Out of the US$73 million allocated, 49% of the funds have been allocated to projects in Syria, 21% to Lebanon, 20% to Jordan and 10% to Iraq.

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1 Syria Emergency Response Fund Monthly Update August 2014 OVERVIEW $81 million Contributions since 2012 (including pipeline funds) $37 million Allocated (including pipeline) to life-saving projects and emerging needs since 2012 $3.9million Current balance $6 million Applications under review 13 million targeted Out of the US$73 million allocated, 49% of the funds have been allocated to projects in Syria, 21% to Lebanon, 20% to Jordan and 10% to Iraq. AUGUST 2014 In August 2014, the ERF supported 5 new projects to the value of $6,309,069 targeting 721,120 people affected by the crisis in Syria. Of the 16 agencies supported, 11 are international NGOs, 4 are national NGOs and 1 is UN. TABLE 1: PROJECTS APPROVED AND UNDER REVIEW IN AUGUST Applications under review 5 Projects approved $6 million $3.7 TABLE 2: NEW ERF ALLOCATIONS IN August 2014 No of Projects Allocation US$ Total number of affected people Implementing partners Syria 6 $3,747, ,965 4,UNDP, IOM,DERD Total 16 $6,309, , Sectors 3 sectors: food security, Health and WASH Geographical areas Hamma,Homos, Latakia,Aleppo, Dara a, hassakeh,kamishly, Idled,Rural Damascus syria.unocha.org The mission of the is to mobilize and coordinate effective and principled humanitarian action in partnership with national and international actors. Coordination Saves Lives

2 ERF Monthly Report January ERF RESPONSE IN SYRIA 6 projects funded $3.7 allocated 862,965 targeted Six projects were approved by the ERF Review Board in Syria. Three projects will be implemented by as multi-sector to assist Palestine refugees in Syria, primarily with food and essential non-food items. The ERF has also approved a project from the Department of Ecumenical Relations and Development Greek Orthodox Patriarchate of Antioch and All the East (DERD) to improve water, sanitation and hygiene for people affected by the crisis by providing hygiene kits, jerry cans and water tanks. UNDP will provide reagents for blood safety for all the Syrian blood bank centres in the 13 Syrian Governorates to reduce the spread of blood borne diseases while IOM will provide emergency WASH assistance to affected people, through water trucking, distribution of chlorine tablets and water tanks, electrochemical disinfection systems installed in collective shelters, and water jet sewage treatment. All projects have plans in place to regularly monitor project implementation. projects will be supervised by the Director of Affairs Syria Field Office. They will be monitored using the Results Based Monitoring System, by social workers, project staff. DERD follows a participatory approach throughout the project phases, including monitoring. DERD will apply standardized monitoring processes and criteria, including regular reporting and supervision of all distributions. As part of normal management processes, information gathered will be used immediately to improve program implementation and effectiveness. More senior staff will also conduct monitoring visits and ensure any issues raised are rapidly addressed. Weekly reporting will feed into ERF reporting requirements. UNDP will monitor progress through supervisory visits and daily follow up with respective partners. This will be enhanced through on the job training on reporting and evaluation to the health workers in the blood bank facilities. IOM will implement their Monitoring and Evaluation Standard Operating Procedures, using a consolidated M&E Framework for the project outlining the Key Performance Indicators (KPIs), activity-based budget, and results-matrix. The IOM regional Crisis Coordination cell will be overseeing the management of the programme and support monitoring-related activities as needed. Homs Governorate, Homs district, Homs camp; Hama Gorvernorate, Hama district, Hama Camp, and Lattakia Governorate, Lattakia district, Lattakia unofficial camp/ Central Area. Funding $748, will relieve the economic hardship and vulnerability of Palestine items. All beneficiaries are Palestine refugees registered with. teams of staff located in or near Hama, Homs, and Lattakia will be responsible for the distribution of humanitarian assistance in accordance with the approved list of beneficiaries. 9,917 Palestine refugee families (38,998 persons)

3 ERF Monthly Report January Funding $748, Aleppo governorate/ North Area Aleppo district, Neirab Camp will relieve the economic hardship and vulnerability of Palestine items. teams of staff located in or near Aleppo will be responsible for the distribution of humanitarian assistance in accordance with the approved list of beneficiaries. 8,042 Palestine refugee families (33,226 persons) Funding $749, South Area Dera a Governorate, Dera a district, Dera a city (distribution centre and health points will relieve the economic hardship and vulnerability of Palestine items. teams of staff located in or near Dera a will be responsible for the distribution of humanitarian assistance in accordance with the approved list of beneficiaries. 6,256 Families (27,491 persons) Department of Ecumenical Relations and Development Greek Orthodox Patriarchate of Antioch and All the East Water, sanitation and hygiene Funding $750,000 Department of Ecumenical Relations and Development Greek Orthodox Patriarchate of Antioch and All the East Dara a, Hassakeh, Kamishly and Aleppo Improving the hygiene living conditions of people affected by the crisis by providing hygiene kits, gerry cans and water tanks. 10,175 affected families UNDP Health UNDP 25 Blood Collection Centers in the 13 Syrian Governorates So the main objectives of the proposed activities are: to insure safe blood transfusion to all Syrian Citizens; and to minimise the spread of blood born infectious diseases including HIV, HBV, HCV, Syphilis and other STI.This will be achieved by providing Blood Collection Centers with the reagents for blood screening in a quality-assured manner (the supplies will be covered by the ERF fund for 4 months), and 200 health workers will be trained to

4 Funding $731,238 ERF Monthly Report January enhance their competencies to proceed the screening and the test of the blood before the transaction of the blood to other people in need. An estimated 450,000 individuals IOM Water, sanitation and hygiene Funding $750,000 IOM Primarily Aleppo, Idleb, Hama, Rural Damascus To provide emergency WASH assistance to affected people, through water trucking, distribution of chlorine tablets and water tanks, electrochemical disinfection systems installed in collective shelters, and water jet sewage treatment procured and donated to the local municipality. 208,250 vulnerable displaced and affected people Medical Assistance for Refugees in Lebanon Lama, an 8 year old girl, is amongst one of the most vulnerable groups in the community, a group whose vulnerability multiplies in emergency situations such as armed conflicts and displacement, and whose specific needs are seldom considered in emergency response. Lama was born with hydrocephaly and cerebral palsy. She has a shunt to drain cerebrospinal fluid installed at a very early age. More than a year ago, Lama s mother, father, her twin sister, and brother fled Syria following the intensified attacks on the camps. The family left everything behind and sought a safe refuge in Lebanon. Lama s mother, Um Ahmad, said that Lama s condition is a key reason that drove them to leave Syria, as they were worried that Lama wouldn t be able get the proper medical care in case it was needed. Lama s family moved directly to one of the most crowded camps in south Lebanon, thinking that Lama s father, Abou Ahmad, would have more chances in finding a job there than in other locations, like Beirut. The living conditions were harsher than they expected. Renting an apartment was more than they can afford; thus, they shared a small apartment with two other families. Any hopes of returning to Syria vanished with the arrival of their extended family to Lebanon, as the latter informed the family that their house in Syria, and the whole neighborhood, was completely destroyed in one of the air raids.

5 ERF Monthly Report January The unhygienic and unhealthy housing conditions caused Lama frequent infections and illnesses. Based on the doctor s advice, the family moved to a double-roomed and less humid place outside the camp; imposing additional financial burden. Unfortunately, few months ago, Lama s condition started deteriorating drastically. Her parents thought there was a problem in the shunt installed in Lama s head, a problem they are constantly concerned about. However, they were surprised to find out that Lama suffered bleeding in the brain (head trauma) and was in need for immediate surgery. The doctor supposed that this could be caused by a fall on the head. As Lama is unable to express herself, the parents couldn t establish how this happened or where she fell (at the kindergarten, while sitting with the other children downstairs, etc ). Lama s parents were desperate when they found out the cost of the surgery. Um Ahmad said that the surgery costs around $2800 and all they had was $13. According to her, there was no way that they could have been able to pay for the surgery and save their beloved daughter s life. Abou Ahmad is a construction worker. Since his arrival to Lebanon, he worked in a few temporary low-paid jobs for short periods of time, but was not able to find a steady job the case of around 90% of Palestinian refugees from Syria living in Lebanon 1.Abou Ahmad adds I was diagnosed with a problem in my vertebral column, and I am not supposed to lift even one kilogram. I continue to work as a laborer because I need to provide for my family even if it is at the expense of my health. Um Ahmad said that in Syria, they never had to worry about Lama s treatment. Hospitals were free and some organizations cover the treatment and needs of children with special needs. Everything was much less costly. The family was relieved when they were told that and Medical Aid for Palestinians (MAP), with the support of OCHA, will cover the cost of the Lama s surgery, except for $300 (patient s share). The $300 were still more than Lama s family could afford; however, luckily, with the generosity and kindness of a Lebanese neighbor who has a child with a condition similar to Lama s, they were able to pay their share of the hospital bill. Lama s surgery was successful and she is now recovering well. During a recent Medical Aid for Palestinians (MAP) visit to Lama s place, the attention, care, love of her family did not go unnoticed. Lama was smiling the whole time. Um Ahmad said that Lama is a very smart girl, as they watched her recite a full verse of Quran - after which her brother and sister clapped for encouragement. Lama s parents are very grateful for s, MAP s and the ERF s support without which Lama would have not survived. Also, Um Ahmad reflected lots of appreciation to MAP s support for persons with special needs. Lama is also a beneficiary of the Sour Community Disability project (SCDP) implemented by the Palestinian Women Humanitarian organization and funded by MAP. The project provides home and centre-based physiotherapy, as well as information, education, and training for people with disabilities. Moreover, the project provides opportunities for peer support, such as social events for parents of children with disabilities. Um Ahmad stated that The centre helped Lama a lot.she was unable to even open her hand. The SCDP staff treats Lama with lots of dignity and respect, and they advise us about opportunities of support. Lama loves going to the centre. The success of Lama s surgery is not the end of the family s struggles. Lama still needs to do regular scans to monitor the condition of the shunt, and have a monthly injection which costs more than a $100 not covered by - and which they used to get for free in Syria. Um Ahmad adds, Lama s health and needs are a priority, even if it means that the family struggles financially. This Ramadan, we were not able to buy juice or sweets something the children look forward to but it is all worth Lama s improvement. *names and locations have been changed to protect the identity of those involved. 1 Cited in the ASSESSMENT OF THE IMPACT OF SYRIAN REFUGEES IN LEBANON AND THEIR EMPLOYMENT PROFILE, international labor organization, 2013