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Governorate, November 217 Humanitarian Situation Overview in Syria (HSOS) OVERALL FINDINGS1 Coverage Following the cessation of conflict in and around city in December 216, thousands have spontaneously returned to their communities in 217. Of the 1 communities assessed in north-western in December, 5 communities, in sub-districts, witnessed returns in November2. The total estimated number of spontaneous returns to assessed communities was between 625-75 individuals. Family reunification, the perceived cessation of hostilities in the community of origin, and an escalation of conflict in host communities were the most commonly cited reasons for return. The majority of returnees came from Deir ez-zor governorate and other sub-districts within governorate. Four out of five communities reported that returnees in their community had been displaced multiple times before returning. Of the communities assessed, 98% reported the presence of IDPs, with approximately 5,56-6,275 new IDP arrivals reported in November. Out of these communities, 76% reported hosting more than 1, IDPs and 15% reported the presence of over 1, IDPs. A majority of the latter were located in Atareb subdistrict. Four out of six of these communities reported that over half of their population was comprised of IDPs. The largest number of IDPs, approximately 86,, was reported in Azaz, comprising more than half of the city s estimated population of 17,85. Of the communities assessed, 9% reported having insufficient water to cover household needs, with all but two of these communities hosting over 1, IDPs. Of the 1 assessed communities, 51% reportedly experienced challenges to accessing sufficient amounts of food. All communities experiencing barriers reported a lack of resources to buy available food as well as the high cost of some food items. These 21 communities all reported that unstable employment was among the three most common income-generating sources. Of the assessed communities, 6% reported that children were being sent to work or beg, a majority of which were located in Atareb and Daret Azza sub-districts. Although 15 to 18-year old children were sent to beg most frequently, one community, Azaz, reported that 5 to 9-year old children were sent to work or beg to supplement insufficient income. Azaz was also the community hosting the largest number of IDPs across assessed communities in. Nonetheless, no extreme food-based coping strategies were reported in, and average food prices were considerably lower than the Syrian average. Most children were reportedly able to access educational facilities in all of the assessed communities. Raju Bulbul TURKEY Ghandorah Ar Ra'ee Sharan Ain al Arab Lower Jarablus Shyookh Suran A'zaz Sheikh Ma'btali Menbij Aghtrin El Hadid A'rima Afrin Tall Refaat Jandairis Al Bab Abu Qalqal Mare' Nabul Tadaf Rasm Haritan Haram El Daret Azza Imam Jebel Saman Atareb Eastern Dayr Hafir Kwaires Hadher As Safira Zarbah Banan Maskana Hajeb IDLEB Tall Ed daman Sarin AR RAQQA Al Khafsa Khanaser Communities assessed (1 of 1,19) Subdistricts with communities assessed (6 of ) Top reported priority needs 1. Water security 2. Food security. Healthcare HOMS Demographics*,57,5 people in need 1,756,76 1,81,8 * Figures based on HNO 218 population data for the entire governorate. KEY EVENTS Power lines built between Damascus and city to improve electricity supplies following the offensive. Over, individuals return to, particularly to city5. Over 7, civilians displaced in eastern countryside near Manbj and Al Bab cities6. Damascus Hasakeh highway reopens, facilitating commercial and civilian travel between governorates7. Tensions continue to mount between Kurdish and Turkish forces in the Afrin area8. Multiple airstrikes on a market in Atareb, an area hosting large numbers of IDPs9. January onwards January - July February 2 April July 1 November

Governorate, November 217 DISPLACEMENT 5,56-6,275 625-75 Estimated number of IDP arrivals in assessed communities in November. Estimated number of spontaneous returnee arrivals in assessed communities in November 2. Estimated percent of pre-conflict population (PCP) displaced from community: Communities with the largest estimated number of IDP arrivals: Azaz 2,5 -, Mare 825-85 Tqad - 5 Top sub-districts of origin of most IDPs arrivals, : Deir ez-zor City (Deir ez-zor) 8% A R R A Q Q A Hajeb () Abu Kamal (Deir ez-zor) 19% 1% I D L E B communities reported no PCP departures. Top reasons for PCP displacement in the remaining 1 assessed community, : Escalation of conflict 1 H A M A H O M S Estimated % of pre-conflict population displaced from community 75-99% 5-7% 25-9% -2% Subdistricts with one or more assessed communities reporting spontaneous returns this month Subdistricts with no assessed communities reporting spontaneous returns this month 2

Governorate, November 217 SHELTER AND NFI Fuel sufficiency: Primary source of electricity reported: 2 communities reported no lack of fuel. Most common strategies to cope with a lack of fuel in the remaining 21 assessed communities, : 98+2+A 98% 2% Generator Network Burning waste Cutting trees to burn Burning productive assets Burning plastic Burning furniture not in use 9+86+62++1 9 86% 62% % 1 1,61 SYP Governorate average reported rent price in Syrian Pounds (SYP) accross assessed communities. 5 6,815 SYP Syrian average reported rent price in SYP accross assessed communities. 5 Most commonly reported shelter type for PCP (in red) and IDP (in grey) households : Independent apartment/ house Shared apartment/ house Unfinished apartment/ house Collective public space Private space not for shelter Cave or other natural shelter Tent 1+88++++++++++++12 1 88% 12% Insufficient fuel reported Sufficient fuel reported Reported fuel prices (in SYP) 5 : Fuel type: Governorate average price in November: Subdistrict with assessed communities Subdistrict with no assessed communities Governorate average price in October: 5 1 USD = 58 SYP (UN operational rates of exchange as of 1 November 217) Syrian average price in November: Coal (1 kilogram) 18 96 2 Diesel (1 litre) 217 25 96 Butane (1 canister) 9,59 7,5 6,275 Firewood (1 tonne) 9,696 88,75 85,

Governorate, November 217 9 1 HEALTH Communities reported that no medical items were available in their community. Community reported that the majority of women did not have access to formal health facilities to give birth. Presence of health facilities in assessed communities: 2 communities reported that residents experienced no barriers to accessing healthcare services. The barriers in the remaining 18 assessed communities were, : No health facilities available in the area 9% Security concerns when traveling to facilities Lack of transportation to facilities 9+6+6+6 6% 6% High cost of transportation to facilities 6% Communities reporting that residents used one of the following medical coping strategies: Using non-medical items for treatment: Recycling medical items: None None None Carrying out operations without anaesthesia: No health facilities reportedly available in area Health facilities reportedly available in area Top most needed healthcare services reported, : Subdistrict with assessed communities Subdistrict with no assessed communities Top most common health problems reported, : Surgical care Orthopedic services 51% 1% Severe diseases affecting those younger than 5 Chronic diseases 88% 9% All health services 9% Skin diseases %

A+7+7 Governorate, November 217 WASH Communities reported that water from their primary source tasted and/or smelled bad. Communities reported that drinking water from their primary source made people sick. Water sufficiency for household needs: communities reported that they had no problems with latrines. The most prevalent problems with latrines in the remaining 8 assessed communities were, : Blocked connections to sewage Inability to empty septic tanks No water to flush 75+5+1 75% 5 1% 25 communities reported that they had sufficient amounts of water to meet household needs. The most common coping strategies to deal with a lack of water in the remaining 16 assessed communities were, : Spend money usually spent on other things to buy water Modify hygiene practices Reduce drinking water consumption 1+69+1 1 69% 1% Insufficient water reported Sufficient water reported Primary drinking water source reported : 56+ 56% 7% 7% Network Water in one or more assessed communities in subdistrict reportedly tastes/smells bad or makes people sick Water is reportedly fine to drink in all assessed communities in subdistrict Water trucking Closed well Top reported methods of garbage disposal, : Paid private collection Public free collection Left in street/public area 9% 6% 5% 5

Governorate, November 217 FOOD SECURITY Communities reported not having received a food distribution in the last 12 months. Communities reported that residents were unable to purchase food at shops and markets. Food sufficiency: 2 communities reported that they had enough food to meet household needs. The most common difficulties experienced in the remaining 21 assessed communities were, : 1+1+95+9Lack Some items too expensive Lack of resources to buy food Lack of access to available cooking fuel of access to market 1 1 95% 5% Core food item prices reported (in SYP) 5 : Food item: Governorate average price in November: Governorate average price in October: Syrian average price in November: Bread public bakery (1 loaf) 11 121 115 Rice (1 kilogram) 69 5 61 Lentils (1 kilogram) 6 72 5 Sugar (1 kilogram) 5 75 895 Insufficient food reported Somewhat sufficient or sufficient food reported Most common ways of obtaining food reported, : Own production Purchased Food distributions Subdistrict with assessed communities Subdistrict with no assessed communities 1+1+6 1 1 6% Cooking oil (1 litre) 59 581 96 5 1 USD = 58 SYP (UN operational rates of exchange as of 1 November 217) 6

Governorate, November 217 LIVELIHOODS Less than 5, SYP Most commonly reported household income range 5. 25,959 SYP Governorate average food basket price 5,6. Communities reporting that residents used exteme food-based coping strategies to deal with insufficient income 7. EDUCATION Barriers to accessing education services: communities reported that residents had enough income to cover household needs. The most commonly reported coping strategies to deal with a lack of income in the remaining 1 assessed communities were, : 1+6+9+2Adults begging Borrow money from family/ friends Send children to work or beg Reduce meal size 1 6% 9% 2% Barriers to accessing education reported No barriers to accessing education reported Schools in one or more assessed communities in subdistrict reportedly destroyed No schools in assessed communities in subdistrict reportedly destroyed Most commonly reported main sources of income, : 1 communities reported that most children were able to access education. Unstable, daily employment Business or trade Farm ownership Stable, salaried employment 1+1+98+2 1 1 98% 2% 7 6 Calculation of the average price of a food basket is based on the World Food Programme s standard basket of dry goods. The food basket includes 7 kg of bread, 19 kg of rice, 19 kg of lentils, 5 kg of sugar, and 7 kg of vegetable oil, and provides 1,9 kcal a day for a family of five for a month. 5 1 USD = 58 SYP (UN operational rates of exchange as of 1 November 217) 7 Extreme food-based strategies: Eating food waste; eating non-edible plants and spending days without eating.

Governorate, November 217 METHODOLOGY The HSOS project, formerly known as the AoO (Area of Origin) project, is a monthly assessment that aims to provide comprehensive, multi-sectoral information about the humanitarian situation inside Syria. This factsheet presents information gathered in 1 communities in December 217, referring to the situation in Governorate in November 217. It presents key indicators, rather than the entire range of indicators gathered in the HSOS questionnaire. For community-level data on assessed sub-districts in Al Hasakeh, Dar a, Idleb, Rural Damascus and Quneitra, please refer to the monthly sub-district factsheets, available on the REACH Resource Centre. The complete HSOS dataset is disseminated monthly via the REACH Syria mailing list. Wherever possible, information was collected through an enumerator network. REACH enumerators are based inside Syria and interview Key Informants (KIs) directly in the community they report about. Where access and security constraints rendered direct data collection unfeasible, KI interviews were conducted indirectly through participants identified in camps and settlements in neighbouring countries by REACH field teams. Participants contact KIs in their community in Syria to collect information about their community. KIs were asked to report at the community level. A minimum of three KIs were interviewed per community to enhance data accuracy. KIs generally included local council members, Syrian NGO workers, medical professionals, teachers, shop owners and farmers, among others, and were chosen based on their community-level or sector specific knowledge. In cases where KIs disagreed on a certain piece of information, enumerators triangulated the data with secondary sources or selected the response provided by the KI with the more relevant sector-specific background. For each question asked, confidence levels were assigned based on the KIs area of expertise and knowledge of the sector-specific situation. The confidence levels associated with each question are presented in the final dataset. The full confidence matrix used to assign confidence levels is available upon request. Findings were triangulated through secondary sources, including news monitoring and humanitarian reports. Where necessary, follow-up was conducted with enumerators and participants. Findings are indicative rather than representative, and should not be generalised across the governorate. ENDNOTES 1 All information and figures reported in HSOS factsheets refer to the situation in assessed communities and cannot be generalised to other non-assessed communities of the governorate. 2 Returns are not necessarily voluntary, safe, or sustainable. Children includes all persons below the age of 18. Pleitgen, F. (15 August 217). Inside : Residents return to rebuild Syria s shattered city. CNN. Retrieved from http://edition.cnn.com. 5 IOM (11 August 217). Over 6, Displaced Syrians Returned Home in First 7 Months of 217. IOM. Retrieved from https://reliefweb.int. 6 UNCHR (8 March 217). Syria: Flash update on recent events - 8 March 217. Reliefweb. Retrieved from https://reliefweb.int. 7 Aboufadel, L. (2 April 217). Major highway from to east Syria reopened for the first time in 5 years. Al Masdar News. Retrieved from https://www.almasdarnews.com. 8 Ali and Clark (1 July 217). Turkish-backed forces encroach on Kurdish-held northern Syria amid rising tensions. Syria Direct. Retrieved from http://syriadirect.org. 9 Reuters (1 November 217). More than 6 killed in air strike on Syrian market town. Reuters. Retrieved from https://www.reuters.com. About REACH REACH is a joint initiative of two international non-governmental organisations - ACTED and IMPACT Initiatives - and the UN Operational Satellite Applications Programme (UNOSAT). REACH aims to strengthen evidence-based decision making by aid actors through efficient data collection, management and analysis before, during and after an emergency. By doing so, REACH contributes to ensuring that communities affected by emergencies receive the support they need. All REACH activities are conducted in support to, and within the framework of, interagency aid coordination mechanisms. For more information, please visit our website: www.reachinitiative.org. You can contact us directly at: geneva@reach-initiaitive.org and follow us on Twitter: @REACH_info. 8