Unicef syria regional crisis humanitarian sitrep (syria, jordan, lebanon, iraq, turkey, egypt) 24 oc

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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 Syria Crisis Bi-weekly humanitarian situation report 10 - 24 OCTOBER 2013: SYRIA, JORDAN, LEBANON, IRAQ, TURKEY AND EGYPT SITUATION IN NUMBERS Highlights 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 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. ©UNICEF/Lebanon-2013/Haidar 0 20 40 60 80 100 120 140 160 US$ millions 17% gap

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Transcript of Unicef syria regional crisis humanitarian sitrep (syria, jordan, lebanon, iraq, turkey, egypt) 24 oc

Page 1: Unicef syria regional crisis humanitarian sitrep (syria, jordan, lebanon, iraq, turkey, egypt) 24 oc

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

Syria Crisis Bi-weekly

humanitarian situation report

10 - 24 OCTOBER 2013: SYRIA, JORDAN, LEBANON, IRAQ, TURKEY AND EGYPT

SITUATION IN NUMBERS

Highlights

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

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.

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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

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

340,000

Total Displaced Population (a proportion of the above)

(*) 4,250,000

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

1,955,000

Syria

Highlights

During the reporting period, WHO reported 22 suspected cases of Polio (Wild

Nile Virus) in Deir Ez Zor governorate, eastern Syria. In response, 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 vaccination campaign, supported by UNICEF and WHO in

partnership with the Ministry of Health, also started on 20 October. The

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;

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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

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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.

As many children are being left out of formal and non-formal education due to

conflict and displacement in Syria, the alternative education modality becomes more

important to provide children with access to education. UNICEF, in collaboration

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.

The children of Syria are committed to learning, despite the odds, as one of our colleagues learned on a recent mission in Idleb. © UNICEF/Syria-2013/Mougabe Koslengar

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WASH: 1This 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 UNICEF’s WASH in schools component.

Child Protection: 1Beneficiaries 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:

WASH Estimated #/% coverage

UNICEF & operational partners

UNICEF 2013 Target Cumulative results (UNICEF &

Partners) % of Target Achieved

# of emergency affected population provided with access to drinking and

domestic water1

9,500,000*

10,000,000**

3,142,096*

10,000,000**

33 %

100%

#of emergency affected population provided with access to soap and other hygiene items2 500,000 589,068 118%

# of emergency affected population with access to appropriately designed

toilets and sanitation services3 1,500,000 139,000 9%

# of people having access to hygiene promotion messages4 950,000 541,680 57%

# of children access safe water, sanitation and hygiene facilities in their

learning environment and in child friendly spaces5 50,000 5,386 11%

Child Protection

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

protection services1 300,000 111,975 36%

# of children made aware of the risk of mines, unexploded ordnance and

explosive remnants of war2

1,000,000 0 0

Education

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

programmes1 585,000 290,313 50%

# of children with access to psychosocial support in education

programmes2 270,000 309,978 115%

# of children and adolescents benefitting from non-formal and informal

educational services3

10,000 21,914 219%

# of children receiving essential education materials4 1,000,000 886,180 89%

Health

# of children vaccinated against measles, mumps, rubella 1

2,500,000 1,086,218 44 %

# of children fully covered with routine Immunization antigens 2

570,000 285, 113 45 %

# of children and women equitably access essential health services with

sustained coverage of preventive and curative interventions3

800,000 774,344 97 %

# of children 6-59 months receiving Vitamin A supplementation 4 800,000

212,765 27 %

Nutrition

# of children <5 receiving multi-micronutrient supplementation1

570,000 159,975 28%

# of children <5 with SAM in therapeutic feeding

13,000 774 13 %

# of children <5 with MAM in supplementary feeding

55,000 49,383 108%

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1Indicator 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. 2Psychosocial 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: 1Data 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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Lebanon Highlights

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

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 non-

formal education programmes such as the Accelerated Learning Programme or basic

non-formal literacy and numeracy programmes. In the past fortnight, 3,367 out-of-

school children registered in non-formal programmes, bringing the total number to

31,753.

Total number of registered and unregistered refugees:

795,984 (UNHCR October 23, 2013)

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

Children play in a tented settlement in Cheikh Ayash. UNICEF/ Lebanon/2013/Baar

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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.

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

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

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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 & operational partners

UNICEF 2013 Target 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%

Child Protection

Children with access to psychosocial support services* 81,500 159,585**, *** 196%

Health

# 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%

# of children (boys and girls) up to 5 years receiving Polio 230,859

(93,317 Syrian) NA

Estimated #/% coverage

UNICEF & operational partners Sector

UNICEF 2013 Target

Cumulative results ( #)

% of Target

Achieved

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

133,515 31,753 24% 226,473 NA NA

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

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 UNICEF’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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Jordan

Highlights

UNICEF and partners will begin a polio immunization

campaign in Za’atari camp on 27 October in response to news

of a suspected polio cases in Syria.

UNICEF and partners celebrated “Global Handwashing Day”

on 21 October by organizing various events in camps and host

communities for over 3,800 participants.

Refugee school enrollment totals 86,170 students, of whom

18,704 are in camp.

A UNICEF/Save the Children Jordan “Obstacles to Schooling”

report found that among unregistered children, the leading

obstacle was lack of host community school capacity (30 per

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.

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.

Total number of registered refugees and pending registration: 549,092 (UNHCR October 23, 2013)

Registered Refugees

Total Male Female

Total Affected Population

549,092 263,564 285,528

Children Affected (Under 18)

293,764 149,353 144,411

Children Under Five

112,564 51,615 50,516

Children 6 to 23 months

38,436 19,218 19,218

Pregnant women

12,849 n/a 12,849

Global Handwashing Day activities

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Success Story: Inclusive Activities for Children

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.

*name changed to protect identity.

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

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.

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.

During the reporting period, UNICEF/IRC identified

and registered 20 unaccompanied children in Za’atari

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.

Global Handwashing Day activities

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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.

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The report on the Back to School campaign, in partnership with Save the Children Jordan, is finalized. Preparations are now underway

for a ‘Stay in School’ 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.

Estimated #/% coverage

UNICEF & operational partners Sector

UNICEF 2013 Target

Cumulative results ( #)

% of Target Achieved

Sector Target

Cumulative results ( #)

% of Target

Achieved

WASH

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%

Child Protection

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

Education

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

120,000 86,170 72% 120,000 86,170 72%

Children with access to psychosocial support in education programmes

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 catch-up/enrichment classes

14,000 15,645 112% 15,400 15,645 102%

Estimated #/% coverage

UNICEF & operational partners Sector

UNICEF 2013 Target

Cumulative results ( #)

% of Target Achieved

Sector Target

Cumulative results ( #)

% of Target

Achieved

Nutrition

# 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%

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Estimated #/% coverage

UNICEF & operational partners

UNICEF 2013 Target Cumulative Results % of Target Achieved

Health

Children (boys and girls) vaccinated against measles* 500,000

692,506

(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 Za’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

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Iraq 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.

Programme Response

WASH

Northern Iraq

Kawergosk Transit Camp (12,400 refugees)

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.

Total number of registered refugees and pending

registration: 197,585 (UNHCR October 23, 2013)

Registered

Refugees

Total Male Female

Total

Affected

Population

165,686 105,211 60,475

Children

Affected

(Under 18)

64,120 35,125 28,995

Children 0-4

Years 24,190 12,261 11,929

Water trucking UNICEF-Iraq/2013

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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

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

Solar boilers. UNICEF-Iraq/2013

UNICEF-Iraq/2013

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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

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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).

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,

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

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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.

Estimated #/% coverage

UNICEF & operational partners

UNICEF 2013 Target

Need as of October 2013*

Cumulative results ( #)

% Covered Sector 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.

260,100 266,431 11,927 4% (need) 5% (target)

260,100 11,927 4% (need) 5% (target)

# of children benefiting from seasonal clothing

50,000 266,431 75,733 28% (need)

151% (target) 260,100 75,733

28% (need) 151% (target)

Education

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

382,500 173,180 69,596** 40% (need) 18% (target)

382,500 69,596 40% (need) 18% (target)

Estimated #/% coverage

UNICEF & operational partners

UNICEF 2013 Target

Cumulative results ( #)

% Covered Sector Target Results % Covered

Health

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

107,100 0 0 107,100 0 0

# of children (boys and girls) up to 18 years receiving Vit- A**

89,250 0 0 89,250 0 0

Estimated #/% coverage UNICEF &

operational partners

Estimated #/% coverage

UNICEF & operational

partners

Estimated #/% coverage

UNICEF & operational

partners

Estimated #/% coverage

Children <5 receiving multi-micronutrient supplementation*

89,250 0 0 89,250 0 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 – 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.

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Egypt Highlights

The first 12 kindergarten classrooms supported by UNICEF opened

during the reporting period. UNICEF provided furniture and

educational materials to serve 300 children (age 3-5 years).

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.

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.

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.

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.

Total number of registered refugees and pending

registration: 126,081 (UNHCR October 23, 2013)

Registered Refugees

Total Male Female

Total Affected Population

124,094 63,412 60,682

Children Affected (5-17)

55,470 28,914 26,556

Children 0-4 Years 18,118 9,307 8,811

Child friendly space in Bourj al Ara, Alexandria: © UNICEF / Egypt / 2013 / Mohamed El-Dakhakhni

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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.

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.

Kindergarten in Greater Cairo © UNICEF / Egypt / 2013 / Mohamed El-Dakhakhni

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Regional Funding

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, UNICEF’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:

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

Funded

Required 13.10 33.44 15.94 46.49 0.00 1.49 110.46

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 4.00

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

% Funded 106.3% 55.7% 118.1% 68.5% 1218.0% 125.3% 82.9%

Turkey 48.4%

Egypt 54.3%

MENA** 59.3%

Lebanon 84.2%

Total 82.9%

Iraq 71.1%

102.9%

Jordan

Syria

Funding StatusChild

ProtectionEducation

In millions of US Dollars

75.9%

Health &

Nutrition

Safety &

Security

Ops.

Mgmt.Total*WASH NFIs

Geoff Wiffin Syria Crisis Emergency Coordinator UNICEF MENA Regional Office Mobile: +962 (0) 79 6835058 Email: [email protected]

Simon Ingram Regional Chief of Communication UNICEF Middle East and Northern Africa Mobile: + 962 (0) 79 5904740 Email: [email protected]