Syria Crisis. Highlights Humanitarian Results. In Syria 6,000,000 #of children affected 13,500,000 # 0f people affected (HNO, 2015)

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1 ANNUAL 2015: SYRIA, JORDAN, LEBANON, IRAQ, TURKEY AND EGYPT Highlights UNICEF/UN06840/Sanadiki On 5 January, 2016, Ashraf is 15 and lives with his brother and sister, in this unfinished building in the informal settlement of Al-Khalidia Al-Khamisa in Homs, Syria. They have received a Winterization Kit from UNICEF of winter clothes and blankets. In Syria, despite continuation of the widespread conflict and the generalized insecurity UNICEF has reached 1.4 million people in Hard to Reach areas with integrated interventions and supplies (up 193% from 2014). In Jordan, 145,458 Syrian students accessed formal education in public schools in camps and host communities, and 168,003 Syrian children are now registered at 148 UNICEF Makani spaces, where they have access to life skills training, informal education, and structured psychosocial support. In Iraq, UNICEF increased access to sustainable safe water supply for 86,000 Syrian refugees and provided psychosocial support to 27,145 refugee children In Lebanon, through the support of UNICEF and other institutional donors, the requirement for refugee children to present a residency permit upon enrolment was lifted. As a result, a total of 147,285 refugee children are currently registered in public schools; UNICEF wholly or partially covered enrolment fees for 118,920 refugee children. Turkey became the largest refugee-hosting country in the world. UNICEF has built seven schools and Temporary Education Centres and renovated 201 more schools; UNICEF also provided learning materials for 284,124 refugee children and financial incentives for 8,700 Syrian volunteer teachers (a 290% increase from the previous year). In Egypt, in collaboration with UNHCR, UNICEF ensured that 100% of severely and highly vulnerable registered Syrian families and registered Syrian families with children under the age of five received winterization assistance through cash grants. Syria Crisis 2015 Humanitarian Results SITUATION IN NUMBERS In Syria 6,000,000 #of children affected 13,500,000 # 0f people affected (HNO, 2015) Outside Syria 2,296,955 #of registered refugee children 4,366,863 # of registered refugees (UNHCR, 4 Jan 2016) Syria Appeal 2015* US$ 279 million Regional Appeal 2015* US$ 624 million *January-December

2 Syria Estimated Affected Population (*) revised November Child figures are calculated based on estimate of 44.9% of population are children under 18 years old. Situation Overview & Humanitarian Needs After five years of protracted conflict, the humanitarian situation in Syria continues to deteriorate with basic needs having increased by 45% compared to The situation is characterized by widespread violence, indiscriminate attacks on civilian areas and mass internal and external displacement. By the end of 2015, more than 13.5 million people are in need of humanitarian assistance while 6.5 million people have been displaced, many on multiple occasions. Children have been particularly adversely affected accounting for almost half of the total number of people in need: close to 6 million. The situation remains particularly precarious for the 4.5 million people living in hard Total People in Need * Children in Need (Under 18) Total Displaced Population * Children Displaced People in Hard to Reach Areas Children in Hard to Reach Areas 13,500,000 6,000,000 6,500,000 2,800,000 4,490,000 Up to 2 million Children to reach and besieged locations who are cut off from regular access to assistance. In 2015 alone, more than 1.5 million people were displaced due to conflict, many fleeing across the border into neighbouring countries. The destruction and degradation of key infrastructure; schools, hospitals, electricity, water and sanitation systems has severely reduced access to basic services. Amidst a shortage of teachers, schools and classrooms, host communities in safer areas are struggling to accommodate the influx of internally displaced children. It is estimated that more than 2 million children are out of school. Trends of attacks on schools and hospitals as well as child recruitment/use are on the rise. Over 1 million children have not been reached by routine immunization and 70 per cent of the population live in areas where access to safe drinking water is uncertain or water is of poor quality. UNICEF s Response to Hard to Reach Locations: Access to populations in need remained one of the biggest challenges in Delivery of humanitarian assistance was hampered due to active conflict, insecurity, blocked roads and slow administrative procedures. However, despite these obstacles, UNICEF still managed to reach over 50% of the estimated hard to reach locations inside Syria supporting nearly 1.4 million people with multi-sector interventions and supplies (compared to 725,000 in 2014). One notable breakthrough in access was for the WASH programme in Ar-Raqqa where UNICEF delivered water treatment disinfectants and water purification tablets sufficient to provide 2 million people with access to clean water. In Idleb governorate, UNICEF rehabilitated water pumping stations serving 300,000 people. Throughout 2015, UNICEF participated in critical crossline missions both in coordination with OCHA and other agencies and alone. UNICEF conducted 4 crossline missions and participated in 16 inter-agency crossline missions reaching an estimated 1 million people with multi-sector support. Humanitarian Leadership and Coordination: UNICEF leads the WASH, Education and Nutrition sectors in addition to the Child Protection Sub-sector coordinating the humanitarian response across these programmatic areas to ensure effective planning, prioritization and resource mobilization. A major highlight for the education sector in 2015 was the completion of the Education Sector Analysis which provided a comprehensive update and evidence base on the situation for education. The analysis revealed that enrolment in basic and secondary education had dropped from 5.5 million in the academic year 2010/11 to 3.2 million in 2014/15. Accordingly, the current Gross Enrolment Rate (GER) is lower than the recorded GER of 1996 indicating that over two decades of educational progress have been lost as a result of the crisis. Attendance rates are especially low in Aleppo (25 %), Deir-ez-Zour (5 %) and Dara a (42%). In the wake of the deliberate water cuts to the main network in Aleppo in summer 2015, which precipitated a water crisis affecting 2.1 million people, UNICEF was instrumental in devising and coordinating a consolidated sector response plan focusing on water trucking and equipping ground water wells as alternative sources of water. UNICEF also initiated a working group on hygiene awareness through which the capacity of sector partners was strengthened with regular meetings and trainings taking place throughout UNICEF in cooperation with nutrition sector partners, launched a comprehensive SMART nutrition survey to form an evidence base on the nutrition situation in Syria. UNICEF in cooperation with sector partners trained survey teams who are conducting assessment in 11 governorates. The findings of the assessment are expected in April In partnership with UNRWA and PCBS (Palestinian Central Bureau of Statistics), UNICEF is conducting field staff trainings in preparation for a comprehensive situation assessment of Palestinian Refugees in Syria. The study aims to provide an up-to-date evidence base of the current socio-economic status and needs of 500,000 Palestinian refugees living in Syria- the first of its kind since A first draft report is expected in April As a result of UNICEF-led advocacy and efforts, child protection and psychosocial support coordination groups have been established at sub-national level in order to address child protection concerns and issues at governorate level. The sector has also conducted an assessment of existing monitoring and referral mechanisms which has provided vital information to support ongoing discussions related to the establishment of case management systems for child protection. Humanitarian Strategy: As part of the Whole of Syria framework, UNICEF is able to leverage its presence in Gaziantep, Turkey and Amman, Jordan to deliver cross-border assistance for maximum coverage and reach of affected populations inside Syria. UNICEF s 2

3 humanitarian response continues to be framed within specific programme strategies that are adapted to the evolving context and which integrate resilience building as a key component. In 2015, WASH interventions focused on reducing communities dependence on single sources of water, increasingly fragile and subject to attacks. Alternative and sustainable water sources were developed such as ground water wells and water infiltration galleries. In addition, the reliability of water networks damaged by the conflict was increased, through rehabilitation and repair. A clear focus on delivering immediate life-saving interventions - such as water trucking and the distribution of emergency WASH supplies complements the longer term resilience building approach. Health and nutrition focused on strengthening/reactivating routine immunization services and expanding access to primary and maternal care. As malnutrition rates continue to increase amidst scarcity and economic deprivation, UNICEF continues to support vulnerable communities through the Community-based Management of Acute Malnutrition program (CMAM). For the 2015/16 school year and as part of the ongoing Back to Learning Campaign, the education programme aims to address the education needs of 2 million children who are out of school. A cornerstone of this strategy is the introduction of the Self-Learning Programme targeting out of school children as well as a new fast-tracked alternative curriculum (curriculum B) to ensure that children who are re-enrolled are able to catch up on what they have missed. As part of its child protection and youth and adolescent development programs, UNICEF continues to focus on equipping young people with the skills, motivation and emotional support needed to build a more stable future for themselves. This is achieved through supporting CSOs in providing children and adolescents with psychosocial support, life skills based and remedial education, vocational training, and recreational activities. For 2016, an increased focus on cash transfers to families will aim at increasing their capacity to respond in a flexible way to the needs of their children, and help them to become more resilient towards the devastating impact of the protracted crisis. Specific attention will be paid to the needs of children with disabilities, through cross-sectoral interventions aimed at ensuring equal access and opportunities for these children. UNICEF is also looking at enhancing its cross border operation in geographic terms but also with regard to support to provision of quality essential services at local level such as education, primary health care (including routine immunization); nutrition, social protection, access to water. Summary Analysis of Programme Response WASH: During 2015, UNICEF supported 7.9 million people with access to safe drinking water and improved sanitation services through rehabilitation and maintenance of public water infrastructures including sewage networks. Out of these people, 2.6 million (35%) resided in hard to reach locations. This exceeded UNICEF s target for the year (3.5 million) by more than 100%. The achievement was partially due to the expansion of the program to all governorates (including Dara a, Sweida and Raqqa) beyond the five originally targeted governorates. As part of its emergency response to ongoing water crises around the country, UNICEF reached over 3 million people (out of which 1.2 million people were in hard to reach areas) with life-saving interventions including water trucking and distribution of WASH NFIs such as aqua tabs and gender-sensitive hygiene kits in collective shelters and host community settlements. In response to the water cuts experienced during 2015, UNICEF worked with sector partners to develop alternative water sources for improved sustainability and resilience. In 2015, 270 groundwater wells were equipped benefitting 2.5 million people in Damascus, Rural Damascus, Dara a and Aleppo Governorates. UNICEF provided water disinfectants to ensure access to safe and clean water for an estimated 12 million people (including 2 million people in Ar-Raqqa). A proxy indicator of the impact of WASH interventions has been the absence of major disease outbreaks such as cholera at a time when neighbouring countries are suffering outbreaks. For increased cost-efficiency and enhancement of local capacities, UNICEF is pursuing the local production of water disinfectants through saline electrolysis and has already installed 3 units in Damascus. This intervention will reduce costs of disinfection of 1000 cubic meters from $4.00 to $0.40. Education: With 2 million children out of school, an entire generation risks to have their future compromised, with very little support to their employability and self-esteem. In 2015, in line with the No Lost Generation Initiative, UNICEF worked with partners to address a range of increasingly complex barriers to education such as lack of access to hard to reach areas, a lack of teachers due to severance of payment systems and displacement, the ongoing destruction of classrooms and schools and reduced purchasing power of internally displaced families struggling to re-enrol their children back in the education system. During the 2015/2016 academic year, through the Back to Learning Campaign 2015/2016, UNICEF reached 1 million children with essential learning materials including school bags, textbooks and stationary. Learning supplies for an additional 1 million children are in the process of being distributed to schools. The campaign addressed demand-side barriers by covering some significant costs associated with sending children to school. In addition, UNICEF provided catch up remedial education to 387,000 children in 600 school clubs to 3

4 enable both in and out of school children out of which 20% live in hard to reach locations in Aleppo, Homs, Deir-ez-Zour, Hassakeh and Dar a. UNICEF completed light-rehabilitation of 327 schools in 11 governorates and established prefabricated classrooms in 10 governorates providing an improved learning environment for 272,000 children and helping schools accommodate internally displaced children. In 2015, UNICEF introduced two innovative approaches to reaching the most marginalized children: a self-learning programme (SLP) targeting out-of-school children with an alternative education opportunity; and an accelerated learning programme (Curriculum B) for children in school who have missed out on multiple years of education due to internal displacement and are struggling to catch up with their peers. So far the SLP has benefitted 1,294 children in Aleppo and Hama as a pilot before expansion in Ahead of the roll out of Curriculum B in 2016, 51 master trainers have been trained on associated teaching methodologies for cascaded trainings of 990 school teachers in Health: UNICEF in collaboration with WHO, supported the Ministry of Health to implement 4 nation-wide polio campaigns and 2 sub national campaigns reaching almost 3 million children under five in Capacity development of health workers was instrumental to ensure the quality and reach of these campaigns. A total 5,000 health workers were trained in the planning, coordination and logistics associated with the campaigns. In 2015, routine vaccination services were strengthened through the development of acceleration plans, trainings, monitoring and supervision from UNICEF and sector partners. As a result, 310,000 children received DTP (diphtheria, pertussis and tetanus) vaccinations and 520,000 children were vaccinated against MMR (Measles, Mumps and Rubella), as well as, 2,989,659 children under the age of five were vaccinated against polio (including through cross border assistance), constituting 100% target coverage in 12 Governates with some cross-border support. In the context of frequent power outages, UNICEF also supported the vaccine cold chain by installing 862 solar fridges in health centres throughout the country. During 2015, UNICEF delivered primary health care services to 1.1 million women and children through 56 mobile clinics and 51 health centres. UNICEF supported the capacity development of more than 10,000 health workers through training on maternal and child health care. In addition, 1.2 million (200,000 in hard to reach locations) people were reached through the distribution of medical items such as inter-agency health kits and midwifery kits. In response to the increasing prevalence of typhoid throughout the country, and especially in Idleb, Deir-Ez-Zour and Rural Damascus, the Rural Damascus Health Directorate was supported by UNICEF to distribute 5 million aqua tabs (enough for the treatment of 100 million litres of water) to areas most affected by water borne diseases (Yalda, Babila, Bet Sahem and Yarmouk camp). Nutrition: In 2015, UNICEF continued to provide nutrition services to conflict-affected children and mothers in all governorates, except Raqqa and Idleb. These nutrition services include both prevention and treatment of malnutrition and micronutrient deficiency. It is estimated that around 4 million women and children are in need of nutritional support. More than 514,000 children and pregnant and lactating women received micro-nutrient supplementation. In addition, 655,000 children received nutrient supplements such as Plumpy Doz and fortified spreads. With malnutrition increasingly prevalent, UNICEF has undertaken an extensive capacity development of partners in response to the situation. Through this capacity development initiative, 863 front line health workers have received training on screening and referral of malnutrition cases and infant and young feeding practices through the community management of acute malnutrition (CMAM) approach. In 2015, more than 13,000 children were treated for acute malnutrition. Child Protection: In 2015, UNICEF expanded the provision of child protection and psychosocial support services to children and caregivers through enhanced capacity of partners, increased partnership with NGOs (from 13 in 2014 to 23 in 2015) and expansion of the number of child friendly spaces. As a result, 454,000 children and caregivers benefited from structured psychosocial support. In addition, 386,000 children and care-givers benefited from outreach psychosocial support and child protection awareness interventions, with 9,144 children benefitting from specialised services by referral. UNICEF contributed to local capacity building training of almost 2,200 staff of national NGOs on child protection and psychosocial support. UNICEF supported development and finalization of the National Risk Education Strategy and as well local capacity building initiatives in partnership and close collaboration with Ministry of Education (MoE) and Danish Refugee Council (DRC). At least 1,053,828 children in nine governorates have been sensitized on risks of explosive remnants of war through school-based risk education programme. The 1.3 million target for 2015 could not be achieved mainly due to a dramatic increase of insecurity. More than 4,145 school teachers have been trained on risk education by 71 trained master trainers. In order to reach children particularly out of school boys and girls in hard to reach areas, UNICEF produced a self-learning DVD on risk education. Adolescent Development and Participation: Despite the complex political and security conditions in the country, UNICEF has continued to maintain a strong focus on promoting the active participation of adolescents and young people, in the awareness of their central, and key role in the future developments of the country. In 2015, more than 400,000 adolescent boys and girls (51% female) in 13 4

5 governorates of Syria benefited from a comprehensive package of services provided by UNICEF and partners in line with the No Lost Generation framework. Through vocational training and life skill based education (LSBE), 192,000 adolescent boys and girls have benefitted from improved access to opportunities to develop and learn. In addition, UNICEF trained 4,272 in LSBE and vocational training, including psycho-social support, and in turn trained 197,525 adolescent girls and boys through both structured centres (in 10 governorates) and mobile outreach (in 11 governorates). The coverage reached in 2015 exceeded threefold the one of the previous year (126,000), an achievement attributed to enhanced mobile outreach, which allows for broader coverage of marginalized adolescents and youth. Through a comprehensive and proactive outreach, more than 50,000 adolescent girls and boys participated in 1,000 adolescent-led initiatives on various issues at community level, and as a result broadened their engagement with other peers. Basic Services: In response to the winter conditions, increasing fuel prices and poorly insulated IDP shelters, UNICEF launched a winterization response aiming to reaching 1 million children with winter clothes, blankets and school heating supplies. In 2015, UNICEF reached 401,657 children with winter kits and blankets out of which 77,370 are living in hard to reach locations. All the kits were produced locally, and allow UNICEF to inject resources into the local economy contributing to increased local employment while responding to children s needs. In 2016, a voucher programme will be introduced to facilitate the access of families to winter kits through local markets targeting the families of 100,000 children. In total, UNICEF distributed both summer and winter materials to 782,000 children out of which 113,000 live in hard to reach areas. Cross border assistance from Gaziantep and Amman, reached 1,641,921 people in Syria with integrated supplies and services, including 555,000 people reached through the rehabilitation, operations and maintenance of water networks, provision of hygiene supplies and hygiene promotion activities, 1.2 million patients benefitted from health supplies distributed to 59 hospitals and 35 primary care facilities, 43,000 children were received structured psychosocial support and 34,900 people received NFIs in the Northern and Southern governates of Syria. UNICEF has been able to cross conflict lines to reach over 740,000 people in 43 hard to reach areas with supplies as well as critical services in water and sanitation, health, nutrition, and education. In December 2015 alone, the following has been possible in hard to reach areas: 10,000 people reached with health supplies in three locations in Aleppo and Hama; 39,000 people reached with water treatment chemicals in seven locations in Quneitra. SUMMARY OF PROGRAMME RESULTS (January-December 2015) WHOLE OF SYRIA WATER, SANITATION & HYGIENE * # affected population provided with improved water and sanitation services by developing, rehabilitating and maintaining the 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 improved WASH services CHILD PROTECTION # children receiving Explosive Remnant of War 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 7,966,555 4,800,000 1,458,680 2,340,000 1,218,564 2,900,000 4,104,985 2,340,000 3,043, , , , ,809 1,450,000 1,053, , , , ,040 # child protection actors/ stakeholders trained (women, men) (4) 3,600 2,195 EDUCATION # children (6-17) with access to formal education (1) 3,500,000 n/a 500, ,980 # children (6-19) with access to non-formal education opportunities (2) 4,500,000 n/a 1,600, ,908 5

6 # teachers and education actors with access to professional training and capacity development initiatives (3) 480,000 n/a 7,600 2,272 # children (3-15) receiving Back to Learning (BTL) materials (4) 4,500,000 n/a 3,000,000 1,042,482 HEALTH # children under five reached with polio vaccine (1) 2,900,000 2,989,659 # children under one with routine vaccination (2) 570, ,982 UNICEF not sector lead # children & CBA women accessing basic health services (3) 1,300,000 1,108,258 # estimated population benefiting from health item distribution n/a 1,815,759 NUTRITION # children under 5 and PLW (pregnant& lactating women) receiving multi-micronutrients supplementation (1) 2,200, ,121 1,000, ,892 # children 6-59 months receiving nutrient supplements (2) 517, , , ,021 # children 6-59 months treated for Global Acute Malnutrition (3) 21,000 13,842 21,000 13,046 SOCIAL PROTECTION # families receiving cash assistance to meet their basic needs (1) 20,000 0 # children benefitting from winter and summer materials including UNICEF not sector lead winter/summer clothes and blankets (2) 500, ,970 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 centres Child Protection 1) Explosive Remnants of War 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) Non-formal education (some of which can improve learning in formal schools): includes 1.6 million children and adolescents provided with self-learning materials in addition to 500,000 children provided remedial education, 165,000 adolescents provided 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 Health 1) Sub-national Campaign between the 22 nd and 26 th of November 2015, final 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 centres 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: 527,238 children and 27,883 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 lipidbased 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 al-hassakeh 6

7 Jordan Situation Overview & Humanitarian Needs In 2015, the prolonged conflict in Syria continued to have a profound impact on Jordan. The population increase resulting from the refugee influx placed increasing pressure on Jordan s scarce resources, such as water reserves, and increasingly strained national institutions responsible for delivering social services. Refugees who rely on Jordan s protection and on assistance from the international community were affected by cuts in food assistance and restricted access to primary health services. Inequality in the country, as evidenced by significant disparities in key indicators, continued to be a grave concern requiring innovative solutions. Due to the protracted nature of the Syrian crisis, a significant proportion of the refugees that fled the country have depleted their savings and are reliant on support from local communities, the government and the international community. Although incredibly resilient, many families are resorting to negative coping mechanisms directly impacting children, including child labour, child marriage and an increasing amount of children dropping out school. Humanitarian leadership and coordination: In 2015, UNICEF Jordan reinforced key partnerships with the Government of Jordan (GoJ), UN and NGOs. UNICEF collaborated with UNHCR to support 56,000 vulnerable Syrian children in host communities with an unconditional child cash grant, and coordinated with WFP on providing winter clothing assistance to 52,000 children in camps. UNICEF Jordan supported the Ministry of Health (MoH) in training over 1,2oo personnel nationwide on routine immunization, supporting the national efforts to fill the gaps in immunization coverage and reaching the unreached. UNICEF Jordan promoted a resilience approach to strengthen the link between refugee response and national health systems strengthening (immunization systems in particular) through a new partnership with the MoH, Centers for Disease Control, the IOM, WHO, and UNHCR, leading to an enhanced temperature monitoring and alarm system of the national cold room for the Expanded Programme on Immunization. UNICEF and UNHCR supported the Government of Jordan in formalizing alternative care for unaccompanied and separated Syrian refugee children in Jordan, and in partnership with Ministry of Social Development (MoSD), trained judges, NGO and government social workers in order to ensure that all stakeholders understood the new processes and procedures. In order to expand availability of quality psychosocial support and case management services, alternative education and life skills training for children and young people, UNICEF rolled out the integrated Makani approach with 20 NGO partners in 2015, now offered in 148 locations nationwide. In the WASH sector, UNICEF Jordan coordinated with the Ministry of Water and Irrigation (MoWI) on prioritizing critical interventions based on evidence, supporting Water and Sanitation Vulnerability mapping, the Project Monitoring Database and a nationwide WASH in Schools assessment; and the integration of the key findings into the National Water Strategy and the Jordan Response Plan (JRP) The findings from these assessments has enabled the GoJ and partners to accurately prioritize the areas in most need of support with key projects listed in the Jordan Response Plan. The GoJ launched the Jordan Response Plan (JRP) in December 2015, with budget requirements totalling nearly $8 billion for the 36-month period, including UN funding needs and direct budget support. The JRP includes components for 3RP, and provides a basis for the humanitarian appeal for UNICEF Jordan s requirements for January December 2016 total $228M. Humanitarian Strategy: UNICEF continued to provide humanitarian assistance to the most vulnerable children in the country at scale during 2015, with increasing utilization of innovative solutions to further strengthen resilience. Notable examples include the costeffective delivery of unconditional child cash grants to families of 55,000 highly and severely vulnerable registered Syrian refugee children in 2015 a system coordinated by UNHCR. With the transition to a protracted emergency, greater emphasis is being placed on promoting cost efficiency and sustainability of programme interventions. UNICEF examples in 2015 include the roll-out of the Makani integrated approach, which expands provision of quality psychosocial support services, alternative education, and life skills education for children and young people at 150 existing UNICEF partner locations across the country. Furthermore, UNICEF continues to establish sustainable infrastructure in Za atari and Azraq camps. Summary Analysis of Programme Response Affected Population Registered refugee figures from UNHCR data portal as of January 4, M: Male; F: Female Registered refugees 633,466 M: 312,235; F: 321,231 Child Refugees (Under 18) 330,036 M: 169,769; F: 160,267 Child Refugees (Under 5) 108,956 M: 55,745; F: 53,211 WASH: The provision of essential WASH services continued throughout 2015, benefitting approximately 122,055 refugees who lived in or transited camps, including an estimated 66,989 children in Za atari, Azraq, King Abdullah Park and Cyber City camps. Throughout 2015, UNICEF supported provision of a daily average of 3.9 million litres of treated water, collection and disposal of over 1.3 million litres of wastewater, and 800 m3 of solid waste; maintenance of sanitation facilities; as well as the dissemination of key WASH messages. To improve access to water in host communities, UNICEF supported the rehabilitation of water infrastructure, including pumping stations, water sources and transmission lines, in the most affected Governorates, which benefitted 841,339 people. To reduce congestion in the wastewater systems and the risk of overflow, support was provided to rehabilitate treatment plants and networks, which benefited 331,872 people. In 199 school locations, WASH facilities were rehabilitated benefitting 60,869 students. To support vulnerable people and households, UNICEF undertook interventions at community and household level reaching over 16,800 people to improve access to water and sanitation facilities and services. 7

8 During 2015, significant progress was made to transition to more equitable, cost effective and sustainable interventions through the operation of the Za atari Wastewater Treatment Plant and the new boreholes in Za atari and Azraq, which have significantly reduced the cost, and improved the quality and efficiency of the services delivered. In late 2015, a number of water-saving (and ultimately costsaving) measures were introduced to reduce the volume of water being abstracted and distributed, including the re-use of water. Treated water from the Za atari Wastewater Treatment plant will be provided to an adjacent farm for agricultural production, further reducing the volume of water being abstracted. To complement the transitional strategy, and to better understand the coping mechanisms of Syrian refugees, a Cash For Work study was commissioned and will be shared across multiple sectors to inform transitional approaches in Education: UNICEF Jordan and partners continued to work on providing access for Syrian children to formal education and encouraging alternative forms of learning. In September 2015, UNICEF launched a Learning for All campaign, raising awareness of the importance of learning through door-to-door visits, information materials, the support of religious and street leaders, and peer-to-peer educators. These efforts contributed toward a 10% increase in Syrian refugee children s enrolment in formal education in the 2015/2016 academic year. By December 2015, 64% of school-aged Syrian refugees were enrolled in public schools across Jordan for the school year 2015/ ,030 Syrian children have enrolled in UNICEF-supported non-formal education drop-out programming implemented by the MoE and Questscope. Enrolment in camp schools was maintained at 22,757 (49 per cent boys and 51 per cent girls). Starting in May 2015, a collaboration between UNICEF Jordan and the MOE led to reducing the student-teacher ratio in camp schools, including in Za atari camp where the number of students per class was reduced from an average of 75 to 40. Makani integrated approach: In 2015 within the No Lost Generation initiative, UNICEF Jordan adopted an integrated approach encompassing child protection, alternative education, and life skills training in 148 partner sites to reach larger numbers of refugees and host community members in a cost-effective manner in particular, to reach out-of-school children in The integrated programming approach aims to address challenges and lessons learned in Jordan in order to make the best use of available resources and to offer quality multi-sectoral services. The sites are referred to as Makani (or My Space ) with the motto, I am safe, I learn, I connect. UNICEF has held multiple discussions with donor government representatives and the Ministry of Education to ensure this initiative to provide alternative education to out-of-school children complements ongoing efforts to increase the capacity of Jordan s schools, and to ensure children who pursue alternative education receive letters of equivalence to permit re-entry to formal education. In 2015, UNICEF has engaged 20 implementing partners (CBOs and NGOs) and currently has 148 Makani centres in place, with plans to scale up to over 226 centres in As of December, 168,003 children (52% girls) are registered at Makani spaces and/or child and adolescent friendly spaces through which they have access to life skills and informal education in addition to the quality structured psychosocial support offered at all UNICEF-supported child protection centres. A total of 12,419 children (11,955 in Makani) were newly registered for psychosocial support in the month of December alone. A total of 38,781 children accessed UNICEF-supported informal education during 2015, and over 47,480 young people (55% girls) accessed life skills training, with many reached in Makani locations. Of the young people benefitting from life skills training, 38,222 young people accessed life skills activities in host communities (16,493 boys and 21,729 girls between the ages of 10 24, Syrian and Jordanian); while 9,258 young people (4,804 boys, 4,454 girls) accessed the life skills programme in camps. Capacity building activities continues to be provided to partners implementing life skills to enhance the quality of the programme and to be able to measure the impact on young people. Moreover, young people (225 girls and 275 boys) were trained on peace building by 52 certified delegates in 10 centres nationwide, and an additional 2,800 community members were involved in social cohesion activities. UNICEF continues to expand and scale up the Makani approach in order to increase access of children to Informal Education IFE services. Child Protection: In 2015, UNICEF and partners reached 168,386 vulnerable girls and boys in camps and host communities with psychosocial support services (PSS) through Makanis and other child and adolescent friendly spaces. A total of 6,772 of these children received multi-sectoral child protection (CP) and gender-based violence (GBV) case management services. To improve the quality of services provided at UNICEF-supported spaces and Makani centres, over 2,100 frontline workers and 2,900 volunteers and members of child protection/communities committees were trained on child protection, GBV and psychosocial support related issues. Health & Nutrition: In 2015, UNICEF Jordan provided technical and financial resources to emergency health, immunization and nutrition services in response to Syrian refugee arrivals to Jordan. While Syrian refugees pay the uninsured Jordanian rate to access primary health care services, immunization is free to all regardless of nationality in Jordan. The health sector vulnerability analysis found that 41% of Syrians are part of households with severe health vulnerability and 15% are part of highly health vulnerable households. UNICEF Jordan in partnership with the MoH and International Organization for Migration (IOM), supported the immunization of nearly 12,410 Syrian refugee children between the ages of 6 months to 15 years against measles and 12,274 children under the age of 15 against polio upon their arrival to Jordan. Vitamin A supplements was also provided to 4,630 children (6-59 months). 8

9 The Reach Every Community outreach immunization programme was initiated in July, covering 33 high risk areas in all 12 governorates. In addition, a real-time immunization data monitoring system was developed to identify and provide critical services. Capacity of community health workers was improved to provide home-visits for new-born care services through the Infant and Young Child Feeding plus (IYCF+) approach supported by UNICEF. In 2015, IYCF+ centres in Za atari, EJC, Azraq camps, host communities and the Raba al Sarhan Transit Centre reached 72,739 pregnant and lactating mothers with nutrition counselling and support, including breastfeeding promotion to support infant health. Basic Needs: In February 2015, UNICEF initiated an unconditional Child Cash Grant (CCG) programme aimed at assisting the most vulnerable Syrian refugee families registered in host communities. In December 2015, UNICEF transferred an 11th monthly unconditional Child Cash Grant (CCG) instalment to the most vulnerable 54,452 children and their families reaching 84% of Syrian refugees in Jordan. UNICEF also assisted 512 unaccompanied and separated children. The CCG programme provides a grant of JOD 20 (USD28) per child per month with the aim that it will enable families to cover their children s basic needs and to provide a safety net preventing the families from resorting to the use of negative coping strategies that impact upon child wellbeing. Third-party Post Distribution Monitoring has highlighted that the CCG has significantly benefitted children and their families in all key areas initially identified by the programme food, education, health, recreation and non-food items. The most significant benefit can be seen in relation to education. The educational attendance rate has actually grown over the lifetime of the programme, resulting in 84% enrolment of beneficiary families with school age children at the end of Additionally, 95% of families have been able to cover other expenses for their children that they could not manage before receiving the CCG, such as fresh foods, healthcare, and essential clothing and shoes. UNICEF intends to continue the CCG programme in 2016 and aims to reach 75,000 of the most vulnerable children. In December 2015, UNICEF provided the families of almost 52,000 children in camps with one-time conditional cash grants of JD 20 to enable families to fulfil winter needs, and provided winterization cash grants to families of 25,562 vulnerable children in host communities. Through a partnership with the World Food Programme (WFP), families of all children in Za atari and Azraq camps received JD 20 per child through the WFP e-card system. Families can choose from a variety of items available at camp-based supermarkets through mid-january. SUMMARY OF PROGRAMME RESULTS (January December 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, ,223 1,700, ,858 # people with access to potable water in camps 1 307, , , ,055 # people reached through messages on key hygiene practices 2 614, , , ,339 # people with access to appropriate sanitation facilities through improvement/extension of sewerage systems and household facilities in host communities 1,467, , , ,065 # people with access to appropriate sanitation facilities through waste management 3 services in camps 140, , , ,055 # children having access to WASH services in schools, clinics and child-friendly spaces in host communities 241, , , ,000 # boys and girls having access to WASH services in schools, clinics and child-friendly spaces in camps 45,000 67,172 45,000 67,172 CHILD PROTECTION # children/ adolescents with access to psychosocial support services (level 2&3) 4 333, , , ,386 # children receiving specialized services from case management services from qualified frontline 7,008 workers 5 21,025 14,296 13,785 # community members, including children, sensitized on CP issues, services available and 96, , , ,000 referral pathways 6 # of GoJ officials, civil society & humanitarian workers trained on CP 7 2,592 2,502 1,050 2,114 EDUCATION and YOUTH # school aged Syrian boys and girls registered in Jordanian public schools (primary and secondary) 160, , , ,458 8 # children and youth benefiting from alternative certified non-formal education 71,208 1,905 7,500 1,905 1 UNICEF WASH includes Za atari, Azraq, King Abdullah Park and Cyber City refugee camps. 2 Inclusive of camps, schools & host communities; increase from last month which did not contain host community data. 3 Includes solid waste and waste matter 480,627 boys & 87,759 girls 53,564 boys & 3,444 girls 642,407 boys & 53,972 girls 7793 boys & 1,321 women 8 This reflects the new enrolment number provided by MOE at Dec

10 # children and youth benefiting from alternative informal education (basic learning and numeracy) 118,144 41,705 80,500 38,781 # children and youth benefit from technical skills/post-basic education ,615 3,500 4,162 # children and youth (10-24 yrs old) benefit from life skills activities ,811 58,000 47,977 9 # children who have received school supplies 210, , , , # teachers, school supervisors, counsellors and other educational personnel trained , ,879 HEALTH # children 9mo-15yrs vaccinated for measles 11 34,000 24,956 # children 0-59 months vaccinated for polio , ,259 n/a # children <5 yrs (boys and girls) fully covered with routine Immunization antigens 34,000 15,489 # child bearing aged women (15-49) received more than two doses of tetanus toxoid 28,800 29,917 NUTRITION # caregivers/ mothers reached with Infant and Young Child Feeding services 153,600 n/a 72,000 72,739 # children U5 screened for malnutrition 14,500 n/a 14,500 7,972 Basic Needs # vulnerable children receiving monthly cash assistance ,228 n/a 75,000 56,215 Iraq Situation Overview & Humanitarian Needs The majority of Syrian refugees in Iraq (around 97 percent) are hosted in the three northern governorates of the Kurdistan Region of Iraq (KRI). Numbers have remained relatively stable throughout the year, reaching a 2015 peak of 251,690 individuals at the end of July. The protracted humanitarian crises and prevailing security situation have Affected Population Registered refugee figures from UNHCR data portal as of January 4, 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 severely affected the economic situation, in particular in the KR-I where public services are strained and financial resources of the government, host communities and refugees are diminishing. Budget and oil revenue disputes between the Federal Government and KR-I remained unresolved, resulting in delays in payment of public sector salaries including for teachers, and stalling of public infrastructure projects. The challenging economic situation affects refugees particularly in urban and semi-urban locations. UNICEF remains concerned about the future of children in the region, including Syrian refugees. The No Lost Generation (NLG) initiative was the basis for several interventions in Iraq in 2015, also aligned with the regional Refugee and Resilience Response Plan ( 3RP ). 3RP partners promoted sustainable resilience based approaches at national and community levels. In Iraq, an NLG pilot project developed community-based action plans in 3 locations in Dahuk and Erbil in coordination with the Ministry of Culture and Youth. Through these plans, communities supported cultural events for youth about issues facing young people in their area. Skills development sessions took place in a dedicated summer camp event in Dahuk, engaging 100 Syrian refugees, IDPs, and youth from Dahuk to develop cross-cultural understanding, social cohesion, self-expression and communication skills. UNICEF supported a local survey in Dahuk on out of school Syrian children; key results show that causes of dropout are lack of transportation to school, or lack of means to pay for existing transportation to school; departure of children and families from Iraq to European countries; the child is required to work to support the family; teacher shortage or lack of space leading to cancellation of classes for students; inhospitable learning environments in winter reducing children s enthusiasm to attend school. Humanitarian leadership and coordination: UNICEF Iraq co-leads the WASH and the Child Protection Working Group (CPWG)with UNHCR and co-leads Education with Save the Children. In its role as WASH Sector co-lead, UNICEF also coordinates with health actors, including with the WHO-led Disease Surveillance System. National ownership and sustainable service delivery of safe water services has been encouraged through work with Directorate of Surrounding Water, the Board of Relief and Humanitarian Affairs (BRHA), and the Erbil Refugee Council. WASH committees comprising of refugees (women and men) have been established and trained to maintain facilities in refugee camps. UNICEF Iraq has directly supported the Development of national WASH Cluster Minimum Standards and Indicators enhancing standardization of approaches, responses, and prioritization. As co-lead for the CPWG, UNICEF Iraq has supported the development of the national Child Protection Strategy and Response plan. Aimed at protecting and promoting the rights of Syrian Refugee Children in Iraq while also building their longer-term resilience, the 9 This include ActivityInfo and figures provided by UNICEF Youth section for post basic and life skills. 10 Distribution of 130,000 schools bags for the school year conducted by SCJ is not reported on ActivityInfo, School supplies distribution includes distribution to informal education learners as well. 11 Arrivals at Raba Sarhan Transit centre + measles coverage in the camp and host 12 Target includes one sub NID round of 200,000 people and new arrivals totalling 48, Maximum reached was 56,215 in May; figure above represents December: 27,568 girls, 28,647 boys 10

11 strategy focused on systems strengthening, advocacy, community- based interventions and provision of quality services. Inter-Agency Standard Operating Procedures (SOPs) for the Case Management, a guidance note on the Child Marriages, and Best Interest Determination (BID) procedures for the Unaccompanied and Separated Children (UASC) were also developed, endorsed and rolled-out across the different governorates. Humanitarian Strategy: In 2015, UNICEF s humanitarian response strategy for Syrian refugees in Iraq remained focused on providing access to basic services in line with the 3RP. UNICEF s interventions include capacity building of local actors and communities that host Syrian refugees, enhancing their ability to withstand economic and social shocks. UNICEF collaborates with NGO partners and Iraqi civil society to monitor and report on grave violations against children in armed conflict. Summary of Programme Response WASH: As a sector lead, UNICEF made significant improvements in coverage, quality, and access to sufficient, safe and resilient WASH services for refugees in 10 camps across Iraq. Average daily water provision in refugee camps increased to reach 109, 316 people in 2015 (up from 48,898 in 2014). Access to sanitation increased, with a current average of six people per latrine and nine per shower, in line with targets for household level provision. UNICEF provided safe drinking water and improved latrines and showers throughout the year reaching over 94,000 beneficiaries. The Directorate of Municipalities Dahuk continued with garbage collection and safe disposal in the same camps. Efficient use and conservation of household water is an area which needs increased community advocacy in the coming months. In Dahuk, a funding shortfall in 2015 has impeded progress to a proposed water intake project from the Mosul Lake that would support safe drinking water to Domiz 1 and 2, which together make the largest Syrian refugee camp in Iraq. Education: Education partners are working together in 53 schools in the KRI, where 25,563 Syrian children have received education supplies; 1,425 teachers and education personnel have been trained in psychosocial support in the classroom; 4,635 children are benefitting from Early Childhood Care and Development (ECCD) activities. With the ongoing lack of education space remaining a challenge across Iraq, UNICEF has provided 125 new pre-fabricated classrooms and established 8 new schools in camp and non-camp locations. Transportation support exists for 90 refugee students to the non-camp Gire Sipe School Sulaymaniyah; however, with current available funding, this support can only be provided for three months. At the request of the KRG Directorates of Education in northern Iraq, as of December 2015, UNICEF has supported incentives to 314 teaching staff and 52 support staff in 18 schools across the three governorates of the KRI. Providing this support has helped to keep over 11,600 children in school. However, UNICEF recognizes that the support is limited - as current incentives remain less than a full government salary. In addition, the international community currently only has funding to provide this support for a limited time. Finding sufficient qualified teaching personnel has been an ongoing challenge in It is estimated that approximately a third of teachers from the 6 schools in Domiz 1 camp have left the country. The quality of education has been negatively impacted by a lack of curriculum books, the need for appropriate training for the newly-recruited teachers and facilitators on psycho-social support. Child Protection: Since the beginning of 2015, 16,489 newly-registered children have received psycho-social services with an additional 828 newly registered children in December Since the start of the year, 3,243 newly-registered children have received specialized services from frontline workers, including the 386 newly-registered children in December. Cases included children with emotional distress, non-attendance of school, child labour, early marriage, gender based violence and disability. Since January 2015, child protection partners have identified 515 Unaccompanied or Separated Children (UASC) (girls; 168 and boys; 347). Where appropriate and possible, children are referred to specialised services or placed in protective care. In November and December UNICEF and partners supported the 16 Days of Activism Against Gender-Based Violence (GBV), through awareness sessions for parents, youth and children on the risks of early marriage in a few camps. At the end of 2015, UNICEF supported 18 Child Friendly Spaces for refugees, 14 static and 4 mobile. Thirteen are in camps, while five are in non-camp locations. In 2015, child protection partners moved to increase community-based protection and outreach work to support local resilience, including widening service delivery to Syrian refugees living in urban and peri-urban settings as an integral component to enable refugees access to protection and assistance, to build local capacity and resilience, and to promote a cost effective approach to child protection activities. Health and Nutrition: Funding for health services was particularly restricted in 2015, meaning that in general healthcare in camps was prioritized over support to national health systems. However as part of the health sector s resilience building activities, Primary Health Centre (PHC) services for refugees began integration into the national health system where possible. Certain camp PHC services were moved outside camps and started to serve host community members in addition to refugees. Through the Extended Immunization Program (EPI), over 880,000 Syrian refugee and host community children under 5 received oral polio vaccine and more than 4,700 children under 1 year received measles vaccine. Vitamin A supplementation continued as an integral part of the EPI programme. UNICEF continued vaccination of children crossing into Iraq at the Syria-Iraq Peshkhabour border in Dahuk. Counselling advice on breastfeeding was delivered in PHCs through video, audio and presentations of posters and information booklets in Arabic and Kurdish languages. As part of UNICEF s pledge to reduce child mortality, neonatal monitoring of 9,100 new-borns took 11

12 place alongside parental healthcare advice, through the door-to-door new-born home service teams as all babies vital signs were checked. UNICEF began a 2-month breastfeeding promotion campaign in camp and non-camp areas in KRI which began in December. Messages on the importance of breastfeeding were placed on billboards in visible and busy locations. Other promotion materials, including banners and 2,000 posters were distributed to health centres. Since the September 15 th cholera outbreak resulted in over 2,800 confirmed cases, UNICEF Iraq, via the Wash Cluster, supported the creation of the Joint Cholera Preparedness and Response Plan for affected central and southern Governorates. UNICEF Iraq has continued to support prevention and awareness raising for Syrian refugees with banners and brochures on cholera in six refugee camps. This was accompanied by social mobilization and raising awareness of refugees in these camps that preceded the second round of Oral Cholera Vaccinations (OCV) in December. Basic Needs: In October 2015, UNICEF Iraq began responding to the winter needs of vulnerable children and pregnant women. This project aims to target 50,000 Syrian refugee children and pregnant women, who will receive winter clothing, shoes and blankets in January SUMMARY OF PROGRAMME RESULTS (January December 2015) IRAQ WATER, SANITATION & HYGIENE (WASH) # emergency affected population provided with adequate access to safe water # 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) Sector 2015 Targets Sector Total 2015 Results UNICEF 2015 Targets UNICEF Total 2015 Results 71,468 23,121 45,024 23, ,769 86,195 78,924 86,195 88,256 94,357 57,366 94,357 # beneficiaries with routine access to solid waste collection and disposal services ,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) ,219 96,629 49,290 70,789 # children with access to safe WASH facilities in their learning environment and child friendly spaces 43,738 14,803 43,738 14,803 CHILD PROTECTION # children with access to psychosocial support services 20,669 27,145 14,262 16,489 # children receiving specialized child protection services (reunification, alternative or specialized care and services) 7,950 5,771 3,500 3,423 # Para-Social workforce trained EDUCATION # boys and girls in basic education 16 27,012 31,698 24,782 29,105 # 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 4,716 # newborn babies of conflict-affected families benefitting from newborn home services 3,170 9,147 # children 0-59 months vaccinated for Polio , , UNICEF has progressively handed over certain solid waste activities to government partners over the course of UNICEF has progressively handed over some hygiene promotion services in camps to other organizations and institutions over the course of Sector and UNICEF targets refer to children of 6 to 14 years enrolled in formal basic education in the academic year 2014/ 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 12

13 # health facilities in impacted communities supported NUTRITION # children under 5 provided with access to growth monitoring (nutrition screening) services 14,382 32,970 WINTERIZATION Most vulnerable children better protected from risks of winter with appropriate clothing 50,000 0 Lebanon Affected Population Registered refugee figures from UNHCR data portal as at of January 4, M: Male; F: Female Registered Refugees 1,070,189 M: 507,270; 515,510; F: 554, ,919 Situation Overview & Humanitarian Needs Child Refugees (Under 18) 567, ,411 M: 290,021; 291,091; F: 279, ,179 Evictions or threats of eviction continue to impact Syrian Child Refugees (Under 5) 190, ,196 M: 102,738; 97,387; F: F: 93,106 98,457 refugees throughout Lebanon. Since the beginning of 2015, Estimated host community approximately 18,000 refugees have been evicted and some 1,500,000 n/a affected* 10,500 are at risk of eviction across the North, Bekaa, and South. Relocation is often a difficult and stressful process particularly given the refugees limited financial resources and the increasing rental rates observed in Lebanon over the past few months. Overall household (HH) expenditures dropped by 35% compared to However, Syrian refugee HHs were more likely to possess basic assets such as gas stoves, blankets, mattresses and winter clothing. Only 52% of primary school aged children (6-14) attended school in The most vulnerable Syrian refugees arriving in Lebanon from Syria have gone for extended periods some several months, and others up to four years without access to primary health care. As a result, children are at risk of contracting preventable illnesses and the country is at risk of outbreaks of communicable diseases, which would affect entire populations. The most frequent health concerns seen in primary healthcare centres (PHCs) are acute respiratory infections, diarrhoeal diseases and skin infections, all of which can thrive under crowded living conditions, such as those seen in the informal settlements and traditionally underserved areas where refugees have largely taken up residence. The prevalence of diarrhoeal diseases in Syrian refugee populated informal settlements has been attributed to a combination of poor hygiene conditions, poor food handling practices and in some cases, poor water quality. The influx of Syrian refugees has exacerbated Lebanon s already stretched water, wastewater and solid waste management systems and services, which were underfunded and underperforming even before the crisis. There has been an estimated 10 per cent increase in total water demand, 16 per cent more solid waste generated, and 11 per cent more wastewater produced 18. Expanded coverage of essential water and sanitation services to populations well beyond existing (and already failing) infrastructure (1,600 temporary settlements that all need water and sanitation) add a further burden. Internal instability and insecurity affect the daily lives of boys, girls, young people and their caregivers in Lebanon, exposing them increasingly to situations of violence, exploitation, abuse and neglect. Tensions between refugees and host communities are exacerbated by increased demand for services and resources. The deteriorating socio-economic situation of many refugees and vulnerable Lebanese, coupled with limited livelihood opportunities, have contributed to families turning to negative coping mechanisms, such as child labour (also causing increasing drop-out rates from school), worst forms of child labour (including street-based work or association of children with armed violence) and child marriage. Humanitarian affairs and coordination: The Lebanon Crisis Response Plan (LCRP) was launched in December LCRP 2016 is a oneyear plan that partners, the Government of Lebanon and UN and NGOs to deliver humanitarian and stabilization programmes that are integrated and mutually reinforcing while 1) Ensuring humanitarian assistance and protection for the most vulnerable displaced Syrians, poorest Lebanese and other highly vulnerable communities; 2) Strengthening the capacity of national and local service delivery systems to expand access to and quality of basic public services; and 3) Reinforcing Lebanon s economic, institutional, environmental and social stability. A Letter of Understanding between UNICEF and UNHCR was signed on 15th December Recognizing the leadership of the government, the two agencies agreed that within the UN system, UNICEF will coordinate the child protection sub-sector, education and Energy & Water (WASH) sectors. There will be no co-leadership relationship between the two agencies with the exception of a UNHCR staff member supporting the national coordination in Education and WASH as well as capacity support to the field when needed. 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 18 Lebanon Environmental Assessment of the Syrian Conflict and Priority Interventions, Sep

14 Humanitarian Strategy: UNICEF s works in close partnership with the Government of Lebanon. The humanitarian response is coordinated under the sixth Regional Response Plan, which details UNICEF s commitments to all children in need, including Syrian refugees, Lebanese returnees, Palestinian refugees from Syria and vulnerable Lebanese. UNICEF equally participates in resilience, recovery and development work under the World Bank Stabilization Framework and the Reaching All Children with Education proposal. Planning and implementation of the response is done through active participation and leadership in sector working groups. The No Lost Generation Initiative, championed by UNICEF, UNHCR, Save the Children and World Vision brings together humanitarian and development responses in the areas of education, child protection and adolescent opportunities in order to avert a lost generation. The Syrian crisis has dramatically increased the demand on the public education system in Lebanon. The system was limited even prior to the crisis, with only 30 per cent of Lebanese children (275,000) estimated to be attending public schools, and the remainder mainly attending private schools. The Ministry of Education and Higher Education (MEHE) launched the Reaching All Children with Education (RACE) plan developed within the scope of the MEHE Education Sector Development Plan and aligned with the No Lost Generation strategy. RACE commits government and partners to providing 413,000 Syrian refugee and vulnerable Lebanese schoolaged children (3-18 years) affected by the Syria crisis with access to quality learning opportunities in safe and protective environments by To be able to accommodate the influx of non-lebanese students in public schools, Ministry of Education and Higher Education (MEHE), with support from UNICEF and other agencies, has been providing 2nd shift classes since the 2014/15 academic year. The number of Syrian children enrolled in public primary schools (grades 1-9) has increased from around 60,000 in , to 112,000 in and 152,000 in (preliminary estimates). Summary Analysis of Programme Response WASH: In 2015, UNICEF scaled up WASH activities in the most vulnerable areas. Over 1.6 million people, two thirds of them Lebanese, benefited from improved access to safe water through 60 water projects. Around 450,000 people have improved access to wastewater services through 13 wastewater infrastructure projects and the construction of 4,200 temporary toilets in Informal Settlements (IS). 100,000 Syrian Refugees living in 1,500 Informal Settlements (out of 1,603 Informal Settlements in Lebanon) benefited from temporary WASH services. As flood mitigation measures, UNICEF and its partners cleaned more than 5,000 meters of rivers and irrigation channels and distributed more than 800 drainage kits to flood-prone ISs reaching 69,000 people. Education: In 2015, a key institutional development accomplishment was the strengthening of MEHE s departments and the establishment of a Project Management Unit (PMU) which became fully effective in UNICEF financially supported the staffing of 11 out of 24 of the PMU posts, in addition to key positions in MEHE itself, and strengthened MEHE s technical arm for quality monitoring. To formalize the alternate pathways to education, UNICEF and Education Sector partners supported MEHE in the formulation and accreditation of its first Non-Formal Education (NFE) Framework. This framework clarifies the different types of admissible NFE programmes, implementation modalities, and outlines the role of MEHE in governance and quality control of these programmes. UNICEF also supported MEHE in the rollout of a pilot Accelerated Learning Programme (ALP) for children who missed two years or more of school. UNICEF technically advised on the ALP curriculum development, SOPs and planning, and supported the implementation of the pilot where 6,009 children were enrolled. In the school year, a total of 101,515 non-lebanese and 30,933 Lebanese children were supported to enrol in formal education. In 2015, through the support of UNICEF and other institutional donors, the requirement for refugee children to present a residency permit upon enrolment was lifted. As a result, a total of 147,285 non-lebanese children and 197,000 Lebanese are currently registered in public schools. UNICEF has fully or partly covered the enrolment fees for 118,920 non-lebanese and 90,333 Lebanese children. Notwithstanding the expansion of the public education absorption capacity through second-shift provision in 234 schools, demand-side bottlenecks remain. A significant number of children remain difficult to reach due to child labour, security concerns, as well as attendance to various unregulated non-formal programmes, including Syrian-curriculum centres. By the end of 2015, UNICEF distributed School-in-a-Box kits through its field offices and implementing partners to 1,200 first-shift and 234 second-shift schools, providing essential learning materials to both refugee and Lebanese children. In addition, UNICEF completed the rehabilitation of 61 public schools to meet safety, accessibility and WASH standards to support the influx of refugee children in those areas. Child Protection: In line with the MOSA National Plan to Safeguard Children and Women in Lebanon, community-based CP/GBV services including PSS, prevention and specialized response services, were expanded to 57 Social Development Services (SDCs) and their surrounding communities in all 251 vulnerable localities. System capacity was improved through the training of 286 civil servants in MoSA, MEHE and MoPH on safe identification and referral training. The SDC staff were oriented on Psychosocial Support (PSS) and Gender Based Violence (GBV). Technical support, including coaching and mentoring, was provided through 16 officially mandated I/NGOs to implement and monitor a complex child protection response. 14

15 The national partnership framework provided by MOSA, and the strengthening the child protection system capacity to deliver an integrated package of services, enabled UNICEF to exceed its targets reaching over 600, children and caregivers with quality community-based CP/ GBV services including PSS. Of these, 147,789 children and their caregivers received more structured and specialized case management and other response services aimed at survivors of violence, exploitation and abuse, including rehabilitation and reintegration of children at risk or formerly associated with armed groups. 178,500 individuals, mainly women and girls at risk or survivors of GBV, accessed mobile and static safe spaces. To evaluate the impact of the CP/GBV including PSS interventions, UNICEF and its partners promoted the roll-out and systematic use of Strengths and Difficulties Questionnaire, (a brief behavioral screening tool for children 6-17) to build a body of data on the impact of its programmatic interventions. The preliminary assessment among 705 children who were involved in PSS programmes of various lengths (minimum 15 hours) provided by 6 agencies, showed that the psychosocial wellbeing of 74 per cent of the beneficiary children has improved. Health and Nutrition: In cooperation with MoPH and MoSA, UNICEF improved access to and utilization of Primary Health Care (PHC) facilities and Social Development Centres by increasing the availability of physicians through overtime assistance, provision of essential drugs and supplies, contributing to 1,563,779 PHC consultations in The UNICEF-supported primary health care facilities include 218 PHCs, 57 SDCs and 24 MMUs covering over 1,000 ISs. UNICEF provided 26 public hospitals with emergency health kits, obstetric kits, and midwifery kits enabling lifesaving interventions for up to 50,000 people, ensuring the safe delivery of 3,000 babies, as well as supporting the provision of other emergency obstetric procedures including clinical management of rape. UNICEF reached 240,253 children under five with routine immunization (ten antigens). In continuation of the intergovernmental agreement with Syria MOPH, BCG for Syrian children under five and tetanus toxoid for Syrian women of childbearing age were administered. In partnership with WHO and NGO BEYOND, MoPH and UNICEF conducted two sub-national polio immunization campaigns in at-risk localities, administering 806,579 doses to children. To support emergency nutrition preparedness and response capacity, UNICEF supported the training of over 900 healthcare professionals in nutrition screening, management of acute malnutrition, and Infant and Young Child Feeding in Emergencies (IYCF-E). 1,064 children were treated for acute malnutrition. Basic Needs: While the response was mostly based on the distribution of winter clothing kits and clothing vouchers for refugee children and poor Lebanese children, the 2015/2016 winter response shifted to the distribution of an one-time winter child grant of 40 USD per child, in partnership with WFP and coordination with UNHCR and other humanitarian actors, to provide households in informal settlements with the means to cover a portion of their winter expenses. For the winter , 111,588 winter clothing kits were distributed to Syrian children across all informal settlements and 12,000 winter clothing kits to poor Lebanese children in remote areas. In addition, 88,847 winter clothes vouchers were distributed to poor Lebanese and Syrian and Palestinian refugee children living high altitude unfinished buildings and collective shelters. 138,250 children benefitted from distribution of over 1 million litres of fuel for heating classrooms across 538 schools and 5 UNRWA schools. 44,000 Syrian children and their families in flood-prone informal settlements were provided 1,100 drainage kits. In winter UNICEF aims to support to over 390,000 vulnerable children living both in informal settlements (IS) and host communities to protect them from the harsh winter conditions through one-time winter cash transfers per child, school heating and winter clothing kits: A total of 191,114 children (100,000 Syrian, 75,000 poor Lebanese and 16,114 poor Palestinian) are targeted with one-time US$40 winter cash transfers. 40,000 Syrian children residing in hard to reach locations are targeted to receive age-appropriate winter-clothing kits Provide fuel for heating and electricity generation to 581 high-altitude public schools and 5 UNRWA school reaching an estimated 162,500 students (of whom around 73,000 non-lebanese). As of December 2015, 24,959 Syrian households (83,149 children) in informal tented settlements across Lebanon have received an ATM Card, pin-code and had their account uploaded with US$40 cash grant per children. Also 16,114 Palestinian children from Syria in highaltitude locations have received US$40 per child through the UNRWA social safety net system. In addition 26,119 Syrian children received a winter clothing kit in high-altitude and hard to reach areas (Wadi Khaled and Aarsal). Finally, 97% of the planned fuel distribution to public schools took place in November and December, with a second round taking place in January as the schools re-open ,360 children (164,765 boys and 189,595 girls) and 257,366 caregivers (189,385 women and 67,981 men) 15

16 SUMMARY OF PROGRAMME RESULTS (January December 2015) LEBANON 20 Sector 2015 target Sector 2015 result UNICEF 2015 target UNICEF 2015 result WATER, SANITATION & HYGIENE # of individuals with improved water supply at an adequate level of service 2,862,291 n/a 592,614 1,683,249 # of individuals with access to improved sanitation facilities 478, , ,266 94,834 # individuals who have experienced an HP session 2,008, , , ,438 # individuals with access to hygiene items 342,020 n/a 25,778 81,606 CHILD PROTECTION # of girls and boys provided with quality information 400,900 n/a 250, ,652 # of caregivers provided with quality information 170,272 n/a 150, ,285 # of girls and boys who received structured PSS 302, , , ,095 # of caregivers who received structured PSS 66,495 n/a 50,000 40,694 # of children accessing structured PSS in education spaces 21 47,545 n/a 20,000 1,570 # of girls and boys provided with specialized services 22 2,436 2, ,341 # of CP/non-CP actors trained 1,989/3,792 n/a 350/200 2,698/923 # of individuals who access static safe spaces 23 73,211 30,622 32,000 19,072 # of individuals reached by mobile services 4 81,940 n/a 60, ,428 EDUCATION # of children (b/g) enrolled in formal basic education ,000 n/a 268, ,285 # of children (b/g) enrolled in NFE basic education (literacy/numeracy) 50,678 26,401 30,000 21,635 # of children (b/g) enrolled in formal ALP basic education 92,028 6,009 60,000 6,009 # of children (b/g) having received school supplies 481, , , ,172 # of public schools rehabilitated that meet safety and accessibility standards (as per MEHE regulation) # of teachers/educators/facilitators (m/f) trained 13,106 2,547 6,664 2,027 HEALTH # of primary health care consultations 25 1,989,208 n/a 792,500 1,723,568 # children under 5 receiving routine vaccination 236, , , ,253 # children vaccinated in campaigns 1,885, ,579 1,799, ,579 # of healthcare providers trained 6,029 2,530 2,500 1,440 NUTRITION # of children U5 screened for malnutrition 418,220 n/a 300,000 71,867 # of children U5 admitted for malnutrition management 14,282 n/a 13,042 1,064 # of individuals received micro-nutrient supplements (children and PLW, UNICEF only) ,200 n/a 440, ,220 BASIC ASSISTANCE (WINTER RESPONSE) # of children (b/g) receiving clothing 27 n/a n/a 150, , The most recent WASH Sector Results available on the Dashboard are as of June; Education, Health and Nutrition and Child Protection as of October. 21 Due to administrative bottlenecks within MEHE, these activities started only at the end of the year and will be scaled up in Only children who receive specialized services: children needing family-based care, emergency shelters, services for disabilities, WFCL including CAAFAG, and specialized mental health services. 23 SGBV indicator. Because of security risks to women attending static spaces, there was an expansion of mobile space spaces. The target for safe spaces in total has been exceeded. 24 UNICEF results are based on MEHE estimated numbers shared on RACE executive meeting. This includes 196,000 Lebanese and 147,285 Non-Lebanese students -63,610 Non-Lebanese students in the first shift and 83,675 in the second shift- in academic year Sector target has been updated to reflect the academic year. 25 Of this, 1,356,756 consultations reported by MOPH for the PHCCs supported by UNICEF [From January to November 2015], while the rest 366,812 is from Activity Info (January-December 2015). Sector indicators only account for AI results ,879 micro-nutrients + 47,341 energy biscuits 27 Winter 2014/

17 Turkey Situation Overview & Humanitarian Needs: In 2015, Turkey became the largest refugee-hosting country in the world, with over 2.5 million Syrians currently living under temporary protection as of 31 December. 28 Meanwhile, the number of Syrian children surpassed 1.3 million, over 850,000 of whom are school-aged. Around 11% of Syrian refugees live in 25 official Affected Population Registered refugee figures from UNHCR data portal as of January 4, M: Male; F: Female Total refugees 2,291,000 M: 1,164,285; F: 1,127,615 Child Refugees (Under 18) 1,242,210 M: 641,732; F: 600,478 Child Refugees (Under 5) 458,380 M: 240,650; F: 217,731 camps while over 89% live in host communities across southern Turkey, putting enormous strain on the country s basic services and infrastructure. Despite significant efforts by the Government of Turkey (GoT), the UN and partners, the education and protection needs facing refugee children remain considerable, and the risk of losing an entire generation grows. According to the latest data from the Ministry of National Education 29, almost 279,000 Syrian children were enrolled in schools and temporary education centres across the country in November 2015 representing a 30% increase from the previous year, and demonstrating that current efforts to increase enrolment for Syrian children are achieving concrete results. Nevertheless, during the same time period, over 450,000 children were still out of school. 30 Turkey also became the principal transit country for Syrians, Afghans, Iraqis and others fleeing to Europe around 850,000 refugees and migrants are believed to have taken the perilous sea journey from Turkey to Greece in 2015 alone. In order to respond to this burgeoning crisis, a Regional Refugee and Migrant Response Plan (RRMRP) was developed in December Co-led by UNHCR and IOM with the support of UNICEF and sister agencies, the RRMRP aims to bolster the GoT s efforts with a special focus on protection, improved identification and referral of persons with specific needs (including unaccompanied and separated children), capacity building of national institutions, and addressing the immediate needs of rescued or apprehended persons. Humanitarian leadership and coordination: The GoT leads the overall protection and assistance response to the Syrian refugee emergency, and remains the largest provider of emergency aid to Syrian refugees. The UN Country Team continues to support the GoT s efforts in planning and implementing the emergency response via inter-agency coordination mechanisms, including the Syria Response Group, which provides overall leadership to the UN response at the heads of agencies level, and the Syria Task Force, which provides overall leadership at the technical level. UNICEF continues to actively participate in both, and provides co-leadership of the Education sector group. UNICEF also participates actively in the Protection Sector group, and a Child Protection Working Group is being established under the co-leadership of UNICEF and UNHCR. Decentralized coordination mechanisms also play an increasingly significant role in the humanitarian response in Turkey. UNICEF participates actively in the inter-agency coordination meetings chaired by UNHCR in Gaziantep, and leads the Southeast Turkey Education Working Group, comprised mostly of NGOs working on the provision of formal and non-formal/informal education to Syrian refugees. Together with CARE International, UNICEF also co-chairs the Turkey Refugee Response WASH Working Group, with meetings held alternately in Gaziantep and Şanliurfa. In 2015, in the child protection sector, UNICEF focused on creating Child Friendly Spaces in camps for families and communities to benefit from community-based psychosocial support and from strengthened community networks. UNICEF met or exceeded most of the protection targets for 2015, though serious challenges remain in terms of access and capacity of implementing partners. UNICEF interventions in education focused on building and strengthening systems to increase access to and improve the quality of services, as well as creating a protective environment and opportunities for youth to engage in structured social activities. Humanitarian Strategy: UNICEF Turkey works in close partnership with the GoT. The humanitarian response in 2015 was coordinated under the 3RP , which details UNICEF s commitments to all children in need, including Syrian refugees living in camps and host communities as well as Turkish children affected by the Syria crisis. The No Lost Generation strategy is particularly pertinent to UNICEF programming in Turkey with the increasing Syrian refugee population. Special attention was paid to maintaining the high levels of enrolment and quality educational opportunities in camps while scaling up our response in host communities, where the needs remain considerable. To achieve results in a complex operating environment, UNICEF employs a mix of strategies ranging from direct provision of supplies to capacity building, resilience development to systems strengthening, all underpinned by strong partnerships and advocacy. UNICEF promotes non-discriminatory access to quality and relevant formal and non-formal education for both refugee and vulnerable host community children in Turkey. In 2016, the focus will be on strengthening existing CP systems and scaling up activities to reach more children, particularly in host communities, and identifying with specialized needs and referring them to the appropriate institutions. Priority will also be placed on addressed sexual and gender-based violence (SGBV), and better addressing the needs of Syrian and 28 UNHCR/DGMM data as of 31 December Ministry of National Education, 12 November UNICEF estimates as of November

18 vulnerable Turkish youth and adolescents, as child rights violations continue to be monitored and documented to strengthen advocacy and programming in Summary Analysis of Programme Response Education: To address the high number of out of school children in Turkey, school construction, renovation and refurbishment was a major focus of UNICEF s education response for 2015, with a total of 7 schools and TECs constructed by end year. In late 2015 UNICEF, the Disaster and Emergency Management Presidency (AFAD) and the Ministry of National Education agreed to new standards for TECs, which will allow for construction of a significant number of new schools during the school year. Meanwhile, learning materials were distributed to 284,124 students, including 220,000 during the Back to School Period in the third quarter of UNICEF s incentive programme for Syrian volunteer teachers, developed in partnership with MoNE and the Turkish Post Office (PTT), scaled-up significantly in 2015, from under 3,000 at the beginning of the year to over 8,700 in December nearly tripling the target for In recognition of the success of this program and its important contribution to the education and protection of Syrian children, in September 2015, the MoNE agreed to increase rates for teachers to 600 TL (in camps) and 900 TL per month (in host communities). Funding for teachers incentives was a top priority for UNICEF in 2015 and will continue to be in 2016 volunteer Syrian teachers are critical to the continued learning and well-being of Syrian refugee children, and financial incentives that meet their basic needs are essential to ensuring they remain motivated, well-trained and able to engage in the classroom. In addition to the work in formal schooling, UNICEF reached 611 Syrian and vulnerable Turkish children with life skills, informal and nonformal educational opportunities in December a significant increase compared to past months. Nevertheless, serious challenges remain and more work must be done to strengthen the capacity of implementing partners in this sector in order to scale up activities and meet the needs of out-of-school children. In 2016, the focus will be on increasing the capacity of the education system to absorb more Syrian children with quality learning opportunities (through the implementation of PAPS in 19 provinces), and scaling up informal educational and life-skills programmes for those who are still out-of-school. While such a scale-up has already begun in the current school year, sustained and systematic support bridging at least two school years is key to ensuring sustainability and the longer-term commitment of key technical and political stakeholders. Child Protection: In 2015, UNICEF focused on capacity building, strengthening systems and expanding the community-based protection response to children, with emphasis on the most vulnerable. As in Education, the priority in 2015 was to ensure the high level of services provided in camps, while at the same time scaling up our assistance to meet the protection needs of children living in host communities. In 2015, Syrian refugee children regularly benefitted from 25 Child Friendly Spaces (CFS) in camps and host communities, bringing the total to 49,551 children in % of UNICEF s target for the year. Of these, 1,151 children were identified and referred to specialized services in 2015, and 200 separated children were reached with PSS support at a UNICEF-support CFS in Ceylanpinar camp demonstrating UNICEF s commitment to identifying and reaching the most vulnerable children in both camps and host communities. UNICEF-supported landmine and explosive remnants of war risk education (ERW/RE) activities continued in the provinces of Şanlıurfa and Hatay, to raise awareness on the risks and threats of mines. A total of 5,795 children and parents were reached in % of UNICEF s target for the year. Of these beneficiaries, 89 reported having travelled back to Syria at least once since arriving in Turkey, demonstrating the importance of such awareness raising activities. UNICEF also responded to the immediate needs of the refugees and migrants on the move towards Europe. Together with national partner ASAM, UNICEF distributed 11,625 family hygiene kits (serving approximately 60,000 people) and 4,200 baby hygiene kits throughout the provinces of Balıkesir, İzmir, Çanakkale, Kırklareli, Muğla and Edirne, as well as in Istanbul. An additional 1,125 family kits and 800 baby kits are being warehoused as contingency supplies for newly rescued and other people on the move. Basic Needs: UNICEF continues to support vulnerable Syrian children and their families to have adequate clothing and non-food items to be prepared for winter. In December 2015, UNICEF began working with four local and international NGOs Danish Refugee Council, Turkish Red Crescent Society, Welthungerhilfe and ASAM to distribute unconditional cash or in-kind assistance to almost 19,000 vulnerable Syrian households in 10 provinces across Turkey. Under this programme, each household receives a voucher or cash payment (value $150-$200) from which they can purchase much-needed winter supplies and warm clothing, allowing them to spend their incomes on other essential expenses such as rent and food. Families who live in rural areas without easy market access will receive essential winter items including heaters, blankets, carpets and warm clothing. By the end of 2015, 682 households had received voucher cards in Akçakale (Şanlıurfa). In addition, in partnership with TOMS, 22,210 winter boots were delivered to AFAD for distribution to vulnerable children in camps across the southeast. 18

19 SUMMARY OF PROGRAMME RESULTS (January December 2015) Sector 2015 Sector total TURKEY target 2015 results CHILD PROTECTION # conflict-affected boys and girls with equitable access to child protection or psychosocial support services, including in Child- Friendly spaces and mobile units # conflict-affected boys and girls reached through specialised services from qualified frontline workers referrals # Syrian and Turkish adolescents in impacted communities who are n/a trained for social cohesion and peace building through peer support, youth mobilization and advocacy # Syrian individuals trained through the parenting training programme UNICEF 2015 target UNICEF total 2015 results 50,000 49,551 2,000 1,151 5,000 14,800 5,000 20,089 # individuals trained on child protection and SGBV EDUCATION # school-aged children in schools/ learning programmes , , , ,285 # children who have received school supplies 250,000 n/a 180, ,124 # educational facilities constructed / refurbished and accessible by Syrian children in camps and non-camp settings n/a #(qualified) teachers trained 4,150 6, ,737 # qualified teachers supported with incentives 33 3,500 n/a 3,500 8,716 # children and adolescents receiving NFE/ IFE (Syrians, Other affected groups) 100,000 2,908 40,000 1,135 Egypt Situation Overview & Humanitarian Needs Over 75,000 refugees in Egypt are children (or around 40% of the overall refugee population): around 54,000 Syrians and 21,000 from other countries. The Syrian communities are distributed in Affected Population Registered refugee figures from UNHCR data portal as of January 4, 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 more than 10 governorates nation-wide. Some of these communities are hard to reach either because of the remoteness of the geographical areas or the socio-economic status of the target population. According to the latest UNHCR s Socio-Economic Assessment, about 60% of the refugees assessed through a vulnerability analysis, were classified as severe (i.e. living under the poverty line), and an addition 25% was classified as high vulnerability (close to the poverty line). At the end of 2015, the number of registered refugee children in Egypt living in households classified as severely vulnerable was around 45,000, while the highly vulnerable were around 18,000.The latest UNHCR data also reports that among registered refugees classified as severely vulnerable there are 355 unaccompanied or separated Syrian children and 1,429 Syrian children are categorized as at risk which includes children at risk of not attending school, children involved in child labor, child marriage and children with special education needs. An increasing number of Syrian refugees in Egypt are trying to reach Europe by sea, through smuggling and trafficking in hopes of finding better socio-economic conditions. The Government of Egypt (GoE) grants full access to education and primary health services for Syrian children. Absorbing the number of Syrian students in public schools is placing significant pressure on the existing education system due to high class density and low teacher to student ratio. The most common constraints which limit Syrian refugee enrolment rates are lack of required documentation and overcrowding and lack of enforced safety standards in classrooms. UNICEF Egypt continues to facilitate access to primary education through supporting the Ministry of Education (MoE) through teacher and middle management trainings and also by creating increased community-based education opportunities to address the problem of high class density and drop-outs. 31 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. 32 Figures for educational facilities are cumulative 33 Incentives are to be paid to the whole target group each month 19

20 In support of the 3RP, in 2015, UNICEF Egypt had child protection programming which includes a small cash assistance program to support vulnerable families with children benefiting from the child protection interventions, to cover unexpected, high health expenses. In addition, UNICEF Egypt continued to increase education and adolescent-targeted programming. Humanitarian leadership and coordination: In 2015, UNHCR and UNICEF agreed on one reporting system with data collected from the Ministry of Health and Planning and the WHO to create a national database. UNICEF Egypt is currently coordinating the intra-agency approach in defining indicators, targets and budgets for the RP in education, child protection and health sectors. UNICEF Egypt continues to co-lead with UNHCR the Education Working Group (EWG) to ensure coordination mechanisms are in place for assessing specific needs of Syrian children and developing joint interventions to enhance the effectiveness and efficiency of interventions targeting out of school Syrian children. UNICEF provided technical support to the MOHP in reviewing the needs assessment study that was conducted for Neonatal Intensive Care Units (NICUs) in Cairo and Alex governorates in In 2016, the needs assessment study will help replace and update the medical equipment required for three NICUs in Cairo and Alex governorates to improve service provision to Syrian refugee communities. UNICEF Egypt continues to ensure that the needs of Syrian children who have been detained by the Egyptian authorities are met both during and after detention as well as increasing targeted interventions for children with disabilities. Humanitarian Strategy: UNICEF is driving forward the revision of programmatic priorities and the development of a capacity building strategy for the child protection sector for 2016 with Child Protection Working Group (CPWG) member agencies. The strategy will aim at improving knowledge and align capacities of organizations working on child protection programming in the country and at strengthening the capacity of national stakeholders, such as child protection committees, family bureaus and safe homes. UNICEF Egypt and Health Working Group partners are streamlining coordinated programming, as a priority strategy, to reach to all Syrian women and children with quality primary health care, in addition to an active review of targeted Public Health Units and needs in Summary Analysis of Program Response Education: In 2015, in collaboration with the MoE, UNICEF Egypt identified 30 public schools for rehabilitation in 5 governorates, with higher concentration of Syrian enrolment aimed at benefitting 6,972 Syrian children during the 2015/16 academic year. In 16 schools in Alexandria and Damietta, UNICEF Egypt established inclusionary programming for a total of 3,140 Syrian children with special needs. UNICEF Egypt provided technical support to the MoE to record lesson materials in different subjects (English, Math, Arabic, Science, and Biology for middle and high school grades) in Syrian. UNICEF Egypt is planning to copy these lessons on flash drives and distribute them public schools across the country. Child Protection: In 2015, 16,562 Syrian children received non-specialized community-based child protection and psychosocial services in Egypt through UNICEF-supported interventions. UNICEF Egypt provided case management and specialized services to 3,855 Syrian children in Services included direct case management, home visits and cash assistance. Syrian refugee children held in detention were provided with legal and psychosocial support and also humanitarian assistance (non-food items) by UNICEF s implementing partner, CARITAS. Positive parenting awareness and activity interventions, aiming at helping parents to identify and support children with behavioral or psychological issues, have reached 5143 Syrian parents since January In Greater Cairo, Alexandria and New Damietta, as part of the non-specialized support, family centers and mobile units continued running No Lost Generation-aligned programming, including life skills and first aid training, child to child programming, cinema clubs, theatre classes, choral singing, English and Spanish classes, computer classes, and creative thinking, arts and sports activities targeted for Syrian children. Health: In 2015, through UNICEF-supported MoH Public Health Units (PHUs), 5,750 Syrian women and 15,303 Syrian children under the age of 5 received primary health care services in Egypt. Throughout the year, UNICEF continued to support the MoHP in upgrading the Syrian-targeted primary health services via 102 PHUs in 27 districts in 12 governorates with highest population density of Syrian refugees by providing training to 800 health team workers and supervisors, necessary equipment, and developing a national monitoring and reporting system. UNICEF Egypt supported outreach efforts for raising the awareness of Syrian families to access healthcare facilities for the comprehensive healthcare services for maternal and child health, in addition, in partnership with WHO, to supporting the MoHP polio vaccination campaign that reached 13,053 Syrian children under five years of age and the measles and rubella vaccination campaign that reached 16,222 Syrian children aged 9 months to 10 years old since January 2015 by supporting Syrian Community Health Workers to encourage caregivers to immunize their children. Basic Services: In collaboration with UNHCR, UNICEF Egypt implemented a winterization cash grant program for severely and highly vulnerable Syrian households with children through a one-off grant, distributed via Post Offices, provided direct support to 24,600 refugees including 17,309 children. Through this interagency collaboration, 100% of severely and highly vulnerable registered Syrian households able to receive this winterization cash assistance, as well as 100% of registered Syrian households with children under the age of five. This joint winterization program included a communication campaign to raise awareness of child-specific health and protection needs during the winter season. 20