Key Developments on Access

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Humanitarian Bulletin Syria Issue 01 7 May 2015 HIGHLIGHTS This is the first issue of a monthly Humanitarian Bulletin, bringing together input from the OCHA offices in Syria, Turkey, Jordan, and the Regional Office for the Syria Crisis located in Amman. This first joint Bulletin focuses on access and displacement trends. FIGURES Displaced # of IDPs 7.6M # of refugees 4M People in need 12.2M Including 5.6M Children People living in hard-to-reach or besieged areas Palestine refugees in need People killed 4.8M 560K 220K People injured >1M Food insecure People People in need of shelter Out of school children FUNDING 2.9 billion requested (US$) 16% funded 9.8M 1.6M 2M In this issue The Whole of Syria Approach P.1 Key Developments on Access P.1 Continued Displacement in Syria P.2 Besieged People in Syria P.3 Whole of Syria Response Update P.3 Funding Update P.5 Strengthening Humanitarian Action inside Syria: The Whole of Syria Approach Already in its fifth year, the Syria crisis continues to confound the international community. Labelled as the worst crisis of the century, it has been characterised by an unprecedented scale of destruction and extreme levels of suffering. The challenges faced by humanitarian organisations in their effort to alleviate suffering and deliver assistance to meet the most basic needs of people inside Syria are profound. While the passage of UN Security Council Resolutions 2165 and 2191 enabled UN crossborder assistance into Syria from both Turkey and Jordan, last year witnessed a reduction in the number of inter-agency cross-line convoys within Syria, owing to a mix of security, logistical and administrative hurdles. Currently an estimated 4.8 million Syrians continue to live without sustained access to food or medical care inside hard-to-reach or besieged areas. The increasing needs in Syria far exceed capacity to deliver, challenging the international community to alter its modus operandi. At the end of 2014, humanitarian partners providing assistance inside Syria across the operational hubs (Syria, Turkey and Jordan), committed to work under a "Whole of Syria" approach. This approach created one comprehensive framework, a common response plan, and a supporting coordination structure. Bringing together over 270 international and national actors, the Whole of Syria approach seeks to ensure strategic and operational coherence in the delivery of humanitarian assistance in Syria. In April 2015, the Whole of Syria Strategic Steering Group, comprising senior humanitarian leadership from Syria, Jordan and Turkey, convened its first meeting. The Strategic Steering Group is a policy advisory body designed to: bring coherence across the different operational hubs at the strategic level, support and lead a single humanitarian planning cycle for Syria, and ensure effective joint action on, protection and access issues. Coinciding with the first meeting of the Strategic Steering Group, this new Syria Humanitarian Bulletin brings together perspectives and information from Syria, Jordan and Turkey to present a comprehensive and holistic picture of humanitarian needs and humanitarian action inside the Syria. Key Developments on Access A combination of factors continued to impede access in some areas, including insecurity and shifting conflict lines, deliberate interference, restrictions on access and onerous administrative procedures that constrain the effective delivery of assistance. While access remains relatively unimpeded in large parts of Syria, access to large swaths of northeastern Syria, Rural Damascus, and multiple specific locations in northern, central and southern Damascus remain highly restricted or even blocked. In the absence of a viable peace process, the parties to the conflict have continued to seek territorial expansion over the course of 2015. There has been an escalation of

Syrian Arab Republic - Humanitarian Bulletin 2 Four humanitarian workers were killed in the line of duty during the month of April. Fighting in Idleb has caused around 140,000 people to flee to surrounding areas. fighting along key access routes and densely populated centres, particularly in Idleb, Dar a, Hama, Rural Damascus, Aleppo and Hasakeh governorates. Hundreds of thousands have been displaced, further hindering the ability of humanitarian actors to reach affected people, particularly in besieged areas, where 440,000 people are effectively inaccessible. The operating environment for humanitarian workers is also becoming more insecure. During the month of April only, four humanitarian workers were killed while on duty, bringing the total reported killed since the beginning of the conflict to 74. Humanitarian premises and facilities have also continued to be targeted by all warring parties in Syria. In ISIL controlled areas, access has become increasingly limited. Some assistance is nevertheless reaching these areas, although due to security considerations very little information on such efforts is in the public domain. ISIL has imposed strict limitation of movement for the female population living under its control, and the overall situation of women and girls is reported to be increasingly dire. In the beginning of April, the last remaining Government of Syria (GoS)-controlled official border crossing between Jordan and Syria, Nassib, was seized by the armed opposition, causing its closure to commercial traffic until further notice. As a result, resupply lines for UN agencies that had been using this crossing have been suspended. More broadly, in Dar a, non-state armed groups (NSAGs) have continued to allow steady access to humanitarian actors in areas under their control. Along with increased artillery attacks carried out by NSAGs on GoS-held western Aleppo, GoS forces have intensified the bombing of opposition held areas of Aleppo City over the last few weeks, causing substantial damage to civilian installations along the old city and western frontlines, further reducing access to adjacent areas. Many civilian casualties have also been reported during this period, including the reported killing of almost 200 civilians during aerial bombardment and of 68 civilians (including 17 women and 20 children) as a result of shelling of GoS controlled neighbourhoods by NSAGs. In one particular case a school was reportedly targeted leading to the deaths of ten students and two teachers. Continued Displacement in Syria Fighting, shelling and aerial bombardment of Idleb city and the surrounding areas has continued since NSAGs took over the city on 28 March. Reportedly, hundreds of people have been killed and untold numbers injured. Approximately 110,000 people have fled towards the north and around 30,000 towards the south. The humanitarian situation has deteriorated considerably with barrel bomb attacks destroying a number of hospitals and medical points. Chlorine-attack victims have also been reported by hospital administrations and civil defence workers operating in the province. Such reports have not been confirmed. Humanitarian needs remain acute with protection concerns, water supply shortages, lack of health, food, as well as shelter and NFIs, for those displaced to the countryside. The fighting has had a significant impact on access. Three humanitarian aid workers have been killed in the line of duty since the escalation of fighting in Idleb and an airstrike on SARC Idleb facilities resulted in loss of key assets, including nine ambulances and vehicles. Several NGOs have halted distributions or prevented staff from working in Idleb city. A number of INGO staff has been detained at checkpoints by NSAGs, causing temporary suspension of some programming; however all have since been released. Most services have been non-operational in Idleb city during the last month with electricity being cut from Jisr Al Shughour and other power stations causing major challenges to humanitarian programmes. Disruptions in the internet and phone networks have significantly hindered the ability of humanitarians to track population movements and identify specific needs. Despite the challenges, humanitarian partners continue to provide a multi-sectoral response to the increasing needs. While providing an immediate response to the needs of those that have been registered and are accessible, humanitarian partners are also prepositioning supplies to respond to the needs of displaced people as they move from one place to another.

Syrian Arab Republic - Humanitarian Bulletin 3 The number of people living in besieged locations now surpasses 440,000. Advocacy for protection of civilians, safety of humanitarian aid workers, and for increased access to people in need in Idleb remains a priority, including for minority populations surrounding areas. For more detailed information on humanitarian response, please see the OCHA Idleb Situation Reports here: http://reliefweb.int/report/syri an-arab-republic/syrian-arabrepublic-idleb-situationreport-no-3-15-22-april-2015 Displacement also continued in southern Syria following the takeover of Busra ash-sham and then Nassib border crossing by NSAGs, and subsequent aerial bombing by Government forces. An estimated 20,000 people fled opposition advances in Busra Al Sham towards Sweida and Damascus, while aerial bombardment led to the displacement of thousands of people in early April. Clashes around Bisr al-harir in mid-april also led to displacement of around 20,000 people. Besieged People in Syria Credit: OCHA/Khalil Ashawi Civilians flee Idleb as NSAGs take over the city. The estimated number of people living in besieged locations almost doubled to 440,000 after the inclusion of the GoS controlled neighbourhoods of Deir-ez-Zor city. The condition of these people continues to be of great concern. Humanitarian access to 228,000 people in the GoS controlled neighbourhoods of Deir-ez- Zor has been severed since early February. The besieged neighbourhoods have been without power since 24 March 2015 when NSAGs cut the supply from the Al Tayem power plant. The lack of regular fuel supply to the plant has made generation of electricity almost impossible. The reduction of water supply, down to fifteen hours in total over ten days, is also increasing people s suffering. It is expected that the lack of clean drinking water and poor hygiene conditions will exacerbate already existing public health risks. Access to food is also threatened as severe food price increases make the little food available prohibitive to people in these areas. Six loaves of bread now costs 300 Syrian Pounds (SP) (1 US$), while in Damascus the equivalent costs only 35 SP (10 US cents). From February to March 2015, the number of reported cases of typhoid, hepatitis A, jaundice, anaemia, severe malnutrition and miscarriages increased at alarming rates. Lack of water and food is also having a tremendous impact on pregnant women and lactating mothers. Attempts to reach people in Deir-ez-Zor city via road have failed over the past two months. SARC, with ICRC support, has airlifted some 70 metric tons of ghee and rice, and additional plans are underway to continue such airlifts into the besieged neighbourhoods. The UN and its partners are also exploring airlifts as a modality. Whole of Syria Response Update Through the implementation of the Whole of Syria approach, the following humanitarian reach was achieved in February 2015 (see graphic overleaf, as reported by six sectors at the end of March). It is envisioned that with increased coherence in the response, greater synergies will be achieved and more people in need reached.

Syrian Arab Republic - Humanitarian Bulletin 4 73 per cent of subdistricts were reached with humanitarian assistance in February by one or more of the six reporting Sectors. UN Cross-Border Update Since the adoption of UN Security Council Resolution 2165 on 14 July 2014, UN organizations and implementing partners based in Turkey and Jordan have together dispatched 104 consignments, comprising 2,027 trucks of food assistance, non-food items, health and medical supplies, water, hygiene and sanitation-related assistance. UN cross-border assistance continues to provide a critical supply of humanitarian aid into Syria from Turkey and Jordan. In April, a Cross-Border Task Force was established in Jordan to strengthen planning, advocacy, and resource mobilization. Credit: OCHA Turkey Relief materials being transferred from Turkish trucks to Syrian trucks at Bab al-salam transhipment hub in Kilis, Turkey 120 100 80 60 40 20 0 UN consignments - UNSC resolutions 2165 and 2191 2014 2015 Total Number of Consignments Credit: OCHA Jordan Security checks of returning convoy Inter-Agency Cross-Line Update Humanitarian access across conflict lines to populations that are not under government control is becoming more challenging. This is largely due to increased insecurity and fighting as well as to delays in the required approvals from the Government.

Syrian Arab Republic - Humanitarian Bulletin 5 So far in 2015, the OCHA-managed Country Based Pooled Funds for the Syria crisis have disbursed a combined total of US$30.5 million. The UN has requested 44 inter-agency convoys since December 2014. Out of these, four have been completed (Al Waer, Talbisah, Ar-Rastan and Yalda, Babila and Beit Sahem), serving almost 230,000 individuals. The government approved in principle 14 additional locations on 14 April. The UN and SARC are currently making plans to reach 11 of these approved locations through interagency convoys. Three of the approved locations can be reached through the UN s regular programme and will be supported through that modality. Requests for five locations have been put on hold by the UN given prevailing security conditions, to be reactivated as soon as conditions allow. Six requests lapsed as no response was provided within 3 months leading to resubmissions, leaving 15 requests remain pending for approval. It is important to note that inter-agency cross-line convoys are complemented by singleagency deliveries across conflict lines. Funding Update In 2015, the humanitarian response inside Syria requires US$2.9 billion with $465 million received to date. Some $3.6billion was pledged at the Kuwait conference, for both humanitarian programmes inside Syria and in neighbouring countries hosting Syrian refugees. More details of the pledges can be found at: https://docs.google.com/spreadsheets/d/19apow_wse5i6kyokhmyqnxuccmkaqb79syyre1mle_y/edit#gid=4 09554285 Strengthening response through country-based pooled funds To help address the humanitarian suffering of people in Syria and neighbouring countries, in 2012 the Emergency Relief Coordinator (ERC) established the regional Syria Emergency Response Fund (ERF). In June 2014, the regional ERF was decentralized with three separate country-based pooled funds (CBPFs) established in Syria, Jordan and Turkey. The CBPFs are well placed to ensure that humanitarian assistance reaches those in need quickly and efficiently, through partnerships with local and international NGOs. ERF Syria: For 2015, the Syria ERF has set a target amount of $30 million. So far, some $6.8 million in funding has been received from Germany, India, Luxemburg, Malaysia, Spain and Sweden, of which $5.5 million has been allocated or disbursed to eight projects helping an estimated 600,000 beneficiaries. The Syria ERF aims to allocate 50 per cent of its funds this year to respond to acute needs in besieged or hard-to-reach areas. During 2014-2015 over a million beneficiaries were reached in hard-to-reach areas, out of a total of 3.6 million beneficiaries of ERF assistance. ERF Jordan: Since the beginning of 2015, the Jordan ERF has secured critical funding to expand support to projects to assist Syrian refugees and vulnerable host communities. Thanks to generous funding from donors, including from the Government of Belgium and Netherlands, the Jordan ERF balance now at $4.7 million. So far in 2015, projects totalling $1 million have been allocated. This recent injection of funds into the Jordan ERF will enable the provision of rapid, timely, and flexible funding to address gaps in Jordan through support to host communities and equally to scale up cross-border programming to southern Syria. HPF Turkey: The Humanitarian Pooled Fund (HPF) finalized the First Standard Allocation process for 2015 of $20 million. Thirty-six project proposals will be funded to target 1.9 million people with health and food security interventions. Moreover, the Deputy Regional Humanitarian Coordinator launched an Emergency Reserve Allocation of the (HPF) in response to the recent humanitarian crisis in Idleb. Responding to the emergency, ten projects for a total of $4 million were approved within a period of seven business days. The projects will assist 404,375 people including providing urgent health assistance. This is a joint product of OCHA Syria, OCHA Turkey, OCHA Jordan and the OCHA Regional Office for the Syria Crisis. United Nations Office For for further Coordination information, of please Humanitarian contact: Affairs ochasyria@un.org (OCHA) Coordination Saves Lives OCHA humanitarian bulletins are available at http://www.unocha.org/syria