Syria. Crisis. November 2017 Humanitarian Results. In Syria 6 million # of children affected. 13,500,000 # of people affected (HNO, 2017)

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1 /Iraq/2017/Anmar Iraq running a pilot e-leaning program for 300 Syrian refugee students in Erbil, Sulimaniya and Dohuk in partnership with The International School of Choueifat - Erbil and supported by the government of Germany. Syria Crisis November 2017 Humanitarian NOVEMBER 2017: SYRIA, JORDAN, LEBANON, IRAQ, TURKEY AND EGYPT Highlights As of 18 December 2017, the 2017/18 winter response in Syria and Syrian refugee host countries reached over 630,000 children but remains 58% underfunded (out of US$72 million appeal) and 880,000 children remain in dire need for support. In Syria, the escalation of conflict in besieged Eastern Ghouta and limited access of humanitarian deliveries and commercial goods has led to a rapid deterioration in the conditions of over 390,000 people trapped inside, half of them children. A nutrition sector survey conducted in November confirms a fivefold increase in the proportion of children suffering from acute malnutrition since January In the same month, reached more than 340,000 people in hard-to-reach locations (including 27,000 people in besieged locations) with life-saving interventions and critical services in the areas of WASH, education, health and nutrition and child protection. In November in Turkey, over 167,000 Syrian refugee children benefitted from the Conditional Cash Transfer for Education (CCTE) for attending school regularly in preceding months, a nearly 22% increase in beneficiaries over the previous payment in September. Approximately 82% of children receiving the CCTE in November also benefitted from the Emergency Social Safety Net programme, which helped reach close to 1.1 million refugees to date. In Lebanon, WASH response to 190,000 people living in informal settlements (population of 272,000) is facing a critical funding shortage of US$ 26.5 million to sustain services beyond April To pre-empt the funding shortfall, a shift from full service coverage is being undertaken to mainly focus on the most vulnerable, semi-temporary costeffective water and wastewater facilities, and the establishment of a surveillance mechanism to identify possible communicable disease outbreak and trigger an immediate Health and WASH joint response. The number of unaccompanied and separated children (UASC) in Egypt has increased to nearly 2,500 in 2017 compared to 1,800 last year including some Syrian refugees. Key needs identified for this highly vulnerable group include legal documentation, legal support, cash assistance, education and child protection services. Response to the Syria Crisis # beneficiaries experienced a hygiene promotion session and/ or received a hygiene kit # targeted children enrolled in formal education Nov ¹ (#) /Cluster Nov ¹ (#) 2,068,673 2,308,716² 8,951,224 4,822,537 3,701,713 2,224,113 # targeted children enrolled in non-formal or informal education³ 462, , ,349, ,909 # Pregnant and Lactating Women counselled on appropriate Infant 821, , , ,942 and Young Child Feeding # children and adults participating in structured and sustained child protection and psychosocial support programmes 785,667⁵ 685,946 1,510, ,111 1) are cumulative from January data is as of October 2017; 2) Result overachieved due to Syria result surpassing its target; 3) target and result excludes Egypt, Lebanon and Turkey (result only), also result excludes Egypt; 4) Result overachieved due to Syria and Iraq results surpassing their targets.5) corrected. Additional results explanation is provided in the narrative and country HPM table footnotes. SITUATION IN NUMBERS In Syria 6 million # of children affected 13,500,000 # of people affected (HNO, 2017) Outside Syria Nearly 2.6 million (2,589,797) # of registered Syria refugee children More than 5.4 million (5,440,749) # of registered Syrian refugees (UNHCR, 12 December 2017) Appeal 2017 US$1,396 million Funding Status* US$ million 1

2 Situation Overview & Humanitarian Needs: Humanitarian needs remained critical in Syria throughout November. Though the overall level of violence decreased in some areas of the country (primarily those linked to de-escalation zones in southern Syria, northern Homs), violence escalated and or remained high elsewhere such as in Eastern Ghouta, Damascus, Raqqa and Deir-Ez-Zour where fighting and anti-isil operations continue to inflict high civilian casualties. The escalation of conflict in besieged Eastern Ghouta along with limited access of humanitarian and commercial shipments has led to a rapid deterioration in the conditions of over 390,000 people trapped inside, especially children. A nutrition sector survey conducted in November confirms a fivefold increase in the proportion of children suffering from acute malnutrition since the last survey conducted in January Furthermore, fighting between armed opposition groups Hayat Tahrir al-sham (HTS) and Nour al-din al-zenki (NDZ) led to the disruption of humanitarian services in western rural Aleppo. Some humanitarian services were suspended from November 14 to 18 over concerns for the security of staff. Clashes between non-state armed groups (NSAGs) and the Government of Syria resulted in shelling in southern rural Aleppo, triggering a displacement of more than 10,000 residents and 2,600 internally displaced people (IDPs) 2. A rise in military clashes led to a displacement of more than 90,000 IDPs from As-Saan, Hamra and Oqierbat in Hama governorate and Tamanah in southern Idleb to move northward into Idleb governorate in the past two months. 3 In Raqqa, displaced populations are returning to areas with a high prevalence of unexploded ordinances and landmines. Humanitarian partners estimate more than 200 related trauma cases since cessation of military activities in Raqqa City, particularly among children, highlighting the importance of scalingup life-saving mine risk education in prior active conflict zones. The destruction of education and health 4 infrastructure along with further attacks and internal displacement continues to limit access to these essential services for children throughout the country. Subsequently, an estimated 1.7 million children remain out-of-school and 200,000 others have missed-out on basic immunization and polio. In total, Jordan now hosts 2.7 million refugees, including 655,588 registered Syrian refugees (51 per cent children) 5. A population of approximately 40,000 Syrians remain along Jordan s northeast desert border near Rukban, of whom 80 per cent are estimated to be women and children, with a significant percentage of households headed by females. Since the closure of the border in June 2016, only modest support has been possible from the Jordanian side of the berm, including the provision of safe water and access to basic health services, primarily through the UN and in close coordination with the Jordanian Armed Forces. The -supported clinic near Rukban has provided around 500 medical consultations in November, a decrease from services provided in the previous month (1,002 consultations) due to limited access. The daily provision of safe water by and access to some health services remain the only regular humanitarian assistance available for the vulnerable population at the Berm. s of minor clashes between Kurdistan Regional Government (KRG) armed forces (Peshmerga), Iraq Security Forces (ISF) and Popular Mobilization Forces (PMF) continued in the reporting month, albeit no significant displacement. As in the previous month, armed conflict remained largely far from Kurdistan Region of Iraq (KRI) areas where Syrian refugees reside. There has been no resolution to ongoing political tension between the KRG in Erbil and the federal Government of Iraq since the referendum on the former s independence in September, however political dialogue is ongoing. As of November, Iraq is hosting 246,974 registered Syrian refugees including over 107,187 children 6. Although overall numbers have remained largely static, movements continue between Syria and Iraq at the Peshkhabour border crossing. Per information received from border authorities, some 5,100 Syrians arrived in the KRI in September alone, of these, more than 3,800 were readmittances after prior authorization by border authorities to return to Syria. 7 The humanitarian situation of Syrian refugees in Iraq has remained largely the same throughout With around 40 per cent of Syrian refugees under 18, the need for access to formal education remains high. Although Syrian refugees in camps remain well served, Syrian refugees in host communities may not have regular access to primary healthcare, regular safe water supply or adequate sanitation. In this prolonged refugee crisis, there is need to identify and strengthen community-based child protection networks to identify child protection issues and advocate for child-focused solutions. Lebanon continues to host an estimated 1.5 million refugees (over one million registered with UNHCR 8 ). The sudden resignation of the Prime Minister Saad Hariri on 4 November heightened the sense of an impending crisis. While the situation normalized with his return to Lebanon, the incident exposed a precarious political context and its potential impact on the region. continues to face critical funding shortages in Informal Settlements (US$26.5 million gap) to meet the needs of 190,000 people (estimated population of 272,000) 1 The proportion of children with global acute malnutrition (GAM) is 11.9 per cent. The last nutrition SMART survey in January indicated a prevalence of GAM of 2.1 per cent. 2 Including Khan Al-Asal, Dana, Abad, Talhiyeh, Bawabiyeh and Saraqab Mobility Dynamic and Services Monitoring, Syrian Arab Republic, November 2017, Needs and Population Monitoring. 3 CCCM cluster report, Syrian Arab Republic: IDP arrivals from northern Hama and southern Idleb, October-November 26, Multiple attacks were reported on health services in Hama, Idleb, Rural Damascus and Aleppo, restricting access to healthcare: On 6 November, an ambulance was reportedly destroyed in Dana, Idleb, after an IED was detonated; On 8 November, an airstrike reportedly hit a hospital in Hammura, Rural Damascus; On 13 November, a hospital in Hamra, Hama, was reportedly hit by airstrikes. Two ambulances were reportedly destroyed and a third was damaged; a primary healthcare centre was reportedly hit by an airstrike on the same day in Atareb, Aleppo. 5 United Nations High Commissioner Refugees (UNHCR) data portal accessed on 12 December UNHCR data portal accessed on 12 December UNHCR, Iraq Monthly Protection Update, September UNHCR data portal accessed as of 7 October,

3 for WASH as well as for Health (US$ 2.8 million gap). Given the expected decrease in humanitarian funding next year, is transitioning towards strategic and longer-term systems strengthening in the areas of the No Lost Generation initiatives (child protection, youth, education and social protection) as well as child survival (health and WASH), while maintaining a more durable humanitarian response in light of ongoing needs and current instability. In November, nearly 3.4 million Syrian refugees, including over 1.5 million children, were under temporary protection in Turkey. An additional 357,000 refugees were nationals mainly from Afghanistan, Iraq and Iran, of whom almost 117,000 were children. 9 According to the Turkish Coast Guard Command, 2,052 refugees and migrants were rescued or apprehended on their sea journey from Turkey to Greece, almost half of whom were children. The decrease in numbers is most likely related to the deteriorating winter weather, as well as increased border enforcement and monitoring of smuggling routes toward Greece. Under the framework of the EU-Turkey Statement, seven rounds of returns took place for 75 people in November (including two accompanied children) 10, bringing the total number of readmissions to 1,469 since the Statement came into effect in March In Egypt, the total number of registered Syrian refugees and asylum seekers has reached over 124,000, an increase from the 117,591 registered in January Forty per cent of new Syrian arrivals are coming illegally from the Sudanese border leading to an increased number of detentions. has access to the 23 detention centres where it provides health assistance, including vaccines, hygiene kits and non-food items, with a focus on young and adolescent girls. The Government of Egypt grants Syrian refugee children access to education in public schools under the same rules and regulations that apply to Egyptian nationals. However, absorbing the number of Syrian students in public schools is a persistent constraint due to high class density and limited number of teachers relative to students. Other challenges to enrolment include strict documentation requirements, safety measures (inside and outside classrooms) and lack of quality teaching in public schools. Currently, an estimated 39,000 children remain out-of-school. The number of unaccompanied and separated children has increased to about 2, compared to 1,800 last year. Key needs include issuance of legal documentation to help qualify for legal support and cash assistance, in addition to education, child protection services. Syria Besieged and Hard to Reach Areas: In November 2017, reached more than 340,000 people in hard-to-reach locations (including 27,000 in besieged locations) with life-saving interventions and critical services through regular programme and convoys in the areas of WASH, education, health and nutrition and child protection. 12 Water, Sanitation and Hygiene (WASH): continues to provide water and sanitation emergency interventions for displaced populations, while investing in the overall WASH system through rehabilitation, capacity building and technical assistance. reached two million people through rehabilitation of water and sanitation services and infrastructure, bringing the total beneficiaries to over 5.8 million people in Emergency response including life-saving interventions such as water trucking, distribution of critical non-food-items and maintenance of WASH facilities in IDP shelters have benefited 290,000 people. In Deir-Ez-Zour, where humanitarian access remains limited, provided access to clean water for 10,000 people through water trucking and distribution of critical hygiene items. continues to provide critical drinking water supplies disinfectants benefiting over 12.5 million people across Syria. This intervention is critical to contain major outbreaks of water-borne diseases. However, the reach has dropped since August 2017 due to challenges in accessing water systems in Deir-Ez-Zour and Ar-Raqqa. For WASH in schools, the programme has rehabilitated facilities in 30 schools benefiting 21,500 children (352,000 children in 2017). Education: focuses on support access to formal and non-formal education prioritizing out of school children and children directly impacted by the conflict, while also investing in quality of teaching and system strengthening. In the reporting month, a total of 306,000 children were reached with education services, of whom nine per cent (27,000 children) are in hard-to-reach and besieged areas. 22,000 children were supported with improved access to quality learning environments through school rehabilitation and installation of pre- 9 UNHCR, November European Commission DG HOME, November Returnees were primarily from MENA and South Asia, including 29 nationals from Syria. 11 As of November Locations reached include Deir-Ez-Zour, Raqqa and Eastern Ghouta. 3

4 fabricated classrooms in six governorates 13. These interventions are essential in Syria where one of three schools have been destroyed or rendered unusable due to the crisis. A significant barrier to education is the lack of essential learning materials in schools. Further, many families lack the purchasing power, to provide these for their children. has provided essential learning materials 14 to around 245,000 children in ten governorates 15 (around 664,000 children in 2017). In addition, reached almost 104,000 out-of-school children with self-learning and the accelerated learning programme (curriculum B 16 ). s education programme in Syria is suffering from a critical funding gap at 54 per cent (up from 23 per cent in 2016). Given the shortage, has had to strategically allocate limited funding to critical interventions, such as school infrastructure support, capacity development for teachers, and non-formal education for displaced and out-of-school children. Health and Nutrition: works on sustaining and reactivating routine immunization services for children by supporting health centres and mobile clinics with necessary vaccines and capacity. Basic paediatric and maternal health care services are strengthened though critical medical supplies, equipment and training. In the context of worsening health care services. The nutritional support focuses on enhancing the capacities of communities and local authorities to prevent, screen, treat and manage malnutrition cases. provided 270,000 free paediatric and maternal consultations to 223,000 children and women in November through fixed health points and mobile health teams run by local NGOs. Critical medical supplies were distributed to 237,000 beneficiaries as part of the emergency response for hard-to-reach and besieged areas through inter-agency convoys and local NGOs (1,358,000 beneficiaries in 2017 year). A further 28,000 children under one year were reached with routine immunization services in October (46 per cent of the annual target). Sub-national immunization days (SNIDs) against polio were conducted during November. The preliminary results indicate that around 454,000 children under the age of five (U5) were vaccinated against polio (2,728, per cent) reached in 2017). In terms of nutrition services in the reporting month, provided nutrition supplies for 24,000 children and 6,000 pregnant and lactating mothers in hard-to- reach and besieged locations in Rural Damascus, Homs and Hama (including besieged locations in East Ghouta and Ar-Rastan) through inter-agency convoys. In addition, 1,449 children identified with severe acute malnutrition (SAM) were admitted for treatment in -supported centers. Furthermore, provided emergency response to displaced people arriving in Sanjar, Ma arrat An Nu man and Saraqeb in Idleb, treating 26 SAM cases among children. is supporting 11 mobile clinics to IDPs who have arrived from northern Hama and southern Idleb, including through the provision of micronutrient supplements to 1,930 children U5 and screening of 300 pregnant and lactating women, of whom 19 were identified with moderate malnourishment and referred for treatment. Social Protection, NFIs and Child Protection: Social protection programme combines regular cash distribution with case management, primarily targeting families of children with disabilities and out-of-school children, in addition, seasonal clothes and blankets are provided to the most vulnerable children through direct distribution and e-vouchers. As part of the winter response, reached almost 10,000 displaced children from Raqqa with seasonal clothes. Since January 2017, has distributed seasonal clothes and blankets to 442,000 children in 13 governorates 17, including 148,000 children in hard-to-reach and besieged areas. In addition, 52,000 children in five governorates 18 received non-food-items through e-vouchers). In support to children with disabilities and their families, continued to implement the social protection scheme including cash transfers and case management. In November, 4,049 children in Aleppo and 103 others in Lattakia received their bi-monthly cash benefits (6,125 in total in 2017). provides psychosocial support and awareness raising on the dangers of unexploded remnants of war, while building the capacities of social workers and supporting the United Nations to monitor and report on grave violations. In the reporting month, structured psychosocial support services (PSS) were provided to 76,000 children (51 per cent girls) and 6,000 caregivers through child friendly spaces and mobile teams in 13 governorates 19 (328,000 children, 51 per cent girls) and 20,000 caregivers in 2017). -supported mine risk education (MRE) reached 95,000 children and adolescents (51 per cent girls), and 19,000 caregivers in all governorates during the reporting month. Adolescent Development and Participation: supports adolescents and youth with skills-based education, community-based vocational training, entrepreneurship seed funding and access to civic engagement opportunities. During November, s partners across Syria reached 41,000 (3,500 in besieged and hard-to-reach locations) vulnerable adolescents and youth 20 (10-24 years, 52 per cent girls) with a holistic package of multi-sectoral services and opportunities including PSS, life-skills and citizenship education (407,000 beneficiaries in 2017). The youth seed funding initiative continued and social and business projects were presented in front of a committee where four young people were awarded 21. with seed funding, up to 2,000 US dollars each Damascus, Aleppo, Homs, Hama, Idleb and Rural Damascus. 14 School bags, recreation kits, school in a carton, ECD kits and stationary. 15 Aleppo, Al-Hassakeh, Ar-Raqqa, Dar a, Homs, Idleb, Lattakia, Quneitra, Rural Damascus and Tartous. 16 A condensed basic education curriculum for accelerated learning for children who have missed classes because of repeated displacement and to help them catch up and ultimately reintegrate into formal schools. 17 Al-Hasakeh, Aleppo, Homs, Rural Damascus, Idleb, Ar-Raqqa, Dar'a, Hama, Lattakia, Tartous, Damascus, Deir-ez-Zor and Quneitra. 18 Damascus, Homs, Lattakia, Al-Hasakeh and Tartous. 19 Aleppo, Al-Hasakeh, Ar-Raqqa, As-Sweida, Damascus, Dar'a, Hama, Homs, Idleb, Lattakia, Quneitra, Rural Damascus and Tartous. 20 including internally displaced and host community adolescents and youth, young people living in poverty and other marginalized groups such as with disabilities. 21 One of the successful business projects, Alt&Shift, centered on the translation of medical resource books into Arabic for medical students. 22 The programme interventions expanded to Homs and Aleppo where 39 youth in the latter governorate completed all three phases of the programme. 4

5 External Communication and Advocacy: Following the escalation in violence in East Ghouta and the increasingly tightened besiegement, has increased its advocacy efforts to spare children in the ongoing warfare. s Regional Director of the Middle East and North Africa Regional Office issued an appeal calling for parties to the conflict to end the war in Syria reaching at least 355,000 people in MENA region alone. UNCIEF has also issued a news note regarding the sharp increase in malnutrition rate amongst children in East Ghouta. During the reporting period, covered the emergency delivery of critical humanitarian supplies through interagency convoys to Duma and Nashabiya in East Ghouta and to Talbiseh and Tloul Al-Humor in rural Homs and Hama respectively. Several multimedia products were also published highlighting response in education and for the winter season in camps in Raqqa and Hassakeh in northern eastern Syria, as well as to highlight the World Children Day through a video from Tartous and two photo albums from Qamishly and Hassakeh. SUMMARY OF PROGRAMME RESULTS (January-November 2017) WHOLE OF SYRIA WASH # est. ppl served by support to repair/rehabilitatiougmentati on of water and sanitation systems¹ # est. people served by support to operation and maintenance of water and sanitation systems² # people supported with access to essential WASH NFIs, incl. in besieged, military encircled and HtR areas³ # people benefitting from access to improved lifesaving/emergency WASH facilities and services⁴ # school children benefitting from improved WASH facilities and services⁵ Child Protection # people participating in structured and sustained child protection programmes, incl. PSS and parenting programmes¹ # people reached with Risk Education activities² # people benefitting from child protection awareness raising and community events³ # children receiving specialised child protection services including through case management⁴ # adults trained in child protection⁵ EDUCATION # children (5-17) enrolled in formal education¹ # children (5-19) enrolled in nonformal education² # teachers & education personnel trained³ # children & youth benefitting from life skills and citizenship education⁴ People in Need since last since last 14,896,742 8,937,582 8,355, ,412 4,870,000 5,751,229¹ 337,440 14,896,742 14,896, ,345,000 14,567,550² 0 8,226,224 8,226,224 4,547, ,082 1,685,000 2,012,183 30,071 6,317,978 5,000,000 6,160,911 62,147 1,525,000 1,186,222⁴ 68, , , ,355⁵ 21,456 5,800, , , , , ,797 65,814 2,912,000 2,083,583 89,350 2,600,000 1,868,117² 109,239 13,500,000 1,600, , ,468 1,000, ,892³ 168, ,000 44,000 18, ,100 14,335 1,655 11,500 6, ,700 5,250⁵ 688 2,820,000 1,219,651¹ 263,815 1,700,000 1,210, , ,000 75,053² 14, ,000 26,699 25,996 30,635 17,500 22, ,800, , ,824 12, , ,377⁴ 33,534 5

6 WHOLE OF SYRIA People in Need since last since last # youth enrolled in formal and informal Technical Vocational 789,000 17,875 52, ,080 10,050 52,647⁵ 6,521 Education and Training (TVET)⁵ # parents and caregivers of outof-school children reached with C4D door-to-door community 400,000 34,895 14,746 mobilization⁶ HEALTH # children under five years vaccinated through polio 3,300,000 2,728,230¹ 0 campaigns¹ # children under 1 year reached with routine vaccination (DTP3)² 682, ,070² 27,688 # Primary Health Care outpatient consultations³ 2,100,000 2,756,563³ 223,466 # est. people reached with health supplies, including in besieged, military encircled and hard to 3,200,000 1,357,516⁴ 236,580 reach areas ⁴ # caregivers reached with health promotion, incl. immunization 3,000,000 4,029,267⁵ 556,639 messages ⁵ NUTRITION # children & Pregnant and Lactating Women (PLWs) 4,412,804 2,063, ,979 13,786 1,760,000 2,041,434¹ 1,334,274 receiving micro-nutrients¹ # children & Pregnant and Lactating Women screened for 4,412,804 2,355,361 1,244, ,973 2,020,000 1,628, ,959 acute malnutrition² # children treated for severe acute malnutrition (SAM)³ 19,164 11,498 7,093 1,790 7,250 6,617 1,449 # Pregnant and Lactating Women (PLWs) counselled on appropriate Infant and Young Child Feeding 1,489, ,758 27, , ,690 72,768 (IYCF)⁴ # est. number people reached with nutrition supplies, incl. in besieged, military encircled and 980, , ,394 HtR areas⁵ NFIs # children protected from extreme weather with NFIs¹ 770, ,140 6,823 # children benefitting from e- vouchers (summer and/or 150,000 51,956² 0 winter)² EARLY RECOVERY AND LIVELIHOODS # families receiving regular cash transfers¹ 14,900 6,125¹ 0 # adolescents (10-17 years) and youth (18-24 years) involved in or 120, ,904 5,426 leading civic engagement initiatives² # adolescents (10-17 years) and youth (18-24 years) involved in 340, ,946³ 8,310 social cohesion activities ³ # youth (15-24 years) benefitting from livelihoods support 5,777,105 1,500 1,368⁴ 4 including seed funding⁴ 6

7 FOOTNOTES : All sector results are as of October WASH 1: Including water (equipment; new constructiougmentation; repair; staff support); waste water (consumables; spare parts; equipment; new constructiougmentation; staff support); and solid waste (consumables; spare parts; equipment; new construction/ augmentation; repair; staff support). Many of the WASH interventions are regular and sustained support which require predictable funding over the year; while results are achieved, these need continued funding to be maintained over the year. The over-achievement against this indicator is due to the additional 1.5 million people reached in Damascus in the context of the water crisis, which wasn't anticipated during the planning phase. WASH 2: Water systems incl. 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 is 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 mobilization, hygiene promotion, and provision of household water treatment / storage solutions including through convoys. WASH 4: Includes water trucking, WASH in 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. The over achievement in the sector result is due to additional coverage from the Damascus hub, also includes NES data. WASH 5: Includes WASH in schools activities (standard package; Rehabilitation of Water and Sanitation facilities in schools; Hygiene). high achievement is due to scale up of water trucking during the Damascus Water Crisis in Q1 of In addition, and in close coordination with the Education programme, the focus was to target schools with high enrolment rates and a significant number of IDPs this lead to increased cost effectiveness of the interventions. Child Protection 1: Including children benefiting from structured and sustained programmes (curriculum and/or session activity plans), community-based child protection and PSS (psychosocial support) programmes and adults participating in parenting programme. Child Protection 2: Risk education activities aim to reduce the risk of death and injury from mines and explosive remnants of war by raising awareness and promoting safe behaviour. Activities include community awareness sessions, interactive theatre, games, focus group discussions and activities embedded in children s PSS programmes. There was lower funding for Child Protection programming until the last quarter of 2017, and the cross-border delivery of risk education programming was lower than planned. This is in addition to some programmatic delays on the ground including due to some administrative barriers that cross border NGOs faced working from Turkey. Child Protection 3: Including people reached with awareness messages through mass communication methods and two-way communication and interpersonal interactions. Due to some delays in reporting by partners the results are still lower than anticipated. Child Protection 4: Children supported with specialist child protection services, such as case management for children at risk or who have experienced violence, abuse and exploitation, including support to children being recruited by armed groups, street children, and children involved in child labour, unaccompanied and separated children. Child Protection 5: Structured professional development/capacity building initiatives that aim to improve child protection responses, including through mainstreaming efforts. results have exceeded the target because of the need to further expand child protection and case management activities in areas such as Aleppo and Qamishli, among others. Education 1: Children receiving text books, school supplies (including school bags, school in a carton/box, recreational kits, stationery, ECD kits, school furniture), Curriculum B, classroom rehabilitation, prefabs and tented classrooms. The Back to Learning campaign is being rolled out in Q4 of 2017, and the year-end results are expected to be significantly higher. Education 2: Children benefitting from self-learning, remedial classes, accelerated learning (ALP), early childhood care and education. The low result is attributed to lower funding for Education programming until the last quarter of 2017, and the cross-border delivery of non-formal education programming was lower than planned. Education 3: Training of teachers, education personnel and education facilitators including youth volunteers and school staff. Education 4: Incl. activities from Education and ADAP: Education (life skills and citizenship education), ADAP (life skills programmes based on a standardized package). Due to new partnerships with CSOs the results achieved so far have been higher than expected. Education 5: Incl. activities from Education and ADAP: Education (youth enrolled in formal and informal TVET), ADAP (Number of youth enrolled in community-based TVET). Due to new partnerships with Civil Society Organisations the results achieved so far have been higher than expected. Education 6: Including parents and caregivers of out-of-school children reached with education awareness messages through the regular C4D Back to Learning programme, community meetings (community leaders reached with education awareness messages) and open days. Health 1: Two rounds of national immunization campaigns were implemented in March and April 2017; another 2 rounds were conducted for October and November 2017 (the November campaign is sub-national). All campaigns equally target girls/ boys. From July to August 2 rounds of outbreak response campaigns were implemented in Deir-ez-Zor and Raqqa. Health 2: Number of children under one reached with routine vaccination programme, DTP3 is used as a proxy indicator. Routine vaccination programme equally targets girls and boys. Data is usually reported by partners with a delay of 2-3 months. Health 3: # children & CBA women served through supported health centres and mobile teams. The package includes salaries, training and supplies. overachievement against this indicator is due to the additional funding received for cross-border programming that was not part of the original plan and appeal, as well as the use of supplies carried forward from Health 4: Beneficiaries reached with health supplies including Interagency Health Kits (IEHK). The low result is due to reduced number of inter-agency convoys this year, and the late arrival of reports from the MOH, however, the number is expected to increase in the next report. Health 5: Caregivers reached with health education and health promotion messages. The over-achievement is due to scaled-up messaging in response to the polio and measles outbreaks this year. Nutrition 1: Children 6-59 months reached with multiple micro-nutrient powder for 4 months (at least once), multi micro-nutrient tablets or iron folate for PLWs and vitamin A (children under 5 & lactating women). over-achievement is due to Vitamin A blanket coverage accompanying vaccination campaigns. Nutrition 2: Children and PLWs screened through MUAC or weight/height measurement. Nutrition 3: Children treated for SAM (severe acute malnutrition) through outpatient clinics. Nutrition 4: PLWs counselled individually or in groups. Counselling on breast feeding, complementary feeding and management of breast milk substitutes. Nutrition 5: Beneficiaries reached with any nutrition supplies in all areas, incl. in besieged, military encircled and hard to reach areas through regular programme and convoys. NFIs 1: Children that have received winter clothing kits and/or blankets distributed in kind. NFIs 2: Children that have received winter or summer clothing kits through e-vouchers. result in 2017 is low due to inadequate funding. This intervention is also planned for the winter months of 2017/18, so the interventions against this indicator will be achieved over the final months of ERL 1: Families of vulnerable children receiving regular unconditional cash for an extended period; and # of families receiving a cash grant every month during four months. The under-achievement in result is due to constraints faced in obtaining the required approvals for the expansion of the programme to new governorates in addition to insufficient funding. Also, the implementation of the cash programme in the South was a pilot project that was concluded as it covered cash for winter 2016/17, and the project was successful. It wasn t replicated due to lack of funding. ERL 2: Individual or collective activities aiming at improving the overall wellbeing of young people or their communities. ERL 3: Through Sports for Development, youth led community dialogue and volunteer actions. Includes promotion of peace and harmony through cultural and sports events, sports for development, right to play, youth-led community dialogue, volunteer action, and capacity development in mediation and conflict mitigation. The actual results are still limited mainly due to a lack of funding. 7

8 ERL 4: Entrepreneurship initiatives led by or involving youth that provide young people with opportunities to develop economically viable and environmentally sustainable ideas through entrepreneurship programmes that can create value for them as individuals, their peers and their communities, including displaced people. The actual results are still limited mainly due to delays in obtaining approval for the seed funding programme. Jordan Education: supports the Jordan Compact announced in 2016, with continued efforts to improve access to formal education opportunities for Syrian refugee children. This includes double-shifting of public schools across the country and expansion of schools in refugee camps. continues to support the Ministry of Education to improve the quality of the formal education system and in developing and implementing the Catch-Up Programme targeting children (8 to 12 years) who are ineligible for formal education and are too young for enrolment in existing non-formal education programmes, in addition to the continued implementation of learning support at Makani centres for the hardest to reach out-of-school children and children attending school and in need of learning support. Syrian refugee children residing in Azraq, Za atari and the Emirati-Jordanian refugee camps have access to 45 operational schools 23 in 17 school complexes. 126,127 (51 per cent girls) Syrian girls and boys in camps and host communities were enrolled in formal education in the academic year. 24 However, 86,336 children remain out-of-school (out of an estimated 212,483 school-age child population). The Ministry of Education (MoE) has increased the number of Double-Shifted Schools (DSS) from 197 to 207 and deployed 250 school facilitators to increase access for Syrian refugee children. 5,802 (45 per cent female) children were newly enrolled in non-formal education 25 in Makani: offers integrated services to vulnerable children at 282 Makani locations 26. In November, the management of Makani centres in Za atari refugee camp has begun the transition from international non-governmental organizations to a local non-profit organization, as part of s strategy to enable more sustainable and locally empowering solutions for refugee communities. Since January 2017, a total of 147,004 children (53 per cent female) benefitted from Makani services: A total of 97,334 (49 per cent female) accessed learning support services; 101,828 (56 per cent female) young people (10-24 years) benefited from life skills training primarily at Makanis; 114,313 children (52 per cent girls) received structured psychosocial support services, and 8,568 children (43 per cent girls) were reached with child protection and gender-based violence case management services. Adolescent Development and Participation: supports the government and the civil society in providing opportunities for active civic engagement and leadership development programmes for adolescents to allow participation in constructive social change. These activities are aimed at empowering adolescents with required skills to make a smooth school to work transition, with special focus being awarded to vulnerable and disadvantaged adolescent girls in selected pockets of poverty. reached 101,828 (55,875 females) Syrian, Jordanian and Palestinian young people (10-24 years) with the life skills programme since January Over 2,538 civic engagement initiatives have been designed, planned and implemented by 29,730 young people, with 335 initiatives implemented in November. About 375 (175 females) Syrian refugee youth graduated from the -supported Social Innovation Labs programme in Azraq and Za atari refugee camps, presenting 32 innovative solutions to community problems 27. In addition, 430 young people (200 Jordanians and 230 Syrians) in host communities have accessed demand-driven, certified vocational training which will enhance employment 28 opportunities upon graduation from the programme. Over the last two months, has been working in close partnership with the Ministry of Labour and the Ministry of Information and Communications Technology to ensure strengthened collaboration on national programmes that support youth employment and entrepreneurship, such as the National Employment and Economic Empowerment Programme in Za atari, 12 in Azraq and 4 in the Emirati-Jordanian Camp (EJC) ,031 children in host communities and 35,096 children in the camps (Za atari: 21,392, Azraq: 11,104, EJC: 2,600). 25 Including 3,179 (47%female) children enrolled in 99 Catch-Up programmes and another 2,623 (42% female) enrolled in the Drop-Out programmes in camps, 153 in host communities, and 87 in informal tented settlements. 27 Such as providing a heater, water pump, a children s library and fire extinguishers. 28 The training is developed in cooperation with the private sector, and job opportunities are guaranteed following the completion of the training, at least 80 per cent of the total target (500 young people) will receive payment for three months of employment. 29 s Youth Economic Empowerment Programme aims to ensure that, by 2022, young people increasingly practice positive behaviours and actively engage in society. focuses on supporting the successful transition of adolescents and youth to adulthood, by focusing on all the three key stages of economic empowerment: Readiness, Preparedness and Access. Adolescents and youth will be equipped with skills and mind-sets that will prepare them for the next phase in their life and support them to make informed choices about their future. will further support young people with access to technical and vocational skills to bridge the skills gap between current employment opportunities and today s young job seekers. 8

9 Child Protection: In November, more than 23,200 boys and girls accessed structured and sustained child protection or psychosocial support services including 757 with specialized protection services., in collaboration with partners, works in strengthening Chid Protection (CP) systems with training and mobilization of service providers on a wide range of CP services, including psychosocial support (PSS) in camps and host communities through the Makani centres. Unaccompanied and separated children (UASC) also receive multisectorial case management services for child protection and gender-based violence (GBV). Furthermore, supports awarenessraising activities and promotion of positive actions among families and communities in protecting children and women form violence, abuse and exploitation and the prevention of child marriages and child labour. In 2017, has worked to bridge the gap between the emergency response and national systems particularly through the development of the national standard operating procedures for child protection, family violence, and GBV to ensure a more systematic approach to response services. These new procedures build from the existing emergency inter-agency standard operating procedures and have been developed in conjunction with the National Council for Family Affairs alongside key stakeholders such as the Family Protection Department and ministries to ensure national buy-in. The new procedures bring a systematic approach to preventing and responding to protection concerns and GBV in Jordan, unifying humanitarian and development responses to violence. Social Policy: In the reporting month, reached 29,190 families with a door-to-door assessment to verify eligibility for the new Hajati Integrated Social Protection programme, which aims to increase school enrolment and decrease drop- outs by providing a monthly cash assistance at the value of 20 Jordanian Dinars per beneficiary child. 65 per cent of the families (18,938) met the vulnerability threshold per the Child Focused ing Methodology. 51,492 children are currently assisted with cash assistance for education. 86 per cent of recipients are Syrians, 12 per cent are Jordanians and the rest Iraqis, Palestinians, Egyptians and Yemeni. Additionally, 4,646 (9 per cent of total beneficiaries) of recipients are children with disabilities., in partnership with the Ministry of Education, monitors school attendance of students to provide additional social protection services to address absence beyond certain thresholds and minimize drop-outs to the extent possible. Water, Sanitation and Hygiene (WASH): Addressing the WASH needs of Syrian refugee children and their families, as well as vulnerable Jordanian host communities, is one of s most urgent and lifesaving intervention in Jordan. Access to clean water, the safe collection and disposal of wastewater and solid waste, as well as the dissemination of key messages protects children and their families from diseases, and protects the environment from contamination. In November, WASH services were provided to 119,648 Syrian refugees, including 69,395 children living in Azraq, Za atari and King Abdullah Park refugee camps. In Za atari camp, Phase 2 of the water and wastewater networks is currently at 55 per cent completion, with 165 kilometers of the water network and 53 kilometers of wastewater pipeline installed. In Azraq camp, the greywater project commenced in a second camp village, with 45 plots (540 households) now connected. To complement this project, awareness sessions were held on the proper use of toilets, maintenance, and prevention of vandalism. In addition to that and to improve cleanliness of the communal WASH blocks, 753 cleaning kits were distributed throughout the four villages benefitting the whole camp population (54,499 people). In host communities, the network extension works in Baselleyah and Shahbaa were completed and the system will be operational in December to the benefit of an estimated 1,050 people. Construction works to extend the water network to 13 schools also commenced, and 1,650 Hygiene Kits were distributed in temporary settlements benefitting an estimated 8,250 people. Health and Nutrition: The health programme ensures immunization for children with specific focus on preventing outbreak of diseases such as polio and measles. The nutrition programme supports screening of children for malnutrition, as well as provision of fortified supplements to children under the age of five (U5) to prevent malnutrition. It also continues to promote infant and young child feeding (IYCF) practices among expecting and lactating mothers including exclusive breastfeeding through nutrition centres in camps and communities. also provides health services to the vulnerable Syrian refugee population at the north-east border area, although at modest levels due to access constraints. In November, supported the treatment of 500 children (239 girls) under the age of five (U5) at Rukban, bringing the total number of beneficiaries to 4,733 in In addition, 363 children (173 girls) and 415 pregnant and lactating women (PLW) were screened for malnutrition in the -supported clinic. Of the children screened, four cases (two boys and two girls) had severe acute malnutrition (SAM), 12 cases (six boys and six girls) had moderate acute malnutrition (MAM), and 13 PLW (11 pregnant and two lactating) were malnourished. All identified malnutrition cases were referred to therapeutic treatment. Additionally, 614 PLW received counselling on best practices in infant and young child feeding (IYCF). continued providing a one week blanket supply of Ready to Use Supplementary Food (RUSF) reaching 347 children (6 and 59 months) and 402 PLW visiting the clinic in the reporting month. In Za atari refugee camp, conducted a comprehensive training session on IYCF for 17 community mobilizers, while -supported paediatric ward and clinics in Azraq refugee camp provided 5,891 paediatric consultations. In Syrian refugee camps, continued to support the Supplementary Feeding Program (SFP) for children and PLW with MAM and SAM, as part of a new integrated approach of facility and community-based promotion of appropriate IYCF practices. 30 Major causes of consultations for children U5 included respiratory tract infections (33 per cent), acute watery diarrhoea (24 per cent), urinary tract infections (5.6 per cent) and skin infections (3 per cent). 9

10 SUMMARY OF PROGRAMME RESULTS (January-November 2017) JORDAN Result since last Result since last EDUCATION (Need: 211,287 school-aged children)* # children (5-17 years) enrolled in formal education¹ 195, , , ,127 0 # children (5-17 years) enrolled in non-formal education (dropout and catch up)² 28,280 5,802 2,590 15,000 5,802² 2,59 # teachers, facilitators and school staff trained 7,452 2, ,000 2, # children (5-17 years) benefitting from learning support services (in and out-of-school children) 50, , ,799 38,000 97, , ,313 23,246 CHILD PROTECTION (Need: 478,450 boys and girls including 321,300 Syrian refugee boys and girls) #children participating in structured, sustained child protection or psychosocial support 208, ,706 28, ,000 programmes 1 # children who are receiving specialized child protection services 2 11,868 11, ,800 8, # women and men participating in PSS or parenting education programmes 3 167,432 83,662 6, ,000 59, ,194 # women and men trained on child protection 4 3,255 7,804 1,010 2,400 5, WATER, SANITATION & HYGIENE # target beneficiaries with access to an adequate quantity of safe water (temporary provision)¹ 250, , , ,999 0 # target beneficiaries with access to an adequate quantity of safe water (sustainable provision)² 2,100, ,288 1,014 1,983, ,288² # target beneficiaries with access to appropriate sanitation facilities and services³ 600, ,775 1, , ,775³ 1,014 # target beneficiaries who have experienced a hygiene promotion session 4 400, ,343 8, , ,343 8,250 # target children with access to improved WASH facilities in schools 150,000 56, ,500 56,147 0 HEALTH (Need: 82,500n U5 children, 34,800 child bearing aged women)¹ # children (6-59 months) vaccinated for measles ² 19,500 12,410 1,180 # children (0-59 months) vaccinated for polio³ 25,000 11,417 0 # children under 5 years fully covered with 19,500 13,792 1,158 routine Immunization antigens⁴ # emergency affected people vaccinated for 18, measles⁵ # child bearing aged women (15-49) received more than two doses of tetanus toxoid⁶ 34,800 10,028⁶ 678 NUTRITION 1 (Need: 27,050 U5 children, 88,740 caregivers and mothers) # children U5 screened for malnutrition² 27,050 20,000 21,251 6,502² # caregivers/ mothers reached with Infant and 88,740 Young Child Feeding services³ 35,720 25,883 1,343 SOCIAL POLICY & BASIC ASSISTANCE # vulnerable families receiving monthly cash assistance¹ 20,500 18,845¹ 4,217 # vulnerable unemployed youth received technical training for jobs² 4,000 3, YOUTH # children, youth and adolescents benefitting from life skills based education 100, ,828 26,064 FOOTNOTES *Education: The needs number is revised per latest update received from the Ministry of Education (MOE). Education 1: Enrolment data informally released from MOE. This figure might be changed again when MOE officially releases the enrolment data. Enrolment in camps: 35,096 (Azraq: 11,104/ EJC: 2,600/Za atari: 21,392). Enrolment in HC: 91,031. and sector results are the same. 10

11 Education 2: NFE total 5,802: (3,184 males; 2,618 females); Camps: 1,477, NFE HC 4,638 (Catch Up: 3,179, Drop Out: 2,623). NFE achievement is the same as achievement as is the only actor engaged in this area. Limited capacity of the MoE in terms of Catch-Up resulted in lower than planned figures. Education 3: Total2,766; males: 1,469; females: 1,297; Camps: 849 (Azraq: 404 / Za atari: 445); HC: 1,917. Education 4: total: 2,605 (1,381 males, 1,224 females); Camps: 827 (Azraq: 395 / Za atari: 432); HC: 1,778. Education 5: LSS total: 110,768 (56,085 male, 54,683 female); Camps: 23,596 (Azraq: 9,223 / Za atari: 14,373) HC: 87,172. The capacity of Formal Education is not scaling up at the anticipated rate, to ensure the transition of all students to formal education. Hence, learning support services remain critical to provide all OOSC with some learning opportunities. Education 6: LSS total: 97,334 (49,978 male, 47,356 female); Camps: 22,051 (Azraq: 8,941/ Za atari: 13,110); HC: 75,283. The capacity of Formal Education is not scaling up at the anticipated rate, to ensure the transition of all students to formal education. Hence, learning support services remain critical to provide all OOSC with some learning opportunities. Child Protection 1: total: 114,313: 59,985 girls and 54,328 boys Host: 88,794 / Za atari: 14,774 / Azraq: 7,471 / EJC: 3,274. Child Protection 2: total: 8,568: 3,750 girls and 4,818 boys Host: 4662 / Za atari: 1,604 / Azraq: 1,869 / EJC: 433. Child Protection 3: total: 59,141: 50,566 women and 8,575 men Host: 52,308 / Za atari: 3,167 / Azraq: 3,463 / EJC: 203. has liaised bilaterally with partners in camps and host communities to identify key bottlenecks towards engaging parents. it is expected that partners will increase parents engagement moving forward. Child Protection 4: total: 5,796: 3,512 women and 2,284 men Host: 2,485 / Za atari: 1,727 / Azraq: 1,584. The over achievement is in line with Jordan s current focus on increasing capacity of individuals toward establishing community-based child protection systems. WASH 1: WASH includes Za atari, Azraq, and King Abdullah Park camps. WASH 2: are low due to limited funding available for host community interventions through the first half of After a nation-wide WASH in school assessment, connecting schools to networks was prioritized (with an additional focus on some households not connected). WASH 3: are low due to limited funding available for host community interventions through the first half of For results to be achieved in 2017, infrastructure plans need to be put in place early in the year; this was not possible due to funding shortfalls in early WASH 4: are low due to limited funding available for host community interventions through the first half of Health 1: Urban and Camps results for September reflecting MOH 2 months reporting lag. November results will be available with MOH report after 2 months. Health 2: total: 12,410: 6,096 boys and 6,314 girls. Health 3: of EVC at the berm. Health 4: 568 boys and 590 girls. Health 5: of EVC at the berm. Health 6: Camps and urban results and zero women at the berm. Low achievement compared to target is due to access constraints. Nutrition 1: All figures include results from Za atari, Azraq, EJC camps, temporary settlements and the berm. Nutrition 2: 2,179 Screened in Camps: 1,070 boys and 1,109 girls 4,323 Screened in Berm: 2,252 boys and 2,071 girls. October result corrected to 14,748, hence the actual increase from October to November is 6,502. Nutrition 3: 729 Reached in Camps and 614 women reached at the berm. Social Policy and Basic Assistance 1: A total of 51,492 children (25,853 female; 25,639 male) were reached in November following completion of vulnerability targeting under the new Hajati programme. The families received retroactive payments for September and October. Despite the increase in the number of families covered by cash assistance, the number of children slightly decreased because of the new design of Hajati. While the old phase of Child Cash Grant transferred cash for any children (aged 0-18 years) in targeted families, the current programme delivers cash for children in the basic education age bracket (6-16 years) considering its main objective is to increase enrolment and retention in schools. Cumulative figures reached with both CCG and the new Hajati is 27,475 families. Social Policy and Basic Assistance 2: total 3,325 young people: 2,366 males and 959 females; 2,895 camps (1,467 Za atari, 1,428 Azraq) and 430 Host. Youth 1: Cumulative Jan-November 101,828 (female 55,875, male 45,953). Iraq Water, Sanitation and Hygiene: In the Kurdistan Region of Iraq, where most Syrian refugees are currently hosted, ensures a sustainable supply of safe water and appropriate sanitation facilities, regular solid waste collection as well as delivery of hygiene promotion and education sessions. Since the beginning of the year, maintained support to safe water provision through its government and nongovernment partners for more than 83,400 Syrian refugees (48 per cent children) in eight of Iraq s nine formal Syrian refugee locations. water supply targets have been more than achieved in 2017, as services continue to move from temporary delivery mechanisms towards more sustainable supply to the camp populations that serves in Dahuk and Erbil. In Basirma camp in Erbil, which hosts just over 3,000 Syrian refugees, a temporary solution was provided to address the dry-up of one of the two boreholes through water trucking and the identification of a WASH sector partner to support a more sustainable solution through the drilling of a new borehole to be connected to the camp s supply network. In 2017, water supply network improvements in Domiz 1, Dahuk, have resulted in significant reduction in water trucking from 400 cubic meters to around 90 cubic meters per day for the 32,000 inhabitants (8,500 households) of the camp. Unequal distribution of water continues to be a challenge in camp areas, as some households continue to make illegal connections to the network. and partners run regular advocacy and behaviour change campaigns on this and other water conservation issues. A long-standing challenge has been inadequate treatment of waste water, which is a common issue throughout Iraq, and which has implications for environmental sustainability. continues to support government partners to improve overall natural resource 11

12 management and conservation. The financial challenges faced by the KRG has meant a reduction of planned service handover to government services, including solid waste management, which has prolonged the support needed from humanitarian actors. Education: and partners continue to work with Syrian refugee communities and the Directorate of Education (DoE) to support Syrian children s access to education in the KRI, specifically in Kurdish-language medium schools. It is estimated that 27,712 Syrian children in Iraq (30 per cent of the population) have no access to any form of education. 31 For the semester, one of the supporting actions is providing transport to 933 refugee children (49 per cent girls) from seven schools in Sulaymaniyah, in coordination with the DoE. Through the Ministry of Education (MoE) in the KRI, distributed temporary incentives for 202 Syrian refugee teachers (on voluntary contracts) and 37 education support staff (168 females in total) in nine refugee schools in Sulaymaniyah. There is relatively high turnover among the Syrian refugee teachers on this type of contract, and many are newly-qualified. In this context, there is a continuing need for induction training and continuing professional development. Due to lack of funding in 2017, -supported teacher training could not take place at the planned scale. Smaller-scale trainings have been run by other education sector partners. Furthermore, maintaining up-to-date information on enrolment and attendance of children in Iraq remains slow due to a paper-based system to track education statistics. In the KRI, a pilot e-education Management Information System (EMIS) called the e-perwerde is underway, which will now also include education data from Syrian refugee schools due to advocacy with the MoE KRI, which will ultimately ensure more timely and complete data on the status of all school-age children living in the KRI. Health and Nutrition: works on enhancing the provision of critical health care and nutrition services to vulnerable Syrian refugee populations, along with affected local community populations. Through the KRG Ministry of Health (MoH), 543 children (277 girls) were reached with polio vaccination (routine services) in November, for a total of 11,340 children under the age of five (U5) reached in refugee camps in In the same reporting month, 783 children (399 girls) under 1 year were vaccinated against measles (34,353 children in 2017). All new arrivals to Syrian refugee camps were vaccinated against measles (760) and polio (498) at Peshkhabour border crossing point. This type of vaccination services reaches children under 15 years old, per World Health Organization guidelines for humanitarian settings. Quality of services and proper management of the cold chain in all units was ensured through visits conducted by immunization supervisory teams from the Ministry of Health. Nutrition services reached 2,519 children (1,232 girls) in November, including 27,023 children in the camps. This is an overachievement against the original target of 11,040 children which has been possible due to improved data collection. However, one comprehensive tracking system for Primary Healthcare Centres (PHC) outside camps is yet to be developed, meaning data quality and timeliness is not consistent across all locations. In the same month, routine malnutrition screening identified 63 cases of moderate acute malnutrition (MAM) and 10 cases with severe acute malnutrition (SAM), all of which were referred for treatment. The Global Acute Malnourishment (GAM) rate is approximately 4.48 per cent, within acceptable levels per WHO guidelines 32. Since January 2017, a total of 7,148 new-borns (3,594 females) were checked of life for vital signs during their first month, with 943 new-borns (459 females) reached in November. Similarly, the number of new-borns reached in 2017 is an overachievement, as the target of 2,760 children was based on 2016 data which was then incomplete. Child Protection: supports quality and equitable access to psychosocial support and specialized child protection services to Syrian refugees. In November, and partners delivered psychosocial support services (PSS) to 945 newly-registered refugee children (483 girls), totalling 27,944 children (13,136 girls) in Specialized child protection services reached 72 refugee children (30 girls), with a total of 2,268 (1,051 girls) benefitting in No unaccompanied or separated Syrian refugee children were registered during the reporting month, maintaining the annual caseload at 27 refugee children unaccompanied or separated (23 girls). Through its government partner, the Directorate of Labour and Social Affairs (DoLSA) in Dahuk, supported the delivery of Kurdish language courses in Akre settlement, enabling 20 refugee children to better communicate with the local host community. Child protection sub-sector partners, including DoLSA Dahuk s Child Protection Unit (CPU), are starting to move towards a family-based approach for managing child protection cases. This more comprehensive approach will better support a sustainable solution for each beneficiary child. In Erbil, 46 children in Qushtapa camp (12-17 years), including 23 females, participated in awareness-raising sessions on child marriage and its associated risks. Due to funding gaps, child protection programming for Syrian refugees in Sulaymaniyah closed in September. The remainder of current programming, which has focused on developing a minimum package of community-based services, will close by end- December without additional support of US$1 million. This would reduce services for more than 100,000 Syrian refugee children. Basic Needs: initiated procurement for winter response supplies for 30,000 Syrian refugee children. Distributions are expected to start in December. For cash assistance, the first round of distributions for the first semester of the school year took place reaching 796 children (390 girls) in Zakho, Dahuk, and 1,878 children (920 girls) in Erbil. The monthly assistance, equivalent to 30 US dollars, aims to reduce economic barriers to attending school and encourage regular attendance. 31 UNHCR, Iraq Monthly Education Update, September WHO, 2003, Management of Nutrition in Major Emergencies. 12

13 SUMMARY OF PROGRAMME RESULTS (January-November 2017) IRAQ s Since Last s Since Last WATER, SANITATION & HYGIENE (WASH) (Need: 722,944 people including 235,000 Syrian refugees - 100,000 in camps) # people in camps with daily access to water¹ 100,000 92,003 9,042 60,000 83,496¹ 9,002 # individuals benefiting from sustainable access to sufficient quantity of safe water to meet basic needs² 58, , ,000 83,496² 9,002 # individuals receiving hygiene kits or other hygiene supplies³ 100,000 2, ,788 0³ 0 EDUCATION (Need: 78,320 Syrian refugee children) # children in formal general education (5-17 years)¹ 42,000 35,003 5,804 35,900 29,199¹ 0 # teachers and education personnel trained² 5,076 1, , ² 0 # children receiving school supplies (3 to 17 years)³ 62,500 36, ,270 25,481³ 0 # PTA members trained⁴ CHILD PROTECTION (Need: 102,060 Syrian refugee children) # children receiving specialized child protection services (reunification, alternative or specialized care and 5,775 3, ,145 2, services)¹ # children participating in structured, sustained, resilience or psychosocial support programmes² 34,317 37,164 1,173 22,567 27, HEALTH (Need: 122,900 Syrian refugee children under 5 years) # children under 1 in refugee camps immunized against measles through routine services¹ 2,760 4,353¹ 783 # new-born babies of conflict-affected families in refugee camps benefitting from new-born home 2,760 7,148² 943 services² # children 0-59 months immunized against polio through routine services³ 12,420 11, NUTRITION (Need: 122,900 Syrian refugee children under 5 years) # children under 5 in refugee camps have access to nutrition services (screening, referral and treatment 11,040 27,023¹ 2,519 services)¹ # targeted mothers of children 0-23 months in refugee camps with access to IYCF counselling for appropriate 5,520 18,056² 1,732 feeding² BASIC NEEDS # children receiving Multipurpose Cash Assistance¹ 3,690 4, FOOTNOTES WASH 1: : Females 46,922 and Males 45,081. : Females 42,583 and Males 40,913. water supply targets have been more than achieved in 2017, as services continue to move from temporary delivery mechanisms towards more sustainable supply to the camp populations that serves in Dahuk and Erbil. WASH 2: : Females 60,456 and Males 58,086. : Females 42,583 and Males 40,913. water supply targets have been more than achieved in 2017, as services continue to move from temporary delivery mechanisms towards more sustainable supply to the camp populations that serves in Dahuk and Erbil. WASH 3: : Females 1,409 and Males 1,353. Per 2017 planning, hygiene kit distribution for Syrian refugees will take place if and when specific needs are identified. Education 1: : Girls 17,490 and Boys 17,513. : Girls: 14,615 and Boys 14,584. Enrolment figures for Syrian refugees for the academic year not available from MoE KRG at time of reporting. Education 2: : Females 758 and Males 534. : Females 416 and Males 344. Low progress in result is due to lower than expected funding. Some training has been undertaken by sector partners with bilateral (non-) funding. Education 3: : Females 18,246 and Males 18,725. : Females 12,444 and Males 13,037. Distributions completed between September to December 2016 (for start of academic year) were reported under the RP. Education 4: : Females 498 and Males 469. : Females 282 and Males 304. CP 1: : Girls 1,613 and Boys 2,126. Girls 1,051 and Boys 1,217. CP 2: : Girls 17,798 and Boys 19,366. Girls 13,136 and Boys 14,808. Health 1: Girls 2,220 and Boys 2,133. High achievement is due to improved data collection in certain locations. However, one comprehensive tracking system for PHC outside camps is yet to be developed; data quality is not consistent across all locations. Health 2: Girls 3,594 and Boys 3,554. Number of new-borns higher than anticipated (targeting based on 2016 data) and improved reporting (see footnote above). Health 3: Girls 5,783 and Boys 5,557. Nutrition 1: : Girls 13,233 and Boys 13,790. Indicator counts sessions. One child may receive more than one session. Nutrition 2: ing assumes expected new pregnancies based on previous years data; result (mothers reached) depends on rates of pregnancies identified. Basic Needs 1: : Girls 2,159 and Boys 2,

14 Lebanon Water, Sanitation and Hygiene: through NGOs partners started to implement improved water and wastewater temporary infrastructures to reduce the volume of desludging and water-trucking in the North. Most of the households in informal settlements (ISs) have been equipped with septic tanks and some pilots are undertaken in the Bekaa. In the South, all ISs have been connected to water networks 33. To pre-empt an expected WASH funding gap in 2018, is undertaking a shift from full service coverage towards a focus on the most vulnerable beneficiaries, implementation of semi-temporary cost-effective water and wastewater facilities, and establishment of a surveillance mechanism to identify possible communicable disease outbreak and trigger an immediate Health and WASH joint response. With these three major strategic shifts, will ensure the most cost effective response in ISs and undertake a smooth exit strategy beyond temporary service delivery through partner NGOs. In support of stabilization, has started the implementation of the communication strategy 34 for three Water Establishments (Bekaa, Beirut-Mount Lebanon and the South) to enhance visibility, build trust with stakeholders, increase bills payment rate and attract new customers to the water business system. Within efforts to strengthen the health education systems in the Ministry of Education and Higher Education, WASH programme recruited two consultants 35 to draft a booklet on "Roles and Responsibilities of Health Education teams in Public Schools" that will be piloted and rolled-out in 2018, and support the training of 495 health educators on health promotion in first and second shift schools. To complement these activities, a WASH survey was carried-out with support in 1,266 public schools to identify water, sanitation and hygiene challenges, the results of which were shared with the MEHE to form the basis for a 2018 planning. Education: supports non-lebanese and Lebanese children with enrolment into basic education, and provides transportation assistance for non-lebanese children enrolled in public schools. To ensure that their right to basic education is fulfilled, also provides children with access to non-formal education programmes as a pathway to formal education. During the reporting month, ensured the distribution of fuel to 180 high-altitude schools given the harsh conditions for children in such cold areas. This comes as part of the winter response, where morning shift schools at an altitude higher than 500 meters receive between 2,000 and 4,500 litres of fuel or between 4,000 and 9,000 litres if they run two shifts. In addition to the training on the competency-based Teacher Training Curriculum Model (TTCM) 36 that took place in August benefitting 96 master trainers from the Centre for Research and Development (CERD), a conference, which saw participation from 80 CERD stakeholders, was held in November to widely share the underlying principles of the TTCM, the guiding plan, the implications for public school teachers and the next steps including the necessity to ensure funds and technical expertise for the institutionalization, continuity and scalability of the ongoing teacher training in Child Protection: supports vulnerable children and caregivers on key child protection issues through a variety of activities including awareness raising and sensitization, such as gender-based violence, among others. This is in addition to enhancing access to community-based psychosocial support, specialized protection services for children at high-risk, as well as delivery of capacity building for implementing partners. As of November, nearly 21,000 boys and girls had access to child protection and focused psychosocial support, including nearly 6,000 children to specialized case management services. During the reporting month, the and the Ministry of Justice have signed a two-year work plan embedding several initiatives to make the justice system more child-friendly and in line with international standards of children in contact with the law. With this key partnership formalised, the way is paved for supporting judicial service providers, expanding the use of non-custodial measures, establishing child-friendly hearing rooms in courts of justice, and further developing a rehabilitation and reintegration programme for children who have been part of the judicial system. Health and Nutrition: Within efforts to strengthen and enhance the public health system in Lebanon, supports the Ministry of Public Health (MoPH) with medical equipment, as well as with medication, delivery of vaccines\ and nutrition supplies. also supports the MoPH, and the Ministry of Social Affairs (MoSA) through additional human resources to help address the tremendous increase in demand for health care services since the Syria crisis., in collaboration with its partners, continued the conduct of public outreach activities to promote appropriate infant and young child feeding (IYCF) practices and care among caregivers in the host and displaced communities, reaching a total of 26,963 beneficiaries since January 2017.In coordination with, the Ministry of Public Health (MoPH), the International Orthodox Christian Charity (IOCC), the Lebanese Association for Early Childhood Development (LAECD), 33 This approach will be scaled-up in The Bill Gates Foundation funded a research project to identify the best technical solution regarding sanitation in Informal Settlements, and a report from a consultancy firm is being finalized on opportunities to connect these settlements. 34 Including the development of a branding manual, a content library, and a draft customer guide which is under sign-off by the three Water Establishments. 35 A Health Educator and a senior public health consultant based in the Departement D orientation Pedagogique et Scolaire (DOPS). 36 Designed by CERD and. 14

15 and 300 healthcare professionals from 16 hospitals have participated in a training on the Baby Friendly Hospitals Initiative (BFHI) 37 which aims to improve new-born and maternity services. In addition, participants from 12 hospitals took part in a three-day training on the new malnutrition management guidelines and protocols developed by, in partnership with the MoPH and the American University of Beirut. also signed seven partnership agreements with local NGOs to scale-up outreach for accelerated immunization activities including mobilization of parents and provision of vaccination services to children free of charge. 41,418 children (2 months- 15 years) were reached through household outreach visits of whom 3,000 children U5 were referred for Inactivated Polio Vaccination (IPV) and 1,2000 children U15 years were referred for Measles, Mumps and Rubella (MMR) vaccination in health centers. Furthermore, frontline workers screened nearly 7,600 children (6 months-5 years) for malnutrition and distributed micronutrient supplementations. Youth and Adolescents: In November, a graduation ceremony was held for 250 young people marking the completion of accounting and financial training courses under the Enhancing Learning and Skills to Youth Affected by the Syrian Crisis in Tripoli programme, funded by the German and the U.K. governments. The Youth Peer Mentor pilot programme, run in partnership with Mentor Arabia, initiated the first phase of implementation with the delivery of a one week Training of Trainers for 10 local partner facilitators, who are now tasked with recruiting 40 youth to be trained as Peer Mentors. Furthermore, s Innovation Lab partners observed the Global Entrepreneurship Week where events reached vulnerable youth outside of Beirut for the first time (300 young people in Akkar and Bekaa). The objective of the activities is to connect young entrepreneurs with success stories and mentors to motivate them as they launch and develop their own social businesses. With support in 2017, more than 37,000 young people benefitted from trainings on life skills, conflict resolution and healthy life styles, and more than 24,500 others from competency-based and employability skills trainings. Social Protection: Following an assessment of the social protection scheme in November, partners have identified 21,250 children to benefit from the winter in-kind assistance in informal settlements in hard to reach areas (Aarsal, Masharie el Qaa and Wadi Khaled). With the start of the winter season, has initiated its winter response to mitigate the effects of cold weather on vulnerable children and their families. Through the distribution of winter-kits and the provision of fuel to high-altitude schools, will keep children warm in their living and learning environments. As the winter response has a funding shortfall of US$4.4 million, activities and areas targeted had to be prioritized, with the focus rendered to reaching children in the most remote and hard-to-reach areas. The No Lost Generation/Min Ila Cash Transfer Programme for Syrian refugees has expanded in the North governorates to cover children enrolled in second shift schools in Akkar and Mount Lebanon. This is in addition to the introduction of transportation support through the Reaching School Programme to help children overcome challenges in reaching school, such as disability or security concerns. Each child aged 12 years and above receives a monthly top-up of 20 US dollars for additional challenges faced including child labour and early marriage. The programme completed registration in November and made its second payment. Nearly 7,000 children are benefitting from the combination of cash programmes. SUMMARY OF PROGRAMME RESULTS (January-November 2017) LEBANON Result since last Result since last EDUCATION (2017 needs: 1,232,883 people, including 705,000 Syrian refugees) # of children whose Lebanese pre-primary & primary 100, ,183 0 registration fees are Non-Lebanese pre-primary & primary 28,338 27,532 0 covered by subsidies for (1st shift) Non-Lebanese pre-primary and primary enrolment into formal 423,832a a 101, ,818 6,492 (2nd shift) education for TOTAL , ,533d 6,492 # of children whose registration fees are covered by subsidies for enrolment into non-formal education 0 56,000 60,175e 13,400 # of children enrolled in public formal education whose school supplies are fully subsidized for ,572 b 0 403, ,000 c 0 c CHILD PROTECTION (2017 needs: 3,212,192 people, including 1,500,000 Syrian refugees) # of boys and girls assisted through CP case management services 23,052a a 0 9,075 5, # boys and girls accessing CP and focused psychosocial support 30,736a a 0 28,100 20, # of children and caregivers reached on CP key issues 613,289a 318,852a 0 283, ,911f 4,352 # of girls, women and community members sensitized on GBV key issues¹ 250,000b b 0 130, ,223 e 5,467 # of women and girls accessing mobile and static safe spaces 140,000c c 0 72,365 61, The BFHI is a global programme of the WHO and for improving the role of maternity services to enable mothers to breastfeed their babies and protect them against the advertisement of breastmilk substitutes. The BFHI has 10 steps including improving the care of pregnant women, mothers and newborns at maternity services for protecting, promoting and supporting breastfeeding. 15

16 LEBANON Result since last Result since last WATER, SANITATION, AND HYGIENE (2017 needs: 3,740,499 people, including 960,000 Syrian refugees) # of affected people assisted with sustained access to adequate quantity of safe water for drinking and for domestic use 1,765,000a 877,531a 0 690, ,323 76,499 # of affected people assisted with temporary access to adequate quantity of safe water for drinking and water for 194,462a 194,462a 0 159, ,768-7,155* domestic use # of affected people with access to improved safe sanitation in temporary locations 194,462a 182,771a 0 160, ,186 3,835 # individuals who have experienced a WASH behavior change sessioctivity 325,000a a 0 120, ,190 24,217 HEALTH AND NUTRITION (2017 needs: 2,445,986 people, including 733,795 Syrian refugees) a # of suspected medical consultations with acute essential medicine dispensed (including drugs for mental health) 0 600, ,224 0 # of children under 1 Penta 1 70,703 67,836 0 receiving Penta 1, Penta ,260 53,448 0 Penta 3 and measles Measles 59,539 34,205 0 # of children U5 receiving routine vaccination c 0 175, ,667 0 # of children U5 and PLW receiving micro-nutrient supplements b 0 250, ,557 18,399 ADOLESCENTS # of adolescent and youth aged 14+ whose registration fees for regulated NFE under the Youth BLN programmes are partially 78,025 a 0 20,000 16,852 5,610 or fully subsidized (RACEII) # of youth trained on Life Skills, Conflict Resolution and Healthy Life styles 0 35,000 37, * # of adolescent and youth aged 14+ enrolled in short and medium term competency-based and employability skills 0 35,000 24,561 2,420 trainings programmes # of supported youth who access (formal & informal) employment opportunities (at least 40% women) 0 4,000 4, * # of targeted vulnerable youth engaged in income generation opportunities (at least 50% women) 0 1,000 1,513b 457 WINTER (2017 needs: 2,241,000 people, including 1,500,000 Syrian refugees 1,500,000 Syrian refugees) # of disadvantaged Lebanese 0 75,000 0 b 0 children that benefited Syrians 0 116, ,282 0 from humanitarian Palestinian 630,000a 393,447a 0 15,000 15,124 0 winter assistance in 2016/2017 Kits 0 32,000 35,374 0 # of disadvantaged children that benefited from humanitarian winter assistance in 2017/ , SOCIAL PROTECTION # of disadvantaged children that benefited from humanitarian education cash transfer 2016/ ,000 46,940 0 # of disadvantaged children that benefited from humanitarian education cash transfer 2017/ ,914 41,734 0 COMMUNICATION FOR DEVELOPMENT # of people reached with C4D priority child right messages 0 6,000 11,687b 11,687 # of people reached with Back to School messages for the 2017/2018 school year¹ 0 100, ,471a 12,926 PALESTINIAN PROGRAMME # of children (and adolescents) benefiting from psychosocial support services and outreach initiatives 0 36,000 47,816 2,630 # of individuals who have experienced a WASH behavioral change session or activity 0 27,000 37,705 10,705 Footnotes (All targets are taken from the LCRP Log frames) s: All targets are taken from the LCRP Log frames. 16

17 *The decrease in result is due to data verification and correction of last month s reported figures. Education: a) indicator refers to # of Non-Lebanese children enrolled in formal basic public schools (school year ) Retrieved from the June 2017 Statistical Dashboard Compiled by the Inter-Agency Coordination Organization (Lebanon). Figures are accurate as of end of March Education: b) The sector target refers to children and youth and to education-related costs (includes transportation and supplies), taken from the LCRP sector Logframe. Education: c) Supply is done once annually and is distributed accordingly. Over achievement is due to the decision taken mid-april 2017 to change the target to 450,000. Education: d) received more funding throughout the year. Education: e) Enormous success of ALP programme; results of the outreach and retention efforts exceeded expectations. Child protection: a) Retrieved from the January-July 2017 Child Protection Activity Info Data Sheet. Child protection: b) The sector target includes individuals sensitized on SGBV. Retrieved from the June 2017 Statistical Dashboard Compiled by the Inter-Agency Coordination Organization (Lebanon). Child protection: c) The sector target refers to individuals at risk and survivors accessing SGBV prevention and response services in safe spaces. Retrieved from the June 2017 Statistical Dashboard Compiled by the Inter-Agency Coordination Organization (Lebanon). Child protection: d) Males:, Females:. Child protection: e) Males: , Females: 148,548; Overachievement is due to effective support to community groups networks which allowed and its partners to expand the number of individuals reached. Child protection: f) Overachievement is due to effective support to community groups networks which allowed and its partners to expand the number of individuals reached. WASH: a) figures were retrieved from the June 2017 Statistical Dashboard Compiled by the Inter-Agency Coordination Organization (Lebanon). WASH: b) The WASH sector result for this indicator decreased as compared to last month due to rectification of data by partners and removed duplication. Retrieved from the June 2017 Statistical Dashboard Compiled by the Inter-Agency Coordination Organization (Lebanon). Health & Nutrition: a) MoPH data reflects the months of January June 2017 for result. Health & Nutrition: b) MoPH data for results are not fully available by MoPH and cover the months of January - June Health & Nutrition: c) The measurement of this indicator has changed from the total of children under 5 receiving Penta 1 to U5 receiving Penta1 + Penta first booster +DT exceptional + DPT 2nd Booster. Adolescents: a) The sector target refers to the number of children and youth whose registration fees for regulated NFE programmes are partially or fully subsidized. Adolescents: b) the section received more money and was able to target more children. Winter: a) The sector target is 210,000 households and the sector result is 131,149 households; to make it comparable to targets, it was converted to an estimated number of children (3) per household. data from October 2016 to December Source: Inter-Agency Coordination, November Statistical Dashboard. Winter: b) Due to operational challenges, mainly related to the targeting of the poorest Lebanese households, the winter cash programme direct to poor Lebanese children was cancelled in agreement with the MoSA, and will be reprogrammed into a more sustainable and predictable child focused programme. A feasibility study will be launched soon to assess the options and appropriateness of the new programme targeting Lebanese socio-economically vulnerable children. Communication for Development: a) effort by partners all throughout the year, which resulted in over achievement. Communication for Development: b) Underestimated target. Palestinian Programme: Rearrangements with partners in 2017 resulted in cost efficiency gains which led to overachievements in targets. Turkey Child Protection: works with the Government of Turkey and NGO partners to expand protective services for refugee children by providing them with regular psychosocial support, including specialized support for those who are at-risk. Further efforts to address the specific needs of unaccompanied and separated children (UASC) and victims of gender-based violence (GBV) are also strengthened. This also includes enhancing the response to children in contact with the law and provision of Family Tracing and Reunification (FTR) services. In November, focused on expanding protection services to vulnerable children in Turkey. NGO partner opened its first community centre in Gaziantep to reach an average of 90 children per day. The centre includes a -supported Child Friendly Space, Adolescent Friendly Space and recreational area, where psychosocial and life skills activities are conducted by youth workers supervised by professional psychologists, in addition to other amenities 38. Under the child protection component of the Conditional Cash Transfer for Education (CCTE) for refugee children, over 4,550 children in 11 provinces 39 were identified with protection needs and referred to relevant child protection services for additional support, bringing the total beneficiary reach to nearly 19,900 in Also in the reporting month, and NGO partner completed the distribution of almost 41,800 protection vouchers to more than 18,800 vulnerable Syrian refugee families in six provinces, 40 benefitting over 57,700 children. The intervention, which began in April 2017, is an integral component of s broader child protection programme, targeting children at medium or high risk, per s child protection case management identification system. 38 A gymnasium, cinema and theatre open to the local community. 39 Adana, Ankara, Bursa, Gaziantep, Hatay, Istanbul, Izmir, Kilis, Konya, Mersin, and Sanliurfa. 40 Istanbul, Ankara, Gaziantep, Izmir, Adana, Kayseri. 17

18 Education: works closely with the Ministry of National Education (MoNE) and other stakeholders to increase the capacity of the education system to provide Syrian refugee children with quality, inclusive education while scaling-up non-formal and informal learning opportunities for those who remain out of school. The MoNE and published two guidebooks aiming to improve the quality of special education services offered to Syrian refugee students in temporary education centres and public schools. One guidebook provides information and guidance tailored to special education teachers, while the other guidebook is for counsellors working with Syrian children in Turkish public schools. Furthermore, and the Ministry of Youth and Sports (MoYS) prepared to launch a new Turkish language programme for 10,000 Syrian refugee children and youth (8-18 years), scheduled to begin in December Over 300 trained Turkish and Syrian youth volunteers conducted outreach across 15 provinces, identifying more than 12,000 Syrian refugee children in need of Turkish language support. The programme is designed to comply with international standards and will be taught by certified Turkish teachers seconded from the MoNE. Students who successfully complete their three-month course will receive formal accreditation, which will allow them to access further education opportunities. Adolescent Development and Participation: works on expanding programme partnerships with government and NGO partners to foster social cohesion among Turkish and non-turkish adolescents and youth in host communities and expand opportunities for empowerment and participation. In close collaboration with the Ministry of Family and Social Policies (MoFSP), focused on preparing for the 18 th annual Children s Forum in Ankara, which took place on November. The Forum, which was held under the theme of Digital Engagement, convened 250 Turkish and refugee children from all 81 provinces of Turkey to discuss and debate the issues they felt were most important to their lives and communities. Twenty children were elected by the forum participants to be representatives of the national Child Rights Committee, and delivered a joint resolution on how to ensure children s safe and effective use of the internet. 41 Social Protection and Basic Needs: s social protection programme expanded significantly in 2017 with the development and launch of the extension of the national Conditional Cash Transfer for Education (CCTE) in May, as well as ongoing scale-up of programming to address negative coping measures such as child labour. In November, over 167,000 refugee children 42 benefitted from CCTE payment for attending school regularly in preceding months, a nearly 22 per cent increase in beneficiaries over the previous payment in September. Approximately 82 per cent of children receiving the CCTE in the reporting month also benefitted from the Emergency Social Safety Net (ESSN) programme, which provides multi-purpose cash assistance to refugee families to help cover their essential expenses, which to date has reached close to 1.1 million refugees. Health: From 1 to 17 November, and the World Health Organization provided technical and communication for development (C4D) support to the Ministry of Health (MoH) to conduct a third round 43 of its vaccination campaign for refugee and migrant children under five. More than 2,500 vaccination teams screened over 376,000 children in 20 provinces, 117,000 of whom were found to have missed doses and vaccinated accordingly. Media and External Communications: In November, organized and supported several high-profile events and campaigns for children. For the third-round vaccination campaign, distributed 60,000 posters, 600,000 brochures and a number of traditional and social media broadcasts across a network of over 200 NGOs, UN agencies, municipalities and community leaders. 560,000 promotional items and 15,000 -branded materials were also distributed to vaccination centres and mobile health teams to increase awareness and visibility for the campaign. As part of the World Children s Day Kids Take Over initiative on 20 November, two adolescent members of the Child Rights Committee took over as Co-Representatives in Turkey, delivering a joint address at Parliament on the last day of the Children s Forum, where they stressed the importance of adolescent participation in community decision-making. Afterward, the two children spent the day at the Turkey Country Office where, among other responsibilities, they led the weekly Heads of Sections meeting. published several live broadcasts and posts on social media in support of the day s events, reaching 584,000 people and engaging 21,300 people. also partnered with a global advertising company to launch a new initiative entitled Toys of Hope, where Syrian children describe their favourite toys they lost back in Syria to toy manufacturers, who then recreate the toys and reunite them with their owners. A video highlighting the new initiative was launched on Universal Children s Day, which reached 129,000 people and engaged 2,600 people across social media. On 15 November in southern Turkey, and the MoNE organized an inauguration ceremony for a German-supported school in Kahramanmaraş, and an inauguration of EU-supported pre-primary classrooms in Kilis on 17 November. On November, Turkish Goodwill Ambassador Tuba Büyüküstün visited a -supported Child and Family Support Centre in Gaziantep and met with 41 also worked closely with the MoYS to develop a new Rolling Work Plan for Through this extended partnership, social cohesion programmes will expand from 19 to 25 provinces and will integrate Turkish language courses and child protection services with a focus on awareness raising, counselling and identification and referral ,867 girls and 82,575 boys. 43 Like previous campaigns in March and May 2017, the third round aimed to protect children against diphtheria, pertussis, tetanus, poliomyelitis and influenza (via the Pentavalent vaccine), Measles, Mumps and Rubella (MMR) and Hepatitis B. 18

19 young refugee and Turkish children (3-5 years) in Kilis. All three visits were highlighted on social media, reaching a total of 686,000 people and engaging 58,100. SUMMARY OF PROGRAMME RESULTS (January-November 2017) TURKEY since last since last 100,000 64, ,939 EDUCATION (2017 Needs: 1.56 million Syrian refugees, including 1 million Syrian refugee children) # children (3-5 years, girls/boys) enrolled in ECCE and pre-primary education 22,400 20,000 37,244 2,343 # Syrian children (5-17 years, girls/boys) enrolled in formal education (grades 1-12) 1 412, , , ,603 0 # children (5-17 years, girls/boys) enrolled in nonformal and informal education 2 110,190 52,000 14, # teachers and education personnel (female/male) receiving incentives 3 13,000 13, ,000 13,180 0 # teachers and education personnel (female/male) trained⁴ 35,380 28,500 55,639⁴ 0 CHILD PROTECTION (2017 Needs: 1.23 million Syrian refugee children) # children (girls/boys) participating in structured, sustained child protection or psychosocial support 124,650 programmes 1 # children with protection needs identified and assessed 2 80,655 77, , ,515 # children (girls/boys) who are receiving specialized child protection services 3 7,700 7,700 26, ,128 # individuals (government and non-government) trained on strengthening GBV prevention and 8,780 2,120 1,122⁴ 159 response⁴ BASIC NEEDS (2017 Needs: million Syrian refugee and vulnerable Turkish individuals, including 1.3 million Syrian refugee children) # persons benefitting from cash-based interventions (including winter support)¹ 1,873, , ,046¹ 0 YOUTH # Syrian and Turkish adolescents and youth engaged in empowerment programmes 1 230, , , ,007 FOOTNOTES EDUCATION 1: The total enrolment data as of first week of November 2017 is 612,603 (304,700 girls and 307,903 boys). EDUCATION 2: The total enrolment year to date is 14,498 (6,446 boys and 8,052 girls). The limited availability of qualified, registered NGOs who can support the expansion of programming in host communities, remains a key challenge to achieving programme targets under this indicator. EDUCATION 3: 13,180 represents the highest achieved as of March 2017; the number of teachers actually supported in November was 13,029 (6,959 women, 6,070 men). EDUCATION 4: The Syrian volunteer teachers trained in September are the same who received the first two needs-based trainings, and thus are not reported as new beneficiaries. The total teachers trained year to date remains 55,639 (31,043 women and 24,596 men). overachievement in this indicator is a result of additional trainings provided for Syrian volunteer and Turkish teachers and education personnel to meet the needs of Syrian students in formal education. CHILD PROTECTION 1: 4,059 girls, 3,880 boys. achievement against this target is lower than planned due to ongoing capacity gaps with NGO partners in the field. CHILD PROTECTION 2: 25,938 girls, 29,213 boys. The steep increase this month is due to the inclusion of children benefiting from s protection voucher programme. Under the programme, children are identified and assessed for protection concerns to determine their eligibility to receive a voucher. CHILD PROTECTION 3: 538 girls, 590 boys. has overachieved under this indicator due to expanded capacity of NGO partners and strengthened referral pathways for specialized services. CHILD PROTECTION 4: The low achievement against this target is due to high turnover within key line ministries, as well as limited operational space for NGO partners involved in the GBV response. While available partners have received GBV training, it has become increasingly challenging to identify enough qualified frontline workers to conduct trainings. A focus on capacity strengthening is planned for BASIC NEEDS 1: reported under this indicator are as of January 2017; beneficiaries reached in December 2016 were counted against the RP. YOUTH 1: 4,439 girls, 1,789 boys. underachievement against planned targets is due to reporting and capacity gaps with partners on the ground. is working closely with partners to address these gaps and higher achievement is expected by end year. 19

20 Egypt Education: supports the Government of Egypt and community based interventions that guarantee access to school, including Syrian refugees, and provides training on strategies to improve quality of education and learning at targeted public schools, reduce repetition and drop-out rates as well as enhance outreach and delivery of services to the most affected areas. Through the Early Childhood and Education Programme, supported teachers training and operation costs benefiting a total of 869 and pre-primary students (aged 3-5 years). The 45 per cent of achievement against the target is attributed to delays in obtaining the necessary Government clearances per the new NGO (law 70/2017) requirements to allow a timely implementation of partner activities. These delays impacted other education activities including provision of school supplies for 3-17 years old children, life skills education and teachers capacity-building. A total of 5,667 children (3-5 years) including Syrian refugees benefited from education grants since the beginning of the year. Health: supports the Ministry of Health and Population (MoHP) to ensure that Syrian and non-syrian refugee families and the hosting Egyptian communities have access to quality health care services. For this purpose, adopted a strategy that focuses on the delivery of capacity-building training for medical and paramedical personnel and community healthcare workers (including Syrians), provision of essential medical equipment to health facilities, collaboration with other organizations working in primary health care while strengthening the main partnership with the MoHP. This is in addition to continuing engagement with Syrian refugee families through focus group discussions to be better assess their medical and health care needs. and MoHP have reached 18,111 Syrian refugee children under the age of five (U5) with routine immunization and growth monitoring services SINCE January The number of children reached exceeded the planned target of 13,000 due to higher than expected access of Syrian communities to Public Healthcare Units (PHUs) and the scale-up of outreach activities carried-out by Syrian Community Health Workers (CHWs). provided 970 antenatal care consultations for Syrian women (15-49 years). The Health programme is undertaking a trend analysis of Syrian refugee new-born children to enhance assessment of women in need of ante-natal care consultations. In addition, continued support to the (MoHP) through the delivery of trainings to 180 CHWs. As of the end of November, the health programme is 67 per cent underfunded, impacting planned interventions including training activities for MoHP health teams. As a mitigation measure, replaced the formal training sessions with on-the-job training during and MoHP senior staff programme visits. In addition, training on the EPI guideline which was updated by in September was postponed to early 2018 due to the budgetary constraints. Child Protection: works with implementing partners to provide non-specialized and specialized psychosocial support for Syrian and non-syrian beneficiaries through family centres and supported Public Healthcare Units (PHUs) in the affected governorates. Also, engages with detention centers and provides support before, during and after release of child detainees. This support includes provision of non-food items, vaccination against preventable diseases, temporary care arrangements through available shelters, referrals to mental health services and specialized psychosocial support. Additionally, advocates with relevant stakeholders including government bodies to ensure minimum standards of child protection are applied. It also contributes to enhancing the national capacity to address child protection issues through trainings on a variety of child protection topics to governmental and non-governmental bodies. Through -supported family centers and in cooperation with PHUs, 50,787 children, adolescents and youth were reached with in structured, sustained psychosocial support, life skills and child protection programmes; 14,693 women and men with positive parenting programmes and 10,004 children, adolescents and youth with multi-sectoral case management in Despite of the 65 per cent funding shortfall 44, the partnership with the MoHP, including the delivery of psychosocial support, positive parenting programmes and case management services through the 38 -supported PHUs has maximized the cost benefit of the available recourses. partner delivered a training for the supported- PHUs staff on early detection of disability through screening of children (up to eight years old), and the means to provide appropriate support and guidance to the families. SUMMARY OF PROGRAMME RESULTS (January-November 2017) EGYPT since last HEALTH (Need in 2017: 1,798,674 children, including 37,200 Syrian refugee children) # antenatal care consultations provided 8, # training participants in Primary Health Care (PHC) facilities # EPI staff trained on updated guidelines since last 44 As of November

21 EGYPT since last since last # public health facilities supported to implement the integrated child survival and nutrition model # children under 5 immunized in Polio National Immunization Days 15,000,000 6,031, # children under 5 received routine immunization and growth monitoring services 13,000³ 18,111 1,936 # population who benefit from distribution of health supplies 72, # trained CHWs EDUCATION (Need in 2017: 3.3 million people, including 48,200 school aged Syrian refugee children) # children (3-5 years) enrolled in ECCE and pre-primary education 2, # children (5-17 years) enrolled in formal general education 44,340 20,000 0¹ 0 # children (5-17 years) enrolled in accredited non-formal education 3,000 0¹ 0 # teachers and education personnel trained 2, # children (3-17 years) receiving school supplies 27,000 0¹ 0 # children benefitting from life skills education 8,600 8,000 0¹ 0 # Syrian children supported by cash transfers 3,000 5, # education actors (female/male) trained on policy, 600 planning, data collection, sector coordination and INEE MS 150 0¹ 0 CHILD PROTECTION (Need in 2017: 86,400 children, including 37,200 Syrian refugee children) # children, adolescents and youth participating in structured, sustained PSS, life skills and CP programs 29,500 25,000 50, ,924 # women and men participating in positive parenting programs 11,500 10,000 14, ,152 # children, adolescents and youth participating in community based PSS and CP activities 44,000 40,000 36, ,196 # children, adolescents and youth benefitting from multi sectoral case management 7,500 5,000 10, # children, adolescents and youth receiving cash based interventions 13,300 12,000 1, # children, adolescents and youth with specific needs including with disabilities benefitting from specialized CP support # government bodies activated and strengthened # government and non-governmental entities staff trained on CP 1,600 1, # SGBV survivors receiving multi sectoral services # households provided with cash assistance (one off vulnerability grants) 13,135 7, FOOTNOTES Education 1: Activities are delayed pending clearances per the new NGO law 70/2017 and the implementation of the AWP with the MoE (approved by the MoE and MoSS in early July 2017). CRS PNGO started the activities in November 2017 and supported the 869 Children in the ECCE. Education 2: The result exceeds the target as it includes cash transfers that were pending clearances from last year due to constraints/delays caused by the new NGO law. Health 1 : health section started the process to assess the trend of the Syrian new born per year to be able to predict the target of the Syrian women in need to the antenatal care consultations (the denominator) Health 2: The training activities and the training on the new EPI Guideline postponed to 3RP 2018 due the funding gab in Health 3: NIDs conducted in April are for a Sub National Polio Campaign which did not cover all the country. Health 4: Data pending from the MoHP and is expected to be available by year-end. Child Protection 1: Indicator result includes beneficiaries of CP services at family centres (reported by the PNGOs) and at PHUs (reported by MoHP) without double counting MoHP provided the new report from January 2017 till the end of November Child Protection 2: The CP section partners started distribution in June 2017, however the funding available did not cover all the target. Child Protection 3: Government bodies including primary health centers, youth centers, official child protection committees and the schools who are supported with the safe garden mechanism. Field monitoring and data validation started in Nov to validate the CP partner s reports on this indicator. Child Protection 4: This covers all reported cases. The services include at least one of the following: Legal, medical, psychological or emergency shelter. 21

22 Child Protection 5: Emergency cash-based intervention provided to Syrian children based on specific vulnerability criteria. The result is pending verification and may change in the next reports. 22

23 Funding Status US$ million (as of 15 December 2017) * Syria Crisis (HRP and 3RP) * For Syria HRP total requirement for Health US$ 62.7 M and total funds available US$ 39.5 M. * For Syria HRP total requirement for Nutrition US$ 30.9 M and total funds available US$ 12.9 M. * $US53 M deducted from Lebanon CF. Next SitRep: January 20 th, 2017 Syria Crisis: Syria Crisis Facebook: Syria and Syrian Refugees Humanitarian Action for Children Appeal: Whom to contact for further information: Michele Servadei Regional Emergency Advisor MENA Regional Office Mobile: +962 (0) mservadei@unicef.org Juliette Touma Regional Chief of Communications MENA Regional Office Mobile: (0) jtouma@unicef.org 23