal education worked together closely to ease students’ transition from informal toformal schooling, through intensive outreach and referrals.
UNICEF provided individual education kits (school bags) to some 130,000 school-going children in camps and host communities(Syrians and vulnerable Jordanians), essential education supplies (teachers and administration kits, and school-in-a-box) to 98
double-shifted schools in host communities and all schools in 3 refugee camps.
By December 2014, UNICEF supported inclusive programs in 40 schools in host communities and Syrian refugee camps with Mercy
Corps. In 2014, 919 refugee children with specific needs were provided with inclusive education and PSS, and integrated in publicschools in camps and host communities. There are still challenges to full inclusion: the inaccessibility of school buildings and limited
transportation to and from schools; a lack of trained teachers; and inadequate teaching/learning materials and other classroom
resources for children living with disabilities.

Child Protection
In 2014, UNICEF and partners reached 210,763 vulnerable girls (52%) and boys in camps (48%) and host communities with PSS
services through 132 child and adolescent friendly spaces. Just over 23,000 of these children received multi-sectoral child protection(CP) and gender-based violence (GBV) case management services. GBV case management included 949 boys (63 cases of earlymarriage) and 1,895 girls (901 cases of early marriage). Over 2,400 children living in informal tented settlements were reached by
UNICEF partners’ community mobilisation teams that facilitated recreational and PSS activities.

12In collaboration with UNFPA and UNHCR, UNICEF funded an inter-agency project to strengthen CP systems. Some highlights
included revising GBV and CP standard operating procedures (SOPs); rolling out SOPs nationally through training over 700 service
providers; and launching a campaign (“Amani”) through which over 129,000 materials were distributed to raise awareness on key CP
and GBV messages. UNICEF and partners trained over 2,300 frontline workers to improve service quality in CFSs. An additional 1,800
volunteers and members of CP committees received tailored child protection trainings. UNICEF and UNHCR participated in two joint
campaigns; one on preventing recruitment and use of children in armed conflict and the other on birth registration.
UNICEF provided winter clothing support for close to 100,000 children 0-16 years old through cash support where possible and inkind support where not. In camps, US$ 20 per child was provided through WFP e-cards, while in host communities, US$ 25 per childwas provided through UNHCR’s biometric system.

Health & Nutrition
Jordan maintained its polio-free status throughout 2014, conducting aseries of emergency polio vaccination campaigns (four National
Immunization Days (NIDs) and two sub-NIDs) jointly by
MOH/UNICEF/WHO/UNHCR and partners in Jordan. In each of the NIDs,
more than one million children 0-5 years, including on average 150,000
Syrian in camps and host communities and 50,000 children of othernationalities in host communities were reached with two drops of oral
polio vaccine. In two SNIDs in 2014, on average more than 200,000
children 0-5 years were reached, including 75,000 Syrian children incamps and host communities and 15,000 children of other nationalities in hard-to-reach areas.
UNICEF supported an IOM vaccination team who immunized 47,765 Syrian refugee children (ages 6 months - 15 years) against
measles, 40,743 Syrian refugee children (up to 15 years old) against polio, and provided Vitamin A supplementation to 17,097 children(aged 6 months to 59 months). Camp and host community measles immunization efforts reached an additional 62,546 children, fora total of 110,311 children protected against measles in 2014. In order to ensure continuous access to quality immunization services,
the routine immunization system was strengthened particularly for Syrian refugees at Za’atari, EJC and Azraq camps, reaching 6,252
children with BCG vaccines in the camps and 13,938 in host communities. 5,219 children were fully immunized in the camps and12,622 in the host communities by the end of October 2014. In addition, 4,976 pregnant mothers and over 10,807 non-pregnant
women received the required doses of TT vaccine. In 2014, continued support was given to the Ministry of Health (MOH), including
the in-kind provision of 3.336m doses of vaccines, the provision and installation of three 40m3 walk-in cold/freezer rooms to ensure
cold chain storage in the MOH’s new central warehouse, along with the ongoing supply and installation of ten solar vaccine
refrigerators in Za’atari and Azraq.
47,996 pregnant and lactating mothers were reached with infant and young child feeding promotion and counselling through Infant
and Young Child Feeding (IYCF) centres in Za’atari, EJC, Azraq camps, host communities and RSTC. In addition, 225,255 children
under five and lactating mothers received nutritional snacks during the reporting period. 3,045 Newborn Baby health kits and 3,015
mother health kits were distributed to the new born babies and mothers during their discharge from the delivery rooms in Za’atariand Azraq camps during January-December 2014. 4,754 children under-five old visited the 16 Oral Rehydration Therapy (ORT)
corners in Za’atari, EJC and Azraq camps. Around 10,000 ORS sachets were distributed to children in total 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.

Community Mobilization and Behavior Change
UNICEF used C4D strategies across programs in achieving concrete results for children in 2014. Specific C4D support during all four
national polio vaccination campaigns and two sub-national campaigns contributed to above 95 per cent vaccination coverage. The
campaign mobilized over 60 CBOs/NGOs and 240 community and religious leaders and disseminated banners and flyers in all 12
governorates. For nutrition, over 25,000 pregnant and lactating mothers in refugee camps and host communities gained enhanced
understanding on IYCF practices through breastfeeding promotion campaigns, one-on-one counselling, and health education
sessions. The Education/Back to School campaign and awareness activities reached a total of 319,793 people in 2014. The
UNICEF/SCJ IYCF counselling and health education sessions reached a total of 43,732 mothers in both camps and host communities.
The IYCF Health education sessions in other locations/partners facilities (clinics/health centers) in the 3 camps for care givers(male/female) reached 34,693 people.

13

SUMMARY OF PROGRAMME RESULTS (January – December 2014)
Sector 2014
targetSector total
2014 results15

UNICEF 2014
target

UNICEF total
2014 results

46,26047,996

NUTRITION# pregnant and lactating mothers reached with infant and young child
46,26047,996feeding promotion and counselling# infants and lactating mothers receiving supplementary feeding support
85,460225,255HEALTH# children 6 mo-15 years vaccinated for measles16# children 0-59 months vaccinated for polio17# children under 5 years (boys and girls) fully covered with routine
UNICEF not health sector lead
Immunization antigens# children 6-59 months (boys and girls) receiving VitA supplementation
WATER, SANITATION & HYGIENE (96% of existing camp population of 99,552 covered with WASH) 18# emergency affected population provided with access to safe water19
680,000
558,99520

85,460225,255

242,600
949,163

110,3111,223,872
17,844# population provided with sanitation or hygiene kits

680,000

n/a

440,000

118,995# population provided with hygiene promotion messaging# emergency affected population with access to functional appropriately
designed toilets & sanitation services# children with access to safe water, sanitation and hygiene facilities in theirlearning environment and child friendly spaces
CHILD PROTECTION24# children/ adolescents with access to psychosocial support services

680,000

207,283

440,000

108,99522

390,000

n/a

295,000

157,796

250,000

n/a

200,000

187,98723

281,660

210,763

180,900

210,763# children receiving specialized services from qualified frontline workers

36,64723,853

15,74723,853# school aged Syrian boys and girls registered in Jordanian public schools

150,000

127,857

150,000

127,857# children with access to psychosocial support in education programmes

17,300n/a

15,00029,193# children and adolescents benefitting from non-formal education services26
# children and adolescents benefitting from informal and life skills education
services# boys and girls with specific needs provided with inclusive education andpsychosocial services# school aged children who attend remedial and catch-up classes# children who have received school supplies# youth provided with post-basic education

13,2812,600

025,00033,55349,000156,700

17,097440,000

558,99521

EDUCATION25

138,266

n/a

3,290

n

2,000

919

21,050165,2102,500

n/a
130,000
n/a

15,000130,000
2,500

39,572130,000
1,680

15 Sector Dashboard last updated Sept 201416 A major part of this target is planned as a contingency in case of a measles outbreak which has not yet occurred.
17 The target number of children fully vaccinated for polio is 949,163. Achievement is based on number of doses during four national immunisation

days (NID) and two sub-SNIDs in hard to reach areas as well as Polio drops for the new arrivals at Raba Sarhan transit centre.
18 The result includes the maximum number of beneficiaries at any time in 2014. The current total camp population is 95,356 (Azraq 11,000, Zaatari83,328, KAP 667 and CC 361). UNICEF do not provide WASH in the Emirati Jordanian Camp (EJC) of 4,196 persons. Interventions are delayed in hostcommunity and will finish in 2015-see other footnotes
19 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.
20 Sector Dashboard last updated Sept 2014
21 Large increase of 450,000 in host communities as work was carried out in 2013, but not commissioned until 2014 which included rehabilitationof boreholes, water networks, and improved water conservation methods (see narrative). These projects in host communities covered 126,000
beneficiaries in Irbid, 279,000 in Mafraq town, 35,000 beneficiaries in rural areas of Mafraq, as well as 10,000 school children in Mafraq and Irbid
governorates. Preparations (designs and contract documents prepared) are underway since December to increase the capacity of water systems
further, which will benefit an estimated 576,250 people in 2015.
22 Reduced slightly compared to November sit-rep after verification
23 WASH in Schools: Boys 92,724, Girls 95,263
24 PSS: Boys 102,092, Girls; Specialised Services: Boys 12,946, Girls 10,907
25 Formal Education: Boys 62,650, Girls 65,207; PSS in School: Boys 14,304, Girls 14,889; Informal/ Life Skills: Boys 27,441, Girls 28,112; Special
Needs: Boys 450, Girls 469; Remedial/ Catch up: Boys 19,390, Girls 20,182; Supplies: Boys 63,700, Girls 66,300; Post Basic Educ: Boys 823, Girls 857.
26 Non-formal education activities are due to start in January 2015.

14

Iraq
Situation Overview & Humanitarian Needs

Estimated Affected Population
Registered refugee figures from UNHCR data
portal as at January 18, 2014. There are no
persons pending registration.

Total Affected
Population
Children Affected(Under 18)
Children Affected(Under 5)

235,000

At the close of 2014, more than 235,000 Syrian refugees are resident in the three
104,880governorates of the Kurdistan Region of Iraq (KR-I). This figure represents 97% of all
refugees in Iraq, concentrated into three of Iraq’s 18 Governorates. Around 131,000
39,358(59%) Syrian refugees in the KR-I currently reside in host communities in urban andrural areas, while approximately 92,000 (41%) have settled in formal refugee camps
in Erbil, Dohuk and Sulaymaniyah Governorates. Small numbers of Syrian refugees
are reported as residing in Anbar Governorate but due to ongoing security concerns updated humanitarian data is not available andhumanitarian access to these areas is limited. Within the KR-I, UN agencies, the Kurdistan Regional Government (KRG) and otherhumanitarian actors have noted that reaching Syrians in host communities is a particular challenge due to the widely dispersed
population and low visibility of Syrians, especially in urban areas.
The multi-layered emergency in Iraq continues to present a complicated humanitarian picture. The Syrian refugee crisis response
was hugely impacted in 2014 by the large-scale internal displacements across Iraq in 2014. In addition to Syrian refugees, the KR-I
currently hosts around 753,000 of Iraq’s estimated 2.2 million IDPs. Iraqis displaced by ongoing violent conflict in their places oforigin27. The humanitarian community, stretched across wide geographic areas and struggling to respond to multiple emergencies
in one country, continues to respond to the needs of Iraqi internally displaced people (IDPs), Syrian refugees, and host communities
affected by the crisis.

Humanitarian leadership and coordination
UNICEF and other UN humanitarian agencies continue to support humanitarian assistance for the urgent needs of the mostvulnerable Syrian refugees and host communities. Following the outbreak of conflict in Anbar and spread of violence to surrounding
governorates the UN Agencies and humanitarian partners have worked for coordination of the Sector response to promote an
integrated response where possible. Among the inter-agency working groups in Erbil, UNICEF co-lead with UNHCR WASH and Child
Protection sub-working group and Education with Save the Children. In its role as WASH sector lead, UNICEF works in close
coordination with the Disease Surveillance System to monitor and respond to instances of diarrhea.

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 deprivations or exposure to violence. These interventions,organized according to Regional Response Plan (RRP) sectors, balance life-saving and capacity building initiatives and remain
engaged with the overall need to mitigate disruptions to child development to avert a lost generation of children. Humanitarian
response is moving towards a streamlined Whole of Iraq approach in order to bring together refugee, IDP and host community
response mechanisms Concurrently, UNICEF works to strengthen the capacities of the Government of Iraq (GoI), KRG and Iraqi civilsociety to monitor and report on grave violations against children in armed conflict and to strengthen response mechanisms forchildren affected by these violations.

Summary Analysis of Programme Response
WASH
UNICEF is continuing to provide WASH services, including solid waste management, to Syrian refugees (90,417 individuals; 38.70%
of total registered refugee population in Iraq) in all eight refugee camps in the KR-I, in collaboration with host government agencies,
international and local NGOs. Throughout 2014, UNICEF facilitated the transition to more sustainable and permanent systems andinfrastructures in the camps. Among other examples, this shift could be felt through the continuous reduction of water trucking andincreasing investment in the construction of pipe networks, and the replacement of communal latrines with private sanitation
facilities on household level. Transit or temporary sections of some refugee camps, including Kawergosk and Qushtapa have overthe course of 2014 become permanent sites. However, limited space is still a problem, impeding the provision of more sustainable
services to the affected refugee population.
In Domiz camp in Dahuk Governorate, UNICEF is continuing to support the Directorate of Surrounding Water (DoSW) and to partnerwith the Norwegian Refugee Council (NRC) and the French Red Cross (FRC) in order to increasingly improve and strengthen the
27 IOM Displacement Tracking Matrix available at http://www.humanitarianresponse.info/operations/iraq/dataset/iraq-affected-personslocations-refugeeidp-camps-etc-2 - last updated as of 25 Nov 201415

previously established water, sanitation and hygiene provision for Syrian refugees. Approximately 90 per cent of the latrine
construction and rehabilitation has been completed, and the construction of holding tanks and showers has already been finalized.
Average drinking water availability in camps ranges from 46-75 litres per capita per day. By end of the year, Qushtapa camp (BlockC), in Erbil Governorate was prepared with WASH infrastructure including facilities for those with disabilities. In Kawergosk camp, in
Erbil Governorate, the main water network along with household areas, as well as sanitation facilities was completed for 512
households. . In order to increase sustainability, two boreholes are currently being drilled in Arbat camp, Sulaymaniyah Governorate,
while construction on a piped network is on-going. Regular and daily WASH activities, such as desludging latrines, garbage collection
and disposal, as well as awareness-raising activities are continuously implemented in all camps through UNICEF support to theconcerned government agency. Awareness campaigns have the primary aim to minimise the health risks faced by refugees in thecamp, and to facilitate their involvement in maintaining sanitation facilities and the physical environment in the camps, thereby
contributing to an enhanced feeling of ownership.
Emergency WASH assistance was provided to the refugees, who fled from Kobane to Iraq since October 2014. The new arrivals were
distributed among several refugee camps in the KR-I, including Gawilan, Arbat, Kawergosk, Qushtapa and Darashakran Camps,
easing the burden on existing infrastructure. Each newly arrived family in the refugee camps receives a UNICEF hygiene kit, in
addition to other essential NFIs and additional temporary emergency sanitation facilities were also set up in order to accommodate
the needs of the new arrivals.
As humanitarian assistance inside refugee camps is increasingly shifting from rapid and mobile to more permanent and sustainablesystems and structures, the work is being carried out in a phased manner, leading to scenarios where some areas of refugee camps
still have reduced access to services compared to other parts of the same camps. In the year 2015, UNICEF is planning to overcome
such discrepancies and partnership agreements are already being developed. An additional focus will be put on resilience building.

Education
The demand for access to education has been continuously increasing throughout 2014. Programme priorities in 2014 were thecreation of new learning spaces in camps and host communities, capacity development and continuous payment of Syrian refugeeteachers, and the provision of basic teaching learning materials.
For the 2014/15 academic school year, UNICEF enrolled a total of 28,650 refugee children (16,422 students in camps and 12,228
students in host communities). In 2014, UNICEF, with the support of Peace Winds Japan (PWJ) and the private sector, created new
and improved learning spaces for more than 10,000 children. The tented schools in the refugee camps were replaced by 11 newly
constructed schools (three 13-classroom-schools and eight 12-classroom-schools) and six schools (five 13 classroom-schools and one
9 classroom-school) were built in host communities, in order to ease the burden on local learning facilities. Additionally, in 2014
UNICEF directly conducted training courses on teaching methodology and PSS for 520 Syrian refugee teachers, and more than
20,000 students within and outside camps were provided with learning materials.
There is a persistent need for creating more learning spaces for Syrian refugee children in host communities, as more than 20,000
children have still no access to schooling. The reduced budget of the Kurdistan Regional Government (KRG) is hindering the hiringof new teachers from among the refugees and may not allow for renewing the current contracts of teachers. This, and the fact that
community participation in school management is still very weak due to reliance on international and governmental aid, isthreatening the sustainability of on-going projects.

Child Protection
The primary focus of UNICEF’s Child Protection unit in 2014,
within the scope of the Syrian refugee response within andoutside camp settings, was the identification, documentation,
tracing and reunification of unaccompanied and separated
children (UASC), recreational and psychosocial support, as wellas identification and referral for children with special needs.
UNICEF, jointly with its implementing partners and thecommunity members were working to strengthen systematiccase management through Child Protection Units (CPU) to
ensure appropriate and timely response for identified vulnerable
children. Child Protection Committees were involved inmonitoring child protection risks in camps and non-campsettings.
UNICEF in co-operation with its implementing partners provided psychosocial services to 11,427 Syrian refugee children in 2014. In
total, UNICEF is running nine Child Friendly Spaces (CFS), of which eight are in the camps and one is catering for refugees and IDPs

16

living in host communities. In order to welcome the newly arrived children, Barzani Charity Foundation organized a recreational
welcoming event in Basirma camp in Erbil Governorate, bringing together over 200 children and their parents/care givers.
Jointly with UNHCR, UNICEF has been monitoring the Ibrahim Khalil border crossing in Dahuk Governorate, where many Syrian
children and families from Kobane were crossing the border into Iraq, in order to immediately identify, register and refer vulnerable
or disabled children to specialized services. Over the course of 2014 1,074 Syrian refugee children received specialized services fromfrontline workers through CPUs in camps. Referred cases included un-attendance or violence at school, behavioural problems ofschool children, UASC, children with disability, victims of gender-based violence and children, who required specialised psychosocial
services. In 2014 UNICEF’s implementing partner has identified and documented 823 cases of UASC.
Additionally, UNICEF partners trained 355 teachers in Dahuk schools (reaching an estimated 8,800 students), to ensure
implementation of code of conducts, as well as principles to build a child-friendly school environment and child safeguarding. The
child protection sub-sector identified a capacity gap, which needs to be addressed in 2015, in terms of coverage regarding the newly
arrived refugees from Kobane who have mainly been hosted in Gawilan camp in Dahuk Governorate.
Throughout 2014, the 24/7 Child Helpline Services, which UNICEF set up across the KR-I, serving both Iraqi and Syrian children
received 2,877 valid calls (1,080 from females and 1,797 from males), primarily on issues related to schooling, the location of
appropriate CP services. From August till December 2014 317 refugees (166 female, 151 male) made use of the helpline.

HealthMajor health and nutrition challenges in 2014 were the national and international shortage of vaccines, especially penta vaccine;the rapid turnover of camp staff and the limited capacity of the public health system, which is increasingly overstrained by thegrowing refugee camp population and, since June 2014, also by the massive influx of IDPs into the KR-I. UNICEF worked with boththe KRG and federal government and reacted swiftly by supporting the procurement of vaccines, including Oral Polio Vaccine,
Measles, Mumps Measles and Rubella and supplements, including Vitamin A. A second case of p0lio was confirmed in Baghdad in
May 2014, confirming local circulation of the virus after re-introduction in 2014. Polio was last detected in Iraq 14 years ago.
UNICEF continued to provide support to the Expanded Program on Immunization (EPI) in all Syrian refugee camps in the KR-I.
Throughout 2014, a total of 5,378,119 under five years old (U5) children were vaccinated against polio, 5,285 U5 children received
measles vaccines, and 14,226 vitamin A supplements. Additionally, in December 2014, 320 pregnant/lactating women and womenin childbearing age received tetanus toxoid vaccine.
With UNICEF’s support, the Department of Health (DOH) is continuously providing growth-monitoring services to all U5 children
residing in the Syrian refugee camps in Iraq. In December 2014, the weight-to-height index of a total number of 2,561 U5 children
was examined, of which 40 children were classified as suffering from Global Acute Malnutrition (GAM), and managed appropriately
through the provision of supplementary or therapeutic foods. This raises the total of GAM treated U5 children in 2014 to 755 cases.
To prevent morbidity and mortality among new-born children in camps, a program of new-born home visits was launched in Dahuk
and Sulaymaniyah Governorates in 2014, following the good results in Erbil Governorate since 2013. Through a series of six visits
during the post-delivery period (0, 3, 7, 14, 21, and 28 days after birth), the new mothers have the opportunity to ask for advice andthe overall health status of both babies and mothers can be monitored. Throughout December, 1,433 home visits were conducted,
during which young mothers, were informed on the initiation of breastfeeding, among other topics, and 145 new-borns and 105 postdelivery women were referred to the camp Primary Health Care Centre (PHCC) for further diagnosis and check-ups.
In 2015 UNICEF will focus on (re-)building capacity of staff and partners in various UNICEF supported programs, by offering additional
trainings and refresher courses. UNICEF has also committed to carrying out a multi-indicator survey to assess the health and nutrition
conditions in the camps while reinforcing public messaging for the prevention of communicable diseases.

Communications for Development (C4D)
UNICEF, in cooperation with its C4D implementing partners, continued its support for Syrian refugees in Erbil and Sulaymaniyah
Governorates through community mobilization activities, to ensure that the most vulnerable have access to essential and accurate
information about key behavioural practices, including linkage to available services and relief supplies, and life skills to adapt to thecamp environment, aiming to prevent morbidity and mortality among the at-risk population with a special focus on children andwomen.
Health and Nutrition awareness campaigns focused on the causes and cure of lice and scabies, complemented by referral anddistribution of lice shampoo) in response to recent outbreaks in Basirma and Qushtapa camps; on breastfeeding for more than 400
lactating and pregnant women in Arbat and Qushtapa Camps; and on child-growth monitoring promotion, benefiting 128 children
in Arbat Camp, Sulaymaniyah.

17

In Kawergosk and Arbat Camps, the Women Empowerment Organization (WEO) and the Civil Development Organization (CDO)
reached more than 2,600 individuals through tent-to-tent visits, and organized community dialogue meetings, involving more than
205 men and women in discussions on Ebola, Polio, Diarrhoea and Measles.
Additionally, UNICEF, via Terre des Hommes implemented a fire safety and Kerosene-usage awareness campaign, reaching all
households in Basirma Camp, in order to minimize the chances for recurrence of the tragic incidents of tent-fires in 2014, which
involved several casualties, among others, in Basirma Camp.
Activities in schools included dental care and hand-washing messaging in Kawergosk camp, and a time management and schoolcleaning campaign for the students in Darashakran Camp.

SUMMARY OF PROGRAMME RESULTS (January – December 2014)
Sector
UNICEF
Sector total
UNICEF total 2014
2014
2014
2014 results
results*
targettarget
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
48,664
48,6641water
157,500
124,800# emergency affected population provided with access to safe water through65,32048,8981
temporary solutions# population provided with sanitation or hygiene kits in the last two months
200,000
54,010156,000
54,010# population provided with hygiene promotion messaging
157,500
113,981
156,000
113,9812# emergency affected population with access to functional appropriately
157,500
101,314
124,800
95,3363
designed toilets & sanitation services# emergency affected population with access to adequate and sustainable
157,500
95,336
124,800
95,3364solid and liquid waste disposal# children with access to safe water, sanitation and hygiene facilities in their60,93818,45031,20017,3505
learning environment and child friendly spaces
CHILD PROTECTION8# of children with access to psychosocial support services (Registered)
84,000n/a
31,20011,427# of children receiving specialized services from qualified frontline workers
1,170
n/a
1,170
1,074
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
76,15635,31571,32428,6506(Primary & Secondary)# children with access to psychosocial support in education programmes
83,00022,22971,324
15,059HEALTH6 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 polio
5,800,000
5,378,119# children under 2 years (boys and girls) fully covered with routine
21,3409,968
Immunizationn/a# children (boys and girls) 6-59 months receiving Vitamin A supplementation
48,70014,226# children under 1 year covered with measles vaccination
11,8005,285
NUTRITION# children under 5 years receiving multi-micronutrient supplementation
12,40013,496n/a# children under five years treated for Global Acute Malnutrition
800
755*Sector Targets are for the whole year 2014
1 Total present population in the camps is 91,946 (UNHCR as of 31st December). 100% of the camp-population have access to safe water.
2 100% of the camp -population provided with hygiene promotion messages. 30th April 2014, according to UNHCR, the camp-population reached 113,981 refugees,
which explains, why the total beneficiary number exceeds the current camp population.
3 UNICEF, as WASH sector lead agency, ensures that 100% of the refugee camp-population have access to functional appropriately designed toilets & sanitation services.
30th November 2014, according to UNHCR, the camp-population reached 95,336 refugees, which explains, why the total beneficiary number exceeds the current camp
population.
4 UNICEF, as WASH sector lead agency, ensures that 100% of refugee camp-population have access to adequate and sustainable solid and liquid waste disposal.
5 This indicator considers only WASH in schools in camps and not in host communities. As of December 2014 the enrollment in camp schools is 16,422 students.
6 This indicator reflects the enrollment of students in schools in the current academic year 2014/2015.
7 There were 158,900 doses of polio vaccine provided to Syrian refugee children in 2014. For full immunization, a child by standard should receive a minimum of 3 dosesof OPV. The indicator confirms the number of OPV doses given to the Syrian refugee children in the course of several polio immunization campaigns in 2014.
8 Following a through year-end review of the 2014 Child Protection data the results for child refugees receiving psychosocial support and specialized services have beenrevised down. The revised methodology will be used for collection, compilation and analysis of child protection data in 2015 to ensure better quality and consistency of
data.

18

Turkey
Situation Overview & Humanitarian Needs

Affected Population
Registered refugee figures from UNHCR data
portal as at January 18, 2015. There are no persons
pending registration.
Registered refugees
1,552,839
Persons Pending Registration
70,000Child Refugees (Under 18)
565,129
Child Refugees (Under 5)
207,420

More than 1,000,000 additional Syrians entered Turkey in 2014, with the large
majority of these new arrivals going into host communities outside of official
camps (as the number of refugees in camps has remained largely constantthroughout the year). According to Government of Turkey (GoT) reports inmedia and official documents there are now 1,655,992 Syrians living in the
country (both registered and unregistered) as of December 2014 28 , withTurkey now hosting the second largest registered caseload of Syrian refugees in the region. While the GoT continues to deploy
considerable resources for service provision and coordination, particularly in camp settings, the sheer volume of the caseload has
resulted in the GoT requesting further support from the International Community.
Rapid response to the new influx of 194,200 admitted Syrian refugees caused by the Kobane crisis was the priority in the last quarterof the year. In addition to the distribution of 115,200 high energy biscuits at the beginning of the crisis, UNICEF and TRC swiftly setup two temporary child-friendly spaces (CFS) from the first week of the influx, which remains the only structured activity for theapproximately 8,500 children living in the two temporary AFAD accommodation centres (YIBO and 11 April). The situation has now
stabilized, with no more admissions to Suruç since 13 November. 57,500 of these refugees are biometrically registered so far, andthree new camps are currently under construction by AFAD in Suruc, Islahiye and Derik. UNICEF will provide school buildings for these
new camp locations, and will staff and equip a child-friendly space within the new camp for 42,000 people in Suruc (a large space with
4 tents and a playground has already been secured). Gaps have been identified in WASH, as current facilities are not adequate for the
population, and UNICEF has initiated a WASH sector working group in the field to coordinate WASH activities (in particular for the
Suruc response) which is co-chaired by Care International.

Humanitarian leadership and coordination
UNICEF continues to be involved in coordination mechanisms at the local, governorate and national levels established as a result of
the recent influx. Regular participation of UNICEF at these forums has been key to developing a clear response plan and for providing
regular updates on available resources and response. In addition, UNICEF has been actively involved at the national and regional levelsin the development of the 3RP (Refugee and Resilience Plan) for 2015/2016 with UNICEF Turkey appealing for $60 million.
UNICEF with MoNE, AFAD, and UNHCR have set up an Education Working Group that meets monthly to discuss all issues related tothe education needs of Syrian children both in camps and host communities. UNICEF also participates in the protection working group,
both at the Ankara and Gaziantep levels, as well as the health and cash transfers/vouchers working groups. UNICEF has initiated a
WASH working group in the field, in particular in response to the Suruc influx and UNICEF similarly participates in the Health Sector
Coordination (HSC) meetings in Gaziantep.

Humanitarian Strategy
In line with the priorities identified in the RRP6 UNICEF continued in 2014 to focus on child protection and education support in both
camp as well as non-camp settings, balancing direct service provision with a resilience approach that made important investments tostrengthening the capacity of government counterparts in coordination with other UN agencies. UNICEF championed the No Lost
Generation initiative that sought to reach 400,000 Syrian children in Turkey with access to education and psychosocial support, andvocational training opportunities. Access to education for Syrian children, will remain an important priority for 2015, particularly inhost communities, as only an estimated 19 per cent of Syrian children outside of camps are attending schools. UNICEF will continue
to provide support to the Government of Turkey to ensure Syrian children have access to quality education opportunities whilstbuilding a resilience component through overall system strengthening and policy support to the Ministry of National Education andother authorities at central and provincial levels.
Vulnerable children are more difficult to reach in host communities and with 51 per cent of Syrians citing a need for some form of
psychosocial support for themselves or their families (as indicated in the AFAD host community survey) this activity will also be apriority for UNICEF in 2015. The focus will be the continuation of psychosocial support services for children through the provision ofChild Friendly Spaces as well as parenting support sessions in all camps, child protection awareness and training; and as part of theresilience component continuing to the strengthen and support the national child protection system. Identification and care of
unaccompanied minors has been an important protection gap and only recently this issue was accepted by partners as an area of

28 As of Dec 11, AFAD (Disaster and Emergency Management Agency of the Government of Turkey) and UNHCR reported that the total number of registered Syrians
in Turkey living outside of the camps was 891,630 while an additional 223,921 are accommodated in camps.

19concern hence in 2015 UNICEF will be able to offer targeted interventions for this vulnerable groups in partnership with the Ministryof Family and Social Policies.

Summary Analysis of Programme Response
Education
UNICEF has worked closely with MoNE and AFAD to increase the number ofschools and classrooms, shifting the focus from camps to host communities, aswell as setting up systems for school and teacher management. A total of 21
schools were completed in 2014 (8 in camps and 13 in host communities) while
two more will be completed in early January and another five within the firstquarter of 2015. Through the construction of these pre-fabricated schools,
MoNE and UNICEF have managed to get 89% of school aged Syrian children incamps (70,000) enrolled in school, yet much more work is required to increase
the enrolment of the harder to reach children in host communities which stands
at 19% (93,000). Furniture, computers and printers have been delivered to 21
camps while containers will be sent to 13 camps that have requested an extra container to use as a library. Distribution of school
furniture to two camps and eight HC schools has been finalized while three more schools will receive their furniture as soon as theconstruction is finalized. As part of the back to school campaign, UNICEF provided 97,950 school bags and stationery kits to 21 camp
and five host community schools.
Many advances were also made at the policy and coordination level, with a Memorandum of Understanding signed between UNICEF
and MoNE to solidify the relationship for joint implementation of educational activities in camps and non-camp settings for Syrian
children. The Education Working Group composed of UN agencies and government agencies was established in early 2014 and is oneof the coordination mechanisms that have been significantly strengthened by MoNE, supported by UNICEF. MoNE has initiatedcoordination meetings at the national and governorate level on education needs and response, particularly in the host communities.
Further, in December a Budgetary Exercise and Roadmap Meeting to delineate expenditure needs of Syrian children under temporary
protection has provided the groundwork for future planning. The Protocol for the payment of Syrian volunteer teacher incentives was
signed between MoNE, UNICEF and PTT (Postal Bank) in November for approximately 4,000 Syrian volunteer teachers and the firstbatch received their incentives in early January 2015. The protocol is the first national mechanism for the payment of Syrian volunteer
teachers in camps and non-camp communities. Finally, MoNE and UNICEF built a comprehensive Education Monitoring Information
System for foreigners (YOBIS) in both camp and non-camp schools to register and monitor the demographic as well as educational
data of students and teachers including enrolment, attendance and achievements. A total of 24,000 children and 10,000 teachers
have been entered into YOBIS as of mid-January 2015 with 150,000 students and teachers expected to be enrolled.

Child Protection
Child Friendly Spaces (CFSs) have been established in 21 camps and 69% of the targeted 91,884 children in camps are participatingin CFS activities administered by youth workers. UNICEF has been providing technical support to youth workers working at CFSs in
the camps since the beginning of the project through a training programme shaped in line with the needs of the youth workers. As
part of the on-going technical assistance provided by UNICEF to the GoT, UNICEF developed a Child Protection in Emergencies
Training Program to be implemented with service providers in the camps and in host communities, with the aim of strengthening thecapacity of these staff to work on child protection issues. Due to the success of the training program with AFAD social workers, thetraining package is also going to be delivered for Ministry of Family and Social Policies social workers and for Turkish Red CrescentSociety field staff (including youth workers) over the coming months of 2015.
Following the latest influx to Suruç, UNICEF worked with the Ministry of Family and Social Policies to develop a simplified version of
the Family Training Program (AEP) with a special focus on child protection psychosocial support elements with the Provincial
Directorate of Ministry of Family and Social Policies, aiming to increase the awareness of the Syrian community on child protection
related issues and identify risk groups. Five teams consisting of 10 trainers and 11 interpreters reached 2,256 people in 46 villages outof 86 in Suruç District during November.
As one of the outcomes of the National Child Congress (2000) and upon the request of children, Provincial Child Rights Committees
were established in 81 provinces in Turkey in collaboration with Social Services Child Protection Agency (currently Ministry of Family
and Social Services) as the official coordinator of CRC implementation in Turkey. In 2014, Child Rights Committees, as part of theirannual plan, have initiated several projects to address the role of children in emergencies, and it was decided that the main theme ofthis year’s Children’s Forum would be on children and emergencies. In collaboration with Ministry of Family and Social Policies and20

Parliament, UNICEF supported the XV Children’s Forum in Ankara with the participation of Syrian children from host communities
between 17-20 November 2014.

Health and Nutrition
Distribution of 32,360 boxes of high energy biscuits provided by UNICEF is continuing in 12 provinces by AFAD for 6-59 months
children and by IMC in Istanbul and Gaziantep for children aged 24-59 months. This provides enough to cover 43,146 children with amonth ration. Vitamin and mineral powder were also supplied to IMC to distribute in Gaziantep and Istanbul to host community
children aged 6-23 months, with a target population of 5,040 children to receive supplementation over two months. This is in addition
to the 115,200 high energy biscuits distributed to 17 camps targeting new arrival children and families during the Suruc influx inSeptember with the biscuits reaching approximately 57,000 children. IMC is continuing to provide breast feeding and nutritionalcounselling for Syrian mothers as well as conducting nutrition screening for children. So far, 50 pregnant and lactating women havereceived preventable and curative nutrition services and assistance through the two centres and all nine cases of identified
malnutrition in children have been enrolled in the supplementary feeding program.
With support from UNICEF, the Ministry of Health conducted mop up polio campaigns throughout the year including in February infour provinces focused on high risk areas, in April in six other provinces targeting Turkish and Syrian children under the age of five, as
well as June and October in Istanbul. UNICEF provided 3 million awareness raising brochures and posters in both Turkish and Arabicwith these campaigns conducted in 10 provinces in the South Eastern region and Istanbul reaching more than 1.1 million children. In2015 UNICEF will continue with health communications activities to ensure Syrians living in host communities are provided basic
health messages to increase awareness and utilization of basic health services including immunization. Furthermore, UNICEF will
support the generation of immunization-related data for Syrian communities to inform further strategic planning.

Winterisation
In March more than 21,000 children benefited from the first round of provision of winter clothing supplies while in November 30,000
pieces of thermal underwear have been distributed to children age 2-15 years living in the temporary shelters and in the hostcommunities in Suruc. In December, as a part of winterization response UNICEF procured winter outwear for infants aged 0-2 years
and winter clothing such as winter jackets, winter trousers, and jumpers for children aged 3-18 years in Suruç town, surrounding
villages, AFAD and municipality camps as well as in the host community in the district with another 31,658 children to be reached inthis area alone. Winterization activities continue in the remaining 21 camps to provide winter trousers, outwear for babies, and woolen
socks for another 58,000 children aged 3-11 years of age.

SUMMARY OF PROGRAMME RESULTS (January – December 2014)
UNICEF2014 target

UNICEF
total 2014
resultsn/a

150,000

192,820n/a

192,920
1,500,000

0**1,106,935

n/a

103,500

37,542

Sector 2014
target
NUTRITION# children under 5 receiving multi-micronutrient supplementation
HEALTH Need 2014 – Measles 192,900; Polio – 1.5 million# children 6 mo-15 years vaccinated for measles# children 0-59 months vaccinated for polio*
CHILD PROTECTION# children/ adolescents with access to psychosocial support services# children receiving specialised services from qualified frontline
workers
EDUCATION Need 2014 – 424,000 children# school-aged children in affected areas in schools/ learning
programmes# children who have received school supplies# educational facilities constructed / refurbished and accessible by
Syrian children in camps and non-camp settings# qualified teachers trained or supported

Sectortotal 2014
results

n/a

2,714

5,175

2,714

305,280

107,714***

198,329

107,714***

247,912111,790

198,329

112,990

120

25

50

31

7,580

2,862

5,000

2,862

*Includes Syrian and Turkish children living in Turkey.
** MMR vaccines have been provided to the Ministry of Health.
*** Through the Government of Turkey, this number includes camp and non-camp enrolment numbers. Is yet to be updated for the new school year.

21EgyptHumanitarian Leadership and Coordination
UNICEF continues to coordinate with the Health, Education and Child protection
working groups as the roll out of 2015 planning gets underway.

Affected Population
Registered refugee figures from UNHCR data
portal as at January 18, 2015. There are no
persons pending registration.
Registered refugees
136,717
Child Refugees (Under 18)

59,609Child Refugees (Under 5)

17,636

New programmatic priorities for 2015 are aligned with 3RP framework for refugee and resilience objectives. The Child Protection
Program will focus on delivering community based child protection and psychosocial interventions for Syrian girls and boys and toprovide case management, including specialized psychosocial support, legal aid and cash grants for Syrian children and mostvulnerable families .
The Education Program will continue working on ensuring sustained inclusive quality access to Syrian boys and girls and contributeto an enhanced quality and protective learning environments in impacted areas. The program will also work on expanding support toapprox. 20 new KinderGardens in addition to 27 supported ones. The Health Program will consolidate efforts to improve Refugee andhost communities’ access to comprehensive quality primary health care and contribute to ensuring life-saving assistance throughessential secondary and tertiary health care.

Summary Analysis of Programme Response
HealthIn 2014, capacity building and procurement services were provided to 89 primary health care units in 10 governorates of Egypt where
Syrian are concentrated to ensure access to a comprehensive and quality package of primary health services to Syrian women andchildren. Since January 2014, a total of 1,881 Syrian women had access to Public Health Units (PHUs) antenatal and reproductive
healthcare services. Of these, around 225 women visited the PHUs more than once to follow up their antenatal care visits schedule.
In addition, around 9,368 Syrian under five children received heath, nutrition and growth monitoring services.
UNICEF supported the MOHP in implementation, procurement of vaccines and equipment, and media-coverage of two National
Immunization Campaign conducted in April and October 2014, with special attention to the coverage among Syrian children whichreached to more than 14.5 million under 5 children.

Child Protection
Since the beginning of the year, more than 361 refugee Syrian children, have been detained in Egypt in connection with attempted
irregular migration to Europe. UNICEF has monitored the condition of children in detention and provided legal assistance to support
their release. According to UNHCR, as of 08 December, 925 Syrian children unaccompanied or separated by their parents had arrived
in Italy by sea. The number of those departing from Egypt is unknown. According to UNHCR latest figures, there are 42, 328 Refugee
Syrian children age 5 – 17 as of mid - October 2014
In Alexandria and New Damietta, through recreational activities, parent group discussions and non-specialized psychosocial
interventions, 7,162 Syrian boys and girls and adolescents have been reached. Social workers responded to 1,066 new cases requiring
specialised assistance, which includes specialized psychosocial support, referral and cash assistance to 351 vulnerable families (health,emergency cases and school fees). In addition, 387 Syrian children detained in connection with irregular migration were documented
and received legal assistance and material support.
New partnership agreements have been signed for 2015. These new partnerships are expected to reach close to 8,000 children, youthand parents through non-specialised psychosocial support, child protection interventions and specialised support, parenting
education and life-skills promotion among adolescents.

Education
In 2014, UNICEF has worked towards improving access for Syrians boys and girls to basic education. UNICEF support included capacity
building programs for teachers, provision of supplies, classroom extensions, teacher training and establishment of community based
Kinder Gardens. By end of December 2014, community based kindergartens (KGs) were attended by 759 Syrian boys and girls aged
3-5 in 27 classes in 5 governorates. 54 teachers were trained. Monitoring tools were developed and shared with the implementing
partner.
The enrolment figures of the Minister of Education office and General Department of Information and IT show that there are 39,314
Syrian students are enrolled in 25 governorates as end of December. UNICEF and CRS are facilitating access to education for 4,065
families reaching 8,613 Syrian children in Damietta and Alexandria through education grants, for enrolment and regular attendance.

22

The grant for the academic year 2014/15 was distributed.
14,943 Syrian boys and girls are enrolled in UNICEF supported primary public schools in seven governorates (Qalubia, Giza, Cairo,
Damietta, Alexandria, Sharkia and Menofia). A validation exercise will be conducted in early 2015 to verify this figure. UNICEF
provided 84 public schools with supplies (furniture, sports, and music tools and fans) in December 2014.
For 2015, UNICEF will continue supporting public schools with trainings for teachers and supplies, pilot inclusion implementation inthese schools, school activities including workshops on cultural exchange through music arts and games, were promoted throughtraining interventions for teachers and social workers. To-date, 1,061 children (775 Syrian, 286 Egyptians) participate in joint school
activities across 27 schools in New Damietta, Ezbet El Bourg, New Cairo, and El Obour.

SUMMARY OF PROGRAMME RESULTS (January – December 2014)
Sector 2014
targetHEALTH AND NUTRITION# children 0-59 months vaccinated for polio during campaigns1# Syrian women receiving reproductive health services# children 0-47 months whose growth is monitored
CHILD PROTECTION# children/ adolescents with access to psychosocial support services# Syrian girls and boys with access to specialized psychosocial support# children who received legal representation# children receiving cash assistance
EDUCATION# school-aged children enrolled in primary and secondary education (6-14
years old)2# children aged 3-5 enrolled in pre-primary education# teachers and supervisors who received training# schools which have received material support furniture and equipment
1 Includes 12,409 Syrian children vaccinated.
2 A validation exercise will be conducted in early 2015 to validate this figure.

Sector 2014
results

UNICEF2014 target

UNICEF2014 results

14,500,000
30,00014,500,000
1,881

34,0009,368

n/a

24,500

7,162

n/a

2,500

1,066

4,000

n/a
n/a

2,250
2,500

387
351

72,00041,24025,00014,943

7,425
6,000
n/a

310
n/a
n/a

3,500
4,000
70

759
5,323
84

n/a

40,0009,500

23Funding Status (US$ million)
Funding Status
Education

Child
Protection

Health &Nutrition

Required

52.10

81.02

25.00

35.67

193.79Funded

28.20

21.40

19.03

51.61

124.81Required

66.41

42.46

22.09

9.77

Funded

50.64

35.52

27.32

3.39

Required

90.10

114.83

35.00

36.19

10.00

286.13Funded

45.84

57.05

27.94

24.95

9.98

165.75Required

35.29

13.50

4.90

8.72

Funded

18.84

9.41

4.27

6.31

Required

0.00

37.25

17.65

10.07

64.96

Funded

0.00

22.13

5.32

5.02

32.47

Required

0.00

4.00

3.26

8.82

16.08

Funded

0.00

2.84

1.70

4.30

8.84

Required

1.50

1.50

1.50

1.50

6.00

Funded

1.63

0.80

1.66

2.03

6.11

Required

245.40294.56109.38110.7410.00

770.08Funded145.15149.14

87.23

97.62

9.98

497.26Gap

100.24145.42

22.15

13.11

0.02

272.82%
Funded

59.2%

50.6%

79.7%

88.2%

99.8%

64.6%

In millions of US Dollars

Syria
JordanLebanonIraq
Turkey
Egypt
MENA
Total

Basic
Needs
(NFIs)

WASH

Total*

Funded64.4%

0.00

140.72116.87

62.41
0.00

83.1%
57.9%
63.7%

39.77

50.0%
55.0%
101.9%
64.6%

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

Who tocontact 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

24