87.14% Total Funding Gap Gap per Country (in US$ million) Lebanon Iraq Turkey

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1 Syria Crisis Bi-Weekly Humanitarian Situation Report Syria, Jordan, Lebanon, Iraq and Turkey Date: 11 January 2013 Reporting Period: 21 December-11 January HIGHLIGHTS REGION: Snow affects Syria, Jordan, Lebanon, Turkey and Iraq, with coldest temperatures in ten years hitting the region more than two million displaced and refugee children at heightened risk and more vulnerable as weather conditions deteriorate access to basic services and influx of refugees continues. SYRIA: Through its various partners in the field, was able to reach approximately 263,700 vulnerable people with winter supplies. Areas covered included Damascus, Rural Damascus, Homs, Hassakeh, Tartous, and al-raqqa. LEBANON: Funding has been transferred to five partners to allow the distribution of vouchers, which can be used by families to purchase winter supplies. In total, aims to reach 33,000 children with non-food items related to winter. JORDAN: and partners are working around the clock to sustain the provision of services to Za atari camp, in the face of severe weather conditions. IRAQ: Temperature drop in Northern Iraq sees more children attending primary health care centres with cases of acute respiratory infections and flu, while access and security continues to be challenging. TURKEY: Lack of capacity to accommodate additional refugees remains a major challenge. The Government of Turkey is providing additional family tents, and more are planned for camps in Kahramanmaras. INSIDE SYRIA 1,840,000 # of children affected OUTSIDE SYRIA 259,859* # of children affected *out of registered refugees only APPEALS SYRIA APPEAL 2013* US$ million REGIONAL APPEAL 2013* US$ million *January-June % Total Funding Gap Gap per Country (in US$ million) Syria Jordan Lebanon Iraq Turkey Note: Situation Reports will continue to be issued on a bi-weekly basis. The update on performance indicators will take place on a monthly basis (every other sitrep). Registered Refugee Population (Estimates calculated based on initial figures from UNHCR Portal on 10 Jan 2013) Total Male Female Total Affected Population 499, , ,864 Children Affected (Under 18) 259, , ,932 Children 0-4 Years 94,948 49,973 44,976 Children 5-11 Years 99,946 49,973 49,973 Children Years 69,962 34,981 34, Years 219, , ,937 * In addition 104,331 Refugees are awaiting registration. UNHCR in NORTH AFRICA has also registered 5,059 Syrians. 1 of 17

2 SYRIA Highlights Cold weather conditions in the sub-region are further exacerbating the situation of IDP children and Syrians in general, in a context of fuel shortages. The joint vaccination campaign with the Ministry of Health and WHO was completed on 20 December, reaching a total of 1.3 million children with measles vaccine, and 1.5 million with oral polio vaccine. Through its various partners in the field, was able to reach approximately 263,700 vulnerable people with winter supplies. Areas covered included Damascus, Rural Damascus, Homs, Aleppo, Hassakeh, Tartous, and al-raqqa. Situation Overview and Humanitarian Needs Estimated Affected Population (Estimates calculated based on initial figures from ( * ) OCHA Dec The rest of the figures are calculated based on CBS demographic distribution of 2011) Total Affected Population (*) 4,000,000 Children Affected (Under 18) 1,840,000 Pregnant women (estimate: 5 the total population) 200,000 Total Displaced Population (a proportion of the above) ( * ) 2,000,000 Children Displaced (estimate: 46 the population is children) 920,000 The humanitarian situation continues to deteriorate across the country, with an estimated 4 million people in need of urgent assistance as per the Syrian Humanitarian Action Response Plan for January-June This includes 2 million people who have been forced to flee due to the continued fighting. Programme response An interagency mission is on-going in Homs, with participation. The objective of the mission is to assess the situation, strengthen contacts with local authorities and community organisations in order to continue scaling up responses for children. WASH: During the reporting period, and its partners in the field were able to achieve the following in the Governorates hosting large segments of population and children in need: 10,000 displaced persons (including women and children) in Rural Damascus have been reached with WASH activities including water supply, installation of separate latrine and shower cabins, general site cleaning, hygiene kits, blankets, and bed sheets through NGO partner HELP; Premiere Urgence continued to support delivery of safe water to 5,158 relocated individuals in 21 collective centres and one mosque in Rural Damascus; 6,819 displaced persons in Damascus and Rural Damascus have been reached with access to safe drinking water, light rehabilitation of water systems, rehabilitation and maintenance of latrines, provision of latrine cleaning materials, installation of showers and provision of refuse containers (100L) through NGO partner Secours Islamique de France (SIF); Hygiene promotion sessions were held for 4,577 displaced persons in 14 collective centres in Damascus and Rural Damascus through SIF. Meanwhile, some 35,779 hygiene were distributed in the following governorates: Damascus, Rural Damascus, Aleppo, Homs, Deir Zour, Al -Raqqa, Tartous and Al-Hassaka during the reporting period. results ( & Partners) # of emergency affected population provided with 1 access to drinking and domestic water 500,000 21, % #of emergency affected population provided with 2 access to soap and other hygiene items 500, ,506* 45.1% 2 of 17

3 # of emergency affected population with access to appropriately designed toilets and sanitation services 3 500,000 16, % # of people having access to hygiene promotion 4 messages 750, ,325** 47.9% # of children access safe water, sanitation and hygiene facilities in their learning environment and in 50,000 child friendly spaces 5 Partners not yet reporting 1 This indicator captures daily average of people accessing water through water tankering, rehabilitation and maintenance of water systems, including chlorination. 2 Capturing distributions of various hygiene items including family and baby hygiene kits, soap and other item distributions. 3 Capturing construction/establishment of latrines in various affected areas and centres, using an agreed person to latrine ratio of 50:1 (50 beneficiaries for one toilet on average). 4 reflects a combination of interventions including 500,000 people to receive both hygiene supplies (hygiene kits, soap and other hygiene materials) and hygiene promotion messaging, as well as 250,000 people to be reached through messaging and tools only (mass media component) 5 reflects interventions in schools and child friendly spaces by WASH and Education partners implementing s WASH in schools component. *This indicator captures water Trucking, rehabilitation and maintenance of water system *Covers the distribution of 38,751 kits. Provision of non-food items are mainstreamed as programme intervention. Beneficiary number from child protection related non-food items is captured in programme narrative. Child Protection: During the reporting period, mobile psychosocial support teams visited 14 collective centres in Damascus and Rural Damascus, providing psychosocial support and recreational activities to approximately 350 children. A fourth round of training of Syrian Arab Red Crescent (SARC) volunteers took place last week; 20 volunteers were trained on psychosocial support first aid (PSSFA) and recreational activities for children. N/A results ( & Partners) # of children with access to psychosocial support and 1 300,000 40, % protection services # of Separated and unaccompanied children registered All identified in family tracing or receiving family-based or 10 N/A appropriate alternative care 2 cases. # of children made aware of the risk of mines, unexploded ordnance and explosive remnants of war 3 500,000 Partners not yet N/A reporting 1 Beneficiaries of psychosocial support include children reached through the following components: community based childfriendly spaces (static) and mobile child friendly spaces. 2 As per Child Protection in emergencies benchmarks/standards, objective is to register all identified cases. 3 Captures children reached with mine-risk education awareness sessions delivered through multiple components, including activities in Child-Friendly Spaces, schools/school clubs and general awareness sessions implemented by partners. Note: Non-Food Items appealed for in the Syria appeal are mainstreamed and distributed as part of programme interventions. Beneficiary numbers from Child Protection-related non-food items are captured in the cumulative updates above and the programme s narrative. Education: continues to support school club activities in 107 schools in 4 governorates (Rural Damascus, Deraa, Tartous, and Lattakia), targeting 25,500 children. During the last two weeks, 19 school clubs temporarily suspended activities (13 in Deraa and 6 in Rural Damascus), either for preparation of mid-year exams, or due to the security situation. During the reporting period, thirty resources people from kindergartens were trained on PSSFA. In addition, ten recreation kits (serving 20 children apiece) were distributed to the eight concerned kindergartens. These PSSFA activities aim to reach 20,000 children. A winter club in Khan Dannoun, supported by and UNRWA 3 of 17

4 Over the past two weeks, more than 1,300 displaced adolescents attended winter clubs in various Palestinian camps, including Jaramana, Khan Al-sheh, Al-Ameen, and Khan Dannoun. This activity is supported by and UNRWA, with support from youth volunteers. results ( & Partners) # of school-aged children in affected areas in 1 schools/learning programmes 150,000 25,914 17,28 % # of children with access to psychosocial support in 2 education programmes 200,000 25,914 17,28 % # of children and adolescents benefitting from nonformal and informal educational services 3 10,000 1,500 15% # of children receiving essential education materials 4 1,000,000 New activity N/A 1 Indicator capturing remedial classes through school clubs and capturing beneficiaries of school rehabilitation and/or prefabricated classrooms once partners begin reporting on results from these activities. 2 Psychosocial support provided as part of school club activities by teachers trained on basic PSS and or school counsellors. The target also includes 50,000 children under six to be reached at kindergarten level. 3 The target includes non-formal and informal education (combining extra-curricular activities, and life-skills training/education at CFS and Adolescent Friendly Spaces). 3 is based on 2,000 schools being targeted for distribution of school material packages benefiting children and teachers, with an average of 500 children estimated per school. A portion of these children will also be receiving individual school bags and stationary supplies as part of a combined distribution effort. Note: Non-Food Items appealed for in the Syria appeal are mainstreamed and distributed as part of programme interventions. Beneficiary numbers from Education-related non-food items are captured in the cumulative updates above and the programme s narrative. Health: The /WHO-supported vaccination campaign with the Ministry of Health was completed on 20 December, reaching a total of 1.3 million children with measles vaccine, and 1.5 million with oral polio vaccine. During the reporting period, the Syrian Association for Health Promotion and Development was able to reach an additional 2,829 children as part of a catch-up campaign. So far, this partner has reached a total of 19,206. provided partners in Hassakeh with maternal health supplies to ensure 2,500 safe normal deliveries for pregnant women, as well as health supplies to cover health needs for 10,000 people for three months. also provided UNRWA with similar supplies for primary health care needs for 10,000 beneficiaries, as well as baby hygiene kits to serve 845 children in Palestinian refugee camps, of which 576 were for populations displaced from Yarmouk camp. also provided UNRWA with 50 first aid kits (500 beneficiaries) and 200 electrical cooking stoves (1,000 beneficiaries) in Khan Al-Sheeh (Yarmouk IDPs). results ( & Partners) # of children vaccinated against measles 1 1,400,000 1,300,000* 93% # of children fully covered with routine Immunization 2 antigens 250, ,808** 66% # of children and women equitably access essential health services with sustained coverage of preventive 736, ,706 57% and curative interventions 3 # of children 6-59 months receiving Vitamin A 4 supplementation 1,400,000 1,300,000* 93% 1 Immunisation targets children under five in Syria, with a target of reaching 50 children across the country using a campaign approach. Campaign dates and frequency will be reported in the narrative and footnoted for cumulative updates. Reporting on children vaccinated is based on administrative data (WHO/MoH) at governorate level, with reporting to be potentially delayed due to communication difficulties. 2 Indicator captures number of children under one reached over January-June with all EPI antigens through mobile EPI/mobile clinics providing vaccination services. 3 includes the combination of 536,000 children and 200,000 women reached through mobile clinics and the supply and distribution of a combination of health and medical supplies, including First Aid Kits, Emergency Health Kits, Delivery Kits, etc. 4 Indicator captures children aged 6-59 months also receiving Vitamin A supplementation during measles campaigns (as per first indicator). Same comments and caveats apply. Note: Non-Food Items appealed for in the Syria appeal are mainstreamed and distributed as part of programme interventions. Beneficiary numbers from Education-related non-food items are captured in the cumulative updates above and the programme s narrative. * Based on final results from nationwide campaign reports conducted in December Figures to be updated on a rolling 4 of 17

5 basis with future efforts in ** Reports received only for seven governorates (Damascus, Lattakia, Tartous, Hama, Raqqa, Dara a and Sweida). Nutrition: distributed to partners 800 boxes of high-energy biscuits to serve 14,720 children 6,400 in Tartous, 6,400 in Homs, and in Damascus. also provided the Ministry of Health with therapeutic milk for the treatment of severe acute malnutrition in hospitals, as well as ready to use supplementary foods for the prevention of malnutrition. results ( & Partners) # of children <5 receiving multi-micronutrient 1 supplementation 268,000 14, % # of children <5 with SAM in therapeutic feeding 2 6, % # of children <5 with MAM in supplementary feeding 3 26,000 Not yet reporting N/A 1 Activity with a particular focus in targeting on displaced children (representing 50 total IDP children). 2 New 2013 scaled-up nutrition target, targeting displaced children suffering from SAM, based on current available SAM rates of ,000 IDP children. 3 New 2013 scaled-up nutrition target, targeting displaced children suffering from MAM, based on current available MAM rates of ,000 IDP children. Inter-Agency Collaboration and Partnerships has signed a Letter of Understanding with WFP to formalise respective roles and responsibilities in supporting the prevention and management of malnutrition. The team on mission in Homs supported the initiation a winterisation/non-food items coordination meeting with all actors present in the region, in order to identify gaps, areas of possible duplication, and support a joint scale-up strategy. Supply and Logistics Through its various partners in the field, was able to reach approximately 263,700 vulnerable people (of which approximately half are children) with winter supplies, including medical supplies, hygiene kits, food for children, children s clothes, blankets, plastic mats, bed sheets, and cooking stoves. Areas covered included Damascus, Rural Damascus, Homs, Hassakeh, Tartous, and Al- Raqqa. LEBANON Highlights Severe weather across Lebanon is causing unprecedented damage to settlements and infrastructure, with heavy rain and snow causing dire consequences for refugees. An additional 1,650 students have been enrolled in schools, bringing the cumulative total to 8,942 students to date. Basic education materials have been distributed to 151 schools, benefitting 30,155 Lebanese and Syrian students. Situation Overview and Humanitarian Needs Registered Refugee Population (Estimates calculated based on initial figures from UNHCR Portal on 10 Jan 2013) Total Male Female Total Affected Population 137,620 66,058 71,562 Children Affected (Under 18) 71,562 35,781 35,781 Children 0-4 Years 27,524 13,762 13,762 Children 5-11 Years 27,524 13,762 13,762 Children Years 16,514 8,257 8, Years 60,553 27,524 33, Years 5,505 2,752 2,752 * An additional 56,390 Syrians have been in contact with UNHCR to be registered, bringing the total number of Syrians to 194, of 17

6 Severe weather struck the country this week, affecting Syrian refugees sheltered in the mountain region of Bekaa. Heavy rains and snowfall have flooded some settlements, and a number of refugee families were forced to seek shelter elsewhere. Reports on 9 January indicate that snow is continuing to fall, with most partners facing increased access challenges as a result. In spite of these conditions, is assessing the situation of refugee settlements in Zahle, in coordination with UNHCR. A planned mission to the municipality of Baalbek has been suspended due to the weather, and the Government has halted heavy road movement over the mountain pass, leaving queues of trucks parked along the main roads to Bekaa. Programme response WASH: The total cumulative figure for water tanks distributed remains at 1,000, covering 6,879 people. Water voucher distribution has increased by 501 vouchers 307 in Saadnayel and 194 in Talabaya bringing the total to 3,421, which covers 4,688 beneficiaries. The severity of the current weather events has several implications from a WASH perspective, including inundation of settlements and shelters. It is anticipated that the urgent response requirements will increase challenges in the coming weeks whilst available resources in the field are diverted to respond to immediate needs resulting from the storm. ACF is however providing immediate assistance to worst affected locations with de-watering activities. The challenge is however significant as de-watering is difficult in farmland settlements as the ground is saturated leaving nowhere for floodwater to drain to. will look to respond with Medair in order to assist ACF in their response. Emergency affected population provided with access to drinking and domestic water *Adjusted target results ( #) 105,000* 14, % Child Protection: To date, 10,318 children have accessed -supported psychosocial services, an increase of 1,939 from a month ago. expects the total number of children reached is higher as more partners are active and will be providing additional reports. An inter-agency needs assessment for child protection is schedule to start in the Bekaa Valley next week, with technical support provided by the Global Working Group Rapid Response Team. Training of assessors will start on 14 January. The assessment will also extend to the north, Beirut, and the south during the remainder of January and early February. During the reporting period, 24 field staff were trained in case management in Qobayat and Tripoli. Training in Bekaa has been postponed due to severe weather; it is now scheduled for January. Children with access to psychosocial support services : N/A 74,000 10,318 14% 89,500* N/A N/A Education: With partner Caritas Lebanon Migrant Centre, an additional 1,650 students have been enrolled since the last report, bringing the total to 8,942 students to date. These children have received the full Back-to-School Package, which includes school bags, school uniforms, educational materials, and parent committee fees that all students need to contribute for the running costs of public schools. Basic education materials have been distributed to 151 schools, benefitting 30,155 Lebanese and Syrian students. Enrolment in public schools will continue up until the 15 January deadline. will assist school-aged children arriving from Syria after this date through remedial classes and accelerated learning programmes, as well as through psychosocial support. The Ministry of Education and Higher Education (MEHE) has provided with a list of 200 schools identified as having the highest number of refugee students (both UNHCR registered and 6 of 17

7 non-registered). will target these schools with remedial classes, teacher training and major infrastructural rehabilitation. With the arrival of winter, fuel for heating schools has become a priority. It is intended that will provide 2000L per school to around 100 of the 200 target schools by early next week. The schools are mostly in the Bekaa Valley, north (Akkar), and Mount Lebanon (the mountain region). Stigmatisation of Syrian children in schools has also at times been reported, and in response the MEHE will reinforce the existing directives against violence in schools, and the Education Working Group will form a task force to address the issue. is working closely with the MEHE to build the Ministry s coordination capacity for education in emergencies, in order to enable it to play more of a leading role in the sector working group. School-aged children in affected areas in schools/learning programmes Children with access to psychosocial support in education programmes Children and adolescents benefitting from non-formal and informal educational services : N/A 49,950 8, % 100,000 N/A N/A 32,720 2, % 70,560 N/A N/A 32,720 2, % 70,560 N/A N/A Health: Immunisation Action plans for the implementation of the Enhanced Immunization Activity (EIA) initiative have been received from ten Qadas, compiled and completed by the Ministry of Public Health (MoPH). The budget for the implementation is being finalised, and an agreement will be signed with the NGO Beyond to oversee logistics, social mobilisation, and monitoring. Training and orientation sessions have been completed for Qada physicians and heads of health facilities in all municipalities. The vaccines, immunisation materials, and required cold chain systems have arrived and are stored in the MoPH s warehouse. Other health issues Due to increasing reports of cases of scabies and lice among children, is coordinating with MoPH to develop a strategy to control these health problems, through a health education and hygiene promotion programme, as well as adapted medical treatment protocols. Emergency health kits and essential life-saving drugs procured for winterisation have begun to arrive. These supplies focus mainly on medicines to treat the expected increase of acute respiratory infections and diarrhoeal diseases, as well the expected increase of emergency obstetric problems faced by pregnant women. These supplies are expected to benefit 60,000 women and children. # of children (boys and girls) vaccinated against measles * Activity not yet started. 74,000 * N/A Nutrition: Following the influx of displaced Syrians into the south of Lebanon, partner International Orthodox Christian Charities will implement another workshop on infant and young child feeding in emergencies. This workshop will encourage appropriate infant and young child feeding, as well as cautioning about unnecessary and potentially harmful donations and use of breast-milk substitutes. In response to the anticipated deterioration of the nutritional status of children under 5, anthropometric equipment has been ordered, some of which has arrived in the country. This 7 of 17

8 equipment is intended for setting up a monitoring system in 35 primary health care centres to screen all children under the age of 5 for malnutrition, and to facilitate referring them for appropriate management. Inter-Agency Collaboration and Partnerships It is estimated that the number of Palestinian Refugees from Syria in Lebanon has exceeded 17,000, with most located in camps in Siade. In addition to the hygiene kits mentioned above, will provide UNRWA with 4,000 winter clothing kits next week. Regarding support that will provide to Palestinian children from Syria, it was discussed with UNRWA that will support school enrolment (through the provision of bags, uniforms, stationery, books and school fees), as well as recreation kits, early childhood development kits, and School-in-a-Box. Supply and Logistics General distribution The distribution of education supplies under the Back to School (BTS) operation is still on-going. Distribution of School-in-a-Box and recreation kits took place in Nabathie, in the south, reaching 1,480 children. Additionally, 117 kits containing stationery and textbooks were distributed in the north, Bekaa, and south, reaching 4,680 Syrian children. In response to the sudden influx of Palestinians refugees from Syria, has released baby kits for 1,000 babies, and adult hygiene kits benefitting 4,000 adults, to UNRWA. Winterisation Funding has been transferred to five partners to allow the distribution of vouchers, which can be used by families to purchase winter supplies, and to set up the logistics for distribution of the winter clothing kits. In total, aims to reach 33,000 children with non-food items related to winter. Some 11,000 winter clothing kits are currently being packed in the warehouse, and the first batch of 2,000 will be released during the week. An additional 4,000 kits are in the pipeline. In addition, 9,000 plastic sheets (4x5 metres) and 10,000 blankets are being distributed to partners; the distribution is expected to be complete next week, depending on weather conditions. JORDAN Highlights and partners are working around the clock to sustain the provision of services to Za atari camp, in the face of severe weather conditions. Construction of a new -supported school in Za'atari camp has been delayed due to severe weather conditions. The existing school and several other facilities in Za atari are now occupied by refugees seeking shelter from the weather. /THW have completed 80 WASH blocks (144 units) in modules 2 and 3, with the capacity to serve up to 28,000 beneficiaries. has launched a partnership with Mercy Corps to set up and operate 4 playgrounds for children (ages 5 to 12) and multipurpose courts for adolescents and young people (ages 13-25) in Za atari and KAP, scheduled to benefit 4,000 children. Situation overview and humanitarian needs Registered Refugee Population (Estimates calculated based on initial figures from UNHCR Portal on 10 Jan 2013) Total Male Female Total Affected Population 128,628 66,887 61,741 Children Affected (Under 18) 66,887 34,730 32,157 Children Under Five 24,439 12,863 11,577 Children 6 to 23 months 9,004 4,502 4,502 Pregnant women 2,778 N/A 2,778 In addition 47,941 Syrian refugees have received appointment for registration with UNHCR Office in Amman 8 of 17

9 Some 126,133 Syrians are now registered with UNHCR in Jordan, and a further 47,941 are awaiting registration and receiving assistance. More than half of all Syrian refugees in Jordan are children under 18. The Government of Jordan estimates that over 300,000 Syrians are in the country. is working with UNHCR and partners to coordinate the winterisation response, including the response to the recent cold weather front, which has brought heavy rains, snow, and icy winds to Jordan. Syrian refugees in camps and in host communities have been hit the hardest, with widespread flooding being reported in Za'atari camp. Children have been forced to remain indoors (in tents or prefabs) in an attempt to stay warm and dry, preventing them from going to school or attending activities in Child Friendly Spaces (CFS), all of which have been flooded and rendered unusable. The school and several other facilities are now being utilised by refuges seeking shelter from the weather. will use the US-donated prefabricates on a temporary basis to run psychosocial support activities. UNHCR, Teknishe Hilfswerk (THW) and the Ministry of Public Works are working to drain and mitigate the effects of flooding in the tented areas of the camp. /ACTED/THW/OXFAM are doing the outmost to ensure that all refugees have access to latrines and showers in the new areas. and partners are working around the clock to sustain the provision of services to the camp and carry out emergency distribution of warm clothing. Programme response WASH: The increased number of arrivals over the past two weeks is putting great stress on current WASH facilities. Additional partners have been brought in, including Oxfam UK, which will be responsible for building pipelines and coordinating installations in module 4 of the camp. /THW are progressing with the building of the final 16 WASH blocks in module 3 of Za atari camp, as well as the rehabilitation of the existing 90 WASH units in modules 1A and 1B. /THW have completed 80 WASH blocks (144 units) in modules 2 and 3, which amounts to 560 latrines and 480 showers, with the capacity to serve up to 28,000 beneficiaries. This brings the total number of permanent facilities in the camp to 1,010 latrines and 998 showers, in addition to 151 mobile latrines and 68 showers. /THW are also completing the rehabilitation and winterisation of 44 of the existing 90 WASH units, including the installation of 30 prefabricated shower blocks. A contractor has fitted gas tanks in 15 WASH blocks in module 2. A further 33 WASH blocks will be fitted with tanks by next week. The contractor will start installing gas boilers next week, with hot water being provided shortly thereafter. Groundwork has also begun on the construction of WASH units in Cyber City (CC), which currently holds 450 refugees, but will be expanded to host a further 2,600 refugees. Emergency affected population provided with access to drinking and domestic water Emergency affected population provided with access to soap and other hygiene items Emergency affected population with access to appropriately designed toilets and sanitation services Population having access to hygiene promotion messages Children with access to safe water, sanitation and hygiene facilities in their learning environment and in child friendly spaces 150,000 56,254* 37.5% 180,000 87,098* 48.4% 150, * 0.1% 180, * 0.09% 150,000 56,254* 37.5% 180,000 87,098* 48.4% 300,000 2,585* 0.8% TBC 2, % 34,400 ** 0% 34,400 ** 0% *These figure reflects the number of people currently accommodated in Za atari camp, King Abdullah Park (KAP) and Cyber City (CC), as is the sole WASH provider. **Under verification, due to shift to the new school complex. Note: targets in the table above account for both current and anticipated needs, using targets accounting for projected future influx of refugees. 9 of 17

10 Child Protection: Due to the severe weather conditions currently affecting Jordan, Child-Friendly Spaces (CFS) and recreational areas in Za'atari and King Abdullah Park (KAP) have recorded very low attendance rates. As noted above, several CFS have been flooded and rendered unusable. Last week, over 4,500 children participated in psychosocial and play learning-related activities in camps. currently operates 19 CFS (17 in Za atari, 1 in KAP, and 1 in CC), as well as four Adolescent Friendly Spaces (3 Za atari and 1 in KAP) and four recreational spaces (Za atari). In addition, there are seven Community Child Protection Committees in Za'atari, staffed by 76 women and 51 men. These committees help identify children at risk in the camp, and support the work in CFS. /International Medical Corps (IMC) continue to support ten Syrian volunteers who facilitate activities for close to 900 adolescents and young people on a weekly basis in Za atari. has started a partnership with Mercy Corps to set up and operate four playgrounds for children (ages 5 to 12) and multipurpose courts for adolescents and young people (ages 13-25) in Za atari and KAP. Under the agreement, Mercy Corps will also upgrade the existing three playgrounds in Za'atari and set up a mobile audio/video unit in the camp. These facilities are expected to be completed within the next six months. Once complete, the facilities will be able to support some 4,000 children every week. is also starting work with the International Rescue Committee (IRC) as a new partner to help support unaccompanied children in Za'atari, including through the reception of newly-arrived unaccompanied children in need of care and the coordination of family tracing and reunification (jointly with UNHCR and ICRC). The recent influx of refugees has brought a sharp increase in the number of unaccompanied and separated children (UASC), with 32 UASC, arriving during the last two weeks. and Save the Children International (SCI) reach over 167 UASC every week in Za atari. In host communities, partner the Queen Zein Al Sharaf Institute for Development has provided psychosocial support services to 389 children and 115 adolescents, as well as 500 caregivers in Ma an. In addition, /IMC have trained and supported capacity building for 143 staff from local partners in host communities. /Save the Children Jordan have conducted 26 awareness-raising sessions on child protection for children and caregivers in Amman, Irbid, Mafraq and Ramtha, reaching 421 Jordanian and Syrian children and 250 caregivers. 14 representatives from various community-based organisations were also trained. In addition, has designed an in-depth training programme to build up host community partners to scale up and expand child protection activities in urban settings. It will begin 16 January, targeting an initial six partners. Children with access psychosocial support services Separated and unaccompanied children identified and registered through inter-agency system Separated and unaccompanied children receiving family based or appropriate alternate care 88,128 5, % TBC ** ** All identified cases Case by case basis 32* N/A TBC ** ** 10* N/A TBC ** ** *These figures were previously aggregated in one indicator and have been separated to reflect the number of children registered versus the number of children receiving family-based or appropriate alternate care. **Data not yet available. Note: targets in the table above account for both current and anticipated needs, using targets accounting for projected future influx of refugees. Education: Construction of a new -supported school in Za'atari camp has been delayed due to the worsening weather conditions. The new school will cater to 5,000 students between the ages of 6 and 17. and education partners in Za atari are developing an outreach plan to improve 10 of 17

11 school registration, case management, and referrals for other education opportunities, such as catchup classes and remedial education. and the Ministry of Education (MoE) have registered 2,345 Syrian children in supported public schools across the country since the beginning of A total of 21,790 students are currently registered with MoE. The increase in school registration is largely attributable to the outreach work of partner Save the Children Jordan (SCJ). During the past two weeks, SCJ conducted 22 outreach sessions, attended by 4,750 Syrians. In addition, /SCI are assessing 20 public schools in host communities, in order to enhance their child friendliness. School-aged children in affected areas in schools/learning programmes Children with access to psychosocial support in education programmes Children and adolescents benefitting from non-formal and informal educational services 40,000* 2,345** 5.8% 40,000* 2,345** 5.8% 10, % 14,500 0 % 19, % 32, % * includes children enrolled in formal schools and pre-schools only (in both Za atari camp and host communities). **This includes all Syrian children registered in formal schooling from 1 January Note: targets in the table above account for both current and anticipated needs, using targets accounting for projected future influx of refugees. Health: /Ministry of Health (MoH) are continuing routine immunisation for Syrian refugees in camps and host communities. In addition, measles and polio vaccination for all new arrivals under the age of 15 in Za atari continues. A total of 894 children have been reached through the campaign since the start of the year. Contrary to expectations, the number of children vaccinated in the camp under the /MoH campaign has not increased in line with the rise in the influx of refugees to Za'atari. This may be due to the distance of the hospital from the new camp areas. and the French Hospital have begun implementing mobile teams to carry out measles vaccinations in the camp, in an effort to raise awareness and reach more new arrivals under the age of 15. The first mobile team was deployed on 8 January 2013, in a CFS tent; some 200 children were vaccinated on this first day. The team will be rotate between CFS for an initial period of one month. In host communities, the measles, polio, and Vitamin A campaign will continue in January in Ramtha, Irbid and Mafraq., in cooperation with WHO and UNHCR, is supporting the training of health service providers on diarrhoea management. is also providing technical support to MoH on running tuberculosis awareness-raising sessions for school-aged children in both camps and host communities. Finally, is providing guidance to MoH on adapting existing infant and newborn health guidelines to work in an emergency setting. results ( #) Children (boys and girls) vaccinated against measles* 77, *** 1% Children <2 yrs (boys and girls) fully covered with routine Immunization antigens 70,300 ** N/A Children (boys and girls) 6-59 months receiving Vitamin A supplementation 77, % *Covers children under 15 years of age in Za atari camp and children under 5 in host communities. **Undergoing verification/pending from MoH. *** By end 2012, as part of previous response efforts, 132,818 children had received measles immunisation. Figures reported here focus on new children receiving immunisations upon arrival and catch-up among previous arrivals. Note: targets in the table above account for both current and anticipated needs, using targets accounting for projected future influx of refugees. Nutrition: is preparing to start an infant and young child feeding programme (IYCF) in Za atari camp, including promotion of breast-feeding, complementary feeding for children, home- 11 of 17

12 based management of Severe Acute Malnutrition (SAM) and Moderate Acute Malnutrition (MAM). The final report of the /WFP nutrition assessment for Syrian children under 5 has been received. Discussions with MoH are on-going for approval of the report ahead of its dissemination. # of pregnant and lactating mothers reached with infant and young child feeding promotion and counselling # of infants and lactating mothers receiving supplementary feeding results 17,340 * * 75,000 * * 6,200 * * 75,000 * * support *No results to report on at this stage as the programme has not yet fully started. Note: targets in the table above account for both current and anticipated needs, using RRP targets accounting for projected future influx of refugees. Inter-Agency Collaboration and Partnerships is finalising a new extended partnership with the Norwegian Refugee Council (NRC) and an agreement Relief International (RI) to support education activities in Za atari and host communities. An agreement is also being negotiated with the Madrasati Initiative to provide remedial education in host communities. Supply and Logistics A total of 1,500 baby clothing kits have been distributed to targeted groups through ACTED in Za atari, of which a small number were given out in KAP and CC. In addition, 900 kits have been distributed through NRC in Za atari. is also covering kit needs for new arrivals as well as newborn babies in the French and Moroccan hospitals. Approximately 30 baby clothing kits are being distributed to new arrivals every night. is currently working on a distribution plan for adult hygiene kits. IRAQ Highlights Temperature drop in Northern Iraq sees more children attending primary health care centres with cases of acute respiratory infections and flu, while access and security continues to be challenging A total of 1,200 refugees in Al Qaim are reported to have returned back to Syria, but additional arrivals have maintained the number of refugees consistent at the camps. The border is still open for vulnerable population only (medical cases). Nationally, the trend of refugee influx per week has significantly reduced over the last two weeks, from 2,000 to 700 per week. Crossing the border in Kurdistan has become increasingly problematic as compared to previous weeks. Situation Overview and Humanitarian Needs Registered Refugee Population (Estimates calculated based on initial figures from UNHCR Portal on 10 Jan 2013) Total Male Female Total Affected Population 69,282 * * *Total number also includes 6,029 who finished level 1 registration and are awaiting to be registered in UNHCR specific registration database **Disaggregated data is not yet available. Programme response WASH: Northern Iraq (Domiz camp) Families residing in Domiz camp continue to have access to water and sewage services. However, due to quality problems with the water provided from the network to phases 1 and 2, water is being 12 of 17

13 trucked to these phases and to transit areas. The tent-to-tent hygiene promotion campaign is ongoing and reached 706 people during the reporting period, making a cumulative total of 17,834 individuals. WASH works for phase five (services for 1,000 families) is on-going, and will be completed in one week s time. This includes construction of soak way pits, 399 toilets and bathing spaces, water networks, and water storage. Water works for phase four (network and storage tanks) is 97 per cent complete, with a capacity of 311 families. Western Iraq (Al Qaim camp) Hygiene promotion campaigns have been extended in Camps 1 & 2 to cover children in their learning environments. Some 49 teachers were trained as hygiene mobilisers. In Camp 3, water tanks and towers have been installed, and toilets attached to septic tanks in 88 sanitation units. Each unit consists of three showers and three toilets (1 unit/60 people), serving a total of 5,000 people. In coordination with camp management, distributed hygiene materials and messages to the refugees families in both camps, including adult and baby hygiene kits, soap, sanitary napkins, garbage bags, disinfection, buckets, water containers, toilet jars, and leaflets. Emergency affected population provided with access to drinking and domestic water. Emergency affected population provided with access to soap and other hygiene items. Emergency affected population with access to appropriately designed toilets and sanitation services. Population having access to hygiene promotion messages. 50,000 Children access safe water, sanitation and hygiene facilities in their learning environment and in child friendly spaces. 36,000 8,230* 9.1% 90,000 N/A N/A 22,500 8,230* 36.6% 90,000 N/A N/A 36,000 8,230* 9.1% 90,000 N/A N/A 35,100 26,064 (8,230* 17,834**) 3,137 (700* 2,437**) 52.1% 90,000 N/A N/A 8.9% 35,100 N/A N/A *Al-Qaim only ** Domiz only * Phase 5 will accommodate 1,000 tents. Number of beneficiaries will be identified once people are relocated to the tents Child Protection: Northern Iraq: Child-friendly spaces (CFS) continued to provide services to an average of 277 children aged 4-12 years in two shifts. A third shift for children aged was begun, with an average 40 children attending during the reporting period. A second CFS is planned for Phase 5. is also working on training of local partners and authorities, including with an eye towards addressing reported issues and cases of child labour, said to be on the increase. Western Iraq: Two CFS (one each in Camps 1 and 2) are operating six days a week, in three shifts. Attendance is high, with an average of 559 children (255 girls and 304 boys) engaged in psychosocial and recreational activities, as well as youth sport activities. 183 new children registered over the past week. Ten awareness sessions on protection and care for families, children, and community leaders during crises were conducted in both camps for 250 people. The sessions provided an opportunity for feedback from families and children on how to protect children and improve CFS services. and Save the Children also organised a drawing exercise, Knowing My Rights, followed by an exhibition by the children to an audience of their families. Children with access to psychosocial support services 6,000 1, % 10,500 1, % 13 of 17

14 Separated and unaccompanied children registered in family tracing or receiving family-based or appropriate alternative care All identified cases 83* = 47 on 17 th Dec plus 18 on 7 th Dec, plus 18 7 th January. 83* Not applicable All identified cases 83 Not applicable Education: Northern Iraq: extended one schooling unit in Domiz camp, including additional classrooms (now 24), a playground, and water and sanitation facilities. In addition, 3,000 textbooks are being printed. Under coordination, UNHCR constructed an additional 24 classroom unit, and a private company a 12 classroom unit. Currently, there are 2,160 children accessing education in the camp. Western Iraq: School in Camp 1 is operating well for children in Grades 1 to 6. Quality of learning and teachers is well perceived, according to the field visits by officers, although a decrease in attendance has been identified on rainy or cold days. Access to lower secondary (Grade 7-9) remains an issue due to lack of space, qualified teachers, and financial resources (incentive for teachers). is providing extra-curricular activities, while advocating with authorities and partners to increase support. The current number of children in school in Camp 1 is 688 (339 girls and 349 boys). The number is decreasing due to the return of families to Syria, while no new arrivals were registered due to the continued border closure. In Camp 2, the installation of 15 prefabricated classrooms supported by is almost complete, and the overall project stands at 95 per cent completion. Desks were delivered on 30 December, and stationery and school bags are stored with the Directorate of Education of Al-Qaim, to be distributed during the inaugural session in the coming weeks. Training of teachers on psychosocial care and education in emergencies was conducted by Afkar NGO, s implementing partner, in Camp 2 from 16 to 20 December Training manuals developed by the Ministry of Education, with support from, were used. 25 teachers drawn from the Syrian refugee population, as well as retired Iraqi teachers, participated in the training. School-aged children in affected areas in schools/learning programmes. Children with access to psychosocial support in education * 12,000 6, % 18,000 7,453* 41.4% 12,000 1, % 18,000 1, % programmes. NOTE: Provision of education to Syrian arrivals in Domiz is an interagency effort with different agencies and Government meeting different needs in a complementary manner. * cumulative number of 4605 children from 8 Iraqi schools (Al Qaim), plus 688 children in Al Qaim camp and 2,160 children in Domiz camp Health: Northern Iraq: As temperatures continue to drop, more children are attending primary health care centres with acute respiratory infections and flu. In addition, 35 children were treated for diarrhoea. Routine immunisation is on-going in the camp health centre on a weekly basis. Western Iraq: supported the immunisation program with vaccine carriers and on-the-job training for health workers. A National Measles Campaign was conducted from 2 to 20 December. Camps 1 and 2 were included in the campaign; 782 children under five and 812 children aged 6-18 years were vaccinated. 14 of 17

15 results Children (boys and girls) vaccinated against measles 18,900 2, % Children <2 yrs* (boys and girls) fully covered with routine 7, % Immunization antigens Children (boys and girls) 6-59 months receiving Vitamin A 20,000 Not yet reporting. N/A supplementation Children and women equitably access essential health services with sustained coverage of preventive and curative interventions 55,800 2, % : N/A. Partners not yet reporting for VitA. Nutrition: Northern Iraq: The growth-monitoring unit supported by screened 27 children under five during the reporting period. Among them, five children were moderately malnourished (-2 SD) and were referred to the district health centre for management. The cumulative number of under-five children screened during the last 12 weeks has reached 374. The growth-monitoring unit also provides information for mothers on proper feeding practices and complementary feeding. The Directorate of Health, Dohuk, has requested to support the establishment of a therapeutic feeding unit within the primary health care unit slated for construction by end January. Children <5 receiving multimicronutrient supplementation* PLWs receiving micronutrient supplementation Women having access to IYCF Services *Al-Qaim only. Partners not yet reporting. results 20,000 N/A N/A N/A N/A N/A 72,000 N/A N/A N/A N/A N/A 36,000 N/A N/A N/A N/A N/A TURKEY Highlights Lack of capacity to accommodate additional refugees remains a major challenge. The Government of Turkey is providing additional family tents, and more are planned for camps in Kahramanmaras. Winter tents are being provided in in Islahiye camp. In other camps, distribution of winter clothes continues. Situation Overview and Humanitarian Needs Registered Refugee Population (Estimates calculated based on initial figures from UNHCR Portal on 10 Jan 2013) Total Male Female Total Affected Population 150,906 79,980 70,926 Children Affected (Under 18) 73,944 37,727 36,217 The priorities for Syrian refugee children in Turkey remain the same, namely: Provision of winter clothes and shoes Provision of teaching materials for the teachers of school-aged children in the camps Provision of education supplies for school-aged children in Syrian refugee camps 15 of 17