Syria Crisis October 2018 Humanitarian

Results

education education supplies provided by UNICEF, a volunteer On 1 October On 1 2018 October camp at Junaina the makeshift in Idlib, rural in the girlsnorthern ArabSyrian Republic, wearing UNICEF backpacks stand school where outside a total a of 350 tent With learning. to children back go to able are 14 and 7 between of ages the teacher has turned six tents into the most basic of classrooms. UNICEF/UN0248439/Watad ©

OCTOBER 2018: SYRIA, JORDAN, LEBANON, IRAQ, TURKEY AND EGYPT SITUATION IN NUMBERS

Highlights In Syria 5.6 million # of children affected • In October in Al-Hassakeh governorate in Syria, almost 70,000 school children (70 per cent of all children attending Ministry of Education schools) were negatively impacted

by a local authority decision to ban transportation of children to schools to attend the nationally accredited curriculum. UNICEF and partners are advocating with the local 13.1 million authorities to resolve the issue. # of people affected • Explosive remnants of war continue to pose a constant risk to children and (HNO, 2018) communities across Syria. Twenty-four casualties in Idleb, Ar-Raqqa, Dar’a and Aleppo were reported, including 71 per cent children. UNICEF is scaling-up community-based Risk Education initiatives in the most affected areas such as East Ghouta, Afrin, Deir- Outside Syria ez-Zor and Dar’a. Over 2.5 million • In Lebanon, 877 measles cases (47 per cent girls) were reported by end of October. UNICEF through partners have reached over 60,500 children with immunization (2,538,576) outreach messages in most at-risk cadasters, screening of immunization status and # of registered Syria refugee children referrals to Public Health Centers. • UNICEF has achieved considerable progress with the Catch-Up programme (Non- Formal Education) in Jordan with 1,150 children referred back to formal education Over 5.6 million through the Back-to-School campaign and 751 out-of-school children newly enrolled (41 per cent females) in the reporting month. (5,641,281) • In Syria and Syrian refugee host countries in 2018, UNICEF through its partners # of registered Syrian refugees supported the enrolment of over 2.9 million children in formal education and more (UNHCR, 20 November 2018) than 353,000 in non-formal/informal learning opportunities. Additionally, almost 623,000 children and adults were reached with sustained child protection, psychosocial support and positive parenting programmes. UNICEF Sector/Cluster* UNICEF Appeal 2018

UNICEF Response to the Syria Jan-Oct Jan-Oct UNICEF Sector US$ 1.272 Billion Crisis 2018 2018 Target Target Results (#) Results (#)

# targeted children enrolled in 2,685,576 2,999,820 3,929,890 3,193,012¹ Funding Status formal education # targeted children enrolled in US$ 906.4 Million 395,100 353,112¹ 675,919 526,182¹ non -formal or informal education # children & adults participating in structured and sustained child 663,250 623,302 1,368,871³ 916,203⁴ protection , PSS and parenting programmes

# children reached with routine 909,759 466,682⁵ n/a⁶ vaccination # (est.) people with access to 4,947,000 3,196,327 8,437,255³ 6,748,855⁷ improved water supply # # children & Pregnant and Lactating Women screened for 1,700,000² 1,027,808 2,377,000 1,061,824 acute malnutrition⁸ * Only reporting on sector/ cluster results where UNICEF is sector/ cluster lead agency; 1) Excludes Egypt; 2) Target *Lebanon: $US55.6 M related to 2017 due corrected ; 3) Excludes Lebanon; 4); Excludes Lebanon and Egypt; 5) Excludes Turkey; 6) Data unavailable; 7) Excludes payment has been deducted from carry- Lebanon and data corrected for the previous month; 8) Syria and Jordan only. forward education.

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Syria

Situation Overview & Humanitarian Needs:1During October, the Syrian Democratic Forces (SDF)-led campaign against the last Islamic State of Iraq and the Levant (ISIL) held enclave in north-eastern rural Deir-ez-Zor governorate has continued at unprecedented intensity forcing more than 27,000 displacements since June. Most of internally displaced persons (IDPs), approximately 5,000 people, are hosted by communities in the Hajin and Gharanij countryside, while some 2,000 people are residing in makeshift camps in Hajin, Baer Albahra and Gharanij. Although the situation remains fluid and population movements continue, there are still restrictions on the freedom of movement of IDPs, with many using informal routes and reportedly paying large sums of money to reach SDF- controlled areas. Access by local UN humanitarian partners to the affected area, including the camps and host communities, remains a major challenge due to ongoing insecurity in the area and difficult desert roads. Gharanij and Baer AlBahra IDP locations are more easily accessed by UNICEF and other UN agencies since these areas are further away from the frontlines than some of the makeshift IDP sites. North-East Syria (NES) INGOs are not able to access the area due to ongoing concerns over the security situation.

During the reporting month in the north-east (Al-Hassakeh governorate), approximately 70,000 school children (70 per cent of all children attending Ministry of Education schools) were negatively impacted by a Local Authority decision to ban transportation of children to schools to attend the nationally accredited curriculum. UNICEF and partners are advocating with the local authorities to resolve the issue.

Despite the decrease in hostilities in North-West Syria following Turkey and Russia’s agreed demilitarized buffer zone, shelling was reported over Halab Jadeed, Jamiet Al-Zahra, Mugambo and Al-Nil street in Aleppo city with several civilian casualties reported. To date, humanitarian access remains possible in Idleb, western Aleppo and northern Hama through cross-border operations. About one million people are estimated to live in the demilitarized zone, including 400,000 IDPs. UNICEF and its partners continue to deliver regular programming, while adjusting strategies to the new operational environment. As of late October, following the reopening of Abu Al- Thohour (Idleb) crossing-point more than 30,000 returnees (6,000 families) were reported, with high fees imposed on cars, trucks and livestock.

UNICEF partners’ reports from inside Afrin (Aleppo governorate) indicate tensions in Afrin district as the returnees are forcing the IDPs staying in their homes to leave. Furthermore, farmers are under pressure due to heavy taxation by armed groups and the local council. As a consequence, farmers and their families moved to Aleppo and the east as displaced persons. Additionally, as reported by OCHA, there is a continuation of civilian displacement from Afrin towards government-controlled areas and/or to the east of Syria due to hostilities, arbitrary arrests and looting of olives during its peak season, allegedly committed by armed groups in the region. It is noteworthy, as reported, that the families who flee from Afrin are asked to pay smugglers and travel through dangerous mine and improvised explosive devices (IEDs) routes. As of 22 October, a family was reported to be killed by an IED while en route from Afrin.

Humanitarian Leadership and Coordination: As sector lead in WASH, education, nutrition, and sub-sector lead in child protection, UNICEF continues to enhance coordination and information management capacity both at the Whole of Syria and hub level, including at sub-national levels in Syria. Continued security challenges, access restrictions and heavy administrative processes imposed by all parties in the conflict is delaying all possible response and services to the internally displaced people and host population living in hard-to- reach/besieged areas in particular.

Humanitarian Strategy: UNICEF’s 2018 strategy in anchored in the Whole of Syria (WoS) Humanitarian Response Plan. UNICEF operates through its field presence inside Syria2, as well as through cross-border interventions from Amman and Gaziantep. Working in close collaboration with implementing partners, UNICEF WASH support includes increasing access to safe water, rehabilitating WASH facilities, restoring critical WASH infrastructure and promoting good hygiene practices to reduce the risk of WASH-related morbidity. The overall strategy of the Health and Nutrition programme remains focused on providing emergency lifesaving health and nutrition packages through streamlined interventions with NGOs in prioritized areas, and government in the rest of the country, while working to boost early recovery and development of the sector in key areas of UNICEF’s comparative advantage. 3 The Education programme’s response

1 Consolidated reports from OCHA. 2 In Damascus, Aleppo, Homs, Qamishli and Tartous. 3 During the first half of 2018, UNICEF supported comprehensive lifesaving nutrition interventions including screening for malnutrition, provision of preventive and curative nutrition supplies and counselling on infant and young child feeding practices (IYCF) for vulnerable children U5 and pregnant and lactating women (PLW). The Health programme facilitates the provision of child and maternal health care and expanding quality immunization services. UNICEF continues to advocate for the vaccination of children in hard-to-reach and besieged areas and the restoration of immunization services in newly accessible areas and in camps. The Nutrition programme focuses on the prevention of chronic malnutrition (stunting), the promotion of exclusive breastfeeding, the prevention of micronutrient deficiency among mothers and children under the age of five, and treatment of severe acute malnutrition. 2

addresses disparities among out-of-school children by strengthening alternative learning opportunities using Curriculum B 4 and self- learning programmes, and scale-up equitable access to early learning for pre-primary school children. In addition, UNICEF aims to expand teacher development, support for inclusive education and life-skills and citizenship education.

In 2018 child protection in line with the No Lost Generation (NLG) Initiative continued to on the investment of previous years to improve equitable access to quality child protection services. Improving the quality of community-based child protection through support to community structures and psychosocial support interventions and expanding the reach and the quality of child protection specialised services for children most at-risk and survivors of violence5, exploitation and abuse are at the core of the strategy together with the development of national capacities to ensure sustainability of quality service delivery. Adolescents and youth are supported with cross- sectoral services, skills and opportunities, focusing on life-skills, technical and vocational education and entrepreneurship training. UNICEF also supports Sport for Development and social and civic engagement initiatives. UNICEF views social protection6 as a key ingredient for sustainable peace and development. In Syria, social protection interventions are crucial to enhance the resilience of the most vulnerable families in the face of adversities of crisis and displacement, to strengthen the continuum of humanitarian and early recovery interventions, and to preserve the social protection space in the country. Therefore, UNICEF’s Cash Transfer Programme is designed to promote an integrated social protection model with links to public services through referral mechanisms and case management, with a view to preparing the ground for a future transition from an emergency response to a nationally-owned social protection scheme. The programme seeks to address both economic and social vulnerabilities of children with disabilities and their families.

Summary Analysis of Programme Response:

WASH: During October, UNICEF reached some 228,000 people (nearly 3 million in 2018) with improved and sustained access to safe water through infrastructure interventions and about 168,000 people (over 1 million in 2018) with sanitation services. In addition, UNICEF completed the development and rehabilitation of water and sanitation facilities and hygiene promotion activities in 14 schools through the country, benefiting about 24,000 school children (185 schools benefiting over 100,000 school children in 2018). UNICEF also provided 144,000 people (over 2 million in 2018) with WASH non-food items (NFIs) including family hygiene kits, soap and aqua purification tabs, in addition to hygiene awareness sessions and installation of water tanks to support family WASH needs especially in camps and IDP shelters.

Furthermore, UNICEF emergency WASH services continued to respond to the needs of IDPs.7 In Tall Refaat, Nabul, and Zahraa camps and collective shelters in Aleppo that host IDPs from Afrin, UNICEF reached 77,000 people through water trucking. In Orm, Atareb, Daret Azza in Aleppo that host IDPs from Idleb, UNICEF reached 70,000 people through water trucking, supporting at the same time the returnees with emergency water trucking and hygiene supplies; in Eastern Ghouta, UNICEF provided water to over 137,400 returnees through water trucking in 22 communities. In Dar’a, UNICEF completed repairing and equipping nine wells supporting about 10,500 people with safe drinking water (106 wells supporting over 20,000 people in the last three months). In Deir-ez-Zor, UNICEF reached 37,000 people through solid waste collection, provision of hygiene supplies and aqua tabs. UNICEF also supported the light rehabilitation of WASH facilities and latrine installations in service centers and IDPs shelters and camps reaching over 522,000 people (over 1.3 million people in 2018).

Since the beginning of the year, UNICEF’s provision of water disinfectants supported 15.2 million people to access to safe water. UNICEF, as WASH Cluster lead, managed to ensure continuation of emergency WASH services to 207,000 IDPs in Atmeh, Qah and other nearby camps in Harmin district of Idleb, partly through its own fund and advocating other donors. The advocacy with OCHA is further ensuring availability of Humanitarian Fund for the continuation of services to these camps until March 2019.

Education: In October, UNICEF has reached 168,000 children with education services (including 17,000 children in hard-to-reach areas including in Aleppo, Deir-ez-Zor, Hama, Homs, Idleb, Quneitra and Rural Damascus), in addition to completing the rehabilitation of 14 schools providing 26,000 children with an improved learning environment. A total of 25,000 children were enrolled in Curriculum B classes (accelerated learning programme) to help them catch-up on the education they have missed and re-integrate into formal education (this includes 2,000 children in hard-to-reach areas of Deir-ez-Zor and more than 1,500 children in newly accessible locations in Hama governorate). A further 23,000 children were provided with essential learning materials (including 1,000 children reached in newly accessible areas of Idleb).

UNICEF continues to scale-up its early childhood education programme with 2,300 pre-school children reached in Hama and Tartous through a complete package of services including classroom rehabilitation, school furniture and Early Childhood Development (ECD) kits. Challenges remain, especially in obtaining government approval/clearance for delivery of supplies and in lack of public transportation for

4 A condensed basic education curriculum for accelerated learning for children who have missed classes due to repeated displacement and to help them catch up and ultimately reintegrate into formal schools. 5 In the 251 most vulnerable communities. 6 Social protection schemes combine regular cash distribution with case management, primarily targeting families of children with disabilities. Furthermore, seasonal clothes and blankets are provided to the most vulnerable children through direct distribution and e-vouchers. 7 5,636 people have been served with water trucking and solid waste management in Idleb district and in Jebel Saman (Aleppo governorate). Over 2,600 people received jerrycans and hygiene kits in Idleb and Sarmin districts. 3

teachers from the locations/shelters they were displaced to the schools where they will be teaching. On 29 October a UNICEF supported school in rural Aleppo was shelled. Although there were no casualties reported as the shelling took place at night time, however the building sustained severe damages. There is also the possible longer-term effect of discouraging children, their parents and school personnel from going to schools due to security concerns. Additionally, winter has arrived and concerns intensify that the lack of fuel for heating and inadequately insulated and isolated classrooms will once again result in the closure of schools, as it is too cold for children to attend. Short term funding for education, and increasing donor conditionality, limit the ability to maintain a needs-based response and results in the loss of past education investments. The lack of clarity over the regulatory environment in the demilitarized zone in Idleb, limits the ability of the education actors to prepare for need and address current needs.

Health & Nutrition: In October, UNICEF has reached over 230,000 children and women with health consultations through fixed centers and mobile teams through regular programme and emergency response. Health supplies were distributed to 12,000 beneficiaries through regular programme. For Routine immunization, 38,000 children under the age of one (U1) were vaccinated with third dose of diphtheria, tetanus toxoid and pertussis (DTP3). Ad-hoc immunization campaigns for polio were conducted between 7 and 11 October reaching 2.3 million out of 2.8 million (83 per cent) under five children. Furthermore, vaccines have been provided to 91 functional Expanded Programme on Immunization (EPI) centers of northern Syria; 13,106 children U1 were immunized against tuberculosis (BCG), 13,820 received Penta 1 vaccine, 8,603 received Penta 3 vaccine, 12,295 children received measles, mumps, and rubella (MMR) vaccine and 14,196 women and school girls received Td (tetanus/diphtheria) vaccine during the reporting month. A measles vaccination campaign targeting all children between 5 and 15 years old (1.3 million) had been planned for October 2018, a follow-up for the one that targeted all under five children and that took place earlier in the year. Unfortunately, the donor that was going to cover all the implementation costs and the social mobilization campaign imposed new geographical restrictions and the campaign had to be postponed to November 2018. This decision by the donor is turning out to be the new big challenge in the delivery of life saving interventions, as 41 per cent of the territory of Idleb is excluded and there is a chance that other donors may follow suit.

In October, UNICEF supported the provision of micronutrients for 65,000 children under the age of five (U5) and pregnant and lactating women (PLWs) and screening for malnutrition for 120,000 children and PLWs. In October, a total of 657 children U5 were identified with Severe Acute Malnutrition (SAM) and received life-saving treatment. Also, some 156,000 caregivers including PLWs received infant and young child feeding (IYCF) messages. Around 73,000 children and PLW were served with essential nutrition supplies. The health and nutrition programme was challenged by new procedures for obtaining Government approval for the operation of NGO partners as well as by a complex reporting process by the Ministry of Health.

Child Protection: During October, UNICEF and its implementing partners reached 48,000 children (49 per cent girls) and 5,600 caregivers with structured psychosocial support services through child-friendly spaces and mobile teams in 13 governorates8. 55,000 children and adolescents (51 per cent girls), together with 13,300 caregivers, in 12 governorates9 received awareness-raising on child protection issues. UNICEF partners reached 7,800 beneficiaries in 19 hard-to-reach areas during the reporting month. From the beginning of the year, some 253,000 children (50 per cent girls) and more than 71,000 caregivers (110 per cent of the revised annual target) received structured psychosocial support services through child-friendly spaces and mobile teams in 14 governorates10. Over 366,000 children and adolescents (50 per cent girls), and over 135,000 caregivers (59 per cent of the revised annual target) benefited from awareness-raising on child protection issues in 14 governorates11. UNICEF partners reached 190,000 beneficiaries in 156 hard-to-reach areas, through mobile teams and convoys.

Explosive remnants of war (ERW) continue to pose a constant risk to children and communities all over Syria. Twenty-four deaths and injuries inside Idleb, Ar-Raqqa, Dar’a and Aleppo were reported, of which 71 per cent of victims were children. UNICEF strategy focuses on increasing community-based risk education initiatives in the most affected areas such as East Ghouta, Afrin, Deir-ez-Zor and Dar’a. In October 2018, UNICEF in partnership with governmental and non-governmental partners provided lifesaving messages to mitigate the risk of ERW/mines and promote safe behaviours to 84,000 children and adolescents (48 per cent girls) as well as 29,000 caregivers in 14 governorates12. This brings the total of beneficiaries from the beginning of the year to 741,000 Children (52 per cent girls) and 339,000 caregivers.

During October many challenges have impacted the overall implementation rate of child protection interventions, such as the delay in getting government approval of new partnership agreements, this is in addition to limited access to newly accessible areas for protection actors along with the need of obtaining security approvals to implement any activity. Nevertheless, UNICEF with its partners continue to provide child protection services whenever possible. Furthermore, child Protection is scaling-up its programmes in the Euphrates Shield, for example in Afrin, the two Child Friendly Spaces and mobile outreach teams reached about 4,227 children in schools and camps. With the integration of child protection messages in the Nutrition sector campaigns, remote communities have been targeted with Child Protection community messaging and awareness on available psychosocial support, case management and parenting programs.

8 Aleppo, Al-Hassakeh, Ar-Raqqa, As-Sweida, Dar'a, Deir-ez-Zor, Hama, Homs, Idleb, Lattakia, Quneitra, Rural Damascus and Tartous. 9 Aleppo, Al-Hassakeh, Ar-Raqqa, As-Sweida, Dar'a, Hama, Homs, Idleb, Lattakia, Quneitra, Rural Damascus and Tartous. 10 Aleppo, Al-Hassakeh, Ar-Raqqa, As-Sweida, Damascus, Dar'a, Deir-ez-Zor, Hama, Homs, Idleb, Lattakia, Quneitra, Rural Damascus and Tartous. 11 Aleppo, Quneitra, Al-Hassakeh, Ar-Raqqa, As-Sweida, Dar'a, Deir-ez-Zor, Hama, Homs, Idleb, Lattakia, Damascus, Rural Damascus and Tartous. 12 Aleppo, Al-Hassakeh, Ar-Raqqa, As-Sweida, Damascus, Dar'a, Deir-ez-Zor, Hama, Homs, Idleb, Lattakia, Quneitra, Rural Damascus and Tartous. 4

In October, the Child Protection Monitoring Task Force conducted 137 interviews with key informants in 44 communities of Idleb and Aleppo. Protection risk identified in the IDP host communities include psychosocial trauma, distress, child labor and increasing vulnerabilities from family separation. The need for more partners in some locations to extend the services to more communities has been highlighted as well as a better integration of non-formal education services in child friendly spaces. The security situation and difficulty of transportation continue to impact the delivery of services in some locations.

Social Protection: During the reporting period, UNICEF reached around 6,000 in Rural Damascus, Tartous, Homs, and Al-Hassakeh governorates with cash assistance and case management services. Since the beginning of the year, UNICEF has reached over 9,500 children with disabilities with cash assistance and case management services in Rural Damascus, Lattakia, Tartous, Homs and Al-Hassakeh governorates. The Cash Transfer Programme is also launched in Aleppo governorate targeting 1,000 children with disabilities.

The several-fold increase in prices of essential commodities combined with the deteriorating economic situation of households have left many Syrians unable to provide for the necessities of life including decent clothes for their children. The main objective of UNICEF’s seasonal support is to meet the basic needs of vulnerable children especially those affected by the crisis and displacement through provision of children clothes and e-vouchers. In October, UNICEF reached 5,140 children with seasonal clothes and new born baby kits in Dar’a and Idleb (Sinjar). Since the beginning of the year, UNICEF has reached 628,000 children with seasonal clothes and blankets of which 241,000 were in 75 hard-to-reach and besieged areas. In addition, UNICEF reached around 28,000 children in Tartous, Al-Hassakeh and Aleppo with e-vouchers to provide vulnerable families with choice to decide on the items they need to provide for the basic needs of their children to decent clothes.

Adolescent Development and Participation (ADAP): In 2018, UNICEF and its partners reached a 180,000 adolescents and youth (10- 24 years) with a package of age-appropriate services and opportunities across Syria among them were out-of-school, disabled, IDPs and host community and young people living in poverty. Out of the total, 23,000 young people (10-24 years) were reached during October, this includes 68 young people in hard-to-reach areas in Aleppo and Homs. Since January 2018, 146,000 young people (76,000 girls and 70,000 boys) were provided with life skills and citizenship education (LSCE) programmes, including critical thinking, communication, negotiation, collaboration and creativity skills. In addition, 9,000 young people out of the total (5,000 girls and 4,000 boys) were reached with life skills in October. Furthermore, 22,500 young people (13,500 girls and 9,000 boys) benefited from vocational training opportunities including household electricity, air-conditioning and heating maintenance, International Computer Driving Licence, English language and photography. In addition, 1,600 girls and 900 boys were reached in October. In addition, 90,500 young people (45,000 girls and 45,500 boys) participated in civic and social cohesion opportunities including sport for development, cultural and social art activities as well as youth-led social initiatives. In October, 17,000 young people benefited from engagement opportunities (9,000 girls and 8,000 boys).

External Communication and Advocacy: During October, UNICEF continued to highlight the humanitarian situation of children and their families in Idleb in communication and advocacy products, through blogs, photo albums and videos. UNICEF also documented its response to children and families, including immunization and communication for development campaigns against polio and measles through photo albums and its support to children with the beginning of the new school year.

Summary of Programme Results (January-October 2018) Change Change People in Sector Sector UNICEF UNICEF WHOLE OF SYRIA since last since last Need Target Result* Target** Result Report Report HEALTH # children under five years vaccinated 3,400,000 3,504,956 0 through polio campaigns¹ # children under 1 year reached with routine vaccination (DTP3 containing 577,000 315,350² 37,920 vaccine) ² # Primary Health Care outpatient consultations supported (children & 2,340,000 2,601,466 231,360 n/a CBA women) ³ Est. # of people reached with health supplies, including in hard to reach 3,200,000 1,130,337⁴ 12,312 areas⁴ # caregivers reached with health promotion, including immunization 3,000,000 3,075,569 784,525 messages⁵

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Change Change People in Sector Sector UNICEF UNICEF WHOLE OF SYRIA since last since last Need Target Result* Target** Result Report Report NUTRITION # children & Pregnant and Lactating Women (PLWs) received micro- 4,605,000 2,906,000 1,868,081 978,904 2,323,000 1,858,604 45,938 nutrients¹ # children & Pregnant and Lactating Women (PLWs) screened for acute 4,605,000 2,350,000 1,033,118 172,465 1,680,000 1,000,907² 108,863 malnutrition² # children treated for severe acute 18,700 8,400 7,448 1,072 8,200 6,036 573 malnutrition (SAM)³ # caregivers including Pregnant and Lactating Women (PLWs) counselled 1,553,000 822,000 n/a 49,413 785,000 540,953 114,848 on appropriate Infant and Young Child Feeding⁴ Est. # people reached with nutrition supplies, including in hard to reach n/a 838,000 734,104 57,978 areas⁵ WASH Estimated number of people with 14,600,000 8,000,000 6,559,282 -1,484,534* 4,500,000 2,957,962¹ 149,650 access to improved water supply¹ Est. # people have sustained access to 14,600,000 14,000,000 15,455,496 -350,631* 13,500,000 15,213,586² 942,672 safe drinking water² Est. # people have improved access to n/a 5,500,000 2,509,112 -176,222* 2,000,000 1,042,859³ 51,250 sanitation services³ Number of school children benefited from improved WASH facilities and n/a 350,000 139,803⁴ 49,590 services⁴ # people supported with access to essential WASH NFIs, including in 7,620,000 7,620,000 3,295,727 -41,387* 1,900,000 2,001,313 68,975 hard to reach areas⁵ # people benefited from access to improved lifesaving/emergency 7,620,000 5,000,000 5,805,004 -1,184,357* 1,800,000 1,344,913 99,083 WASH facilities and services⁶ EDUCATION (Need: 6.1 million people; 5.8 million school-aged children and 300,000 teachers and education personnel) # children (5-17 years) enrolled in n/a 2,588,957 1,986,845 341,898 1,430,000 1,802,495¹ 62,057 formal general education¹ 543,389 # children (5-17 years) enrolled in n/a 393,955 54,112 302,500 251,919 19,508 non-formal education² # teachers and education personnel n/a 59,616 28,343 2,390 32,700 19,769³ 320 trained³ # children and youth (5-24 years) benefiting from life skills and n/a 300,830 174,118 27,795 67,500 22,913⁴ 4,296 citizenship education in formal, non- formal and informal settings⁴ # education actors trained on policy, n/a 2,840 648 53 2,200 243⁵ 20 planning and data collection⁵ CHILD PROTECTION # people provided with structured and sustained psychosocial support 5,870,000 885,000 676,607 84,388 295,000 324,005¹ 26,743 and parenting programmes¹ # people reached with Risk 8,200,000 3,400,000 1,173,854 96,671 2,050,000 1,079,996² 106,251 Education² # people reached by child protection awareness raising and community 13,300,000 1,500,000 1,004,693 107,957 850,000 500,115³ 57,516 events³

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Change Change People in Sector Sector UNICEF UNICEF WHOLE OF SYRIA since last since last Need Target Result* Target** Result Report Report # children receiving specialised child protection services incl. case 275,000 44,000 88,139 9,058 18,800 19,252 2,164 management⁴ # adults trained in child protection⁵ n/a 12,000 7,908 610 4,300 2,184⁵ 202 # people reached by GBV prevention 13,300,000 1,029,000 271,693 -324,992⁶ 25,000 83,528⁶ 6,243 and empowerment activities⁶ SOCIAL PROTECTION # families receiving regular cash 12,200 9,514 1,028 transfers¹ # children protected from extreme n/a 682,000 628,361 5,140 weather with NFIs²

# children protected from extreme weather through provision of 130,000 27,821³ 27,821 e-vouchers³ ADOLESCENT DEVELOPMENT AND PARTICIPATION # adolescents (10-17 years) and youth (18-24 years) involved in or 450,000 90,581¹ 8,370 leading civic engagement initiatives¹ # youth (15-24 years) implementing entrepreneurship initiatives through 1,000 121² 0 seed funding² # youth (15-24 years) enrolled in n/a community-based Technical 25,000 22,447 2,451 Vocational Education and Training (TVET)³ # adolescents (10-17 years) and youth (18-24 years) benefiting from 250,000 146,093⁴ 7,663 life skills and citizenship education programmes⁴ FOOTNOTES Sector Results: Results are as of September 2018. Health 1: In 2018 a total of 4 campaigns planned, two national campaigns and two sub national campaigns. Health 2: Number of children under one reached with routine vaccination programme, DTP3 is used as a proxy indicator. Routine vaccination programme equally targets girls and boys. UNIECF result: Due to MoH information system hierarchy, there is a month delay in the routine immunization data reporting, in addition, the lack of access to certain areas in northeast Syria led to low coverage. Health 3: Children & CBA women served through UNICEF supported health centres and mobile teams. The package includes salaries, training and supplies. Health 4: Beneficiaries reached with health supplies including Interagency Health Kits (IEHK). Supplies distributed in different locations including hard to reach and besieged areas through convoys. UNICEF result: The low result is due to access constraints especially in the first half of the year. Health 5: Estimated number of beneficiaries reached with communication, social mobilization, behaviour change communication, health education and health promotion messages. (The increase in reaching beneficiaries was due to the measles outbreak response which required an intensive communication activity to educate care givers on the importance of vaccinations) Nutrition 1: Children 6-59 months reached with multiple micro-nutrient powder for 4 months (at least once), multi micro-nutrient tablets or iron folate for PLWs and vitamin A for children under 5. Nutrition 2: Children and PLWs screened through MUAC or weight/height measurement. UNIECF result: The screening did not reach the target due to lack of partnership agreements with NGOs and the delay in reporting from the Ministry of Health. Nutrition 3: Children treated for SAM (severe acute malnutrition) through outpatient clinics. Nutrition 4: PLWs counselled individually or in groups. Counselling on breast feeding, complementary feeding and management of breast milk substitutes. Nutrition 5: Beneficiaries reached with any nutrition supplies in all areas, incl. in besieged, military encircled and hard to reach areas through regular programme and convoys. * WASH Sector results: Results are in the minus due to possible double reporting across the WoS hubs, the numbers might be reduced or stay same in next reports. WASH 1: Including water (equipment; new construction/augmentation; repair; staff support). Many of the UNICEF WASH interventions are regular and sustained support which require predictable funding over the year; while results are achieved, they need continued funding to be maintained over the year. UNICEF result: Some projects specifically Aleppo still under-construction and will be finished at the end of November 2018. WASH 2: Water systems incl. provision of consumables such as water treatment supplies and spare parts. This is a recurring intervention that requires continuous support to reach vulnerable populations on an ongoing basis. A large proportion of the population is reached continuously through support to systems, including supplies such as for water treatment that improves people’s access to safe water. WASH 3: Including waste water (consumables; spare parts; equipment; new construction/augmentation; staff support); and solid waste (consumables; spare parts; equipment; new construction/ augmentation; repair; staff support). Many of the UNICEF WASH interventions are regular and sustained support which require predictable funding over the year; while results are achieved, these need continued funding to be maintained over the year. UNICEF result: The available fund was used for emergency sanitation services due to urgent IDP needs in East Ghouta, Idleb, Deir-ez-Zor, Dar’a, and Aleppo. In addition, there is a delay in reporting some beneficiaries of 75 sewage jets as not all of them are in practical use till now. Program is following up the issue with MoLA. WASH 4: Includes WASH in schools activities (standard package; Rehabilitation of Water and Sanitation facilities in schools; Hygiene). UNICEF result: The low achievement is due to low funds. However, rehabilitation work is yet ongoing in many schools which will be reported in the next three months. 7

WASH 5: Includes distribution of NFIs, community mobilization, hygiene promotion, and provision of household water treatment / storage solutions including through convoys. WASH 6: Includes water trucking, WASH in IDP settlements/ health facilities/ public spaces, construction/ repair of sanitary facilities and handwashing facilities, emergency repair of water supply, sanitation and sewage systems, and emergency collection of solid waste. Education 1: Children receiving Text books, school supplies (including school bags, school in a carton/box, recreational kit, stationary, ECD kits, school furniture) curriculum B, classroom rehabilitation, prefabs, school furniture, temporary learning spaces (classrooms in tents). UNICEF result: High result due to the distribution of school textbooks (pending partner verification). In addition, further increases are expected due to the expected large numbers of returns. Education 2: Children benefitting from Remedial classes in informal settings, Self-Learning Programme (SLP), Early Childhood Care and Education (ECCE), Accelerated Learning Program (ALP), literacy and numeracy classes in non-formal settings, school supplies in non-formal settings (including school bags, school in a carton/box, recreational kit, stationary, ECD kits, school furniture), temporary learning spaces (classrooms in tents, prefabs or rented rooms) in non-formal settings, classroom rehabilitation including WASH, prefabs or rented classrooms in non-formal settings. Education 3: Training of teachers, education personnel and education facilitators on New Curriculum, Curriculum B, active learning, self-learning, life-skills, Education in Emergencies and Inter-Agency Network for Education in Emergencies minimum standards. UNICEF result: Work is underway to integrate life skills into teacher training but this has not yet been implemented. Result is expected by year-end. Education 4: Children and youth benefiting from life skills and citizenship education programmes in formal, non-formal and informal settings through Education programme. UNICEF result: The programme is working on integrating life skills into teacher training but this has not yet been implemented hence the low result. However, this is expected to take place by end of 2018. Education 5: Education actors (Government staff, local education authorities, NGO staff, etc.) who complete training on education policy development, data collection methodology and process, sector/cluster coordination or the INEE minimum standards. UNICEF result: Target not achieved due to delays in rolling out of SEMIS (only 25 schools so far are actively using system). The remaining target will be reached in 2019. Child Protection 1: Including children benefiting from structured and sustained programmes (curriculum and/or session activity plans), community-based child protection and PSS (psychosocial support) programmes and adults participating in parenting programme. UNICEF result: During 2018, UNICEF has responded to three emergencies in Aleppo, Rural Damascus and Dar’a which required expanding our intervention and target reach, in order to provide the necessary psychosocial support services to community. Child Protection 2: Risk education activities aim to reduce the risk of death and injury from mines and explosive remnants of war by raising awareness and promoting safe behaviour, Activities include community awareness sessions, interactive theatre, games, focus group discussions and activities embedded in children’s PSS programmes. UNICEF result: MRE target for SCO has been changed from 2,000,000 to 1,600,000. Due to the long complicated approving process for the agreements with NGOs, a lot of agreements were not approved and implemented. Some partners were late in reporting and in November and December the reports will be completed. Child Protection 3: Including people reached with awareness messages through mass communication methods and two-way communication and interpersonal interactions. UNICEF result: Difficulties in receiving approvals from government counterparts caused delay in implementation. Child Protection 4: Children supported with specialist child protection services, such as case management for children at risk or who have experienced violence, abuse and exploitation, including support to children being recruited by armed groups, street children, and children involved in child labour, unaccompanied and separated children. Child Protection 5: Structured professional development/capacity building initiatives that aim to improve child protection responses, including through mainstreaming efforts. UNICEF result: Difficulties in receiving approvals from government counterparts caused delay in implementation. Child Protection 6: individuals (including women, men, girls and boys) that have been reached through activities to prevent GBV and empower women and girls. Sector result change: Result appears in the minus due to verification of data previously reported by partners. UNICEF result: The distribution of 14,000 solar lamps in the camps in Hassakeh continue along with the normal activities, which raised the number of beneficiaries (family members were counted and not individuals). Social Protection 1: Families of vulnerable children receiving regular unconditional cash for an extended period; and # of families receiving a cash grant every month during four months. Social Protection 2: Children that have received winter clothing kits and/or blankets distributed in kind. Social Protection 3: Children that have received winter or summer clothing kits through e-vouchers. UNICEF result is low due to inadequate funding. This intervention is also planned for the winter months of 2017/18, so the interventions against this indicator will be achieved over the final months of 2018. ADAP 1: Individual or collective activities aiming at improving the overall wellbeing of young people or their communities; through Sports for Development, youth led community dialogue and volunteer actions. Includes promotion of peace and harmony through cultural and sports events, sports for development, right to play, youth- led community dialogue, volunteer action, and capacity development in mediation and conflict mitigation. UNICEF result: Low result is due to a delay in the signing of the annual work plan till May 2018. Therefore, the implementation with the four targeted line Ministries has only started after that. ADAP 2: Entrepreneurship initiatives led by or involving youth that provide young people with opportunities to develop economically viable and environmentally sustainable ideas through entrepreneurship. UNICEF result: Low result due to delay in obtaining official approvals and shortage of funds. ADAP 3: Youth enrolled in community-based TVET through local NGO partners. ADAP 4: Adolescents and youth benefiting from life skills and citizenship education programmes in non-formal and informal settings. UNICEF result: Low result due to late signature of AWP (which was signed by May) where Government partners could not start implementation before, beside complications in signing PCAs with NGOs.

Jordan

Situation Overview & Humanitarian Needs: Jordan hosts 673,414 registered Syrian refugees (51 per cent children)13. 125,944 refugees, or nearly twenty per cent of registered Syrian refugees in Jordan, reside in four refugee camps: Za’atari (78,637), Azraq (40,717), Emirati Jordanian Camp (6,867) and King Abdullah Park (521). Eighty per cent of Syrian refugees living outside of camps in Jordan are living below the poverty line, and approximately 50 per cent of these refugee households show some level of food insecurity.14 Moreover, one in five Syrian refugees in Jordan are between the ages of 15 to 24, with 84 per cent out-of-school or unemployed. A population of 45,000 Syrians

13 UNHCR data portal accessed on 20 November 2018. 14 2018-2019 Regional Refugee and Resilience Plan. 8

remains in extremely difficult desert conditions at Jordan’s northeast border with Syria. UNICEF provides daily water supply and supports a clinic for children under five years old, but is increasingly concerned about children’s welfare as the winter intensifies.

Humanitarian Leadership and Coordination: UNICEF works in partnership with the Government of Jordan (GoJ), UN agencies and civil society organizations to realize the rights of children. In 2018, UNICEF leads the Education and WASH sectors, and co-leads the Child Protection sector with the United Nations High Commissioner for Refugees (UNHCR), and co-leads the Nutrition sector with Save the Children Jordan. UNICEF continues to lead the Education Sector Working Group (ESWG). As one of the leading agencies at the berm, UNICEF is involved in the coordination efforts for the border response within the United Nations Country Team (UNCT). UNICEF operates within the Jordan Response Plan (JRP), which embeds the refugee response in the Jordanian development plans aiming to implement sustainable delivery systems that meet the needs of refugees and host communities. The Makani programme, with 172 centres across Jordan, continues to provide the hardest to reach out-of-school children and children attending school with learning support services. Makani centres also offer community-based child protection services, youth and parents’ well-being programmes, youth programming such as innovation labs, and access to WASH services. Building a child protection environment that prevents exploitation, abuse and neglect and responds to the needs of vulnerable children in Jordan continues to be one of UNICEF’s primary objectives in Jordan.

Humanitarian Strategy: Continuing its partnership with the Government of Jordan under the framework of the Jordan Response Plan (JRP) and the “No Lost Generation” Initiative, UNICEF focuses on integrating its humanitarian and development programming to reach the most vulnerable children. Inclusive approaches enable programme initiatives to promote social cohesion between children from diverse backgrounds and nationalities, which continues to be a key priority for UNICEF’s work in the country under NLG. UNICEF Jordan’s Integrated Social Protection Programme expanded from supporting only registered Syrian refugees in 2016 to include all vulnerable Jordanian children in 2018. Building the capacity of local partners to deliver quality services, particularly in host communities, to meet the needs of both refugee and host community members, UNICEF focuses on strengthening capacities of government and civil society counterparts to respond with increased resilience at local, governorate, and national levels, to enhance sustainability of efforts to assist vulnerable children. Recognizing the protracted nature of the crisis, UNICEF Jordan has shifted focus to a broader vulnerability-based approach that will aim to reach all vulnerable children in the country, enabling the organization to further promote social cohesion between the various nationalities, backgrounds, and also, between boys and girls.

UNICEF has maintained its focus on building cost efficient and sustainable approaches to service delivery in Azraq and Za’atari refugee camps. The construction and commissioning of the water and waste water networks in Za’atari, currently at over 90 per cent completion, has already resulted in a significant decrease in operational costs by 75 per cent (from a monthly average of USD 85,000 to USD 22,000) with the near elimination of desludging services, and has had a positive impact on water conservation and equity in access to water. The transition to a community-based approach to Makani in camps, wherein all centres are now managed and run by refugees, brought about efficiency gains as well as enhancing ownership of the refugees. In the education sector, UNICEF continues to support and build capacity of the Ministry of Education in the day-to-day administration of camp schools. To improve child protection, UNICEF has been working in Azraq and Za’atari camps to put in mechanisms to address violence in schools in collaboration with MoE, and in partnership with the Juvenile Police Department.

Summary Analysis of Programme Response

Education: Throughout October, UNICEF has continued documentation, advocacy and follow-up efforts on the reported cases of school registration rejections. In October, the reported number of rejection cases rose from 758 cases in September to 822. UNICEF is working with a case management approach to ensure these children are supported in enrolling in school. Some of the most frequently reported reasons for rejection included lack of available space, no kindergarten (KG) availability, and lack of documentation. While at a central level, the Government is committed to supporting all children’s access to education, the experience of families at local/school level can vary. To address this issue, the MoE issued a letter on 16 October to all directorates, reiterating the Government of Jordan’s commitment to enrolling all children in Jordan.

UNICEF’s Nashatati (“My activities”) programme, an extracurricular programme providing life skills and social cohesion activities after school, kicked off the 2018/2019 academic year on 14 October. UNICEF has expanded this programme from 100 schools in the 2017/2018 academic year to an additional 100 schools with 10,000 children in the current school year. On 27 October, UNICEF inaugurated 11 KG2 classrooms that will benefit an estimated 330 children in tandem with MoE. UNICEF has achieved significant progress in October with the Non-Formal Education Catch-Up programme, with 1,150 (43 per cent female) children referred back to formal education through the Back to School campaign and 751 out-of-school children newly enrolled (41 per cent female). In terms of the Drop-Out programme, 7,734 (5,659 male, 3,075 female) children enrolled in the programme since the beginning of the year.

Makani: In October 2018, UNICEF’s Makani programme continued to provide vulnerable children, and youth with access to integrated services that include learning support, community-based child protection, early childhood development, and life skills through 172 Makani centres. Makani centres also provide parenting skills to parents and caregivers and mobilise community leaders to address various issues children and youth face in their respective communities. By the end of October, UNICEF had reached over 195,241 vulnerable individuals including 189,762 children (60 per cent female). Of those, 164,833 live in host communities, 6,001 in temporary settlements and 18,928 9

in camps. Makani centres in Za’atari and Azraq refugee camps continued to offer Makani programme’s integrated approach through direct implementation by Syrian volunteers.

WASH: As Lead Agency for Humanitarian WASH interventions in Jordan, UNICEF continues the provision of a broad range of life-saving WASH service prioritizing the most vulnerable in camps and host community. Progress towards the completion of the water and wastewater networks in Za’atari has reached 92 per cent with all households fully connected to the waste water network (21,136 beneficiaries including 12,426 children) are now receiving safe water at a household. Simultaneously, social mobilization has escalated focusing on water safety and conservation messages. Handwashing Day was celebrated in Azraq, Za’atari, and KAP camps, promoting hygiene messages and proper handwashing practice through activities, games, and comedy, reaching approximately 5,220 direct beneficiaries including 5,000 children. Through UNICEF direct support, 20,000 patients (of whom 904 are children) in the North Badia have benefitted from improved water supply at the North Badia hospital. Works included the installation of a water pipe directly connected to the only dialysis hospital in the region. By the end of October, UNICEF distributed a total of 170 mobile latrines to the most vulnerable communities benefiting 3,400 people including 2,312 children. These latrines are designed to facilitate movement between sites and to ensure continuity of access, particularly as people relocate to warmer areas as temperatures drop down. These latrines aim to overcome environmental burdens by eliminating open defecation by providing a safe, secure, and private sanitation facility. UNICEF also continues to provide adequate WASH facilities in Makani centres reaching an additional 1,013 children in October.

Adolescent Development and Participation: UNICEF continues supporting the Government and civil society organizations in providing opportunities for meaningful engagement and skills building for adolescents and youth. Through Maharati (My Skills) programme UNICEF reached 6,746 young people (2,876 girls and 3,870 boys) with life skills activities across Ministry of Youth and Makani supported centres during October. Among the total young people who received life skills, 5,566 (including 362 adolescents with disability) implemented 246 youth-led initiatives benefiting additional 11,751 indirect beneficiaries. The launch of the volunteer operation centres supporting the youth engagement programme greatly contributed to boosting the number of entities offering engagement opportunities across Jordan; as of end of October, 527 entities are on board (double the number from September) and 2,407 engagement opportunities were available. By end of October 2018, approximately 70,533 young people (10-24 years old) were engaged in UNICEF’s network of 51 social innovation labs across Jordan. UNICEF Jordan is one of the 16 country offices that is taking part in the global Generation Unlimited co-creation contest15. The office has launched a national call for applications, and over 800 young people expressed interest to design solutions for the three Generation Unlimited themes16. The contest is expected to begin in November.

Within UNICEF’s Social Innovation Programme, 115 young people participated in the first cohort and 211 in the second cohort of 12-week Human-Centred Design training sessions in both Azraq and Za’atari camps. In UNICEF’s “Amaluna” effort (economic engagement programme), outreach activities continued to reach more students on a new demand driven vocational training in Zarqa, Mafraq, Tafileh, Amman, Madaba, Jerash, Irbid, Kerak and Balqa governorates, with a newly initiated social media campaign successfully reaching over 142,000 people, with over 365,000 impressions, resulting in increased enrolment.17

Child Protection: Community-based child protection (CBCP) interventions are a core component of Makani services that provide integrated programming with a life-course approach. CBCP interventions include early childhood development activities as well as parenting support programmes that equip parents and caregivers with knowledge and skills to provide a stimulating, and protective environment for their children. Following the recommendations of the case management evaluation, UNICEF is working to strengthen its partnership with community leaders. In October, UNICEF met with heads of community tribes, Juvenile Police Officers, Makani child protection facilitators, and members of Makani Community Committees to boost collaboration for better protection of children. Child protection interventions leverage emergency resources to build national systems for child protection to respond to violence against children (VAC), together with Ministry of Education (MoE), 22 employees were trained on the National Tracking System for Family Violence in Azraq and Za’atari camps. UNICEF, with the MoE and Juvenile Police Department, put in mechanisms to address violence in and to/from schools in the camps. UNICEF and the National Council for Family Affairs held a community-based event, “Looney Balloony”, in four cities across Jordan to raise public awareness on VAC and to promote positive parenting skills. Her Majesty Queen Rania Abdullah inaugurated the event which was attended by 40,000 people. The results of the pre-post test conducted by the visitors to the event show that it had a great impact; those who agree that violence against children is a problem in Jordan increased by 34 per cent and those who agree that using physical punishment for disciplinary purposes by caregivers is not acceptable increased by 31 per cent. The campaign was also accompanied by a social media campaign which reached half a million people and gained two million impressions.

Health and Nutrition: In October, UNICEF provided health and nutrition treatment to 1,955 children (960 girls) under the age of five (U5) in Rukban at the border with Syria. Major causes of consultations for children U5 included respiratory tract infections (36 per cent). Routine immunization was provided to 1,248 children (47 per cent girls) and 1,047 women. Additionally, 1,338 children (49 per cent girls) and 1,572 pregnant and lactating women were screened for malnutrition in the UNICEF-supported clinic. Of the U5 children screened, four children (one boy and three girls) were identified with severe acute malnutrition (SAM), 19 children (three boys and 16 girls) with

15 The co-creation contest is a global contest being undertaken by 16 country offices for young people to design innovative solutions to address the three key Generation Unlimited focus areas. 16 Skills for employment, secondary education, and empowerment, with particular focus on girls. 17 New enrolment increased from 54 in September to 261 in October thanks to a social media campaign. 10

moderate acute malnutrition (MAM) and 12 pregnant and lactating women were found to be undernourished. All cases enrolled for treatment.

In Za’atari and Azraq refugee camps, UNICEF continued to support Supplementary Feeding Programme (SFP) for children and pregnant and lactating women with MAM and SAM. In Za’atari, UNICEF reached a total of 660 children U5, and 267 pregnant and lactating women with screening for malnutrition, and distributed 256 new-born kits. Twenty-five cases were identified with moderate acute malnutrition (MAM) and 15 other cases with severe acute malnutrition (SAM). In Azraq, 719 children U5, 17 pregnant and lactating women were screened for malnutrition and 138 new-born kits were distributed. Twenty-one cases of MAM and 21 cases of SAM were identified. All MAM and SAM cases were referred to treatment. The UNICEF-supported paediatric ward and clinics in Azraq camp hospital provided 5,041 paediatric consultations, 135 admissions and 978 dental consultations.

Social Protection and Social Policy: UNICEF’s Hajati (“My needs) is an equity-driven integrated social protection cash programme which supports children attending Double Shift Schools (DSS) in Jordan with a 20 JD monthly cash grant during the school year. Hajati has a strong focus on school attendance monitoring, behaviour change communications, as well as home visit and case management activities in synergy with local Makani centres. In October the programme provided JD 20 (USD 28) to 6,820 children in 2,295 households. An overwhelming majority (91 per cent) of the children receiving this support are Syrian refugees. Additionally, UNICEF has been collecting data on attendance and enrolment in public schools to identify the children more at risk of dropping-out, remind their caregivers on the importance of school attendance and to make them aware of the availability of further support. UNICEF is expecting to start this second component of awareness raising in November.

Summary of Programme Results (January- October 2018) Change Change Sector Sector UNICEF UNICEF JORDAN since last since last Target Result Target Result report report EDUCATION (Need: 230,000 school-aged children) # children (5-17 years, boys and girls) enrolled in 137,206 1 130,668 0 137,206 130,668 2 0 formal general education # children (5-17 years, boys and girls) enrolled in non- 25,0003 15,589 4 4,018 14,500 5 12,589 4 1,018 formal education # teachers, facilitators and school staff trained 9,600 6 4,258 7 -30 5,700 2,638 8 -70 # children (5-17 years, boys and girls) enrolled in informal non-accredited education (Learning Support 67,0009 106,971 10 9,232 53,600 89,902 11 5,136 Services) CHILD PROTECTION (Need: 471,000boys and girls including 332,100 Syrian refugee boys and girls) # girls and boys participating in structured, sustained 151,629 107,804 5,611 136,000 95,662 1 4,221 child protection or psychosocial support programmes # girls and boys who are receiving specialized child 26,903 12,920 182 8,800 5,547 2 525 protection services # women and men participating in PSS or parenting 100,242 48,156 3,885 90,000 46,416 3 3,707 education programmes # women and men trained on child protection 6,883 2,425 90 3,500 1,936 4 0 WATER, SANITATION & HYGIENE (Need: 1.33 million people, including 658,000 registered refugees) # target beneficiaries with access to an adequate 80,000 80,383 0 80,000 79,500 2 0 quantity of safe water through temporary provision 1 # individuals benefiting from access to adequate quantity of safe water through improved water 400,000 165,716 28,706 252,000³ 159,655 4 29,269 systems 3 # target beneficiaries with access to appropriate 180,000 124,603 0 145,000 124,603 6 0 sanitation facilities and services 5 # beneficiaries who have experienced a hygiene 30,000 89,476 0 29,000⁷ 83,635 7 0 promotion session # affected women, girls, boys and men attending schools, child friendly spaces and health centers have 20,000 19,853 1,013 20,000 19,513 8 1,013 reduced risk of WASH-related disease HEALTH (Need: 60,000 U5 children, 30,000 child-bearing aged women) ¹ # children (6-59 months) vaccinated for measles 20,000 14,339 2 1,769 containing vaccines n/a # children (0-59 months) vaccinated for polio 20,000 17,590 3 2,229

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Change Change Sector Sector UNICEF UNICEF JORDAN since last since last Target Result Target Result report report # children under 5 years fully covered with routine 20,000 13,941 4 2,619 Immunization antigens n/a # child bearing aged women (15-49) received more 30,000 12,772 5 1,654 than two doses of tetanus toxoid NUTRITION¹ (Need: 27,000 U5 children, 80,000 caregivers and mothers) # children U5 screened for malnutrition 27,000 28,706 1,757 20,000 26,901 2 2,717 # caregivers/ mothers reached with Infant and Young 80,0003 n/a n/a 30,000 24,444 3 3,643 Child Feeding services SOCIAL POLICY and BASIC ASSISTANCE # vulnerable families receiving monthly cash 21,000 20,5331 0 assistance n/a # vulnerable unemployed youth received technical 6,200 2,416 2 0 training for job YOUTH # children, youth and adolescents (age and sex disaggregated) benefitting from life skills based 132,646 n/a n/a 100,000 71,625 1 13,608 education in non-formal settings # children, youth and adolescents (age and sex disaggregated) benefitting from life skills based 60,000 n/a n/a 60,000 66,6692 0 education in formal settings # of adolescents (10-18 years) and youth (19-24 years) (age disaggregated) involved in or leading initiatives 202,492 n/a n/a 120,000³ 82,117 3 12,924 aimed at conflict prevention and reducing social tension FOOTNOTES Education 1: As per JRP Formal Education targets for Syrians enrolled in formal education. The breakdown is 102,687 (RES 3.2) and 34,519 (Ref 3.1). Education 2: This figure reflects data officially released from the MoE in March 2018, however, the additional 286 students have not been disaggregated. Disaggregation is based on the previous figure: Enrolment Camps 32,489 (Azraq: 12,310 / Zaatari: 20,179); Enrolment HC: 97,893. Sector and result targets are the same. Education 3: The breakdown for sector target is NFE Catch-Up: 15,000 and NFE Drop-Out: 10,000. Education 4: NFE Sector total: 2,402: Drop out: 1477 (865 males, 612 females/ 331 Jordanian, 1146 Syrian); Camps: 749 (Azraq: 83 / Zaatari: 666); HC: 728. This reflects only new enrolment under the Drop Out program. With second semester enrolment opening for new students 925 new students have been registered for Catch up (Disaggregation by gender has not been released from MOE). Education 5: The breakdown for UNICEF target is NFE Catch Up: 4,500 and NFE Drop Out is 10,000. Education 6: The breakdown of this indicator is the sum of activities across different projects containing a training activity. This target was endorsed by the ESWG. Education 7: Sector Total: 4,258 (2,445 female, 1,813 male); figure from last report has reduced slightly due to double counting that has been corrected in represented figures. Education 8: UNICEF total: 2,638; (1,544 female, 1,094 male); figure from last report has reduced slightly due to double counting that has been corrected in represented figures. Education 9: The target is 67,000 broken down into 53,600 in school and 13,400 OOSC. Education 10: LSS Sector total: 106,971; 56,961 females, 50,010 males; 99,105 (93%) in-school; 7,866 (7%) out-of-school, 50,223 Jordanian, 56,748 Syrian. Refugee camps: 16,910 (Azraq: 8,788 /Za’atari: 8,122); HC 50,155. Education 11: LSS UNICEF total: 89,902; 48,349 females, 41,553 males; 84,113 (94%) in-school; 5,789 (6%) out-of-school, (48,087 Jordanians/ 41,815 Syrian): LSS UNICEF refugee camps: 8,058 (Azraq: 3,639/ Za’atari: 4,419); HC 48,021. UNICEF result: Demand for LSS is high and has outpaced envisioned target. Child Protection 1: 51,774 girls and 43,888 boys; Host: 84,458 / Za’atari: 5,084 / Azraq: 5,176 / EJC: 944. Child Protection 2: 2,188 girls and 3,359 boys; Host: 3,540 / Za’atari: 958 / Azraq: 1,016 / EJC: 33. Child Protection 3: 39,642 women and 6,774 men; Host: 38,861 / Za’atari: 3,593 / Azraq: 3,926 / EJC: 36. UNICEF result: The closing down of Makani centres in host communities and scaling down some of the activities will continue to impact full reach of the targets including the numbers of parents reached by parenting programme as well increase the challenges faced by the most vulnerable children and their parents who are targeted by these programmes. Child Protection 4: 1,088 women and 848 men; Host: 717 / Za’atari: 528 / Azraq: 691. WASH 1: UNICEF WASH in Za’atari, King Abdulla Park Refugee Camps. WASH 2: UNICEF result: 79,500; 49.9 % females. WASH 3: UNICEF WASH in Azraq Camp, vulnerable communities, and the Berm (Za’atari water network is now operational in District 6, 8 and 9). The additional beneficiaries have increased the overall achievement for this indicator to 63 per cent. WASH 4: UNICEF result: 159,655; 50% females (14,251 beneficiaries are added since the operation of the Z’atari water network in Districts 6, 8 and 9). WASH 5: UNICEF WASH in Azraq, Za’atari, King Abdulla Park Camps, as well as vulnerable communities. Includes WASH Non-Food Items Distribution in camps and vulnerable communities. WASH 6: UNICEF result: 83,635; 51.1% females. WASH 7: UNICEF result: 83,635, 50.9 % females, 55.4% children. The number of beneficiaries has significantly increased due to the distribution of 10,000 Family Hygiene Kits at the Berm during May reaching 50,000 beneficiaries. WASH 8: UNICEF result: 19,513; 51.8% females, 98% children. Health 1: Urban and camp results for Oct will be reported in Jan 2019, reflecting a two-month reporting lag by the Ministry of Health. Health 2: Berm: Boys 416 & Girls 434, Zaatari: Boys 1,184 & Girls 1,287, Azraq: Boys 798 & Girls 760, Others: Boys 4,891 & Girls 4,569.

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Health 3: Berm: Boys 1,992 & Girls 2,184, Zaatari: Boys 1,080 & Girls 1,174, Azraq: Boys 635 & Girls 606 , Others: Boys 5,128 & Girls 4,791. Health 4: Berm: Boys 1,243 & Girls 1,068, Zaatari: Boys 1,001 & Girls 1,088, Azraq: Boys 594 & Girls 566, Others: Boys 4,333 & Girls 4,048. Health 5: Berm: 6,085, Zaatari: 2,931, Azraq: 1,173, Others: 2,583. Nutrition 1: All figures include results from Za’atari, Azraq, temporary settlements and Rukban (Berm). Nutrition 2: Berm: Boys 4,146 & Girls 4,333, Zaatari: Boys 3,548 & Girls 3,860, Azraq: Boys 5,349 & Girls 5,099, Others: 293 & Girls 273. UNICEF result: Result is high due to running several MUAC campaigns in the camps. Nutrition 3: Berm 15,127, Zaatari: 6,674, Azraq: 2,643. Social Policy and Basic Assistance 1: UNICEF result: 20,533 families; 55,257 children; 50% girls. UNICEF result is lower than the target due to funding constraints which is limiting reach to beneficiaries. Those children have been reached in May. UNICEF resumed assistance to only 10,000 families in October. In October the programme provided a JD 20 payment for 6,812 children to 2,165 households to cover September month, and 6,820 children to 2,295 households for October. Social Policy and Basic Assistance 2: UNICEF result: 2,340; Camps: Total 1,608 (1095 Males/513 Females) Host: Total 732 (337 Males/395 Females). UNICEF result: Low result is due to funding cuts which resulted in the redesigning of the partnership in the camps and lowering the targets for technical training for employment in camps. Low result is expected to remain low to year-end. Youth 1: UNICEF result: 71,625 (girls 38,657, boys 32,968). Youth 2: UNICEF result: 66,669 (46,256 Female, 20,4013 male). This number includes direct and indirect beneficiaries. Youth 3: UNICEF total 82,117 (girls 47,365, boys 34,753).

Iraq

Situation Overview & Humanitarian Needs: Iraq currently hosts 251,793 (108,271children) registered Syrian refugees.18 Around 99 per cent of refugees live in the three northern governorates of the Kurdistan Region of Iraq (KRI): 51 per cent in Erbil, 35 per cent in Dohuk and 13 per cent in Sulaymaniyah. Around 93,000 refugees (40,000 children) live in nine formal camps in the KRI, supported by the Kurdistan Regional Government (KRG) and humanitarian community, while the remaining 63 per cent live in host communities. As the Syrian crisis entered its seventh year, families are struggling to make rent payments, income sources are not sustainable, and many people are in debt.19 Access to primary healthcare and basic education is free for refugees in the KRI but nonetheless around 20 per cent of refugee households reported at least one member who could not access primary healthcare.20 A multi-sectoral assessment of out-of-camp refugees indicated 23 per cent of school-aged children had not attended formal school for at least one year, and 12 per cent had dropped-out in the 2016-2017 school year.21 In households where at least one child was not anticipated to attend formal school, the most frequent concern was quality of the curriculum (18 per cent), followed by lack of funds to support education expenses (14 per cent) and child labour (14 per cent)22. For boys, earning an income for the family was the most prevalent reason for non-attendance, while for girls - adolescent girls in particular – the long commute to school was a concern.

Humanitarian Leadership and Coordination: UNICEF co-leads the Water, Sanitation and Hygiene (WASH) sector and the Child Protection sub-sector with UNHCR. In the Education sector, UNICEF co-leads with Save the Children International. Response is implemented under overall leadership of the Government, in close coordination with the donor community.

Humanitarian Strategy: Key areas of focus for 2018 are resilience-oriented programmes that empower communities and government staff at local levels to deliver sustainable essential services. An additional key element to encourage sustainability are the community- based approaches that have become a strategic element for Iraq’s response, as they recognize the central role that individuals, families and the host population play. In education, UNICEF focuses on increasing access to and quality of education, including expansion or upgrade of learning facilities, teacher training and improving KRG Ministry of Education (MoE) educational supervision, and strengthening the education system to deliver timely, appropriate responses. In WASH, UNICEF works through government partners to sustain WASH services in Syrian refugee camps in Dahuk and Erbil with continuing focus on durable water and sanitation systems. In Health and Nutrition interventions, UNICEF supports access to Primary Healthcare Centre (PHC) services for Syrian refugees, as well as work to strengthen institutions to increase child survival. This includes routine immunization and growth monitoring services, health education including home visits for newborns, feeding counselling for pregnant women and new mothers23, and health promotion activities.

Summary Analysis of Programme response

Education: The KRI schools opened on 2 October (a few days later than the formal opening on 30 September due to the KRG elections on the same day). A Back to School campaign for the 2018-2019 academic year has been rolled-out across September and October

18 UNHCR data portal accessed on 20 November 2018. 19 UNHCR and WFP, Joint Vulnerability Assessment, June 2018. 20 Reasons for choosing non-public healthcare included: lack of relevant services in public facilities and lack of trust in quality of public healthcare. 21 Multi-Sector Needs Assessment (MSNA) III, June 2018. 22 Ibid: Page 72. 23 This intervention is only supported in camps. 13

targeting all school-aged children in the KRI, including an estimated 79,000 Syrian refugee children aged 3 to 17 years – in Erbil, the campaign took a door-to-door approach, with focus on non-camp areas with high concentrations of Syrian refugee populations. The campaign will continue into November.

To facilitate access to education, construction was complete for two prefabricated schools of nine classrooms each in the host communities of Erbil and Sulaymaniyah. Registration of children will start as soon as formal handover to the KRG is completed; the two schools will facilitate access to education for around 1,300 Syrian refugee and host community children. To support quality of learning, 16,975 students (8,428 girls) in Syrian refugee schools in Erbil and Sulaymaniyah received key learning materials in October through provision of 388,600 textbooks. In addition, 825 children (469 girls) participated in life skills and citizenship education programmes across Erbil led by an NGO partner, as well as 518 children (230 girls) enrolled in non-formal education activities. Incentive support for Syrian refugee teachers remains a critical issue. The KRG does not have a budget allocation to support refugees, and has faced a significant decrease in its own regional budget allocation in the past four years. The KRI MoE has requested education cluster partners to divert remaining resources to fill this gap. UNICEF has committed to support until December 2018, as NGO education partners no longer have resources for this, but continues to advocate both for continued integration of Syrian refugee children in KRG Kurdish- medium schools and for the federal and Kurdistan Ministries of Education to find a sustainable longer-term solution to this recurring gap.

In a context of continued underfunding, UNICEF Iraq urgently needs US$3 million to ensure up to 32,000 Syrian refugee children can continue learning until December 2018, however, to ensure consistent support for the entire 2018-2019 academic year UNICEF requires US$7 million. Funds will support learning spaces, educational supplies, and training for 400 teachers on methods of delivering psychosocial support in the classroom.

WASH: Since January 2018, UNICEF has supported 79,833 Syrian refugees (40,715 females, 38,320 children) with comprehensive WASH services in Dahuk (Domiz 1 and 2 camps) and Erbil (four camps – Basirma, Kawergosk, Qushtapa, and Darashakran) through government partners. In addition, after agreement with UNHCR, in 2018, UNICEF is supporting water quality monitoring in Gawilan and Akre refugee camps, Dahuk. Since January 2018, 7,470 samples were collected for quality monitoring (824 in October), of which around 400 were below required standards; in each case, corrective measures were undertaken such as repairing leakages in water networks and increasing chlorine dosages. As part of operations and maintenance work (O&M), 252 water networks have been repaired(31 in October 2018). A monthly average safe water provision of 83 litres per person per day in October was ensured across UNICEF-supported camps. In Erbil, UNICEF is supporting reduction in water pumping costs by changing to systems that prioritise solar power, requiring diesel only as a back- up power supply. In October, pump testing was underway in Qushtapa camp, with solar pumps under procurement by UNICEF. In addition, UNICEF is focusing in Child Protection on community-based approaches for prevention and response to child protection and gender-based violence (GBV) issues, as well as technical support to government partners.

UNICEF partners are maintaining regular repair and maintenance of sanitation facilities, along with desludging of cesspools, as well as supporting regular solid waste collection. In 2018, 38,605 refugees (19,689 females, 18,530 children) had continued access to sanitation facilities and services, and regular solid waste collection (three times per week) in UNICEF-supported refugee camps. Additionally, in 2018, UNICEF has supported improvements in WASH services in schools, Child-Friendly Spaces (CFS) and in Primary Healthcare Centres (PHC) reaching 17,579 children and adults (8,965 females). Since January 2018, 11,791 Syrian children and adults have participated in 1,205 hygiene promotion sessions run by UNICEF-supported partners. With available funds, UNICEF can continue basic care and maintenance of WASH facilities and services until the end of the year, and is encouraging community participation in the maintenance of, and ownership over, services at household level where possible; however longer-term durable solutions remain elusive, including complete handover to government.

Health and Nutrition: Between January and October 2018, UNICEF has supported the national immunization schedule in all nine KRG refugee camps (Dahuk, Erbil, and Sulaymaniyah) in addition to non-camp refugees in Dahuk (covered by outreach immunization teams). Through routine services, a total of 5,620 children (2,866 girls) under the age of one (U1) were vaccinated against measles, and an additional 6,239 children aged between 12 to 59 months years received a measles-containing vaccine (measles, mumps, rubella, or MMR).24 After the September nationwide measles campaign, no measles cases have been reported in Syrian refugee camps in October 2018. Since the start of the year, a total of 10,378 children under the age of five (5,293 girls) were vaccinated against polio, of which 226 children were reached in October. There has been a national shortage of polio vaccine in Iraq in October, meaning lower than expected rates of vaccination in the month – UNICEF has been in close contact with relevant bodies in the Ministry of Health (MoH) who indicated a new shipment of vaccines was due to arrive in early November, with plans to distribute swiftly. In October, 772 children aged 6 to 59 months received Vitamin A supplementation alongside their vaccination.

In October, trained health worker teams visited 445 newborns (234 girls) in their homes in refugee camps, as part of efforts to improve neo-natal and maternal health, with a total of 1,490 new-borns reached since January 2018. New-borns or mothers displaying risk signs are referred to the closest Primary Healthcare Centre (PHC) for follow-up.

24 The UNICEF Humanitarian Performance Monitoring indicator records children under 12 months only. 14

In 2018, 13,485 mothers had accessed Infant and Young Child Feeding Counselling (IYCF) sessions to improve knowledge on child nutrition (2,250 reached in October), while 398 pregnant women and new mothers with infants under six months old attended specific sessions promoting early initiation of, and exclusive, breastfeeding.

In terms of nutrition, as of October, a total 19,434 (9,597 girls) Syrian refugee children U5 were monitored for growth. Of the 2,375 children (1,147 girls) screened in October, 74 cases of Moderate Acute Malnourishment (MAM: 3.1 per cent) and 10 cases of Severe Acute Malnourishment (SAM: 0.42 per cent) were identified, with children receiving therapeutic foods as needed. The Global Acute Malnutrition (GAM) rate was 3.5 per cent. All MAM and non-complicated SAM cases (78 cases in total) were treated at camp PHC, while complicated SAM cases (six in total) were referred to nutritional rehabilitation centres (NRC). A challenge continues to be shortage of nutritional supplementation in camp PHCs, specifically PlumpySup and PlumpyDoz used for management for MAM. In these locations high-energy biscuits, provided by UNICEF in September, are short-term support while discussions with the World Food Programme (WFP) continue.

In October, there were no reports of cholera cases from Syrian refugee camps, and Acute Watery Diarrheoa (AWD) rates were within normal ranges for the time of year. UNICEF continues to support a comprehensive social mobilization and health promotion package, in agreement with the Directorates of Health (DoH) in Erbil and Sulaymaniyah. In the reporting month, health promoters reached 4,481 individuals with messages on vaccination, food and water safety, health during pregnancy, prevention of communicable diseases and risks of early marriage.

Child Protection: In the reporting month, UNICEF and partners provided psychosocial services to 1,017 newly registered refugee children (487 girls), which brings the total number of children reached since January 2018 to 9,091 (4,374 girls). In the month, no new children were registered for specialized child protection services through UNICEF-supported partners, maintaining a total of 1,174 children (550 girls) who have accessed UNICEF-supported services in 2018. This includes 12 separated or unaccompanied children (three girls) who were provided case management services since January 2018. With low funding levels across all child protection partners, many NGO services for Syrian refugees have scaled down or closed. Work has continued by increasing focus on technical support through government partners and through a sector-wide child protection strategy that emphasizes community-based approaches. Government partners are increasing responsibility for services, but economic pressure has limited outreach and service delivery capacity. UNICEF’s current level of support for Syrian refugee child protection interventions can be maintained until the end of 2018, however, nearly all existing UNICEF funding for refugee child protection work will end by December 2018 if no additional funding is secured, potentially impacting services for at least 16,000 Syrian refugee children.

Social Protection: UNICEF’s cash assistance is unconditional, but aims to support removal of barriers to children’s access to education. In October 2018, 1,116 families with around 2,600 children have been pre-selected across Dahuk and Erbil, KRI, for the next round of cash assistance. Finalization of a new contract with the finance service provider (FSP) for cash delivery was ongoing in October 2018 and is expected to be completed in November. In the previous academic year 2017-2018, which ended in June 2018, UNICEF supported 3,830 Syrian refugee children (1,877 girls) with cash assistance of US$30 per child per month. A Post Distribution Monitoring (PDM) assessment earlier in 2018 indicated on average 88 per cent of respondents stated cash assistance had sufficient impact on children’s needs. For example, children’s attendance at school had been maintained at over 97 per cent throughout the intervention.

Basic Needs: In Iraq, extreme summer heat turns to zero-degree temperatures fast. Winter starts in October and lasts until March, bringing with it heavy rains, snow storms, and freezing temperatures. As of October, UNICEF has secured its planned requirement which will support distribution of winter clothing kits for 10,500 refugee children through an e-voucher programme – preparations were ongoing in October 2018, with a launch of response anticipated for December 2018.

Summary of Programme Results (January-October 2018) Change Change Sector Sector UNICEF UNICEF IRAQ Since Last Since Last Target Result Target Result Report Report WATER, SANITATION & HYGIENE (WASH) (Need 727,944 including 240,000 Syrian refugees - 100,000 in camps) # of individuals benefiting from improved access to 95,000 97,4941 0 81,149 79,8331 0 adequate quantity of safe water in camps # of target beneficiaries with access to appropriate 95,000 49,8982 180 53,333 38,6052 0 sanitation facilities and services # of camp residents with access to solid waste collection and disposal services at least 3 times per 95,000 49,7183 0 41,730 38,6053 0 week # of people attending schools, CFS and PHCs with 37,255 23,8574 678 15,000 17,5794 293 adequate WASH services EDUCATION (Need: 79,080 Syrian refugee children) # of children (5-17 years, g/b) enrolled in formal general 48,000 21,222¹ 7,691 32,370 993¹ 22 education 15

Change Change Sector Sector UNICEF UNICEF IRAQ Since Last Since Last Target Result Target Result Report Report # of teachers and education personnel trained (f/m) 1,700 1,312² 59 1,000 519² 0 # of children (3-17 years, g/b) receiving school supplies 58,970 18,003³ 16,975 35,370 16,975³ 16,975 PTA members trained 70 136⁴ 0 360 0⁴ 0 CHILD PROTECTION (Need: 104,231 Syrian refugee children) # children receiving specialized child protection services (reunification, alternative or specialized care and 3,000 2,614¹ 115 1,632 1,174¹ 0 services) # children participating in structured, sustained, 25,000 17,982² 1,263 16,250 9,091² 1,017 resilience or psychosocial support programmes HEALTH (Need: 38,180 Syrian refugee children) # of children under 1 in camps immunized against 7,000 5,6201 3,427 measles (routine) # of new-borns reached in refugee camps through the n/a 4,000 1,4902 445 new-borns home visit # of children under 5 immunized against polio - in camps 19,500 10,3783 226 (routine) NUTRITION (Need: 38,180 Syrian refugee children) # of targeted lactating mothers with access to IYCF n/a 12,300 13,485 2,520 counselling for appropriate breast feeding in camps SOCIAL PROTECTION # of children (5-17 years) supported by cash-transfers n/a 4,000 3,8301 0 FOOTNOTES WASH 1: Sector - females: 49,722, males: 47,772. UNICEF - females: 40,715, males: 39,118. Achievement against WASH indicators shows maximum population reached in 2018. Where ‘zero’ is reported in the ‘change since last report’ column, delivery of services has been maintained, but no additional people above the previous maximum have been served. Given the services delivered and the mostly stable Syrian refugee populations in camps, UNICEF reaches its annual target within the first few months of each appeal year. In Iraq, the challenge for WASH is sustaining response in an environment of continued underfunding. WASH 2: Sector - females: 25,448, males: 24,450. UNICEF - females: 19,689, males: 18,916. See footnote under [1]. WASH 3: Sector - females: 25,356, males: 24,362. UNICEF - females: 19,689, males: 18,916. See footnote under [1]. WASH 4: Sector – females: 12,167, males: 11,690. UNICEF - females: 8,965, males: 8,614. See footnote under [1]. Education 1: Sector – females: 10,723, males: 10,499. UNICEF – females: 446, males: 547. Academic year enrolment does not align with HAC appeal year, which reports since January 2018. Formal enrolment figures are expected to boost this indicator's progress, dependent on when verified data is available from KRG MoE. Education 2: Sector – females: 669, males 643. UNICEF - females: 265, males 254. Education 3: Sector – females: 8,963, males: 9,040. UNICEF – females: 8,428, males: 8,547. Education 4: Sector – females: 69, males: 67. UNICEF – N/A. After discussion with the MoE KRG on priorities, PTA trainings supported by UNICEF are not planned to take place in 2018 due to lack of funding and changes in priorities. Instead, UNICEF and the MoE KRG introduced a module training MoE KRG educational supervisors to update and strengthen skills related to delivery of quality learning CP 1: Sector – females: 1,135, male: 1,479. UNICEF - females: 550, males: 624. For the majority of 2018, there have been extremely limited funds for the planned Syrian refugee child protection response, although the contribution from PRM in May 2018 has helped to maintain critical basic interventions. Work has continued through either utilisation of 2017 carry-over funding or by increasing focus on technical support through government partners and community-based approaches. In parallel, government partners are increasing responsibility for services, but ongoing economic pressure has limited their outreach and service delivery capacity. CP 2: Sector – females: 8,759; males: 9,223. UNICEF - females: 4,374, males: 4,717. See footnote under [1]. Health 1: UNICEF - females: 2,866, males: 2,754. Progress includes only children reached through routine services. A comprehensive PHC tracking system outside camps is yet to be developed, meaning data is not consistent across locations. Capacity building on data management is ongoing with relevant partners. Immunization data must be cleared by Ministry of Health (MoH) which leads to delay in receipt. Health 2: UNICEF – females: 705, males: 785. A comprehensive PHC tracking system outside camps is yet to be developed, meaning data is not consistent across locations. Capacity building on data management is ongoing with relevant partners. Health 3: UNICEF – females: 5,293, males: 5,085. A comprehensive PHC tracking system outside camps is yet to be developed, meaning data is not consistent across locations. Capacity building on data management is ongoing with relevant partners. Immunization data cannot be shared until cleared by the Ministry of Health (MoH) which leads to a delay in data receipt. Social Protection 1: UNICEF - females: 1,877, males: 1,953. UNICEF cash assistance takes place during the academic year in support of children’s education needs. PRM funds received in July 2018 will support continuation of cash transfer response from October 2018.

Lebanon

Situation Overview & Humanitarian Needs: Lebanon continued to host a disproportionately large number of Syrian refugees. There are more than 1.5 million Syrian refugees in the county of whom one in two

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are under 18 years old 25. One in every four people is a Syrian refugee26. Additionally, Palestinian refugees amount to 208,800, among whom 28,800 were fleeing from Syria27. The situation of refugees and poor Lebanese remains stable, but precarious with almost 1.4 million children living under the poverty line28. One in four Syrian refugee girls in Lebanon was married by the age of 18.29 Several initiatives (these have not been endorsed by humanitarian actors) for the return of Syrian refugees, including one from Russia, combined with media reports, increased the sentiment and pressure on refugees to return. Humanitarian agencies operating throughout Lebanon maintain their position that returns should be voluntary and that conditions in Syria are not optimal for organized returns. The anticipated formation of the government has been delayed, possibly until the end of the year, following some disagreements between the president and Prime Minister designated over the line-up, which could have potential consequences for the country’s stability and the ailing economy.30

Humanitarian Leadership and Coordination: UNICEF leads the coordination of the Education, WASH, and Child Protection sectors, in support of the Government, as part of the inter-agency humanitarian response, and plays key roles in the Health and Gender-based Violence sectors. Planning for 2019 Lebanon Crisis Response Plan (LCRP) is almost complete and expected to bring humanitarian and development streams closer. In response to funding gaps of key interventions, UNICEF sectors focused on needs prioritization. In the WASH sector, UNICEF led the prioritization and targeting approach to the provision of services in Informal Settlements (IS) which will enable efficient utilization of funds. In Education and Child Protection, outreach efforts continue to target the most vulnerable girls and boys. Transition to true government leadership remains a challenge in all sectors, as does political sensitivity related to refugee presence, which hinders certain cost-efficient and sustainable solutions. During October, UNICEF and its partners responded to fire and flood incidents in informal settlements (IS) in the Bekaa Valley and Akkar by repairing damaged WASH installations and providing support to almost 1,000 directly affected people.31 Complaints were raised that IS are polluting the Litani River. Under the leadership of UNICEF, a clean-up plan was developed for areas that were earmarked as polluted by refugee populations, the first phase of which will be completed by end November.

In line with strengthening UNICEF’s strategic partnership with municipalities, a meeting with the Governorate of Beirut advocating for child-focused plans and child-friendly municipalities resulted in the signing of a memorandum of understanding aimed at formalizing the partnership. To ensure execution, a task force was also formed at the municipality of Beirut to follow on development of an action plan for children. A concept note was further developed with UNICEF on creation of a network of green and safe play areas for children in the municipality. The Child Rights ‘Van 12’32 continued with UNICEF’s Communication for Development partner reaching a total of 3,950 people through eight performances conducted during the month of October in the most vulnerable areas of T5, Akkar, BML, and Zahle.

Humanitarian Strategy: UNICEF is transitioning towards strategic and longer-term systems strengthening, while maintaining urgent humanitarian interventions through NGOs and contractors in situations where long-term solutions are not available (e.g. water trucking to some informal settlements). To address immediate humanitarian needs in the Lebanese community and Syrian refugees, the Lebanon Crisis Response Plan (LCRP) 2017-2020 focuses on four strategic objectives: ensuring protection of vulnerable populations; provision of immediate assistance; supporting service provision through national systems; and reinforcing Lebanon’s economic, social and environmental stability. Working closely with the Government of Lebanon, UNICEF is guided by the organization’s Core Commitments for Children in Humanitarian Action through national and regional frameworks and strategies.

In Health and Nutrition, UNICEF focuses on the most vulnerable children who are not included in the primary healthcare system, the priority being immunization, strengthening of the public health care system and the integration or re-integration of defaulted children in the immunization system. UNICEF also supports public health services including the routine vaccination programme while procuring and monitoring utilization of essential medication. UNICEF continues to provide temporary safe water and wastewater services to more than 65 per cent of refugees living in informal settlements, in addition to sustained access to safe water in poor areas with a higher concentration of Syrian refugees, while strengthening the capacity of the Ministry of Energy and Water for improved service delivery. In Child Protection, UNICEF continues to support direct service delivery for children and women survivors of violence, exploitation and abuse through case management, psychosocial support (PSS) and safe spaces for women and girls, while looking at community-based interventions for longer-term service provision, as well as scale-up of outreach activities on issues of protection, justice for children and gender-based violence. In addition, UNICEF supports the Ministry of Social Affairs and other line ministries to help strengthen the child protection system in Lebanon. The Education programme focuses on the improvement of education quality and inclusive schools to reach the most marginalized and hard-to-reach, out-of-school children. Linkage with cash-based social protection and adolescent programming is further strengthened for an integrated education-based inclusive response to address multiple deprivations of children that affect their well-being and learning outcomes. UNICEF continues to focus on its partnership with the Government, to address system strengthening, as well as working with local communities to build capacity of youth and adolescents so that they can play a positive role in their

25 OCHA Lebanon, Bulletin Issue 33, accessed November 2018. 26 Ibid. 27 Government of Lebanon and the United Nations, Lebanon Crisis Response Plan – Population package 2018, to be published soon. 28 Government of Lebanon and the United Nations, Lebanon Crisis Response Plan 2017 – 2020 (2018 update), accessed November 2018. 29 UNICEF Lebanon, UNICEF 2016 Baseline Survey for Women and Children, 2016. 30 In addition, the United States’ announcement to discontinue all the funding to UNRWA will have significant immediate and longer-term impact on assistance to Palestinian refugees in the country. 31 337people in Qobayat (affected by floods) and 650 in Bekaa valley (affected by floods and fire). 32 VAN 12 s a project that puts children’s voices at the heart of a street theatre performance through the use of recorded storytelling audio, and disseminates messages on child rights, protection, parents' roles, child participation, health, and the importance of schooling. 17

communities and have better employability opportunities. Furthermore, UNICEF is expanding its social protection assistance to the most vulnerable affected groups by providing humanitarian unconditional cash transfers and cash top-ups for children.

Summary Analysis of Programme Response:

WASH: On October 14, UNICEF partner, in cooperation with the Bebnine municipality (Akkar), the Union of Bebnine Young Women, and the municipal Women’s Committee celebrated the Global Handwashing Day by holding a festival for children33. The event saw participation of over 5,000 people, mainly children. The children enjoyed several performances promoting the simple, life-saving act of handwashing with soap, including songs and a musical show from the Scouts of Al Ghad. In addition, several competitions were conducted with prizes awarded to winners. A total of 19 hygiene kits, 14 baby kits, 13 jerrycans, and 45 water bottles were provided.

Education: UNICEF supported mentoring visits to seven partners that implement Basic Literacy and Numeracy and Community-Based Early Childhood Education. These partners previously attended trainings on Inclusive Education and have been providing specialized services to over 500 children with special needs. The mentoring visits provided direct feedback to the inclusive education focal points after class observation, and further provided the organizations with relevant solutions for challenges encountered in the inclusion process. Topics included teaching strategies, issues related to child outreach and identification, record-keeping and progress monitoring. UNICEF Lebanon will use the findings and recommendations of the visits to inform programming for disability inclusion in 2019-2020, as well as the continual capacity building plan for implementing partners.

Child Protection: The Child Labour Strategy developed jointly by UNICEF and the Tripoli Municipality was finalized in the reporting month. The strategy has an overall vision of creating a child-friendly municipality that protects the rights, well-being and concerns of children and youth, and will ensure that different actions and measurements are established in a holistic and integrated manner, and to ensure that the child labour prevention and response measures are well coordinated among all stakeholders. Municipality members agreed to include the strategy in the 2019 municipal budget, and UNICEF and partners will support the municipality in the implementation. Furthermore, the Child Labour Photo Exhibition, jointly organized by UNICEF and Governor of Baalbeck Hermel, was launched in mid- October.34 The exhibition showcases messages related to child labour, education, and protection, featuring five children aged 15 years and younger who work in agriculture, car mechanics and construction. More than 2,000 people have attended the exhibition. UNICEF and its partners are coordinating closely with schools and municipalities in the region to ensure students, parents, scouts and other community members visit the exhibition and actively participate in related discussions. The Governor will associate the exhibition with the launch of a series of child-related events during November and December. An MOU with the Mina Municipality has been signed, in which UNICEF and implementing partner will support the design and development of a municipal child protection policy that will be implemented in 2019, aimed at defining the scope of the municipality in fulfilling child rights, especially those related to protection, and to define the code of conduct for municipality staff and members. The code of conduct trainings will ensure that municipal staff, members and partners do not cause harm to children in their areas of coverage and will define necessary actions at the municipal level for protecting children from violence, neglect and abuse.

Health and nutrition: By the end of October, the Ministry of Public Health (MoPH) reported 877 measles cases (47 per cent girls, 53 per cent boys).35 UNICEF continued to provide technical support to MoPH through attack rate analysis per cadaster, and with NGO partners, 60,549 children (43 per cent girls, 57 per cent boys)36 were reached with immunization outreach messages in most at risk cadasters, screening of immunization status and referrals to Public Health Centres. In isolated areas, mobile vaccination units vaccinated 11,827 children 37 with Measles and Polio vaccines. Furthermore, UNICEF partner undertook the collection and safe disposal of vaccination commodities from more than 30 Expanded Programme on Immunization (EPI) networks, regrouping the waste of more than 130 vaccination points throughout the country. UNICEF, in partnership with Soins Infirmiers et Developpement Communautaire and the Ministry of Public Health, launched a new mental health project in October to review national curriculum and guidelines to reach the most- at-risk adolescents, in and out-of-schools. This partnership is to be implemented in 2019 in cross-sectoral integration with the Adolescents and Youth section. In nutrition, 8,750 caregivers from all governorates were also reached with messages on infant and young child feeding best practices and immunization awareness through community volunteers and health educators, and 2,352 pregnant and lactating women were counselled by lactation specialists.

33 The event was covered by Tele-Liban and Al Jazeera Live media agencies. Tele-Liban also interviewed the Mayor of Bebnine, Kifah Al Kassar, who praised the event’s simultaneous promotion of appropriate hygiene practices and social cohesion between the host community and refugees.

35 81 per cent Lebanese, 18 per cent Syrian, 1 per cent others. 36 64 per cent Lebanese, 35 per cent Syrian, one per cent others. 37 50 per cent female, 50 per cent male. 18

Adolescents and youth: In the reporting month, UNICEF continued its ‘tracer study’, a retrospective analysis of youth graduates completing skills training programmes and evaluation of their medium-term impact. An additional 441 youth (40 per cent male; 60 per cent female) participated in related workshops in Tyre and Saida. The results are expected before the end of the year. UNICEF also chaired the first Youth Working Group (YWG) meeting under the UN Strategic Framework, which was attended by the Resident/Humanitarian Coordinator and 23 other UN colleagues, including the World Bank. The YWG was reconstituted with a renewed focus on highlighting adolescent and youth-related issues in the country, and as a platform to support joint UN programming. One of the key priorities agreed to in the first meeting was increasing youth engagement across the UN Strategic Framework and developing a concept note for the formation of a youth advisory board for the UN Country Team. Under the National Strategic Framework for Technical and Vicational Education and Training, which UNICEF helped developed and continues to support in the implementation of the key recommendations, a two-day workshop was held on October 22-23 with staff from the Ministry of Education and Higher Education to revise the curricula related to “electronics" and "car repair and maintenance.” Additionally, under the auspices of the Minister of Agriculture, UNICEF and partner hosted the First Lady of Germany, Mrs. Elke Buedenbender, and the Lebanese First Lady, Nadia Chami Aoun, in an Agricultural Vocational School to highlight the German government’s support to increasing access to certified vocational training for vulnerable Lebanese and non-Lebanese youth in the agricultural sector.

Social Policy: Following the successful implementation of the Min-Ila child-focused social assistance programme that met its target of reaching 50,000 children (47 per cent girls) with cash transfers, household visits, and multi-sectoral referrals, concluding June 2018, an increasingly urgent need is to secure USD 3-5 million funding for the next phase from early 2019. The new programme (being designed by year end) will aim to reach vulnerable non-Lebanese children with an integrated approach of cash transfers; household visits; and multi-sector referral, for vulnerable, out-of-school children. For the winter, UNICEF has funding to implement a programme providing winter kits to 20,000 boys and girls in hard-to-reach areas, as well as a winter cash programme of transfers to around 60,000 refugee boys and girls in elevated areas. The programmes will commence in November and December respectively.9 Regarding the national social protection system, UNICEF continues its long-term support to the Ministry of Social Affairs (MoSA) to finalize a roadmap by year-end that will guide the country’s move toward a national framework for social protection.38 UNICEF also facilitated a series of discussions on the introduction of cash transfers to vulnerable Lebanese, which resulted in MoSA’s decision to design a pilot cash transfer programme to begin in 2019.

Summary of Programme Results (January-October 2018) Change Sector Change Sector since UNICEF UNICEF LEBANON Result since last Target* last Target Result * report report EDUCATION ¹ Lebanese n/a n/a n/a 210,000 209,409² 0 # children whose registration fees are Non-Lebanese covered by subsidies n/a n/a n/a 217,000 213,358² 20,984 for enrolment into formal education for

2017-18 457,682 438,288 11,616 417,000 422,767 20,984 TOTAL # teachers trained 70,000 39,525 2,968 5,000 4,416 ³ 0

CHILD PROTECTION* # boys and girls receiving specialized/focused PSS n/a n/a n/a 11,000 5,014¹ 706 # children assisted through CP case management & specialized 24,000 4,659 2,586² 411 services 12,387 4,107 # women and girls accessing mobile and static safe spaces n/a n/a n/a 36,000 13,521³ 3,068 # boys and girls participating in community based CP activities 91,445 94,096 29,979 50,000 20,293⁴ - 4,311⁵ WATER, SANITATION, AND HYGIENE # affected people assisted with temporary access to adequate 262,150 175,246 2,215 149,955 208,887¹ 2,250 quantity of safe water for drinking and water for domestic use # affected people with access to improved safe sanitation in 241,550 222,474 -11,165² 188,175 184,846² 5,165 temporary locations # affected people assisted with sustained access to adequate n/a n/a n/a 180,000 61,131³ 0 quantity of safe water for drinking and for domestic use # individuals experienced WASH behavioral change session/ activity 394,000 175,246 90,888 96,370 112,161⁴ 29,432

38 Social assistance for refugees is integrated in the Lebanon Crisis Response Plan. 19

Change Sector Change Sector since UNICEF UNICEF LEBANON Result since last Target* last Target Result * report report

HEALTH AND NUTRITION ¹ # children U1 vaccinated against Penta 1 n/a n/a n/a 91,247 59,691¹ 7,016 # children U1 vaccinated against Penta 3 n/a n/a n/a 80.512 52,664² 6,065 # children U5 and PLW receiving micro-nutrient supplements U5 n/a n/a n/a 253,044 13,668³ 0 PLW n/a n/a n/a 55,175 199 0 TOTAL n/a n/a n/a 308,219 13,867⁴ 0 ADOLESCENTS AND YOUTH # adolescents and youth (14+) who are supported for regulated n/a n/a n/a 11,600 7,846¹ 695 NFE under the Youth BLN programme (RACE ii) # adolescents and youth (14+) supported by competency and n/a n/a n/a 21,301 16,875² 1,851 market based skills training programme (RACEii) (LC2/LC3) # youth supported with employment support services (e.g. business mentorship, internships, on the job training, or n/a n/a n/a 4,644 3,489³ 367 apprenticeship) # youth trained on Life Skills n/a n/a n/a 19,467 13,468⁴ 1,184 SOCIAL POLICY, BASIC NEEDS # affected girls and boys that benefited from humanitarian n/a n/a n/a 47,500 48,224¹ 0 unconditional cash transfer base amount 2017/2018 COMMUNICATION FOR DEVELOPMENT # men and women reached with C4D priority child right n/a n/a n/a 20,000 11,460¹ 718 messages PALESTINIAN PROGRAMME # boys and girls (3-5), including CWDs, provided with access to n/a n/a n/a 3,400 3,268¹ 623 and enrollment in ECE schools schoolyear 2017-2018 # boys and girls (3-5), including CWDs, provided with access to n/a n/a n/a 3,400 2,996 0 and enrollment in ECE schools schoolyear 2018-2019 # boys and girls provided with learning retention and n/a n/a n/a 3,400 3,357² 1,423 homework support for school year 2017-2018 # boys and girls provided with learning retention and n/a n/a n/a 3,400 1,423 0 homework support for school year 2018-2019 # adolescent boys and girls trained on life skills, conflict n/a n/a n/a 1,695 1,026³ 59 resolution and healthy lifestyles # children engaged in community based child protection n/a n/a n/a 23,042 18,276⁴ 3,959 activities # children U1 receiving vaccination (Penta1) n/a n/a n/a 5,000 3,747⁵ 859 # individuals experienced WASH behavioral change session/ n/a n/a n/a 25,000 23,767 3,743 activity Footnotes Sector Targets: All Sector targets are taken from the LCRP 2017-2020 Sector Log frames. 2018 targets were used. Sector Results are as at end of September 2018. Education 1: Gender Disaggregation not available. UNICEF result: Underachievement is due to delays at the institutional level that have been sorted out through a series of negotiations. Education 2: Lebanese Boys: 49%; Lebanese Girls 51% - Non-Lebanese: Boys 50%; Girls 50%. Education 3: Big bulk of trainings started in September 2018. Child protection 1: Boys 49%; Girls 51%. Child Protection 2: Boys: 59%; Girls: 41%. Child Protection 3: Gender disaggregation values are being modified by partners. Child protection 4: Boys: 51%; Girls 49%. UNICEF result: The low results were caused initially by delays in finalizing PDs and consequently delays in implementation, in addition to measuring completion as opposed to enrolment. Child protection – CP 5: Misreporting last month: result of previous month was 18,432. WASH 1: Boys and Men: 48%; Girls and Women: 52%. UNICEF result: Overachievement due to UNICEF taking over WASH services from UNHCR and other organizations WASH 2: Boys and Men: 48%; Girls and Women: 52%. Sector: Change result appears in the minus due to verification of previously reported data. WASH 3: Boys and Men: 48%; Girls and Women: 52%. Funding were received during this year and reporting started in June. The project is ongoing. WASH 4: Male: 48%; Female: 52%. UNICEF result: During the Global Hand Washing day in October, UNICEF reached more beneficiaries than anticipated. Health & Nutrition 1: There is a 3-month delay in H&N data from MoPH. Health & Nutrition 2: There is a 3-month delay in H&N data from MoPH. Health & Nutrition 3: Boys 52%; Girls 48 %. 20

Health & Nutrition 4 : UNICEF result: Micro nutrients supplementation for pregnant and lactating women has been removed from the MoPH strategy. Micronutrients supplementation face a non-demand and non-compliance by pregnant and lactating women. Thus, this activity has been removed during MTR and will not be in RWP 2019- 2020. Mothers also do not comply to provide daily supplementation to children, however the MoPH would like to maintain it even, in Lebanon, there is today no evidence of any micro nutrient deficiency. In 2019-2020, UNICEF will support the MoPH to further monitor the distribution and the effective compliance to eventually influence policy. Adolescents & Youth 1: Young Men: 42%; Young Women: 58%. Adolescents & Youth 2: Young Men: 38%; Young Women: 62%. Figure indicates completion and not enrolment. Adolescents & Youth 3: Young Men: 37%; Young Women: 63%. Adolescents & Youth 4: Young Men: 48%; Young Women: 52%. Figure indicates completion and not enrolment. Social Policy, Basic Needs 1: 53% boys, 47% girls. Indicators are not cumulative (same population is targeted every month). Communication for development 1: Boys and Men 35%; Girls and Women 65 %. UNICEF result: Underachievement is because the first part of the year is about identifying partners and orienting them. Phase 2 is outreach. Palestinian Programme 1: Boys: 52%; Girls: 48%. UNICEF result: The big intake was in January 2018. 2,372 joined recently as part of the 2018-2019 academic year. This is why there is a big increase in numbers. Palestinian Programme 2: Boys: 52%; Girls: 51%. Palestinian Programme 3: Boys: 49%; Girls: 55%. Palestinian Programme 4: Boys: 45%; Girls: 53%. Palestinian Programme 5: Boys: 47%; Girls: 47%.

Turkey

Situation Overview & Humanitarian Needs: In October, the Government of Turkey, UNICEF and partners continued their nationwide Back to School campaign for the 2018-2019 school year, with the aim to increase enrolment and ensure access to a form of education. Thanks to these combined efforts, over 640,000 Syrian and other refugee children were registered by end month – a nearly 10% increase over last year – and more are expected to enrol in the coming weeks. Turkey remains home to nearly 4 million registered refugees and asylum seekers, including over 1.7 million children – the largest refugee population in the world. Nearly 3.6 million Syrians – of whom 1.6 million are children – live in Turkey alongside more than 360,000 nationals primarily from Afghanistan, Iraq and Iran, of whom almost 120,000 are children.39 In addition, Turkey continues to serve as a transit country for unregistered refugees and migrants on the move, many of them seeking greater economic or political opportunities. Over 4,000 people made the journey from Turkey to Greece by sea in October – the highest number reported so far this year – and an additional 6,374 people were rescued or intercepted by Turkish authorities at sea and on land.40 While comprehensive data on trends and push/pull factors for this demographic remain scant, anecdotal observations indicate this spike in movement may be caused by a desire to cross before winter weather and rougher seas arrive. Meanwhile, under the framework of the EU-Turkey Statement, three rounds of re-admissions from Greece to Turkey took place for 17 people; the total number of returns since March 2016 stands at 1,780.41

Humanitarian Leadership and Coordination: The Government of Turkey leads the overall crisis response and remains the largest provider of humanitarian aid to Syrians as well as other refugee and migrant groups. In 2018, the United Nations Country Team continues to support national efforts to respond to the Syria Crisis within the framework of the Regional Refugee and Resilience Plan (3RP), as well as those related to the refugee and migrant crisis in Europe. Overall leadership of the inter-agency response continues through the Syria Response Group, with technical coordination taking place through the Syria Task Force. UNICEF actively participates in all relevant working groups (WG), co-leading the Education WG, the Education and Child Protection Sub-WGs, and the South-East Turkey Education and Child Protection WGs.

Humanitarian Strategy: UNICEF’s work in Turkey is guided by the Core Commitments for Children in Humanitarian Action and through its close partnership with the Turkish government. Under the frameworks of the 3RP and the “No Lost Generation” Initiative, UNICEF focuses on five priority areas – Education, Child Protection, Adolescents and Youth, Health and Basic Needs – to reach refugee children in camps and host communities, as well as vulnerable Turkish children affected by the crisis. UNICEF also provides targeted protection and basic needs support to vulnerable children and families on the move toward Europe. The scale-up of services and strengthening of national systems remains a top priority in 2018, with an increased focus on resilience to reflect and address the protracted, complex nature of the refugee crisis. In light of the restricted operational space for NGOs on the ground, UNICEF continues to explore opportunities with new partners, such as local municipalities and social assistance foundations, to ensure continued access to the most vulnerable children and their families.

39 Directorate General for Migration Management (DGMM), August 2018. 40 UNHCR Mediterranean Situation Online Portal, October 2018; Turkish Coast Guard and Gendarmerie, October 2018. 41 EU DG for Migration and Home Affairs, October 2018. 21

Summary Analysis of Programme Response

Child Protection: In October, more than 21,000 refugee men, women and children received child protection services across a network of more than 60 UNICEF-supported protection spaces in camps and host communities. UNICEF also expanded the provision of community- based services through the deployment of two mobile units to four districts42 of Istanbul with large refugee populations. The mobile units identified nearly 1,000 children with protection risks, of whom over 300 were referred to relevant authorities for specialized support. Managed by NGO partner ASAM and consisting of teams of nine case workers, counsellors and/or psychologists, these mobile units work closely with local authorities and schools to provide a range of services including psychosocial support, counselling and case management. In addition, UNICEF continued to support the Ministry of Justice to expand probation services to 25 provinces.43 In October, UNICEF conducted seven regional seminars with the participation of more than 1,000 multi-sectoral professionals, including judges, prosecutors, health care workers, and social workers, to introduce the new child-sensitive probation framework as well as to map the availability of specialized services for children in probation, including refugee children. UNICEF also supported the Ombudsperson’s Institution (OI) to strengthen the effectiveness of complaint and redress mechanisms for Turkish and refugee children. In early October, the OI formally adopted a new Child Rights Strategy, which was developed with the technical support of UNICEF and includes specific goals on improving the implementation of the Conventions on the Rights of the Child, raising awareness amongst the society, and strengthening the capacity of staff to respond to individual cases. As part of this strategy, UNICEF trained 42 staff from the OI on child-sensitive case management guidelines and outreach strategies, with a focus on identifying and reaching the most vulnerable children. Education: UNICEF and partners continue to focus on expanding access and increasing enrolment to all forms of education as part of the ongoing Back-to-School campaign for the new 2018-2019 school year. As a result of these combined efforts, over 640,000 Syrian and other refugee children are now enrolled in formal education across the country by end October. In October, UNICEF distributed school bags and stationery kits to more than 500,000 refugee and vulnerable Turkish students in 23 provinces. UNICEF also conducted a door- to-door community outreach campaign to encourage enrolment in the Accelerated Learning Programme – designed to facilitate the reintegration of out-of-school children into formal education – reaching over 9,000 children in six provinces. In addition, as part of an outreach campaign for the Turkish Language Courses Programme, UNICEF and the Ministry of Youth and Sports (MoYS) referred nearly 1,250 out-of-school children in nine provinces to their local Provincial Directorates of National Education for registration.

Adolescent Development and Participation (ADAP): In October, UNICEF worked with the MoYS and MoFLSS to provide social cohesion trainings and activities to more than 3,207 Syrian and Turkish youth – ranging from sports, chess, information technology (IT) training, language courses, arts and crafts, circus activities, and peer-to-peer discussions.44 In addition, as part of a long-running joint programme, two UNICEF partners – the Southeast Anatolia (GAP) Administration and the Turkish Development Foundation (TKV) – brought a traveling “children’s circus” to Mardin Province, providing nearly 23,400 Turkish and refugee young people and their families with a unique opportunity to meet and interact.

Social Protection: In collaboration with the MoFLSS, as well as civil society and the private sector, UNICEF seeks to strengthen and expand existing social protection systems for vulnerable refugee, migrant and Turkish children in Turkey. As part of UNICEF’s programme to eliminate child labour, NGO partner Support to Life (STL) developed a set of child labour-focused PSS modules to empower children engaged in economic activities (primarily agriculture). Using these models, UNICEF trained 12 STL field experts on how to conduct PSS activities, which will benefit approximately 100 children engaged in, or at risk of, child labour. In addition, UNICEF convened a high-level meeting with members of the Turkish Confederation of Tradesmen and Craftsmen (TESK) to raise awareness among employers about child labour and the importance of providing psycho-social and educational support to at-risk children. The event was attended by several top officials including the Minister of Family, Labour and Social Services and the President of TESK, signalling a strong commitment by key stakeholders to promote technical and vocational education and training as a viable alternative for child labour. UNICEF continues to work with partners to develop guidance materials for NGO and government partners, implement adolescent empowerment modules designed to prevent negative coping measures such as child labour, and enhance coordination among stakeholders. Under UNICEF’s Child Friendly Cities Initiative, which supports municipalities to develop more child-friendly and child-responsive budgets and programmes, UNICEF trained more than 130 teachers, counsellors and community centre managers from the provinces of Kocaeli and Adana, which are home to high concentrations of working children, on child labour, child participation and social cohesion.

Basic Needs: UNICEF and NGO partners coordinate closely with local authorities to provide core relief items and one-off, cash-based winter assistance to the most vulnerable refugee, migrant and Turkish families. In October, UNICEF and partners WHH and the Kirikhan

42 Ümraniye, Avcılar, Sultangazi, and Sultanbeyli. 43 This is part of a larger programme implemented together with the Ministry of Justice to improve the treatment of children (including refugee children) in contact with the law and support their reintegration in the society. A key pillar is the new probation scheme for children, which includes tools for probation officers to better determine the risks, needs and best interests of children. 44 1,108 girls, 961 boys. 22

Social Assistance and Solidarity Foundation began implementing a cash-based assistance programme for the 2018/2019 winter, with the aim to reach 10,000 vulnerable refugee and Turkish households in southeast Turkey.

Media and External Communications: In October, UNICEF organized four music workshops in Mardin and Gaziantep as part of a regional initiative under the EU-funded “MADAD” programme, involving 400 children from refugee and host communities in Turkey. The outcomes of these workshops will be highlighted during the commemoration of the 8th Anniversary of the Syria Crisis in March 2019. UNICEF also co-organized the 4th International Day of the Girl Child Conference in cooperation with Aydın Doğan Foundation, UNFPA and UN Women with the theme “Empowered Girls, Empowered Future: Empowerment of Girls through Science, Arts and Sports” with over 500 participants. Leading up to and on International Day of the Girl, UNICEF Turkey’s social media accounts accumulated 241K reach and 9.5K engagement. As part of the advocacy campaign, a Turkish youth blogger contributed a short piece entitled “Be a woman who will change the world,” on the importance of girls developing relevant life skills and education in order to succeed in today’s world. UNICEF also joined global UNICEF campaigns during October including Hand Washing Day, International Day for the Eradication of Poverty, World Food Day on social media. Summary of Programme Results (January-October 2018) Change Change UNICEF UNICEF TURKEY Sector Target Sector Result since last since last Target Result report report EDUCATION (Needs: 1.2 million school-aged Syrian refugee children) # children (3-5 years) enrolled in ECCE 51,200 14,963 2,318 50,000 12,8151 2,318 and pre-primary education # Syrian children (5-17 years) enrolled 650,000 615,989 0 650,000 641,6302 25,641 in formal education # children (5-17 years) enrolled in 36,200 9,667 0 23,000 8,702³ 1,591 accredited non-formal education # teachers and other education 13,440 12,994 0 13,000 12,9944 0 personnel receiving incentives # teachers and other education 146,620 n/a n/a 146,200 05 0 personnel trained # refugee children (5-17 years) benefiting from the conditional cash 325,000 376,326 0 325,000 376,3266 0 transfer for education CHILD PROTECTION (Needs: 1.55 million Syrian refugee children) # individuals accessing protection services in camps and host 862,580 400,738 0 150,000 214,8681 21,002 communities # children participating in structured, sustained child protection or 122,000 65,654 0 80,000 70,1092 6,316 psychosocial support programmes # children with protection needs 168,400 48,478 0 77,000 40,3733 9,693 identified and assessed # children who are referred to 49,000 28,133 0 20,000 31,8734 7,933 specialized services ADOLESCENTS & YOUTH (Needs: 3.3 million Syrian refugees, including 1.55 million Syrian refugee children) # Syrian and Turkish adolescents and youth (girls/boys) engaged in 220,850 77,157 0 200,000 74,633¹ 6,236 empowerment programmes BASIC NEEDS (Needs: 10.6 million Syrian refugee and vulnerable Turkish individuals, including 3.7 million children) # persons benefitting from cash-based interventions (including winter 2,130,650 372,698 0 60,000 54,614 0 support) HEALTH (Needs: 3.3 million Syrian refugees, including 1.55 million Syrian refugee children) #Syrian health care providers 1,650 1,184 0 1,400 01 0 (women/men) trained # Syrian refugee children under 5 (girls/boys) who have received routine 130,000 2,291 0 130,000 02 0 vaccinations FOOTNOTES * Results: Sector and UNICEF results are cumulative (January-October 2018). EDUCATION 1: 6,314 girls and 6,501 boys. This result includes community- and home-based ECE beneficiaries only. The formal ECE statistics are not yet included in this table as the activities under formal ECE will be implemented and reported in Q4 2018. 23

EDUCATION 2: 316,045 girls and 325,585 boys. This reflects the latest MoNE data for the 2018-2019 school year and includes pre-primary students 5 years and up. EDUCATION 3: The total number of children enrolled in accredited NFE to date is 8,702 (4,251 girls and 4,451 boys). The October results is 764 girls and 827 boys. With the launch of the ALP in May (along with the transportation support for OOSCin rural areas), UNICEF expects to meet its target by year-end. EDUCATION 4: 12,994 represents the highest achieved as of January 2018; the number of teachers supported in October is 12,749 (6,780 women, 5,969 men). EDUCATION 5: UNICEF and MoNE have completed the round of trainings in Q4 and results will be reported at the end of Q4 2018. EDUCATION 6: 188,559 girls and 187,767 boys. Overachievement is due to a larger than anticipated increase in the number of refugee children enrolled in formal education; UNICEF and the Government of Turkey are in discussions to revise the planned CCTE target for the 2018-2019 school year accordingly. CHILD PROTECTION 1: 10,358 girls/women and 10,644 boys/men. Overachievement is due to larger than expected caseload in 2018. CHILD PROTECTION 2: 3,201 boys and 3,115 girls. CHILD PROTECTION 3: 4,578 and 5,115 boys. Achievement has been constrained in 2018 due to overstretched partner capacity as well as a focus on strengthening the capacity of case management systems. CHILD PROTECTION 4: 3,558 girls and 4,377 boys. UNICEF result: High achievement against this target is due to larger than expected case load at community-based centres across Turkey, as well as strengthened referral pathways. ADOLESCENTS & YOUTH 1: Additional 2,757 males, 3,479 females. UNICEF result: Achievement has been constrained due to delayed implementation of activities, as well as M&E challenges faced in partner reporting. HEALTH 1: UNICEF remains in discussions with the Ministry of Health and WHO on the design and implementation of trainings; dates are TBD. HEALTH 2: UNICEF provides support to national vaccination campaigns in partnership with the Ministry of Health; the next campaign is TBD.

Egypt

Situation Overview & Humanitarian Needs: The number of registered refugees and asylum seekers continues to increase progressively and on a monthly basis. As of 31 October 2018, there were 240,008 registered refugees and asylum seekers in Egypt mainly arriving in the country through the Sudan border. Out of 240,008 refugees and asylum seekers in the country, 92,952 (39 per cent) are children under 18 years. Of the children, 59 per cent are Syrians and 41 per cent are from other nationalities. In addition, 3,658 refugees and asylum seekers were newly registered in October, out of whom 1,123 (31 per cent) were Syrians.45 According to UNHCR, 995 cases were reported closed including 584 Syrian and 411 from other nationalities. No data has yet been shared by UNHCR on cases of returnees. UASC face extensive protection issues affecting their safety, well-being, and development. UASC may find themselves in situations in which they have great responsibility, not only for themselves but also for other children, including younger siblings. In fact, not being part of any nuclear or extended family, they are obliged to care for themselves and this may come at a high financial cost they are often unable to meet.

Due to the intensive security measures that the Government has put in place, no reports of boats leaving from the Egyptian coast towards Europe have been received since December 2017. However, this new development on the north coast of Egypt has led to a shift of migratory routes towards Libya. Since January 2018, 636 refugees and migrants were detained by the Egyptian authorities in Saloum on the north coast including 31 children (24 UASC, including 17 Eritrean, four Sudanese, two Syrians and one Ethiopian). All the reported cases were shortly detained and released a few days later according to UNHCR’s official report from the boarder with Libya. UNICEF continues advocating with the prosecutor office through the National Council for Childhood and Motherhood (NCCM) on alternatives to detention and timely release of detained refugee children and mothers.

With the increasing cost of primary health care services provided by the private sector, refugees’ demands to utilize the free of charge public primary health services provided by the Ministry of Health and Population (MoHP) has markedly increased since the start of the programme in 2013. Therefore, UNICEF continued its support to MoHP to help address the increase in demand. UNICEF coordinated efforts with MoPH and partners vertically, to add more high quality primary care services at the primary health units (PHUs) and horizontally, by increasing the number of PHUs supported by UNICEF and serving refugees and host communities.

Humanitarian Leadership and Coordination: UNICEF co-chairs the Education Working Group (EWG) and the Child Protection sub- sector Working Group (CPWG) together with UNHCR to ensure effectiveness and efficiency of humanitarian efforts for refugee children in Egypt. UNICEF is also represented in the Health Working Group (HWG) and Cash for Basic Needs Working Group and actively participates in the Inter-Agency and Inter-Sector Working Groups, which are chaired by UNHCR. During October, partners from the different sectors finalized the Regional Refugee and Resilience Plan (3RP) for 2019-2020, which aims at supporting Syrian refugees in Egypt as well as the host communities. Additionally, partners of the EWG met with representatives from ECHO, discussed the current challenges in the sector and provided inputs into the new Humanitarian Implementation Plan (HIP) to address the humanitarian needs of displaced people and refugees in Egypt with regards to education in emergencies and protracted crises. The CPWG members discussed partners’ current efforts to provide services to UASC, including referral into appropriate services and strengthening of the case management mechanism to provide required support to identified children at risk. Twenty-five staff members from different NGOs, UNHCR and UNICEF benefitted from a

45 As of 31 October 2018, a total of 3,929 unaccompanied and separated children (UASC) were registered with UNHCR. 24

training on the Child Protection Minimum Standards conducted in Alexandria. UNICEF is working with HWG partners to support the MoHP in providing health care services to Syrian and non-Syrian refugees as well as Egyptians through a basic package of training for medical and paramedical personnel. Furthermore, UNICEF is strongly coordinating efforts to reach asylum seekers and refugee unaccompanied minors with UNHCR and the Cash for Basic Needs Working Group. Efforts have focused on finding common targeting principles, common post-monitoring evaluation methods and tools and evidence-based agreements on winterization and regular transfer values.

Humanitarian Strategy: UNICEF and partners are working towards ensuring inclusive access to early learning and education for all refugee children through the provision of education and vulnerability grants to children aged three to six years and through the support to Syrian and sub-Saharan African pre-primary school children (KGs). UNICEF and partners are also implementing activities to improve the quality of teaching and learning in refugee community and public schools and to create a safe learning environment for children through the renovation of public schools that have a high density of refugee children as well as the establishment of safeguarding mechanisms. Additionally, children receive life skills training to enhance their resilience and strengthen social cohesion among refugee and host community children. At national policy level, UNICEF continues advocating with the Prosecutor’s Office through the National Council for Childhood and Motherhood (NCCM) on alternatives to detention and is providing technical support to the NCCM on the Children on the Move’ (CoM) National Taskforce through dedicated technical assistance. UNICEF’s partnership with the MoHP will continue to facilitate collaboration with other organizations working in primary health care to ensure a system-wide approach for health services for refugees, supported through synergies with other UNICEF programmes in child protection, social and behavior change, and monitoring. UNICEF agreed with partners (WHO, UNHCR, and national/international NGOs) to enhance the national health system to accommodate the largest number of refugees, asylum seekers and migrants possible. In addition, UNICEF continued to lead the support to PHUs and refer cases to secondary health care services supported by UNHCR and WHO as necessary. UNICEF is working on expanding cash for basic needs by increasing the value of the grant depending on the availability of funds and by increasing the number of beneficiaries. During the reporting period, UNICEF and UNHCR signed an agreement to provide winterization grant to 3,800 UASC and 300 vulnerable families with four or more children.

Summary Analysis of Programme Response

Health: During October 2018, UNICEF supported the Ministry of Health and Population to reach 3,763 children under the age of five (U5) with routine immunization and growth monitoring services and 2,145 women of child-bearing age with health care services, in addition 26,754 host community members with health supplies through the 122 UNICEF-supported PHUs. This programme reached in total 25,036 children U5, 14,128 Syrian refugee women and 527,752 Egyptians since the beginning of the year. In addition, UNICEF with MoHP initiated the assessment of 40 newly-selected PHUs that will help reach more people. With this, the number of UNICEF-supported PHUs will increase from 122 to 162.

Education: In the reporting month, education grant disbursement interviews began in Cairo for the 2018-2019 academic year. 1,048 kindergarten (KG) children (469 Syrians, 571 sub-Saharan African, and eight from other nationalities) were identified for the standard education cash grant that will support their enrollment in pre-primary education. In addition, 166 students (24 Syrians, 112 sub-Saharan African, and three from other nationalities) were eligible for the vulnerability grant 46. Disbursement interviews for beneficiaries in Damietta and Alexandra are planned to start in November. A total of 1,778 children (1,159 Syrians, 564 sub-Saharan African, and 55 other nationalities) from 24 community KGs benefitted from edutainment activities47.

Since the beginning of the year, 3,843 KG children (2,486 Syrians, 1,267 sub-Saharan African, and 90 from other nationalities) from 26 KGs in Cairo and Damietta have benefitted from the distribution of first and second term text books and storybooks (four stories per child). Refugee families usually cannot afford buying books due to financial constraints, especially those with a high number of children. To enhance the physical learning environment and creating a safe space for children, renovations were carried-out in five Syrian KGs (four in Cairo and one in Damietta), benefitting 500 children. In addition, three public schools in Cairo received renovation work, benefitting 352 children.

The Ministry of Education and Technical Education (MoETE) has announced an education reform package, branded ‘Education 2.0’, to improve the quality and relevance of the education system and outcomes. This has led to a shift in MoE’s priorities, and thus affected the signing of action plans and commencement of most of the education activities planned by UNICEF and its partners, resulting in a delay in programme implementation and low achievement of targets for 2018. Due to a USD 350,000 funding gap in Early Childhood Education, UNICEF had to reduce the amount for the education grant for KG children from EGP 1,500 to EGP 1,200 and the vulnerability grant from EGP 1,225 to EGP 1,100 for the current academic year. The funding gap also led to delays in the disbursement of the grants before the start of the 2018-2019 academic year.

46 The Education and vulnerability grants are one-off payments. The amount for the Education grant is EGP 1,200 per child and covers part of the direct and indirect costs associated with education. In addition to the Education grant, refugee families can receive a vulnerability grant of a maximum of EGP 1,100 (staggered based on their vulnerability). The actual disbursement of cash grants is expected to start in November. 47 This entails a hands-on and fun learning experience that aims at improving children’s social skills. These activities included field trips (including to gardens, clubs and amusement parks) during which children were taught about topics from the KG curriculum (such as alphabet, animal types) and engaged in reflection activities (such as games to teach cooperation and creative thinking), physical activities, singing and colouring. 25

Child Protection: UNICEF continues supporting the NCCM at governorate level by reactivating and strengthening the role of the Child Protection Committees (CPCs) at district level to provide integrated governmental child protection services to CoM. The second round of trainings conducted in Damietta during October benefited 51 members of ten District CPCs. The trainings focused on introduction to child protection, Child Right Convention and its main principles, international and national legal instruments on child protection, case management and effective communication skills. These trainings aim at equipping social workers and CPC members on relevant skills and knowledge to operationalize the CPCs.

During October, UNICEF and partners continued to mainstream community-based psychosocial support through the provision of recreational and life skills activities benefiting 4,921 refugee, migrant and host community children and 726 caregivers through positive parenting sessions. Specialized services including physical, psychological and mental health services were provided to 43 children identified with specific needs including disability and necessary follow-up was ensured. Additionally, UNICEF and partners continued investing in a case management mechanism currently benefiting 587 refugee and migrant children. Since January 2018, eight gender- based violence (GBV) survivors received multi-sectoral assistance and have been followed up and 146 children, adolescents and youth were supported with cash-based assistance through this mechanism. UNICEF through its partners supported the implementation of safeguarding mechanisms in 98 public schools in Greater Cairo, Alexandria, Damietta and Aswan to address violence against children in schools. Through this intervention, approximately 6,000 school children benefitted from a safer learning environment during October. A new agreement has been signed with a local community development association to expand the mechanism to 15 new schools in Alexandria to benefit an additional 15,000 school children.

UNICEF continued to monitor the situation of children in detention and advocate for alternatives through the National Taskforce for CoM that has witnessed a significant decrease in the overall number of children in detention. As per the October situation monitoring report, there are no reports of children in detention. For Aswan and the Red Sea, an agreement was signed with a partner to support detention intervention in both areas with a focus on situation monitoring, provision of humanitarian assistance and support of temporary community alternative care arrangement and follow-up after release. Total cases accessed since January 2018 are 236 including 167 UASC (205 in Aswan and Red Sea, and 31 in Saloum).

In addition, UNICEF and the MoHP finalized a plan to integrate child protection interventions into an additional 40 PHUs (adding up to a total of 80 PHUs) in 16 governorates through the establishment of Family Clubs that are attached to the PHUs and run by the MoHP. A Family Club is a child-friendly space through which additional child protection services (such as providing recreational activities, psychosocial support, positive parenting, case management, specialized services and life skills training) are provided to refugee, migrant and host community children and their families seeking health services. The modality of integration Family Clubs into the national health system represents a great achievement and value for money.

Social Protection: UNICEF planned to support 47,000 asylum seekers and refugee children this year with socio-economic support and/or winterization cash grants jointly with UNHCR, which currently has the widest outreach. However, due to shortage of funds UNICEF has prioritized reaching UASC only. UNICEF and UNHCR have therefore signed a joint response for the 2018-2019 winter campaign targeting 3,800 sub-Saharan African and Syrian UASC with a one-off winterization grant of 1,000 EGP per child, in addition to approximately 300 vulnerable sub-Saharan African families with four or more children with a one-off winterization cash support of 600 EGP per child, based on the minimum expenditure basket set by UNHCR. The grant will reach beneficiaries by using UNHCR’s cash delivery mechanisms. Cash disbursement is expected to start in November 2018. Fundraising efforts are being scaled-up to participate in the regular cash grants provided by UNHCR. Only 20.7 per cent of the requested funding for this cash grant programme was received this year. Winter campaign results are expected by the second quarter of 2019.

SUMMARY OF PROGRAMME RESULTS (January-October 2018)

Change Change Sector Sector UNICEF UNICEF EGYPT since last since last Target* Result Target Result Report Report * HEALTH # antenatal care consultations provided 8,000 14,128¹ 2,145 n/a # children U5 immunized - Polio National Immunization Days 15,000,000 15,000,000 0 # children under 5 received routine immunization and growth 11,000 25,036² 3,763 monitoring services n/a # trained Community Health Workers 350 140³ 20 EDUCATION (Need: 65,945 Syrian refugee children) #children (3-5 years) enrolled in ECCE and pre-primary n/a 1,800 2,486¹ 946 education n/a # children (5-17 years) enrolled in formal general education 48,045 19,000 1,267² 0

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Change Change Sector since UNICEF UNICEF EGYPT Sector since last Target* last Target Result Result* Report Report # children (5-17 years) enrolled in accredited non-formal 4,330 1,500 0³ 0 education # teachers and education personnel trained 3,200 150 149 0 n/a # children (3-17 years) receiving school supplies 77,920 7,000 1,455⁴ 0 # of children benefitting from life skills education n/a 8,300 0⁵ 0 # Syrian children supported by cash transfers n/a 3,200 4,534⁶ 0 CHILD PROTECTION ¹ # children, adolescents and youth participating in structured, sustained PSS, life skills and CP programmes 29,500 25,000 60,622 4,921 n/a # women & men participating in positive parenting 11,500 10,000 12,403 726 programmes # children, adolescents & youth participating in community 44,000 40,000 61,379 5,261 based PSS and CP activities # children, adolescents & youth benefitting from multi 7,500 5,000 6,822 587 sectoral case management # children, adolescents & youth receiving cash based 13,300 12,000 1,694² 146 interventions n/a # children, adolescents & youth with specific needs including 550 150 729 34 with disabilities benefitting from specialized CP support # SGBV survivors receiving multi sectoral services 930 50 99 0 # government bodies activated and strengthened 105 40 414³ 0 # government and non-governmental entities staff trained 1,600 1,000 85 8 on CP SOCIAL PROTECTION # vulnerable children reached with one-off cash for winter n/a 47,200¹ 47,480 0 FOOTNOTES Health 1: UNICEF and MoHP were able to achieve 177% of the target due to the marked improvement of the quality of the free of charge primary health care services provided in MoHP‘s well equipped premises by highly skilled and trained health service providers, which encouraged the Syrian refugees’ women and children to utilize theses services. In addition to scaled-up efforts by the Syrian Community Health Workers to raise the refugee families’ awareness regarding the health services provided in UNICEF-supported MoHP PHUs. Health 2: Due to the rising cost of private sector health care and improved trust in the public primary health system, utilization of the PHU services by refugee communities has increased. Health 3: Low result is due to lack of funds in the first half of the year. Activities will be conducted in the second half to overcome the low achievement. Education 1: This is the number of ECE children provided with textbooks to support their enrolment in KGs. The total number includes children, who received text books for the 2017-18 academic year, which were distributed early 2018 and children who received text books for the 2018-19 academic year in October 2018, hence the overachievement. Education 2: After delays in the first half of the year, the agreed action plan is currently being implemented by the Ministry of Education and Technical Education (MoETE) and results are expected in the next months. Education 3: Enrolment rates for the non-accredited non-formal education are expected to increase through UNICEF partnership with Save the Children. Save the Children have already completed the mapping and needs assessment of the Refugee Community Schools. Education 4: Results are expected to increase over the coming two months as the action plan with the MoETE has finally been approved. Education 5: No results due to delays caused by a reform that is being carried out by the MoETE and shifts in priorities which affected the commencement of several education activities. Delays in obtaining security clearances for national NGOs also slowed progress. Agreements with INGO partners have been signed and results are expected in the next months. Education 6: UNICEF implementing partners identified an increased number of children in need within the Syrian communities and were also able to support a greater number of them than originally targeted. Child Protection 1: Several key results under Child Protection have been achieved, despite a funding gap of 63 per cent to date. This is due to use of a community- based child protection approach, which has proved extremely efficient in reaching out to refugee children, adolescents and parents in urban settings. Highly cost- effective working models have been used wherever possible, such as working through governmental entities like Primary Health Units to deliver child protection services. Costlier ad-hoc mobile units are nevertheless required to reach vulnerable children in more remote areas. Further funding is needed to support the response across all governorates. Child Protection 2: Lack of funding has prevented target being reached. Child Protection 3: A new round of training is currently ongoing at governorate level (across seven governorates). Results will be reflected in November updates. Social Protection 1: Target corrected. Social Protection 2: Number of beneficiaries is pending finalization.

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Syria Crisis (HRP and 3RP) Funding Status

As of 15 November 2018, UNICEF appeals for Syria and the Syrian Refugees are 70% and 72% funded respectively, this includes funds carried-forward from the previous year. UNICEF’s response to Syrian refugees in Iraq continues to be most underfunded (55%) followed by Egypt (41%), Turkey (32%). Sustained and unearmarked donor funding remains critical to support to one of the world’s longest and most complex humanitarian crises.

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Funding Status US$ million (as of 15 November 2018) Syria Crisis (HRP and 3RP)

• Funds available include carry-forward from 2017. • Lebanon: $55.6 M related to 2017 due payment has been deducted from carry-forward education. • For Syria HRP total requirement for Health US$ 55.4 M and total funds available US$ 32.62 M. • For Syria HRP total requirement for Nutrition US$ 25.1 M and total funds available US$ 13.18 M. • The funding gap and funds available do not equal the total HAC requirements as there is a surplus under H&N, Youth and Adolescents (Jordan); H&N, Basic needs and winter response (Iraq 3RP); Basic needs and winter response (Turkey), Education and social protection (Egypt).

Next SitRep: December 20th, 2018 UNICEF Syria Crisis: www.unicef.org/infobycountry/syriancrisis_68134.html UNICEF Syria Crisis Facebook: www.facebook.com/unicefmena UNICEF Syria and Syrian Refugees Humanitarian Action for Children Appeal: http://www.unicef.org/appeals/index.html

Whom to Michele Servadei Juliette Touma Regional Emergency Advisor Regional Chief of Communications contact for UNICEF MENA Regional Office UNICEF MENA Regional Office further Mobile: +962 (0) 795516410 Mobile: + 962 (0) 79 867 4628 Email: [email protected] Email: [email protected] information:

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