Page 1

Children in Homs City © UNICEF Syria/2013/Halabi

Syria Crisis Bi-weekly humanitarian situation report

15 -28 NOVEMBER 2013: SYRIA, JORDAN, LEBANON, IRAQ, TURKEY AND EGYPT

   

Polio vaccination campaigns have been rolled out in October and November reaching an estimated 19 million children under 5 including 2,201,216 in Syria; 580,770 in Lebanon; 1,097,277 in Jordan; 1,300,000 in Turkey; and 14,000,000 in Egypt. A campaign was undertaken in Iraq with results pending. UNICEF supplies have reached Al-Waer, Alzafarni, Ein Alnesr and Deir Foul in Homs governorate, crossing the lines of conflict to benefit 12,500 families. Supplementary foods for the treatment of over 100,000 children with acute malnutrition were delivered to partners in Damascus, Rural Damascus, Hama, Homs, Deir ez Zour, Lattakia and Tartous An influx of 20,000 refugees arrived in Aarsal in the past fortnight. UNICEF is providing emergency health, nutrition, WASH and protection response. In Jordan, UNICEF partners now operate 86 child and adolescent-friendly spaces, including 34 in host communities which serve both Syrian and Jordanian families. Since 1 January, 111,205 Syrian children have been reached with psychosocial support services.

Protecting Children this Winter 

 

Since October, in Syria, over 400,000 blankets, including baby blankets; 20,000 children’s winter clothing sets; and 61,000 plastic sheets have been distributed through SARC and other UNICEF partner NGOs across the country. Distribution will continue through the winter season to meet the needs of women and children affected by the crisis. In addition, UNICEF, SARC and the Ministry of Water Resources are preparing a fuel storage and distribution plan to ensure continued access to safe water during the winter season through pre-positioning of fuel to run generators for pumping water in hard to reach areas. In Lebanon, to date, UNICEF’s partners have distributed winter clothing kits to 5,528 children in informal tented settlements. UNICEF and partners aim to reach over 150,000 vulnerable Syrian, Palestinian and Lebanese children with seasonal clothing and/or vouchers this winter. UNICEF has transferred over 24,000 blankets and 25,000 winter clothing kits for children under 5 to NRC for distribution in camps in Jordan. UNICEF is also preparing a further 10,000 winter clothing kits and blankets for distribution. Winter supplies will be distributed over the next two weeks. In Iraq, UNICEF is procuring warm clothes/shoes for 24,000 children and 51,480 blankets. 150 tented classrooms and child friendly spaces will be equipped with heaters and carpets. In order to prevent heat loss, 8,000 hypothermia kits will benefit 40,000 refugees. This kit includes three fleece blankets, one reinforced plastic tarpaulin and one mat. In Turkey, UNICEF has procured 220 winterized tents to replace school tents in the camps. All child friendly spaces will be replaced with containers. Sets of jumpsuits have been distributed to 5,181 children aged 0-2 in seven camps so far. UNICEF aims to reach all children under 2 in camps with winter clothing.

In Syria 4,278,000 #of children affected

9,300,000 # 0f people affected (OCHA November 2013)

Outside Syria 1,186,891 #of registered refugee children and children awaiting registration

2,258,476 # of registered refugees and persons awaiting registration (UNHCR, 27 November 2013)

Syria Appeal 2013* US$ 110.46 million Regional Appeal 2013* US$ 360.19 million *January – December 2013

160 140 120 100 US$ millions

Highlights

SITUATION IN NUMBERS

80 60 40 20 0 -20

3% gap


SYRIA CRISIS BI-WEEKLY HUMANITARIAN SITUATION REPORT

Syria

Estimated Affected Population (Estimates calculated based on initial figures from (*) OCHANovember 2013. The rest of the figures are calculated based on CBS demographic distribution of 2011 and on UNOHCHR figures

Highlights

Total Affected Population

Children Affected (Under 18)

4,278,000

Pregnant women (estimate: 5% of the total population)

340,000

Total Displaced Population (a proportion of the above)

(*) 6,500,000

WHO confirmed two additional cases of polio in Aleppo and Rural Damascus bringing the total number of confirmed cases in Syria to 17. Five additional national immunization days are scheduled to take place monthly starting 8 December 2013 to stop transmission of the virus. More than 2.2 million children received polio vaccines during the first-ever coordinated massive polio immunization campaign which ended on 21 November. UNICEF life-saving supplies continue to cross conflict lines in Homs reaching 12,500 families in Alwaer, Alzafarni, Ein Alnesr and Deir Foul.

Children Displaced (estimated: 46 % of the population is children)

(*) 9,300,000

2,990,000

Situation Overview and Humanitarian Needs In Homs City and surrounding areas the security situation has worsened making access to certain areas extremely difficult. Efforts are still ongoing with all stakeholders to send polio vaccines to the Old City, Alhoula, Zarra and Talkalaha. Despite these challenges, UNICEF supplies have reached Al-Waer, Alzafarni, Ein Alnesr and Deir Foul crossing the lines of conflict to benefit 12,500 families. Supplies include family hygiene kits; baby hygiene kits; washing powder; soap; children clothes; family water kits and blankets. The main highway connecting Homs to the capital city Damascus is closed due to the security situation, causing new displacements and impeding humanitarian operations. During the reporting period, 1,500 families have reportedly arrived in Sadad, Alhamarat area and more IDPs are expected to arrive in the coming weeks. UNICEF is working with partners to provide the displaced families with urgent humanitarian assistance. The UNICEF hub in Homs conducted a one-day mission to Hama City to assess the humanitarian situation in the governorate, the first such visit in more than two months. Findings highlight an overall tense security situation throughout the governorate with 8,000 families newly displaced from Aleppo and Rural Aleppo to Salamiya and Mesaif areas of the governorate during the past eight weeks. Families are in need of winter items such as children’s winter clothes, mattresses, thermal blankets and hygiene items, in addition to other basic services such as water, hygiene and sanitation; health; protection; and education. The team, in collaboration with SARC and other partners, has developed a three month urgent response plan to address the needs of the IDP families and host communities. In Aleppo, while access to the governorate had reasonably improved following the opening of the Al-Samaieh- Aleppo road, the closure of a major crossing that connects the eastern part to the West is limiting movement between the two neighbourhoods, cutting off the east from humanitarian assistance. In addition, this week the road to Aleppo also closed once more, limiting supply and staff movement to the north.

Programme Response Winterization To ensure that children are kept warm and protected from winter illnesses, including respiratory infections that can prove fatal among vulnerable populations, UNICEF has been ordering and pre-positioning winter items ahead of the cold season, forecasted as an exceptionally cold winter. Supplies include blankets, mattresses, warm clothes, plastic sheeting, health and hygiene kits. 2


SYRIA CRISIS BI-WEEKLY HUMANITARIAN SITUATION REPORT Since October, over 400,000 blankets, including baby blankets; 20,000 children’s winter clothing sets, and 61,000 plastic sheets have been distributed through SARC and other UNICEF partner NGOs across the country. Distribution will continue through the winter season to meet the needs of women and children affected by the crisis. In addition, UNICEF, SARC and the Ministry of Water Resources are preparing a fuel storage and distribution plan to ensure continued access to safe water during the upcoming winter season through pre-positioning of fuel to run generators for pumping water in hard to reach areas.

Health & Nutrition On 26 November, WHO confirmed two additional cases of wild polio virus in Aleppo and Rural Damascus (Douma). The total of confirmed cases in Syria has now risen to 17, of which 15 were confirmed in Deir Ez Zour in October. The widespread circulation of polio virus amongst children is the main public health concern in the country. As part of the nationwide polio campaign, which was launched following the confirmation of the initial polio cases, 2,201,216 children were reportedly vaccinated against the virus. The campaign, which ended on 21 November, targeted 2.2 million children. Nearly 300,000 children were vaccinated in hard to reach areas of Deir Ez Zour Governorate where the first cases were confirmed. UNICEF and partners are strengthening efforts to stop the circulation of polio virus in Syria. The unprecedented response to control transmission of the virus includes five monthly rounds of national immunization days in the months ahead, with the first one scheduled to start on 8 December 2013. Two million doses of bivalent oral polio vaccines (bOPV) provided by UNICEF have reached Beirut and will be transported in to Syria to support the upcoming vaccination round. An additional immunization campaign against Measles Mumps and Rubella is on-going with 1,138,259 children in schools receiving the life-saving vaccine along with vitamin A supplementation. UNICEF and partners aim to reach 2.2 million children before the end of December 2013 with MMR vaccine. Sixty-two UNICEF-supported mobile medical teams in the 14 governorates and 24 fixed centres in Damascus, Rural Damascus, Hama, Aleppo and Quneitra, continue to provide primary health care services to IDPs and vulnerable children. During the reporting period, 17,650 children benefited from routine medical check-ups; referrals and other primary health care services, bringing the total number of children reached since the beginning of the year to 332,364. During the reporting period the following supplies were delivered to partners in Damascus, Rural Damascus, Hama, Homs, Deir ez Zour, Lattakia and Tartous replenishing stocks of supplementary foods for one month (in conjunction to the on-going immunization campaigns):  10,000 boxes of Plumpy Doz for 50,000 children  20,000 supplementary plumpy sachets for 100,000 children  400,000 sachets of micronutrients for 13,333 children  23,000 boxes of High Energy Biscuits (HEB) for 115,000 children  In addition, 1,000 boxes of HEB were sent to the UNICEF hub in Homs to be distributed through crossline missions to benefit 5,000 children as supplementary feeding; 200 HEB boxes were delivered to Dara’a to benefit 1,000 children and 3,500 HEB boxes were delivered to SARC in Aleppo to benefit 17,800 children.

WASH UNICEF WASH supplies finally reached Dara’a, which had witnessed cases of diarrhoea in early November. The supplies delivered to SARC included 700 packs of disinfection tablets to benefit 61,600 people; 2,000 bags of washing powder to benefit 10,000 people; 1,400 Baby Hygiene Kits; and 263,000 garbage bags. Additional WASH items will be pre-positioned in Dara’a to enable a swift response in case of disease outbreak. UNICEF supported activities are enhancing access to clean drinking water, hygiene and sanitation services in different parts of the country as follows: 3


SYRIA CRISIS BI-WEEKLY HUMANITARIAN SITUATION REPORT 

45 prefabricated toilets and showers were delivered to Aleppo municipality for installation in the IDP shelters in the city to benefit 2,700 people.  35,000 IDPs have access to clean water, hygiene promotion and sanitation services through water tankering, repair and maintenance of water pipes and sanitation facilities in partnership with a local NGO in Aleppo.  1,000 litres of pesticides were dispatched to the Lattakia Municipality for pest control at IDP shelters, of which 460 litres were confirmed to have been utilized so far, benefiting 600,000 residents of Lattakia. In addition, 20,500 jerry cans were delivered to SARC of which 600 have been distributed to IDP families living outside collective shelters.  In Deir Ez Zour, 40 tonnes of sodium hypochlorite were delivered to Al-Mayadeen City, Bseira Town and surrounding villages, and Deir Ez Zour City, as part of the nationwide chlorination efforts for continued access to clean water. As part of on-going hygiene and sanitation campaign in Deir Ez Zour City, 7,350 people benefited from distribution of plastic garbage bags and hygiene promotion messages. Back- to -Learning campaign in Syria, Targeted and Gap by location: 26 November 2013 Education Essential education supplies continue to reach children across the country as part of the back to school campaign. Since the launch of the nationwide effort in September, 765,160 school bags have been distributed in all 14 governorates, except Hassakeh City. In addition, UNICEF has supported children’s access to quality learning through the delivery of 2,782 recreation kits to benefit 250,380 children; 2,593 schools-in-a-carton for 103,720 children; 1,284 sets of school supplies to benefit 51,360 children; 610 Early Childhood Development kits for 30,500 pre-school children; and 14,649 posters and 30,332 flyers targeting parents to raise awareness on school registration. During the reporting period, additional essential school supplies have reached over 28,000 children in Homs.

120,000 100,000 80,000 60,000 40,000 20,000 -

# of children reached

# of children to be reached (gap)

In Tartous, which is currently receiving many IDPs because of the calm security situation in the area, a UNICEF field monitoring visit observed overcrowded classrooms in five schools in the neighbourhoods hosting IDPs. The team observed up to 80 children sharing a classroom and in some cases up to five children sharing a desk. UNICEF is working with the education authorities in the governorate to address the urgent needs of additional learning spaces and school furniture in Tartous. UNICEF’s education response to the crisis includes provision of safe learning spaces through installation of prefabricated classrooms. Since the beginning of the crisis 20 per cent of schools have been partially damaged, completely destroyed or are being used as shelters for IDPs. During the reporting period additional classrooms have been set up in Aleppo bringing the total UNICEF supported prefabs to 30 in the governorate. Since the beginning of the year 120 prefab classrooms have been set up in Damascus, Rural Damascus, Homs, Deir ez Zour, Rural Damascus, Aleppo and Tartous. As part of the Adolescent Programme:  1,226 youth participated in vocational awareness, communication and financial skills in Aleppo mainly in Al Hamdanyia, Al Syrian, Sabeel and Al-Forqan area.  Psychosocial support continues to reach adolescent and youth through UNICEF trained network of youth trainers in Damascus, Rural Damascus, Tartous, Swida and Al-Qunitera. During the reporting period, a total of 3,000 youth benefited from a range of protection and life-skills services.  1,777 Adolescents benefited from life skills sessions in IDPs shelters in Damascus  2,000 Palestinian adolescents benefited from a range of protection services such as psychosocial support, gender-based violence life skills and adolescent health services in IDP area and refugees camps in Lattakia , Aleppo, Homs , Hama , Dara’a, Damascus and Rural Damascus. 4


SYRIA CRISIS BI-WEEKLY HUMANITARIAN SITUATION REPORT

Child Protection Essential psychosocial support services continue to reach children and adolescents, with the support of UNICEF and partners (SARC and NGOs) in Tartous, Homs, Dara’a and Rural Damascus. The total number of children and adolescents reached with psychosocial support since the beginning of the year is 143,342. UNICEF conducted a rapid assessment in four shelters in Homs in Bader Harfoosh School/Shelter in Iddikhar, Hussein Jarad Shelter and Al Markaz althaqafi Cultural Centre in Shammas area and Mosen Terkawi Shelter in Dablan. Findings highlighted urgent needs in provision of additional winter items including blankets, mattresses and mats, children’s winter clothing, winter shoes, sanitation and Family and Baby Hygiene kits. Some families are living in collective shelters with broken windows and in adequate sanitation facilities putting them in high risk of water borne diseases, such as diarrhoea, and respiratory infections. Discussions with SARC and other partners as well as the IDP families revealed more child protection concerns including sexual and gender based violence amongst IDP children, and increasing number of children being exposed to recruitment, child labour and separation. . A boy colours in a butterfly drawing as part of UNICEF-supported psychosocial activities at the shelter in Homs city. © UNICEF Syria/2013/Bassel Halabi

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SYRIA CRISIS BI-WEEKLY HUMANITARIAN SITUATION REPORT WASH Estimated #/% coverage

UNICEF 2013 Target

# of emergency affected population provided with access to drinking and 1 domestic water

UNICEF & operational partners Cumulative results (UNICEF & Partners)

% of Target Achieved

9,500,000*

3,142,096*

33 %

10,000,000**

10,000,000**

100%

500,000

685,883

137%

1,500,000

139,500

9%

950,000

578,371

61%

50,000

5,386

11%

# of children (and adolescents) with access to psychosocial support and 1 protection services

300,000

143,342

48%

# of children made aware of the risk of mines, unexploded ordnance and 2 explosive remnants of war

1,000,000

0

0

# of school-aged children in affected areas in schools/learning 1 programmes

585,000

291,678

50%

# of children with access to psychosocial support in education 2 programmes

270,000

322,028

119%

10,000

34,098

293%

1,000,000

1,418,383

142%

5

1,086,218

44 %

332,364

58%

774,344

97%

705,591

88%

2,201,216

100%

#of emergency affected population provided with access to soap and 2 other hygiene items # of emergency affected population with access to appropriately designed 3 toilets and sanitation services 4

# of people having access to hygiene promotion messages # of children access safe water, sanitation and hygiene facilities in their 5 learning environment and in child friendly spaces Child Protection

Education

# of children and adolescents benefitting from non-formal and informal 3 educational services 4 # of children receiving essential education materials Health # of children vaccinated against measles, mumps, rubella

1

# of children fully covered with routine Immunization antigens

2,200,000 2

570,000

# of children and women with equitable access to essential health services with sustained coverage of preventive and curative 3 interventions # of children 6-59 months receiving Vitamin A supplementation # of children under five reached with polio vaccine

4

800,000 800,000

6

2,200,000

Nutrition # of children <5 receiving multi-micronutrient supplementation # of children <5 with SAM in therapeutic feeding # of children <5 with MAM in supplementary feeding

1

570,000

159,975

28%

13,000

774

13%

55,000

49,383

108%

WASH: 1 This indicator captures daily average of people accessing water through water tankering, rehabilitation and maintenance of water systems. Chlorination is reported as a different activity, with a target to reach 10 million people covered for an initial period of three months starting February 2013. *This indicator captures water trucking, rehabilitation and maintenance of water systems ** Intervention over three months only. 2 Capturing distributions of various hygiene items including family and baby hygiene kits, soap and other item distributions. 3 Capturing construction/establishment of latrines in various affected areas and centres, using an agreed person to latrine ratio of 1:50 (50 beneficiaries for one toilet on average). 4 Target reflects a combination of interventions including 500,000 people to receive both hygiene supplies (hygiene kits, soap and other hygiene materials) and hygiene promotion messaging, as well as 250,000 people to be reached through messaging and tools only (mass media component) 5 Target reflects interventions in schools and child friendly spaces by WASH and Education partners implementing UNICEFâ&#x20AC;&#x2122;s WASH in schools component. Child Protection: 1 Beneficiaries of psychosocial support include children and adolescents reached through the following components: community based child-friendly spaces and adolescents friendly spaces (fixed and mobile). 2 Captures children reached with mine-risk education awareness sessions delivered through multiple components, including activities in Child-Friendly Spaces, schools/school clubs and general awareness sessions implemented by partners.

6


SYRIA CRISIS BI-WEEKLY HUMANITARIAN SITUATION REPORT Education: 1 Indicator capturing remedial classes through school clubs and capturing beneficiaries of school rehabilitation and/or prefabricated classrooms once partners begin reporting on results from these activities. 2 Psychosocial support provided as part of school club activities by teachers trained on basic PSS and or school counsellors. The target also includes 50,000 children under six to be reached at kindergarten level. 3 The target includes non-formal and informal education (combining extra-curricular activities, and life-skills training/education at CFS and Adolescent Friendly Spaces) and vocational training. Please note target does not included Palestinian Refugees in UNRWA camps 4 Target is based on 2,000 schools being targeted for distribution of school material packages benefiting children and teachers, with an average of 500 children estimated per school. A portion of these children will also be receiving individual school bags and stationary supplies as part of a combined distribution effort. Health: 1 Immunization target comprised of 700,000 U5 children for catch up of 2012 campaign, 300,000 from 6 months to 15 years in IDP centres, and 1,500,000 school children from grade 1 to 4. To be implemented in part through campaigns and routine. Results are based on administrative data (WHO/MoH) at governorate level. 2 Indicator captures number of children under one year reached with all EPI antigens through mobile EPI/mobile clinics providing vaccination services as well as children to be reached through routine EPI services. 3 Target include IDP children reached through mobile clinics, in addition to pregnant women reached with health education and the supply and distribution of a combination of health and medical supplies, including First Aid Kits, Emergency Health Kits, Delivery Kits, etc. 4 Indicator captures children aged 6-59 months also receiving Vitamin A supplementation as part of the measles catch-up component (see above). 5 Target revised based on Ministry of Health official data released in November 2013. 6 New target as part of the polio campaign launched on 24 October â&#x20AC;&#x201C; 21 November 2013 following confirmation of new polio cases in Syria. Nutrition: 1 Data includes cumulative number of children reached with Ready-to-Use Supplementary Food and high energy biscuits, excluding supplies dispatched to the Ministry of Health.

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SYRIA CRISIS BI-WEEKLY HUMANITARIAN SITUATION REPORT

Lebanon Highlights

Total number of registered and unregistered refugees:

825,938 (UNHCR November 27, 2013) 

An influx of 20,000 refugees arrived in Aarsal in the past fortnight. UNICEF is providing emergency health, nutrition, WASH and protection response. More than 580,000 children under the age of five were reached in the nationwide polio campaign that ran in November.

Situation Overview and Humanitarian Needs

Registered Refugees

Total

Male

Female

Total Affected Population

749,972

367,486

382,486

Children Affected (Under 18)

395,985

203,242

192,743

147,744

75,747

71,997

A total of 749,972 refugees are currently registered with UNHCR, of which Children 0-4 Years more than 50 per cent are children. An additional 75,966 Syrians have been in contact with UNHCR to be registered, bringing the total to 1 825,938. The number of Palestine refugees from Syria (PRS) in Lebanon is 50,700 individuals.

As a result of fighting in Syria, an influx of 20,000 refugees has arrived in Aarsal in the past ten days. The cadaster of Aarsal ranks the tenth most vulnerable locality in Lebanon (out of a total of 1,577 localities) and prior to the latest influx it already accommodated 18,123 registered refugees and approximately 18,000 Lebanese, of whom 5,566 are living on under USD4/day. UNICEF has deployed three mobile medical units to the area, as well as malnutrition screening teams, and has made WASH and health contingency stocks available.

Programme Response Winterization UNICEF’s implementing partners, Beyond, Intersos, Arc en Ceil and TdH Italy, have distributed winter clothing kits to 5,528 children living in informal tented settlements to date. UNICEF and partners are aiming to reach over 150,000 vulnerable Syrian, Palestinian and Lebanese children with seasonal clothing and/or vouchers this winter.

WASH In the past fortnight, WASH implementing partners Solidarites, World Vision and PU-AMI have provided access to water for drinking and domestic purposes to an additional 7,814 beneficiaries, bringing the cumulative total to 53,839. They have also provided an additional 8,164 beneficiaries with access to appropriately designed toilets, 3,586 with hygiene kits and 4,561 with hygiene promotion sessions, bring the cumulative totals to 25,633, 46,115 and 37,748 beneficiaries respectively. In all, 79,944 beneficiaries have been reached with one or more WASH intervention this year. In addition to making contingency stocks made available for the response in Aarsal, UNICEF has deployed 200 latrine slabs for emergency latrines.

Child Protection The total number of direct child beneficiaries reached by UNICEF implementing partners with psychosocial support and protection services so far in 2013 is 200,139. A total of 38,943 parents and other caregivers have benefitted from access to a combination of services, as well as 22,128 survivors of gender-based violence (GBV) or at risk of GBV. Additionally, over 8,335 children and community members have benefitted from mine risk education and awareness.

1

Estimates of Palestinian Refugees from Syria have recently been reduced downwards by UNRWA

8


SYRIA CRISIS BI-WEEKLY HUMANITARIAN SITUATION REPORT Since the beginning of the influx of Syrian refugees in Aarsal, UNICEF and partners have been responding to the needs of women and children through psychosocial support, case management and coordination. A child friendly space was set up in the DRC registration centre for newcomers. 147 girls and boys received psychosocial support and caregivers were informed about available services and key protection messages. Two unaccompanied minors were identified and referred to appropriate services. Focus group discussions and information sessions were organized with women and adolescent girls in the registration centre, distribution centre and during mobile outreach activities. Over 1,500 women and girls of reproductive age received dignity kits as well as information on available services and key GBV protection messages. 1,528 baby kits were distributed to newcomers.

Education To date UNICEF and partners have provided a total of 105,426 children and adolescents with formal education, non-formal education and psychosocial support, an increase of 5,400 in the past fortnight. In the past fortnight, 5,457 school-aged children were supported to enroll in schools through UNICEFâ&#x20AC;&#x2122;s implementing partner Caritas Lebanon Migrant Center, bringing the total children enrolled with UNICEF support in this academic year to 32,401. Children receive partial or full Back-to-Learning packages comprised of a school bag, stationery and payment of fees as necessary. In partnership with IQRA Association, 96 teachers were trained on active learning methods during the reporting period. Those trained teachers will provide nonformal education support to 2,281 out of school children.

A child receives the Back to Learning kit at Abdul Public School/UNICEF/Lebanon/Rajab/2013

Rehabilitation was completed in a further six schools (by implementing partners Relief International, Norwegian Refugee Council, and International Orthodox Christian Charities), bringing the total of children benefitting from improved learning environments to 12,383 children in a total of 34 schools. Work in a further 60 schools is ongoing, and all are expected to be completed by end of 2013.

Health The first of a series of nationwide polio vaccination campaigns was run in early November, reaching 580,770 children under the age of five, resulting in a 98.4 per cent coverage rate nationwide. This includes vaccinating 8,400 children at five border entry points, and 25,500 Palestinian children through UNRWA. Of the 26 cazas in Lebanon, 21 have a coverage rate above 95 per cent; two have coverage between 90 and 95 per cent; and three have a coverage rate below 90 per cent. In response to the influx into Aarsal, UNICEF implementing partner, Beyond, and the Ministry of Public Health deployed three mobile medical teams to the area. To date, the teams have treated 1,578 patients, vaccinated 1,065 children against polio and have treated 86 pregnant and lactating women.

Nutrition In the past three weeks, 2,000 children have been screened for malnutrition, with 24 cases of severe acute malnutrition (SAM) identified and 12 cases of moderate acute malnutrition (MAM). Overall, 85 cases of malnutrition are being treated through primary healthcare centres and 28 cases have been admitted to hospital. In coordination with IOCC, UNICEF has deployed seven teams to Aarsal to screen for malnutrition. The teams have assessed 410 children under the age of five, finding three cases of SAM and one of MAM. The treatment for cases without complications is being provided directly on site by IOCC, and cases with complications are being referred to UNHCR and the Ministry of Social Affairs for transportation to hospital.

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SYRIA CRISIS BI-WEEKLY HUMANITARIAN SITUATION REPORT

Inter-Agency Collaboration and Partnerships The current number of Palestine refugees from Syria (PRS) living in Lebanon is 50,700. UNICEF provided vaccines and equipment to UNRWA for the implementation of the nationwide polio campaign, with 25,500 Palestinian children immunized.

Third Party Monitoring (TPM) For the months of October and November, 38 site third party monitoring visits were conducted by implementing partner InfoPro. The TPM is developing excel forms to be used on the tablets instead of paper versions, to expedite the turnaround time for reporting.

Supply and Logistics In the past fortnight, 46,755 winter clothing kits have been released to partners for UNICEFâ&#x20AC;&#x2122;s winterization programme. In response to the refugee influx into Aarsal, WASH and health supplies, including medical supplies, emergency health kits, lice treatment, tarpaulins, water filters and water purification tablets were released from the contingency stock pre-positioned with partners in the field.

UNICEF 2013 Target

UNICEF & operational partners Cumulative results (UNICEF & Partners)

% of Target Achieved

Emergency affected population provided with access to drinking and domestic water

181,000*

53,839

30%

Emergency affected population provided with access to soap and other hygiene items

123,975

46,115

37%

Emergency affected population with access to appropriately designed toilets and sanitation services

280,575

25,633

9%

81,500

200,139

246%

# of children (boys and girls) 9 months to 18 years vaccinated against measles

800,000

711,012 (179,216 Syrian)

89%

# of children (boys and girls) 6 months to 18 years receiving Vitamin A supplementation

800,000

381,953

48%

812,694 (102,782 Syrian)*

NA

Estimated #/% coverage WASH

Child Protection Children with access to psychosocial support services* Health

# of children (boys and girls) up to 5 years receiving Polio

Estimated #/% coverage

UNICEF & operational partners Sector UNICEF % of Cumulative Sector Cumulative % Target 2013 Target results ( #) Target results (#) Achieved Target Achieved

Education School-aged children in affected areas in schools/learning programmes

133,515

65,477

49%

252,657

NA

NA

Children with access to psychosocial support in education programmes

132,360

54,837

41%

152,480

NA

NA

Children and adolescents benefitting from non-formal and informal educational services

133,515

32,495

24%

291,491

NA

NA

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SYRIA CRISIS BI-WEEKLY HUMANITARIAN SITUATION REPORT

Safe and secure learning environments that promote the protection and well-being of learners established

320 schools (80,000 children)

34 schools (12,383 children)

11%

562 schools

NA

NA

Comments/Background: WASH: *Target is based on RRP5 target for water trucking, plus the construction/rehabilitation of water network beneficiaries Child Protection: * PSS is being used as an umbrella indicator for recipients of UNICEFâ&#x20AC;&#x2122;s child protection interventions. This figure only represents the number of children that are direct beneficiaries of UNICEF interventions. All women, men, and adult caregivers, as well as indirect beneficiaries are not reported in this high frequency indicator. To date, the Child Protection team has been collecting this information through the Child Level monitoring tool developed in consultation with partners and the LCO PM&E section. The information is consolidated and sent to the UNICEF information manager, as well as programme staff. It is also monitored through regular field visits and will be monitored by the Third Party Monitors. ** There has been no increase in this figure in the past fortnight, as Child Protection partners report their activities on a monthly basis. *** The RRP5 target has been surpassed due to the increase in target population, as well as a shift in strategy to target a greater number of gateways through the scale up. Additionally, UNICEF has shifted strategy to adopt a community-based approach to widen the network of people that partners work with. A core component of this is the reliance on working more closely with refugees and vulnerable children, involving them in the provision of services: selfhelp groups, volunteerism and seeing target beneficiaries as a resource instead of the object of assistance. Health * This result reflects two campaigns conducted: i) First quarter 2013; and ii) November 2013. This indicator reflects the number of vaccinations provided to children across both campaigns and not individual children. The number of Syrian children vaccinated is likely to be higher, as the data for the nationwide campaign in November does not yet differentiate between Lebanese and Syrian children reached.

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SYRIA CRISIS BI-WEEKLY HUMANITARIAN SITUATION REPORT

Jordan Highlights 

The 2-21 November National Immunization Campaign Total number of registered refugees and pending registration: 557,657 (UNHCR November 27, 2013) vaccinated 3.29 million persons in Jordan against measles (99 per cent of target), and 1.1 million children against polio (120 Registered Total Male Female per cent of target). Refugees Total Affected UNICEF partners now operate 86 child and adolescent-friendly 557,657 268,791 288,866 Population spaces, including 34 in host communities which serve both Children Affected 297,231 151,125 146,106 Syrian and Jordanian families. Since 1 January, 111,205 Syrian (Under 18) children have been reached by psychosocial support services. Children Under 104,840 52,977 51,862 Five Six hundred Jordanian teachers, administrators and Syrian Children 6 to 23 assistant teachers are receiving UNICEF/CADER training to 39,036 19,518 19,518 months enhance the quality of education in Za’atari and EJC camp Pregnant women 12,999 n/a 12,999 schools. Some 106,733 Syrian children are now enrolled in schools in Jordan, including 20,990 in camp schools. UNICEF received a new contribution of £7.25 million (USD 11.2 million) from DFID to support WASH and Child Protection initiatives.

Situation overview and humanitarian needs There are currently 557,657 Syrian refugees registered with UNHCR in Jordan, of whom over 100,000 are children under 5. Arrivals have been averaging 200-300 per night over the past month. More than half of the 300 refugees arriving each day (on average) are children, including roughly 60 children under 5. Most refugees are crossing via the Eastern border, a difficult journey which can take days or weeks. UNICEF is coordinating with agencies to ensure families with infants/young children receive winterization kits at the border. The kits will include baby blankets, winter clothes, soap and sachets of oral rehydration solution.

Programme Response Winterization UNICEF has transferred over 24,000 blankets and 25,000 winter clothing kits for children under 5 to NRC for distribution in camps. UNICEF is also preparing 10,000 winter clothing kits and blankets for distribution to families with children under 5. Winter supplies will be distributed over the next two weeks. Some 2,000 kits are ready for distribution now to families with young children as they cross the border.

WASH In consultation with implementing partners, UNICEF is in the process of finalizing the installations of structures in Azraq Camp. The partners have developed a contingency plan making it possible to have the WASH facilities fully operational within two weeks’ notice (based on UNHCR interagency position paper on Azraq camp). With the already installed facilities, the camp can accommodate 30,000 refugees. Remaining funds will for the time being be Winter clothes for young children arriving at NRC warehouse reallocated for interventions in Za’atari camp and host community as prioritized ©UNICEF/Jordan2013/Malhas by sector partners. 12


SYRIA CRISIS BI-WEEKLY HUMANITARIAN SITUATION REPORT Due to previous heavy rain in Za’atari during the beginning of November, 36 sewage tanks connected to WASH blocks were broken or had a potential to present a risk of overflowing. A contractor mobilized by UNICEF is in the process of repairing these tanks and so far around 35 per cent of the tanks have been repaired.

Child Protection UNICEF and partners2 have reached 111,205 Syrian children (53 per cent girls) with psychosocial support both in camps (60 per cent) and host communities (40 per cent) through a total 52 child friendly spaces (CFSs) in camps and 34 child and family protective places in host communities. In the last two weeks, around 12,000 children attended UNICEF CFSs and playgrounds on daily basis, with 2,000 new children registered during the period. UNICEF/IMC/IRC have identified and registered 1,422 unaccompanied and separated children (UASC) in camps (1,012) and host communities (410). Of the 422 unaccompanied children, 134 (39 per cent girls) have been reunited with family members in camps, and 136 (44 per cent girls) have been reunited with their families outside camps, a reunification rate of 65 per cent. Sixty-three UASC (49 per cent girls) have been placed in family-based or foster care and 106 UASC (36 per cent girls) have been placed in kinship care. Children from all locations in Za’atari camp were actively engaged in the preparation of Universal Children’s Day on 20 November by UNICEF and Save the Children International. The children encouraged adults and other children to join them in a human chain and passed on the message of “no violence against children”. CFSs in the camps conducted sessions about violence against children; the right to live in safe environment; friendship and respect; discrimination; and friendship (engaging children with disabilities in activities with other children). UNICEF and UNHCR have concluded a comprehensive training programme for 300 police officers from the Syrian Refugees Camps Department, responsible for the management and security of the different camps in Jordan. The three-month training covered the rights of refugees; governance and security in camps; child rights and child protection; and gender based violence. UNICEF conducted sessions around Child Protection in Emergencies related topics including child protection and rights concepts, child protection system, risks faced by in emergencies, services referrals and response. UNICEF conducted two 2-day training workshops on “introduction to human rights and child protection in emergencies” for 48 animators, social workers and programme managers from different partners in Aqaba, Tafeilah and Ma’an. The training workshops covered Introduction to Human Rights, Child Protection in Emergencies concepts, Code of Conduct for professionals and organizations, understanding psychosocial and the IASC guidelines, introduction to Community Based Protection Networks and culture of violence against children.

Education Since 11 November UNICEF/CADER has conducted 27 training workshops for some 600 Jordanian teachers and Syrian assistant teachers. The first phase of pedagogy for this 4-day training includes the following topics: “learner-centred approach”, classroom management, instructional design, and assessment strategies. Another three workshops are planned to be held in Za’atari Camp to train the rest of the teachers in the three schools from 25-28 November. In addition, similar training is planned to take place in double-shifted schools in host communities, beginning with schools located in Mafraq, Qasabat and Amman on 25 November. Training for 22 school principals from Za’atari and EJC in addition to Za’atari resident academic supervisors was also conducted to improve school administration in camp schools. The number of students registered in the three schools in Za’atari Camp totals 19,780 children (School I: 9,443 students; School II: 5,7580 students; School III: 4,457 students). With an additional 1,210 children enrolled in ECJ camp school, the total number of students enrolled in camp schools totals 20,990 children. With some 85,743 children enrolled in host community schools, Syrian refugee children enrolment in schools in Jordan now totals 106,733 students.

2

Save the Children International, Mercy Corps, International Medical Corps, International Rescue Committee, Terre des Hommes – L, Un ponte per – Jordan Women Union, INTERSOS – JOHUD, Family Guidance and Awareness Centre, Islamic Charitable Society Centre, Save the Children Jordan, Noor Hussein Foundation

13


SYRIA CRISIS BI-WEEKLY HUMANITARIAN SITUATION REPORT Since September, the total number of students who received schoolbags containing school supplies in the camp and host community has reached 47,962 (31,569 in host community schools, 16,393 in camps).

Health UNICEF/WHO/UNHCR and partners completed the Measles-Rubella-Polio National Immunization Campaign (NIC) on 21 November in 11 of 12 governorates. For Amman the campaign was extended until 25 November to cover all remaining schools. The number and percentage of vaccinated children as of 21 November are (with no disparity between sexes):  The total number of persons vaccinated with MR reached 3,286,595 (or 99% of the target of 3,303,827 persons)  The total number of children vaccinated with Oral Polio Vaccine reached 1,078,277 (or 120% of the target of 895,021).  The total number of children who received Vitamin A drops reached 671,527 (or 67% of the target 613,662). In addition, the MR-Polio campaign was conducted in Za’atari camp from 20-26 November, reaching the following persons:  The total number of persons 06 months – 20 years vaccinated with MR reached 65,444  The total number of children 0-5 years vaccinated with Oral Polio Vaccine reached 19,000  The total number of children 6-59 months who received Vitamin A drops reached 16,889 The ongoing immunization of newly-arrived Syrian refugees against measles and polio and provision of Vitamin A in Za’atari and EJC camps continues, conducted by IOM with UNICEF technical support. Measles vaccination is provided to refugees aged six months to 30 years; polio to children 0-15 years; and Vitamin A supplementation to children aged six-59 months. Since IOM has started vaccinating new arrivals (16 April), 62,775 children (six months to 17 years of age and adults 18 – 30 years) have been vaccinated against measles and 21,308 children (0-5 years) against polio. In addition, 17,319 children (6-59 months) were provided with vitamin A supplements.

Nutrition During the past two weeks, 1,974 mothers and 1,375 children under five visited UNICEF/Save the Children Jordan (SCJ) Infant and Young Child Feeding centres in Za’atari and EJC camps and host community. The number of pregnant and lactating mothers reached with infant and young child feeding promotion and counselling since 1 January now totals 33,404. In addition, 3,718 children under five and lactating mothers received nutritional snacks during the reporting period, bringing overall 2013 recipients to 51,486 persons. Through this project, UNICEF/SCJ provides nutritional support and guidance, including breastfeeding promotion, complementary child feeding, one-to-one counseling, and health education sessions for pregnant/lactating women in the camps and host community.

Communications for Development (C4D) During the reporting period, UNICEF implemented awareness campaigns to support the three-week NIC. Two major TV channels (Jordan TV and Roya TV) and Ayyam, Spin FM radio channel developed and broadcasted a number of programmes including live talks shows, as well as news reports with interviews of parents, health care providers, young people and religious leaders. In addition, 40 local and international NGOs were mobilized to support the campaign with community mobilization activities and reached more than three million people with key messages through printing materials to parents, religious leaders and children at national level. UNICEF is now planning with Ministry of Health and WHO and other partners a second round of national vaccination campaign against polio to be held on 21-26 December 2013.

Supply and Logistics In the reporting period UNICEF received 459,800 syringes for use in routine vaccinations. UNICEF Logistics also continued to support the set-up of Child Protection and Education sites in Za’atari and Azraq Refugee Camps.

14


SYRIA CRISIS BI-WEEKLY HUMANITARIAN SITUATION REPORT

UNICEF & operational partners Estimated #/% coverage (Based on RRP5 expectation of 1M refugees in Jordan)

Sector

UNICEF 2013 Target

Cumulative results ( #)

% of Target Achieved

Sector Target

Cumulative results ( #)

% of Target Achieved

Emergency affected population provided with access to drinking and domestic water

280,000

172,884*

62%

550,000

172,884*

31%

Emergency affected population provided with access to soap and other hygiene items

280,000

171,734

61%

468,000

171,734

43%

Emergency affected population with access to appropriately designed toilets and sanitation services

230,000

144,884

63%

400,000

144,884

36%

Population with access to hygiene promotion messages

280,000

201,920*

72%

550,000

201,920

37%

Children with access to safe water, sanitation and hygiene facilities in their learning environment and child friendly spaces

60,000

21,000**

35%

135,000

21,000**

16%

Children with access to psychosocial support services

179,280

111,205*

62%

179,280

111,205*

62%

Separated and unaccompanied children identified and registered through inter-agency system

3,400

1,422

42%

3,800

1,422

37%

Separated and unaccompanied children in emergency reunified with families **

1,200

270

23%

TBC

270

TBC

120,000

106,733

89%

120,000

106,733

72%

4,000

9,529*

238%

19,214

9,529*

50%

Children and adolescents benefitting from non-formal and informal educational services

8,000

4,161

52%

19,500

4,161

21%

Number of school-aged children who attend catchup/enrichment classes

14,000

13,544**

97%

15,400

13,544**

88%

WASH

Child Protection

Education School-aged children in affected areas in schools/learning programmes Children with access to psychosocial support in education programmes

UNICEF & operational partners Estimated #/% coverage

Sector

UNICEF 2013 Target

Cumulative results ( #)

% of Target Achieved

Sector Target

Cumulative results ( #)

% of Target Achieved

# of pregnant and lactating mothers reached with infant and young child feeding promotion and counselling

30,000

33,404

111%

75,000

33,404

45%

# of infants and lactating mothers receiving supplementary feeding support

30,000

51,486

172%

75,000

51,486

69%

Nutrition

UNICEF & operational partners

Estimated #/% coverage UNICEF 2013 Target

Cumulative Results

% of Target Achieved

Health 3,979,101† Children (boys and girls) vaccinated against measles*

500,000

(402,590*/3,463,345**/ 113,226***)

796%

Children <2 yrs (boys and girls) fully covered with routine Immunization antigens

60,000

††

††

955,485 Children (boys and girls) 6-59 months receiving Vitamin A supplementation

210,000

(125,045*/ 791,792**/38,648***)

455%

15


SYRIA CRISIS BI-WEEKLY HUMANITARIAN SITUATION REPORT

Comments/Background WASH: *These figure reflects the maximum number of people accommodated in Za’atari camp, King Abdullah Park (KAP) and Cyber City (CC) earlier in 2013, plus the total population reached in host communities. **This figure reflects number of students benefiting from host community school WASH initiatives and does not include the number benefiting from WASH in camp schools (captured separately). Child Protection: *Increase from last report is due to increased number of centres in host communities Health: †Includes both those immunized under Nov 2013 National Immunization Campaign and earlier immunization campaigns, and so may double-count some children who would have received measles vaccine in Irbid, Mafraq and Za’atari under earlier rounds as well as the Measles/rubella vaccine in Nov. UNICEF plans separate reporting lines per campaign for the year-end tally of RRP5 results. †† UNICEF will report on this indicator by year-end, as results of ongoing activities is compiled *Syrian ** Jordanian *** others Education: *Not including 3,744 Jordanian children with access to psychosocial support in education programmes **Figure was reduced from previous total due to a correction in partner reporting.

16


SYRIA CRISIS BI-WEEKLY HUMANITARIAN SITUATION REPORT

Iraq Highlights 

In Domiz Camp, UNICEF and partners, including the Child Help Line, organized a celebration on the occasion of Universal Children’s Day. Roughly 1,200 children attended the festivities On 13 November, UNICEF, UNHCR, UNESCO and the Minister of Education launched a ‘Back to School’ campaign in Shanadar in Erbil. 350 children participated in the ceremony and were subsequently provided with student kits and bags by UNICEF. The campaign will endeavor to increase demand for education for all out of school Syrian refugee children.

Total number of registered refugees and pending registration: 207,473 (UNHCR November 27, 2013) Registered Total Male Female Refugees Total 207,473 103,944 103,529 Affected Population Children 70,956 37,968 32,988 Affected (Under 18) Children 0-4 26,764 13,486 13,278 Years

Programme Response Winterization In order to prepare for the upcoming winter, UNICEF Iraq is procuring warm clothes/shoes for 24,000 boys and girls. Additionally, 150 tented classrooms and child friendly spaces will be equipped with heaters and carpets. In order to prevent heat loss, 8,000 hypothermia kits will benefit 40,000 refugees. This kit includes three fleece blankets, one reinforced plastic tarpaulin and one mat. Additionally, 51,480 blankets will be distributed to ensure all children have adequate bedding.

WASH UNICEF, along with partners, has started its WASH winterization approach through modifying existing and initiating new construction. This includes ensuring drainage systems are in place, de-sludging of waste tanks and constructing hard (concrete) foundations for families in tents. Additional supplies such as energy boilers for hot showers, special motor pumps for winter and other WASH products are also being ordered and placed in camps.

UNICEF Iraq/2013

Child Protection In Domiz Camp, on 20 November, UNICEF and partners, including the Child Help Line, organized a celebration on the occasion of Universal Children’s Day. Roughly 1,200 children attended the festivities, which included role playing activities highlighting issues related to violence against children, child labour, early marriage, risks associated with mines, as well as ways children in crisis may use the Child Help Line.

17


SYRIA CRISIS BI-WEEKLY HUMANITARIAN SITUATION REPORT In Kawargosk Camp, UNICEF installed three tents in a new space allocated for the purpose of a Child Friendly Space and Child Protection Unit. These will function in four shifts and will support the registration of more than 1,000 children between the ages of 4 and 15. In coordination with IRC, UNICEF completed the first child protection orientation for all frontline actors. The orientation was attended by 30 participants from different NGOs, and provided mentoring and support for child protection case management and the development of standard operating procedures for respective child protection units.

Education On 13 November, UNICEF, UNHCR, UNESCO and the Minister of Education launched a ‘Back to School’ campaign in Shanadar in Erbil. 350 children participated in the ceremony and were subsequently provided with student kits and bags by UNICEF. The campaign will endeavor to increase demand for education for all out of school Syrian refugee children. UNICEF also provided schools in four camps in Erbil with bags and stationary sufficient for 4,550 students. Due to the relocation of more families into Darashakran camp, enrollment at the camp school has increased by 20 per cent (from 960 to 1,150 Back-to-School launch by HE Minister of Education students). UNICEF Iraq/2013

Health and Nutrition In addition to the planned National Immunization Days for polio scheduled to begin on 1 December, the Ministry of Health (MoH) has decided to conduct six sub-national campaigns in the next three to six months in eight vulnerable governorates, including al-Anbar. UNICEF provided the MoH with two million doses of polio vaccine. This shipment will be followed by an additional five million doses to be utilized during the sub-national campaigns. During the reporting period, UNICEF opened a new baby hut in Domiz camp. The baby hut will promote breast feeding, provide private coaching and counseling for new mothers, and include a child friendly space to entertain children during service provision to their mothers. The baby hut will provide services six days a week. UNICEF concluded training of 20 nurses (16 Syrian refugees and 4 from DoH) in Erbil on the topics of breast feeding counseling, growth monitoring, feeding advice and hand washing. These nurses will now provide counseling sessions in the baby huts throughout Erbil (four in each camp).

Communication for Development (C4D) UNICEF launched a two week ‘Back to School’ campaign on 13 November. This campaign will promote children’s right to education by endeavoring to register 40 per cent of the estimated 21,000 out of school Syrian children in Erbil and Sulimaniyeh in 1 of 17 participating schools.

UNICEF & operational partners Estimated #/% coverage

UNICEF 2013 Target

Cumulative results ( #)

Sector

% of Target Achieved

Sector Target

69%

139,125

Cumulative results ( #)

% of Target Achieved

WASH Emergency affected population provided with access to drinking and domestic water.

73,744

104,259 (8,311*/95,948**)

129,259 (8,311*/

87.7%

120,948**)

18


SYRIA CRISIS BI-WEEKLY HUMANITARIAN SITUATION REPORT

Emergency affected population provided with access to soap and other hygiene items.

66,369

Emergency affected population with access to appropriately designed toilets and sanitation services.

74,488

Population having access to hygiene promotion messages.

70,794

More than 100%

68,219 (9,261*/58,958**)

68,219 139,125

(9,261*/

49%

58,958**) 85,500

79,350 (8,311* /71,039 **)

More than 100%

139,125

(8,311* /

61%%

77,189 **)

94,522

122,000 More than 100%

(9,261* /85,261**)

139,125

(9,261*/

87.7%

112,739**) Children access safe water, sanitation and hygiene facilities in their learning environment and in child friendly spaces.

27,500

16,500

14,510 (2,500* /12,010**)

53%

27,500

(2,500* /14,000**)

60%

34%

65,265

N/A

N/A

All Identified Cases

All identified cases

N/A

N/A

More than 100%

46,375

(7,126* /12,541**)

25%

46,375

(2,165*/ 6,890**)

19.5%

Child Protection Children with access to psychosocial support services

25,816

Separated and unaccompanied children registered in family tracing or receiving familybased or appropriate alternative care

All identified cases

8,701 (2,146*/6,537**) 534 (13*/521**)

Education School-aged children in affected areas in schools/learning programmes.

14,760

Children with access to psychosocial support in education programmes.

16,000

19,667 (7,126* /12,541**)

19,667 42.4%

9,055

4,065 (2,165*/1,900**)

Nutrition Children <5 receiving multi-micronutrient supplementation*

44,421

0

0

49,000

N/A

N/A

PLWs receiving micronutrient supplementation

25,509

0

0

61,250

N/A

N/A

Women having access to IYCF Services

18,032

0

0

61,250

N/A

N/A

UNICEF & operational partners Estimated #/% coverage UNICEF 2013 Target

Cumulative Results

% of Target Achieved

Children (boys and girls) vaccinated against measles

24,938

46,637

187%

Children <2 yrs.* (boys and girls) fully covered with routine Immunization antigens

14,963

17,632

118%

Children (boys and girls) 6-59 months receiving Vitamin A supplementation

14,963

24,074

161%

Children and women equitably access essential health services with sustained coverage of preventive and curative interventions

63,888

48,476

76%

Health

Comments/Background: Note that all results are cumulative over the course of 2013. * Al-Qaim only ** for Northern Governorates Dohuk, Erbil and Sulaimanyah Camps WASH: WASH results include beneficiaries in camps and transit centres. Beneficiaries in transit centres who receive water on a temporary basis are counted in the beneficiary numbers for 2013. There was a high influx of refugees at the end of August who required considerable temporary support around the border areas. Education: The number reported for Northern Governorates (12,541) includes 4,251 beneficiaries in non-camp areas) CP: The result for psychosocial support in Northern areas (6,537) includes 370 beneficiaries in non â&#x20AC;&#x201C; camp areas Heath and Nutrition: UNICEF is awaiting report from Ministry of Health on the coverage

19


SYRIA CRISIS BI-WEEKLY HUMANITARIAN SITUATION REPORT

Turkey Highlights ď&#x201A;ˇ

ď&#x201A;ˇ

On 18 November, the polio campaign was launched by the Ministry of Health with support from UNICEF and WHO in Gaziantep. The first round of polio vaccinations aimed to reach 1,061,000 children under 5 in the seven provinces on the border with Syria (Kilis, Hatay, Mardin, Sanliurfa, Gaziantep and Sirnak) and Adana. Public health officials stated that over 4,000 health personnel were deployed for the campaign, with subsequent rounds occurring over December and January. According to the MoH roughly 1,300,000 children were vaccinated. On 20 November, the Her Royal Highness The Grand Duchess of Luxembourg and UNICEF Eminent Advocate for Children, Maria Teresa visited UNICEF and WFP activities in Nizip 2 container camp.

Total number of registered refugees and pending registration: 522,111 (UNHCR November 27, 2013) * the increase in children affected since the last sitrep is due to new calculations from GoT/UMHCR on proportion of refugees in Turkey that are under 18

Registered Refugees

Total

Male

Female

Total Affected Population

522,111

251,658

270,453

Children Affected (under 18)

303,346

153,501

149,846

Situation Overview and Humanitarian Needs On 22 November, the Disaster and Emergency Management Presidency (AFAD) of the Government of Turkey reported that the total number of Syrians registered and accommodated in 21 camps in 10 provinces is 204,614 including 154 Syrians receiving medical treatment in hospitals. In Kahramanmaras, local officials have completed the re-registration of all the camp residents and have started to distribute new ID cards to replace the old ones. In Kahramanmaras province, approximately 13,000 non-camp Syrians have been identified, with approximately 8,000 already registered. Government officials estimate that there are approximately 4,000 children out of school, but for whom there are no spaces currently available. UNICEF is currently working with AFAD to identify locations for the construction of pre-fabricated schools for Syrian children living outside of camps.

Programme response Winterization UNICEF has procured 220 winterized tents which will be delivered to seven camps and host community locations this week. All of the tents will be used to replace school tents in the camps, in particular to ensure new tents are in place before the winter months. Three tented Child Friendly Spaces (CFSs) have been replaced with containers in Nizip 1, Nizip 2 and Islahiye camps to ensure activities for children and youth continue during this period. All of the tented spaces will be replaced with containers over the next two weeks. Winter clothing for children aged 0-2 (two jumpsuits, one inner, one outer) have been delivered to camps and camp authorities are in the process of distributing the clothes to children. So far, sets of jumpsuits have been distributed to 5,181 children aged 0-2 in seven camps, as part of the overall UNICEF winterization support.

Education An additional 466 teachers were trained over the period from four Hatay camps (Yayladagi 1, Yayladagi 2, Altinozu 1, Altinozu 2) on 19 November and both Kilis camps (Oncupinar, Elbeyli) on 25 and 26

the Grand Duchess of Luxembourg visits Nizip 2 camp with 20 UNICEF Representative, Dr Ayman Abulaban. UNICEF Turkey/ Ayberk Yurtsever/2013


SYRIA CRISIS BI-WEEKLY HUMANITARIAN SITUATION REPORT November. This brings the total of teachers trained during this round to 729 teachers from nine camps. Through the training completed to date, and with on-going support to Syrian teachers, 18,301 children enrolled in schools in Hatay, Kilis, Kahramanmaras, Osmaniye and Adana will benefit from the skills shared with teachers in the training. The training is specific to the needs of teachers in camps, including class management and psychosocial support for students. Syrian teachers attending training in camps also receive small cash incentives as all teachers in camps are volunteers and cannot currently be provided with a regular salary. This also ensures that the work of teachers is recognized and valued.

Child Protection and Youth Activities were on-going in 16 CFSs over the period. Since the beginning of activities in CFSs in camps, 16,171 children (50 per cent girls) have attended activities. During the reporting period (14 November â&#x20AC;&#x201C; 26 November), 3,349 children attended activities. The participation in spaces has been slightly lower over the recent period as UNICEF is currently in the process of replacing tented CFSs with container spaces which are more appropriate for activities during the winter months. Three containers (Nizip 1, Nizip 2, and Islahiye) are now in place, with the installation of containers continuing for the remainder of the camps. The first debriefing session with a psychologist for the 25 youth workers (through the Turkish Red Crescent Society) was held in Gaziantep on 18 and 19 November. The debriefing session was a chance for the youth workers â&#x20AC;&#x201C; amongst themselves and with the psychologist - to share their experiences, achievements and challenges of working the camps with Syrian children and youth. They were also provided coping mechanisms for self care. The next technical training session for the youth workers will be between 9 and 13 December.

Inter-Agency Collaboration and Partnerships On 18 November, a polio vaccination campaign was launched by the Ministry of Health with support from UNICEF and WHO in Gaziantep. The first round of polio vaccinations aimed to reach 1,061,000 children under 5 in the seven provinces on the border with Syria (Kilis, Hatay, Mardin, Sanliurfa, Gaziantep and Sirnak) and Adana. Public health officials stated that over 4,000 health personnel were deployed for the campaign, with subsequent rounds occurring over December and January. According to the MoH roughly 1,300,000 children were vaccinated. There no cases of polio have been detected in Turkey; these campaigns are precautionary in order to prevent any possible outbreak. UNICEF is providing 3,3500,000 Polio campaign launch event. UNICEF doses of polio vaccine to the Ministry of Health for the subsequent vaccination rounds, as well Turkey/Tulay Guler/2013 as outreach and communication materials in Turkish and Arabic for the campaign. UNICEF will also provide measles, mumps and rubella vaccines (29,400 doses), to be used with the second round of the polio campaign.

Supply and Logistics Supply activities for the period focused on the rolling installation of the container CFSs into all of the camps where the programme is operational and the procurement and delivery of the school tents to camps.

UNICEF & operational partners Estimated #/% coverage

UNICEF 2013 Target

Need as of October 2013*

Cumulative results ( #)

% Covered

Sector Target

260,100

266,431

16,171

6% (need) 6% (target)

260,100

Results

% Covered

Child Protection* # of severely affected children and adolescents (boys and girls) provided with specialised support in education programmes and/or through recreational activities.

16,171

6% (need) 6% (target)

21


SYRIA CRISIS BI-WEEKLY HUMANITARIAN SITUATION REPORT # of children benefiting from seasonal clothing

50,000

266,431

80,733

30% (need) 161% (target)

260,100

80,733

30% (need) 38% (target)

382,500

173,180

75,711**

44% (need) 20% (target)

382,500

75,711

44% (need) 20% (target)

Education # of school-aged children (boys and girls aged 4-18) in camps and host communities in schools/learning programmes

UNICEF & operational partners Estimated #/% coverage

UNICEF 2013 Target

Cumulative results ( #)

107,100

0

0

107,100

0

0

89,250

0

0

89,250

0

0

89,250

0

0

89,250

0

0

% Covered

Sector Target

Results

% Covered

Health # of children (boys and girls) 9 months to 18 years vaccinated against measles # of children (boys and girls) up to 18 years receiving Vit- A Nutrition Children <5 receiving multi-micronutrient supplementation*

Comments/Background: Needs are based upon the actual needs on the ground at the time of reporting. UNICEF has set targets for the planning timeframe of January - December 2013. Education: **Overall efforts led by the Government of Turkey and partners are ensuring that 75,711 children are in schools/learning programmes inside the camps and in non-camp settings.

22


SYRIA CRISIS BI-WEEKLY HUMANITARIAN SITUATION REPORT

Egypt Highlights

Total number of registered refugees and pending registration: 128,158 (UNHCR November 27, 2013)

Over 14 million children under five were vaccinated against polio in the first round of National Immunization Days in Egypt.

Registered Refugees

Psychosocial support continues in three Child Friendly Spaces (CFSs) for 1,020 children. Close to 400 children participated in daily activities, while more than 600 participated in sports days and other outdoor recreational activities.

Total

Male

Female

128,158

65,489

62,669

Children Affected (5-17)

57,415

29,861

27,554

Children 0-4 Years

18,711

9,612

9,227

Total Affected Population

Situation Overview and Humanitarian Needs As of 27 November, an estimated 90 Syrian and Palestinian children remain in detention for reasons of attempted irregular migration to Europe. Among the children remaining in detention five unaccompanied/separated children and three children with serious medical conditions have been identified. These children and their families have been detained without charges for several weeks and have been told to leave Egypt or face indefinite detention. A hunger strike started by adults end November raised further concerns about the situation of Syrian and Palestinian children in detention.

Programme Response Child Protection Child protection pursued and strengthened its work in three areas: psychosocial support, protection of children in detention and strengthening coordination. The psychosocial support comprises three Child Friendly Spaces (CFS) and support to vulnerable families with children. During the month of November the three existing CFSs operating in Alexandria have registered and served 1,020 children. Close to 400 children participated in daily activities, while more than 600 participated in sports days and other outdoor recreational activities. Social workers conducted regular follow-up of 200 highly vulnerable families and ensured referrals to services such as urgent medical care, access to education and family reunification. Twenty-five facilitators and social workers currently involved in psychosocial work were trained on child protection policies. After the training, procedures to prevent, identify and report child abuse are being developed. In the absence of immediate legal remedies for the protection of 90 children currently in detention for reasons of irregular migration, the programme concentrated on regular monitoring visits to five police stations conducted by a team of lawyers, doctors and social workers. Medical assistance and basic supplies were provided to children. Regular recreational activities have not been possible as a result of overcrowded conditions and access restrictions in the detention centres. UNHCR and UNICEF have continued advocacy efforts for the release of the children. In the area of coordination, UNICEF continued to support the child protection working group along with UNHCR. A coordination mechanism has also been established in Alexandria. A joint visit with UNHCR to Damietta was conducted and a plan to implement child protection interventions has been developed. .

Education Syria children are continuing to enrol in schools. Over 36,000 were enrolled by mid-October; more have now enrolled, however updated figures are not available. Some of the schools are quite overcrowded and UNICEF is assisting with provision of chairs, desks and other basic schools supplies. UNICEF and the Ministry of Education are in the process of developing a training plan for teachers in 20 schools with high concentrations of Syrian refugee students as well as organizing remedial classes to support children’s 23


SYRIA CRISIS BI-WEEKLY HUMANITARIAN SITUATION REPORT academic achievements. Over the next few weeks these interventions will support over 6,000 children Greater Cairo, Damietta, Kalubia and Alexandria. UNICEF also continues to support increased access to quality pre-school education, with 12 kindergarten classrooms in Abour and Giza having been provided with furniture and educational materials to serve 300 children. A needs assessment conducted in four governorates (Cairo, Giza, Damietta and Alexandria) resulted in the identification of 35 locations for new community based kindergarten classrooms in Alexandria and Qalubia which would serve 875 children. Upgrades will begin depending on availability of funds.

Health From 17-20 November, the Ministry of Health and Population (MoHP) successfully completed the first round of Polio National Immunization Days (NIDs). Over 14 million children under 5, including 18,100 Syrian refugee children (of an estimated 20,000), were vaccinated. Special efforts were made to ensure 40 children in detention in Alexandria and 3 children in Port Said were included. UNICEF supported MoHP in developing the communication and social mobilization plan and also with the needed information regarding the location and numbers of Syrian children to be targeted during the polio NIDs. UNICEF continued support to the MoHP in training health teams from Primary Health Units (PHUs) in areas with large Syrian refugee populations. During the reporting period, 35 physicians, 35 nurses, 5 community health workers and 5 supervisors from PHUs in Damietta completed the training and will strengthen the delivery of primary health care services to over 10,000 Syrian refugees. Eighty per cent of the procured equipment needed to upgrade the primary health services at the PHUs arrived to the country and distribution will start first week of December.

24


SYRIA CRISIS BI-WEEKLY HUMANITARIAN SITUATION REPORT

Regional Funding Funding Status

Child Protection

Education

Health & Nutrition

WASH

NFIs

Safety & Security

Required

13.10

33.44

15.94

46.49

0.00

1.49

Funded

13.52

30.40

25.66

42.48

18.70

1.95

0.15

132.89

Required

16.85

45.02

10.56

78.44

0.00

0.00

0.00

150.88

Funded

20.28

24.99

7.59

73.01

1.16

0.00

0.02

127.05

Required

18.23

55.66

3.45

46.37

1.72

0.00

0.00

125.43

Funded

36.82

35.17

12.08

21.67

1.13

0.00

12.31

119.18

Required

5.00

5.00

4.75

28.50

0.00

0.00

1.00

44.25

Funded

4.18

7.40

3.01

17.84

0.00

0.00

5.93

44.02

Required

10.41

20.49

3.00

0.00

0.00

0.00

0.00

33.90

Funded

6.39

9.57

0.86

0.00

0.00

0.00

2.69

19.51

Required

0.51

0.84

0.39

0.00

0.00

0.00

0.00

1.74

Funded

0.22

0.42

2.38

0.00

0.00

0.00

0.00

3.01

Required

1.00

1.00

1.00

1.00

Funded

0.82

0.51

0.95

0.61

0.02

0.02

1.09

4.02

Required

65.10

161.45

39.09

200.80

1.72

1.49

1.00

470.65

Funded

82.23

108.45

52.53

155.61

21.01

1.96

22.20

456.84

Gap

-17.13

52.99

-13.43

45.19

-19.29

-0.47

-21.20

13.82

126.3%

67.2%

134.4%

77.5%

1218.5%

131.8%

In millions of US Dollars

Syria Jordan Lebanon Iraq Turkey Egypt** MENA*** Total

% Funded

Ops. Mgmt.

Total*

Funded

110.46

120.3% 84.2% 95.0% 99.5% 57.6% 172.9%

4.00 ***

100.4% 97.1%

97.1%

* The total amount includes funds that are currently being allocated to country offices. ** Although Egypt appears overfunded, the funding needs have recently increased substantially due to the polio response which was not part of the initial RRP funding requirements. *** This includes multi-country technical support. On 7 June UNICEF, together with other UN agencies and partners, launched its revised appeal requirements for the Syria Crisis. As detailed in the above table, UNICEFâ&#x20AC;&#x2122;s total funding requirements from January to December for Syria have increased by 61% to $110.46m. For neighbouring countries, UNICEF total funding requirements have now reached $360.19m representing a 183% increase. Next Situation Report: 12 December 2013 For further information, please contact: Geoff Wiffin Syria Crisis Emergency Coordinator UNICEF MENA Regional Office Mobile: +962 (0) 79 6835058 Email: gwiffin@unicef.org

Simon Ingram Regional Chief of Communication UNICEF Middle East and Northern Africa Mobile: + 962 (0) 79 5904740 Email: singram@unicef.org

UNICEF Syria Crisis: http://childrenofsyria.info/ UNICEF Syria Crisis Facebook: www.facebook.com/unicefmena UNICEF Syria and Syrian Refugees Appeal: http://www.unicef.org/appeals/index.html UNICEF Syria Crisis Mailing List 25

Unicef syria regional crisis humanitarian sitrep (syria jordan lebanon iraq turkey egypt) 28 nov 201