Seven years into the conflict in the Syrian Arab Republic, the scale, severity and complexity of needs across the country remain overwhelming. Some 13.1 million people require humanitarian assistance, including 6.1 million internally displaced persons.2 Children—including those who are unaccompanied, separated or living with older/disabled caregivers—are particularly vulnerable. Of the estimated 8.35 million children living in the Syrian Arab Republic, 5.3 million require humanitarian assistance, 1.2 million live in hard-to-reach areas and 170,000 live in besieged areas.3 More than 3 million children under 5 years require nutrition support, including the nearly 20,000 children suffering from severe acute malnutrition (SAM).4 The suffering of children in besieged areas remains a key concern, including with the rapid deterioration of the nutrition situation in Eastern Ghouta. Grave child rights violations continue, with countless children killed and injured by the persistent use of explosive weapons in civilian areas and the recruitment and use of children in armed conflict, as well as torture, detention, abduction, sexual violence, attacks on schools and hospitals and the denial of humanitarian access, particularly to children living in United Nations-declared besieged areas. Access to basic social services has dramatically declined, with 1.75 million children aged 5 to 17 out of school and 1.35 million at risk of dropping out.5 National routine immunization coverage has declined from 90 per cent in 2010 to 70 per cent in 2017,6 triggering several outbreaks. In 2017, there were a record 70 vaccine-derived polio virus cases7 reported among children. Some 14.6 million people require access to safe water, including 7.6 million in acute humanitarian need, in part due to heavy infrastructure damage.8 The delivery of humanitarian assistance remains extremely difficult due to active conflict, insecurity, restriction of movement and the imposition of deliberate constraints, including burdensome administrative procedures.
In 2018, the UNICEF Whole of Syria strategy will target populations with the greatest humanitarian need. UNICEF will continue to lead the water, sanitation and hygiene (WASH), education and nutrition sectors and the child protection sub-sector and will work in close collaboration with implementing partners inside the Syrian Arab Republic and across borders.9 Immediate life-saving humanitarian support will be provided alongside longer-term resilience programming through cross-line convoys, cross-border interventions and regular programme delivery in accessible areas. UNICEF WASH support will include increasing access to safe water, rehabilitating WASH facilities, restoring critical WASH infrastructure and promoting good hygiene practices to reduce the risk of WASH-related morbidity. The health programme will facilitate the provision of child and maternal health care and expand quality immunization services. UNICEF will advocate for the vaccination of children in hard-to-reach and besieged areas and the restoration of immunization services in newly accessible areas and in camps. Communication for Development interventions will be strengthened to support routine immunization, particularly to prevent polio outbreaks. The nutrition programme will focus on the prevention of chronic malnutrition (stunting), the promotion of exclusive breastfeeding, the prevention of micronutrient deficiency among mothers and children under 5, and SAM treatment. The education response will address disparities among out-of-school children by strengthening alternative learning opportunities using Curriculum B10 and self-learning programmes. Equitable access to early learning for pre-primary schoolchildren will also be scaled up. UNICEF will expand teacher development, support for inclusive education and life-skills and citizenship education. Technical support will be extended to the Back to Learning initiative, as well as to address violence against children, child marriage and child labour. UNICEF will continue to provide psychosocial support and awareness-raising education on the dangers of unexploded remnants of war. Building on the previous years’ investment in case management systems, UNICEF will expand access to and ensure the provision of specialized services for high-risk child protection cases. The United Nations will continue to receive UNICEF support to monitor and report on grave child rights violations. Adolescents and youth will be supported with cross-sectoral services, skills and opportunities, focusing on life-skills, technical and vocational education and entrepreneurship training. UNICEF will also support Sport for Development and social and civic engagement initiatives. Social protection schemes will combine regular cash distribution with case management, primarily targeting families of children with disabilities. Seasonal clothes and blankets will be provided to the most vulnerable children through direct distribution and e-vouchers.
Results from 2017
As of 31 October 2017, UNICEF had US$173.06 million available against the US$354.6 million appeal (49 per cent funded).11 In 2017, UNICEF and partners reached 5.4 million people through the rehabilitation and improvement of water and sanitation services and 1.1 million people through emergency water trucking and the maintenance of WASH facilities. Across the country, nearly 14.6 million people gained regular access to safe water through the provision of water disinfectants.12 In response to the vaccine-derived polio outbreak, UNICEF supported immunization campaigns in Deir-ez-Zor, Al-Hasakeh and Ar-Raqqa, reaching nearly 260,000 children under 5 (79 per cent of the target). Routine vaccination reached more than 287,000 children under 1 and almost 2.5 million children and pregnant and lactating mothers benefitted from primary health care consultations. More than 1.1 million people received health supplies, including people in hard-to-reach locations. UNICEF provided more than 1.7 million children and pregnant and lactating women with nutrition supplies and services, including SAM treatment and counselling on infant and young child feeding. This included more than 581,000 people in hard-to-reach locations. With UNICEF support, more than 950,000 children gained access to formal education, and over 60,000 gained access to non-formal education opportunities. UNICEF investments in improving learning environments increased children's access to education. Some 224,000 children benefitted from school rehabilitation and more than 331,000 children benefitted from improved WASH facilities that are more gender sensitive and inclusive of children with disabilities. To protect against the dangers of explosive remnants of war, some 1.7 million children received mine-risk education, and nearly 283,000 children benefitted from sustained and structured psychosocial support. UNICEF-supported life-skills and citizenship education programmes and community-based vocational training benefitted nearly 257,000 adolescents and youth, including more than 55,000 located in hard-to-reach areas. In addition, some 487,000 of the most vulnerable children,13 including displaced children and children with disabilities, received non-food items, including seasonal clothes, and more than 6,100 families accessed regular cash assistance to meet their children’s basic needs. UNICEF results were achieved through modalities such as cross-line convoys, cross-border interventions and regular programme delivery in accessible areas.
As part of the 2018 Humanitarian Response Plan for the Syrian Arab Republic, UNICEF is requesting US$335,341,920 to meet the needs of children and families and fulfil children's rights. This funding requirement covers programming delivered from within the Syrian Arab Republic, as well as cross-border assistance delivered as part of the Whole of Syria approach. UNICEF programmes are planned for nationwide reach, targeting populations in the areas with the most acute needs, and the population groups most in need of life-saving humanitarian assistance.14