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I N T E R I M R E P O R T

INTERIM REPORT ON ACTIVITIES FUNDED WITH CONTRIBUTIONS

FROM GOVERNMENT OF KUWAIT

GENEVA, 25 OCTOBER 2013

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TABLE OF CONTENTS I. Introduction ................................................................................................................................................. 3

Background ...................................................................................................................................................... 3

Recipient organizations and amounts received and expended ....................................................................... 4

Summary of results achieved to date ............................................................................................................... 4

II. Strategic objectives of the SHARP and RRP ........................................................................................... 6

III. Overall funding situation ........................................................................................................................... 7

IV. Organizations’ interim reports .................................................................................................................. 8

UNHCR ............................................................................................................................................................. 8

UNICEF .......................................................................................................................................................... 12

WFP ................................................................................................................................................................ 17

WHO ............................................................................................................................................................... 19

UNRWA .......................................................................................................................................................... 26

SYRIA EMERGENCY RESPONSE FUND (E.R.F.) − OCHA ........................................................................ 30

IOM ................................................................................................................................................................. 35

UNFPA............................................................................................................................................................ 38

UNDP .............................................................................................................................................................. 41

V. Annex: agency allocations of Kuwait contribution per project ........................................................... 45

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I. INTRODUCTION

BACKGROUND

In hosting the International Humanitarian Pledging Conference for Syria on 30 January 2013, the Government of Kuwait played a lead role in raising the profile of the Syria crisis and focusing the world’s attention on the need for additional resources to meet humanitarian needs.

Kuwait’s public decision to recognise the UN’s leadership in managing the humanitarian response to the Syria crisis, consolidated with a generous contribution of $275 million, was met with gratitude by the United Nations and the International Organization for Migration.1 During the Kuwait Conference, 43 donors made pledges amounting to US$1.5 billion in new funding for humanitarian action in Syria and neighbouring countries. Over $1 billion (67%) pledged at the Kuwait Conference has been disbursed or committed by October 2013.

In December 2012, the Syria Humanitarian Assistance Response Plan (SHARP) appealed for $520 million to meet needs inside Syria, while the Syria Regional Response Plan (RRP) called for $1.04 billion to assist people affected by this crisis in Jordan, Lebanon, Iraq, Turkey and Egypt. Both plans were originally budgeted for six months. In view of the prolongation and dramatic deterioration of the situation on the ground, these requirements were revised and extended for the remainder of 2013, and the two appeals were re-issued on 7 June 2013. The new requirements for all of 2013 were $1.4 billion for the SHARP and $2.98 billion for the RRP, totalling just under $4.4 billion—together, the largest humanitarian appeal ever issued.

Kuwait’s decision to commit un-earmarked funds towards actions planned in these appeals was greatly appreciated. Secretary-General Ban Ki-moon applauded His Highness Sheikh Sabah Al-Ahmad, Amir of the State of Kuwait, for the exemplary trust his government demonstrated in channelling its funds into operations run by the United Nations and its partners in response to the crisis and committed to ensuring that the donation would be used to meet the most pressing needs on the ground.

On 18 April 2013, at a ceremony organized by OCHA at the United Nations in Geneva, Ambassador Razzooqi, Permanent Representative of the State of Kuwait to the United Nations in Geneva, handed cheques to senior representatives of UNHCR, WFP, WHO, UNFPA and IOM disbursing the full amount of the contributions for those agencies. The event was widely covered by the media in the Arab world and by the international press in general. At a separate ceremonies at UN headquarters in New York, Ambassador Mansour Ayyad Al-Otaibi, Permanent Representative of the State of Kuwait to the United Nations in New York, presented the sum accorded to the Syria Emergency Response Fund (managed by OCHA) to Under-Secretary-General for Humanitarian Affairs and Emergency Relief Coordinator, Valerie Amos as well as to UNDP and UNICEF.

The United Nations and the International Organization for Migration reiterate their gratitude to the Government of Kuwait for demonstrating outstanding leadership and commitment to supporting the efforts of the United Nations and its partners, both in convening the Pledging Conference in January 2013 and in disbursing its own contribution in full and un-earmarked.

Given the un-earmarked nature of the contribution, each organization applied different time-frames to the grant in accordance with each agency’s specific financial rules and regulations and in light of programmatic priorities. This interim report provides an overview of results achieved up to 31 October 2013 with the contribution of $275 million from Kuwait towards United Nations-led humanitarian assistance in Syria and neighbouring countries. UNICEF and UNDP included in this report their results achieved with other funding received from Kuwait in 2013 to respond to the Syria crisis. A final report on the use of the contribution will be issued in 2014, upon completion of all activities by the recipient organizations.

1 The State of Kuwait directed the balance of its $300 million pledge, $25 million, to the International Committee of the Red Cross.


RECIPIENT ORGANIZATIONS AND AMOUNTS RECEIVED AND EXPENDED

The $275 million grant from Kuwait was distributed for activities planned in the Syria Humanitarian Action Plan (SHARP) and Regional Response Plan (RRP) by nine UN agencies, as follows:

Agency Amount received (USD)

Amount and percentage

expended (USD) as of 31 October

Number of people reached

Target expenditure

completion date

110 million 84.4 million

77% 400,000 31 December 2013

53 million

(+2 million also received in 2013)

48.3 million 88%

3.58 million 30 April 2014


97% 980,137


91% 5.5 million 30 April 2014

15 million 12 million

80% 456,000 31 December 2013

(Emergency Response Fund)

10 million 10 million 100%

5.3 million

5 million 3.5 million 70%

82,750 30 June 2014

5 million 2.2 million 44%

150,000 women and girls 31 March 2014

2 million

(+1 million previously received in 2013)

1.3 million 43%

250,000 30 April 2014

SUMMARY OF RESULTS ACHIEVED TO DATE

Details on the use of the contribution up to 31 October 2013, agency by agency, follow in the main body of this report.

Humanitarian action in the context of the Syria crisis has aimed at promoting and protecting human rights and saving lives, and where possible, helping to restore critical livelihoods of people affected by the conflict in Syria, its neighbouring countries and Egypt. In responding to the crisis, the United Nations system has synchronised its efforts around twelve sectoral categories of activity under the overall umbrella of coordinated response of the Syria Humanitarian Assistance Response Plan (SHARP) and the Regional Response Plan (RRP): coordination, early recovery and livelihoods, education, emergency telecommunications, food and

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agriculture, health, logistics, non-food items and shelter, nutrition, protection and community services, water, sanitation and hygiene, and staff safety.

The situation on the ground inside Syria is complex and dangerous: key humanitarian access routes have been cut off by fierce fighting. While the UN and partners have been able to negotiate access to some areas, command and control structures in others are unclear and difficult to navigate. At the same time, kidnappings and abductions of humanitarian workers are increasingly common, as are hijacking and seizure of aid trucks.

The timely, generous and un-earmarked contribution from the Government of Kuwait underpinned many life-saving and life-sustaining actions by UN-led humanitarian actors in response to the Syria crisis in the course of 2013. The un-earmarked nature of the contribution and its full and timely disbursement were especially critical in enabling the aid community to respond swiftly and in accordance with priorities already identified. Needs had been identified on the ground and coordinated programmes to respond to these needs had been developed; the generous contribution from the government of Kuwait allowed the immediate implementation of these programmes.

In spite of the logistical and security difficulties inherent to the response operation in Syria and in neighbouring countries, the results that each agency delivered with this contribution, as outlined in this report, made a huge difference for the millions of people whose lives have been devastated by this conflict. As detailed in the individual agencies’ chapters of this report, agencies recognized and publicly thanked His Highness Sheikh Sabah Al-Ahmad, Amir of the State of Kuwait, the Government of Kuwait and the people of Kuwait for the opportunity to make a difference in the lives of people affected by the conflict. In addition to thanking the government of Kuwait in public speeches, press releases and interviews by the executive heads of the organizations to the international media, recipient organizations placed banners and other public signs amid their field operations to ensure that the direct recipients of the contribution were aware of its provenance.

In summary, each of the agencies was able to strengthen programmes related to its mandate in the following ways.

UNHCR and its partners stepped up support to refugees in Jordan, Lebanon, Turkey and Egypt distributing vital monthly subsistence and emergency cash grants to vulnerable refugees and education grants to children. Refugees benefitted from winterisation, hygiene and relief items. Additionally UNHCR purchased tents, provided emergency shelters, rehabilitated roads and other infrastructure in camps, and provided life-saving and mental health care for many individuals gravely affected by the Syrian crisis.

For UNICEF and its partners inside Syria, the contribution from Kuwait was central to the measles, mumps and rubella vaccination campaign (March-June 2013) which reached 1.1 million children. Generators were procured and installed ensuring that safe water continued to reach 2.3 million people. Health and hygiene supplies were procured to help 116,000 people. The funds also allowed UNICEF to prepare for the “Back to Learning” initiative rolled out on September 9, supporting the procurement of school bags and teaching and learning material for 320,000 children. In neighbouring countries, this grant has supported life-saving water, sanitation and hygiene (WASH) activities in refugee camps in Jordan, along with school supplies, gender-based violence awareness activities, and procurement of warm winter clothing and school supplies for children in camps. In Lebanon, funds have contributed to emergency WASH equipment and winter blankets, mobile medical clinics for informal tented settlements and increased services for children traumatized by the conflict. In Iraq, support was provided for summer school activities for girls and boys and for WASH facilities in Dara Shakran camp. In Turkey, children are able to play and learn through seven child-friendly spaces. Finally, in Egypt, funds supported training for social workers dealing with Syrian refugees.

WFP’s actions on the strength of the contribution were directed towards saving lives and providing food assistance in Syria, Egypt, Lebanon, Turkey, Iraq and Jordan. The Kuwait contribution has allowed WFP to buy, transport and distribute food and to organise food voucher assistance for almost one million people. WFP has allocated the contribution to emergency food interventions as follows: in Syria, $10,000,000; Lebanon $10,769,320; Jordan $10,247,696; Turkey $4,723,740; Iraq $3,514,665 and Egypt $744,579.

WHO strengthened its assistance inside and outside Syria. The contribution has permitted the Organisation and partners to deliver primary, secondary and tertiary health care within Syria. Importantly, WHO used some of the funds to improve trauma response in the country. In the five countries with major influxes of refugees from Syria, WHO and partners expanded health assistance to vulnerable people in ways that could have not been possible without this contribution.

With the help of the funding from Kuwait, UNRWA strengthened its relief for Palestine refugees suffering from the Syria crisis. Some of the actions were: emergency cash assistance to support these refugees in meeting


essential needs, and emergency food assistance particularly for internally displaced people (IDPs). UNWRA was also able to open six mobile health points for displaced refugees inside Syria this year.

The OCHA Emergency Response Fund pooled the resources from Kuwait with other contributions to help local non-governmental organisations reach conflict areas where access has been difficult, thus expanding humanitarian coverage. The Fund is also supporting the logistics working group to facilitate the delivery of aid in such difficult areas.

Thanks to the Kuwaiti funding, IOM has expanded the scope of its work for displaced and vulnerable Syrians by rehabilitating over 100 collective centres and emergency shelters and by meeting many non-food humanitarian needs of affected people within Syria and over border crossings.

UNFPA reached 150,000 women and girls who needed assistance, supporting two maternal health clinics in in Jordan and establishing a national referral system for women subjected to violence in Lebanon. The funds also enabled UNFPA to train midwives in Syria on how to work with minimal equipment in constrained environments.

UNDP actions made possible by the grant have focused on emergency employment such as short-term job opportunities for internally displaced people living in shelters, and on meeting some of the special needs of disabled people or those in need of psycho-social support.

II. STRATEGIC OBJECTIVES OF THE SHARP AND RRP SHARP (January-June 2013)

The Syria Humanitarian Assistance Response Plan (SHARP) issued on 19 December 2012 by the Government of the Syrian Arab Republic and prepared in coordination with the United Nations System appealed for $520 million for the UN and humanitarian partners towards the following strategic objectives:

1. Provide relief supplies and appropriate emergency services to those most directly affected by the current events.

2. Provide assistance to people who left their homes as a result of the current situation and to communities hosting them.

3. Support the Government in the rehabilitation and reconstruction of critical infrastructure and vital public services affected by the currents events through rapid repairs.

4. Address humanitarian needs of the poor who are most affected by the current situation to avoid their further destitution.

Revised SHARP (January-December 2013)

The appeal was revised and re-issued by the United Nations on 7 June 2013, alongside the revised Regional Response Plan. The revised SHARP reflected the much greater needs assessed since the previous Plan, now calling for $1.4 billion to help those affected by the crisis inside Syria. Four new strategic objectives shaped the revised SHARP:

1. Advocate for the protection of civilians, and in particular of those with specific vulnerabilities and prioritize their needs in accordance with principles of international humanitarian and human rights law and international law.

2. Increase the provision of life-saving emergency assistance and supporting the delivery of essential services for affected people in Syria, especially in the sectors of food and agriculture, water, sanitation, health, shelter education and essential non-food items.

3. Expand humanitarian response to encompass early recovery, and restoration/stabilization of livelihoods, supporting the government in the rehabilitation of vital public services affected by the crisis and creating an environment for humanitarian assistance to enhance the resilience of affected communities.

4. Enhance the operational capacity of national and international humanitarian responders and support existing local and community coping mechanisms.

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RRP (January-June 2013)

The regional strategic objectives outlined in the Regional Response Plan, which appealed for $1.04 billion, set out to ensure an inclusive approach, taking into account life-saving assistance to refugees and to all those affected by the refugee influx in Syria’s neighbouring countries and Egypt. The Lebanon chapter of the RRP includes activities targeting Palestinians from Syria who have also been forced to flee the country where they had been settled for generations. The plan cited three over-arching objectives:

1. Ensure that Syrians and other refugees and asylum-seekers fleeing from the Syrian Arab Republic have access to neighbouring territories in order to seek asylum and receive protection, including protection from refoulement.

2. Ensure that the basic needs of Syrians and other refugees fleeing from Syria are met, with special attention to the most vulnerable.

3. Undertake contingency measures for a potential mass influx.

Revised RRP (January-December 2013)

The plan was revised and re-issued on June 7 in a joint launch with the revised SHARP. This time, requirements increased to $2.98 billion, with an additional $830 million for the Governments of Jordan and Lebanon. Another million Syrians had become refugees in Lebanon, Jordan, Turkey, Iraq and Egypt since December 2012, when the RRP was announced, and trends suggested that the number of Syrian refugees needing assistance by end-2013 might have reached up to 3.45 million persons. The over-arching priorities of the expanding refugee crisis were listed as protection (access to asylum and registration, child protection, sexual and gender-based violence (SGBV); life-saving assistance and access to basic needs; community outreach to urban refugees and host communities, durable solutions (humanitarian admissions and resettlement), and emergency preparedness.

The revised Plan acknowledged the need to address the wider impact of the refugee influx on infrastructure and local communities.

III. OVERALL FUNDING SITUATION According to reports from donors and recipient organizations recorded in the Financial Tracking Service (FTS, http://fts.unocha.org), overall funding for the Syria crisis in 2013 to date amounts to $3.8 billion. The revised 2013 SHARP is funded at 57% ($806 million); the revised 2013 RRP is funded at 63% ($1.86 billion). The Kuwait contribution thus amounts to over 10% of all funding for these humanitarian response plans in 2013. Donors have also committed $1.4 billion to organizations and activities outside these appeals.

Response plan Original

requirements (USD)

19 December 2013

Revised requirements

(USD) 7 June 2013

Funding received

(USD) As of 25 October 2013

% funded

Syria Humanitarian Assistance Response Plan (SHARP) 2013

519,627,047 1,409,812,466 806,575,164 57%

Syria Regional Response Plan (RRP) 5 1,044,112,554 2,981,640,112 1,864,162,788 63%

Total for the 2013 plans (SHARP + RRP) 1,563,739,601 4,391,452,578 2,670,737,952 61%

http://fts.unocha.org/


IV. ORGANIZATIONS’ INTERIM REPORTS

UNHCR

PEOPLE IN NEED REACHED

400,000

GRANT RECEIVED (US$) 110 million

Timeframe applied to the grant The UN Refugee Agency (UNHCR) received a generous contribution of USD 110 million from the State of Kuwait towards its activities in the Regional Response Plan. The implementation of the projects selected will continue until 31 December 2013.

Expenditure to date (US$) $84.4 million

Thematic areas of intervention Sector Country of Implementation

Health Jordan, Lebanon, Turkey

Water & Sanitation (WASH) Jordan, Lebanon

Shelter Jordan, Lebanon

Non-Food Items (NFI) Jordan, Lebanon

Cash Assistance to urban refugees Egypt, Jordan

Refugee Registration Coordination Centres Turkey

Communal Cooking Facilities Turkey

Main results achieved to date with the grant: Country Results achieved

Egypt • 32,882 refugees received monthly cash assistance. • 19,268 refugees received emergency cash grants. • 13,156 people received winterization cash grants. • 8,849 refugee children received education cash grants.

Jordan • 43,184 people received comprehensive health care. • 9,700 hygiene kits distributed to 9,268 families (46,340 individuals). • 13,300 tents procured. • 7,906 tents set up for 39,530 refugees in Zaatari camp. • Infrastructure including roads constructed in Azraq camp. • Comprehensive maintenance and security provided in Zaatari camp. • 9,268 families (46,340 individuals) received basic non-food item kits. • Full warehousing and logistical services by Kuehne & Nagel are covered. • 45,033 vulnerable refugees have received cash grants.

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Lebanon • 15,343 primary health care consultations provided. • 7,100 emergency life-saving secondary health care interventions provided. • 3,460 people supported with mental health care services. • 82,818 refugees benefitted from hygiene kits. • 14,980 kits for babies distributed. • 7,922m3 of water delivered for ca. 15,000 beneficiaries. • 31 shared latrines constructed • 1,200 shelter kits distributed. • 1,610 people receive shelter/accommodation cash grants. • Emergency shelter materials procured (timber, sheeting). • Non-food items kits procured (jerry cans, buckets, and winterization items).

Turkey • Prototype mobile registration and coordination centre delivered in September – next units to be delivered in October and November 2013.

• Tender process for pre-fabricated clinics launched. • 13,432 households (67,160 individuals) have received the cooking facilities package

which includes hot plates, mini-fridges and kitchen cabinets.

Challenges encountered No significant challenges were experienced to date in the implementation of this grant. In Egypt, Jordan, and Turkey, as a result of extensive consultations on appropriate cash delivery mechanisms, shelter standards and technical specifications of mobile registration centres and pre-fabricated clinics, some delays were experienced but are not expected to affect the implementation timelines. In Lebanon, due to the changes in the operational environment and identification of additional vulnerabilities in the water and sanitation sector, activities in this sector were reprioritized and new agreements with partners negotiated.

Next steps UNHCR will continue to implement activities in Egypt, Jordan, Lebanon and Turkey in the above-mentioned sectors as agreed with the State of Kuwait. At this stage UNHCR does not envisage delays in implementation of activities under this fund.

At the end of the implementation period UNHCR will submit a final narrative and financial report including details on visibility implemented. A final report is foreseen by the first quarter of 2014.

Action taken to give visibility to the grant and the government of Kuwait

UNHCR Meetings

The contribution of the Government of Kuwait has been mentioned at several high-level meetings including: • 31 January 2013: UNHCR Senior Management Committee. • 7 June 2013: Launch of Syria Regional Response Plan (January – December 2013). • 30 September – 1 October 2013: High-Level Segment on Solidarity and Burden-Sharing with countries

hosting Syrian refugees. • 30 September – 4 October 2013: 64th Executive Committee of the High Commissioner’s Programme.

Print Media

A number of print media articles in the English and Arabic press have noted the important contribution made by the State of Kuwait to UNHCR. Notable dates are: • January 2013: Announcements made during the Kuwait Pledging Conference. • April 2013: Media coverage during the handing over ceremony of the cheques. • July 2013: One-year anniversary of opening of Zataari camp.

Digital media • July - August 2013: Public Service Announcements aired on Kuwaiti television during Ramadan period,

highlighting contribution of the State of Kuwait to UNHCR.

https://intranet.unhcr.org/intranet/unhcr/en/home/executive_direction/official_committees/senior_management.html


Mobile coordination and registration centre with close-up of visibility plaque

• July 2013: First anniversary of the setting up of Zaatari Camp on 29 July 2013. • August 2013: Video coverage of shelter solutions in Lebanon supported by the European Union and State

of Kuwait. ‘Lebanon: Tent Settlement Living: The UN refugee agency has been improving shelter and general conditions for Syrian refugees in the Lebanon with vital donations from the European Union and Kuwait.’ 2

• UNHCR photo series during Ramadan captured stories of people supported through Kuwait contribution.3 • UNHCR regularly documents human interest stories showing how the contribution from Kuwait has

supported refugees in various countries. (e.g. ‘Kuwaiti Funds Provide Vital Medical Aid for Syrian Refugees in Lebanon’4).

• The donation of the Kuwait Government was mentioned in an interview with UNHCR Turkey on “TRT Turk” - Turkish national television channel.5

• Web story on the provision of cooking facilities with support of Kuwait’s donation – available on UNHCR Turkey website.6

In the field • Plaques, banners and stickers have been produced in all countries and

placed where appropriate on items delivered/procured through this contribution.

• A documentary on the contribution of the State of Kuwait is being developed and will be filmed shortly.

• Milestone events will be organised for significant achievements in certain sectors as and when appropriate.

• Professional photographers are deployed in all countries to document UNHCR activities including those completed thanks to the contribution from the State of Kuwait.

• Regular external updates such as newsletters and funding updates include reference to Kuwait as donor to regional response. These are shared with a wide range of external actors (press, donors, international community, etc.).

• The contribution from the State of Kuwait is regularly mentioned by UNHCR staff at all levels in daily interactions with government representatives and partners.

Contact information: Sarah Wimaladharma, Donor Relations Officer ([email protected])

2 http://www.youtube.com/watch?v=EUbbj4illj0&feature=youtu.be 3 http://www.flickr.com/photos/unhcr/sets/72157634593052938/ 4 http://www.flickr.com/photos/unhcr/sets/72157635558208833/ 5 http://youtu.be/qKAbX0O3eek 6 http://www.unhcr.org.tr/?content=514

(1) Health Centre, Lebanon (2) Hygiene kit, Jordan (3) Non-food item kit, Jordan (4) Electronic cash assistance machines, Jordan (5) Mini-fridge and hot plate, Turkey

mailto:[email protected]

http://www.youtube.com/watch?v=EUbbj4illj0&feature=youtu.be

http://www.flickr.com/photos/unhcr/sets/72157634593052938/

http://www.flickr.com/photos/unhcr/sets/72157635558208833/

http://youtu.be/qKAbX0O3eek

http://www.unhcr.org.tr/?content=514

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Detailed Fund Expenditure:

By end October 2013

Health WASH Shelter NFI Cash Assistance

Regis-tration

Cooking Facilities

Subtotals Total Allocation

% Allocation vs.

Exp/Commit

Egypt 3,582,229 3,582,229 3,900,000 92%

Jordan 3,000,000 1,000,000 19,747,876 5,000,000 6,000,000 34,747,876 44,200,000 79%

Lebanon 5,135,075 4,951,520 6,702,146 13,327,500 30,116,241 44,200,000 68%

Turkey 3,200,000 3,000,000 3,800,000 10,000,000 10,000,000 100%

Subtotal 78,446,346 102,300,000 77%

Ind. Cost 5,929,000 7,700,000 77%

Grand Total 84,375,346 110,000,000 77%


Child Protection

15%

Education 15%

Health & Nutrition

9% WASH 32%

NFI 22%

Ops Mgt 7%

ALLOCATION BY PROGRAMME

Syria 42%

Jordan 21%

Lebanon 20%

Iraq 11% Turkey

6%

Egypt 0%

Regional Office

0%

ALLOCATION BY COUNTRY

UNICEF

PEOPLE IN NEED REACHED (Jan-Sept 2013)7

3.58 million including: 2.8 million in Syria 600,000 in Jordan 160,000 in Lebanon 17,000 in Iraq 5,000 in Turkey

GRANT RECEIVED (US$) 53 million (plus an additional $2 million contributed by Kuwait earlier in the year bringing total contribution to $55m)

Timeframe applied to the grant April 2013 – April 2014

Expenditure to date (US$) $48.3 million

Thematic areas of intervention Funding from the State of Kuwait is supporting Syria and neighbouring countries in all of UNICEF’s programmatic areas as well as UNICEF-led areas.

Main results achieved to date with the grant:

Syria

• Life-saving measles, mumps and rubella vaccination campaign (March-June 2013) reached 1.1 million children, together with funds from other donors.

• 2.3 million people now have access to safe water through the procurement and installation of 14 generators for drinking water treatment plants in the Governorates of Aleppo, Homs, Deir e Zor, Damascus, Hama city, Quneitra and Idlib.

7 These figures include beneficiaries reached through Kuwait funds as well as other contributions

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• Fourteen vaccine storage cold rooms, to be operated by Directorates of Health in Damascus, Idlib, Hassakeh, Raqqa and Dar’a will allow access to life-saving immunization for approximately 1 million children.

• “Back to Learning’ initiative rolled out in September, with procurement of school bags and teaching and learning materials to benefit 320,000 children. Remedial education and recreational activities through school clubs initiative benefit some 146,000 children in 9 governorates.

• Health and hygiene supplies to benefit 116,000 people including 70 emergency health kits which will treat 70,000 people, 10 diarrhoea kits for treatment of 6,000 cases, soap for 40,000 people and 160 boxes of oral rehydration salts for mild and moderato cases of dehydration for 40,000 children.

• Clothes and blankets for winter: some 25,000 blankets have been distributed in Aleppo while 75,000 blankets have been prepositioned in Homs (10,000), Tartous (5,000) and in Lattakia for Tartous (60,000)for distribution closer to the winter months.

• Baby hygiene kits containing diapers and other essential hygiene items procured and distributed for 27,000 IDP infants in Aleppo, Homs, rural Damascus, Tartous and other affected governorates.

• Psycho-social support in 12 shelters in Damascus and rural Damascus, benefiting 1,200 children

Jordan

• Along with funds from other sources, ensuring 120,000 Syrian refugees living in camps receive clean water daily, while maintaining a sanitary environment through solid waste collection and disposal from camps, over a period of nearly three months.

• Establishment of 48 WASH blocks, each of which contain 7 latrines/ 7 showers, ensuring that roughly 7,000 residents of Module 4 of Za’atari have access to sanitation facilities above international standards. Kuwait’s funding supported the installation of a water piping system in Module 4, a new area of the camp, improving daily water provision to some 7,000 camp residents for the foreseeable lifespan of the camp.

• Operationalization of two boreholes in Za’atari camp, creating a sustainable safe water source for some 60,000 people—nearly half the camp population—for the foreseeable future. Kuwait’s funding supported the connection of two boreholes to public electricity mains offered through Irbid Electricity Company. Prior to this, the boreholes were not operational, as the pumps were lacking a public electric power source (and running the system on generators is more costly than buying water from outside the camp). This step toward ensuring sustainable water supply to the camp will reduce daily water trucking costs by up to 30% of the current rate.

• Identification of community focal points on child protection to make up 12 local Child Protection Committees in Za’atari, to raise awareness of 6,145 refugees on prevention and response to violence, protection and referrals.

• Purchase of over 2,000 kits of warm winter clothing for over 2,000 children, including winter jackets, sweaters, hat, thermal shirts, trousers, and socks for children under the age of five. (This is part of an overall procurement of 38,000 kits for children under 5 years old, sufficient for a total population of 180,000 people with funds from other sources).

• Daily activities and services for over 23,000 children for six months, through 34 child- and youth-friendly spaces (CFS/YFS) in camps. The CFS/YFS provide safe locations in the camp for children to socialize, play and access psycho-social support. Many of these children visit the CFS/YFS day after day. Some 1,071 children and adolescents were identified by trained CFS/YFS staff as being “at risk” or vulnerable to harm; the children were referred for more specialized services. Kuwait funding supported approximately one third of the costs of operating these CFS/YFS from April-September 2013.

• Stationery and supplies enabling 12,000 refugee children to attend schools in camps

• Purchase of equipment to ensure success of a large-scale immunization campaign reaching over 600,000 Syrians and Jordanians; construction of latrines and showers for 7,000 refugees in Za’atari camp

Lebanon

• Some 160,000 people will benefit from emergency WASH equipment including 24,600 family hygiene kits, 25,200 baby kits, 1,673 water filters, 2,000 jerry cans, and 368 water tanks which have been procured through these funds.


• Many children who have fled Syria have been traumatized. Identification, assessments and referral of children at risk of violence and in need of psycho-social support aims to reach some 150,000 children and 70,000 parents.

• Critical life-saving winter contingency stocks including nearly 76,000 thermal blankets were procured and delivered in August.

• Plans for rehabilitation of 50 schools attended by 12,500 children, plus support for remedial education for 2,100 students, construction of water and sanitation facilities in 15 schools for 4,900 children, and training on positive discipline for 225 teachers and 750 parents.

• 16 mobile medical clinics have been set up, providing free direct primary healthcare in informal tented settlements and collective shelters. Since May 2013, some 23,000 patients in 84 settlements have been treated including 2,504 pregnant women, as well as 6,862 children vaccinated against measles and 4,016 against polio. Health supplies, namely lice treatment, will benefit some 170,000 people.

• Establishment and procurement of supplies for four community centres in Tripoli, Baalbek, Nabatiyeh and Beirut where women and girls will access gender-based violence (GBV) prevention and response services, including counselling and medical and legal referrals. It is estimated that 1,200 women and girls will benefit from services provided. In addition psycho-social support will be provided to an estimated 28,000 children as well as referrals of 10,000 out-of-school children to education facilities.

Iraq

• Design of a wastewater network and placement of water distribution points for Dara Shakran refugee camp on the outskirts of Erbil complete. When the camp opens in the coming months, some 12,000 refugees will benefit from access to water distribution points, removal of household waste water and excreta disposal.

• Recreational and social activities including health promotion for children and young people undertaken in a child/youth-friendly space in Domiz camp. A total of 583 children and youths are registered and on average half that number attends on a regular weekly basis.

• A summer school programme for 2,000 school-aged boys and girls offering life-skills activities and an opportunity for catch-up to students requiring extra attention. Life skills education includes health and hygiene promotion, literacy and numeracy skills and education on rights and non-violent conflict resolution.

Turkey

• Establishment of 7 child-friendly spaces (CFS) in 7 refugee camps for approximately 5,000 children. CFSs offer children safe spaces to learn and play while also accessing or being referred to essential services including psycho-social support, child protection services and medical services. CFSs also serve as a means to transmit lifesaving hygiene, health, GBV and protection messages.

• A total of 20 youth workers (11 females, 9 males) are working inside each of the camps (currently 16 camps are covered by at least one youth worker) setting up CFSs and running activities for children. The workers are equipped with laptops and mobile phones. Some 420 youths have been mobilized as youth volunteers to undertake recreational activities in CFSs.

Egypt

• Syrian and Egyptian social workers trained to provide counselling and other crisis interventions for Syrian refugee families.

Challenges encountered

Syria

Access and security: the deterioration of the security situation has restricted access to certain areas of Aleppo, Dier ez Zor, Al Hassakeh, Homs, Idleb and Rural Damascus. UNICEF was not able to reach all children during the last vaccination campaign. High-level advocacy with concerned parties is on-going to ensure the success of cross-line missions to reach vulnerable children and mothers. UNICEF facilitators

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contracted to work in governorates across the country will support UNICEF programming and monitoring in hard to access areas.

Availability of qualified implementing partners: before the conflict, service provision was handled entirely by the Government of Syria. Many NGOs have emerged during the recent conflict, and only a small number of international NGOs have been approved by the Government to work within Syria. This has led to challenges identifying technically competent partners. UNICEF has made a concerted effort to build up national and sub-national capacities and partnerships, long term agreements, and projects and services agreements to speed up response in the targeted areas. UNICEF also works with private sector companies where applicable.

Neighbouring Countries

Out of School Children: a large number of refugee children in Jordan and Iraq are not attending school and haven’t done so for months or even years. There are not enough schools, experienced teachers or supplies. Language of instruction has become a huge barrier. Children who were learning Arabic and English in Syria are now taught in French, Turkish and Kurdish. Many children are required to work to support their families. Girls are pressured to leave school to marry while boys face recruitment by armed groups. Lack of documentation, transportation costs and psycho-social issues have also stopped children in the region from attending school.

In Iraq an estimated 3,000 school aged children are out of school. UNICEF is working on providing additional schools within the refugee camp. In Jordan, UNICEF and partners are implementing a “Back-to-School” campaign in camps and host communities. In addition, training for teachers is being undertaken to improve the quality of formal education.

Dispersal of Refugees in Host Communities: In Lebanon refugees live in 1,400 different localities and the dispersed nature of this population hampers delivery of services. UNICEF Lebanon has undertaken a vulnerability mapping exercise to identify and prioritize those areas hosting the largest number of refugees and having the highest rates of monetary poverty. The mapping should improve use of funds and resources.

High Cost of Service Delivery in Camps: Trucking water to a camp population is appropriate in an emergency; however its high cost is unsustainable in the longer term. UNICEF in Jordan is instituting measures to establish water supply systems in the camp which will obviate the need for daily tanker operations throughout the camp.

Precarious security situation: in north and south Lebanon deteriorating security situation has impacted on the ability to deliver interventions on several occasions due to checkpoints and sporadic violence. UNICEF is employing field staff based close to delivery gateways to reduce the risk for staff travelling from their residence to project sites. Working with local NGOs also increases UNICEF’s ability to deliver interventions in less stable parts of Lebanon.

Next steps Across the sub-region, priorities for the next months include preparing necessary supplies and resources to respond to the coming winter; supporting ‘back to learning’ campaigns; maintaining the strong response in WASH, health and nutrition sectors. In Syria, expanding the rehabilitation of water and sanitation networks in Homs, Aleppo and Idleb; procuring supplementary nutrition items such as high energy biscuits, for children under-five vulnerable to malnutrition; providing psycho-social support and recreational activities, and raising children’s awareness of major conflict-related protection risks such as trafficking, gender based violence, recruitment into armed groups, and matters related to family separation. In Jordan, psycho-social support, including setting up 15 child and adolescent friendly spaces; constructing and running playgrounds in Za’atari and Azraq; support to the UNICEF/Noor Hussein Foundation in Cyber City in the coming months, including installation of a child-friendly space, playgrounds and other play learning activities; Integrated Management of Childhood Illness programme will train 12 doctors and 12 nurses to address medical needs of an estimated 24,000 children under five years of age in Za’atari camp. In Lebanon, community outreach on sexual violence and early marriage; vocational/income generating training for women and girls and expanded distribution of dignity kits for women and girls; free, direct primary healthcare for residents in all informal tented settlements throughout Lebanon. In Iraq, children’s help lines in Domiz camp and Dohuk city; assessments on disability and child labour; securing additional spaces for formal education; teacher training on psycho-social support techniques and contemporary teaching methods. In Turkey, establishing CFSs in remaining camps; engaging additional youth and recreational workers for refugee camps, and in Egypt,


supporting local NGOs in establishing 32 classrooms in Greater Cairo, Alexandria, and New Damietta to accommodate an estimated 800 Syrian refugee children between 3-5 years of age.

Action taken to give visibility to the grant and the government of Kuwait Sustained efforts to give Kuwait visibility for this generous contribution include press releases8, human interest stories9 and postings on UNICEF websites and social media, branding of supplies where possible, and signboards, as well as engagement with Kuwait Representation in the form of field visits including with media. UNICEF fosters news coverage by the Kuwait news agency.

Upon receipt of the additional $53 million Kuwait contribution UNICEF posted a press release10 on its global website thanking the Kuwait Government for this significant contribution. UNICEF Jordan organized an event in Za’atari Camp highlighting Kuwait’s contribution and inaugurating a UNICEF/Mercy Corps Multipurpose Court. The event was attended by Kuwait’s Ambassador to Jordan, His Excellency Dr. Hamad Saleh Al Duaij and UNICEF Jordan Representative Dominique Hyde.The participants also visited a Child-friendly Space and viewed a WASH facility which ensures the provision of safe drinking water to Za’atari camp residents.

UNICEF Jordan issued a press release on the 25 July event in English and Arabic in the Jordan Times, the country’s largest English-language newspaper.11 Additionally, UNICEF Jordan posted pictures and updates on social media (Facebook and Twitter) sites about the inauguration and Kuwait’s support.

Contact information: Maria Calivis, UNICEF Regional Director, Regional Office for the Middle East and North Africa ([email protected])

8 http://www.unicef.org/media/media_70289.html 9 http://childrenofsyria.info/2013/10/08/unicef-emergency-education-support-in-tartous-western-syria/ 10 http://www.unicef.org/media/media_68756.html 11 http://jordantimes.com/kuwaiti-diplomat-inaugurates-sports-field-in-zaatari-camp

http://www.unicef.org/media/media_70289.html

http://www.unicef.org/media/media_68756.html

http://jordantimes.com/kuwaiti-diplomat-inaugurates-sports-field-in-zaatari-camp

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WFP


980,137of whom 197,800 people inside Syria and 782,337 Syrian Refugees in Jordan, Lebanon, Turkey, Iraq and Egypt


Timeframe applied to the grant WFP greatly appreciates that in its pledge letter the State of Kuwait did not specify a timeframe for the use of this grant. Thus, Kuwait has given WFP much-needed flexibility for the allocation of resources in the most efficient and needs-based manner. This, in turn, has enabled WFP to serve people in need in the best possible way.

Following the Kuwaiti pledge, WFP quickly programmed the entire contribution for the procurement of assorted food commodities as well as for food assistance through vouchers. Kuwait’s generous contribution has thus enabled WFP to assist close to one million vulnerable people with life-saving food throughout the months of May to December 2013.

As of 31 October 2013, WFP has expended 97% of the Kuwaiti contribution. The remaining funds are programmed for small-scale food distributions in Syria, Lebanon and Iraq in November and December 2013. In line with its corporate reporting, WFP will issue a Standard Project Report on the financial and programmatic utilisation of all contributions (including the Kuwaiti contribution) at the end of March 2014.

Expenditures to date (US$) $38.8 million

Thematic areas of intervention The Syria response is WFP’s largest and most complex aid operation worldwide.

In order to support people in need, WFP is currently implementing two Emergency Operations, one inside Syria and one in the neighbouring countries Jordan, Lebanon, Egypt, Iraq and Turkey. The purpose of these Emergency Operations is to save lives and provide food assistance to vulnerable families whose food and nutrition security has suffered as a consequence of the civil unrest in Syria.

Given the scarcity of food in many parts of Syria, WFP uses mostly general food distributions to deliver food assistance to people in need within the country. WFP teams in Egypt, Iraq, Jordan, Lebanon and Turkey where food is sufficiently available in local markets, are mainly using food vouchers to respond to the needs of vulnerable people. These vouchers can be redeemed against a list of items, including fresh produce, which is not normally included in food rations. Vouchers also boost the local economy. Since the beginning of 2013, through the voucher programme, WFP has injected almost US$192 million into the local economies of neighbouring countries.

In order to guarantee the uninterrupted continuation of lifesaving assistance, WFP has so far drawn on more than US$310 million internal advance financing to keep the Emergency Operations going.

Main results achieved to date with the grant: Over the last couple of months, WFP has been supporting an average of 3 million people per month with lifesaving food assistance inside Syria. In addition, WFP has provided urgently-needed food assistance for more than one million Syrian refugees in neighbouring countries.

Kuwait’s contribution of US$40 million has been of tremendous help as it has allowed WFP to buy, transport and distribute food as well as to organise food voucher assistance.


In particular, WFP has used Kuwait’s generous contribution to purchase 7,000 mt of assorted food commodities such as rice, sugar, vegetable oil, lentils and canned pulses. Most of the food has already been distributed to over 197,800 vulnerable people inside Syria.

In the region, WFP has used Kuwaiti funds mostly for food vouchers in all the five neighbouring countries hosting Syrian refugees. In addition, WFP has used Kuwaiti funds to procure 35 mt of food for Jordan, 484 mt for Iraq and about 289 mt for Lebanon.

Assistance allocated in the five neighbouring countries has benefitted about 782,337 Syrian refugees in the region with lifesaving food assistance:

• 256,940 people in need in Jordan;

• 62,100 Syrian refugees in Iraq;

• 105,834 vulnerable people in need in Turkey;

• 20,863 Syrian refugees in Egypt;

• and 336,600 vulnerable Syrians in Lebanon.

WFP cannot overemphasise the importance of flexible contributions. If Kuwait and other equally flexible donors had not made available generous and flexible contributions, WFP’s lifesaving aid delivery would have been severely hampered.

Challenges encountered Generally speaking, insecurity and other access restrictions inside Syria continue to affect the delivery of food assistance to hotspot areas. The current blockade by armed groups of the Al-Hasakeh governorate in Syria has continued to hamper WFP’s ability to reach this province. Populations trapped in besieged locations and unreachable by humanitarian assistance are a key concern.

Next steps As previously stated, WFP has programmed Kuwait grant to provide lifesaving food assistance to vulnerable Syrians in Syria and in neighbouring countries. Food distributions using funds allocated to Jordan, Turkey, and Egypt have been concluded while some remaining commodities will still be distributed in Syria, Lebanon and Iraq throughout November and December 2013.

Action taken to give visibility to the grant and the government of Kuwait Upon receipt of the contribution from Kuwait, WFP issued a press release which it circulated widely among interested media outlets. WFP also publicised Kuwait’s contribution through the inclusion of the flag of the State of Kuwait on distribution sites in Jordan, Iraq, Turkey, Eqypt and Lebanon. In addition, Kuwait’s official emblem was published in relevant reports; signs were posted at project sites (billboards, banners, posters and stickers), and on the backside of the paper vouchers distributed in Jordan.

In mid-October, WFP shared a brief update on the allocation and utilization of Kuwait’s US$ 40 million contribution with high-level Kuwaiti officials at the capital level as well as with Kuwaiti counterparts worldwide. This update included a complete overview of the visibility WFP had arranged in recognition of Kuwait’s strong and generous support.

Contact information: Janine D’Angelo, Donor Relations Officer at WFP Headquarters in Rome, Italy ([email protected])

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WHO

PEOPLE IN NEED REACHED Syria: 2,380,000 patients in hospitals and health centres, 1,428,000 non-communicable disease patients, 952,000 patients needing secondary care Iraq: 200,000 patients receiving essential medicines, 210,000 individuals receiving basic health services in the camps, 75,000 people benefitted from environmental health interventions Jordan: 620,000 Syrian children vaccinated, many more Syrian refugees receiving medicines purchased with Kuwait funds (total number to be determined by the end of October) Lebanon: 1,500,000 refugees (registered and non-registered) and 1,500,000 hosting communities (directly and indirectly), including 75,000 chronic disease patients, 200 HIV patients, 3,000 surgery patients, 500,000 benefiting from essential medicines, 100,000 people benefiting from information of good health practices and 875 medical staff benefiting from training.

Turkey: 660,000 Syrians currently hosted by Turkey (directly and indirectly)

Egypt: 122,744 people benefiting from specialized health services in Egyptian hospitals


Timeframe applied to the grant April 2013-April 2014 (WHO standard timeframe for humanitarian response operations)


Thematic areas of intervention Health, and Water Sanitation and Hygiene


Syrian Arab Republic

Overall Objective: To reduce mortality and morbidity of vulnerable Syrians by providing life-saving medicines in affected areas across the country. Specific Objective: Increasing access of vulnerable populations to life-saving medicines at primary and secondary health care levels

A total of 17 hospitals were supported with a comprehensive set of medicines and equipment procured (as per the Syrian Essential Medicines Priority List) to cover patient needs for three months and distributed to 11 public hospitals in Damascus, rural Damascus, Aleppo, Homs, Idleb, Latakia, and Hama, three hospitals managed by the Ministry of Higher Education (MoHE) in Damascus and Latakia and three NGO hospitals in Aleppo, Homs, and Deir Ez Zour.


2,380,000 patients benefited from medicines for diseases such as diabetes, hypertension, and asthma in public hospitals and health centres in government and opposition-controlled areas.

A total of 1,428,000 patients with non-communicable and chronic diseases benefited from a set of non-communicable disease medicines procured to cover the needs of non-communicable disease patients for three months. Medicines for diseases such as diabetes, hypertension, and asthma were procured and distributed to public health centres and national NGOs in Damascus, rural Damascus, Aleppo, Homs, Idleb, and Latakia.

A total of 952,000 people in need of secondary level health care benefited from specialized medicines and supplies for surgical operations, trauma and injury care, which were used to treat patients referred to public and NGOs hospitals (in rural Damascus, two in Aleppo, one in Homs, one in Idlib, one in Hama, and three MOHE hospitals in Damascus and Latakia).

Iraq

Objective 1: Ensuring overall coordination and effectiveness of the operation The Ministry of Health (MoH) was supported in coordination of health service delivery activities at the Department of Health level and with relevant partners to minimize gaps and ensure better synchronization. A Training of trainers on emergency preparedness and response was conducted to build the capacities of 30 health professionals involved in emergency response.

Objective 2: Establish a Disease Early Warning System (EWARS) for outbreak detection and control No major outbreaks have been experienced thanks to the Disease Early Warning System established in all the major camps in Dohuk and in Erbil. The system was sensitive enough to detect small increases in the incidence of communicable diseases and allowed control measures to be put in place to avert possible outbreaks. Over 200 health professionals were trained to detect, manage and control cases of communicable diseases.

Objective 3: Provision of essential medicines/supplies, including medicines for chronic conditions About 200,000 people including about 15,000 suffering from chronic diseases and about 400 physically challenged people received appropriate quality medications and mobility or hearing aids.

Objective 4: Ensuring delivery of basic health services inside the camps and establishing a referral system All patients who attended primary health care centres in the camps had access to a package of primary health care services. The estimated number of beneficiaries who received health care services is 210,000 individuals in and outside camps. All children under 5 years old have been vaccinated against measles and polio in camps and in the host communities. About 3,000 patients were referred to specialized health centres.

Objective 5: Improving environmental health Quality of water distributed in the camps and in host communities was monitored and personal hygiene for refugees living in the camps was improved. The activities included the procurement of five hygiene and water testing kits for the Departments of Health of Erbil, Dohuk and Suleiymaniyah. These activities benefitted about 50,000 individuals in Domiz Camp, 20,000 refugees in the newly established camps in Erbil and about 5,000 in Suleiymaniyah and contributed to reducing risks of outbreaks of communicable diseases, especially diarrhoeal disease.

Objective 6: Provision of mental health and psycho-social support Refugees suffering from mental health problems were provided with needed medications and psycho-social support inside the camps in Erbil, Dohuk and Suleiymaniyah. About 80 professionals have been trained to provide mental health and psycho-social services to refugees in the camps in Dohuk, Erbil, Suleiymaniyah and Anbar.

Objective 7: Capacity-building and strengthening the health system, including developing a health information system More than 400 health professionals were trained to provide health services for displaced and refugee populations. These health professionals are contributing to improving the overall quality of health services within and outside camps.

Objective 8: Increasing availability of skilled personnel to support delivery of preventive and curative health services for refugees Through the funding of three existing support staff and the recruitment of 3 skilled health professionals for camps in Erbil, Dohuk and Suleyimaniyah. The quality of health care services provided inside and outside the camps receiving Syrian refugee populations has been improved. The whole population in these camps and

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surrounding areas are indirect beneficiaries, 60,000 people who have attended the clinics are direct beneficiaries.

Jordan

Jordan’s Governmental health facilities are readily accessible at no cost to registered Syrian refugees and, with support from WHO and other international development partners. However, as the number of Syrians in Jordan increases, their demands and related burden on Jordan’s health sector also increases.

Objective 1: Increase access to quality preventative and curative health services WHO utilized the large majority of Kuwait funds allocated to the country ($5 million) to rapidly assist the Ministry of Health (MoH) in purchasing drugs and essential medicines to increase the stock of medicines in facilities and governorates with the greatest proportion of Syrian refugees.

A mass measles vaccination campaign was coordinated by WHO, in close collaboration with UNHCR, UNICEF, UNRWA, to vaccinate all children 6 months to 15 years of age in Irbid and Mafraq, Jordan. WHO provided specialized expertise that supported MOH and other partners in the design of the campaign’s macro and micro plans; expertise to verify, analyse, investigate and document the measles outbreak; in the design, organization and delivery of the training for vaccinators; as well as coordination support throughout the campaign, problem-solving during social mobilization and the post-campaign evaluation of quality and coverage. In Mafraq and Irbid provinces, following the first measles outbreak in Jordan since 2008, 620,000 Syrian refugees (outside camps) and Jordanian children aged 6 months to 15 years were vaccinated against measles and given vitamin A supplementation. The coverage achieved exceeded 88% and helped contain the outbreak

Objective 2: Strengthen Surveillance and Facilitate early detection & rapid response to public health threats Outbreaks of bloody diarrhoea in Za’ atari camp (Mafraq province), ricketsial infections in Madaba and Karak, and measles were contained through enhanced Ministry of Health (MoH)’s surveillance and early warning/rapid response (EWARS) systems. In collaboration with the Eastern Mediterranean Public Health Network (EMPHNET), WHO provided technical assistance to the MoH to strengthen the EWARS in 5 provinces most affected by the Syrian crisis. WHO activities included the following:

1. Review and strengthening of data collection and reporting at peripheral health care facilities

2. Reactivation of weekly epidemiological bulletin and MoH reporting website

3. Training of trainers for 10 Central MoH surveillance teams

4. Training to 20 Governorate surveillance staff

5. Training to Rapid Response Teams at both central and governorate level for outbreak investigation and response.

Objective 3: Provide Leadership and coordination of the health sector In collaboration with MoH and Departments of Health (DOHs), WHO has helped establish two governorate-level coordination bodies and to strengthen existing national coordination mechanisms including the National Coordination Committee chaired by MoH, the Health Sector Working Group co-chaired by WHO and UNHCR. WHO advocated with MoH for creating these coordination levels, provided staff and training in coordination in public health emergencies, assists the DOHs in convening/documenting meetings, conducting assessments, analysis of partner interventions, identifying service coverage gaps, mapping partner presence.

The 3W matrix (who is doing what where) is regularly updated by WHO and UNHCR in coordination with other health partners such as IMC (in the Mental Health WG).

Coordination platforms at national level and in two governorates (Irbid and Mafraq) have regularly met with 90% of all health sector partners in regular attending. Strategic plans at national level are being developed by MoH, WHO, UNHCR and other health partners for the remainder of 2013 (RRP5) and 2014 (RRP). Over 95% of all health sector partners’ activities inside and outside camps are mapped in Jordan, with detailed analysis from the mental health sector (comprising over 40 partners nationwide) available.


Lebanon

Objective 1: Increase access to quality and priority preventive and curative health services WHO subcontracted the YMCA for procurement of the following chronic medication:

MEDICATION QUANTITY

Cardiovascular, hypertension & blood circulation drugs 109,210 units of one month treatment per unit, equivalent to 2,160,00 tablets

Diuretics 15,000 units equivalent to 564,000 tablets

Anti-diabetics 48,000 units equivalent to 2,160,000 tablets

Antipsychotics 6,050 units equivalent to 343,000 tablets

Neurological agents 12,900 units equivalent to 1,260,500 tablets

Respiratory tract conditions 9,200 units equivalent to 58,700 tablets/ inhalers

Hyperlipidemia 32,000 units equivalent to 1,056,000 tablets

Musculoskeletal agents 9,500 units equivalent to 294,000 tablets

Anti-ulcer 14,300 units equivalent to 420,400 tablets

Thyroid problems 1,500 units equivalent to 150,000 tablets

Ocular hypertension 1,100 units equivalent to 11,000 tablets/eye drops

Retinopathy 900, units equivalent to 54,000 tablets

Osteoporosis 4,880 units equivalent to 292,800 tablets

Additionally, 40,000 doses of insulin were procured, to be provided through the Ministry of Public Health (MoPH)’s primary health care (PHC) network to patients requiring diabetes management across the country through the use of Insulin therapy. In addition 3,076 doses of anti-retrovirals (ARV) were procured. A total of 50 Basic Health kits that could serve each a population of 10,000 for three months, and 30 Basic Surgical kits that could allow performance of 100 general surgeries each, were procured to MoPH.

• Training on neonatal resuscitation, targeting paediatric and delivery units staff was initiated in the border areas, through a partnership with a specialized national NGO (the LAECD) with a total of 120 medical staff to be reached, with special focus in regions with high Syrian concentration.

• A pilot training for general practitioners on the most common PHC health conditions was completed in collaboration with the Society of Family Medicine.

• The Antiretroviral Guidebook was updated and disseminated to all infectious disease specialists across the country; 3,000 guidebooks on mental health and another 3,000 toolkits on hazard, management to be used as resources for relevant training were reprinted and disseminated.

• A training on the updated Health Information system was conducted targeting 360 staff from 180 PHC centres of the MoPH network.

Objective 2: Facilitate early detection and response of outbreaks and hazards: through enhanced preparedness for specific hazards (chemical risks) and outbreak surveillance strengthened through increased MoPH IT and logistics capacity.

WHO procured personal protective equipment (PPE) for level C risks (570 kits and for level D risks (5,000 kits). In addition it procured IT equipment and vehicles to support the early warning and outbreak surveillance and response system.

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The following vaccine, antidotes and laboratory reagents were procured in the context of prevention and response of outbreaks of communicable diseases: measles-mumps-rubella vaccines (10,000), Penta vaccine (20,000), DPT Hib (15,000), Dt Adult (10,000), anti-rabies Ig (25), anti-rabies vaccines (200), anti-snake venoms (100), chlorine tablets (1kg), GAS for TN (1), Gene X-pert machine (TB) (1), atropine (40,000) and naloxone (10,000).

Training of 500 public schools on monitoring and reporting absenteeism was completed as part of the EWARS. A training and drill on chemical hazards response was organized.

Objective 3: Provide timely information on health trends, needs and priorities Following the technical support mission that identified the risks for outbreaks in May 2013, WHO finalized with the MOPH team the strategic plan for the disease early warning and response network (EWARN), and proceeded with the updating of the relevant standard operating procedures for surveillance and response with direct support from WHO.

Monthly health situation reports and regular press releases will be issued to regularly communicate information on the health status and needs of the displaced Syrian population in Lebanon.

WHO co-funded the Nutrition survey which targets the Syrian refugees and the host communities in the areas with high Syrian concentration.

WHO designed and implemented the EPI cluster survey, targeting in particular the areas with highest Syrian presence.

Turkey

Objective 1: Provide technical health expertise WHO as health sector lead provided technical assistance and support (verification of gaps/needs, proposed areas and activities) for health-related projects proposed for implementation in the southern Turkey. WHO supported the strengthening of disease surveillance with an integrated early warning and response system (EWARS). It also provided technical assistance to health sector partners in a broad range of technical public health aspects, e.g. communicable disease control, reproductive health, mental health, essential medicines, maternal and child health and reproductive health, etc. WHO also supported the Turkish MoH programme for the integration of Syrian health professionals in health service provision for Syrians in clinics in refugee camps, and in dedicated primary care clinics for non-camp refugees.

Objective 2: Ensure health information management WHO established mechanisms for regular information exchange and dissemination of information products to relevant stakeholders (Turkish health authorities, UN partners, NGOs working in southern Turkey). It also developed regular health information products on evolving health risks, population needs and access to services.

WHO is supporting the Turkish health authorities in quantifying the extra burden of providing essential health services to displaced Syrians in Turkey, to monitor and assess health services needs both inside and outside the camps and to specify the medium and long term priority needs and enhance international resource mobilization efforts for health interventions provided to refugees in Turkey.

Objective 3: Provision of core services WHO proposed a road map to scale up response in the southern Turkey for Syria crisis that was endorsed by the Turkish authorities. Thanks to the establishment of presence in Gaziantep, WHO facilitated coordination for provision of essential medicines, medical supplies and operational capacity as requested by the Ministry of Health of Turkey and health sector partners. WHO provided 5,000 doses of glucantime for leishmaniasis treatment as requested by the Ministry of Health of Turkey.

Objective 4: Strengthen health leadership and coordination WHO supports health information management and coordination of 30 NGOs and health partners based in southern Turkey (mainly in Gaziantep, Hatay and Kilis), many of them operating both on the Turkish and Syrian side WHO has established a sub-office in Gaziantep to provide health coordination, technical assistance, training, and ensure information sharing with partners providing humanitarian aid to Syrian populations. This includes sharing of information on public health threats such as disease outbreaks to ensure coordinated and effective response.


Egypt

Objective 1: Upgrade the Early Warning and Response System (EWARS) WHO supported strengthening of EWARS to improve early detection and rapid response and containment of potential disease outbreaks in the five governorates of Egypt where 80% of the Syrian population is residing. Ten training courses were conducted in five governorates for a total of 105 of preventive health staff, working at governorate, district, and health facility-levels on operationalization of the system.

Objective 2: Management of medical and surgical emergencies WHO has signed a Memorandum of Understanding with specialized hospitals to support the provision of services. A total of 122,744 Syrian refugees and hosting population will benefit from that support.


Syrian Arab Republic:

• Access: During the second quarter of 2013, Health Sector partners have faced increasing impediments with regard to access. The delivery of essential medicines and medical supplies to those most in need in both government- and opposition-controlled areas has been severely hampered. Critical medical products, including those in interagency convoys, have been prevented from reaching affected locations, undermining health care availability for trauma and disease control.

• WHO, as the health sector lead, has pursued every avenue to urge for unhindered access for essential medicines and medical supplies to all vulnerable populations, through: 1) A letter from the United Nations Emergency Relief Coordinator (ERC) to the Syrian Ministry of Foreign Affairs (MOFA); 2) A letter from the highest levels of WHO (Director-General) to the Syrian Ministry of Health (MoH) and the Syrian Permanent Mission to Geneva, 3) Regional meetings between WHO and Syrian representatives (WHO’s Regional Director, Director of Programme Management (DPM) and WHO Representative a.i. with the Syrian MoH and Ministry of Higher Education (MoHE), as well as UN partners.

Iraq

• The fast evolving and often changing security situation can at any time limit access to beneficiaries in different locations. Measures taken include involving communities and local NGOs in the response mechanism to foster resilience and coping mechanisms as part of the response structures.

• Current insufficient funding for health is likely to limit the access and reduce the quality of services that can be provided by different actors.

• Increased influx of refugees due to continuing violence inside the Syrian Arab Republic is likely to overwhelm the response capacity of the Iraq Government.

• The difficulty in obtaining accurate data on the population living in the host community given the current weak patient recording system which does not capture the nationality of patients and hence makes it difficult to have accurate estimates of the epidemiologic data and the burden put on health system in the host community.

Lebanon

• Constant increase in the number of Syrians fleeing to Lebanon has posed a great challenge in terms of meeting the continuous age-specific health needs of such a population presenting several health service requirements, be it communicable diseases, chronic conditions, reproductive health issues, nutrition essentials , and mental health disorders amongst others

• Frequent mobility and rapid increase in informal tented settlements which makes access to health services and monitoring health status more difficult and more costly

• Limited funds available for all health partners to equally provide health services and meet the health needs of displaced Syrians on primary, secondary, and tertiary health care levels

Egypt

• Political instability and security problems have led to delay implementation of response activities

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• Registered Syrians represent approximately 50% of the total refugee population, the remainder (unregistered) are deprived of some health services such as secondary and tertiary care.

Next steps To monitor delivery and implementation, WHO draws on various sources for verification and triangulation of findings. Detailed information is systematically collected through WHO's accounts on orders placed and WHO’s supply tracking system is categorized by governorate, end-user and beneficiaries reached. WHO also draws on its partners, collaborating with the MoH, MoHE and the health authorities in the 14 governorates through their regular reporting on health facility infrastructure and service provision based on WHO-developed and agreed upon reporting formats.

WHO receives monthly reports from the contracted NGOs detailing consultations/treatments provided, as well as health kits and medicines delivered in the geographical areas where the 36 partner NGOs are present. Reporting also follows WHO-developed formats with defined diseases, disaggregated by gender and age. Additionally, some of WHO’s support to NGOs involves in-kind assistance, i.e. the direct provision of kits and medicines. In-kind assistance is monitored initially through delivery reports and is later verified through the number of beneficiaries reached per the specific items provided. WHO, in collaboration with Damascus University, has developed a monitoring and evaluation (M&E) framework. Medical and pharmacist students have been contracted to undertake situation assessments, conduct spot checks and verify implementation of activities and the distribution of medicines when the security situation permits.

In the next months, WHO will continue to use the remainder of the Kuwait grant to continue implementing health response activities according to the objectives mentioned above. Implementation in both the Syrian Arab Republic and neighbouring countries will continue to be done in coordination with Health Sector partners and under the leadership of the Regional Humanitarian Coordinator.

Action taken to give visibility to the grant and the government of Kuwait On 18 April 2013, WHO issued a public statement thanking the Government of Kuwait for their support.

Contact information: Cintia Diaz-Herrera, Coordinator, External Relations and Resource Mobilization for Emergency Risk Management ([email protected])



UNRWA


479,228 directly and indirectly reached with the grant


Timeframe applied to the grant Syria: 15 April 2013 – 31 December 2013

Lebanon: 1 January 2013 – 31 December 2013

Jordan: 1 May – 31 December 2013

Expenditures to date (US$) $12 million

Thematic areas of intervention Syria: emergency cash assistance; emergency food assistance; emergency health; emergency education; management and monitoring.

Lebanon: food assistance (cash), non-food items, environmental health, emergency health, education, shelter, protection.

Jordan: cash assistance, health, psycho-social and protection; emergency safety and security training and support.


Syria

Emergency cash assistance: provided for Palestine refugees in Syria who have been severely affected by the conflict to support them in meeting their food and non-food item (NFI) needs. The current volatile situation and the unpredictable access to certain areas renders cash assistance the most viable form of resilience-building support for vulnerable Palestine refugees in Syria where markets do continue to function. This modality is also significantly more efficient and fungible than distribution of in-kind humanitarian assistance.

Emergency food assistance: remains a critical priority, particularly for IDPs, with food parcels intended to cover a portion of the basic survival needs of households in addition to cash.

Emergency Health: operations were supported and continue to provide refugees with health services through the Agency’s 10 functioning health centres across Syria. UNRWA has opened six mobile health points (5 in Damascus and one in Aleppo) to offer primary healthcare to displaced refugees populations. In the first half of 2013, UNRWA provided 340,333 patient consultations and paid for 5,800 hospital referrals with the generous support of donors, including Kuwait. Medicine stocks have also been replenished, with a further year’s supply currently stored at the Agency’s central warehouse facility in Damascus.

Emergency Education: an average of approximately 26,000 out of 67,000 students have been able to attend UNRWA schools during the current academic year. 31,000 students managed to pass their end of year exams during the previous summer, and UNRWA provided catch up classes to a further 7,900 students in its schools. UNRWA is now developing distance learning materials to enable children affected by displacement and school closures to continue their education wherever possible.

Management and monitoring: up to 420,000 Palestine refugees in Syria have benefited from enhanced management and monitoring. Unlike UN sister agencies, who set up regional operations to manage their Syria response, UNRWA has largely relied on existing staff and capacity for its emergency response. As the

27


humanitarian response grows, so do the organizational needs to effectively implement projects in addition to normal programming in an emergency setting.

Lebanon

Cash for food assistance: This grant supported UNRWA’s fourth cash distributions from 17-22 June 2013 which provided cash assistance for food of USD 33 per person to 57,781 Palestine refugees from Syria.

Non-food items: This grant supported the provision of non-food items to approximately 1,570 PRS families during the reporting period.

Environmental health: This grant supported the increased provision of environmental health services in the 12 Palestine refugee camps throughout Lebanon including access to adequate and safe water, sanitation services, and garbage collection and disposal for approximately 24,000 PRS individuals and a further 11,500 Syrian refugees residing in the camps.

Emergency health: This grant supported the provision of medication and primary healthcare to approximately 57,000 PRS individuals that have registered and received services in UNRWA’s 27 Health Centres located throughout the country.

Education: This grant supports the provision of primary, intermediate and secondary education to PRS in regular and special classes for approximately 6,600 students focusing on subjects including Arabic, English and Arithmetic as well as recreational activities. Textbooks and supplies were also provided to all PRS students and 310 new teachers were recruited with support from this grant to cope with the increased number of students.

Shelter: This grant supports the much needed rehabilitation of 20 shelters to accommodate 179 PRS families. UNRWA works with its partners to identify unused spaces and land that can be transformed into collective shelter. UNRWA covers the cost of the rehabilitation of the shelter while partner NGOs are responsible for the running of the centres including the running costs.

Protection: This grant has supported recording of over 47,700 PRS individuals confirmed in Lebanon, protection monitoring and reporting for over 300 cases and over 125 interventions at the border between Lebanon and Syria to allow PRS in need to enter Lebanon. In addition, communications materials were provided to PRS including the distribution of 52,000 factsheets on UNRWA services and 48 coordination meetings with PRS at local and field level.

Jordan

Food Assistance: 1,447 Palestine refugees from Syria (PRS) received cash grants of USD 100 to support their basic food and non-food items (NFI) needs for a period of four months. 32 extremely vulnerable PRS families also received emergency cash grants of an average of USD 350 to help them weather a sudden crisis such as the loss of a family member.

Emergency health: PRS received 2,805 free consultations for primary health care in UNRWA clinics and 120 consultations in a primary health care centre run by the Jordanian Health Aid Society (JHAS) in Cyber City. PRS also received 26 consultations for emergency and lifesaving care in government or private hospitals, with full coverage.

Psycho-social support: 142 PRS students participated in summer camp activities to improve their psycho-social well-being. The grant co-financed some of the costs associated with the organization of the summer camp, including the purchase of sports equipment and meals for participants. 200 PRS who are housed in Cyber City together with Syrian refugees can access recreational activities to improve their psycho-social well-being in a community room equipped with sports equipment procured through this project.

Management and security: Improvements to UNRWA’s humanitarian capacity through co-financing critical positions within the Emergency programme. 15 UNRWA front-line staff received security training to respond to a number of potential security threats and ensure staff safety and business continuity.



Syria

In Syria, UNRWA continues to face operational challenges, primarily due to security and access constraints. Within Damascus itself, several areas are have been inaccessible for a period of months, including several Palestine refugee camps. The intensification of conflict throughout Syria, particularly affecting Palestine refugee residential areas, has forced increasing numbers of Palestine refugees to flee their homes, often multiple times over, creating enormous burdens on host communities and UNRWA services. Displacement has now affected at least 235,000 refugees, the majority of whom are in Damascus, forcing families to relocate to safer areas or take shelter in UNRWA facilities and shelters. Many of the Agency’s 3,800 staff have themselves been displaced and are continuing to work despite repeated displacement. In many instances, displaced staff are unable to travel to their normal place of work and instead operate from the nearest facility available to them. This flexibility has enabled UNRWA to maintain its core programme delivery of education, health and relief. Despite serious challenges, UNRWA retained operational capacity in Damascus, Aleppo, Homs, Hama, Latakia and Dera’a throughout 2013, providing assistance through a network of 3,700 staff and over 150 installations.

Lebanon

Since August 2013, a number of refugees from Syria (including PRS) have been denied entry into Lebanon. UNRWA continues to liaise with the Lebanese General Security in order to facilitate humanitarian cases entry into Lebanon and also advocates with the Lebanese authorities for equal treatment of all refugees at the border. In addition, Palestine Refugees as a whole experience heightened vulnerability due to existing discriminatory laws in Lebanon which prevent Palestine refugees from owning property and curtail their right to work, and excludes their access to Lebanese social services; the influx of PRS aggravates these vulnerabilities.

Another major challenge is shelter, which is a growing and vital concern for all refugees in Lebanon. Space and resources are scarce in the Palestine refugee camps, and competition among refugees is growing. The cost of rent inside and outside Palestine refugee camps has skyrocketed and extreme overcrowding is the norm. Logistically, UNRWA faced a challenge in distributing cash assistance to all PRS in Lebanon as the movement of large amounts of cash around Lebanon and distributions in UNRWA facilities started to become a security risk as the numbers of PRS increased. To address this challenge, UNRWA has now switched to an ATM (bank machine) system to reduce the security risks.

Jordan

UNRWA has not encountered any major operational challenge in implementing this project, which is progressing largely as planned; although PRS are still officially denied entrance into Jordan. The start of an assessment of PRS protection needs was delayed by a few months, however, while UNRWA and the selected research provider, ARDD/Legal Aid, discussed protocols to safeguard the confidentiality of PRS information and how to best disseminate the findings to support humanitarian advocacy. The service contract with ARDD was signed in October and data collection is on-going (See ‘Next Steps’ below).

Next steps

Syria

UNRWA has spent over 80% of the contribution for Syria and expects to utilize the remaining funds on cash and food distribution by the end of November 2013 in Syria.

Lebanon

UNRWA will continue to implement this grant in the same areas of intervention as discussed above. This grant will also support a needs assessment as well as monitoring and evaluation of assistance to ensure that vulnerable PRS are provided adequate assistance.

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Jordan

With two months of implementation remaining, UNRWA plans to disburse the remaining balance on the allocation for cash assistance; protection training and needs assessment; shelter and environmental health rehabilitation in Cyber City.

Action taken to give visibility to the grant and the government of Kuwait UNRWA issues two press releases that highlighted the Kuwaiti contribution, including: “Kuwait gives UNRWA $15 million for Palestinian refugees in Syria” on 16 April 201312 and “On eve of Syria pledging conference, UNRWA praises Kuwait, calls on donors to support Palestine refugees” of 26 January 2013.13

Syria

Due to the security situation, UNRWA has maintained relatively low visibility for donor projects in Syria due to the potential protection risks that this may expose beneficiaries to.

Lebanon

In Lebanon, UNRWA has produced banners with the logos of all donors that have supported the Syria response, which were displayed at all distributions and on information stands at the border and in all UNRWA installations throughout the country.

Jordan

Kuwait’s generous support has been highlighted in UNRWA’s 2013 Syria Crisis Appeal Progress Report as well as in weekly and monthly reports published on UNRWA’s website. The seal of the Government of Kuwait will also be displayed on information pamphlets distributed to the PRS community and on banners at planned training events.

Contact information: Nathan Baca, UNRWA Programme Analyst in the Headquarters ([email protected])

Abdallah al-Laham, Deputy Director in the Syria Field Office ([email protected])

Ziyad Qamar, Head Donor Relations Unit in the Lebanon Field Office ([email protected])

Renaud Rodier, Senior Emergency Coordinator in the Jordan Field Office ([email protected])

12 http://www.unrwa.org/newsroom/press-releases/kuwait-gives-unrwa-15-million-palestinian-refugees-syria 13 http://www.unrwa.org/newsroom/press-releases/eve-syria-pledging-conference-unrwa-praises-kuwait-calls-donors-support



http://www.unrwa.org/newsroom/press-releases/kuwait-gives-unrwa-15-million-palestinian-refugees-syria

http://www.unrwa.org/newsroom/press-releases/eve-syria-pledging-conference-unrwa-praises-kuwait-calls-donors-support


SYRIA EMERGENCY RESPONSE FUND (E.R.F.) − OCHA


5.3 million affected people IDPs, host communities and vulnerable population) in Syria; refugees and vulnerable host communities in camps and urban settings in Jordan, Lebanon and Iraq


Timeframe applied to the grant No timeframe was specified by the grant.

Expenditures to date (US$) $10 million

Thematic areas of intervention To date, since it began operations in June 2012, the Syria ERF has received $52 million in contributions, of which $42 million (80%) have been allocated. Kuwait made two contributions to the ERF in 2013: $2 million in January and $10 million in April. Kuwait has been the largest donor to the ERF in 2013, contributing $12 million, or 50%, of total donor contributions for the year to date.

Through ERF funding, UN agencies, national and international NGOs and the Red Cross have reached more than 8 million people since 2012 (5.3 million in 2013).

Humanitarian assistance funded through the ERF has mostly focused on emergency shelter and non-food items, water sanitation and hygiene, health, multi-sector support to refugees, and food security. In line with the instructions from the Regional Humanitarian Coordinator, 60% of the ERF resources support activities inside Syria, while the remaining 40% is being used to complement the regional response in Jordan, Lebanon and Iraq.

Total contributions to the ERF by year in US$ Donor 2012 2013 Grand Total Germany 15,544,041 15,544,041 Kuwait 12,000,000 12,000,000 Belgium 5,890,052 5,890,052 Sweden 2,290,572 2,238,138 4,528,710 Denmark 4,393,867 4,393,867 UK 3,115,265 3,115,265 Ireland 2,374,491 2,374,491 Spain 878,294 521,512 1,399,806 Australia 973,710 973,710 Luxembourg 332,005 323,415 655,420 Indonesia 500,000 500,000 Poland 167,716 167,716 Colombia 100,000 100,000 Estonia 66,401 66,401 Latvia 55,844 55,844 Romania 50,000 50,000 Georgia 50,000 50,000 Mongolia 10,000 10,000 Montenegro 5,000 5,000 UN Foundation 229 229 Private 75 75

Grand Total 27,867,790 24,012,837 51,880,627

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ERF allocations by country in US$ Grand Total: $ 41,683,870

ERF allocations by type of organization in US$

Type of organization Amount %

INGO 19,663,315 47%

UN 14,482,000 35%

NNGO 6,338,555 15%

Red Cross/Red Crescent 1,200,000 3%

Grand Total 41,683,870 100%

Main results achieved to date with the grant: Pooled funds by definition do not allow for reporting on the expenditure of a particular donor contribution. That said, it is possible to conduct some analysis of the impact of the Kuwaiti contribution of $10 million to the ERF. This is done by looking at, for example, the overall actions of the ERF following the donation. In the cases of the two Kuwaiti contributions the ERF was able to upgrade and expand operations in line with its mandate to mobilise and channel resources to humanitarian partners to respond to the current situation in Syria and initiate life-saving humanitarian activities both inside Syria and in the neighbouring countries. The ERF ensured a high level flexibility in addressing urgent needs, such as sudden onset displacement and critical gaps in the response.

By way of measuring the impact of the Kuwaiti contributions, following the first allocation the ERF was able to respond to more needs outside Syria and expand the focus of its response to Syrian refugees. Inside Syria, awareness and training on the ERF started with local NGOs and in February 2013 an ERF mission was conducted to Homs to carry out training and to encourage local NGOs to apply. Following this mission 5 NGOs submitted applications to the ERF. OCHA also conducted training on the ERF for national non-governmental organizations (NNGOs) based in Damascus, Rural Damascus and Tartous in order to strengthen partnerships and expand outreach of the fund in hard to access areas. Furthermore, at the beginning of February the Regional Humanitarian Coordinator decided to increase the ceiling for projects inside Syria from $250,000 to $500,000. Following the second grant in April, the Advisory board increased the grant size for projects outside Syria from $250,000 to $500,000 due to the growing refugee needs. In both cases, the increased funding to the ERF allowed for increase in the size of the grant.

SYRIA 20,527,107

49% LEBANON 9,843,599

24%

JORDAN 8,296,841

20% IRAQ

3,016,323 7%

EMERGENCY SHELTER &

NFIS 8,414,835

20%

WATER SANITATION & HYGIENE 7,681,060

18%

HEALTH 6,970,227

17%

MULTI-SECTOR

SUPPORT TO REFUGEES 5,583,581

13%

PROTECTION 4,135,360

10%

FOOD SECURITY 3,885,309

9%

EDUCATION 2,567,924

6%

LOGISTICS 1,458,394

4%

EARLY RECOVERY

745,575 2%

COORDI-NATION & SUPPORT SERVICES

241,606 1%

ERF allocations by sector in US$ Grand Total: $ 41,683,870


Interventions inside Syria

Since early 2013, the ERF has enabled NNGOs, international NGOs, the UN family and the Syria Arab Red Crescent (SARC) to deliver humanitarian assistance in conflict affected zones and difficult to reach areas.

Food Security: 400,000 people including displaced Palestinian Refugees in Daraa and Damascus received food baskets and multi-nutrients. The food baskets have helped in bridging the household food gap and prevented the deterioration in nutritional status of children and the elderly in particular.

Multi-Sectoral: nearly one million IDPs, host communities and Palestine refugees in Damascus, Aleppo, Daraa, Deir-ez-Zor, Homs, Hama, and Lattakia have received essential household items, clothes, hot meals, mattresses, blankets, heating supplies, cleaning products, hygiene kits, diapers

for children and elders and sanitary napkins for women, restoring the dignity, welfare and health of IDPs and host communities alike.

Shelter and NFI: over 160,000 displaced people in Damascus, Aleppo, Homs and Daraa received children’s winter clothes, winterization kits, women’s kits, hygiene kits, cooking sets, jerry cans, floor mats, mattresses, quilts, fuel for heating and shelter repair support for those residing in unfinished

buildings and collective centres.

Health: in Homs, Aleppo, and Damascus, 1.2 million people received psycho-social support to cope with trauma and mental health illnesses. Interventions also included child health care; treatment of chronic illnesses; leishmaniasis management and prevention; haemodialysis sessions; awareness

campaigns on maternal and child health care; distribution of psychotropic medication; deployment of mobile health care services; and distribution of insecticidal treated bed nets.

WASH: in Damascus, Al-Hasakah, Deir-ez-Zor and Hama governorates 1.6 million IDPs received hygiene kits, clean potable water, household cleaning products, waste collection and disposal services and attended education and sensitization sessions on personal and environmental hygiene

and sanitation. Interventions included water trucking, the repair of water supply systems, and the provision of generators and accessories. WASH interventions mitigated the risk of poor hygiene and water borne disease.

Early recovery, Logistics, and Protection: other interventions inside Syria included humanitarian aid cargo and logistics support to inter-agency humanitarian actors engaged in aid delivery; the creation of emergency employment opportunities through solid waste collection and disposal, and

psycho-social support to children through the establishment of child-friendly spaces.

Interventions outside Syria

Outside Syria over 600,000 Syrian refugees including Palestine refugees from Syria currently residing in Lebanon, Jordan and Iraq have received support to meet emergency shelter, non-food item, protection, WASH, food and education related needs.

Jordan: in Amman, Mafraq, and Irbid governorates and Azraq and Za’atari Camps as well as other multiple locations throughout Jordan, some 600,000 displaced Syrian refugees including Palestine refugees from Syria and vulnerable people amongst Jordanian host communities were assisted through:

• Provision of primary health care, reproductive health care, and the treatment of non-communicable diseases; extending measles and polio immunization with vitamin A supplement campaign.

• Improved hygiene practices and access to hygiene related items.

• Emergency cash assistance.

• Support to displaced people with disabilities, helping them to integrate.

• Improving physical space of schools, enrolling Syrian and Jordanian (host community) students, and providing school supplies and uniforms.

• Protection of Syrian refugee children.

Lebanon: in North, Beqaa, Beirut, South governorates and other locations 96,000 displaced Syrian refugees including Palestine Refugees from Syria and vulnerable people amongst Lebanese host communities were assisted through:

• Prevention of malnutrition through emergency food provision, infant and young child feeding.

• Emergency cash assistance.

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• Provision of obstetric and infant care.

• Distribution of non-food items.

• Improved access to safe water and sanitation.

• Provision of psycho-social support.

Iraq: in Sulaymaniyah, Dohuk governorates and Domiz Camp, 18,000 displaced Syrian refugees were assisted through:

• Provision of winter clothing and feminine sanitary items.

• Improved access to water, sanitation facilities and hygiene through the provision of mobile toilets, shower units, water tanks, hygiene kits and hygiene promotion training.

Challenges encountered The Kuwaiti contributions were immediately disbursed as they were received during a period where the management capacity of the ERF team had increased. However, some of the challenges facing the timely implementation of the projects include:

• Deterioration in security conditions: insecurity causes limited access to affected communities and higher operational risks/costs for appealing agencies. Insecurity limited the capacity of the ERF team to undertake field monitoring.

• Heavy bureaucracy: in Syria, for example, only a handful of NGOs are officially authorized to operate, while in Jordan all projects must gain governmental endorsement, which takes about six weeks. This creates time-critical implementation delays and the need for no-cost extensions.

• Funding constraints hamper humanitarian and refugee response activities: In general the level of funding is not proportionate to needs inside and outside Syria, threatening the sustainability of the humanitarian response and challenging the prioritization of projects.

• Capacity building in project proposal for local partners in project writing.

• Coordination: the regional dimension of the crisis makes the Syria ERF unique and one of the largest ERF funds managed by OCHA. Review Boards have been established in Syria, Jordan, Lebanon and Iraq reviewing proposals from more than 50 different implementing partners. To maintain the programmatic focus of the ERF on critical priorities and funding gaps, the ERF is issuing calls for proposals outside Syria since June 2013. Calls for proposals are launched on the basis of inter-cluster/sector discussions and close coordination between OCHA and UNHCR. Calls for proposals have improved coordination and leveraged the effectiveness of ERF funding. The ERF retains the capacity to allocate funding outside the calls for proposals when it is critical to mobilize response for unforeseen needs.

Next steps The grant has been fully implemented. The ERF has a current balance of $10 million (received after the Kuwait contributions were fully allocated). Of this amount, there are currently a number of proposals under review with a value of more than $3 million. Thus, the projected balance in the ERF by the end of October 2013 will drop below $7 million.

The Regional Humanitarian Coordinator is leading resource mobilization efforts to replenish and grow the size of the ERF, which would create the opportunity to reach a much greater number of beneficiaries through existing and new implementing partners and larger projects (i.e. the grant ceiling could be adjusted in proportion to the overall size of the ERF).

Action taken to give visibility to the grant and the government of Kuwait For the Emergency Response Fund projects partners are using the ERF logo for visibility. The logo has the names of all the donors contributing to the fund along with their flags.

OCHA has issued press releases highlighting the solidarity and valuable difference that the Kuwait contributions have made in enabling humanitarian partners to deliver assistance to the people affected by the


crisis inside and outside Syria. In addition, OCHA regularly reports progress of the ERF funding in the Syria Humanitarian Bulletin that is published on a fortnightly basis, as well as through dedicated ERF monthly reports that are published in the OCHA website.

Contact information: Juan Chaves-Gonzalez, OCHA Funding Coordination Section (FCS) in New York ([email protected])

Amani Salah, OCHA ERF Manager in Amman ([email protected])

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IOM


82,750 Syrians refugees, IDPs and migrants


Timeframe applied to the grant April 2013-March 2014


Thematic areas of intervention Non-food items & shelter, Transportation, Health, Migrants evacuation, Coordination (Displacement Tracking)


Syria

IOM’s activities inside Syria funded by Kuwait focus primarily on meeting the emergency shelter needs of the displaced. IOM conducted over 1,450 site visits including over 97 technical assessments of collective shelters, located in 5 governorates (Damascus, Rural Damascus, Homs, Hama and Lattakia) from November to October 2013. Collective centres, often unoccupied schools or other public buildings, systematically present squalid conditions, with frequent overcrowding and no access to proper sanitation. In this context, IOM has focused a large portion of its Kuwait resources within Syria towards the expansion of its shelter, and in particular repair/rehabilitation works such as (a) weatherproofing of shelters; (b) dividing big rooms/halls into several smaller family spaces to ensure privacy (c) renovating/adding toilets and showers (WASH); (d) installing and equipping basic communal kitchen (e) installing enough clean water reservoirs (f) providing lighting point and socket outlet.

IOM also continues to provide humanitarian evacuation support to the thousands of labour migrants stranded within Syria who do not have the means or ability to leave Syria on their own. To date, close to 4,000 migrants originating from 40 different countries have been repatriated to their home country by IOM’s teams in Syria and Lebanon. Thanks to Kuwait’s contribution, IOM has been enabled to successfully achieve these results:

• 10,000 vulnerable displaced Syrians assisted through shelter interventions (rehabilitation of collective shelters);

• Emergency evacuation of 250 vulnerable stranded migrants to their home country;

• Preparatory activities for the roll out of IOM Displacement Tracking Matrix, in partnership with the Syrian Arab Red Crescent, in order to better inform the scale and location of internal displacement, as well as identify sector-based humanitarian needs.

Jordan

With over 540,000 Syrian refugees so far registered in the country by UNHCR, settled both in camps (Za’atri and Emirates Jordanian Camp), and within host communities, IOM has concentrated its interventions in response to the influx of refugees in the following areas: the provision of safe transportation services to refugees from border crossing areas to both refugee camps, as well as the screening of incoming groups for health concerns, leading to referrals to healthcare facilities where particular needs are identified.


• 60,000 Syrian nationals transported from the Syria-Jordan borders to transit sites and camps established in Jordan, and benefited from first health screening, immunization and vaccination campaign, as well tuberculosis detection activities

Lebanon

In Lebanon, where over 700,000 Syrian refugees are currently being hosted, IOM has adopted a cross-sectoral approach to its relief activities, delivering essential non-food items and shelter assistance to those refugees at risk of additional vulnerabilities in the lead up to the harsh winter season. In addition, IOM has begun supporting the improvement of shelter conditions through cash-for-rent subsidies for those otherwise forced to occupy abandoned buildings or establish themselves within informal tented settlements. IOM has also initiated a registration and needs assessment process in support of those Lebanese nationals previously established in Syria who have been forced to return to Lebanon.

• 6,500+ Syrian refugees and Lebanese returnees provided with full NFI kits, and shelter assistance (sealing off kits)

Turkey

Turkey currently counts over half a million registered refugees, the majority of whom are hosted within camps near the border with Syria. As part of Regional Response Plan (RRP) IOM is overseeing the provision of non-food items and supports transportation assistance at Adiyaman camp. IOM activities in Turkey are carried out in close cooperation with national counterparts, including the Ministry of Foreign Affairs, Turley’s Disaster and Emergency Management (AFAD) and the Turkish Red Crescent (TRC). Activities were expanded in order to enhance living conditions of those Syrian refugees hosted in Turkey throughout the strengthening of camp services and enhancing of registration systems used by AFAD.

To date, IOM through its multi-donor funding has provided NFIs to nearly 10,000 Syrian households across seven camps (Adiyaman, Kahramanmaras, Nizip 2, Akcakale, Ceylanpinar, Osmaniye and Midyat), and contributed to the enhancement of water and sanitation conditions through the provision of 9 dishwashing containers in Midyat camp in Mardin, hosting 10,000 people. In total, over 9,000 refugees located at Adiyaman camp have also benefited from transportation assistance to medical facilities and social services centres.

• 2000+ Syrians living in camps in Turkey provided with transportation to health facilities and local markets

Challenges encountered Inside Syria, access to the affected population to provide humanitarian assistance continue to be restricted mostly due to blockades, curfews, active hostilities, conflict-related damage to the infrastructure but also administrative impediments. Only a limited amount of actors operate in the rebel held areas of the country, and they do so in a highly insecure environment. Fighting and worsening security conditions in and near the Syrian capital of Damascus are challenging the ability of humanitarian agencies to access populations trapped in areas with active hostilities. As of October 2013, 30% of IOM humanitarian assistance is provided in disputed areas or areas controlled by the opposition.

In the neighbouring countries, coordination with UNHCR has intensified since the beginning of the crisis, and IOM’s caseload and plans are fully integrated into the UNHCR-led refugees’ response framework in Jordan and Lebanon. In Turkey, the government leads the management of the emergency response, limiting the scope for direct interventions and monitoring from humanitarian actors. However IOM, in coordination with the authorities, has started a transportation programme to enhance camp refugees’ access to health facilities and local markets. Modalities for direct assistance to refugees residing outside the camps are still under discussion.

Next steps IOM is in the process of allocating the remaining 500,000 USD to its Syria operations. It is expected that 100% of the Kuwait funding will be committed and expended by March 2014 in response to the IOM 2013 appeal presented in the SHARP and RRP5.

37


In the meantime, IOM is closely coordinating with the UN and relevant authorities for the elaboration of the revised appeals (SHARP and RRP6) to be released in December 2013, and to cover humanitarian needs inside Syria and in the neighbouring countries throughout 2014.

Action taken to give visibility to the grant and the government of Kuwait 1. Kuwait visibility arm bands produced for IOM field teams

2. The Emblem of Kuwait is included in each situation report produced every two weeks and distributed to IOM’s main external counterparts.

3. List of IOM press notes highlighting Kuwait contribution:

• 18/04/2013 - Kuwait Donates USD 5 Million to Fund IOM's Humanitarian Work in Syria14

• 7/06/2013 - IOM Appeals for US$ 95 Million for Syria, Neighbouring Countries15

• 22/10/2013 - IOM works with Jordanian Health Ministry, partners to raise awareness of upcoming National Vaccination Campaign targeting 3.5 million people16

Contact information: Monica Goracci, Head of the Donor Relations Division ([email protected])

14 http://www.iom.int/cms/en/sites/iom/home/news-and-views/press-briefing-notes/pbn-2013/pbn-listing/kuwait-donates-usd-5-million-to.html 15 http://www.iom.int/files/live/sites/iom/files/About-IOM/docs/9Press-release-Syria-Humanitarian-Assistance-Response-Plan-2013-and-Syria-Regional-Response-Plan-June-7-Geneva.pdf 16 http://www.iom.int/cms/en/sites/iom/home/news-and-views/press-briefing-notes/pbn-2013/pbn-listing/iom-works-with-jordanian-health.html

http://www.iom.int/cms/en/sites/iom/home/news-and-views/press-briefing-notes/pbn-2013/pbn-listing/kuwait-donates-usd-5-million-to.html

http://www.iom.int/files/live/sites/iom/files/About-IOM/docs/9Press-release-Syria-Humanitarian-Assistance-Response-Plan-2013-and-Syria-Regional-Response-Plan-June-7-Geneva.pdf

http://www.iom.int/files/live/sites/iom/files/About-IOM/docs/9Press-release-Syria-Humanitarian-Assistance-Response-Plan-2013-and-Syria-Regional-Response-Plan-June-7-Geneva.pdf

http://www.iom.int/cms/en/sites/iom/home/news-and-views/press-briefing-notes/pbn-2013/pbn-listing/iom-works-with-jordanian-health.html


UNFPA


150,000 women and girls have benefited from UNFPA reproductive health services, including through provision of reproductive health (RH) kits and hygiene kits; 94,000 people have benefited from UNFPA gender programmes (IDPs and vulnerable population in Syria; refugees and vulnerable host communities in camps and urban settings in Jordan, Lebanon, Turkey and Iraq)


Timeframe applied to the grant April 2013-April 2014


Thematic areas of intervention • Reproductive health

• Gender-based violence

• Youth initiatives


Syria

• Basic hygiene secured for the most vulnerable populations through the provision of 20,000 “dignity kits” for women and men; the kits contain necessary items for personal hygiene as well as sanitary napkins, socks, under-scarves and fleece blankets

Iraq

• Family planning services for refugees, mainly in Kurdistan regions where most of refugees are concentrated, in partnership with Department of Health of Dohuk

• Support for a gynaecologist, a midwife and a nurse managing a round the clock clinic at full capacity. As at 3 September, there had been 1,205 ante-natal consultations; 285 women were referred from here for birth attendance in Dohuk maternity ward; 805 post-natal consultations, 4,193 family planning appointments; 10,627 other gynaecological and obstetrics consultations.

• Women’s space established in Domiz camp • Gender-based violence (GBV) care training offered to 22 medics and paramedics • 44 people attended focus group discussions on gender-based violence • 63 women and girls reached by trained volunteers advising on gender-based violence prevention and

response in and outside Domiz camp.

• With Ministry of Culture, Sport and Youth, UNFPA established a large “youth friendly space” in Domiz camp. UNFPA partners have conducted training for 80 young Syrian refugees on violence, early marriage, anger management, and sexually transmitted diseases.

39


Jordan

• Provide reproductive health services, including ante-natal care services, post-natal care services, family planning and treatment of infections;

• Raise awareness on reproductive health issues such as early marriage, breastfeeding, family planning methods; • Provide services to prevent and respond to GBV, including recreational activities, counselling, and

psycho-social support; • Raise awareness among refugees on GBV issues and available GBV services; • Managed 209 deliveries at clinic in Za'atri Comprehensive Women centre #3

• Supporting partners with purchase of medical equipment, office furniture, caravans, fencing for camps, water and sanitation facilities.

Lebanon

• Procurement of 138 reproductive health emergency kits for ensuring safe deliveries , treatment of sexually transmitted infections and blood transfusions, among others

• Procurement of 7,000 dignity kits for refugees and women in Lebanese host communities • Training of 46 midwives, nurses and social workers on the Minimum Initial Service Package (MISP)

• Support the roll out and dissemination of the Standard Operating Procedures (SOP) of Sexual and Gender Based Violence (GBV) through 15 workshops on SGBV methodologies and guidelines. SOP now available in Arabic and English along with an Arabic brochure with local hotline numbers for survivors of violence.

Turkey

• 61,000 hygiene kits provided and distributed at camps • 10 dishwashers procured and delivered to the camp in Sanliurfa-Viransehir • Two-day training on psycho-social support with particular reference to GBV, for over 200 camp managers • Training in GBV for community leaders • Reproductive health materials published in Arabic and thousands distributed in camps and cities • Covering costs of rent and security for Gaziantep field office

• Procurement of four-wheel drive vehicle for humanitarian purposes

Next steps

Syria

• Another 20,000 dignity kits to be procured for the most vulnerable people living in 48 shelters in Hama governorate.

Iraq

• Setting up of youth space structures in Guwilan camp • Training on youth initiatives in Guwilan and Domiz • Project management course for young people and support them to prepare initiatives • Socio-cultural Initiatives for young people (Life skills through Peer education) • Set up of sports yard for young people • Youth space staffing • Set up Women space structure for Guwilan • GBV training for medical and social workers • Focus group discussions for non-camp refugees on GBV


• Community outreach services for women on GBV/RH • Recreational /therapy activities for Women • Training for women and volunteers on GBV prevention and response

• Basic psycho-social and referral of GBV cases

Jordan

• Continue providing reproductive health services, services for the prevention and response to GBV, management of deliveries at Za’atri Comprehensive Women’s Centre

• Provision of two ambulances to Ministry of Health for emergency cases in north of Jordan

Lebanon

• Conduct assessment of youth situation and coping mechanisms chiefly amongst host communities and refugees in the north and in Bekaa, the two areas where most refugees are concentrated.

• Develop programmes and activities targeting youth and the protection risks they face, based on findings.

Turkey

• Strengthen national managerial and technical capacities for the provision of psycho-social and medical support to Syrian refugees. More than 100 professionals will be trained in 2013 in accordance with international standards to respond to emergency in reproductive health (RH)/GBV situations in the country and region. Build on collaboration with Ministry of Family and Social Policies General Directorate of Woman’s Status

• Support awareness raising, education and mobilization of refugee and host community to prevent and address the SHR issues and GBV. The UNFPA will use the available materials, as well as develop new materials in Arabic.

• Provision of essential supplies for hygiene and reproductive health. It is estimated that, about 400,000 family hygiene kits will be needed. The UNFPA will provide Reproductive Health kits and other medical equipment and supplies to primary and secondary health care facilities when requested by the Ministry of Health through AFAD.

• Support for data collection, analysis and reporting in humanitarian settings. • 75,000 brochures on reproductive health and on gender-based violence to be distributed • Coordination of humanitarian partners for emergency RH and GBV response. • Strengthen national managerial and technical capacities for the provision of psycho-social and medical

support to Syrian refugees. More than 100 professionals will be trained in 2013 in accordance with international standards to respond to emergency RH/ GBV situations in the country and region.

• Support for data collection, analysis and reporting in humanitarian settings.

• Salaries for Ankara humanitarian staff for first quarter 2014

Action taken to give visibility to the grant and the government of Kuwait UNFPA produced various promotional material as well as informative resources such as newsletters, brochures, leaflets, pamphlets, caps, shorts, etc. The informative material revolves around issues related to maternal care, family planning, stress management, and gender based violence. The quarterly newsletter produced by UNFPA and distributed to humanitarian actors, donor community and Government counterpart aims at featuring UNFPA’s interventions in response to the Syrian crisis. Kuwait Fund Supported Programme for Humanitarian Assistance to has been widely communicated. Visual presentations have been made to UN agencies, government institutions, donor agencies and partners. Activities were also covered by media in countries were activities funded by Kuwait were implemented. Furthermore, the Kuwait grant is specifically mentioned on the UNFPA Website: http://www.unfpa.org/public/cache/offonce/home/news/pid/13890.

Contact information: Ingo Piegeler, Humanitarian Coordinator Adviser, ([email protected])

http://www.unfpa.org/public/cache/offonce/home/news/pid/13890

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UNDP


250,000 individuals Including 1,800 individuals including women provided with short-term employment opportunities (benefiting at least 9,000 families)

30,000 families supported by assets replacement

1,600 people with disability provided with rehabilitation services and disability aids

GRANT RECEIVED (US$) 2 million (+ 1 million previously received in 2013)

Timeframe applied to the grant 12 months (first grant of USD 1 million is for 6 months period, second grant received on 18 April 2013 is for 12 months until April 2014)


Thematic areas of intervention The Kuwait funds contribute to the Early Recovery and Livelihoods sector in general with particular focus on the following thematic areas:

• Emergency employment for infrastructure rehabilitation and solid waste management (conditional cash assistance)

• Emergency support to the restoration of disrupted livelihoods focusing on reviving small businesses and providing short term jobs opportunities to affected population and provision of assets and tools

• Emergency support to vulnerable groups including female headed households and people with disability focusing on emergency employment, tools and assets replacement

• Capacity development of national and local actors and stakeholders for community resilience focusing on empowering local NGOs to better respond to the emergency needs and address the livelihoods priorities of the affected population

• Coordination mechanisms for livelihoods initiatives focusing on mainstreaming the early recovery and livelihoods elements in various sector response and ensuring that relevant assessments are informing the response plans and immediate interventions.

Main results achieved to date with the grant: With funding from the Government of Kuwait, UNDP expanded its humanitarian livelihoods initiatives in various affected governorates aiming at strengthening the resilience of the Syrian population to cope with the disastrous impact of the crisis. Through these funds, around 50,000 affected families whose livelihoods were severely disrupted received livelihoods support of different types and ranges and were able to ensure a source of income and emergency recovery to address the needs of their families.


The project components and related achievements consisted of the following:

Emergency employment for improved service delivery and restoration and repair of basic infrastructure

In March 2013, UNDP started its extensive liaison with the local actors in the cities of Hassakeh, Ar Raqqa and surrounding areas in order to establish an emergency employment project for solid waste collection and disposal. However, shortly before launching the activities, the security situation deteriorated drastically in Ar Raqqa and Al Hassakeh rendering access and communication to target areas extremely difficult. Thus, geographical targeting was reconsidered and was shifted following discussions and recommendations by other humanitarian agencies to Homs, Aleppo and Tartous as an immediate response to the growing solid waste problem in shelters and surrounding host communities, particularly where municipal services are either disrupted or completely absent due to the lack of capacity and resources.

The projects in Homs and Aleppo are on-going and are at various stages of progress. More than 10 local CBOs including faith-based organizations are involved in the implementation of the emergency employment schemes for solid waste collection and disposal. Local committees are established in four neighbourhoods in Homs and three in Aleppo in order to select the beneficiaries and monitor the field activities. Around 1,000 local labourers are employed in Homs and Aleppo under this cash-for-work employment scheme. Hygiene promotion campaigns accompany the actual garbage collection activities through series of awareness sessions provided by young volunteers from the local communities. In parallel, a quick assessment of IDP shelters is currently conducted in Tartous, which hosts 500,000 IDPs (Total population before displacement was 798,000), to better study the situation with regards to methods of collecting and disposing of garbage and exploring solutions with local communities and IDPs themselves. The outcomes will inform the design of the response in terms of the number of garbage bins needed according to the number of residents, the mechanisms of collection and disposal, and more importantly the appropriate schemes of emergency employment in solid waste collection activities. This assessment will also look into complementarities of roles and duties between the local communities, municipalities and civil society organizations. Committees are established at local level to manage and monitor the project progress and results, and capture any changes needed. This initiative complements different initiatives launched by other UN agencies as the project team liaises closely with UNHCR and UNICEF on shelter rehabilitation before the winter season, as well as water and sanitation and hygiene promotion. The removal and disposal of solid waste will help improve the environmental conditions in the target shelters and promote hygienic behaviours among IDPs while at the same it will ensure a source of income generation to improve living conditions.

Emergency support for restoration of disrupted livelihoods

With the support of the Government of Kuwait, UNDP launched a rapid initiative for socio-economic restoration of disrupted livelihoods in Homs, reviving ten micro-to-small size businesses and generating more than 500 jobs. These businesses were prioritized by the community in Homs, particularly in the neighbourhoods of Al Inshaat and Al Waer, where markets are relatively dysfunctional and shops closed as a result of the crisis. The support to businesses varied from direct provision of equipment and materials to emergency employment schemes. The supported businesses consist of: cold storage rooms and equipment to preserve meat and vegetables, particularly that access to these commodities is not always possible, ice production workshop for selling large ice blocks for home use given extended electricity cuts in some neighbourhoods, sewing workshop for the production of blankets and clothes which are then procured by UN agencies for the non-food items distribution to encourage local procurement and revive the local economy, building blocks production workshop, needed for the small repairs and rehabilitation activities allowing the local community to buy it at lower prices, rooftop gardening for the production of home-grown vegetables, replacement of damaged equipment for a sweet factory encouraging local production and employment of a large number of local people, rehabilitation of a local market place to encourage local producers to exhibit their products and support marketing, and provide a working space for the mechanics and electronics workshops, laundry for regular washing and ironing services and for quick repair and cleaning of used clothes, and mechanics and electronics workshop provided with equipment, tools and materials.

This initiative aims also at restoring the local market and providing access to at least 500,000 indirect beneficiaries/ residents in target areas to meet their basic needs. The revived businesses are selected to represent local crafts that are traditional and unique to Homs, thus preserving local heritage and tradition in food and textile among other specialized industries. UNDP relies on communities’ representatives to prioritize beneficiary businesses and market places to be restored. The project is implemented by a local NGO and monitored by the local committee established in target neighbourhoods.

43


In Hama, Salamieh in particular, UNDP partnered with a local NGO to revive a small sewing workshop employing at least 50 workers to produce winter and summer clothes to be later distributed to IDPs hosted in Salamieh. The support consists of providing the needed materials and sewing machines in addition to the wages of the locally employed workers for at least four months- period needed for the workshop to sustain its own operational costs.

On the another hand, and as part of the assets and NFIs replacement plan, UNDP partnered with 12 local NGOs to distribute 13,000 quilts, 4,000 rugs and mats, 25,500 pieces of summer and winter clothes for women and children, 2,000 hygiene kits and 10,000 kitchen sets. Around 30,000 affected families in all 14 governorates in Syria benefited from this distribution.

Emergency support for women-headed households and people with disabilities

In Damascus UNDP launched the first women-tailored vocational training programme targeting more than 100 displaced women living in different shelters, identified by the partner NGO. Trainings on sewing, hairdressing and other home-based crafts chosen and prioritized by the women themselves are currently provided in the NGO centre in Damascus. Toolkits are provided for the trained women in order to establish its small scale business. It is also agreed that the partner NGO will ensure the employment of a minimum of 80% of the trainees in some facilities in Damascus and Rural Damascus, depending on the residency and/or place of displacement of the families.

The sewing workshop in Qamishly is another successful initiative funded by the Government of Kuwait; it is currently expanding to cover 110 women to be employed until the end of 2013. The beneficiaries include 27 women with disabilities working from their homes. Their production reached 14,000 pieces that were distributed through local NGOs to approximately 1,600 IDPs families in Qamishly. It is worth to mention that numerous volunteers are supporting this initiative through delivering raw materials and collecting produced items from disabled women working at home among other voluntary work. The project earned a quick and good reputation in Qamishli due to the dire need for such initiatives that allow internally displaced and conflict affected women to generate their own income, regain their dignity and recover their disrupted livelihoods especially with the approaching winter season.

As for the support to people with disability, UNDP launched a much needed rehabilitation project in Aleppo in partnership with a local NGO specialized in medical and rehabilitation services. This initiative is currently providing physiotherapy services and disability aids to the injured and people with disability in Aleppo. It is expected that the number of beneficiaries will reach 1,600 people as confirmed by the local NGO who is delivering the necessary services both in its centre and at the patients’ homes (for the ones who have difficulties in mobility). This project will be replicated in other governorates as per identified needs. A quick assessment is currently carried out in Homs, Rural Damascus, Hama, Damascus, Deir Ezzor and Tartous to map the injured and people with disability and identify their needs.

Development of national and local capacities for community resilience

Resilience is defined as a transformative process that builds upon the innate capacities and knowledge of all people, communities and countries to anticipate, manage, and recover from shocks minimizing their impact and maximizing their (transformative) potential to promote and sustain human development gains (UNDP). Relying on this principle of community resilience, UNDP is mobilizing a large network of local and national actors including NGOs and CBOs to engage not only in the humanitarian response but also in livelihoods and early recovery mechanisms. The capacity and needs assessment of the NGOs currently operating in Syria is in its last stages, an information management database will be developed to capture the results and better inform the development of the needed curriculum. To date, the assessment of more than 85 NGOs are finalized and more NGOs are being surveyed as this is a dynamic exercise. As a follow up, a comprehensive capacity development package will be devised in order to empower these local actors to assume their roles and responsibilities in civil society mobilization and actions.

Enhancement of coordination systems for emergency livelihoods

The Kuwait fund enabled UNDP to expand the coordination mechanisms for early recovery and livelihoods and allowed for larger engagement with local, national and international partners. UNDP is the sector lead of Early Recovery and Livelihoods in Syria engaging with more than 14 partners form UN agencies, international organizations and local NGOs. Preparations are underway to develop an interactive database for capturing the socio- economic impact of the crisis and infrastructure damage. A study on the impact of the crisis is updated on quarterly basis to track and monitor the changes in the socio-economic indicators of major sectors of the Syrian economy and social infrastructure.


Challenges encountered UNDP approach focuses on the delivery of services through various programmatic approaches as opposed to aid distribution mechanisms. UNDP developed various partnerships at the local level to ensure that the implementation of the planned activities are endorsed by the local communities and respond to their priority needs. Identifying local partners in the current working environment was not an easy task given the limited capacity of local NGOs and CBOs. Moreover, the accredited NGOs are limited and overwhelmed with high demand and their limited absorption capacity.

Operating in an insecure environment while planning for livelihoods interventions is also challenging; nevertheless innovation and localized solutions are implemented at the lowest administrative level resorting to community-based response planning. Insecurity has not only complicated work but also halted or delayed certain initiatives. However, given the scope and the extent of needs; UNDP was able to shift its interventions to other ‘relatively more stable areas’ in dire need of livelihoods assistance.

Funding remains the biggest challenge in Syria, particularly that many basic and social services and infrastructure are heavily affected and more than 2.3 million jobs are lost with more Syrian population slipping into poverty.

Next steps As indicated in the achievements section, the implementation of the above-mentioned activities and the expansion of local initiatives in target areas will continue. These will include namely:

• As per the on-going assessment results, implementation of solid waste collection and disposal initiatives in shelters, including emergency employment schemes and provision of materials and equipment

• Expansion of initiatives relating to restoration of disrupted businesses and micro-to-small enterprises, including assets replacement, tool kits provision and vocational training

• Continuation and expansion of on-going projects for the rehabilitation of people with disability including disability aids, and establishment of workshops for production of prosthetic limbs for people with disability

• Expansion of activities targeting the restoration of livelihoods for women

• As a follow up to the on-going NGO assessment, implement a capacity development programme for NGOs

• Implementation of local livelihoods assessments and establishment of information management systems

• Continue quarterly updates to monitor the socio-economic impacts of the crisis.

Action taken to give visibility to the grant and the government of Kuwait UNDP ensures that the contribution received by the government of Kuwait is mentioned in all interviews and media outlets not only as the seed funding but also highlighting that Kuwait is the lead donor to the livelihoods sector in the country. In October 2013 Agence France Press conducted an interview with the deputy country director of UNDP Syria where highlights on the socio-economic impact of the crisis were presented with particular focus on the leading role played by the Government of Kuwait as the main donor livelihoods and early recovery initiatives aiming at building the resilience of the Syrian affected population. The interview was published by the majority of the Arabic newspapers and the online news outlets like Al Jazeera net, Al Arabia net, AL Sharq Alawsat, AL Rai and many others. Interview is can be found online under the search keywords of: “Syria-Kuwait-United Nations Development programme” in Arabic.17 18

Contact information: Alissar Chaker, Deputy Country Director ([email protected])

17 http://www.alrai.com/article/613357.html 18 http://www.aljazeera.net/Home/GetPage/f6451603-4dff-4ca1-9c10-122741d17432/adf85ea3-e0ea-4e66-945f-5534ac7489ed


http://www.alrai.com/article/613357.html

http://www.aljazeera.net/Home/GetPage/f6451603-4dff-4ca1-9c10-122741d17432/adf85ea3-e0ea-4e66-945f-5534ac7489ed

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V. ANNEX: AGENCY ALLOCATIONS OF KUWAIT CONTRIBUTION PER PROJECT

Appealing Agency Appeal title Project code USD committed

/contributed Description Destination Country

IOM 5,000,000 IOM Syria Humanitarian Assistance Response Plan

(SHARP) 2013 SYR-13/SNYS/59103/R/298 2,000,000 (Syria) Humanitarian assistance for the Syria crisis Syrian Arab

Republic IOM Syria Regional Refugee Response Plan (RRP) 2013 SRRP-13/SNYS/59097/R/298 75,600 Egypt – Syria Crisis Regional Refugee Response . Egypt

IOM Syria Regional Refugee Response Plan (RRP) 2013 SRRP-13/SNYS/58136/R/298 420,077 Turkey – Syria Crisis Regional Refugee Response . Turkey

IOM Syria Regional Refugee Response Plan (RRP) 2013 SRRP-13/SNYS/58134/R/298 50,000 Jordan – Syria Crisis Regional Refugee Response . Jordan

IOM Syria Regional Refugee Response Plan (RRP) 2013 SRRP-13/SNYS/58135/R/298 300,000 Lebanon – Syria Crisis Regional Refugee Response . Lebanon

IOM Syria Regional Refugee Response Plan (RRP) 2013 SRRP-13/SNYS/58229/R/298 2,154,323 (Region) to be allocated . Region

UNICEF 53,000,000 (+2 million also received in 2013) UNICEF Syria Regional Refugee Response Plan (RRP) 2013 SRRP-13/SNYS/58174/R/124 5,800,000 (Iraq) Humanitarian assistance for the Syria crisis Iraq

UNICEF Syria Humanitarian Assistance Response Plan (SHARP) 2013

SYR-13/SNYS/57799/R/124 21,210,100 (Syria) Humanitarian assistance for the Syria crisis Syrian Arab Republic

UNICEF Syria Humanitarian Assistance Response Plan (SHARP) 2013

SYR-13/SNYS/57799/R/124 2,000,000 (Syria) Humanitarian assistance for the Syria crisis Syrian Arab Republic

UNICEF Syria Regional Refugee Response Plan (RRP) 2013 SRRP-13/SNYS/58171/R/124 11,578,800 (Jordan) Humanitarian assistance for the Syria crisis Jordan

UNICEF Syria Regional Refugee Response Plan (RRP) 2013 SRRP-13/SNYS/58172/R/124 11,105,100 (Lebanon) Humanitarian assistance for the Syria crisis Lebanon

UNICEF Syria Regional Refugee Response Plan (RRP) 2013 SRRP-13/SNYS/58173/R/124 3,000,000 (Turkey) Humanitarian assistance for the Syria crisis Turkey

UNICEF Syria Regional Refugee Response Plan (RRP) 2013 SRRP-13/SNYS/58175/R/124 200,000 (Egypt) Humanitarian assistance for the Syria crisis Egypt

UNICEF Syria Regional Refugee Response Plan (RRP) 2013 SRRP-13/SNYS/58176/R/124 106,000 (Region) Humanitarian assistance for the Syria crisis Region

UNDP 2,000,000 UNDP Syria Humanitarian Assistance Response Plan

(SHARP) 2013 SYR-13/ER/57214/R/776 2,000,000 (Syria) to supporting programmes that provide internally

displaced people (IDPs), including women and people with disabilities, with emergency employment, which will improve community infrastructure and livelihoods.

Syrian Arab Republic


Appealing Agency Appeal title Project code USD committed/

contributed Description Destination Country

UNHCR 110,000,000 UNHCR Syria Regional Refugee Response Plan (RRP) 2013 SRRP-13/SNYS/58184/R/120 4,193,548 (Egypt) Humanitarian assistance for the Syria crisis Egypt

UNHCR Syria Regional Refugee Response Plan (RRP) 2013 SRRP-13/SNYS/58180/R/120 47,526,882 (Jordan) Humanitarian assistance for the Syria crisis Jordan

UNHCR Syria Regional Refugee Response Plan (RRP) 2013 SRRP-13/SNYS/58181/R/120 47,526,882 (Lebanon ) Humanitarian assistance for the Syria crisis Lebanon

UNHCR Syria Regional Refugee Response Plan (RRP) 2013 SRRP-13/SNYS/58182/R/120 10,752,688 (Turkey) Humanitarian assistance for the Syria crisis Turkey

UNFPA 5,000,000 UNFPA Syria Humanitarian Assistance Response Plan

(SHARP) 2013 SYR-13/H/57203/R/1171 500,000 (Syria) Reproductive health care in affected areas in

Syria Syrian Arab Republic

UNFPA Syria Regional Refugee Response Plan (RRP) 2013 SRRP-13/SNYS/58186/R/1171 1,500,000 (Jordan) towards meeting reproductive health and GBV response needs

Jordan

UNFPA Syria Regional Refugee Response Plan (RRP) 2013 SRRP-13/SNYS/58187/R/1171 1,000,000 (Lebanon) towards meeting reproductive health and GBV response needs

Lebanon

UNFPA Syria Regional Refugee Response Plan (RRP) 2013 SRRP-13/SNYS/58188/R/1171 1,000,000 (Turkey) towards meeting reproductive health and GBV response needs

Turkey

UNFPA Syria Regional Refugee Response Plan (RRP) 2013 SRRP-13/SNYS/58189/R/1171 1,000,000 (Iraq) towards meeting reproductive health and GBV response needs

Iraq

UNRWA 15,000,000 UNRWA Syria Regional Refugee Response Plan (RRP) 2013 SRRP-13/SNYS/58190/R/5593 217,891 Lebanon – Syria Crisis Regional Refugee Response –

Capacity and Management Support Lebanon

UNRWA Syria Regional Refugee Response Plan (RRP) 2013 SRRP-13/SNYS/58190/R/5593 876,517 Lebanon – Syria Crisis Regional Refugee Response – Emergency Environmental Health/Water

Lebanon

UNRWA 500,000 (Jordan) Humanitarian assistance for the Syria crisis Jordan

UNRWA Syria Humanitarian Assistance Response Plan (SHARP) 2013

SYR-13/SNYS/57789/5593 10,600,000 (Syria) to be allocated Syrian Arab Republic

47




UNRWA 400,000 (Region) Humanitarian assistance for the Syria crisis – Headquarters support

Region

UNRWA Syria Regional Refugee Response Plan (RRP) 2013 SRRP-13/SNYS/58190/R/5593 610,500 (Lebanon) Humanitarian assistance for the Syria crisis – Cash Assistance

Lebanon

UNRWA Syria Regional Refugee Response Plan (RRP) 2013 SRRP-13/SNYS/58190/R/5593 33,300 Lebanon – Syria Crisis Regional Refugee Response – Emergency shelter Rehabilitation

Lebanon

UNRWA Syria Regional Refugee Response Plan (RRP) 2013 SRRP-13/SNYS/58190/R/5593 1,761,792 Lebanon – Syria Crisis Regional Refugee Response - Emergency Health

Lebanon

WFP 40,000,000 WFP Syria Humanitarian Assistance Response Plan

(SHARP) 2013 SYR-13/F/57198/R/561 10,000,000 (Syria) Emergency Food Assistance to People Affected

by Unrest in Syria Syrian Arab Republic

WFP Syria Regional Refugee Response Plan (RRP) 2013 SRRP-13/SNYS/58199/R/561 744,579 (Egypt) Humanitarian assistance for the Syria crisis Egypt

WFP Syria Regional Refugee Response Plan (RRP) 2013 SRRP-13/SNYS/58196/R/561 10,769,320 (Lebanon) Humanitarian assistance for the Syria crisis Lebanon

WFP Syria Regional Refugee Response Plan (RRP) 2013 SRRP-13/SNYS/58197/R/561 4,723,740 (Turkey) Humanitarian assistance for the Syria crisis Turkey

WFP Syria Regional Refugee Response Plan (RRP) 2013 SRRP-13/SNYS/58198/R/561 3,514,665 (Iraq) Humanitarian assistance for the Syria crisis Iraq

WFP Syria Regional Refugee Response Plan (RRP) 2013 SRRP-13/SNYS/58195/R/561 10,247,696 (Jordan) Humanitarian assistance for the Syria crisis Jordan

WHO 35,000,000 WHO Syria Humanitarian Assistance Response Plan

(SHARP) 2013 SYR-13/H/57247/R/122 4,790,732 (Syria) Support delivery of secondary and tertiary

health care Syrian Arab Republic

WHO Syria Humanitarian Assistance Response Plan (SHARP) 2013

SYR-13/H/57246/R/122 1,843,497 (Syria) Support delivery of primary health care Syrian Arab Republic

WHO 1,843,497 (Region) Humanitarian assistance for the Syria crisis – Pending allocation against projects

Region


SYR-13/H/57245/R/122 2,500,000 (Syria) Strengthen trauma and referral management Syrian Arab Republic




WHO Syria Regional Refugee Response Plan (RRP) 2013 SRRP-13/SNYS/59046/R/122 214,000 (Egypt) Health assistance Egypt

WHO Syria Regional Refugee Response Plan (RRP) 2013 SRRP-13/SNYS/58203/R/122 766,940 (Iraq) Health assistance Iraq

WHO Syria Regional Refugee Response Plan (RRP) 2013 SRRP-13/SNYS/58200/R/122 6,282,682 (Jordan) Health assistance Jordan

WHO Syria Regional Refugee Response Plan (RRP) 2013 SRRP-13/SNYS/58201/R/122 3,872,378 (Lebanon) Health assistance Lebanon

WHO Syria Regional Refugee Response Plan (RRP) 2013 SRRP-13/SNYS/58202/R/122 917,006 (Turkey) Health assistance Turkey


SYR-13/H/57246/R/122 11,969,268 (Syria) Support delivery of primary health care Syrian Arab Republic

ERF (OCHA) 10,000,000 (Region) Emergency Response Fund for Syria (OCT 4154)

Region

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