(HSOS) OVERALL FINDINGS1

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Governorate, January 218 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 2172. In January 218, only one of the assessed communities, Suran, witnessed spontaneous refugee returns from Turkey. In contrast to December when no assessed communities reported that members of the pre-conflict population left during the assessment period, six communities reported that members of their original population left in January. All six of these communities cited an escalation of conflict as one of the reasons for population departures and are located in the currently contested northwestern subdistricts of A zaz and Jebel Saman. Of the communities assessed, 9% reported the presence of IDPs, and 27 of the assessed communities reported new arrivals in January. The estimated number of IDP arrivals in assessed communities ranged from 1,85-15,5 individuals, a 59% increase compared to the number of arrivals reported in December. The largest number of arrivals were recorded in Atareb subdistrict. The majority of arrivals reportedly originated from other areas of governorate. Out of the communities reporting an IDP presence, 72% reported hosting more than 1, IDPs and 1% reported the presence of over 1, IDPs. Half of the latter were located in Atareb subdistrict, although the largest number of IDPs, 88, 9,, was reported in A zaz city, comprising over half of its estimated population of 11,5. Of the communities assessed, 11 reported that none of the assessed medical items were available in January, while residents in 2 communities reportedly experienced barriers to accessing healthcare. Of these communities, 88% reported that there were no available health facilities in their area. Medical KIs in 15 communities reported that individuals in their community had been diagnosed with Severe Acute Malnutrition (SAM) in January. All of these communities are located in Daret Azza and Atareb subdistricts. Slightly less than half of the communities assessed reported having insufficient water to meet household needs. A majority of these communities are located in A zaz subdistrict, including A zaz city, as well as in neighbouring Mare and Suran subdistricts. Three communities, Bayada, Salah Ad-Deen and Sayf Ad-Dauleh (in Jebel Saman subdistrict) reported that drinking water from their primary source made people sick. Of the communities assessed, 21 reported a lack of fuel, concentrated in Atareb and Daret Azza sub-districts. Of these communities, 1 reported the presence of over, IDPs, and four reported that over 1, IDPs were residing in their community. Rent prices in all but two of these communities were above the Syrian average of 7,82 SYP and over 1, SYP in 1 of them, likely attributable to the large number of IDPs residing in these subdistricts. Over half of the assessed communities reported experiencing challenges to accessing sufficient amounts of food. A vast majority of these communities reported a lack of resources to buy available food, the high cost of some food items as well as a lack of access to cooking fuel as the most common challenges faced by residents. These 22 communities were predominantly located in A zaz, Mare, and Suran subdistricts, and all but two of them reported that unstable employment was among the three most common sources of income. Nonetheless, all communities assessed in reported that food was either somewhat sufficient or sufficient, and no extreme food-based coping strategies were reported. Of the communities assessed in, 66% reported that children were being sent to work or beg. Most children were reportedly able to access educational facilities in all but three of the assessed communities, where children were unable to attend school due to the destruction of facilities. All three of these communities are located in Jebel Saman subdistrict. Raju Bulbul Sharan Ma'btali A'zaz Sheikh El Hadid Afrin Tall Refaat Jandairis Nabul TURKEY Ghandorah Ar Ra'ee Suran Aghtrin Al Bab Mare' Ain al Arab Lower Jarablus Shyookh Menbij A'rima Tadaf Rasm Haritan Haram El Daret Azza Eastern Imam Jebel Saman Kwaires Dayr Atareb Zarbah As Safira Hafir Hadher Banan Maskana Hajeb IDLEB Tall Ed daman Sarin Abu Qalqal AR RAQQA Al Khafsa Khanaser Communities assessed ( of 1,19) Subdistricts with communities assessed (6 of ) Top reported priority needs 1. Food security 2. Water security. Healthcare HOMS Demographics*,57,5 1,756,76 people in need 1,81,8 * Figures based on HNO 218 population data for the entire governorate. KEY EVENTS Over 7, civilians displaced in eastern countryside near Menbij and Al Bab cities. Damascus Hasakeh highway reopens, facilitating commercial and civilian travel between governorates5. Tensions continue to mount between Kurdish and Turkish forces in the Afrin area6. Operation Olive Branch commences in the Afrin area7. Thousands displaced in the Afrin area due to an intensification in conflict8. Military activity in northern prevents aid deliveries as Bab-AlHawa and Bab-Al-Salam border crossings close to U.N. staff9. February 2 April July onward 2 January Mid-January onward 2 January

Governorate, January 218 Governorate areas of influence: Area of influence* Opposition - Hay'at Tahrir Al-Sham (HTS) TURKEY Opposition - Free Syrian Army (FSA) Opposition - Free Syrian Army (Euphrates/Idleb Shield) Democratic Federation of Northern Syria - Syrian Democratic Forces (SDF-coalition) Democratic Federation of Northern Syria - Syrian Democratic Forces (SDF) City ISIL-affiliated groups *Sourced from Live UA Map, 1 January 218 Assessed Community AR RAQQA IDLEB HAMA 2

Governorate, January 218 DISPLACEMENT Estimated percent of pre-conflict population (PCP) displaced from community: 1,85-15,5 25 - Estimated number of IDP arrivals in assessed communities in January. Estimated number of spontaneous returns in assessed communities in January 2. Communities with the largest estimated number of IDP arrivals: Kafr Naha,5 -,6 Atareb 1,2-1,5 Big Orm 1, - 1,2 Top subdistricts of origin of most IDPs arrivals, : Tall Ed-daman () Zarbah () 1% 15% IDLEB A R R A Q Q A A zaz () 11% 7 communities reported no PCP departures. Top reasons for PCP displacement in the remaining 6 assessed communities, : H A M A Escalation of conflict Loss of assets Loss of income 1% % % Estimated % of pre-conflict population displaced from community -2% 25-9% 5-7% 75-99% Subdistrict with one or more assessed communities reporting spontaneous returns this month Subdistrict with no assessed communities reporting spontaneous returns this month

Governorate, January 218 SHELTER AND NFI Fuel sufficiency: Primary source of electricity reported: 1+A 1% Generator 2 communities reported no lack of fuel. The most common coping strategies in the remaining 21 assessed communities reporting lack of fuel coping strategies were, : Burning waste Burning productive assets Burning plastic Cutting trees to burn Burning furniture not in use 95+95+71+2+5 95% 95% 71% 2% 5% 11,1 SYP 7,82 SYP Governorate average reported rent price in Syrian Pounds (SYP) across assessed communities. 5 Syrian average reported rent price in SYP across assessed communities.5 Most commonly reported shelter type for PCP (in red) and IDP (in grey) households : Independent apartment/ house 9% 88% Collective public space 5% % Shared apartment/ house 2% % Tent % 12% 9+88+5++2+++12+++++ Insufficient fuel reported Sufficient fuel reported Reported fuel prices (in SYP) 5 : Fuel type: Governorate average price in January: Subdistrict with assessed communities Subdistrict with no assessed communities Governorate average price in December: Syrian average price in January: Coal (1 kilogram) 69 12 25 Diesel (1 litre) 271 27 1 Butane (1 canister) 8,579 9,218 6,6 Firewood (1 tonne) 81,565 89,78 76,51 5 1 USD = SYP (UN operational rates of exchange as of 1 February 218)

+ + + + Governorate, January 218 HEALTH Presence of health facilities in assessed communities: 11 Communities reported that no medical items were available in their community. Communities reported that the majority of women did not have access to formal health facilities to give birth. 19 communities reported that residents experienced no barriers to accessing healthcare services. The barriers in the remaining 2 assessed communities were, : No health facilities available in the area Family not permitting travel to health facilities Security concerns when traveling to facilities High cost of transportation to facilities 88+8+++ 88% 8% % % No health facilities reportedly available in area Health facilities reportedly available in area Subdistrict with assessed communities Subdistrict with no assessed communities 1 communities reported that residents were not using coping strategies to deal with a lack of medical supplies,. Top most needed healthcare services reported, : Top most common health problems reported, : + All health services Surgical care % 2% Severe diseases affecting those younger than 5 Acute respiratory infections 8% 7% Orthopedic services 5% Chronic diseases 7% 5

+ + + Governorate, January 218 WASH Water sufficiency for household needs: 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. 29 communities reported that residents had no problems with latrines. The most prevalent problems with latrines in the remaining 1 assessed communities were, : Blocked connections to sewage Inability to empty septic tanks Not clean No separation between men and women No water to flush 6+29+21+1+7+ 6% 29% 21% 1% 7% 22 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 21 assessed communities were, : Modify hygiene practices Spend money usually spent on other things to buy water86+81+1+ Reduce drinking water consumption 1% 86% 81% Insufficient water reported Sufficient water reported Primary drinking water source reported : 51+2+7+A 51% 2% 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, : Private paid collection Public free collection Left in street/ public area 52% 8% 7% 6

+ + Governorate, January 218 FOOD SECURITY Food sufficiency: 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. 21 communities reported that residents experienced no challenges in accessing food. The most common difficulties experienced in the remaining 22 assessed communities were, : Lack of resources to buy food Some items too expensive Lack of access to available cooking fuel Lack of access to market 91+91+91+9+ 91% 91% 91% 9% Core food item prices reported (in SYP) 5 : Insufficient food reported Somewhat sufficient food reported Sufficient food reported Subdistrict with assessed communities Subdistrict with no assessed communities Food item: Governorate average price in January: Governorate average price in December: Syrian average price in January: Bread public bakery (1 loaf) 17 11 115 Rice (1 kilogram) 88 69 55 Lentils (1 kilogram) 5 6 16 Sugar (1 kilogram) 62 6 86 Most common ways of obtaining food reported, : Purchased Own production Food distributions 1+9+9+ 1% 9% 9% Cooking oil (1 litre) 99 77 669 7 5 1 USD = SYP (UN operational rates of exchange as of 1 February 218)

+ + Governorate, January 218 LIVELIHOODS Less than 5, SYP Most commonly reported household income range 5. 26,5 SYP Governorate average food basket price 5,6. Communities reported that residents used exteme foodbased coping strategies to deal with insufficient income 7. EDUCATION Barriers to accessing education services: 1 community reported that residents had enough income to cover household needs. The most common coping strategies in the remaining 1 assessed communities reporting lack of income strategies were, : Borrow money from family/ friends Send children to work or beg Reduce meal size Adults begging 98+66+9+5+2 Sell household assets 2% 98% 66% 9% 5% 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, : Business or trade Farm ownership Unstable / daily employment Stable / salaried employment 9+9+9+5+2 Remittances 2% 9% 9% 9% 5% communities reported that most children were able to access education. The most commonly reported barriers to education in the remaining assessed communities were, : Destruction of facilities 1% Lack of teaching staff 1++ % 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 = SYP (UN operational rates of exchange as of 1 February 218) 7 Extreme food-based strategies: Eating food waste; eating non-edible plants and spending days without eating. 8

Governorate, January 218 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 communities in February 218, referring to the situation in Governorate in January 218. It presents key indicators, rather than the entire range of indicators gathered in the HSOS questionnaire. For community-level data on assessed subdistricts in Al Hasakeh, Dar a, Idleb, Rural Damascus and Quneitra, please refer to the monthly subdistrict 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. UNCHR (8 March 217). Syria: Flash update on recent events - 8 March 217. Reliefweb. Retrieved from https://reliefweb.int. 5 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. 6 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. 7 Aljazeera (21 January 218). Turkey s troops cross over into Syria s Afrin. Retrieved from https:// www.aljazeera.com. 8 UNHCR (2 January 218). Syria: Flash update on recent events - 2 January 218. Retrieved from https://reliefweb.int. 9 UNICEF (1 January 218). UNICEF Syria Crisis Situation Report - January 218 Humanitarian Results. Retrieved from https://reliefweb.int. 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. 9