©UNICEF/Lebanon-2013/Haidar
Syria Crisis Bi-weekly humanitarian situation report
10 - 24 OCTOBER 2013: SYRIA, JORDAN, LEBANON, IRAQ, TURKEY AND EGYPT
UNICEF participated in two inter-agency cross-line missions to Ter-Malla and Algantou in rural Homs. Twenty-two trucks of relief supplies, mainly water, sanitation, hygiene, shelter and other non-food items along with winter clothes reached SARC offices for distribution to beneficiaries. In Lebanon, since the start of this school year, 19,750 Syrian refugee and vulnerable Lebanese children have been enrolled in 602 schools with Back to Learning support including tuition fees, school bags and school supplies. The number of registered students in the schools in camps in Jordan reached 18,704. The highest attendance rate was recorded in Za’atari School II with 91 per cent. The total number of registered students in both camps and host community totals 86,170. Nutritional screening of all children under 5 in Domiz Camp has been completed, with 2 per cent of children suffering from acute malnutrition. The first 12 kindergarten classrooms supported by UNICEF opened in Egypt. UNICEF provided furniture and educational materials to serve 300 children.
Polio Vaccination Response On 17 October 2013, reports were received of a cluster of acute flaccid paralysis cases in the Syrian governorate of Deir Al Zour. Initial results from the national polio laboratory in Damascus indicate that two of the cases could be positive for polio – final results from the regional WHO laboratory are pending. Wild poliovirus was last reported in Syria in 1999. Syria is considered at high-risk for polio and other vaccine preventable diseases due to the current conflict. UNICEF is responding with extra rounds of vaccination: In Syria, an immunization campaign planned for November has been brought forward and launched on 24 October- aiming to reach 1.6 million children under the age of five. A nationwide campaign for polio immunization will commence in Lebanon on 8 November in collaboration with the Ministry of Public Health and WHO. UNICEF will provide all vaccines for the campaign, as well as vaccinating children in all tented settlements and collective shelters. UNICEF and partners will begin a polio immunization campaign in Za’atari camp in Jordan on 27 October. UNICEF continues to coordinate with partners on plans for the National Immunization Campaign which will include polio vaccination and take place in November in all 12 governorates and Za’atari camp and will reach some 3.4 million people. In western Iraq, a polio campaign will start 26 October. A polio campaign in all governorates in the Kurdistan Region is planned for children under 5 starting 2 November for 5 days. In Turkey, UNICEF and WHO are planning a mass vaccination campaign including polio for November/ December 2013 upon the request of the Ministry of Health for both Syrian and Turkish children living in the south-east of Turkey. The Egyptian Ministry of Health (MoH) has decided to conduct two rounds of full polio campaigns for all children, including refugee children. UNICEF has conducted training and will be supporting the MoH in the social mobilization and communication campaign
In Syria 3,128,000 #of children affected
6,800,000 # 0f people affected (OCHA April 2013)
Outside Syria 1,110,860 #of registered refugee children and children awaiting registration
2,186,420 # of registered refugees and persons awaiting registration (UNHCR, 23 October 2013)
Syria Appeal 2013* US$ 110.46 million Regional Appeal 2013* US$ 360.19 million *January – December 2013 160 140 120 US$ millions
Highlights
SITUATION IN NUMBERS
100 80 60 40 20 0
17% gap
SYRIA CRISIS BI-WEEKLY HUMANITARIAN SITUATION REPORT
Syria Highlights
Estimated Affected Population (Estimates calculated based on initial figures from (*) OCHA April 2013. The rest of the figures are calculated based on CBS demographic distribution of 2011 and on UNOHCHR figures
Total Affected Population
(*) 6,800,000
Children Affected (Under 18) 3,128,000 During the reporting period, WHO reported 22 suspected cases of Polio (Wild Nile Virus) in Deir Ez Zor governorate, eastern Syria. In response, an Pregnant women (estimate: 340,000 5% of the total population) immunization campaign planned for November has been brought forward and launched on 24 October- aiming to reach 1.6 million children under the age of Total Displaced Population (*) 4,250,000 five. (a proportion of the above) A nationwide vaccination campaign, supported by UNICEF and WHO in Children Displaced partnership with the Ministry of Health, also started on 20 October. The (estimated: 46 % of the 1,955,000 population is children) campaign will protect 800,000 children from killer diseases such as measles, mumps and rubella. UNICEF participated in two inter-agency cross-line missions to Ter-Malla and Algantou in rural Homs. Twenty-two trucks of relief supplies, mainly water, sanitation, hygiene, shelter and other non-food items along with winter clothes reached SARC offices for distribution to beneficiaries.
Situation Overview and Humanitarian Needs The on-going conflict has created high concentrations of IDPs in Tartous, Lattakia and Idlib cities. Existing social services (health, education, water and sewage) are no longer sufficient for the increasing demands of the 3.3 million people. According to OCHA estimates, 21 per cent of the people are in need of humanitarian support. Food prices are increasing every week; health facilities are running out of medical supplies; many schools have been transformed into shelters; water sources are depleted and services interrupted; and frequent failure of pumping stations due to over exploitation and lack of maintenance. With the upcoming winter season, humanitarian interventions will focus on provision of food, winter clothes, nutritional supplements for children and medical and school supplies. Equipping water sources, improving sanitation condition in shelters are equally important to mitigate epidemic risks. UNICEF staff participated in an inter-agency mission to Idlib to obtain a better understanding of the humanitarian situation in the governorate. This is the first time UN agencies have gained access to the governorate since March 2012. Findings of the two -day assessment mission highlighted an increase in need of WASH, education, health and nutrition services and supplies. More than 30 per cent of the schools in Idlib have either been converted to shelters or are damaged due to the on-going conflict; existing water, sanitation and hygiene services are overstretched as a result of an increase in the number of IDPs. Health services are not adequate and specialized care services do not exist, leading to referral of complex health problems elsewhere. Public health services have become overburdened at all levels due to the deterioration of the economic situation. More than 300 cases of lice infestation were reported in shelters by SARC and the Directorate of Health (DOH). UNICEF and partners developed a response plan to address the urgent needs of IDPs and host communities in Idlib which will be implemented in collaboration with SARC. In Homs, the security situation continues to deteriorate with escalated conflict observed during the Eid holidays (11-19 October). Increased number of mortars, rockets and clashes were reported in the old city of Homs and particularly in Al-Waer, Alqousoor, Joret Alshyah and Bab Houd. Despite the extremely difficult security situation in the governorate, UNICEF and other UN agencies in the Homs Hub conducted two cross line missions to Ter-Malla and Algantou in rural Homs. The mission found a deterioration of basic services in the areas of health, nutrition, WASH and education. Both locations have IDPs living in public places such as schools and hospitals and some in private unfinished buildings under poor conditions, exposed to an even more difficult situation as the cold season approaches. UNICEF supplies dispatched to SARC branches in Ter-Malla and Algantou include: 40,000 jackets; 4,000 pairs of shoes; 2
SYRIA CRISIS BI-WEEKLY HUMANITARIAN SITUATION REPORT basic family water kits for 17,250 people; water purification tablets for 18,000 people; soap bars for 8,750 people; High Energy Biscuits for 2,000 people; and 2,000 baby hygiene kits.
Programme Response WASH UNICEF has reached 10,300 IDPs in Homs governorate with safe water and sanitation during the reporting period. This included 9,000 IDPs in Al-Waer, Homs with safe water through the provision of tanks and repair of water infrastructure and sanitation services. In addition, ten new bladder water tanks were installed in Homs city benefiting 1,300 IDPs on a daily basis. In Deir Ez Zor, 10,000 IDPs benefited from hygiene education, including plays and games on hygiene topics, and through provision of supplies. During the reporting period UNICEF dispatched the following hygiene items and supplies to SARC and other partners: 6,100 family hygiene kits to benefit 30,500 IDPs in Deir Ez Zor, Hama, Homs and Sweida 22,500 baby hygiene kits for 22,500 beneficiaries in Damascus, Deir Ez Zor, Hama, Homs, Idlib, Lattakia, Tartous and Sweida Bags of washing powder for 171,000 IDPs in Hama, Idlib, Raqqa, Rural Damascus and Sweida 850 basic family water kits for 42,500 IDPS in Hama and Raqqa 140,000 soap bars for 70,000 IDPs in Deir Ez Zor, Raqqa and Rural Damascus, 150,000 aqua tabs for 150,000 beneficiaries in Deir Ez Zor
Health & Nutrition The World Health Organization announced on 19 October that they had received reports of a suspected 22 acute flaccid paralysis cases (AFP) in Syria’s eastern Deir Ez Zor governorate. They noted that initial reports from the national polio laboratory in Damascus indicate that two of the cases could be positive for polio, but final results are awaited from WHO’s Eastern Mediterranean Region laboratory. In response to the suspected AFP cases, the Ministry of Health has brought forward the polio vaccination campaign which was kicked off on 24 October (originally scheduled to start on 10 November). 1.6 million children aged under-five years will be vaccinated during this catch-up vaccination campaign, which is to run for two weeks from 24 October. Measles Mumps Rubella (MMR) vaccine will be given to children who missed it during the first round; polio vaccine will be given to all children regardless of their previous doses, in addition to routine vaccinations for the drop-outs. Children under five will also receive a Vitamin A supplement. Deir Ez Zor is the priority area for the polio vaccinations with the focus on the Al-Maiadin district and conflict areas surrounding this district. SARC and private clinics will support the Ministry of Health to provide polio vaccination services in these areas. Further, the Ministry issued an urgent request to local health authorities in the affected areas to put in place containment measures following notification of the suspected cases. The Ministry of Health, with the support from UNICEF and WHO, has also launched a national vaccination campaign on 20 October where 800,000 children in grades 5-9 (10-14 years of age) are being given MMR vaccine during the campaign period which runs until 31 December 2013 – with a focus on schools. UNICEF, through its local NGO partners and SARC, continues to reach children in need of medical care. Twelve additional mobile teams have been set up in rural Homs and started providing paediatric and other primary health care services bringing the total number of mobile teams and fixed centres to 63. The 63 mobile medical teams in the 14 governorates and the fixed centres in Damascus, Rural Damascus, Hama and Quneitra were able to reach 38,567 children during the reporting period. The team has delivered health services to 285,113 IDP children since the beginning of this year. Malnutrition among children continues to be reported by some NGOs in hard-to-reach areas in Hama and Aleppo. Similar reports from Idlib, Deir Ez Zor and Rural Damascus indicate that children at risk of malnutrition are being admitted for treatment to Al-Mujtahid and the Children's University Hospitals in Damascus, benefitting from the recently opened UNICEF-supported Outpatient Therapeutic 3
SYRIA CRISIS BI-WEEKLY HUMANITARIAN SITUATION REPORT Programme. Together with finalizing preparations for a rapid nutrition assessment through the Nutrition Working Group due to begin in mid-November, UNICEF is providing nutrition supplies such as Ready-to-Use Supplementary Food (RUSF), High Energy Biscuits and therapeutic milk to nutrition clinics, SARC and local health departments. During the reporting period 100 boxes of RUSF; 10 boxes of F75 therapeutic milk; 15 boxes of F100 therapeutic milk and 5,000 capsules Vitamin A were dispatched to partners to benefit 900 children under five for one month. In addition 1,800 boxes of High Energy Biscuits, enough supply for four weeks, were provided to benefit 9,000 under five children, including children who recently arrived from the sealed-off town of Moadamiyah in Rural Damascus.
Education The Back-to-Learning campaign, launched on 15 September 2013, continues to promote access to education with more focus in hard to access areas. So far, more than 400,000 conflict-affected children have received school bags and education supplies despite difficult access and deteriorating security situation in most parts of the country. UNICEF, in cooperation with the Ministry of Education and other sector partners, is supporting the campaign which aims to reach one million primary school-aged children in all 14 governorates. Education supplies including 1,583 teaching-learning kits, 1,204 recreation kits and 265 Early Childhood Education kits have been delivered to Damascus, Homs, Idlib, Tartous, Raqqa, Deir Ez Zor, Quneitra and Rural Damascus governorates. The children of Syria are committed to learning, As many children are being left out of formal and non-formal education due to despite the odds, as one of our colleagues learned conflict and displacement in Syria, the alternative education modality becomes more on a recent mission in Idleb. © UNICEF/Syriaimportant to provide children with access to education. UNICEF, in collaboration 2013/Mougabe Koslengar with UNRWA and the Ministry of Education, has set up a task force to review and revise a self-learning programme, which was originally designed by UNRWA for Palestine refugee children in line with the Syrian national curriculum. National roll out of the programme is expected by December 2013. The programme will focus on out of school children in hard-to-reach areas to help them continue learning at home or in community centres. Parents and teachers will also be oriented on how to support children self-learning. The priority target is one million children who are still excluded from the education system and lost one or two years of schooling in the country.
4,140 Adolescents participated in learning activities through the Adolescent Programme: 700 adolescents were provided with life skills and vocational awareness in al Hamraa and Al Waer regions in Homs in cooperation with partner al Bir. 200 adolescent IDPs received vocational courses and life skills training in cooperation with a local NGO in Tartous shelters. In collaboration with UNRWA, life-skills activities are on-going benefiting more than 2,000 Palestinian adolescents girls and boys in camps including in Lattakia , Homs , Hama , Neriba camp in Aleppo, Dara’a, Damascus and in IDP shelters in (Mazzeh area, Jaramana camp, Al-zahera area) and in Rural Damascus (Al-Ramadan camp, Seada Zeinab camp, Qudsia area). Vocational awareness and life skills training were provided to 300 adolescents in the adolescent friendly spaces in Aleppo; In Damascus, UNICEF in cooperation with the Ministries of Religious Affairs, Environment and Education trained 300 adolescents on life skills; also, 640 children and adolescents were provided with art and recreational activities in Damascus shelters in coordination with the Ministry of Culture.
Child Protection Essential psychosocial support services continue to reach over 84,900 children, with the support of UNICEF and partners (SARC and NGOs). During the reporting period, psychosocial support was provided to 5,704 children in Tartous, Homs, Dara’a and Rural Damascus including in Adra and Nashabieh - both in Eastern Ghouta and Yabroud. A further 27,075 children and adolescents received psychosocial support through the Adolescents Programme, with 2,819 adolescents receiving the support during the reporting period basically, increasing the total number of assisted children and adolescents to 111,975.
4
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
589,068
118%
1,500,000
139,000
9%
950,000
541,680
57%
50,000
5,386
11%
# of children (and adolescents) with access to psychosocial support and 1 protection services
300,000
111,975
36%
# 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
290,313
50%
# of children with access to psychosocial support in education 2 programmes
270,000
309,978
115%
10,000
21,914
219%
1,000,000
886,180
89%
1,086,218
44 %
285, 113
45 %
774,344
97 %
212,765
27 %
#of emergency affected population provided with access to soap and other hygiene items2 # of emergency affected population with access to appropriately designed toilets and sanitation services3
# of people having access to hygiene promotion messages4 # of children access safe water, sanitation and hygiene facilities in their learning environment and in child friendly spaces5 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
2,500,000 2
570,000
# of children and women equitably access essential health services with 3 sustained coverage of preventive and curative interventions # of children 6-59 months receiving Vitamin A supplementation
4
800,000 800,000
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. Education:
5
SYRIA CRISIS BI-WEEKLY HUMANITARIAN SITUATION REPORT 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 include 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 includes 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). Target reduced from the previous target as effort will focus on catch-up component. 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:
795,984 (UNHCR October 23, 2013)
19,750 children have been assisted to enroll in formal education, with enrolment efforts continuing WASH rehabilitation has been completed in 12 schools, benefitting 5,407 Syrian and Lebanese children A further 16,643 children have been vaccinated against polio. UNICEF is purchasing an additional 1.5 million doses of polio vaccine to underpin the nationwide campaign starting on November 8
Situation Overview and Humanitarian Needs
Registered Refugees
Total
Male
Female
Total Affected Population
705,356
345,624
359,732
Children Affected (Under 18)
372,428
191,151
181,276
Children 0-4 Years
138,955
71,241
67,714
A total of 705,356 refugees are currently registered with UNHCR, of which more than fifty percent are children. An additional 90,448 Syrians have been in contact with UNHCR to be registered, bringing the total to 795,984. The number of Palestine refugees from Syria in Lebanon is 93,000 individuals.
Programme Response WASH In the past fortnight, 4,279 beneficiaries have been provided with access to water for drinking and domestic purposes by UNICEF implementing partners World Vision, GVC and Oxfam. This brings the cumulative total to 42,225. World Vision and Oxfam have also provided a further 4,034 beneficiaries with access to sanitation facilities, bringing the cumulative total to 14,915. Hygiene promotion sessions have been held with 7,764 beneficiaries, and 2,804 people received hygiene kits. Overall, 65,174 people have benefitted from UNICEF WASH interventions in Lebanon this year.
Child Protection UNICEF’s implementing partners continue to provide psychosocial support, having reached 159,585 children this year. 22,459 parents and caregivers have also benefitted from access to a combination of psychosocial support and protection services.
Education UNICEF and partners have provided a total of 91,919 children and adolescents with formal education, non-formal education and psychosocial support, an increase of 23,726 in the past fortnight. School enrolment support is ongoing in partnership with Caritas Lebanese Migrant Centre. Since the start of this school year, 19,750 Syrian refugee and vulnerable Lebanese children have been enrolled in 602 schools with Back to Learning support including tuition fees, school bags and school supplies. Despite the directive from the Ministry of Education (MEHE) for public schools to enroll Syrian students, challenges are arising as many schools are already at full capacity. UNICEF is working with MEHE to accommodate the remaining children through non-formal education and private schools. Children who cannot enroll in formal education are being supported through nonformal education programmes such as the Accelerated Learning Programme or basic non-formal literacy and numeracy programmes. In the past fortnight, 3,367 out-ofChildren play in a tented settlement in Cheikh school children registered in non-formal programmes, bringing the total number to Ayash. UNICEF/ Lebanon/2013/Baar 31,753. 7
SYRIA CRISIS BI-WEEKLY HUMANITARIAN SITUATION REPORT
Minor WASH rehabilitation has been completed in 12 schools by War Child Holland and Relief International, bringing the number of schools rehabilitated to 17, benefitting 5,407 students. Work is ongoing in a further 77 schools. All work is expected to be completed by the end of 2013.
Health A further 14,818 children have been vaccinated against measles and 16,643 against polio by UNICEF implementing partner, Beyond, in UNHCR registration centres. This brings the cumulative total of children reached through all of UNICEF’s immunization efforts in Lebanon to 710,880 children for measles, and 230,859 for polio. A nationwide campaign for polio immunization will commence on 8 November in collaboration with the Ministry of Public Health (MOPH) and WHO in response to suspected polio cases in Syria. UNICEF will provide all vaccines for the campaign, as well as vaccinating children in all tented settlements and collective shelters. UNICEF has vaccines for 280,000 children in country and a further 1.5 million doses on order. UNICEF continues to support 16 mobile medical teams to provide free, direct healthcare interventions in tented settlements across Lebanon. A further 13 tented settlements have been reached, bringing the cumulative total to 146. In these settlements 9,104 people sought medical treatment, bringing the total medical interventions by mobile medical units to 56,735.
Nutrition Data collection for the nutrition assessment of Syrian refugees and Lebanese host communities has been completed for the Bekaa, North and South regions by UNICEF partner International Orthodox Christian Charities (IOCC). Cases of malnutrition identified during the assessment have been referred for follow-up monitoring and treatment. In the past fortnight seven cases of children with severe acute malnutrition and two with moderate acute malnutrition were referred for treatment to primary healthcare centres. An additional three children with severe acute malnutrition with complications were admitted to hospitals for in-patient treatment. IOCC has also provided awareness sessions on nutrition and infant and young child feeding practices to more than 1,000 mothers.
Inter-Agency Collaboration and Partnerships Lebanon Country Office is currently involved in three inter-agency collaboration efforts – the Gordon Brown Initiative for Education, the Lebanon Roadmap of Priority Interventions for Stabilization (the Stabilization Framework) and the Regional Response Plan January to December 2014 (RRP6). The Gordon Brown Initiative for Education results from a report by ODI commissioned by the UNSG’s Special Envoy on Global Education, Gordon Brown, to determine the impact of the Syria crisis on education in Lebanon and the cost of providing education to all Syrian children in Lebanon. As a result of this assessment and further consultations with UNICEF, the Ministry of Education, and the Education Working Group, an overarching education strategic document is being drafted with GPE providing technical advice and UNICEF as the lead going forward.
Syrian refugee girls in Lebanon celebrated the second International Day of the Girl Child on 11 October with an event in Jibshit, South Lebanon, that sought to raise awareness of the dangers of child marriage and the importance of education. More than 20 adolescent girls, aged 13 to 18, participated in the event and took part. © UNICEF/Lebanon-2013/Ramzi Haidar
The Stabilization Roadmap is based on the outcome of the Economic and Social Impact Assessment (ESIA), led by the World Bank, with UNICEF Lebanon closely involved in the Poverty and Social Safety Nets and Education sections and co-leading the Infrastructure (particularly WASH) section. The Roadmap produced by the World Bank lays out the next steps for determining the Stabilization Framework. It is expected that the 8
SYRIA CRISIS BI-WEEKLY HUMANITARIAN SITUATION REPORT Government of Lebanon (GoL) will lead this process going forward, including a consultation on the Roadmap between the GoL, the World Bank, the UN and donors in the coming weeks. The RRP6 is in its final planning stages, with an estimated caseload of 3.1 million affected people of which more than half are children. UNICEF and partners have based their caseload around the vulnerability mapping exercise conducted with the Prime Minister’s Office that identified Lebanon’s 220 most vulnerable localities, covering 85 percent of registered refugees and 67 percent of poor Lebanese. As a result, he RRP6 includes significant support to vulnerable Lebanese and spans immediate/urgent humanitarian needs, capacity building and resilience. UNICEF specifically contributes to Education, WASH, Child Protection and Health in the RRP6.
Supply and Logistics
As part of a joint agreement with the MOPH, UNICEF has procured ten cholera kits for pre-positioning in case of the event of an outbreak. The ten kits are sufficient to cover 10,000 people 44,880 of the 88,000 winter clothing kits are ready for distribution to tented settlements for winterization 9,645 baby kits have been distributed to implementing partner, DRC For Back to Learning, 68 Schools in a Box (for 2,720 children) and 9,350 school bags have been distributed 3,000 adult hygiene kits (for 6,000 beneficiaries) have been provided to the Ministry of Social Affairs for distribution at Social Development Centres
Estimated #/% coverage UNICEF 2013 Target
UNICEF & operational partners Cumulative results (UNICEF & Partners)
% of Target Achieved
WASH Emergency affected population provided with access to drinking and domestic water
181,000*
42,225
23%
Emergency affected population provided with access to soap and other hygiene items
123,975
35,416
29%
Emergency affected population with access to appropriately designed toilets and sanitation services
280,575
14,915
5%
81,500
159,585**, ***
196%
# of children (boys and girls) 9 months to 18 years vaccinated against measles*
800,000
710,880 (179,084 Syrian)
89%
# of children (boys and girls) 6 months to 18 years receiving Vitamin A supplementation
800,000
381,953
48%
230,859 (93,317 Syrian)
NA
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 % of UNICEF 2013 Cumulative Target Target results ( #) Achieved
Sector Sector Target
Cumulative results (#)
% Target Achieved
Education School-aged children in affected areas in schools/learning programmes
133,515
52,862
40%
252,657
NA
NA
Children with access to psychosocial support in education programmes
132,360
53,626
41%
152,480
NA
NA
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SYRIA CRISIS BI-WEEKLY HUMANITARIAN SITUATION REPORT
Children and adolescents benefitting from non-formal and informal educational services Safe and secure learning environments that promote the protection and well-being of learners established
133,515
31,753
24%
226,473
NA
NA
320 schools (80,000 children)
17 schools (5,407 children)
5%
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 Monitor. ** 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: self-help groups, volunteerism and seeing target beneficiaries as a resource instead of the object of assistance. Health * Previous situation reports provided immunization figures based on 16 per cent of host community children and 3 per cent of Palestinian child refugees from Syria vaccinated. For improved clarity of results, these figures now represent all children to receive vaccinations, regardless of ethnicity.
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SYRIA CRISIS BI-WEEKLY HUMANITARIAN SITUATION REPORT
Jordan Highlights
UNICEF and partners will begin a polio immunization Total number of registered refugees and pending registration: 549,092 (UNHCR October 23, 2013) campaign in Za’atari camp on 27 October in response to news of a suspected polio cases in Syria. Registered Total Male Female UNICEF and partners celebrated “Global Handwashing Day” Refugees Total Affected on 21 October by organizing various events in camps and host 549,092 263,564 285,528 Population communities for over 3,800 participants. Children Affected 293,764 149,353 144,411 Refugee school enrollment totals 86,170 students, of whom (Under 18) 18,704 are in camp. Children Under 112,564 51,615 50,516 Five A UNICEF/Save the Children Jordan “Obstacles to Schooling” Children 6 to 23 38,436 19,218 19,218 report found that among unregistered children, the leading months obstacle was lack of host community school capacity (30 per Pregnant women 12,849 n/a 12,849 cent), followed by lack of financial ability (17 per cent) and distance to schools (16 per cent). UNICEF supports double-shifting of 48 schools, and has provided 40 prefab classrooms to host community schools since September.
Situation overview and humanitarian needs There are currently 549,092 Syrian refugees registered with UNHCR in Jordan, of whom approximately half crossed into Jordan in 2013. UNHCR reports that 77 per cent of Syrian refugees in Jordan, or 422,801 people, live outside of camps, more than half of whom are in northern Jordan. Arrivals have been averaging 300 per night over the past month. Most refugees are crossing via the Eastern border.
Programme Response WASH UNICEF and partners celebrated "Global Handwashing Day" through various events in camps and host communities. JEN organized an event at Irbid's Al Bushra School for girls, involving 450 students (including 100 Syrian students), teachers, parents and representatives from Irbid Education Directorate in events such as stage plays on WASH, drawing competitions, games and songs. In Za'atari, King Abdullah Park and Cyber City camps, some 3,390 children participated in various Global Handwashing Day activities organized by UNICEF/ACTED/JEN/Oxfam. These activities were carried out in Save the Children Child- and Youth-Friendly Spaces, International Relief and Development (IRD) tents, and ACTED tents. Activities included games, drawings, kites, and a demonstration of hand washing.
Global Handwashing Day activities
In host communities, rehabilitation of school WASH facilities is ongoing in 94 schools, and has been completed in 10 schools, benefiting 2,330 Jordanians and 310 Syrian children thus far. Once completed, this effort to improve WASH in 150 host community schools is expected to benefit 23,624 Jordanian children and 8,150 Syrian refugees.
11
SYRIA CRISIS BI-WEEKLY HUMANITARIAN SITUATION REPORT
Child Protection Since January, UNICEF and partners have provided psychosocial support services to 104,709 children through 71 Child- and Adolescent-Friendly Spaces (CFS/AFS) in both camps and host communities. In the reporting period, UNICEF/SCI has reached around 5,255 children in Za’atari and KAP with psychosocial support through a network of Child and Youth Friendly Spaces. TdH/UNICEF has reached 3,360 children with psychosocial support and 1,0847 individuals attended awareness raising sessions around child protection. In host communities during the reporting period, UNICEF with its partners UPP/JWU and INTERSOS-JOHUD provided 4,436 children with psychosocial support across seven governorates, while 117 people attended awareness raising session. Celebrations of "International Peace Day" were held at the Youth Friendly Spaces of UNICEF/IMC. A short animated film “On the International Day of Peace” was produced for the occasion and found on YouTube via the link: http://www.youtube.com/watch?v=mG3sq7-YbBU. Moreover, plays that explored the meaning of peace and its application in the daily lives of camp Global Handwashing Day activities residents were conducted and a photo album, “Day of Peace was also created and added to the Za’atari Voices Facebook page: https://www.facebook.com/media/set/?set=a.598040170254732.1073741829.559242097467873&type=1. Four new youth groups (12-13 and 15-17) have started, two youth groups discussed the issue of violence in the camps and youth gave personal accounts of their personal experiences with violence and its negative impact. The YEP football championship was played this week at Site 2. The highly anticipated match was played in front of an audience of over 300 people. Footage of the camp-wide football championship is being editing and will be available within the coming week.
Success Story: Inclusive Activities for Children UNICEF/Mercy Corps (MC) provide recreational activities in Za’atari and KAP camp, logging over 915,679 visits by children since January. Children attended 11 playgrounds and group activities, including sports and drawing Eid cards. In Azraq camp, one UNICEF/MC play ground was constructed and four sport courts are completed.
Mariam*, a 13 year old girl with a disability who relies on a wheelchair, was always very upset and disappointed that she couldn't move around or go out of her tent to play with other children, according to her mother. Joining Child Friendly Space R and taking part in different inclusive activities contributed to changing her negative views about herself and her life. Mariam's mother said, "My daughter became full of energy, waiting for the sunrise every morning only to come to the CFS, she is even more optimistic than her brothers. I am noticing positive changes in her ability to eat and sleep ". Mariam continues to come to the CFS daily with the help of her new friends; she has given up feeling embarrassed because of her disability.
During the reporting period, UNICEF/IRC identified and registered 20 unaccompanied children in Za’atari *name changed to protect identity. including two sets of five siblings. All cases but one were reunified with family members and relatives both in and outside the camp. During this period, the outreach team identified ten separated children (7 females).
Education The number of registered students in the schools in Za’atari Camp and EJC reached 18,704. The highest attendance rate was recorded in Za’atari School II with 91 per cent. With this camp registration figure, the total number of registered students in both camps and host community totals 86,170 (including the Ministry of Education’s report of 67,466 refugee students registered in host community schools as of 15 September). UNICEF/NRC held a graduation ceremony on 10 October at the Youth Centre in Za’atari where 96 students graduated after completing the first vocational training programme.
12
SYRIA CRISIS BI-WEEKLY HUMANITARIAN SITUATION REPORT Since the start of the school year in September, UNICEF/ SCJ distributed a total of 33,517 schoolbags containing school supplies in both camps and host community schools. In Za’atari Camp and EJC schools, 9,843 students have received schoolbags, while 23,674 students have received schoolbags in 29 host community schools. UNICEF/Madrasati Initiative reopened remedial education centres in 11 directorates in Amman, Irbid, Ramtha, Mafraq, Zarka, Russeifeh, Karak and Ma’an. At the start of the second week, the number of enrolled students reached 3,405 children (58 per cent of whom are Syrian). To increase the capacity of schools, an additional 19 prefabricated classrooms (each benefitting 80 students) were provided for schools in host communities bringing the total number of prefab classrooms provided by UNICEF since the start of the school year in September to 40.
Health UNICEF continues to coordinate with partners on plans for the National Immunization Campaign (NIC) which will take place in November in all 12 governorates and Za’atari camp and will reaching some 3.4 million persons living in Jordan. Based on the results of formative research on perceptions, attitudes and practices of key stakeholders, Information Education Communication (IEC) materials were developed for the community, health workers and religious leaders along with an awareness raising campaign. In the past two months, UNICEF as delivered 3,640,000 doses of Measles-Rubella and 1,000,000 doses of Polio vaccine to be used for the campaign. Following the reports of a suspected polio cases in Syria, UNICEF and partners will commence polio immunizations under the National Immunization Campaign earlier than previously planned. A tent-to-tent campaign in Za’atari will begin on 27 October which will reach children under the age of five years old. The 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. The age of newly-arrived children to be given polio vaccine was raised to 15 years old in response to the suspected cases in Syria. Since IOM has started vaccinating new arrivals (16 April), 52,572 children (six months to 15 years of age and adults 16 – 30 years) have been vaccinated against measles and 15,671children (0-5 years) against polio. In addition, 14,452 children (6-59 months) were provided with vitamin A supplements. During the past two weeks, 232 children under five years old visited the eight Oral Rehydration Therapy corners established in Za’atari. The majority were cases of watery diarrhoea with no dehydration, while 13 cases were referred to health facilities and Diarrheal Treatment Units for further assessment. A total of 205 Oral Rehydration Salts (ORS) sachets were distributed to children after a demonstration of how to make ORS and dissemination of key messages on how to prevent diarrhoea, importance of hand washing, personal hygiene and environmental sanitation issues.
Nutrition During the past two weeks, 2,570 mothers and 1,262 children under five visited UNICEF/Save the Children Jordan (SCJ) Infant and Young Child Feeding caravans in Za’atari and EJC camps and host community. In addition, 3,121 children under five and lactating mothers received nutritional snacks. 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) Preparations are being finalized for the national immunization campaign against measles, rubella and polio from 2nd November to 22nd November. IEC materials are currently being printed and will be distributed from 25 October. Formative research is being finalized with two TV channels (Roya and Jordan TV) who will air TV spots and programmes to raise awareness about the upcoming campaign. In addition, local and international NGOs are being mobilized to work at district and community levels. 13
SYRIA CRISIS BI-WEEKLY HUMANITARIAN SITUATION REPORT
The report on the Back to School campaign, in partnership with Save the Children Jordan, is finalized. Preparations are now underway for a â&#x20AC;&#x2DC;Stay in Schoolâ&#x20AC;&#x2122; campaign.
Supply and Logistics During the reporting period, UNICEF continued to coordinate the set-up of schools and Child Friendly Spaces in Azraq refugee camp through multiple suppliers and contractors.
UNICEF & operational partners
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
18,310
31%
135,000
18,310
14%
Children with access to psychosocial support services
179,280
104,709*
58%
179,280
104,709*
58%
Separated and unaccompanied children identified and registered through inter-agency system
3,400
1,279
38%
3,800
1,279
34%
Separated and unaccompanied children in emergency reunified with families **
1,200
234**
20%
TBC
234**
TBC
120,000
86,170
72%
120,000
86,170
72%
4,000
9,183
230%
19,214
9,813
51%
Children and adolescents benefitting from non-formal and informal educational services
8,000
3,666
46%
19,500
3,666
19%
Number of school-aged children who attend catchup/enrichment classes
14,000
15,645
112%
15,400
15,645
102%
Estimated #/% coverage
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
28,170
94%
75,000
28,170
38%
# of infants and lactating mothers receiving supplementary feeding support
30,000
44,607
149%
75,000
44,607
59%
Nutrition
14
SYRIA CRISIS BI-WEEKLY HUMANITARIAN SITUATION REPORT
UNICEF & operational partners Estimated #/% coverage
UNICEF 2013 Target
Cumulative Results
% of Target Achieved
Health 692,506 Children (boys and girls) vaccinated against measles*
500,000
(151,209*/533,008**/ 8,289***)
139%
Children <2 yrs (boys and girls) fully covered with routine Immunization antigens
60,000
**
**
Children (boys and girls) 6-59 months receiving Vitamin A supplementation
210,000
283,958 (74,199*/ 205,962**/3,797***)
135%
Comments/Background WASH: *These figure reflects the number of people currently accommodated in Zaâ&#x20AC;&#x2122;atari camp, King Abdullah Park (KAP) and Cyber City (CC), plus the population reached in host communities. Due to the reduced number of arrivals into Jordan, camp populations have been relatively stable. Child Protection: *Increase from last report is due to increased number of centres in host communities **This indicator replaces that of the number of children placed in alternative care. Alternative care arrangements in Jordan need to be approved by court. It is expected that children will only be put in formal care arrangements once the system currently being established is fully functional. Health: *Syrian ** Jordanian *** others
15
SYRIA CRISIS BI-WEEKLY HUMANITARIAN SITUATION REPORT
Iraq
Total number of registered refugees and pending registration: 197,585 (UNHCR October 23, 2013)
Highlights
Nutritional screening of all children under 5 in Domiz Camp has been completed to detect severe acute malnutrition (SAM). Out of a total of 500 under five years old children screened, 10 acutely malnourished children (2 per cent) were detected. Of them, two were suffering from severe acute malnutrition. UNICEF has also installed three tents as Child Friendly Spaces in Arbat Camp, run by the Department of Social Affairs / MoLSA, which host 150 children per day on average.
Registered Refugees Total Affected Population Children Affected (Under 18) Children 0-4 Years
Total
Male
Female
165,686
105,211
60,475
64,120
35,125
28,995
24,190
12,261
11,929
Programme Response WASH Northern Iraq Kawergosk Transit Camp (12,400 refugees) Water trucking UNICEF-Iraq/2013 UNICEF, in coordination with the Erbil Surrounding Water Directorate (ESWD), is trucking in 400,000 litres of safe water daily. In partnership with the Norwegian Refugee Council (NRC), UNICEF has installed water storage tanks and 290 latrines. A second round of family hygiene kits and washing basins were distributed to 2,336 families. UNICEF has contracted a private company to collect garbage around the camp daily and is providing access to safe water and sanitation services for children at their learning environments and CFSs. In partnership with ESWD, UNICEF has completed three boreholes and the layout for phase 1 of the permanent camp. Qushtapa (3,752 refugees) UNICEF, in coordination with ESWD, is trucking in safe water, and has installed latrines in the camp’s schools. In partnership with the Danish Refugee Council (DRC), UNICEF continues to distribute hygiene items and messages. The design concept for the permanent camp was finalized, and, in partnership with ESWD, two boreholes were completed. Baserma (3,091 refugees) UNICEF and ESWD are trucking in safe water on a daily basis. Latrines have been installed in the camp’s schools, and hygiene kits have been distributed to over 3,000 people. UNICEF has contracted a private company to collect and transfer garbage daily. Darashakran Permanent Camp (1,300 refugees) 370 families now reside in Darashakran camp, with transfers at a continuing rate of 50 families per day. In order to accommodate the increasing numbers of refugees, UNICEF has neared completion on water supply and sanitation infrastructure. Gawilan Camp Bardarash Youth Club and Bardarash Stadium were closed on 13 October and all refugees transferred to Gawilian transit camp. UNICEF will transfer and install the water and sanitation facilities from these locations to Gawilan transit camp. UNICEF has distributed 500 hygiene kits and 50 family water kits to refugees in the transit centre. At the site of the future Gawilan camp, UNICEF, in partnership with DMC, is working to complete installation of prefabricated sanitation units and water sanitation facilities in order to support the site’s estimated future capacity of 30,000 persons. 16
SYRIA CRISIS BI-WEEKLY HUMANITARIAN SITUATION REPORT
Domiz Camp (45,000 refugees, pre-influx) In Domiz Camp, UNICEF, in partnership with the NRC, is improving WASH facilities. So far, UNICEF has installed 190 of 230 new latrines benefitting approximately 12,000 people, and 200 bathing units benefitting 4,510 people. UNICEF has supported the DoWOD in the installation of twenty-seven flow metres, which are now utilized to measure and report water quantity to the WASH working group on a regular basis. Arbat Transit Camp (2,469 refugees) UNICEF and partner International Rescue Committee (IRC) are providing all WASH services for Arbat Transit Campincluding the provision of safe water. UNICEF/IRC have trained three voluntary teams of Syrian refugees to handle maintenance of WASH facilities for the camp. UNICEF, in cooperation with the Sulimaniyeh Department of Health, has trained 20 refugee volunteers on hygiene promotion, who will deliver hygiene messages in daily basis. UNICEF has equipped the school inside the camp with WASH facilities. Western Iraq UNICEF rehabilitated water and sanitation facilities in five schools in Al-Qaim benefitting 150 Syrian children along with 1,700 Iraqi children and is currently upgrading the efficiency of two water projects feeding the camps. As part of its Winterization Response Plan, UNICEF staff began installing solar boilers for female latrines in Al-Obaidy camp and is coordinating with UNHCR on requisite storm water management infrastructure.
Child Protection
Solar boilers. UNICEF-Iraq/2013
UNICEF has organized a mobile team that provides recreational activities for refugee children in Gawilan, Quashroq and Acre Citadel. Recreational activities have reached 171 children (46 per cent girls). This mobile team will also be able to identify and register Child Protection issues that are in need of immediate response. UNICEF has also installed three tents as Child Friendly Spaces in Arbat Camp, run by the Department of Social Affairs / MoLSA, which host 150 children per day on average. In Al-Qaim, UNICEF partner Afkar has completed construction of a Child Friendly Space (CFS) for the host community at Al-Jamaheer school. School staff will receive training on CFS management and Child Protection in Emergency CPiE.
Education Northern Iraq In Domiz, three schools (Kar, Qamishlo and Jiyan) are providing education to around 4,000 students. Training of 67 teachers from Kar and Qamishklo schools on psychosocial support is now completed. Teachers are now better prepared to help deal with children with special needs and make sure they are normalized and referred to specialists when necessary. UNICEF has installed five tents a school inside Arbat transit camp, along with an additional tent as a school administration facility. The Department of Education (DoE) has hired 15 teachers from Syrian refugees to run the school under supervision of one officer from DoE. All school needs have been covered by UNICEF, including electricity lines, desks, air-coolers, WASH facilities, blackboards, whiteboards, stationary and schoolbags. The school works in two shifts, each with 130 students from grade 1 to 9. A fence was constructed around Qumishlu tented school in Qushtapa Camp to ensure privacy of the 893 students while studying and playing in the school, which has encouraged wider participation of
UNICEF-Iraq/2013
17
SYRIA CRISIS BI-WEEKLY HUMANITARIAN SITUATION REPORT children in physical activities. The 16 tented classes, hosting 1,444 students, in Kawragosk camp were furnished with plastic mats. Temporary learning spaces were created for 900 students who will soon arrive in Darashakran Camp. WASH facilities; including separated toilets for girls and boys were established for 644 students in Basrma camp school along with playground. Western Iraq The school in the Al-Qaim camp is working normally in two shifts (one for girls and the other for boys) operated by 36 staff supported by UNICEF. 638 children of grades 1-9 were registered before the beginning the school (324 boys and 314), out of them 619 received stationary from UNICEF and regularly attending the school.
Health and Nutrition Northern Iraq A polio campaign in all governorates in the Kurdistan Region of Iraq has been planned for children under 5 starting 2 November for 5 days. In Domiz Camp, as part of the National Polio Immunizations Days (PNIDs) conducted from 29 September to 3 October, a total of 7,114 Syrian refugees children less than five years old were vaccinated (inside and outside the camp). Reports from other 2 governorates are yet to be published. A listing of all pregnant women in Kawergosk Camp has been completed in order to strengthen home visits for newborn care by Community Health Workers (from among Syrian refugees). A total of 176 pregnant mothers have been identified with 25 births during the reporting period. UNICEF provided two prefab containers for conducting routine immunization and to function as baby huts. The EPI centre in Kwaergosk camp was launched on 19 September. Nutritional screening of all children under 5 in Domiz Camp has been completed to detect severe acute malnutrition (SAM). Out of a total of 500 under five years old children screened, ten acutely malnourished children(2 per cent) were detected. Of them, two were suffering from severe acute malnutrition. All acutely malnourished received required management. As part of UNICEF support, High Protein Biscuits were distributed to all malnourished children, in addition to the provision of Ready-to-Use Therapeutic Food for severely malnourished children by MSF. UNICEF supported the Department of Health in Sulimaniyeh to establish an Emergency Clinic inside Arbat Transit Camp by providing three pre-fabricated caravans with required facilities and furniture, along with backup generator. Western Iraq With the recent detection of twenty-two cases of Acute Flaccid Paralysis in Deir ez-Zor governorate in Syria, which is close to Al Qa'im District, UNICEF supported four joint field visits by a team from the MoH including the National Expanded Programme of Immunization (EPI) Manager, cold chain manager and surveillance team. As part of the preparation for the first round of the polio campaign that will start on 26 October, simultaneously with the Syrian polio campaign, UNICEF supported on job training for health workers and an EPI team in the Al-Qaim camp. The second round of the campaign will begin on 1 December 2013. DoH is continuing to provide immunization services in the camp through two immunization sessions per week. During the reporting period, 124 children were fully covered via routine immunization programs including 28 children under 5 years old who received Vitamin A As part of prevention of malnutrition, the Health District continue distributing high protein biscuit to each child under 5 provided by UNICEF. ____________________________________________________________________________________________________ The Humanitarian Performance Monitoring indicators for Iraq are being updated and will be presented in the November SitRep 18
SYRIA CRISIS BI-WEEKLY HUMANITARIAN SITUATION REPORT
Turkey Highlights
Local officials in Sanliurfa informed UN agencies that the Government of Turkey will allow Syrian doctors to work in the camps on a voluntary basis once their diplomas are certified by the Chamber of Doctors. This is important as due to language and cultural barriers As part of UNICEF’s back-to-school support, shoes have been distributed to 75,733 children in 19 camps (Islahiye, Karkamis, Ceylanpinar, Akcakale, Osmaniye, Yayladagi 1, Yayladagi 2, Altinozu 1, Altinozu 2, Adiyaman, Kahramanmaras, Harran, Nizip 1, Nizip 2, Mardin, Malatya, Kilis Elbeyli, Kilis Oncupinar and Adana).
Total number of registered refugees and pending registration: 502,719 (UNHCR October 23, 2013) Registered Refugees
Total
Male
Female
Total Affected Population
502,269
261,180
241,089
Children Affected (under 18)
256,157
135,506
120,649
Situation Overview and Humanitarian Needs On 10 October, 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 200,009 including 100 Syrians receiving medical treatment in hospitals. In Akcakale camp, officials have informed UNHCR that they have completed the registration of the Syrians (approximately 1,200) accommodated in the communal tent/waiting area. These people have not yet been provided individual tents and will be moved into family tents when they become available. In addition to these people, the camp management has also started to register approximately 3,000 Syrians already admitted to the camp as guests, who have been living with their relatives. With these new registrations, the camp population has reached 26,924, which means Akcakale camp is now the most populated camp in Turkey. In Sanliurfa, the Social Assistance and Solidarity Foundation (SASF) of the governorate has provided assistance to approximately 1,000 vulnerable Syrian families living in host communities. They have requested additional funds from the Government as they believe there are more families in need of assistance to pay their rent. UNICEF is planning to provide cash transfers to vulnerable households as a part of activities in the Regional Response Plan 6, and will work in partnership with the Government of Turkey, governorate officials, partners and UN agencies to determine the most appropriate method of identifying families and providing funds.
Programme response Education Pilot teacher trainings were held for 77 teachers from Kahramanmaras camp on 23 October and for 65 teachers from Osmaniye camp on 24 October, with trainers trained during the recent Training of Trainers (ToT) held in Adana. Following these pilot trainings a second three-day ToT will be held between 25 and 27 October in Sanliurfa, for further roll out of training to the camps. There are currently 69,596 Syrian children enrolled in schools in Turkey. Shoes have been distributed to 75,733 children in 19 camps as part of back-to-school support (Islahiye, Karkamis, Ceylanpinar, Akcakale, Osmaniye, Yayladagi 1, Yayladagi 2, Altinozu 1, Altinozu 2, Adiyaman, Kahramanmaras, Harran, Nizip 1, Nizip 2, Mardin, Malatya, Kilis Elbeyli, Kilis Oncupinar and Adana).
Child Protection and Youth Activities were on-going in 16 Child Friendly Spaces (CFS) over the period. Since the beginning of activities in CFSs in camps, 11,927 children (51 per cent girls) have participated in activities such as football, art, theatre, painting,
19
SYRIA CRISIS BI-WEEKLY HUMANITARIAN SITUATION REPORT singing and awareness raising on various issues. For the last two week period, including the Eid holiday, 3,470 children attended activities, averaging 495 children per day. The majority of activities are with children aged between 9 and13 (61 per cent).
Inter-Agency Collaboration and Partnerships UNICEF and WHO are planning a mass vaccination campaign for November/December 2013 upon the request of the Ministry of Health for both Syrian and Turkish children living in the south-east of Turkey. The campaign will focus on measles, mumps, and rubella (MMR) and polio.
Supply and Logistics The supply focus until December will be the completion of the pre-fabricated school in Islahiye including the provision of furniture; the provision and distribution of winter clothing to a planned 30,000 children under two; distribution of tents to replace school tents in camps; procurement and delivery of containers for Child Friendly Spaces; distribution of stationery for children and youth activities; and the procurement of vaccinations for the MMR and polio campaign. UNICEF & operational partners Estimated #/% coverage
UNICEF 2013 Target
Need as of October 2013*
Cumulative results ( #)
% Covered
Sector Target
260,100
266,431
11,927
4% (need) 5% (target)
260,100
11,927
4% (need) 5% (target)
50,000
266,431
75,733
28% (need) 151% (target)
260,100
75,733
28% (need) 151% (target)
382,500
173,180
69,596**
40% (need) 18% (target)
382,500
69,596
40% (need) 18% (target)
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. # of children benefiting from seasonal clothing 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
UNICEF & operational partners
Estimated #/% coverage
UNICEF & operational partners
Estimated #/% coverage
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** Estimated #/% coverage Children <5 receiving multi-micronutrient supplementation*
UNICEF & operational partners 89,250
Estimated coverage 0
#/%
Comments/Background Child Protection: *UNICEF has set targets for the planning timeframe of January - December 2013. These are based on anticipated total refugees by December 2013 and therefore do not necessarily reflect needs on the ground at this point in time. Needs on the ground are thus also reported to measure results against actual needs. Achieved at sector level is also reported against actual needs. Education: *UNICEF has set targets for the planning timeframe of January â&#x20AC;&#x201C; December 2013. These are based on anticipated total refugees by December 2013 and therefore do not necessarily reflect needs on the ground at this point in time. Needs on the ground are thus also reported to measure results against actual needs. Achieved at sector level is also reported against actual needs. **Overall efforts led by the Government of Turkey and partners are ensuring that 69,596 children are in schools/learning programmes inside the camps and in non-camp settings. The overall education response is led by the Government of Turkey, complemented by UNICEF with technical assistance, teacher training, supplies and other education interventions.
20
SYRIA CRISIS BI-WEEKLY HUMANITARIAN SITUATION REPORT
Egypt Highlights
Total number of registered refugees and pending registration: 126,081 (UNHCR October 23, 2013)
The first 12 kindergarten classrooms supported by UNICEF opened Registered Total Male Female during the reporting period. UNICEF provided furniture and Refugees educational materials to serve 300 children (age 3-5 years). Total Affected Twenty-one facilitators and psychosocial volunteers have now been 124,094 63,412 60,682 Population deployed in Alexandria, including nine facilitators operating three newly open Child Friendly Spaces where 280 children attend regular Children Affected 55,470 28,914 26,556 (5-17) recreational and educational activities. A team of lawyers and social workers has been actively providing legal Children 0-4 Years 18,118 9,307 8,811 aid and support to more than 180 children in detention in connection with irregular migration to Europe. This includes legal representation, regular monitoring visits, emergency medical aid and coordinating responses with families and services providers.
Situation Overview and Humanitarian Needs The government of Egypt estimates that there are 250,000-300,000 Syrians residing in Egypt, of which about 124,000 are registered with a further 2,000 waiting to register. Detention of Syrians and Palestinians from Syria has been a major cause for concern, with over 500 Syrians placed in detention during the reporting period, mainly in connection with irregular migration to Europe. Since last August, more than 1,000 Syrians have been placed in detention, of which 196 are children.
Programme Response Child Protection Twenty-one facilitators and psychosocial volunteers have now been deployed in Alexandria, including nine facilitators operating three newly open Child Friendly Spaces where 280 children attend regular recreational and educational activities. Twelve psychosocial volunteers have responded to 62 cases including urgent medical care and education referrals as well as following up on highly vulnerable families through field visits. These activities are linked to long-standing community-based child protection committees as a way to ensure grassroots support to Syrians and promote inclusion. A team of lawyers and social workers has been actively providing legal aid and support to more than 180 children in detention in connection with irregular migration to Europe. This includes legal representation, regular monitoring visits, emergency medical aid and coordinating responses with families and services providers.
Child friendly space in Bourj al Ara, Alexandria: © UNICEF / Egypt / 2013 / Mohamed El-Dakhakhni
At the central level, various advocacy initiatives took place with key government agencies such as the National Council for Human Rights, the General Prosecutor’s Office, the Ministry of Justice and the National Council for Childhood and Motherhood, among others. UNICEF advocated for the release of children and respect of international and national law.
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SYRIA CRISIS BI-WEEKLY HUMANITARIAN SITUATION REPORT A case management working group mandated to deal with Syrian and Palestinian children has been created with UNHCR and key partners the aim of this to harmonize procedure and establish a decision-making mechanism for children in detention.
Education UNHCR figures show that the total number of Syrian refugees of school age (5-17 years), as of mid- October 2013, is 36,991 children. Ministry of Education (MoE) enrolment figures have increased, with 20,214 Syrian refugee children enrolled in schools; 16,181 are in public schools and 4,033 in private schools in 25 governorates. It is expected that the numbers will continue to increase as enrolment in schools is permitted through the end of December 2013.
Kindergarten in Greater Cairo © UNICEF / Egypt / 2013 / Mohamed El-Dakhakhni
The first 12 kindergarten classrooms supported by UNICEF opened during the reporting period (see attached photos). UNICEF provided furniture and educational materials to serve 300 children (age 3-5 years), which is 150 per cent of the target under the fifth Regional Response Plan (RRP5). Enrolment in kindergartens is still in process. To date, 230 children have been enrolled and are regularly attending school. In addition, 12 kindergarten teachers (8 Syrian and 4 Egyptian) were trained to promote child-centred learning methodologies that respond to children’s different needs. Based on the needs assessment conducted in four governorates (Cairo, Giza, Damietta and Alexandria), a total of 52 new locations for new community based kindergarten classrooms in Alexandria and Kalubia were identified to serve an additional 1,200 children. UNICEF will provide furniture, educational materials and teacher training.
To increase access to quality primary education, the needs of 12 public schools with high numbers of Syrian refugee students were identified to improve the quality of their learning environments. The schools will be targets with a tailored package of support which will include training, furniture; school supplies and text books; and small renovations or building of temporary classrooms, depending on the need. Some schools can absorb then easily, others need alt of support. The schools are located in Six of October, Kalubia and Alexandria and are serving an average of 2,600 Syrian children in basic education. Additional locations in Damietta are currently being assessed for a similar package of support.
Health Before the suspected polio cases, the Egypt government had decided to conduct one round of polio National Immunization Days (NIDs) and one round of Sub-NIDs in Greater Cairo, where a sample had been found in sewage in 2013. On learning about the suspected Syrian cases and the probable circulation of the type of virus found in Egypt last year, the Ministry of Health has now decided to conduct two rounds of full NIDs. The first round will run 17-20 November and the second round a month or 6 weeks later. The NIDs will be for all children, including refugee children. Trainings for 85 physicians, 82 nurses, 20 community health workers (Raidat) and 20 supervisors of the 35 primary health units (PHUs) in nine health districts in Greater Cairo, Alexandria and Damietta governorates were completed during the reporting period. These 35 PHUs are expecting to deliver primary health care services to 15,000 children under five and 20,000 women. The core of training included basics of antenatal care service; nutrition during pregnancy; infant and young child feeding; mental health problems; monitoring growth and development of children; and immunization for pregnant women and children under 5, and also training for the polio national immunization days that will take place 17 – 20 November.
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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
13.42
16.53
23.30
39.31
18.69
1.85
0.06
113.71
Required
16.85
45.02
10.56
78.44
0.00
0.00
0.00
150.88
Funded
15.20
24.99
7.06
66.11
1.16
0.00
0.02
114.54
Required
18.23
55.66
3.45
46.37
1.72
0.00
0.00
125.43
Funded
30.79
35.17
11.94
16.99
1.13
0.00
9.53
105.55
Required
5.00
5.00
4.75
28.50
0.00
0.00
1.00
44.25
Funded
2.63
4.74
3.23
14.71
0.00
0.00
6.17
31.47
Required
10.41
20.49
3.00
0.00
0.00
0.00
0.00
33.90
Funded
6.39
7.90
0.00
0.00
0.00
0.00
2.13
16.42
Required
0.51
0.84
0.39
0.00
0.00
0.00
0.00
1.74
Funded
0.22
0.41
0.31
0.00
0.00
0.00
0.00
0.95
Required
1.00
1.00
1.00
1.00
Funded
0.56
0.26
0.33
0.36
0.02
0.02
0.84
2.37
Required
65.10
161.45
39.09
200.80
1.72
1.49
1.00
470.65
Funded
69.21
89.99
46.17
137.47
21.00
1.87
18.76
390.38
Gap
-4.11
71.45
-7.07
63.33
-19.28
-0.38
-17.76
80.27
106.3%
55.7%
118.1%
68.5%
1218.0%
125.3%
In millions of US Dollars
Syria Jordan Lebanon Iraq Turkey Egypt MENA** Total
% Funded
Ops. Mgmt.
Total*
Funded
110.46
102.9% 75.9% 84.2% 71.1% 48.4% 54.3%
4.00 **
59.3% 82.9%
82.9%
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: 6 November 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
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