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Losing their last refuge: Inside Idlib's humanitarian nightmare

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Sahar Atrache

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As President Bashar al-Assad and his allies retook a large swath of Syrian territory over the last few years, rebel-held Idlib province and its surroundings in northwest Syria became the refuge of last resort for nearly 3 million people. Now the Syrian regime, backed by Russia, has launched a brutal offensive to recapture this last opposition stronghold in what could prove to be one of the bloodiest chapters of the Syrian war.

This attack had been forestalled in September 2018 by a deal reached in Sochi, Russia between Russia and Turkey. It stipulated the withdrawal of opposition armed groups, including Hay’at Tahrir as-Sham (HTS)—a former al-Qaeda affiliate—from a 12-mile demilitarized zone along the front lines, and the opening of two major HTS-controlled routes—the M4 and M5 highways that cross Idlib—to traffic and trade. In the event, HTS refused to withdraw and instead reasserted its dominance over much of the northwest. By late April 2019, the Sochi deal had collapsed in the face of the Syrian regime’s military escalation, supported by Russia.

Idlib’s civilian population has largely borne the brunt of this escalation. Nearly half of that population have been displaced from other parts of the country retaken by Assad, and roughly two-thirds depend on humanitarian assistance. In the past three months, the Syrian regime and Russia’s indiscriminate bombardment has killed more than 500 civilians and injured thousands more. More worrisome, Russian and Syrian airstrikes have deliberately targeted vital civilian infrastructure, including hospitals and schools. Nongovernmental organizations (NGOs) shared the coordinates for these facilities with the United Nations, which in turn shared them with the warring parties in a bid to protect them and first responders. In August 2019, the UN announced an investigation into these airstrikes. However, it did not provide any details about its timeline and process.

Rebel groups have indiscriminately shelled government-controlled towns, killing scores of civilians. In addition, HTS has reportedly committed serious human rights violations against civilians in northwest Syria, including arbitrary arrests, kidnapping, torture, and murders.

Turkey is deeply concerned over the impact of the offensive. It already hosts more than 3.5 million Syrians, and the recent escalation could cause additional tens of thousands of refugees to seek refuge across the border. To prevent refugee flows into Turkey, Ankara has built a wall nearly 500 miles long on its southern border with Syria. However, Turkey also remains deeply engaged inside Idlib—where it supports armed groups fighting the regime—and in Syria more broadly, where it controls parts of the Aleppo province. Thanks in no small part to Turkey’s backing, these armed groups largely held the Syrian regime and Russia to a military stalemate on the ground for more than three months. However, Syrian forces recently made significant advances. Under heavy Russian air cover, they recaptured strategic areas in northern Hama and southern Idlib and regained control of the M5 highway. To halt these advances and stop the offensive, Ankara intensified diplomatic efforts with Russia. On August 31, following Turkish President Erdogan’s visit to Moscow, Russia committed to a unilateral ceasefire. However, that ceasefire, remains deeply fragile.

Humanitarian aid operations in Idlib and its surroundings are regulated by UN Security Council Resolution 2165, which is renewed annually and has been in place since 2014.[1] This resolution allows cross-border aid into nongovernment-controlled areas without previous approval from Damascus. Because the resolution expires in January 2020, humanitarian organizations worry that Russia—highly critical of cross-border assistance—might veto it.

Despite their best efforts, humanitarian organizations are reeling under the weight of Idlib’s overwhelming needs. The latest offensive has triggered the largest wave of displacement in the Syrian war thus far, displacing more than half a million people living in opposition-controlled areas. Because camps for internally displaced people (IDPs) are over capacity, most IDPs live in informal, overcrowded settlements. Life in these settlements is a daily struggle. Some lack even the most basic services, including access to toilets or water. Thousands of IDPs are reportedly living in open air under olive trees.

In addition, reports about early marriage, gender-based violence, and sexual exploitation, at times perpetuated by relief workers and camp managers, are on the rise. Further complicating the situation is a decline in funding driven by donor fatigue and concern among Western governments over the diversion of aid to HTS. Specifically, the United States ended its stabilization funding to northwest Syria in 2018 and significantly reduced its 2019 humanitarian contribution to the country.

Diplomatically, the U.S. administration has been largely disengaged from events in northwest Syria. The Trump administration has yet to make meaningful diplomatic efforts to reach a durable cessation of hostilities in northwest Syria. It remains to be seen how long the current ceasefire will hold. In August, a previous ceasefire fell apart in a matter of days. However, the fighting in Idlib has now reached a critical juncture and significant pressure on warring parties is urgently required to bring a lasting end to hostilities. Without it, the UN has warned that the situation in Idlib could turn into a “humanitarian nightmare unlike anything we have seen this century.”