Syria Crisis Monthly Humanitarian Highlights & Results

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1 . A child wearing the winter clothes she received from UNICEF, Abdulaziz Sulieman, Primary School, Qamishli City. Most of the displaced families in Qamishli live in schools with little protection from cold weather. UNICEF/2015/Soulieman Syria Crisis Monthly Humanitarian Highlights & Results NOVEMBER 2015: SYRIA, JORDAN, LEBANON, IRAQ, TURKEY AND EGYPT Highlights In Syria, as part of the Back to Learning Campaign, UNICEF distributed essential learning supplies including schoolbags, textbooks and stationary to 428,315 children, including 5,732 textbooks to children living in a besieged area of Deir-Ez-Zour city. So far this year, UNICEF has distributed learning supplies to 578,000 children. In Jordan, as of November, 145,458 Syrian students accessed formal education in public schools in camps and host communities, and 151,659 children (including 105,224 Syrians) are now registered at 151 UNICEF Makani spaces, where they have access to life skills training, informal education, and structured psychosocial support. In Iraq, UNICEF, UNHCR and UNESCO agreed to provide teacher incentives with the Ministry of Education (MoE) at Erbil level for 911 teachers. 55 teachers in two new refugee schools in Dohuk and one refugee school in Arbat camp are now receiving incentives. In Lebanon, with the support of UNICEF, the Higher Council for Childhood (HCC) chaired by the Ministry of Social Affairs submitted the 4 th and 5 th combined State Party report to the Committee on the Rights of the Child. In Turkey, with our government partner, UNICEF has increased the number of Syrian volunteer teachers receiving monthly incentives to 7,629 more than doubling the sector target for 2015 and improving the quality of education for Syrian children. SITUATION IN NUMBERS In Syria 6,000,000 #of children affected 13,500, 000 # 0f people affected (HNO, 2015) SITUATION IN NUMBERS Outside Syria 2,312,846 #of registered refugee children and children awaiting registration 4,393,846 # of registered refugees and persons awaiting registration (UNHCR, 13 December 2015) Syria Appeal 2015* US$ 279 million Regional Appeal 2015* US$ 624 million *January December RP funding levels per sector in terms of % 2015 SRP funding levels per sector in terms of % 120% 100% 80% 60% 40% 20% 0% 40% 60% 0% 27% 104% 73% 61% 39% 22% 78% 120% 100% 80% 60% 40% 20% 0% -20% 31% 69% 61% 54% 58% 39% 46% 42% 117% -17% 1

2 Syria Humanitarian Overview: Daily life inside Syria continues to be a struggle for millions of conflict affected people living with limited access to basic services such as education, water, health care and electricity. The cold winter weather is further exacerbating the challenges of daily life in Syria. In November, access was a particular challenge in the cities of Homs and Hama as roads were frequently closed or disrupted due to airstrikes and fighting. Civilian displacement continued during the month with over 86,000 people displaced once more in Aleppo, Hama, Homs, Dar a, Deir-ez-Zour, Hassakeh and Raqqa. Estimated Affected Population (*) revised November Child figures are calculated based on estimate of 44.9% of population are children under 18 years old. Total People in Need * 13,500,000 Children in Need (Under 18) 6,000,000 Total Displaced Population * 6,500,000 Children Displaced 2,800,000 People in Hard to Reach Areas 4,490,000 Children in Hard to Reach Areas Up to 2 million Children People in Besieged Areas 360,000 Local ceasefire agreements have created opportunities for UNICEF through interagency convoys to provide critical life-saving humanitarian supplies to affected areas such as in Al-Waer in Homs and Qudsaya city in Damascus. On 26 November, an airstrike hit a water treatment and intake facility on the Euphrates River which cut the water supply to Aleppo, Syria s largest city, for an entire day leaving millions without access to clean water. UNICEF has put in place a contingency plan which includes the pre-positioning of humanitarian supplies in order to be able to respond quickly to any openings of humanitarian space. Education: In November, as part of the Back to Learning Campaign, UNICEF distributed essential learning supplies including schoolbags, textbooks and stationary to 428,315 children, including 5,732 textbooks to children living in a besieged area of Deir-Ez-Zour city. So far this year, UNICEF has distributed learning supplies to 578,000 children. A further 18,000 children were provided with non-formal education opportunities bringing the total to 454,000 since January. Since the beginning of the year UNICEF has rehabilitated 105 schools and set up 187 classrooms providing an improved learning environment for 107,000 children. WASH: UNICEF is providing up to 380,000 liters of fuel per month to help ensure the continuous supply of water to 2.1 million people living in Western and Eastern Aleppo. Complimenting this intervention, UNICEF is trucking water to 140,000 people living in shelters and neighborhoods that have been cut off altogether from the main network. In Raqqa, UNICEF has supported the cleaning of 54 water storage tanks benefiting half a million people as a preventative measure against disease outbreaks. So far this year, almost 7.5 million people have had access to improved water and sanitation services through rehabilitation of public infrastructure. Health and Nutrition: From November, UNICEF supported the Ministry of Health to conduct a sub-national Polio campaign reaching 208,334 children in high risk areas including in the refugee camp of Yarmouk and some districts in Jobar. A further 121,000 women and children have accessed basic health services through UNICEF supported health centers and mobile clinics (945,000 since January). In a breakthrough in access for the nutrition programme, UNICEF managed to dispatch micronutrient sachets to Raqqa to benefit 24,000 children. So far this year, 610,000 children under 5 have benefitted from nutrient supplements and 11,900 children have been treated for acute malnutrition. Child Protection: More than 70,000 children participated in psychosocial activities during November out of which more than 62,000 children took part in structured and sustained psycho social support activities, including 650 children in hard to reach areas. Since January, more than 620,000 children have received psychosocial support. UNICEF has thereby surpassed the target set for the year. As part of the expansion of mine risk education, a total of 879,000 children have been sensitized on the dangers of unexploded remnants of war since the beginning of the year. Adolescents and Youth: In November, UNICEF and partners supported more than 26,000 adolescents and youth by providing access to life and vocational skills building, psycho social support services and opportunities for civic engagement and adolescent development and participation (374,000 since January). As a result of insecurity, four UNICEF-supported Adolescent Friend Spaces in HTR areas (three in Deir-ez Zor and one in Idlib) were forced to close. Non-food items (NFIs): UNICEF delivered seasonal clothing support to 28,000 children during the month including over 2000 in hard to reach areas. Since the launch of the 2015/16 winter plan, UNICEF has procured 380,000 kits of the total 500,000 planned. Distribution is ongoing. Security Council Resolution 2165/2191: In the last month, through the mechanisms outlined in Security Council Resolution 2165/2191 UNICEF has delivered polio vaccines in support of the 11 th round of vaccinations reaching nearly 820,000 between October and November. Emergency health kits have provided the necessary medicines for 40,000 consultations, as well as emergency nutrition supplies for 2,500 patients. Cross border convoys have provided household level water treatment solutions to near 92,000 persons and water treatment chemicals that provide safe water for nearly 400,000 individuals in November. 2

3 SUMMARY OF PROGRAMME RESULTS (January-November 2015) WHOLE OF SYRIA WATER, SANITATION & HYGIENE * # affected population provided with improved water and sanitation services by developing, rehabilitating and maintaining public infrastructures (1) # affected population periodically provided with hygiene items coupled with hygiene promotion messages in the collective shelters and in host communities settlements (2) # affected population with access to safe drinking water and appropriately designed toilets and sanitation services in the collective shelters and in host communities settlements (3) * # affected population in public institutions (schools, child friendly spaces & health centers) provided with improved WASH services (4) CHILD PROTECTION # children receiving Explosive Remnant of War (ERW) risk education in schools and communities (1) # girls and boys participating in structured, sustained child protection or psychosocial support programmes (2) # children and adolescents reached through unstructured psychosocial activities(3) 2015 Sector Target 2015 Sector Results 2015 UNICEF Target 2015 UNICEF Results 6,000,000 10,502,109 3,500,000 7,835,555 4,800,000 1,458,680 2,340,000 1,075,386 2,900,000 4,104,985 2,340,000 2,852, , , , ,488 1,450, , , , , ,442 # child protection actors/ stakeholders trained (women, men) (4) 3,600 1,919 EDUCATION # children (6-17) with access to formal education (1) 3,500,000 54, , ,725 # children (6-19) with access to non-formal education opportunities (2) 4,500, ,755 1,600, ,607 # teachers and education actors with access to professional training and capacity development initiatives (3) 480,000 1,805 7,600 1,540 # children (3-15) receiving Back to Learning (BTL) materials (4) 4,500, ,606 3,000, ,004 HEALTH # children under five reached with polio vaccine (1) 2,900,000 2,989,659 # children under one with routine vaccination (2) 570, ,331 UNICEF not sector lead # children & CBA women accessing basic health services (3) 1,300, ,954 # estimated population benefiting from health item distribution n/a 1,643,259 NUTRITION # children under 5 and PLW (pregnant & lactating women) receiving multi-micronutrients supplementation (1) 2,200, ,281 1,000, ,105 # children 6-59 months receiving nutrient supplements (2) 517, , , ,865 # children 6-59 months treated for Global Acute Malnutrition (3) 21,000 11,520 21,000 11,856 SOCIAL PROTECTION # families receiving cash assistance to meet their basic needs (1) 7,500,000 20,000 0 # children benefitting from winter and summer materials including 500, ,096 winter/summer clothes and blankets (2) FOOTNOTES: WASH * Estimated up to 14.7 million people in need benefit from sustained supply of water treatment chemicals for drinking water nationwide. 1) Cumulative catchment # of people accessing safe drinking water through rehabilitation/ repair of the existing water supply systems with established operations/maintenance routines, rehabilitation of water and sewage systems infrastructure including supply of equipment, spare parts, fuel and chemicals for treatment, equipment of boreholes, enhancing of surface/ground water production & distribution. 2) # of people reached with periodic distribution of hygiene items in institutions and IDP Camps /Shelters/Host settlements coupled with dissemination of hygiene promotion messages. The main increase was due to Global Handwashing day event 3) # of people reached with access to hygienic toilets or latrines, hand washing facilities (including aquatabs, water tanks and trucking) in IDP settlements, and host communities (temporary or mid-term) The increase was due to water tucking activities in Aleppo, As-Sweida, and Dar'a in the emergency response to the water crisis. In addition to aquatabs distribution to MoH in many locations used to treat the water used in health centers 3

4 4) # of people benefitting from rehabilitation and improvements of WASH facilities in schools, child friendly spaces and health centres. Child Protection 1) ERW activities actually took place starting from January through May 2015 in Damascus and Rural Damascus. 2) Beneficiaries of psychosocial support include children/ adolescents receiving PSS in CFS, AFS, mobile units and school clubs (ADAP Structured :98,744 Since January). 3) Level 1 PSS including children benefiting from recreational kits and child protection open days. In addition, this indicator measures adolescents reached through mobile outreach approach ( ADAP : 96,781 Since January). 4) Child protection actors include 1,500 school counsellors and 500 community / NGO workers, trained in PSS and case management and referrals. Education 1) UNICEF target combines three targets for Children provided with equitable access to formal education opportunities through the rehabilitation of schools (350,000), provision of prefabricated class rooms (14,000), and with basic education bursaries and given access to formal schools (1,500). 2) # of children provided with non-formal education opportunities (some of which can improve learning in formal schools), including 1.6 million children and adolescents provided with self-learning materials (total) in addition of which: 500,000 children provided with remedial education, 165,000 adolescents provided with Life Skills Based Education, including at least 56,000 with vocational education. Of the 165,000, 130,000 adolescents will be reached through mobile outreach (ADAP:179,175). 3) Includes: i) Developing capacity of 5,600 teachers including in active learning, curriculum B, self-learning, extra-curricular, and life-skills education; ii) 200 education participants capacity development support in minimum standards/ information management; iii) teachers trained on Life skills; and iv) 1,000 youth volunteers/facilitators trained on vocational and life skills. 4) Provision of essential teaching and learning materials including text books, school bags and stationaries (target: 2.8 Million) Health 1) Subnational Campaign between the 22 nd and 26 th of November 2015, finial report is not received yet. 2) Routine vaccination data received for most Governorates and compiled up to the end October. 3) Children and women of child-bearing age (CBA) accessing basic health services: 684,561 via PHC centers and 260,093 via Mobile teams. In addition 1,241,927benefited from health items distribution through regular programme and emergency assistance.. Nutrition 1) Micronutrient supplementation: 472,878 children and 28,227 PLWs reached. 2) Complementary foods and lipid-based nutrient supplements: 321,244 children under 2 received complementary food and 288,621 children under 3 received lipid-based nutrient supplements (Plumpy Doz). 3) Children treated for Global Acute Malnutrition (Moderate (MAM) + Severe (SAM)) with Ready-to-use Therapeutic Food. 10,220 children were treated for MAM and 1,593 children reached with out-patient SAM treatment, 43 children reached with in-patient SAM treatment Social Protection 1) Displaced and vulnerable households supported with cash and vouchers to meet immediate basic needs. Note: The voucher pilot programme is expected to start shortly in Quamishli. All the necessary preparations (including market assessments) are currently being undertaken. 2) Seasonal Cloths and blankets were distributed in Mainly in Tartous and Alhassakeh Jordan Child Protection: UNICEF is now providing winter support to 14,800 of the most vulnerable children in Jordan through the provision of winter kits including jackets, sweaters, thermals, trousers, hats, scarves, boots and gloves. UNICEF is also Affected Population Registered refugee figures from UNHCR data portal as at December 13, M: Male; F: Female Registered refugees 632,762 M: 311,952; F: 320,810 Child Refugees (Under 18) 329,036 M: 169,580; F: 159,456 Child Refugees (Under 5) 108,202 M: 55,683; F: 52,519 ensuring that the families of 51,800 girls and boys in Za atari and Azraq Camps will receive 20 JD per child in December, which will enable them to choose from a variety of winter clothing options based on family needs. Basic Needs: In November, UNICEF assisted 55,677 children (27,305 girls and 28,372 boys) including 557 unaccompanied and separated children by providing 20 Jordanian Dinars (JOD) per child to 15,071 most vulnerable families to cover their child-related expenses. Education: As of November, 145,458 Syrian students accessed formal education in schools in camp and host community settings. Children in camps continued to receive education in 32 schools (24 in Za atari, four in Emirati Jordanian Camp, four in Azraq). As for nonformal education, a total of 1,767 children and youth are currently enrolled in non-formal education (1054 males and 713 females/986 Syrians and 781 Jordanian and other nationalities). Makani: There are currently 151 Makani locations in camps and host communities across Jordan where children can access a package of high quality services including psychosocial support services, informal education, and life skills training. A total of 151,659 children are registered at these Makanis, with nearly 7,000 newly registered for psychosocial support services during the month November alone. More than 33,000 children have been reached by informal education offered in Makani centres. WASH: Za atari: The capacity of the wastewater treatment plant is under expansion which will facilitate the additional wastewater collected by the holding tanks. Host Communities: Two pumps were installed at Assara water pumping station in Irbid, benefitting 13,000 people. Two boreholes at Dafiyana and Abu Al Farth were completed and are now operational and supplying approximately water 4

5 for 17,200 people in villages in north Badia in Mafraq. Since January 2015, 634,858 people have benefitted from improved water access as a result of rehabilitation of municipal water networks, provision of essential assets and support to vulnerable households. Work on the sewerline replacement in Hashimiyah and the new sewerline in Sham Street has been completed. Since January 2015, 390,065 people have benefitted from improved access to sanitation systems and facilities as a result of rehabilitation of municipal sewerage networks, provision of essential assets and support to vulnerable households. Health & Nutrition: National Routine Immunization (RI) trainings for health providers continued in November, covering an additional 120 health workers (vaccinators, midwives, nurses) who provide immunization services in Karak and Tafileh governorates. From August- November, a total of 940 health providers have been trained on essential immunization services and utilization of new monitoring tools. In November, 6,507 pregnant, lactating mothers and caregivers reached with IYCF education and counselling (individual and group counseling sessions) on breastfeeding and early initiation of breastfeeding through IYCF centers and outreach activities in the camps and in host community locations. In Raba al Sarhan, 3 severe acute malnutrition and 8 moderate acute malnutrition cases were identified among 338 children screened. Among 80 pregnant and lactating women who were screened for malnutrition, 6 cases were identified and referred for treatment and follow up. Global acute malnutrition rate during November totaled 3.3%. SUMMARY OF PROGRAMME RESULTS (January November 2015) JORDAN Sector 2015 target Sector result UNICEF 2015 target UNICEF result WATER, SANITATION & HYGIENE # people with increased access to potable water through improved and expanded water network and household interventions in host communities 3,366, ,658 1,700, ,858 # of people with access to potable water in camps 1 307, , , ,727 # of people reached through messages on key hygiene practices 2 614, , , ,775 # of people with access to appropriate sanitation facilities through improvement/extension of sewerage systems and household facilities in host 1,467, , , ,065 communities # of people with access to appropriate sanitation facilities through waste management 3 services in camps 140, , , ,727 # of boys and girls having access to WASH services in schools, clinics and childfriendly spaces in host communities 4 241,212 91, ,000 91,757 # of boys and girls having access to WASH services in schools, clinics and childfriendly spaces in camps 45,000 58,691 45,000 50,691 CHILD PROTECTION # children/ adolescents with access to psychosocial support services (level 2&3) 333, , , ,748 (75,350 boys & 81,398 girls) # children receiving specialized services from case management services from qualified frontline workers # of community members, including children, sensitized on CP issues, services available and referral pathways 21,025 13,708 13, , , ,000 # of GoJ officials, civil society & humanitarian workers trained on CP 2,592 2,338 1,050 6,425 (3,422 boys & 3,003 girls) 88,671 (38,463 males & 50,208 females) 2,057 (762 men & 1,295 women) 1 UNICEF WASH includes Za atari, Azraq, King Abdullah Park and Cyber City refugee camps. 2 Inclusive of camps, schools & host communities; increase due to reach in host communities 3 Includes solid waste and waste matter 4 Increase from last month due to recently-completed WASH rehabilitations in host community schools 5

6 EDUCATION and YOUTH # of school aged Syrian boys and girls registered in Jordanian public schools (primary and secondary) 160, , , ,458 5 # of children and youth benefiting from alternative certified non-formal education 71,208 1,767 7,500 1,767 # of children and youth benefiting from alternative informal education (basic learning and numeracy) 118,144 35,010 80,500 33,263 #children and youth benefit from technical skills/post-basic education ,211 3,500 3,758 # children and youth (10-24 years old) benefit from life skills activities ,313 58,000 47,480 # of children who have received school supplies 210, , , ,743 6 # of teachers, school supervisors, counsellors and other educational personnel trained 5,674 4,425 4,000 3,879 HEALTH # children 9 months -15 years vaccinated for measles 7 34,000 24,156 # of children 0-59 months vaccinated for polio 8 n/a 248, ,807 # children <5 years (boys and girls) fully covered with routine Immunization 34,000 15,110 antigens # of child bearing aged women (15-49) received more than two doses of tetanus 28,800 27,046 toxoid NUTRITION # caregivers/ mothers reached with Infant and Young Child Feeding services 153,600 n/a 72,000 65,045 # of children U5 screened for malnutrition 14,500 n/a 14,500 3,545 Basic Needs # vulnerable children receiving monthly cash assistance 237, ,290 75,000 55,677 children 9 (27,305 girls & 28,372 boys) Iraq Child protection: UNICEF, in collaboration with its implementing partners, provided psychosocial services to additional 1,267 children (G: 607 and B: 660) in November. Of these 326 (G: 125 and B: 201) children registered in November received specialized services from frontline Affected Population Registered refugee figures from UNHCR data portal as at December 13, M: Male; F: Female Registered refugees 244,527 M: 138,158; F: 106,369 Child Refugees (Under 18) 101,968 M: 53,551; F: 48,416 Child Refugees (Under 5) 37,902 M: 19,318; F: 18,584 workers. Services included cases of children with emotional distress, non-attendance of school, child labor, UASC, early marriage, gender based violence and disability. Including November, 1,963 children (G: 703 and B: 1,260) have received specialized services since January A total of 15,661 children (G: 7,810 and B: 7,851) were registered since January 2015, exceeding the UNICEF target of 14,252 for the year. 50 children (G: 17 and B: 33) were identified as unaccompanied and separated (UASC) in November. The total number of identified UASC since January 2015 is 138 (G: 28 B: 110). Outdoor activities for refugee children were restricted due to harsh weather conditions in the reporting period. Indoor activities will ensure children can access recreation in a protective environment. Warm winter clothing is needed for 11,309 children. Education: UNICEF supported Parent Teachers Associations (PTAs) to undertake rehabilitation works in 9 host community schools, with support received from the Directorate of Education. UNICEF continued repair on WASH services in 4 refugee camp schools. Parent Teacher Associations (PTAs) have been activated in 2 camp schools in Sulaymaniyah. 5 This reflects the new enrolment number provided by MOE at 29 Nov Previously UNICEF cited internal figures, which was 143, UNICEF/Save the Children-Jordan distribution for the schools bags for the school year is not reported on ActivityInfo (130,000 school bags). Scho distribution includes distribution to informal education learners as well 7 Arrivals at Raba Sarhan Transit centre + measles coverage in the camp and host 8 Target includes one sub NID round of 200,000 people and new arrivals totaling 48, Maximum reached was 56,215 in May; figure above represents November beneficiaries. 6

7 UNICEF, UNHCR and UNESCO agreed to provide teacher incentives with the Ministry of Education (MoE) at Erbil level for 911 teachers. 55 teachers in two new refugee schools in Dohuk and one refugee school in Arbat camp are now receiving incentives. In Sulaymaniyah Arbat camp school enrolment increased in all grades from 980 to 1200 and the Amuda camp school started to run in two shifts to accommodate all 700 students in grade 1-4. Health and nutrition: In November, 3,021 children (girls: 1,470 and boys: 1,551) under 5 were screened for weight and height in health clinics in eight refugee camps; 526 children (girls: 256, boys: 270) were identified as malnourished. Routine immunization in November reached 2209 children including 1,664 children under the age of 5 receiving polio vaccines, and 545 children receiving measles and vitamin A vaccination under an extended program for immunization. At the Peshkhabour Syria-Iraq border crossing 1,060 children were vaccinated against polio, while 938 children received the measles vaccine. In UNICEF-supported Baby Huts, 1,698 pregnant and lactating women were counselled on appropriate feeding practices through the Infant and Young Child Feeding program while 1,600 newborns and their mothers were visited by the home service team, checking for vital signs in the first 28 days post birth. In November UNICEF completed assessments of 70 Primary Health Centers in the Kurdistan Region of Iraq (KRI). Where needed, supplies have been ordered in collaboration with relevant DoH partners amounting to USD 145,146. The support would provide services to the catchment of 79,268 refugee population along with 2,391,106 host population. WASH: 30,654 beneficiaries were reached with water and sanitation services in 4 camps at Erbil in November. The services include cleaning latrines campaign, prevention of cholera and diseases prevention in general. Additionally 14 volunteers have been trained in construction safety. UNICEF supported the Oral Cholera Vaccination (OCV) campaign in November with hygiene promotion and social mobilization activities. Children were specifically targeted with activities on general hygiene awareness, and role plays on hygiene promotion. With support of partners including NRC and HARIKAR, UNICEF distributed 3,330 hygiene kits and 1,790 vouchers for hygiene kit tip up benefiting 28,953 individuals. In support of the WASH in Schools programme, UNICEF in partnership with NRC distributed 3,000 hygiene promotion leaflets to children. Hygiene promotion messages for World Toilet Day on 190 November reached 8,850 school children in 8 camp schools and one non-camp refugee location of War City. UNICEF supported the Directorate of Water Outskirts of Dahuk to supply safe (chlorinated) water for 40,632 refugees. Through support to the Directorate of Municipalities, UNICEF provided garbage collection and safe disposal in Domiz 1, Domiz 2, Gawelan and Akre refugee camps benefitting 40,632 individuals. Since January 2015, UNICEF has been able to provide 86, 185 individuals with sustainable access to sage water. 94,357 individuals with sanitation and 70,789 individuals with hygiene promotion services surpassing their overall planned targets for the year. SUMMARY OF PROGRAMME RESULTS (January November 2015) IRAQ WATER, SANITATION & HYGIENE (WASH) # emergency affected population provided with adequate access to safe water Sector 2015 targets Sector total 2015 results UNICEF 2015 targets UNICEF total 2015 results 71,468 23,121 45,024 23,121 # emergency affected population provided with sustainable access to safe water # emergency affected population with access to functional appropriately designed toilets & bathing facilities connected to disposal system (recurrent intervention) 10 # beneficiaries with routine access to solid waste collection and disposal services ,769 86,195 78,924 86,195 88,256 94,357 57,366 94, ,546 90,470 50,738 54,921 # beneficiaries received hygiene kits 120,219 56,024 49,290 43,551 # beneficiaries reached through hygiene promotion (recurrent intervention) 1 120,219 96,629 49,290 70,789 43,738 14,803 43,738 14, Some services in camps are being gradually handed over from UNICEF to other organizations and institutions, based on earlier agreements. It is expected that the number of beneficiaries reached by UNICEF will be therefore gradually declining, approaching the target set for UNICEF. 11 UNICEF results have decreased since January, because UNICEF has passed some of their solid waste activities to government partners. Results are anticipated to reduce over the coming months as more activities are handed over. 7

8 # children with access to safe WASH facilities in their learning environment and child friendly spaces CHILD PROTECTION # children with access to psychosocial support services 20,669 25,085 14,262 15,661 # children receiving specialized child protection services (reunification, alternative or specialized care and services) 7,950 4,336 3,500 2,101 # Para-Social workforce trained EDUCATION # boys and girls in basic education 12 27,012 31,512 24,782 28,919 # children who have received school supplies 27,012 36,465 24,782 25,563 # children with access to psychosocial support in education programmes 27,012 28,652 24,782 17,595 HEALTH # children under 1 immunized against measles 6,366 4,288 # newborn babies of conflict-affected families benefitting from newborn home services n/a 3,170 7,856 # children 0-59 months vaccinated for Polio , ,070 # health facilities in impacted communities supported NUTRITION # children under 5 provided with access to growth monitoring (nutrition screening) services n/a 14,382 29,449 RAPID RESPONSE & WINTERIZATION Most vulnerable children better protected from risks of winter with appropriate clothing n/a 50, ,552 Lebanon Health and Nutrition: To support the routine immunization programme, UNICEF procured 2,260 disposable syringes, reprinted 50,000 vaccination cards for the MoPH and provided technical assistance in developing and implementing the microplanning tools for the upcoming polio campaigns Affected Population Registered refugee figures from UNHCR data portal as at December 13, M: Male; F: Female Registered Refugees 1,070,189 M: 507,270; F: 562,919 Child Refugees (Under 18) 570,411 M: 291,091; F: 279,319 Child Refugees (Under 5) 201,196 M: 102,738; F: 98,457 Estimated host community affected* 1,500,000 n/a planned in January and February The campaign will be targeting 136,253 children in high risk areas in 17 cazas. To support the PHC activities of the MoSA, UNICEF supplied 20,160 bottles of Benzyl Benzoate lotion, 13,561 different essential medications and 100 firstaid kits to the SDCs. UNICEF supported the training of 60 health staff from MOSA in nutrition screening and referral. This training will ensure timely detection of acute malnutrition among vulnerable children under five receiving social services at SDCs. Overall acute malnutrition trends remain stable, and nutrition interventions are aimed at strengthening emergency nutrition preparedness and response capacity of government counterparts. Child Protection: On 6 November 2015, with the support of UNICEF, the Higher Council for Childhood (HCC) chaired by the Ministry of Social Affairs submitted the 4 th and 5 th combined State Party report to the Committee on the Rights of the Child. The drafting of this report was used as an opportunity to aggregate child rights related data for Lebanon, as well as to build the capacity of the HCC and representatives of various line Ministries to better understand child rights as stipulated in the CRC and to monitor its implementation. On the occasion of the annual 16-day campaign of activism against GBV, UNICEF and other UN agencies organized events in all regions of Lebanon with GBV partner organizations. Events were held in 234 locations, involving children, women, girls, and boys and community leaders and gatekeepers. The campaign started on 25 November 2015 and ended on 10 December 2015, reaching 52,105 individuals. In Akkar, for instance, UNICEF and partners organized puppet shows and interactive theatre events for women and girls living in Informal Settlements. The topics discussed during this interactive shows were chosen in consultation with the community, such as discrepancies of income/wages between men and women engaged in the agriculture sector, child marriage, and women s rights in inheritance. 12 Sector and UNICEF targets refer to children of 6 to 14 years enrolled in formal basic education. However the results for this age group are not currently available, and reflect enrolment across all ages (gross-enrolment). Results will be revised once the age-specific data is available. 13 The polio immunization campaigns target all children under the age of five years, including internally displaced people, host community members and Syrian Refugee children. Since more than 97 per cent of all Syrian refugees in Iraq reside in the KR-I, the 3RP funds for polio immunization are only used in Dahuk, Erbil and Sulaymaniyah Governorates. Immunization campaigns in the rest of Iraq are funded under the SRP. 8

9 Education: 152,269 non-lebanese children have been enrolled in formal public schools, and the enrolment is continuing. In November, UNICEF participated in a series of meetings in all governorates organized by the Ministry of Education and Higher Education (MEHE) at central level to facilitate the enrolment and retention of Lebanese and Syrian children in the public education system. The MEHE regional office and the school directors of the second shift schools of each governorate attended these meetings which aimed to provide clarity on the recently issued Standard Operating Procedures (SOPS) regarding school enrolment, class distribution and other issues pertaining to the organization of education. The SOPS were issued to regularize the enrolment of children in the public education system and to provide guidance to school directors to allow for a better understanding of this process and address challenges and misperceptions. Recurring issues are related to schools asking students for registration fees, residency papers and vaccination certificates. UNICEF is gathering these cases on a regular basis and raising them with the Ministry of Education at central level for follow-up. With the support of UNICEF, the Ministry of Public Health is sending vaccination teams to all public primary schools to vaccinate both refugee and Lebanese children. WASH: On October 13 th, there were 18 suspected cases of Typhoid in Informal Settlement 008 in Haoush el Oumara in Bekaa. Save the Children International and Beyond Association which are the implementing partners of UNICEF WASH and Health Sections, respectively, requested UNICEF support to take measures in Informal settlements in this area in order to prevent an outbreak. Beyond Association ensured immediate treatment and referral of patients through the deployment of Mobile Medical Units on site, while Save the Children mobilized efforts to eliminate the source of contamination. WASH interventions included a cleaning campaign of WASH infrastructures, conduction of Health Promotion sessions, distribution of 90 Hygiene kits, 100 Baby kits, 40,000 aquatabs and soap. The main source of contamination was suspected to come from the surrounding 24 private shallow wells that were therefore closed while water trucking was increased and provided on a daily basis. Since the completion of the intervention early November, no other cases were reported in the vicinity. Winter Programme: In winter UNICEF will provide support to over 380,000 vulnerable children living in informal settlements (IS) and host communities to protect them from the harsh winter conditions. Of these, 191,114 children (100,000 Syrian, 75,000 poor Lebanese and 16,114 poor Palestinian) will receive winter cash transfers. The objective of these $40 one-time cash transfers, for each child between 0 and 15 years of age in Informal Settlements, as well as the poorest Lebanese and vulnerable Palestinian children, is to provide their households with the means to cover a portion of their winter expenses. As of November 2, 2015, UNICEF started the distribution of fuel for heating and electricity to 581 high-altitude public schools (500m above sea level), which will benefit some 150,000 first and second shift students (Lebanese and Non-Lebanese). Fuel was also provided to high-altitude UNRWA schools for 2,600 Palestinian children. By the end of November, 90% of the fuel distribution of the first round was completed. In addition, assessments in all Informal Settlements were initiated with partners using a newly upgraded Uni-Supply App for cash transfer. Preparations with beneficiary communities and logistic assessments are on the way to support 40,000 families that are residing in hard to reach locations, who do not have access to nearby ATM machines. They will receive age-appropriate winter-clothing kits for their girls and boys in December. UNICEF also anticipates intervention for the provision of emergency support through partners for families severely affected by winter storms with a fully stocked contingency supply stock and updated contingency plans for 50,000 children and their families. SUMMARY OF PROGRAMME RESULTS (January November 2015) LEBANON Sector 2015 target Sector 2015 result 14 UNICEF 2015 target UNICEF 2015 result WATER, SANITATION & HYGIENE 15 # of individuals with improved water supply at an adequate level of service 2,862,291 n/a 592,614 1,121,977 # of individuals with access to improved sanitation facilities 478,184 n/a 151,266 89,549 # individuals who have experienced an HP session 2,008,651 n/a 773, ,723 # individuals with access to hygiene items 342,020 n/a 25,778 79,439 CHILD PROTECTION # of girls and boys provided with quality information 400,900 n/a 250, ,625 # of caregivers provided with quality information 170,272 n/a 150, ,335 # of girls and boys who received structured PSS 302,001 n/a 120,000 96,718 # of caregivers who received structured PSS 66,495 n/a 50,000 34,839 # of children accessing structured PSS in education spaces 47,545 n/a 20,000 1,570 # of girls and boys provided with specialized services 16 2,436 2, ,281 # of CP/non-CP actors trained 1,989/3,792 n/a 350/200 2,303/642 # of individuals who access static safe spaces 17 73,211 30,622 32,000 14, Sector results from October 2015 dashboards, with the exception of WASH which are from June. 15 UNICEF WASH results have been corrected due to reporting errors in previous months. 16 Only children who receive specialized services: children needing family-based care, emergency shelters, services for disabilities, WFCL including CAA specialized mental health services. 17 SGBV indicator. 9

10 # of individuals reached by mobile services 2 81,940 n/a 60, ,307 EDUCATION # of children (b/g) enrolled in formal basic education ,000 n/a 268, ,602 # of children (b/g) enrolled in NFE basic education (literacy/numeracy) 50,678 26,401 30,000 21,503 # of children (b/g) enrolled in formal ALP basic education 19 92,028 6,009 60,000 6,009 # of children (b/g) having received school supplies 481, , , ,972 # of public schools rehabilitated that meet safety and accessibility standards (as per MEHE regulation) # of teachers/educators/facilitators (m/f) trained 13,106 2,534 6,664 2,023 HEALTH # of primary health care consultations 20 1,989,208 1,093, ,500 1,563,179 # children under 5 receiving routine vaccination 236, , , ,311 # children vaccinated in campaigns 1,885, ,579 1,799, ,579 # of healthcare providers trained 6,029 2,530 2,500 1,408 NUTRITION # of children U5 screened for malnutrition 418,220 n/a 300,000 51,603 # of children U5 admitted for malnutrition management 14,282 n/a 13, # of individuals received micro-nutrient supplements (children and PLW) ,200 n/a 440, ,44 BASIC ASSISTANCE (WINTER RESPONSE) # of children (b/g) receiving clothing 22 n/a n/a 150, ,552 Turkey Education: According to revised data from the Ministry of National Education (MoNE), 278,890 Syrian children across the country are now enrolled in school a 30% increase over the end of the last school year (June 2015). Of these, 102,285 are enrolled in UNICEF-supported Affected Population temporary education centres (TECs) in camps and host communities. Registered refugee figures from UNHCR data portal as at December 13, M: Male; F: Female In partnership with MoNE and the Turkish Post Office (PTT), UNICEF has increased the number of Syrian volunteer teachers receiving monthly incentives to 7,629 more than doubling the sector target for 2015 and improving the quality of education for Syrian children. UNICEF continues to work closely with the MoNE to develop and implement Provincial Action Plans (PAPs) to scale-up Syrian children s Total refugees 2,291,000 Child Refugees (Under 18) 1,241,,722 Child Refugees (Under 5) 458,200 M: 1,163,828; F: 1,127,172 M: 641,480; F: 600,242 M: 240,555; F: 217,645 access to quality education. The plans include the provision of school supplies, furniture, and office equipment, as well as financial support to operational costs of schools improving the learning environment for children and allowing for the double shifting of more schools. PAPs have now been completed and are being implemented in 9 southeastern provinces, while 10 more are currently in development. Child Protection: 4,039 children benefitted from psycho-social support (PSS) in Child Friendly Spaces (CFS) and Adolescent Friendly Spaces in November, bringing the total to 43,908 children reached since the beginning of the year or nearly 88% of UNICEF s 2015 target. With UNICEF partner Support to Life in Şanlıurfa, a total of 575 children at-risk or engaged in child labour have benefitted from psycho-social support activities this year. Approximately 250 of these children were assessed as requiring additional support, of whom 104 were referred to publicly available services, and 12 received counselling, legal aid and other direct support. Despite the increased needs on the ground, significant challenges remain in implementing non-formal education programmes, including a lack of partners with sufficient experience and capacity to quickly scale up activities. 18 UNICEF results are based on MEHE estimated numbers shared on RACE executive Meeting. This includes 90,333 Lebanese and 152,269 non-lebanese st academic year Sector target has been updated to reflect the academic year. 19 6,009 is the number of children who enrolled in ALP classes. 4,072 children sat for the final test. 20 Of this, 1,224,722 consultations reported by MOPH for the PHCCs supported by UNICEF [From January to November 2015], while the rest 338,457 is from Info (January-October 2015). Sector indicators only account for AI results ,108 micro-nutrients + 47,341 energy biscuits 22 Winter 2014/

11 SUMMARY OF PROGRAMME RESULTS (January November 2015) Egypt TURKEY Child Protection: In November, 18 new high risk cases of Syrian children were highlighted through UNICEF organized two inter-agency case Sector 2015 target Sector total 2015 results UNICEF 2015 target UNICEF total 2015 results CHILD PROTECTION # of conflict-affected boys and girls with equitable access to child protection or psychosocial support services, including in Child- 50,000 43,908 Friendly spaces and mobile units # of conflict-affected boys and girls reached through specialised services from qualified frontline workers referrals 2,000 1,070 # of Syrian and Turkish adolescents in impacted communities who n/a are trained for social cohesion and peace building through peer 5,000 14,605 support, youth mobilization and advocacy 23 # of Syrian individuals trained through the parenting training programme 5,000 20,089 # of individuals trained on child protection and SGBV EDUCATION # school-aged children in schools/ learning programmes , , , ,285 # children who have received school supplies 250, , , ,724 # educational facilities constructed / refurbished and accessible by Syrian children in camps and non-camp settings n/a # (qualified) teachers trained 4,500 n/a 3,500 6,737 # qualified teachers supported with incentives 26 3,500 n/a 3,500 7,629 # children and adolescents receiving NFE/ IFE (Syrians, Other affected groups) 100,000 n/a 40, Affected Population Registered refugee figures from UNHCR data portal as at December 13, M: Male; F: Female Registered refugees 127,681 M: 65,117; F: 62,564 Child Refugees (Under 18) 55,541 M: 28,601; F: 26,941 Child Refugees (Under 5) 15,194 M: 7,789; F: 7,405 management conferences in Damietta and Alexandria. These high risk cases included cases of child labor, early marriage, sexual harassment, unaccompanied children, children held or who had been held in detention, and children requiring resettlement or who were being exposed to parenting violence. The cases presented by INGOs were referred to appropriate social services for follow up. This month, UNICEF s implementing partners also provided case management and psychosocial support to 755 Syrian children bring the total to 3,647 children reached with specialized services since 1st January This month, 1,762 Syrian children and adolescents had access to non-specialized community based CP and PSS through UNICEF s implementing partners marking a total of 15, 141 Syrian children reached with community based services since 1st January Syrian children had access to structured, sustained child protection and PSS programs (a total of 1,981 Syrian children since January 2015). UNICEF provided non-food items (clothes, blankets, covers, hygiene's and supplies) to 161 refugee children held in detention. 626 parents (a total of 4,503 since 1st January 2015) accessed community based child protection and PSS through UNICEF s implementing partners. A two days training with the health sector on child protection, case management and positive parenting skills took place in Alexandria in order to create linkages between primary health care workers and Child Protection Committees. This workshop aimed at informing the health sector on child protection, case management and positive parenting in order identify and refer cases of child rights violations. The workshop achieved to strengthen cooperation between the Health Ministry, health case workers, paediatrician network and the national Child Protection Committees in order to improve the referral mechanisms between the two sectors (health sector and CPCs). Health: Since January, a total of 5,235 Syrian women (15-49) years and 14,073 under 5 Syrian children received primary health care services through UNICEF supported 102 Public Health Units in 12 governorates. UNICEF is currently developing a desk review on the 2014 and 2015 data reported from the PHUs of MOH regarding number of Syrian women and Syrian under 5 children that received primary health care to review the geographic distribution of Syrian refugees. 23 The large increase reported this month is due to implementing partners having completed their review of their caseload for the year to date. 24 UNICEF targets and results for enrolment figures are cumulative, and calculated based on schools directly supported by UNICEF with multiple interventions. Children who are indirect beneficiaries of system support, including teacher training and incentives, have not been included to date. 25 Figures for educational facilities are cumulative 26 Incentives are to be paid to the whole target group each month 11

12 UNICEF worked closely with the Ministry of Health and Population (MoH) in the measles and rubella (MR) immunization campaign that took place from October 31 to November 21, 2015 targeting 23 million Egyptian and non-egyptian child aged 9 months to 10 years. The preliminary estimates are of a 23.2 million children reached including 16,222 Syrian children in 21 governorates. In cooperation with the MoH, UNICEF is in the process of analyzing the independent monitoring and coverage report of the MR immunization campaign that took place in November SUMMARY OF PROGRAMME RESULTS (January November 2015) EGYPT 2015 Sector Target 2015 Sector Results 2015 UNICEF Target 2015 UNICEF Results CHILD PROTECTION # children, adolescents with access to community based CP and PSS support 17,000 n/a 10,000 15,141 # parents with access to community based CP and PSS 3,400 n/a 2,500 4,503 # children participating in structured, sustained child protection or psychosocial support programmes (girls and boys) n/a n/a 1,000 1,981 # Syrian girls and boys with access to specialized psychosocial support case management 27 2,450 n/a 1,500 3,647 # government, civil society and community based organization staff trained 540 n/a 250 1,157 EDUCATION # Syrian children enrolled in formal education opportunities 45,954 41,000 14,500 13,181 # students reached by psychosocial support n/a n/a # community structures and KGs established n/a n/a # schools equipped and refurbished # schools provided with education resource rooms [1] 3,200 n/a 15 0 # teachers trained 2, # public and community school reached with child safeguarding mechanisms # teachers (m/f) trained on design and implementing plans for students with special needs n/a n/a # teachers/supervisors trained on active learning and multi-grade classroom management 1,000 n/a # managers trained (m/f) n/a n/a HEALTH # under 5 (Egyptian and Syrian) children immunized during polio NIDs 29 14,500,000 n/a # Syrian children under five years old immunized through the Routine immunization (measles) 30 15,000 n/a # Syrian women (15-49year of age) benefiting from Primary health services (including ANC, PNC, Hypertension) # Egyptian women (15-49) benefiting from access essential primary health services # Syrian new born with access to obstetric and neonatal intensive care units) UNICEF is not lead for the health sector 10,000 5,235 20,000 NA 15 NA 27 Results revised down due to partner verification 28 KG teachers 29 Unverified figures 15,000,000 (14,000 Syrians- April NID) 30 Unverified figures (22,200,000-16,222 Syrians in November immunization campaign) 12