Syria Crisis. February 2016 Humanitarian Results. In Syria 6,000,000 # of children affected 13,500, 000 # of people affected (HNO, 2015)

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1 FEBRUARY 2016: SYRIA, JORDAN, LEBANON, IRAQ, TURKEY AND EGYPT Children walking to school on a hazy morning in the besieged area of Moadamiyeh as the last of the trucks of a long convoy of aid are being unloaded for this community of 45,000 people in urgent need of essential supplies. /2016/Syria/ElOuerchefani Highlights In Syria, despite continuation of the widespread conflict and the generalized insecurity, so far in 2016, has reached 1.4 million people in Hard to Reach areas with integrated interventions and supplies. In Jordan, at the eastern Syrian border, the population of Syrian asylumseekers gathered in Rukban and Hadalat has increased to over 40,000 persons. In February, provided life-saving assistance, such as malnutrition screening of pregnant women and infants/young children and access to appropriate WASH services to over 20,000 people. In Iraq, has reached more than 67,000 Syrian refugees, including around 40 % children, with improved access to safe water. In Lebanon,, in partnership with MEHE, launched a homework support program through 123 schools across the country targeting 20,000 Syrian children at risk of dropping out of school. In Turkey, the number of Syrian boys and girls in schools increased significantly in February, with almost 325,000 children enrolled in formal education a nearly 50% increase over the end of the school year in July In Egypt, over 2,200 Syrian refugee children under the age of five received primary healthcare consultations and immunization and growth monitoring services through -supported Primary Health Care units. Syria Crisis February 2016 Humanitarian Results SITUATION IN NUMBERS In Syria 6,000,000 # of children affected 13,500, 000 # of people affected (HNO, 2015) Outside Syria 2,405,357 # of registered refugee children and children awaiting registration 4,570,664 # of registered refugees and persons awaiting registration (UNHCR, 4 February 2016) Syria Appeal 2016 US$ million Regional Appeal 2016 US$ 847 million 1

2 Syria Situation Overview & Humanitarian Needs: Since the cessation of hostilities agreement came into effect on the 27 th February, following the unanimous adoption of the UN Security Council Resolution 2268, there has been a considerable reduction in military confrontations across Syria. Local sources and observers have reported that areas across the country were quiet for the first time in years, with children being able to attend school for more hours. The cessation of hostilities has improved humanitarian access to many communities in Rural Damascus and the north-western Governorates, particularly those besieged, with more than 150,000 people reached over the past month with humanitarian assistance by inter-agency convoys. Some of the besieged locations, such as Kafr Batna, had not been reached with humanitarian assistance for the past two years. Reports from the recent missions in several besieged areas paint a very dire humanitarian situation, with grave protection concerns related to restriction of movements, family separation, access to food, education and health services, attacks on civilians and civilian infrastructure. However, some breaches to the cessation of hostilities agreement have been reported, including outbreaks of armed conflict resulting in deaths and injuries in Aleppo, Idleb, Dara a, Damascus and Homs. While the pace of population displacement has slowed compared to early 2016, needs remain high. Of the 130,000 people displaced since the 1 st of February, most are in Aleppo Governorate (over 63,000 1 ), followed by Dara a (over 53,000) and Idleb (over 12,000). These numbers add to the already estimated 2.2 million IDPs in Aleppo and Idleb Governorates. In Aleppo Governorate, fighting along the Khanasir Road and the Castello Road - the one remaining supply route into Eastern Aleppo City - has had a negative impact on the delivery of humanitarian assistance due to intermittent road closures. Humanitarian consignments and civilian cars have come under fire. Further north, in Azaz district, IDPs are enclosed and unable to move between Afrin and GoS-held territories around Tel Refaat town. Frontlines along the Azaz corridor, and the closure of the Bab al-salam border crossing to civilian traffic have hindered the movement of displaced families fleeing from the fighting. Recent closures of checkpoints controlled by armed groups between Afrin and Azaz have also restricted humanitarian access to IDPs in Afrin district. Due to the influx of the displaced populations, some camps have been overwhelmed, with two or three families occupying tents intended for one, or living in communal tents. The rapid influx into the existing camps and the creation of new camps has also stretched the capacity of partners to provide services, with communities reporting challenges in accessing WASH, medical and mental health services, including reproductive health. There has been an increased number of cases of diarrhea attributed to contaminated drinking water in IDP camps. The water network serving Eastern Aleppo City was not operational since the 16 th of January. -supported repairs and rehabilitation to the Ain Al Bayda pumping station, contributed to the re-starting of the Al Khafsa treatment plan the 3 rd of March, allowing for the resumption of water provision to 300,000 people. Through the HPF, the WASH sector was able to secure over 3 million USD to meet water needs in Aleppo, Rural Damascus and Hasakeh Governorates, through the provision of safe drinking water by three international organizations. In spite of this positive achievement, the WASH sector funding status remains at 1% as of the end of February 2016, with no adequate resources to address the magnitude of the response needed. Through the Humanitarian Pooled Fund (HPF), the Nutrition sector was able to secure funding for the emergency nutrition response targeting vulnerable women and children in the besieged and hard-to-reach areas of the Governorates of Rural Damascus, Deir-Ez-Zor and Hasakeh. Within the Gazientep Hub, is procuring nutrition supplies for 13 sector partners also recipients of HPF funding. With the ongoing conflict and the resulting displacements, partners have underlined protection risks related to restriction of movements, civilians stranded at the Turkish border, attacks on civilians and civilian infrastructure. Critical child protection concerns are related to the recruitment into armed groups and family separation. The deteriorating security situation and lack of basic needs are the main causes of the increased risk of recruitment. Due to the large IDP inflow, partners reported increased tensions between host communities and IDPs. In Dara a, the number of new IDPs reached 53,000 by the end of February and limited partial returns were witnessed. Key needs remained shelter, but also sanitation, family reunifications and provision of alternative learning opportunities. s Response to Hard to Reach Locations: In February 2016, reached at least 247,578 2 people in 23 hard to reach locations with WASH, education, health and nutrition and child protection services and materials. Since the Munich Agreement of the 11 th -12 th February, has delivered supplies to over 80,000 beneficiaries in 5 besieged areas out of All figures in this paragraph are from UNHCR Syria Flash Update 7/03/16. 2 This number takes in consideration the widest coverage to avoid double counting of beneficiaries. In some cases the same beneficiaries would be reached with multiple interventions. This number is from the latest SG Report. 2

3 Humanitarian Leadership and Coordination: is leading within the Whole of Syria approach WASH, Education, Nutrition and Child Protection (subsector). The Nutrition sector actively participated in Inter-agency convoys in the six besieged areas prioritized in the Munich Agreement. The sector mobilized essential nutrition supplies provided by the three key UN partners (WFP, WHO, ) for the prevention of undernutrition and the treatment of acute malnutrition. Inter-agency nutrition teams and the sector coordinator accompanied some of the convoys, carrying out assessments and rapid capacity building activities in besieged areas, to ensure the provision of emergency nutrition services. Access remains a major challenge for the sector; the unprecedented removal of some essential nutrition items from convoys is raising concerns. The sector is working closely with the Ministry of Health (MoH) on the analysis of the SMART nutrition survey carried out by the Ministry from the end of December 2015 to mid-january The Child Protection (CP) subsector participated in Inter-agency convoys to Kafr Batna and Moadamiyeh, in Rural Damascus, with the aim of setting up tailored emergency protection services in these locations. The CP subsector is strengthening the coordination with key partners and institutional counterparts to expand its work on Risk Education in schools, and to consolidate assessments on the risks children are exposed to in areas where partners have a consistent reach. In February 2016, at least 8,000 vulnerable children in Nubul, Zahra (Aleppo Governorate) and the hard to reach area of Al Waer (Homs Governorate) have resumed access to education, thanks to convoys. The roll-out of the orientation plan on the INEE 3 Minimum Standards for Education, aimed at improving Education partners emergency preparedness and response capacity in Syria, was endorsed by the Ministry of Education (MoE). Through the HPF, the Education sector was able to secure 1.6 million USD to scale up access to education for 21,100 vulnerable children in priority locations - including hard to reach areas - in the Governorates of Rural Damascus, Aleppo, Hama, Homs, and Tartous. Humanitarian Strategy: is focusing on reaching the most vulnerable, especially those living in hard-to-reach and besieged locations, and leveraging its strong field presence inside the Syrian Arab Republic by operating out of five field hubs and through crossborder programmes. WASH efforts will continue to focus on providing life-saving water trucking and quick repairs to critical water sources, while developing alternative water sources and rehabilitating and maintaining water infrastructure. In health and nutrition, the focus will be on reactivating and strengthening routine immunization services, including through cross-border efforts and expanding access to primary and maternal care. will strengthen capacities to address malnutrition amidst increasing economic deprivation and scarcity. Education, Child Protection and Adolescent Development programmes are framed under the No Lost Generation Initiative. will focus on increasing school enrolment; facilitating alternative, life-skills-based and remedial education opportunities; and providing psychosocial support, vocational training, recreational activities and risk education on the dangers of unexploded remnants of war. will also launch a cash transfer programme in 2016 to provide economic relief to the most vulnerable families. The Non Food Items response includes in kind support such as seasonal clothes, blankets and school heaters, as well as vouchers. Summary Analysis of Programme Response WASH: During the month of February, around 400,000 people were reached by with water and sanitation services through repair, rehabilitation and augmentation of water and sanitation systems across Syria. Nearly 75,600 people benefitted from supported life-saving interventions, including water supply through trucking, installation of tanks, operation and maintenance of WASH facilities in IDP shelters. Over 105,000 people in besieged and Hard to Reach areas were reached with essential WASH supplies through intra-agency convoys, including at least 1,000 people were reached in the besieged area of Deir ez-zor. In Aleppo Governorate, the -supported rehabilitation of the Ain al Bayda water pumping station, which benefits approximately 300,000 residents in North Eastern Aleppo, was a major breakthrough for the resumption of operations of the Al Khafsa treatment plant, which happened at the beginning of March. During the deliberate shutdown of the water facility, which was ongoing since the 16 th of January, scaled up its water trucking operation in Western Aleppo to 8 million liters per day, currently reaching over 500,000 people daily. Since the beginning of the water crisis in early August 2015, has been providing nearly 1.5 billion liters of drinking water. continues also to provide the fuel necessary to operate the groundwater wells in Western Aleppo, which is currently the only source of water in the area. Furthermore, 30,000 people in Eastern Aleppo are being supported by a new water trucking operation, providing 500,000 liters of water every day. Over 50,000 residents in the previously besieged areas of Nobol and Zahra, in North Rural Aleppo, are being supported by water trucking operations providing 800,000 liters per day. At least 236,000 people in 10 hard to reach locations were reached through the rehabilitation of water networks, repair of pumping stations, provision of hygiene supplies and hygiene promotion activities. In three besieged areas, dispatched WASH supplies for at least 65,000 people. 3 Inter-Agency Network for Education in Emergencies 3

4 continues to provide critical drinking water disinfectant across Syria, benefiting over 12 million people. As part of s WASH in Schools programme, over 27,000 school children benefitted from the development and rehabilitation of WASH facilities and hygiene promotion in 53 schools. Through cross border missions in northern Syria, working with two implementing partners, responded to the massive displacements that occurred after the escalation of hostilities in Aleppo. Hygiene kits, jerry cans and water purification tablets were provided to approximately 18,000 families (including 90,000 IDPs). Water trucking provided clean water to 6,500 people for one month at an IDP camp in north Aleppo. Education: In February over 34,000 children received basic education supplies, including school bags, self-learning and other education materials, through programming implemented in five Governorates of Al-Hasakeh, As-Sweida, Homs, Idleb and Rural Damascus. This intervention helps children to catch up with their learning. In the besieged and hard to reach areas of Foah, Kifraya, Madaya and al Waer, delivered basic education materials for over 24,000 children. Remedial classes provided through school clubs, focusing on reaching IDPs and low-achievers, gave access to over 2,100 additional children in Aleppo, Damascus, and Rural Damascus. Over 3,300 children in Aleppo, Sweida, Damascus, Lattakia, Quneitra, Rural Damascus and Tartous benefited from the implementation of the Curriculum B programme - which aims at supporting children who have been out of school for more than one year, and at reintegrating them into the learning system. 112 teachers were trained on the application of Curriculum B in the Governorates of Damascus, Dara a, Quneitra, Rural Damascus and Tartous. In cooperation with the MoE, 29 prefabricated classrooms were installed in February in schools in Hama, Homs and Rural Damascus, providing access to a quality learning environment to over 1,800 children; 702 classrooms were rehabilitated across Damascus, Rural Damascus, Homs, Hama and Tartous Governorates. Health: During the reporting period, over 158,000 children and women accessed maternal and child health care services by supported mobile teams and fixed centers, run by 20 local NGOs. Over 254,000 children and women have accessed such services since the beginning of the year in 11 Governorates of Aleppo, Hasakeh, Damascus, Rural Damascus, Dara'a, Sweida, Quneitra, Homs, Hama, Lattakia and Tartous. distributed medical items for over 422,000 beneficiaries in Aleppo, Hasakeh and Homs Governorates. Medical items were also distributed through Inter-agency convoys in the besieged areas of Moadamiyeh and Kafr Batna, in Rural Damascus for an estimated 31,000 beneficiaries. At least 12,700 children and mothers in seven hard to reach locations had access to primary health care and essential medical supplies, however essential items from the health and midwifery kits were removed from the convoys, thus affecting the usage of the kits Through cross border programmes, delivered SEDSL kits to meet the needs of 180,000 people for three months, 30 midwifery kits and 31 obstetric kits to manage 6,100 deliveries, including 775 caesarean procedures and 25 cholera kits. Communication materials for a measles campaign scheduled to take place in March 2016 were distributed in northern Syria. Nutrition: In February, s nutrition programme continued its efforts to respond to the urgent nutritional needs of vulnerable children and mothers through regular programme, as well as through location-specific convoys. More than 106,000 Syrian children under 5 (U5) and pregnant and lactating women (PLW) were screened through established nutritional centers and community outreach teams across 11 governorates and over 1,100 of them were admitted in nutrition treatment facilities. In an effort to prevent micronutrient deficiencies, around 27,000 children and 5,800 mothers received multiple micronutrients. Over 24,300 mothers benefitted from supported individual and group counselling services on proper feeding practices during emergencies: mothers are counselled on the importance of exclusive breastfeeding and proper complementary feeding for young children. Furthermore, over 50,000 children U5 were reached in February with High Energy Biscuits (HEB) and Lipid-based Nutrient Supplements (LNS). Over 6,700 children and mothers were reached with nutritional services, including malnutrition screening, multi-micro nutrients (MMN) supplements and acute malnutrition treatments in the hard to reach areas of Raju, Eastern Aleppo (Aleppo Governorate), Ter Mala, Ghanto, Waer (Homs Governorate), al-tal, Yalda and Qudsaya (Rural Damascus Governorate). Nutrition supplies for more than 12,000 beneficiaries were dispatched by through Inter-agency convoys to the besieged areas of Madaya, Moadamiyeh, Kafr Batna (Rural Damascus) and Foah (Idleb). Some nutrition supplies aimed at supporting the establishment of nutritional stabilization centres were rejected by the Government of Syria before being loaded. Nutrition supplies were delivered to meet the needs of 226,386 children and pregnant and lactating women in northern Syria. Through the Humanitarian Pooled Fund (HPF), the Nutrition sector was able to secure funding for the emergency nutrition response targeting vulnerable women and children in the besieged and hard-to-reach areas of the Governorates of Rural Damascus, Deir-Ez-Zor and Hasakeh. Within the Gazientep Hub, is procuring nutrition supplies for 13 sector partners also recipients of HPF funding. 4

5 Child Protection: Since January 2016, over 2,800 children have been receiving Risk Education (RE) awareness in Aleppo. Over 1,000 teachers have also been trained on RE in preparation to the roll-out of awareness sessions in schools during the next months. 16,156 children (50% girls) and 1,193 care-givers (96% women) benefitted from -supported structured and sustained psychosocial support (PSS) through fixed and mobile child-friendly spaces (CFSs), across 10 Governorates. also reached 7,440 children (50% girls) with awareness raising initiatives on CP issues. Psycho-social support was provided to at least 4,600 children in eight different hard to reach locations. continues to support the capacity development of CP service providers, with a total of 436 NGO staff and volunteers trained in the Governorates of Aleppo and Hama. In southern Syria through cross border programmes, was able to reach over 7,000 children with structured and sustained CP services, including psychosocial support services during the reporting period. Over 4,000 individuals were reached with awareness raising and social mobilization initiatives on child protection issues. Out of the nine communities where services are being delivered, six are in hard-to-reach locations and five of these are in the UN watch list for besiegement. In northern Syria through cross border programmes, child protection NGO partners provided structured psychosocial support (PPS) activities for 807 children (432 girls and 375 boys) in child friendly spaces in Sarmada (Idleb) and Daret Ezzeh (Aleppo). Activities included indoor and outdoor games, arts, cultural roleplays, and developing literacy and numeracy skills. provided recreation kits to support PPS activities. Adolescent Development and Participation: continues to implement adolescent participation activities across the country, including in hard to reach areas. In February, 28,440 adolescents and young people (10-24 years old) engaged in supported activities, including life and vocational skills building, and psycho social support services. 145 adolescents benefitted from opportunities for civic engagement in the hard to reach areas of Al-Waer (Homs) and Babella (Rural Damascus). 180 youth volunteers were involved in a Training of Trainers on Adolescent Development and Participation concepts, for their future engagements as facilitators. Basic Services: The 2015/2016 distribution of winter kits and blankets for children is in its final phase. In February, 42,713 winter clothes and blankets were distributed to vulnerable households by and partners in the Governorates of Aleppo, Al-Hasakeh, Damascus, Hama, Homs and Rural Damascus. More than 9,400 children were reached with winter kits and blankets in five hard to reach location, while 8,000 winter kits were dispatched in Inter-agency convoys to the besieged area of Moadamiyeh (Rural Damascus). Since January, over 152,000 children have received age-appropriate winter kits, out of which 44,000 are hard to reach areas (29%). According to the February post-distribution monitoring report, the winter materials most preferred by parents for their children were jackets (89%) and winter boots (92%). The two items were also perceived by the parents to be of the highest quality. Through cross border programmes, northern Syria, provided 18,000 winter kits and almost 33,000 blankets to 90,000 individuals in Aleppo Governorate. In Southern Syria, provided 14,500 winter kits in Dara a and Quneitra Governorates. In February, launched the pilot phase of the e-voucher programme in Homs. The use of e-vouchers allows beneficiaries to choose appropriate items to buy for their children; it also supports the revitalization of the local economy by engaging local retailers. As per initial monitoring, the e-voucher programme has been well-received by both beneficiaries and partners. SUMMARY OF PROGRAMME RESULTS (January February 2016) WHOLE OF SYRIA HEALTH (Need: 11.5 million people) # children under five vaccinated through polio campaigns 1 # children under 1 reached with routine vaccination 2 # Primary Health Care outpatient consultations supported 3 # beneficiaries (est.) reached with health supplies 4 # beneficiaries (est.) in besieged & hard to reach areas served with essential health supplies through convoys NUTRITION # children & pregnant and lactating women receiving micro-nutrients 1 # children & pregnant and lactating women screened for acute malnutrition 2 People in Need 1 Sector Target Sector Results Change since last Report Target Results Change since last report 2,900,000 39,769 39, , ,500, , ,746 2,362, , ,861 n/a 270, ,000 3,162,340 1,048,433 n/a n/a 1,048, , ,258 3,162,340 n/a n/a n/a 1,180, , ,610 5

6 # children treated for acute malnutrition (SAM and MAM) 89,298 12,772 n/a n/a 8,000 1,415 1,116 # pregnant and lactating women counselled on appropriate IYCF 1,331,841 n/a n/a n/a 375,000 34,294 24,353 # beneficiaries (est.) in besieged & hard to reach areas served with essential n/a n/a n/a n/a n/a 26,998 26,998 nutrition supplies through convoys WASH (Need: 12.1 million people) # population served by support to repair/ rehabilitation/ augmentation of water and 13,203,506 n/a n/a 4,608, , ,000 sanitation systems 1 # population served by support to operation and maintenance of water and sanitation systems 2 14,754,693 n/a n/a 13,004,000 12,516,856 0 # individuals supported with access to essential WASH NFIs 3 4,460,553 n/a n/a 1,061, , ,691 # individuals benefitting from access to improved lifesaving/ emergency WASH 5828,288 n/a n/a 1,540, ,255 82,074 facilities and services 4 # beneficiaries (est.) in besieged & hard to reach areas served with essential WASH n/a n/a n/a n/a 105, ,300 supplies through convoys EDUCATION # children (5-17) in formal education supported with Back to Learning supplies 1 5,400,000 3,837,091 n/a n/a 3,133,500 46,535 29,610 # children accessing non-formal education opportunities 2 2,757,244 n/a n/a n/a 682,500 24,154 5,092 # teachers & education facilitators benefitting from professional 272,000 34,722 n/a n/a 20, development # children benefitting from Life skills programmes 3 n/a n/a n/a n/a 300,500 5,502 3,310 # beneficiaries (est.) in besieged & hard to reach areas served with essential n/a n/a n/a n/a n/a 22,380 22,380 education supplies through convoys CHILD PROTECTION # individuals reached with Mine/ Explosive Rremnants of War Risk n/a n/a n/a n/a 2,092,500 6,505 2,842 Education activities # children and adults participating in structured and sustained child protection and psychosocial support programmes, 5,900, ,374 n/a n/a 453,600 66,226 30,235 including parenting programmes # individuals reached with awareness raising initiatives on child protection 5,900,000 1,933,855 n/a n/a 842,600 57,837 20,709 issues # children who are survivors or at risk receiving specialist child protection 300,000 22,196 n/a n/a 1, services # frontline child protection workers and volunteers trained n/a 6,425 n/a n/a 4, Non-Food Items (Need: 5.3 million people) # children that have received emergency NFI assistance 1 1,070, , ,713 # beneficiaries (est.) in besieged & hard to reach areas served with essential NFIs n/a 44,634 44,634 through convoys EARLY RECOVERY AND LIVELIHOODS (ERL) (Need: 9.4 million people) # vulnerable families receiving regular cash/in kind transfers 1 14,

7 # affected people receiving livelihoods support (loans, grants, assets) 2 1, FOOTNOTES NEED: 1) All needs figures from Syria HRP 2016, Objectives, Indicators and Targets matrices HEALTH: 1) ) The first nation-wide polio campaign in Syria for 2016 will be conducted in March. Therefore the results for Jan-Feb are still very low. HEALTH: 2) Data for this indicator are only reported by partners on a quarterly basis, hence the results are still reflected as zero. HEALTH: 3) Children and women of child bearing age supported with a package including salaries, training, routine immunization and supplies. HEALTH: 4) For Damascus includes supplies distributed without monitoring/partner reporting, excluding convoys. NUTRITION: 1) Need: 1,830,499 children (6-49 months) & 1,331,841 Pregnant and Lactating Women NUTRITION: 2) Results still limited because of some delay in receiving supplies due to new national administrative procedures. WASH: 1) Indicator includes Water (Equipment; New Construction/ Augmentation; Repair; Staff Support); Wastewater (Consumables; Spare Parts; Equipment; New Construction/ Augmentation; Staff Support); and Solid Waste (Consumables; Spare Parts; Equipment; New construction/ augmentation; Repairs; Staff Support) WASH: 2) Water including provision of consumables such as water treatment supplies and spare parts. This is a recurring intervention that requires continuous support to reach vulnerable populations on an ongoing basis. A large proportion of the population are reached continuously through support to systems including supplies such as for water treatment that improves people s access to safe water. WASH: 3) Includes distribution of NFIs, community mobilisation, hygiene promotion, and provision of household water treatment/ storage solutions WASH: 4) Includes water trucking, WASH in schools/ IDP settlements/ health facilities/ public spaces, construction/ repair of sanitary facilities and handwashing facilities, emergency repair of water supply, sanitation and sewage systems, and emergency collection of solid waste. EDUCATION: 1) Data for this indicator is usually reported by partners with an average delay of 2-3 months. Therefore the number is still very low. EDUCATION: 2) Non-formal education includes ECE, Self-Learning, Curriculum B, Accelerated Learning, Remedial Education, Literacy and Numeracy and Vocational Education EDUCATION: 3) Life skills includes all age categories; programmes in formal and non-formal education; citizenship education. NON-FOOD ITEMS: 1) Winter clothing kits and blankets through vouchers ERL: 1) Not yet started ERL: 2) Seed funding for youth in teams of 3-5, to implement social and business entrepreneurship initiatives. Jordan Situation Overview & Humanitarian Needs: Many refugee families have depleted their savings and are becoming increasingly vulnerable over time. Syrian refugees in Jordan are highly reliant on international assistance and those with additional vulnerabilities (e.g. children with disabilities, families hosting unaccompanied or separated minors) require additional support. The Government of Jordan announced it would take steps to permit up to 200,000 Syrians to legally access work, an extremely promising step to reduce refugee families vulnerability. Children who have dropped out of school due to displacement, lack of classroom space, or financial difficulty face dim prospects for the future. After three years out of school, children are no longer eligible to re-enrol in Jordanian schools. While 145,000 Syrian children (among 230,000 total) are accessing education at Jordanian schools in camps and in host communities, an estimated 85,000 Syrian children in Jordan remain out of school. The Ministry of Education recently announced plans to double-shift an additional 100 schools to accommodate potentially up to 50,000 out-of-school children by September The population of Syrian asylum-seekers gathered at the border in the remote locations near Rukban and Hadalat has increased to over 40,000 persons. In February, provided life-saving assistance, such as malnutrition screening of pregnant women and infants/young children, counselling on infant and child feeding, vaccination against preventable diseases, excavation of pits to manage solid waste, and distribution of WASH items, children s clothing and other life-saving materials. Humanitarian leadership and coordination: The need to continue providing Syrian refugees in Jordan, and other vulnerable children (including Jordanians) with increased learning opportunities has become acute. Under the No Lost Generation Initiative, developed the Makani ( My Space ) model, seeking to expand opportunities available to out-of-school and other vulnerable children. The Makani model offers cost effective multi-sectoral services (alternative education, child protection services, and life skills training) to girls, boys, young people and women in an environment that helps improve their safety, health and well-being. continued to scale up the integrated Makani approach to offer learning opportunities to vulnerable and out-of-school children at over 200 locations as of February. The transition of WASH services in camps from emergency operations to longer-term infrastructure and sustainable operations continued with the completion of Phase I of the Za atari water network, as well as the operation of the Azraq wastewater treatment plant. Humanitarian Strategy: With the humanitarian crisis transitioning to a protracted emergency, greater emphasis is being placed on promoting cost efficiency and sustainability of quality programme interventions, while also increasingly utilising innovative solutions to 7

8 further strengthen the resilience of host communities in the country. One example is the child cash grant programme, which supports families of extremely and highly vulnerable children with an unconditional monthly grant. In Jordan, continues to adopt a vulnerability approach to the identification of children in need of support, including analyzing the situation of vulnerable Jordanian children, as well as children of various nationalities. Building on the success of large-scale humanitarian assistance, support will be provided to strengthen the resilience of communities, services and individuals enabling all children, regardless of status, to realize their rights. Inclusive approaches also enable programme initiatives to promote social cohesion between children from diverse backgrounds and nationalities, which continues to be a key priority for s work in the country. focuses on increasing capacity of local partners to deliver quality services, particularly in host communities, to meet the needs of both refugee and Jordanian community members. A key example of this is s integrated Makani approach. This approach will increase sustainability of operations to assist vulnerable children. is also seeking to strengthen national social protection systems, expanding from the existing humanitarian cash transfer programming. To mitigate against the impact of the concentration of asylum seekers at the border on the challenging water situation in the north-eastern area, alternative water sources are being investigated in other locations through rehabilitation of abandoned boreholes, or technologies to improve the efficiency of the current system. Summary Analysis of Programme Response Makani: s Makani network now operates in over 200 locations nationwide. As of the end of February, partners (including Makani centres) provided structured psychosocial support 55,152 children (27,962 girls and 27,190 boys) at locations in camps and host communities. anticipates reaching a total of 218,284 children with psychosocial support in partners began implementing mobile Makani-plus services in some 40 vulnerable communities across Jordan. These Makani-plus locations will receive education, child protection and youth components, with the addition of hygiene promotion and household WASH support. In host communities, two Ministry of Social Development-run centers completed renovations of Makani centers in Om Nuvara and Ramtha making them accessible for children with disabilities and renovating the space where psychosocial support services (PSS), life skills training and informal education will be offered to some 1,000 children in the coming 6 months. WASH: Jordan is among the world s most water-scarce nations, which impedes its ability to absorb prolonged and increasing refugee influxes. With technical support from, the Government of Jordan released a National Water Strategy for which examines options in light of Jordan s extreme water vulnerability. To complement such sectoral support, a Feasibility Study is underway to assess the potential to augment the water supply of Central and Northern Jordan using deep aquifers. Once the characteristics of the deep aquifers are better understood, technical specification to drill boreholes in such aquifers will be developed. In February, essential WASH services were provided to over 113,000 people, including an estimated 63,347, living in Za atari, Azraq, King Abdullah Park and Cyber City camps. Phase I of the Za atari water network was completed and marks a key step in the transition from emergency WASH services to longer term, sustainable solutions. Phase I constituted shifting from an external to an internal water source in Za atari camp through borehole production within the camp has reduced water-tanker cost by 30% (from the initial USD 5.3 per cubic meter). By mid-2016, when the piped water system is completed, costs will be further reduced by 55%. The start-up of the Za atari wastewater treatment plant in April 2015 has reduced cost of transportation and treatment by 20% (down from USD 3.73 per cubic meter of wastewater transported to the remote plant). When completed, the cost cutting for wastewater management will be 60%. Plans for Phase II of the water network have been finalized and include approximately 421 km of water distribution pipes and eight pumping stations. The work involved in Phase II has been divided into two packages to ensure a shorter period of implementation (projected to be 16.5 months). The construction plan has been designed to facilitate partial operation once work is completed in certain areas, facilitating gradual transitioning away from water trucking. Regarding the Za atari wastewater network, 779 interceptor tanks have been installed to date in six districts (districts 3, 4, 5, 7, 11 and 12, equating to 48%) with 208 connections completed in three districts (District 3, 11 and 12) and 56 toilets constructed in four districts (Districts 3, 8, 11 and 9). In Azraq camp, multiple WASH improvements took place in February, including sanitation activities in the newly opened market area, installation of access ramps at selected WASH facilities and the introduction of a number of vandal-proof designs, to minimise the operational costs and ensure the continued provision of WASH services. Samples from the Azraq wastewater treatment plant were collected to assess whether the water can be discharged. A preliminary design for the Azraq pipeline and network expansion has been developed. At the northeastern desert border areas near Rukban and Hadalat, solid waste was collected and an assessment of options for vector control was carried out. The pipeline was laid for the water network and preparations are underway for the construction of the water tower. Family hygiene kits (supplemented by soap bars) were distributed to 601 households in Hadalat and 519 households in Rukban. Education: In February, over 145,000 Syrian students accessed formal education in schools in camp and host community settings. Children in camps continued to receive education in 32 schools (24 in Za atari, 4 in Emirati-Jordanian Camp and 4 in Azraq). To meet the needs of the remaining 80,000 out of school children, and the Ministry of Education (MOE) have been scaling up efforts to expand access to formal education by 50,000 seats by the start of the new academic year in September. As part of improving MOE institutional 8

9 capacity, continued to support MOE staff in training such as English language instruction and school leadership. Through these actions children will benefit from improved physical learning spaces and quality of instruction within the classrooms. In terms of alternative education, more than 8,000 children benefitted from information education delivery in -supported Makani centres, while two smaller non-formal education programmes (Dropout and Adult Literacy) enrolled 230 new students in Child Protection: In February, partners successfully formalized the care arrangements for 20 unaccompanied and separated girls and boys living in camps and host communities. Formalization of care arrangements occurs through Sharia courts or juvenile courts and aims to ensure sustainable care solutions in the best interest of the child for children deprived of parental care. So far in 2016, 321 unaccompanied and separated children (128 girls) have been identified and are receiving case management services. Health& Nutrition: and immap teams are supervising the current phase of the Mobile Data Collection (MDC) project, which aims to develop a routine immunization data management system using mobile technology. The current trial period in camps and host communities tests the registration and tracking of immunized beneficiaries by health facilities. In February, also transferred over 100 ice-line refrigerators and four working cold rooms to the Ministry of Health (MOH) to strengthen Governorate and District level cold chain for the routine immunization programme. In February, over 6,400 pregnant and lactating mothers and caregivers accessed infant and young child feeding (IYCF) education and counselling on breastfeeding and early initiation of breastfeeding through IYCF centers and outreach activities in the camps and community-based organization centers in host communities. A total of 121 Children under five years old and 101 pregnant and lactating women (PLW) benefited from the supplementary feeding programme. In addition, 's IYCF programme in the Northeast border areas reached 896 new lactating women with children below 2 years old, and 603 mothers of young children in February with IYCF counselling and support. In total, 2,114 children (6-59m) and 630 PLW were screened for malnutrition among them 1 case of Severely Malnourished Child (SAM) case, 11 MAM cases as well as 15 additional PLWs below normal nutrition status. The child identified as a SAM case was evacuated and allowed entry into Jordan, and all MAM cases are receiving treatment and daily follow up. Basic Needs: In February, transferred a monthly unconditional Child Cash Grant (CCG) instalment to the most vulnerable registered Syrian refugee families benefitting 58,656 children (28,782 girls and 29,874 boys). Jordan s CCG programme was initiated in February 2015 to assist the most vulnerable registered Syrian refugee families living in host communities. transfers JD 20 (USD 28) per child per month to eligible families, providing means to meet children s basic needs and prevent vulnerable families from resorting to negative coping strategies for instance reducing children s food intake, pulling children out of school, or early marriage. released A Window of Hope: Post-Distribution Monitoring Report 2015 for s Child Grant (CCG) programme in Jordan as well as an online interactive data visualization permitting the reader to navigate data. The key findings of the report determined that overall, 95% of families consistently reported being able to pay for child-related expenses that were not covered before receiving the child grant, and this increased over time. Moreover, families were able to increase spending on basic needs for children. Education expenses including transportation, children s clothes and shoes, children s medicine and fresh foods are the biggest expenses related to children. For families with four children or more, more money is spent on education, fresh foods and medicine. Despite deteriorating circumstances in general, 97% families reported that they were able to increase spending on basic needs for children and therefore improve children s wellbeing and living conditions. SUMMARY OF PROGRAMME RESULTS (January - February 2016) JORDAN Sector Target 1 Sector Result Change since last Report Target Result Change since last Report EDUCATION (Need: 258,000 school-aged children and 80,000 youth and adolescent) 3 # children (5-17 years, boys and girls) enrolled in formal education 1 156, , , ,458 0 # children (5-17 years, boys and girls) enrolled in nonformal education 2 n/a , # teachers, facilitators and school staff trained (male/female) 7, , # children, youth and adolescents benefitting from life skills based education 5 80,000 14,881 1,692 40,500 12, # children (5-17 years, boys and girls) enrolled in Informal education 6 83,000 6, ,500 5,771-1,347 CHILD PROTECTION 1 (Need: 478,450 boys and girls including 321,300 Syrian refugee boys and girls) # children (sex disaggregated) participating in structured, sustained child protection or psychosocial 335,953 64,949 37, ,284 55,152 31,387 support programmes 2 # children (disaggregated by sex) who are receiving specialized child protection services 19,500 2,027 1,174 10,260 1,

10 # adults participating in PSS or parenting education programmes 284,928 90,625 70, ,000 49,524 46,975 # individuals trained on child protection (sex disaggregated) 3, , WATER, SANITATION & HYGIENE (Need: 1.3 million people, including 630,000 registered refugees) 4 # target beneficiaries with access to an adequate quantity of safe water (temporary provision) 172, ,127 2, , ,127 2,332 # target beneficiaries with access to an adequate quantity of safe water (sustainable provision) 1 1,300,000 63, ,000 63,360 0 # target beneficiaries with access to appropriate sanitation facilities and services 2 893, ,035 21, , ,035 21,240 # target beneficiaries who have experienced a hygiene promotion session 190,000 23, ,000 23, # target children with access to improved WASH facilities in schools (including cleaning and maintenance) 135,000 18, , , HEALTH (Need: 1 million U5 children, 60,450 child bearing aged women) # children (0-59 months) vaccinated for measles 34,000 2,256 1,210 # children (0-59 months) vaccinated for polio 1,000,000 1, # children under 5 years fully covered with routine 34, Immunization antigens n/a # emergency affected people vaccinated for measles 212,698 3,302 1,522 (campaigns and routine) # child bearing aged women (15-49) received more than two doses of tetanus toxoid 28,800 2, NUTRITION (Need: 49,120 U5 children, 154,000 caregivers and mothers) # children U5 screened for malnutrition 1 14,500 n/a n/a 17,000 14,384 13,508 # caregivers/ mothers reached with Infant and Young Child Feeding services 1 153,600 n/a n/a 40,720 3,905-2,522 BASIC ASSISTANCE (Need: 32,000 families and 115,000 children) # vulnerable families receiving monthly cash assistance n/a 47,500 58,656 5,035 FOOTNOTE EDUCATION: 1) From JRP, Annex p21 EDUCATION: 2) From JRP, Annex p2 EDUCATION: 3) 33,750 = 7,500/ 2 years. EDUCATION: 4) 228,000 school-aged Syrian refugee children, and 30,000 Jordanian out of school children EDUCATION: 5) 15+ years possibly up to 35. result revised based upon partner reporting verification. EDUCATION: 6) result revised based upon partner reporting verification. CHILD PROTECTION: 1) Not all partners have reported their activities for January CHILD PROTECTION: 2) The PSS targets displayed are only for children, total targets (including adults) are 513,020 for sector and 265,774 for CHILD PROTECTION: 3) Includes 11,556 girls and 12,209 boys CHILD PROTECTION: 4) Not all sector partners have reported their activities for January CHILD PROTECTION: 5) Includes 341 girls and 512 boys CHILD PROTECTION: 6) Includes 1,825 women and 724 men CHILD PROTECTION: 7) Includes 30 women and 35 men. WASH: 1) Sector target includes 666,000 for resilience WASH: 2) Sector target includes 151,700 for resilience WASH: 3) Schools, makanis, clinics WASH: 4) 666K Jordanians in host communities / resilience, and 630K registered refugees. NUTRITION: 1) Sector result pending partners reports in ActivityInfo. results revised based upon verification of partner reporting. BASIC ASSISTANCE: 1) 26,272 girls and 27,349 boys Iraq Situation Overview & Humanitarian Needs: The majority of Syrian refugees in Iraq (around 97 percent) are hosted in the three northern governorates of the Kurdistan Region of Iraq (KRI). The protracted and overlapping humanitarian crises and prevailing security situation in the country have severely affected the economic situation, in particular in the KRI, where public services are strained and financial resources of the government, host communities and refugees are diminishing. It has been reported in February that the lists of Syrian refugee families wishing to enter refugee camps are growing; more detailed data is being gathered from camp management groups. If correct, this is an 10

11 indication that Syrian refugee families are seeking additional support as costs of living in rented accommodation and in host communities becomes increasingly difficult to meet. Similarly, reports of continuing migration of working-age males to other countries raises protection concerns. The increase in female-only and female-headed households in camps, also with young children or elderly persons, if corroborated by assessments, could result in increased need for additional support, including for a strengthened protection framework. As of February 2016, s WASH response for Syrian refugees remains 71% underfunded, while s health response for Syrian refugees remains 100% unfunded. For these sectors, is relying on remaining funds received in 2015 to ensure continued support to basic services for refugee children in Without additional funding for these sectors, will have to prioritise the most critical of services for Syrians for WASH and Health, potentially impacting on the sustainability and quality of support for Syrian refugees, for example at least 4,600 Syrian children will not receive cash support to meet daily household needs. Humanitarian leadership and coordination: Within the humanitarian response to Syrian refugee children in Iraq, and UNHCR co-lead the Water, Sanitation and Hygiene (WASH) sector and the Child Protection Working Group (CPWG) and co-leads Education with Save the Children International. In its role as WASH Sector co-lead, also coordinates with health actors, including with the WHO-led Disease Surveillance System. National ownership and sustainable service delivery of safe water services has been encouraged through work with relevant line ministries, including the Directorate of Surrounding Water, the Board of Relief and Humanitarian Affairs (BRHA), and the Erbil Refugee Council. Humanitarian Strategy: works in collaboration with partners and the Government of Iraq (GoI) to protect Syrian refugee children in Iraq through an integrated package of services and capacity-building initiatives focusing on improved access to education and appropriate, safe water supply, sanitation and hygiene, continued access to basic health care including vaccination, pre- and post-natal care, nutrition services; and increased access to psychosocial support and to safe spaces for recreation. In 2016, support to resilience will continue through capacity building of local actors and communities in child protection and WASH practices that host Syrian refugees, aiming to enhance their ability to withstand economic and social shocks. In 2016, s humanitarian response for Syrian refugees in Iraq is in line with the Regional Refugee and Resilience Plan ( 3RP ). Summary Analysis of Programme Response WASH: Water trucking represents a significant financial investment to provide continuing water supply. As the move towards more sustainable and cost-efficient WASH interventions continues, the completion of water treatment units and water networks in Basirma and Kawergosk refugee camps means that supplementary water trucking is no longer needed in any of the four Erbil camps (Qushtapa camp s water supply network was completed in January 2016; Darashakran s was completed in 2015) with substantially reduced costs. Despite continuing overall improvements to the sustainability of water supply networks serving Syrian refugees in camps, the water supply in Domiz, the largest refugee camp in Iraq, remains an ongoing challenge, as the existing water network does not deliver water at sufficient pressure to certain areas of the camp and subsequently continued water trucking is still required in those areas. A technical assessment of the network is ongoing to ascertain the causes of poor pressure. Findings from this assessment and technical guidance for improvement are expected by mid Likewise, factors affecting water pumping are the shortages in electricity supply in the KRI, which continued to affect the availability of water in refugee camps in February. Efficient use and conservation of household water remains an area which needs strong community advocacy, not just in refugee camps but in many host communities of Iraq, especially as lack of electricity affects pumping rates. In Erbil Governorate, water and hygiene promotion services reached over 31,000 refugees in all four refugee camps (Qushtapa, Basirma, Kawergosk and Darashakran. Education: Education, as of February 2016, is the highest funded refugee response sector in Iraq, at 52% funded. Key areas of work include teacher and Parent Teacher Association (PTA) training and capacity-building sessions; also supply of teaching and learning materials. Teacher training in collaboration with the Kurdistan Regional Government Directorate of Education is due to commence in March. In January and February, identified and managed a range of bottlenecks including lack of available space for running largegroup training; the need to fit training around the school holidays; and the ongoing lack of teacher salary payment, which is reportedly effecting the motivation of some teachers to commit to training. Since autumn 2015, provided temporary incentives for approximately 300 Syrian refugee teachers in the KRI, and 50 educational support staff. Incentives are not intended to be a replacement for salaries; the amount is lower than salaries and is not provided on a regular basis, as per agreement with the Kurdistan Directorate of Education. Reports of corporal punishment in schools were a concern for Protection and Education actors in February, as field staff noted issues relating to two refugee schools in Erbil where reports of corporal punishment were submitted this month. These incidents had reportedly caused several children dropping out from schools. field staff engage on a regular basis with school principals, teachers, and families to ensure that any reports of corporal punishment are brought to the attention of school management and to Parent Teacher Associations (PTAs) for discussion and resolution is supporting ongoing work at a policy level to review a national strategy to mainstream life skills education, which combines elements of conflict resolution, peace education, and positive discipline. In cases of non-attendance to school or identified drop out, 11

12 education actors engage with families, teachers and school principals to discuss the factors in hand and attempt to resolve them; this month, the Parent Teacher Association (PTA) this month the PTA in Darashakran refugee camp, Erbil, intervened to return 15 students to school. Health and Nutrition: Risks of public health outbreak remain high, particularly in non-camp settings where health services may not manage regular outreach. As part of s global mandate to reduce child mortality, neonatal monitoring and healthcare advice reached the parents of over 800 new-born children, through more than 6,600 tent-to-tent visits in refugee camps. supported Baby Huts are safe places that provide services to pregnant women, new mothers and young children offering growth monitoring/nutrition screening and counselling sessions on infant and young child feeding. Of the 3,626 children assessed this month, 350 presented signs of malnourishment, which were treated on site through supplementary feeding and therapeutic nutrition. In the reporting period services reached 1,539 pregnant and lactating women, 544 counselling sessions through informational videos and talks. Services are offered in Arabic and Kurdish language. supports the Extended Programme of Immunization (EPI) in Iraq. In February, 1,511 children under 5 received the oral polio vaccine as part of ongoing prevention activities to eradicate the polio virus, and 320 children under 5 received vitamin A supplementation as part of support to routine immunization programmes. To help prevent movement of vaccine-preventable disease across international borders, supports polio and measles vaccination for children crossing into Iraq at the Peshkhabour border in Dahuk Governorate, which connects Syria and Iraq. Child Protection: In February, provided psychosocial services (PSS) to 210 registered children (girls; 122 and boys; 88), for a total of 792 (girls; 395 and boys; 397) newly-registered children reached by PSS in 2016, while 357 newly registered children (girls; 159 and boys; 198) received specialized services from frontline workers. Cases included children with emotional distress, non-attendance of school, child labor, Unaccompanied and Separated Children (UASC), early marriage, gender-based violence and disability. To encourage and facilitate community-level engagement on child protection issues, is leading an initiative to build capacity of local social workers to engage local communities in issues relevant to child rights and child protection. In February, social workers from Syrian refugee camps in Erbil, alongside other social workers based in IDP camps, participated in community-based psychosocial support training. In Waar City, Dahuk Governorate and in Shaqlawa, Erbil Governorate, psychosocial support services opened for children, through mobile Child-Friendly Spaces. With 60 percent of Syrian refugees living outside camps, non-camp areas host high numbers of Syrian refugee children, and services have been much in demand. In non-camp locations, mobile CFS serve all children regardless of nationality; Iraqi displaced and Kurdish host community children also have access to services. Basic Needs: has provided cash assistance to identified vulnerable populations in Iraq since December 2014 in close cooperation with the regional authorities, with whom accountability and monitoring systems were set up to ensure that distribution and beneficiary selection is according to standard and agreed criteria. Cash Transfers of approximately US$250 to $300 per household, based on severity of vulnerability, support vulnerable families to meet their own needs in a dignified manner, and help to provide access to food and shelter. As of February 2016, cash assistance targeting Syrian refugee families has reached 2,023 households with Multipurpose Cash Assistance. In 2016, aims to reach approximately 14,600 households with child-focused cash transfer. SUMMARY OF PROGRAMME RESULTS (January February 2016) Iraq Sector targets Sector Results Change since last Report targets Results Change since last Report WATER, SANITATION & HYGIENE (WASH) Needs: 558,000 people, including 250,000 Syrian refugees # of individuals benefiting from improved access to adequate quantity of safe water in camps 100,000 76,180 40,384 55,928 67,220 54,476 # of individuals with access to adequate quantity of safe water 260,288 81,360 81,360 87,279 72,400 31,768 # of target beneficiaries with access to appropriate sanitation facilities and services4 221, , # of beneficiaries who have experienced a hygiene promotion session 197,600 30,422 3,719 87,929 26,939 3,719 # of camp residents with access to solid waste collection and disposal services at least 3 times per week 100,000 46,293 39,593 55, EDUCATION 2016 Needs: 231,000 children including 124,300 Syrian refugee children # of boys and girls in formal primary education (age 6-14) 37,726 32,709 2,208 37,726 30,501 0 # of boys and girls receiving educational supplies and / or teaching learning material 52,694 10,932 10,932 50,

13 # of teachers and education personnel receiving training on EiE and / or PSS and / or Pedagogy 2, , # of PTA members trained 1, CHILD PROTECTION 2016 Needs: 550,900 children including 104,300 Syrian refugee children Children receiving specialized child protection services (reunification, alternative or specialized care and services) 5, , Children participating in structured, sustained, resilience or psychosocial support programmes 45, , HEALTH Needs: 1.3 million people, including 250,000 Syrian refugees # children under 1 immunized against measles 6, # newborn babies of conflict-affected families benefitting from newborn home services n/a 4,000 1, # children 0-59 months vaccinated for Polio 37,500 3,374 1,511 # health facilities in impacted communities supported NUTRITION # children under 5 provided with access to Nutrition Services (growth monitoring, nutrition screening) n/a 37,500 6,327 3,626 # of targeted mothers of children 0-23 months with access to IYCF counselling for appropriate feeding n/a 13,000 2,942 1,539 SOCIAL PROTECTION # of HH receiving Multipurpose Cash Assistance 4,663 2,023 1,226 FOOTNOTES WASH 1) Sanitation reporting with government and NGO partners being reviewed in ActivityInfo Lebanon Situation Overview & Humanitarian Needs: Evictions or threats of eviction continue to impact Syrian refugees throughout Lebanon. Since the beginning of 2015, approximately 18,000 refugees have been evicted and some 10,500 are at risk of eviction across the North, Bekaa, and South. Relocation is often a difficult and stressful process particularly given the refugees limited financial resources and the increasing rental rates observed in Lebanon over the past few months. Overall households (HHs) expenditures dropped by 35% compared to However, Syrian refugee HHs were more likely to possess basic assets such as gas stoves, blankets, mattresses and winter clothing. Only 52% of primary school aged children (6-14) attended school in The most vulnerable Syrian refugees arriving in Lebanon from Syria have gone for extended periods some several months, and others up to four years without access to primary health care. As a result, children are at risk of contracting preventable illnesses and the country is at risk of outbreaks of communicable diseases, which would affect entire populations. The most frequent health concerns seen in primary healthcare centres (PHCs) are acute respiratory infections, diarrhoeal diseases and skin infections, all of which can thrive under crowded living conditions, such as those seen in the informal settlements and traditionally underserved areas where refugees have largely taken up residence. The prevalence of diarrhoeal diseases in Syrian refugee populated informal settlements has been attributed to a combination of poor hygiene conditions, poor food handling practices and in some cases, poor water quality. The influx of Syrian refugees has exacerbated Lebanon s already stretched water, wastewater and solid waste management systems and services, which were underfunded and underperforming even before the crisis. There has been an estimated 10 per cent increase in total water demand, 16 per cent more solid waste generated, and 11 per cent more wastewater produced 5. Expanded coverage of essential water and sanitation services to populations well beyond existing (and already failing) infrastructure (1,600 temporary settlements that all need water and sanitation) add a further burden. Internal instability and insecurity affect the daily lives of boys, girls, young people and their caregivers in Lebanon, exposing them increasingly to situations of violence, exploitation, abuse and neglect. Tensions between refugees and host communities are exacerbated by increased demand for services and resources. The deteriorating socio-economic situation of many refugees and vulnerable Lebanese, coupled with limited livelihood opportunities, have contributed to families turning to negative coping mechanisms, such as child labour 5 Lebanon Environmental Assessment of the Syrian Conflict and Priority Interventions, September

14 (also causing increasing drop-out rates from school), worst forms of child labour (including street-based work or association of children with armed violence) and child marriage. Humanitarian leadership and coordination: The Lebanon Crisis Response Plan (LCRP) 2016 is a one-year plan that was launched as a transitional phase to a 4-year strategic framework covering The LCRP 2016 partners the Government of Lebanon (GoL) and assistance organizations to deliver humanitarian and stabilization programmes that are integrated and mutually reinforcing while 1) Ensuring humanitarian assistance and protection for the most vulnerable displaced Syrians, poorest Lebanese and other highly vulnerable communities; 2) Strengthening the capacity of national and local service delivery systems to expand access to and quality of basic public services; and 3) Reinforcing Lebanon s economic, institutional, environmental and social stability. Recognizing the leadership of the government, UNHCR and have agreed that within the UN system, will coordinate the Child Protection sub-sector, the Education and the Energy & Water (E&W) sectors. UNHCR will coordinate the Sexual and Gender-Based Violence (SGBV) sub-sector. UNHCR will provide support to the Education and E&W sector by providing a UNHCR staff member to support the coordination in Education and E&W, as well as capacity support to the field when needed. With the signing of the Letter of Understanding (LoU) in December, took the responsibility to coordinate the three sectors and in January commenced with the transition to this leadership role at the national and field level. At national level this transition is complete, while it is under way in the field. Humanitarian Strategy: s work in Lebanon is guided by the organization s Core Commitments to Children in humanitarian action in close partnership with the Government of Lebanon. The humanitarian response is coordinated under the sixth Regional Response Plan, which details s commitments to all children in need, including Syrian refugees, Lebanese returnees, Palestinian refugees from Syria and vulnerable Lebanese. equally participates in resilience, recovery and development work under the World Bank Stabilization Framework and the Reaching All Children with Education proposal. Planning and implementation of the response is done through active participation and leadership in sector working groups. The No Lost Generation, championed in country by, UNHCR, Save the Children and World Vision brings together humanitarian and development responses in the areas of education, child protection and adolescent opportunities in order to avert a lost generation. Summary Analysis of Programme Response Child Protection: In February 2016, and its partner KAFA, trained 75 social workers from the Ministry of Social Affairs on the Law 293 to protect women and other family members from family violence. At the end of a series of 5-day trainings, 20 volunteer social workers were selected by MOSA and received an additional in-depth 4 day training. These social workers are now a part of an official list of social workers appointed by MOSA to support survivors of family violence who request protection orders from the judiciary. In addition, staff of one medical facility were trained in south Lebanon to provide quality care for survivors of sexual assault according to international standards. Staff from the medical facility were also trained on the GBV referral pathway developed by the GBV actors in the area. Lebanon and its government counterparts (Lebanese Mine Action Center (LMAC) and Ballamand University) participated in the 19th annual mine action meeting of national directors and UN advisers at the Palais des Nations in Geneva on February., LMAC shared their experience during a chaired session on mine risk education and behavior change. continues to support mine risk education in Lebanon where during the February, under the supervision of LMAC, 10,933 boys and girls and 11,043 community members attended mine risk education sessions provided by the community based organisations such as the Boy Scouts and Youth associations. WASH: In close collaboration with the Ministry of Energy and Water assessed the potential of aquifer recharge (replenishment of groundwater with surface water) to address water scarcity in Lebanon. The study assessed 22 sites nominated by the Government of Lebanon, and the results suggest that all but 4 sites are not feasible either due to the potential impact from poor water quality or lack of available recharge. These four sites are currently under further investigation for their feasibility to pilot aquifer recharge. Education: In February, the preparations for a new round of the Accelerated Learning Program (ALP) for out-of-school-children, who missed two years or more of schooling, were completed. A total of 3,505 children took the placement test and started attending classes on the 22 nd of February. This round of ALP will be finalized by the end of May. Due to an increase in demand in the number of children eligible for the ALP, the Ministry Of Education and Higher Education (MEHE) decided to organize another round of placement tests in March to allow more children to enroll in the current ALP., in partnership with MEHE, launched a homework support program through 123 schools across the country targeting 20,000 girls and boys at risk of drop-out, both Lebanese and Non-Lebanese. In the same period, in partnership with Center for Education Research and Development (CERD), the British Council, and local NGO Ana Aqra Association, began the process of assembling a unified approach to remedial support focusing on Arabic language and literacy, foreign language, parent engagement and structured play. 14

15 Through a unified system of child-level monitoring and MEHE will collect and analyze data on the profile of the at-risk children, and record any immediate effect of their participation in these programs. supported MEHE to launch the process of developing a unified Early Childhood Education (ECE) programme through holding a national ECE inception workshop on the 10 th of February with the MEHE departments, NGOs and the Ministry of Social Affairs (MOSA). Health and Nutrition: In February 2016, during the sub-national polio campaign implemented in fixed centres and through house-tohouse vaccination team, 149,363 children under five were vaccinated out of the 156,372 children targeted (96%). To prepare for the global switch from trivalent oral polio vaccine (topv) to bivalent oral polio vaccine (bopv), in February, provided 350,000 doses of bopv to the Ministry of Public Health (MoPH) to be able to use them from the National Switch Day on April 20 th, In order to increase the community awareness on routine immunization, in February, supported MoPH to develop a four-page flyer containing key messages on routine immunization and printed 500,000 copies of it for country-wide distribution. Furthermore, printed 200,000 revised routine immunization cards, to include PCV13 vaccine. In order to support the PHC services, in February, provided 39,750 bottles of 1% Permethrin shampoo (100 ml) and 500,000 Lice and Scabies information leaflets to MOSA. Basic Assistance: In February 2016, in collaboration with the National Poverty Targeting Program (NPTP), the Ministry of Social Affairs, the Presidency of the Council of Ministers (PCM) and the World Food Programme (WFP) distributed 21,449 ATM cards and PINs to the most vulnerable Lebanese families. The distributed cards for the month of February will allow the provision of a one-off payment of 40 USD to 64,020 boys and girls from 0 to 15 years old. The cards will be loaded and activated once the final process of verification is completed. In February completed the second round of fuel distribution to 73 public schools at altitudes of 500 meters and above (in total 620 schools have already been assisted by during the winter period). SUMMARY OF PROGRAMME RESULTS (January - February 2016) SECTOR SECTOR Change since LEBANON Target Result last Report Water, Sanitation and Hygiene (2016 Needs for Energy and Water sector: 2.42 million people) # individuals with sufficient safe water supply at an adequate level of service at temporary locations # individuals with sufficient safe water supply at an adequate level of service at permanent locations Target Result Change since last Report 337,172 45,878 45, ,590 44,372 10,591 1,005,965 n/a n/a 939,563 36,439 14,386 # individuals with access to solid waste services 2,084,494 n/a n/a 470,358 74,812 41,698 # individuals who have experienced an behaviour change session/activities 863,296 n/a n/a 229,993 31,148 14,787 EDUCATION (School year ) (2016 Needs: 983,000 people, including 477,000 Syrian refugees ) 1 # targeted children (under 5 years) enrolled in Early Childhood Education n/a n/a n/a 59, # targeted children (5-17 years) enrolled in formal education (primary or secondary) 4 n/a n/a n/a 235,949 n/a n/a # targeted children (5-17 years) enrolled in non-formal or informal education and/ or life skills 2 n/a n/a n/a 32,714 4,952 4,952 # girls and boys (aged 03 to 18) enrolled in formal and nonformal education programmes provided with adequate n/a n/a n/a 450, , ,382 learning materials # public schools rehabilitated to meet MEHE's safety, accessibility, and WASH standards; including minimum n/a n/a n/a standards applicable to children with disabilities # of personnel whose capacity has been strengthened 3 n/a n/a n/a 3, CHILD PROTECTION # children benefitting from structured community-based PSS, early childhood program and child protection 180,364 21,342 21, ,000 30,202 13,866 # girls and boys referred to and provided with specialized services n/a n/a n/a 2, # Community based groups trained and supported to address CP/PSS/GBV, including child marriage and WFCL 1 4, # people sensitized on CP/ PSS/ GBV 2 n/a n/a n/a 430,000 73,293 51,376 # individuals accessing safe spaces 3 120,000 5,848 5,848 60,000 9,404 3,780 HEALTH AND NUTRITION (2016 Health Needs: 2.5 million people, including 840,000 Syrian refugees ) 15

16 # Primary Health Care consultations 1 3,204, , , , , ,067 # children Under 5 (U5) screened for malnutrition n/a n/a n/a 111,998 27,276 8,926 # children U5 and PLW receiving micro-nutrient supplements n/a n/a n/a 196,001 28,139 12,380 # children U5 receiving routine vaccination 572,500 n/a n/a 572,500 1, # children U5 reached in campaigns in 2 planned Polio campaigns (30% national target) 2 579,000 n/a n/a 179, , ,363 # women receiving IYCF and breastfeeding awareness n/a n/a n/a 92,771 2,372 1,195 ADOLESCENTS # girls and boys benefiting from entrepreneurship and skills based training n/a n/a n/a 45, # girls, boys enrolled in Vtechnical and agriculture schools n/a n/a n/a 13, # adolescents (m/f) aged 10 to 18 years enrolled in life skills program (AI) n/a n/a n/a 20,800 2, # youth reached through the S4D programme (AI) n/a n/a 15, BASIC ASSISTANCE (2016 Needs: 1.5 million people, including 1 million Syrian refugees ) # children and their families vulnerable to seasonal weather and influx assisted with one off cash 1 630, , , ,000 1,547,372 1,547,372 # children & their families prone to be vulnerable to emergencies provided in-kind emergency support 1 136, , ,027 40,000 30,876 30,876 COMMUNICATION FOR DEVELOPMENT # individuals trained on communication for social and behaviour change FOOTNOTES EDUCATION: 1) Sector target will not be defined prior to approval by the Ministry of Education and Higher Education EDUCATION: 2) ALP figure, subject to confirmation from MEHE. EDUCATION: 3) Number decreased due to correction in partner reporting. EDUCATION: 4) As per REC meeting on January 26, 2016, total enrolment numbers are: 196,952 for Lebanese and 149,565 for non-lebanese. Of these enrolment numbers, partly or fully covers the enrolment fees of 209,253 children. These are preliminary figures that are subject to change upon receipt of the final report from MEHE. CHILD PROTECTION: 1) These figures include boys, girls, and adults sensitized on CP/PSS/GBV CHILD PROTECTION: 2) Sector Target and Results include only trained on GBV. HEALTH & NUTRITION: 1) 46,203 reported in MMU / 125,423 Reported by MOPH HEALTH & NUTRITION: 2) 89,928 reported in IS / Reported by MOPH: Round1 143,784 and Round2 149,363. BASIC ASSISTANCE: 1) The sector target for the indicator children and their families vulnerable to seasonal weather and influx assisted with one off cash is 210,000 households and the sector result is 158,084 households, to make it comparable to targets, it was converted to an estimated number of children (3) per household. The sector target for the indicator children and their families prone to be vulnerable to emergencies provided with in-kind emergency support is 45,500 households and the sector result is 35,009, to make it comparable to targets, it was converted to an estimated number of children (3) per household. BASIC ASSISTANCE: 2) These figures don t include number of Palestinians 720 Turkey Situation Overview & Humanitarian Needs: As the Syria Crisis enters its sixth year, 2.7 million Syrians are under temporary protection, and over half of them 1.4 million are children. 6 Turkey is currently hosting the largest number of refugees in the world. Around 10% of Syrian refugees in Turkey live in 25 camps along the Syrian border, while the remaining 90% reside in communities in the southeast, but also increasingly in Istanbul, Izmir, Ankara and other large cities in the north and west. Many Syrian families have been in Turkey for several years, their savings depleted and becoming increasingly dependent on humanitarian assistance to survive. Despite significant gains, such as the sharp increase in enrolment of Syrian children in formal education, and partners, the scale of this crisis is putting enormous strain on the Turkey s infrastructure and basic services, particularly in host communities. Humanitarian leadership and coordination: The Government of Turkey (GoT) leads the overall response to the crisis, and remains the largest provider of aid to Syrian refugees. The UNCT supports the government s efforts within the framework of the 3RP ( ). 6 As of 3 March 2016 (Source: UNHCR Inter-Agency Information Sharing Portal) 16

17 Coordination at Ankara level takes place through the Syria Response Group with participation of all relevant heads of agencies, while the Syria Task Force provides overall direction at the technical level. participates actively in both, and provides co-leadership of the Education Working Group. In December 2015, and UNHCR established a Child Protection Sub-Working Group to engage the government and humanitarian organizations on the ground on a few key priorities, such as unaccompanied/separated children and child labour. Decentralized coordination mechanisms also play an increasingly significant role in the humanitarian response in Turkey. Together with CARE International, also co-chairs the WASH Working Group, with meetings held alternately in Gaziantep and Şanliurfa. also participates actively in coordination meetings chaired by UNHCR in Gaziantep, and leads the Southeast Turkey Education Working Group, comprised primarily of NGOs working on the provision of non-formal education. Humanitarian Strategy: Under the framework of the 3RP ( ) as well as the No Lost Generation strategy, focuses on the twin priority areas of Education and Child Protection to reach Syrian children in camps and host communities, as well as vulnerable Turkish children affected by the crisis. In 2016, the rapid scale-up of services and strengthening of existing national systems will remain a top priority, with an increasing focus on a resilience and policy approach to reflect the protracted nature of the crisis. In Education, aims to increase children s access and improve quality and inclusiveness, with a special focus on host communities via the implementation of Provincial Action Plans. In Child Protection, priority is given to increasing safe and protective environments that caters to the myriad needs of children, adolescents and young people (through the expansion of child- and adolescent-friendly spaces and child protection support centres), with greater emphasis on identification and referral of children at-risk or in need of specialized services. In both areas, works with a wide range of civil society partners to scale up social cohesion and non-formal educational opportunities. Child rights violations continue to be monitored and documented with findings strengthening advocacy and programming. Summary Analysis of Programme Response Education: The number of Syrian children with access to formal education increased significantly in February, with almost 325,000 children enrolled in school a nearly 50% increase since the end of the school year in July Nevertheless, due to the continuous increase of refugees registered in Turkey, the number of out of school children remains significant. Meanwhile, provided monthly incentives to nearly 10,000 Syrian volunteer teachers in February 91% of all those working in Turkey and is on track to exceed our target for 2016 by next month. Unfortunately, serious challenges persist in the area of non-formal education. is working with existing partners to strengthen their capacity to reach more children, but the larger problem continues to be the limited number of qualified local or international NGOs on the ground and challenges in tapping in to additional potential stakeholder, such as universities and semi-governmental entities. To address this gap, has begun a comprehensive mapping exercise to identify potential partners with the necessary expertise, capacity and reach to scale up programming and is reaching out to new governmental partners, such as the Ministry of Youth and Sports. Child Protection: is working to scale up the capacity of child protection mechanisms in central and southern Turkey. Three Child Protection Support Centres (CPSCs) opened in Izmir, Ankara, and Adana, and a Child Protection Hub in Kayseri were opened in February. Each CPSC serves as a one-stop shop for a package of child-centred services, including psycho-social support, case management and legal counselling for at-risk children, nutritional services, and awareness raising. Meanwhile in Gaziantep, embarked on a twoyear initiative with the metropolitan municipality to combat child marriage. The initiative offers a comprehensive strategy to prevent and respond to this growing trend in Turkey, including the establishment of standard operating procedures and referral pathways to respond to children at risk and children who are already married; customised training packages for frontline service providers; and strengthened advocacy at the national level. Basic Needs: Since November 2015, has been working with four local and international NGOs Danish Refugee Council (DRC), Turkish Red Crescent Society (TRCS), Welthungerhilfe and ASAM to distribute unconditional cash voucher or in-kind assistance to almost 19,000 vulnerable Syrian households in 10 provinces across Turkey. In February, reached just over 10,000 households or an estimated 30,000 children. Under this programme, each eligible household receives a voucher or cash payment (valued at between USD $150-$200 based on a vulnerability assessment) from which they can purchase much-needed winter supplies and warm clothing in predetermined shops enabling them to spend their resources on other essential expenses, such as rent and food. Families who live in rural areas without sufficient market access receive an equivalent value of essential winter items including heaters, blankets, carpets and warm clothing. SUMMARY OF PROGRAMME RESULTS (January February 2016) Sector Sector Change since TURKEY Target Results last Report Target Results Change since last Report EDUCATION (2016 Needs: 1.3 million Syrian refugees, including 977,000 Syrian refugee children) # children (5-17 years, boys and girls) enrolled in 400, ,596 13, , ,159 25,477 formal education # of children (5-17 years, boys and girls) enrolled in n/a n/a n/a 40, non-formal education # of children (3-17 years, boys/girls) receiving school 400,000 n/a n/a 400, supplies 17

18 # of schools constructed, renovated or refurbished n/a n/a # of schools supported with maintenance and operational costs 180 n/a n/a # of teachers, facilitators and school staff trained (male/female) n/a n/a n/a 11, # of teachers and facilitators receiving incentives 2 10,000 n/a n/a 10,000 9, CHILD PROTECTION (2016 Needs: 1.49 million Syrian refugee children) # of children (sex disaggregated) participating in structured, sustained child protection or psychosocial 90,000 n/a n/a 80,000 15,082 8,441 support programmes # of children (disaggregated by sex) who are receiving specialized child protection services 1,100 n/a n/a 1, # of individuals trained on child protection (disaggregated by sex) 1,225 n/a n/a # of children (sex disaggregated) with increased access to SGBV services, including information 164,000 n/a n/a 30, BASIC NEEDS # of persons receiving emergency, cash or cashvoucher assistance 150,000 68,615 50,315 YOUTH # of Syrian and Turkish adolescents and youth in impacted communities with access to social cohesion activities, through peer support, youth mobilization 16,000 n/a n/a 10,000 1,743 1,536 and advocacy FOOTNOTES EDUCATION: 1) Please note that the effective date of this target, as outlined in the 20163RP for Turkey, is October However, results from October-December 2015 are not included in s total results for EDUCATION: 2) Incentives are to be paid to the whole target group each month. Egypt Situation Overview & Humanitarian Needs: Over 75,000 refugees in Egypt are children (or around 40% of the overall refugee population): around 54,000 Syrians and 21,000 from other countries. The Syrian communities are distributed in more than 10 governorates nation-wide. Some of these communities are hard to reach either because of the remoteness of the geographical areas or the socio-economic status of the target population. According to the latest UNHCR s Socio-Economic Assessment, about 60% of the refugees assessed through a vulnerability analysis, were classified as severe (i.e. living under the poverty line), and an addition 25% was classified as high vulnerability (close to the national poverty line). At the end of 2015, the number of registered refugee children in Egypt living in households classified as severely vulnerable was around 45,000, while the highly vulnerable were around 18,000. The latest UNHCR data also shows that among registered refugees classified as severely vulnerable there are 355 unaccompanied or separated Syrian children and 1,429 Syrian children are categorized as at risk. This number include children at risk of not attending school, children involved in child labor, child marriage and children with special education needs. An increasing number of Syrian refugees in Egypt are trying to reach Europe by sea, through smuggling and trafficking in hopes of finding better socio-economic conditions. The Government of Egypt (GoE) grants full access to education and primary health services for Syrian children. Absorbing the number of Syrian students in public schools is placing significant pressure on the existing education system due to high class density and low teacher to student ratio. The most common constraints which limit Syrian refugee enrolment rates are lack of required documentation and overcrowding and lack of enforced safety standards in classrooms. Egypt continues to facilitate access to primary education through supporting the Ministry of Education (MoE) through teacher and middle management training and also by creating increased community-based education opportunities to address the problem of high class density and drop-outs. Humanitarian leadership and coordination: In 2015, UNHCR and agreed on one reporting system with data collected from the Ministry of Health and Planning and the WHO to create a national database. Egypt is currently coordinating the intra-agency approach in defining indicators, targets and budgets for the RP in education, child protection and health sectors. Egypt continues to co-lead with UNHCR the Education Working Group (EWG) to ensure coordination mechanisms are in place for assessing specific needs of Syrian children and developing joint interventions to enhance the effectiveness and efficiency of interventions targeting 18