Deir-ez-Zor: Situation Overview and Sub-district Profiles , June 2018

Background Methodology Since mid-2017, ongoing conflict has led to displacement from and within Overall, 112 locations in Deir-ez-Zor governorate were assessed between 4 and 11 Deir-ez-Zor governorate, totalling an estimated 230,000 persons from July to mid- June 2018 through remote Key Informant (KI) interviews, with a minimum of three December.1 While there had been de-escalation in some parts of the governorate KIs per assessed community and one KI per informal site. Different tools were in early 2018, renewed sustained conflict and related violence between Syrian used to assess communities and informal sites to identify population estimates Democratic Forces (SDF) and the group known as Islamic State of and the and multi-sectoral needs. Levant (ISIL) as well as sporadic clashes between SDF and Government of Syria Whilst efforts were made to cover as many locations as possible, assessed sites (GoS) are precipitating further displacement and exacerbating already-severe and communities were selected on the basis of their accessibility and should humanitarian conditions. Following previous assessments in February and April not be considered as a fully comprehensive list. Information should only be 2018, REACH recently conducted another rapid needs assessment to address considered as relevant to the time of data collection, given the dynamic situation information gaps and to provide an overview of the location and humanitarian in the governorate. Findings are not statistically representative and should be situation of different population groups. Assessed locations are clustered along considered as indicative only, particularly as they are aggregated across locations three main transects of the and Khabour river (see Map 1). between which the sectoral situation may vary. Overview Assessed communities / total communities: 101 / 135 under ISIL control. Food distributions reportedly occurred in the two weeks prior Assessed informal sites (tents): 11 to data collection primarily in sub-districts west of the Euphrates river, with some communities in Kisreh sub-district also reporting food distributions. Total estimated population in assessed locations: 586,300 • IDP shelters: The vast majority of IDPs are reportedly residing in host • Health: Although health facilities are present and accessible throughout communities rather than in the assessed informal sites, and are predominantly Deir-ez-Zor governorate, specialised health services are needed. Surgery and residing in apartments or houses in these communities. However, in around a treatment for chronic diseases were reported as primary health needs in more third of assessed communities, KIs reported that IDPs are living in collective than 70 of 112 assessed locations. In addition, more basic services such as first centres. aid / emergency care (52 of 112 of assessed locations) and diarrhoea treatment • Education: While formal primary schools are present and accessible in most (35 of 112 assessed locations) were also identified as key needs. assessed locations in the governorate, facilities are reportedly in poor condition. • WASH: The quality of drinking water is poor across the governorate. In all sub- Child labour and customs and traditions (such as early marriage) are also districts, many communities and informal sites reported that water tastes and limiting children’s school attendance. smells bad, and in nearly half of assessed locations people reportedly fell ill after • Electricity: Across the governorate, electricity is primarily accessed from drinking the water available to them. Additionally, in sub-districts to the east of private generators, typically for two to six hours per day. In particular, electricity the Euphrates river at least half of households in some assessed locations lack was identified as a priority need in sub-districts to the west of the Euphrates. sufficient quantities of water, regardless of its quality. • Protection: Protection concerns are most severe (threat from airstrikes or • Food security: Food markets are reportedly functional in all assessed direct gunfire) in the North and East Line areas, where the active conflict is communities, and assessed core food items are generally available and affordable most concentrated. Across the governorate, there are reportedly challenges in communities;2 however, these items are reportedly unaffordable in locations with freedom of movement and document confiscation. Map 1: Locations of assessed communities and informal sites Population Community Informal Site ² (! 1 - 1,000

(! ALHASAEH !( 1,001 - 5,000 !( !( 5,001 - 15,000 ARRAA !( 15,001 - 50,000 !(!( ISREH !( !( 92,830 !( !( 50,001 - 150,000 !( TANI !( !( !( !( !( !( 21,110 !( !( !( ! !( !( !( ( !(!( !( Unassessed community !( !( !(!( (! !( !( !( !( 3 !(!( !( !( !( SR Areas of control (une 2018) !( !( !( WEST LINE !( !(!( !( HASHAM 25,555 !(!( !(!( (! 22,756 !( (! (! NRTH LINE !( !( ! (! Contested areas ( !( !( (! !( !( !( ! (!!( (! (! ASIRA ( !((! !( (! !( !( DEIRER (! 58,712 Government of Syria ! !((!!( ( !( !( 188,635 !( !(!( !( !( MHASAN !( ISIL (! 11,475 !( !( !( !( !( !( !( !( !( THIAN !( !( !( 52,700 AL MAADIN !( !( !(!( 16,845 (! !( TRE !( (! ASHARA !(!( HAIN (! !( 12,280 (! 49,900 !( !( !( HMS !( !( !( ALAA !( EAST LINE !( 0 !( !( !( !( !( !( !( !( SSAT !( A AMAL !( 2,700 !( 15,400 !(!( IRA !( Kms 0 5 10 20 30 40 RDAN 1. OCHA, “Syria Crisis: Northeast Syria - Situation Report No.20”, 21 January 2018. 2. The assessed core food items are bread, rice, bulgur, flour, lentils, cooking oil, and sugar. 3. Areas of control taken from http://syria.liveuamap.com/ as of 27 June 2018. Data was not collected for communities in Jalaa sub-district because of a lack of available KIs. While ISIL controls marginal territory in desert areas of the North and East Line sub-districts, the Syrian Democratic Forces control populated areas. This overview therefore does not consider those sub-districts as contested.

1 Deir-ez-Zor: Governorate Overview June 2018

WEST LINE Context Map 2: West Line sub-districts • The West Line area of Deir-ez-Zor governorate comprises SDF-controlled Kisreh sub-district, the contested sub-district, and the primarily GoS-controlled sub-districts (Tabni, Deir-ez-Zor, 3 ARRAA ALHASAEH Muhasan) west of the Euphrates river. • As the area was the first to be taken by GoS and SDF forces in offensives at the end of 2017, there is a high number of returnees as well as IDPs from elsewhere in the governorate (who were displaced as the offensives progressed south). • Humanitarian access is better than elsewhere in the governorate but remains limited, despite HMS slight improvements in recent months. GoS-controlled sub-districts are particularly difficult to access. SDFcontrolled Key findings Contested (SDF and GoS) GoScontrolled IRA • Access to comprehensive health services is poor, even in areas where hospitals are operational, Source: Live UA Map with KIs reporting limited medical supplies for vulnerable groups and a lack of formal facilities. Surgery, emergency care, and treatment for chronic conditions are the primary health needs. Assessed communities: 49 / 56 • There is limited electricity in the areas to the west of the Euphrates, specifically Tabni, Muhasan Assessed informal sites: 5 and western parts of Deir-ez-Zor sub-district. In these areas, households are primarily accessing Estimated population: electricity from private generators, typically for less than four hours per day. 341,900 individuals in total • The WASH situation has reportedly improved slightly since the April 2018 assessment, with 44,500 IDPs increased availability of water from the main network and sufficient water for household purposes 297,400 host community members in most communities. KIs reported that issues with drinking water quality remain, and IDPs are 83% of host community members are returnees reportedly practicing open defecation in Kisreh, Khasham and Deir-ez-Zor sub-districts. NORTH LINE Context Map 3: North Line sub-districts • Basira and Sur sub-districts comprise the North Line area, which extends along the Khabour river from Al-Hasakeh governorate to the Euphrates. Communities are largely clustered around both rivers and adjacent to roads running parallel to the Khabour river. While this area is primarily controlled by ARRAA ALHASAEH the SDF, the front line with ISIL is in the desert southeast of the Khabour river.3 • IDPs from other conflict-affected areas of the governorate have also fled to Basira and Sur sub-districts, primarily from Khasham, , Jalaa and Susat sub-districts as well as Hasakeh governorate. These households are primarily residing in apartments or houses, while, on average, around one quarter of IDP households are reportedly sheltering in collective shelters within communities. HMS

Contested (SDF and ISIL) IRA Key findings Source: Live UA Map • The quality of available drinking water is poor. In more than half of assessed locations, KIs a reported individuals fell ill after consuming drinking water in the two weeks prior to data collection. Assessed communities: 20 / 29 Water trucking is the primary source of water for all but four communities in this area. Assessed informal sites: 0 • Though medical needs are significant, healthcare services are limited. Medical supplies for Estimated population: the injured / war-wounded and those suffering from chronic disease were reported to be available 84,300 individuals in total in no more 10% of assessed communities, while supplies for civilians with disabilities are reportedly 11,600 IDPs unavailable in all communities in the sub-district. Although health facilities are functional in some 72,700 host community members communities or accessible in other locations, in others (such as Rweished and Shiheil) there are 68% of host community members are returnees reportedly no formal facilities and households cannot access facilities elsewhere. EAST LINE Context Map 4: East Line sub-districts • The East Line area comprises the primarily GoS-controlled sub-districts of Al , Ashara, Jalaa and , in addition to the primarily SDF-controlled Thiban, Hajin and Susat sub-districts.3 ARRAA ALHASAEH • Active conflict persists in this area, as most populated communities within Hajin and Susat remain under ISIL control and sporadic clashes between ISIL, SDF and GoS continue all along this segment of the river.3 There are high levels of displacement as a result, particularly along the eastern bank of the river. Six informal sites are situated in this area, and IDPs comprise approximately 20% of the Contested (SDF population of assessed locations in these sub-districts. and ISIL) GoScontrolled Key findings Contested (GoS • The quality of available drinking water is poor. In more than half of assessed locations KIs reported and ISIL) IRA individuals fell ill after consuming water in the two weeks prior to data collection. Households east of Source: Live UA Map the Euphrates are attaining water from trucks, while in many communities on the western bank of the river households can access water from the main network, though to a limited extent. Assessed communities: 32 / 44 • Civilians face numerous protection challenges. In more than half of assessed communities and Assessed informal sites: 6 informal sites KIs reported having documents confiscated and being under the threat of airstrikes. Estimated population: Freedom of movement is also limited in communities and informal sites throughout the East Line 160,200 individuals in total sub-districts, as there are official restrictions on movement and transportation options are expensive. 32,100 IDPs • All assessed core food items are reportedly unaffordable in the four informal sites in Hajin and 128,100 host community members Susat district. No food assistance was provided to any of the six informal sites in this area in the two 70% of host community members are returnees weeks prior to data collection.

2 Deir-ez-Zor: West Line Sub-district Profiles June 2018 KISREH SUB-DISTRICT Map 5: Assessed communities and informal sites in Kisreh sub-district Community Population (! (Kisreh) Informal Site (! Jerwan - 50 - 1,000 2225 Abu Elhbal (! 45 (! Abu 1,001 - 5,000 Khashab Jazaret Elbuhmeid Grain Silo Site (! Informal Site 275 5,001 - 15,000 ARRAA 425 (! Jazaret Elbuhmeid Cemetery Site 15,001 - 35,000 Informal Site 225 Informal sites Jazaret Elbuhmeid (! Jazaret (! Milaj ISREH 8000 Community with more than 1,000 IDPs 550 Jazaret Milaj (! Shate Unassessed community Informal Site 75 Moezleh (Deir-ez-Zor) 450 (! Harmushiyeh Informal Site Labels ARRAA ALHASAEH 2250 1700 100 Reported number of (! Kasra IDPs in location 775 ! Sawa TANI ( 1300 Hawayej Thyab IDPs living in vulnerable (! Jazira shelter types (! Ali ! 250 550 ( Mhemideh (! 2700 DEIRER HMS Zghir Jazireh (! 730 (! Lower Safira SR IRA Hawayej Bumasaa (! 1600 DEIRER 530 Overview Sectoral needs

Assessed communities: 14 / 14 Priority needs • The WASH situation is poor, particularly for IDPs, who are reportedly practicing open defecation in some communities. Assessed informal sites: 4 • Despite the presence of health facilities across the sub-district, services are reportedly Since ISIL were expelled from SDF-controlled limited, with medical supplies only partially accessible for most vulnerable groups. Surgery Kisreh sub-district in late 2017;3 the majority and treatment for chronic diseases are the primary health needs. of households have returned to the area. The Shelter / NFIs • Main type of IDP shelter: Apartment / house with or without host community members, number of IDPs in Kisreh, which has increased tent, collective shelter (, school, shared space), unfinished buildings, Rubb hall by around 9,000 since April 2018, is the largest or mass tent of any subdistrict in the governorate. IDPs are • Reported electricity access: Private generators and solar panels provide electricity for 4-6 mostly residing in the host community, collective hours per day centres and informal sites. The location of the • Reported primary NFI needs: Sources of light, cooking fuel, batteries sub-district has facilitated the greatest potential WASH • Primary drinking water source: Main water network and water trucking. Where humanitarian response, although to date this functioning, the network reportedly provides 4-6 hours of water per day has mostly been focused on Abu Khashab • Reported water access: Everyone / nearly everyone has enough water for their needs informal site. • Main types of latrines: IDPs use private and communal latrines. IDPs, including those living in communities, also practice open defecation Estimated population: • Main types of bathing facilities: IDPs use communal bathing areas and private bathing 96,200 individuals in total facilities within and outside their home 23,000 IDPs Healthcare • Healthcare facilities: Hospitals, general emergency clinics, private clinics, informal 73,200 host community members emergency care points and mobile clinics are present and visits to private homes of 84% of host community members are returnees doctors / nurses are common. Pharmacies and stores selling medical supplies are also widespread IDPs • Healthcare providers: Private providers, local authorities, NGOs Population breakdown: • Medical supplies for vulnerable groups: Supplies for pregnant / breastfeeding 40% male and 60% female women partially accessible, supplies for chronic diseases partially accessible, disability 46% children (under 18) equipment partially accessible, supplies for injured / war-wounded partially accessible 40% adults (18 - 59) • Reported primary health needs: Surgery, treatment for chronic disease (diabetes, 14% elderly (60+) blood pressure, heart problems, kidney problems) Food security • Main food source: Purchased from markets inside the community, own production, Primary area(s) of origin: Deir-ez-Zor, Hajin, purchased from markets outside the community Jalaa sub-districts • Main sources of cooking fuel: Kerosene, purchased gas, burning wood First arrivals: January 2013 • Bakery functionality: Most communities have functional bakeries IDPs staying longer than 1 week: 90% Protection • Reported freedom of movement barriers: Transportation options available but expensive, safety / security situation, restrictions on movement • Reported protection risks: Restrictions on movement, threat from mines or UXO, serious threat from scorpions / snakes Education • Education facilities: Formal primary schools are accessible and present in most communities • Reported barriers to education: Schools lack trained teachers, customs / tradition, education not considered important

3 Deir-ez-Zor: West Line Sub-district Profiles June 2018 KHASHAM SUB-DISTRICT Map 6: Assessed communities and informal sites in Khasham sub-district Community Population (! 50 - 1,000 (! 1,001 - 5,000 Mathlum DEIRER Mrat 500 (! 5,001 - 15,000 600 (! (! (! 15,001 - 35,000 !(Khasham

HASHAM Tabiyet Informal sites !(Jazira Community with more than 1,000 IDPs

Sadouni Jdid (! Unassessed community 20 (! Ekeidat 450 (! Jdidet Labels Bikara Reported number of ARRAA ALHASAEH 3750 100 (! IDPs in location MHASAN IDPs living in vulnerable shelter types ASIRA Dahleh (! 350

HMS IRA Overview Sectoral needs

aAssessed communities: 6 / 8 Priority needs • Fear of airstrikes remain a primary safety concern, as in the April 2018 assessment. • Although formal health facilities are now operational in some assessed communities, Assessed informal sites: 0 healthcare remains a priority need. Medical supplies are reportedly severely lacking, Khasham sits on the eastern bank of the particularly for people with disabilities and injuries / conflict wounds. Euphrates river, and has been heavily contested Shelter / NFIs • Main type of IDP shelter: Apartment / house with or without host community members, by the SDF and GoS since the removal of tent, unfinished buildings, collective shelter (mosque, school, shared space) ISIL from the area, with each force controlling • Reported electricity access: Private generators and solar panels provide electricity for 4-6 portions of the sub-district.3 Many residents hours per day have has increased by around 2,000 since • Reported primary NFI needs: Sources of light, cooking fuel, batteries the April 2018 assessment. Poor humanitarian WASH • Primary drinking water source: Main water network and water trucking. Where access limits support for those living here. functioning, the network reportedly provides 4-6 hours of water per day Estimated population: • Reported water access: Everyone / nearly everyone has enough water for their needs • Main types of latrines: IDPs use private and communal latrines. IDPs, including 22,800 individuals in total those living in communities, also practice open defecation 5,700 IDPs • Main types of bathing facilities: IDPs use private bathing facilities within their home and 17,100 host community members communal bathing areas 75% of host community members are Healthcare • Healthcare facilities: Private clinics are present and visits to private homes of doctors / returnees nurses are common. Pharmacies and stores selling medical supplies are also widespread. IDPs Households can also access hospitals within Abu Kamal and Basira sub-districts • Healthcare providers: Private providers Population breakdown: • Medical supplies for vulnerable groups: Supplies for pregnant / breastfeeding 48% male and 52% female women accessible, supplies for chronic diseases partially accessible, disability 44% children (under 18) equipment only accessible in Mathlum town, supplies for injured / war-wounded 39% adults (18 - 59) inaccessible 17% elderly (60+) • Reported primary health needs: First aid / emergency care (accident and injuries), antibiotics, treatment for chronic disease (diabetes, blood pressure, heart problems, Primary area(s) of origin: Deir-ez-Zor, kidney problems) Khasham sub-districts Food security • Main food source: Purchased from markets inside the community, own production, First arrivals: December 2013 purchased from markets outside the community IDPs staying longer than 1 week: 99% • Main sources of cooking fuel: Kerosene, purchased gas, burning wood • Bakery functionality: Some communities have functional bakeries Protection • Reported freedom of movement barriers: Insufficient transportation, transportation options available but expensive, safety / security situation, restrictions on movement • Reported protection risks: Threat from airstrikes, restrictions on movement, confiscation of documents, serious threat from scorpions / snakes Education • Education facilities: Formal primary schools are accessible and present in most communities • Reported barriers to education: Schools in poor condition, children have to work, customs / tradition

4 Deir-ez-Zor: West Line Sub-district Profiles June 2018 DEIR-EZ-ZOR SUB-DISTRICT Map 7: Assessed communities and informal sites in Deir-ez-Zor sub-district

ISREH Moezleh 3,100 TANI Upper Safira Adman Elhisan !( (! 760 Ayyash Jbeileh 3858 200 Jiah SR (! (! !( Shaqra (! (! 230 250 (! Jneineh Maisheh (!(! (! 325 Julet ElGur 170 50 Hwaijet ate !( (! 75 (! ASIRA Deir-ez-Zor HASHAM 3,000 Hwaijet Saker 45

DEIRER (! Al-Shola Community Population Labels 30 Reported number of (! 50 - 1,000 100 IDPs in location (! A R R AA 1,001 - 5,000 AL HA SAEH IDPs living in vulnerable (! Kaba Jeb (! 0 MHASAN 5,001 - 15,000 shelter types (! 15,001 - 35,000 !( 150,000 HMS Informal sites H MS Community with more than 1,000 IDPs I R A AL MAADIN (! Unassessed community Overview Sectoral needs

Assessed communities: 14 / 16 Priority needs • Electricity for households is limited. In all communities except Deir-ez-Zor city, households only access electricity through private generators, typically for less than 6 hours per day. Assessed informal sites: 1 • The quality of drinking water available throughout the sub-district is poor. KIs in all Deir-ez-Zor sub-district is split between GoS locations indicated the water has a bad taste, and in the vast majority of communities and and SDF control, on either side of the Euphrates informal sites it is discoloured. 3 river. The largest proportion of residents of Shelter / NFIs • Main type of IDP shelter: Apartment / house with or without host community members, the governorate reside in this sub-district, tent, collective shelter (mosque, school, shared space), Rubb hall or mass tent, predominantly in the city of Deir-ez-Zor. It hosts unfinished building relatively few IDPs given its size, although the • Reported electricity access: Main network and private generators provide electricity for number of IDPs has increased by around 3,000 4-6 hours per day since the April 2018 assessment. To date some • Reported primary NFI needs: Cooking fuel, sources of light, batteries humanitarian assistance has been able to reach WASH • Primary drinking water source: Main water network, river / natural source, water the city, reportedly from government-controlled trucking. Where functioning, the network reportedly provides 4-6 hours of water per day areas to the west. • Reported water access: Everyone / nearly everyone has enough water for their needs • Main types of latrines: IDPs use private and communal latrines. IDPs, including Estimated population: those living in communities, also practice open defecation 190,400 individuals in total • Main types of bathing facilities: IDPs use communal bathing areas and private bathing 13,800 IDPs facilities within and outside their home 176,600 host community members Healthcare • Healthcare facilities: Hospitals, general emergency clinics, private clinics and mobile 84% of host community members are clinics are present and visits to private homes of doctors / nurses are common. returnees Pharmacies and stores selling medical supplies are also widespread. Households can also access hospitals within Basira and Kisreh sub-districts IDPs • Healthcare providers: Private providers, NGOs Population breakdown: • Medical supplies for vulnerable groups: Supplies for pregnant / breastfeeding 45% male and 55% female women mostly accessible, supplies for chronic diseases partially accessible, disability 47% children (under 18) equipment inaccessible, supplies for injured / war-wounded partially accessible 40% adults (18 - 59) • Reported primary health needs: First aid / emergency care (accident and injuries), 13% elderly (60+) treatment for chronic disease (diabetes, blood pressure, heart problems, kidney problems) Food security • Main food source: Purchased from markets inside the community, own production, Primary area(s) of origin: Deir-ez-Zor, purchased from markets outside the community Khasham, Susat sub-districts • Main sources of cooking fuel: Kerosene, purchased gas, burning wood • Bakery functionality: Most communities have functional bakeries First arrivals: June 2012 Protection • Reported freedom of movement barriers: Transportation options available but IDPs staying longer than 1 week: 95% expensive, safety / security situation • Reported protection risks: Confiscation of documents, restrictions on movement, threat of mines and UXO Education • Education facilities: Formal primary schools are accessible and present in most communities and informal sites, and intermediary and secondary education facilities present in a small number of communities • Reported barriers to education: No education available for students of a certain age, schools not in good condition, schools lack trained teachers

5 Deir-ez-Zor: West Line Sub-district Profiles June 2018 TABNI SUB-DISTRICT Map 8: Assessed communities and informal sites in Tabni sub-district Community Population Old Maadan (! 50 - 1,000 85 asabi (! !( (! ISREH 1,001 - 5,000 (! 5,001 - 15,000

(! 15,001 - 35,000

Informal sites

Tabni Community with more than 1,000 IDPs 250 (! (! Unassessed community TANI Buwaita !( Labels Enbeh Tarif !( 75 Reported number of ARRAA ALHASAEH (! 100 IDPs in location Masrab 150 IDPs living in vulnerable (! Zghir Shamiyeh shelter types 150 (! (! Kharita Shmeitiyeh (! 150 0 Hawayej Thyab DEIRER HMS (! Shamiyeh DEIRER IRA 250 Overview Sectoral needs

Assessed communities: 8 / 11 Priority needs • The availability of electricity is reportedly poor, with residents receiving only 2-4 hours per day, primarily from private generators. Assessed informal sites: 0 • Comprehensive healthcare services reportedly remain challenging to access, as in April Tabni, as with other sub-districts west of the 2018. While private clinics are available, the only accessible hospital is in the neighbouring Euphrates river, is under GoS control.3 It hosts Deir-ez-Zor sub-district. Medical supplies are inaccessible for people with disabilities, and a relatively small number of IDPs compared to those who are injured or war wounded. areas to the east of the Euphrates river. Most Shelter / NFIs • Main type of IDP shelter: Apartment / house with or without host community members of these IDPs have come from other GoS- • Reported electricity access: Private generators provide electricity for 2-4 hours per day controlled areas that are further south and • Reported primary NFI needs: sources of light, batteries, heating fuel closer to areas of active conflict. Communities are spread along the river, with the majority of WASH • Primary drinking water source: Main water network. The network reportedly provides 4-6 hours of water per day the host community and IDP population residing • Reported water access: Everyone / nearly everyone has enough water for their needs in Tabni community. • Main types of latrines: IDPs use private and communal latrines Estimated population: • Main types of bathing facilities: IDPs use private bathing facilities within their home 21,100 individuals in total Healthcare • Healthcare facilities: Private clinics are present and visits to private homes of 1,100 IDPs doctors / nurses are common. Pharmacies and stores selling medical supplies are 20,000 host community members also widespread. Households can also access hospitals and private clinics within Deir- 82% of host community members are ez-Zor sub-district returnees • Healthcare providers: Private providers • Medical supplies for vulnerable groups: Supplies for pregnant / breastfeeding IDPs women mostly accessible, supplies for chronic diseases partially accessible, disability Population breakdown: equipment inaccessible, supplies for injured / war-wounded inaccessible 49% male and 51% female • Reported primary health needs: First aid / emergency care (accident and injuries), 44% children (under 18) surgery, assistive devices (wheelchairs, prosthetics) 35% adults (18 - 59) Food security • Main food source: Purchased from markets inside the community, own production, 21% elderly (60+) purchased from markets outside the community • Main sources of cooking fuel: Kerosene, burning animal manure / wood Primary area(s) of origin: Abu Kamal, Jalaa • Bakery functionality: Bakeries only functional in Tabni and Shmeitiyeh towns sub-districts Protection • Reported freedom of movement barriers: Transportation options available but First arrivals: November 2012 expensive, safety / security situation, insufficient transportation IDPs staying longer than 1 week: 100% • Reported protection risks: Restrictions on movement, confiscation of documents, threat from airstrikes, serious threat from scorpions / snakes Education • Education facilities: Formal primary schools are present and accessible in all communities, with formal intermediary facilities in most communities • Reported barriers to education: No education available for students of a certain age, customs / tradition, children have to work

6 Deir-ez-Zor: West Line Sub-district Profiles June 2018 MUHASAN SUB-DISTRICT Map 9: Assessed communities and informal sites in Muhasan sub-district Community Population (! 50 - 1,000 HASHAM DEIRER (! 1,001 - 5,000 DEIRER (! Mreiyeh 5,001 - 15,000 25 (! (! 15,001 - 35,000 Tabiyet Abu Omar Abed Shamiyeh Muhasan Informal sites 0 150 0 350 (! (! (! (! Community with more than 1,000 IDPs

(! Unassessed community MHASAN etet Labels Elbuleil ARRAA ALHASAEH 200 Reported number of (! 100 IDPs in location Toob 200 (! IDPs living in vulnerable shelter types

HMS ASIRA I R A AL MAADIN Overview Sectoral needs

Assessed communities: 7 / 7 Priority needs • The availability of electricity is reportedly poor, with residents receiving only 2-4 hours per day, primarily from private generators. Assessed informal sites: 0 • Households face difficulties with movement, due to the availability and affordability of Muhasan sub-district is located within GoS- transportation options as well as restrictions on movement. held territory and is away from active conflict 3 Shelter / NFIs • Main type of IDP shelter: Apartment / house with or without host community members lines towards the east and south. This area is • Reported electricity access: Private generators provide electricity for 2-4 hours per day sparsely populated, and the small number of • Reported primary NFI needs: Heating fuel, sources of light, batteries, cooking fuel, IDPs are mostly living in the host community, bedding items most of whom are from Deir-ez-Zor and Khasham. Its relatively small population and WASH • Primary drinking water source: Main water network and water trucking. Where distance from major urban centres means functioning, the network reportedly provides 4-6 hours of water per day • Reported water access: Everyone / nearly everyone has enough water for their needs residents have limited access to services and • Main types of latrines: IDPs use private and communal latrines humanitarian assistance. • Main types of bathing facilities: IDPs use private bathing facilities within their home Estimated population: Healthcare • Healthcare facilities: Private clinics are present and visits to private homes of 11,500 individuals in total doctors / nurses are common. Pharmacies and stores selling medical supplies are 900 IDPs also widespread. Households can also access hospitals and private clinics within Deir- 10,600 host community members ez-Zor sub-district 71% of host community members are • Healthcare providers: Private providers returnees • Medical supplies for vulnerable groups: Supplies for pregnant / breastfeeding women partially accessible, supplies for chronic diseases partially accessible, disability IDPs equipment inaccessible, supplies for injured / war-wounded inaccessible Population breakdown: • Reported primary health needs: First aid / emergency care (accident and injuries), 48% male and 52% female surgery 46% children (under 18) Food security • Main food source: Purchased from markets inside the community, own production, 37% adults (18 - 59) purchased from markets outside the community 17% elderly (60+) • Main sources of cooking fuel: Kerosene, purchased gas, burning wood • Bakery functionality: Most communities have functional bakeries Primary area(s) of origin: Abu Kamal, Deir- Protection • Reported freedom of movement barriers: Safety / security situation, restrictions on ez-Zor, Muhasan sub-districts movement, insufficient transportation, transportation options available but expensive First arrivals: June 2012 • Reported protection risks: Confiscation of documents, restrictions on movement IDPs staying longer than 1 week: 96% Education • Education facilities: Formal primary schools are present and accessible in all communities, with formal intermediary and secondary facilities in a small number of communities • Reported barriers to education: Schools in poor condition, children have to work, schools lack trained teachers, no education available for students of a certain age

7 Deir-ez-Zor: North Line Sub-district Profiles June 2018 SUR SUB-DISTRICT Map 10: Assessed communities and informal sites in Sur sub-district (!Hssein Western !( 450 Gharibeh Rweished !( Eastern ISREH 200 Gharibeh ALHASAEH ! ( Mweileh (! 450 Community Population !( Moeijel (! 50 - 1,000 (! Bseitine 100 (! 1,001 - 5,000

Sur Jasmi !( (! !( 5,001 - 15,000 2900 (! Jeryeh (! 15,001 - 35,000 Rabida DEIRER 225 Abul itel (! !( SR Informal sites

Community with more than 1,000 IDPs ARRAA amliyeh ALHASAEH !( (! Unassessed community

Labels Hreiji 100 Reported number of 350 IDPs in location Hreijiyeh (! 30 HMS (! IDPs living in vulnerable IRA shelter types HASHAM ASIRA Overview Sectoral needs

Assessed communities: 8 / 15 Priority needs • Trucked water is the only reported drinking water source. Although access to water is reportedly sufficient for the population, the quality of water is poor, with reports of Assessed informal sites: 0 individuals falling sick after consumption. Communities in Sur sub-district are in SDF- • Access to health services is limited due to a lack of formal health facilities in the controlled areas and are largely clustered along sub-district. Medical supplies for vulnerable groups are also reportedly insufficient. 3 the Kharbour river. Civilians are susceptible Shelter / NFIs • Main type of IDP shelter: Apartment / house with or without host community members, to harm from direct conflict between SDF and tent, unfinished buildings, collective shelter (mosque, school, shared space), Rubb hall or ISIL in the sub-district and vulnerable to related mass tent, none (sleeping in open air) violence. IDPs fleeing areas within the sub- • Reported electricity access: Private and communal generators provide electricity for 4-8 district, elsewhere in Deir-ez-Zor governorate, hours per day and in Hasakeh governorate have sought • Reported primary NFI needs: cooking fuel, batteries, heating fuel shelter in host communities in Sur sub-district. WASH • Primary drinking water source: Water trucking Estimated population: • Reported water access: Everyone / nearly everyone has enough water for their needs • Main types of latrines: IDPs use private and communal latrines 25,600 individuals in total • Main types of bathing facilities: IDPs use private bathing facilities within their home and 4,700 IDPs communal bathing areas 20,900 host community members Healthcare • Healthcare facilities: Private and mobile clinics are present and visits to private 37% of host community members are homes of doctors / nurses are common. Pharmacies are also widespread. Households returnees can also access hospitals and general emergency clinics within Abu Kamal and Kisreh IDPs sub-districts • Healthcare providers: Private providers Population breakdown: • Medical supplies for vulnerable groups: Supplies for pregnant / breastfeeding 41% male and 59% female women partially accessible, supplies for chronic diseases partially accessible, disability 43% children (under 18) equipment inaccessible, supplies for injured / war-wounded inaccessible 42% adults (18 - 59) • Reported primary health needs: First aid / emergency care (accident and injuries), 15% elderly (60+) surgery, skilled care during childbirth, treatment for chronic disease (diabetes, blood pressure, heart problems, kidney problems) Primary area(s) of origin: Deir-ez-Zor, Hajin, Food security • Main food source: Purchased from markets inside the community, own production, Jalaa, Susat sub-districts purchased from markets outside the community First arrivals: June 2013 • Main sources of cooking fuel: Kerosene, purchased gas, burning animal manure IDPs staying longer than 1 week: 87% • Bakery functionality: Most communities have functional bakeries Protection • Reported freedom of movement barriers: Transportation options available but expensive • Reported protection risks: Serious threat from scorpions / snakes, threat from airstrikes Education • Education facilities: Formal primary schools are present and accessible in most communities, with formal intermediary and secondary facilities in a small number of communities • Reported barriers to education: Schools in poor condition, lack trained teachers, no education available for students of a certain age, customs / tradition

8 Deir-ez-Zor: North Line Sub-district Profiles June 2018 BASIRA SUB-DISTRICT Map 11: Assessed communities and informal sites in Basira sub-district Tib Elfal Community Population (!200 Hilweh (! 50 - 1,000 Hejneh 300 HASHAM DEIRER 225 (! (! (! 1,001 - 5,000 Barsham Sokkar (! 5,001 - 15,000 157 200 (! ! Daman ( (! 15,001 - 35,000 100 (! Informal sites Sabha 2500 Tuwamiyeh Community with more than 1,000 IDPs (! 105 ASIRA (! !(Mashekh (! MHASAN Breiha Unassessed community 150 (! Labels A R R AA Basira (! Kassar AL HA SAEH !( 100 Reported number of 550 IDPs in location Zir 125 IDPs living in vulnerable (! shelter types Shiheil AL MAADIN 2300 (! H MS THIAN I R A Overview Sectoral needs

Assessed communities: 12 / 14 Priority needs • The quality of drinking water available throughout the sub-district is poor. KIs in half of assessed communities noted people have fallen ill after consuming the available drinking Assessed informal sites: 0 water. Water is reportedly discoloured and has a bad taste in most of these locations. Communities in Basira sub-district sit along • Both basic health support and specialized supplies are needed in most communities. the Khabour and Euphrates rivers, in an area First aid, emergency assistance and diarrhea treatment are key needs in the sub-district, while primarily controlled by the SDF. It remains supplies for those with disabilities or chronic diseases are not available in any communities. proximal to ongoing clashes in the north Shelter / NFIs • Main type of IDP shelter: Apartment / house with or without host community members, between GoS and SDF forces, and also to the collective shelter (mosque, school, shared space), tent, unfinished buildings, sleeping in south in ongoing conflict between SDF and ISIL.3 open air Since April 2018, the number of IDPs in the sub- • Reported electricity access: Private and communal generators provide electricity for 4-6 district has fallen by around 5,000 as people hours per day have returned to other areas. Road access from • Reported primary NFI needs: bedding items (sheets, pillows), mattresses/sleeping Shadadeh has allowed humanitarian access mats, water containers, sources of light into this area in recent months. WASH • Primary drinking water source: Main water network and water trucking. Where functioning, the network reportedly provides 4-6 hours of water per day Estimated population: • Reported water access: More than half the population has enough water for their needs 58,700 individuals in total • Main types of latrines: IDPs use private and communal latrines. IDPs, including 6.900 IDPs those living in communities, also practice open defecation. 51,800 host community members • Main types of bathing facilities: IDPs use private bathing facilities within their home 81% of host community members are Healthcare • Healthcare facilities: Hospitals, general emergency clinics, and private clinics are returnees present and visits to private homes of doctors / nurses are common. Pharmacies and stores selling medical supplies are also widespread. Households can also access IDPs hospitals and general emergency clinics within Abu Kamal, Al-Mayadin and Deir-ez- Population breakdown: Zor sub-districts 40% male and 60% female • Healthcare providers: Private providers, local authorities, NGOs 49% children (under 18) • Medical supplies for vulnerable groups: Supplies for pregnant / breastfeeding 40% adults (18 - 59) women partially accessible, supplies for chronic diseases partially accessible, disability 10% elderly (60+) equipment inaccessible, supplies for injured / war-wounded partially accessible • Reported primary health needs: Skilled care during childbirth Primary area(s) of origin: Basira, Hajin, Food security • Main food source: Own production, purchased from markets inside the community, Jalaa, Khasham, Susat sub-districts purchased from markets outside the community, mobile markets First arrivals: January 2017 • Main sources of cooking fuel: Kerosene, purchased gas, burning wood • Bakery functionality: Some communities have functional bakeries IDPs staying longer than 1 week: 91% Protection • Reported freedom of movement barriers: Transportation options available but expensive • Reported protection risks: Serious threat from scorpions / snakes, threat from snipers / gunfire, threat from armed groups Education • Education facilities: Formal primary schools are accessible and present in most communities • Reported barriers to education: Schools lack trained teachers, no education available for students of a certain age, no space in school/unable to register, children have to work

9 Deir-ez-Zor: East Line Sub-district Profiles June 2018 AL MAYADIN SUB-DISTRICT Map 12: Assessed communities and informal sites in Al Mayadin sub-district Saalu Community Population (! 75 (! Zbara 50 - 1,000 65 ! MHASAN (! ( 1,001 - 5,000 Upper (! Baqras ASIRA 5,001 - 15,000 75 (! (! 15,001 - 35,000 Lower Hawi Baqras Lower Informal sites 75 Baqras (! 75 THIAN Community with more than 1,000 IDPs (! (! Unassessed community Al Mayadin 250 (! Labels A R R AA AL MAADIN AL HA SAEH 100 Reported number of Tiba IDPs in location 85 (! IDPs living in vulnerable Mahkan 45 shelter types (!

H MS ASHARA I R A Overview Sectoral needs

Assessed communities: 8 / 8 Priority needs • Households have limited electricity. Residents of all communities reportedly use private generators as their main source of electricity and require additional power from Assessed informal sites: 0 batteries. Households in all communities are also in need of sources of light. Al Mayadin sub-district is under GoS control and hosts relatively few IDPs in comparison to Shelter / NFIs • Main type of IDP shelter: Apartment / house with or without host community members areas east of the Euphrates river. Services are • Reported electricity access: Private generators provide electricity for 2-4 hours per day generally available throughout the sub-district, • Reported primary NFI needs: Sources of light, batteries, disposable diapers, clothing including accessible formal primary schools in WASH • Primary drinking water source: Main water network. The network reportedly most communities, and the main water network is provides 2-6 hours of water per day functional in all communities. However, freedom • Reported water access: Everyone / nearly everyone has enough water for their needs of movement is limited and protection concerns • Main types of latrines: IDPs use private and communal latrines persist. • Main types of bathing facilities: IDPs use private bathing facilities within their home Estimated population: Healthcare • Healthcare facilities: Hospitals and private clinics are present and visits to private homes of doctors / nurses are common. Pharmacies and stores selling medical 16,845 individuals in total supplies are also widespread. Households can also access hospitals within Abu Kamal 745 IDPs and Deir-ez-Zor sub-districts 16,100 host community members • Healthcare providers: Private providers 53% of host community members are returnees • Medical supplies for vulnerable groups: Supplies for pregnant / breastfeeding women accessible, supplies for chronic diseases mostly accessible, disability IDPs equipment inaccessible, supplies for injured / war-wounded inaccessible Population breakdown: • Reported primary health needs: First aid / emergency care (accident and injuries), 50% male and 50% female surgery, assistive devices (wheelchairs, prosthetics) 45% children (under 18) Food security • Main food source: Purchased from markets inside the community, own production, 35% adults (18 - 59) purchased from markets outside the community 20% elderly (60+) • Main sources of cooking fuel: Kerosene, purchased gas, burning wood • Bakery functionality: Some communities have functional bakeries Primary area(s) of origin: Deir-ez-Zor, Hajin, Protection • Reported freedom of movement barriers: Insufficient transportation, transportation Jalaa sub-districts options available but expensive, restrictions on movement First arrivals: July 2012 • Reported protection risks: Serious threat from scorpions / snakes, confiscation of IDPs staying longer than 1 week: 51% documents, restrictions on movement Education • Education facilities: Formal primary and intermediate schools are accessible and present in most communities, with formal secondary schools only present in Al- Mayadin town • Reported barriers to education: Children have to work, customs / tradition (early marriage, gender etc.), newly arrived to the community

10 Deir-ez-Zor: East Line Sub-district Profiles June 2018 ASHARA SUB-DISTRICT Map 13: Assessed communities and informal sites in Ashara sub-district

uriyeh Community Population 150 (! (! 50 - 1,000 (! 1,001 - 5,000 AL MAADIN Ashara 200 ! (! ( 5,001 - 15,000

Gharibeh (! 15,001 - 35,000 50 (! THIAN Informal sites 50 ! Sbeikhan ( 50 Community with more than 1,000 IDPs (! (! Unassessed community HAIN Tishrine Labels ASHARA 30 (! Reported number of ARRAA ALHASAEH 100 IDPs in location Dweir 0 IDPs living in vulnerable (! shelter types

ALAA HMS IRA Overview Sectoral needs

Assessed communities: 7 / 7 Priority needs • Households have limited electricity. Residents of all communities reportedly use private generators as their main source of electricity and require additional power from Assessed informal sites: 0 batteries. Households also require heating fuel in all communities. Ashara sub-district remains under GoS control and is situated along a front line with the SDF.3 Shelter / NFIs • Main type of IDP shelter: Apartment / house with or without host community members Although conflict in this area is occurring • Reported electricity access: Private generators provide electricity for 2-4 hours per day less frequently than in sub-districts at other • Reported primary NFI needs: Sources of light, heating fuel, bedding items points along the Euphrates river, numerous WASH • Primary drinking water source: Main water network and water trucking. Where conflict-related protection issues persist, functioning, the network reportedly provides 2-4 hours of water per day including threats from airstrikes and improvised • Reported water access: Everyone / nearly everyone has enough water for their needs explosive devices (IEDs). While services • Main types of latrines: IDPs use private and communal latrines such as education and healthcare facilities • Main types of bathing facilities: IDPs use private bathing facilities within their home are functional, KIs reported residents in most Healthcare • Healthcare facilities: General emergency and private clinics are present and visits to communities were not typically acquiring water private homes of doctors / nurses are common. Pharmacies and stores selling medical or electricity from main networks in the two supplies are also widespread. Households can also access hospitals and private weeks prior to data collection. Few IDPs are clinics within Kisreh and Sur sub-districts seeking shelter in the sub-district. • Healthcare providers: Private providers • Medical supplies for vulnerable groups: Supplies for pregnant / breastfeeding Estimated population: women partially accessible, supplies for chronic diseases mostly accessible, disability 12,280 individuals in total equipment inaccessible, supplies for injured / war-wounded inaccessible 530 IDPs • Reported primary health needs: First aid / emergency care (accident and injuries), 11,750 host community members surgery, treatment for chronic disease (diabetes, blood pressure, heart problems, kidney problems) 51% of host community members are returnees Food security • Main food source: Purchased from markets inside the community, purchased from IDPs markets outside the community, own production Population breakdown: • Main sources of cooking fuel: Kerosene, purchased gas, burning wood 54% male and 46% female • Bakery functionality: Most communities have functional bakeries 47% children (under 18) Protection • Reported freedom of movement barriers: Transportation options available 38% adults (18 - 59) but expensive, safety / security situation, restrictions on movement, insufficient 15% elderly (60+) transportation • Reported protection risks: Confiscation of documents, threat from airstrikes, threat Primary area(s) of origin: Ashara, Al-Mayadin, from IEDs, serious threat from scorpions / snakes Jalaa sub-districts Education • Education facilities: Formal primary schools are accessible and present in all First arrivals: December 2012 communities and intermediary schools accessible in most communities IDPs staying longer than 1 week: 75% • Reported barriers to education: Customs / tradition, schools in poor condition, children have to work, no education available for students of a certain age

11 Deir-ez-Zor: East Line Sub-district Profiles June 2018 THIBAN SUB-DISTRICT Map 14: Assessed communities and informal sites in Thiban sub-district ASIRA Thiban (Thiban) Informal Site Community Population Hawayej Hawi 371 (! 50 - 1,000 1,350 Thibyan Tayyana (! (! (!600 Informal Site 1,001 - 5,000 428 Ragib (! (! 5,001 - 15,000 475 (! Thiban 900 (! 15,001 - 35,000 Tayyana (! 1,200 THIAN AL MAADIN Informal sites Community with more than 1,000 IDPs Darnaj (! (!550 Unassessed community Labels ARRAA (! Karama Eastern ALHASAEH Sweidan !( 100 Reported number of Jazira Jarda 825 IDPs in location ASHARA 550 (! IDPs living in vulnerable shelter types (! Abu Hardoub 3,000

HMS HAIN IRA Overview Sectoral needs

Assessed communities: 9 / 10 Priority needs • Specialized medical supplies are not commonly accessible. Supplies for those with chronic diseases or disabilities are reportedly not accessible in any assessed communities. Assessed informal sites: 2 • Drinking water is not sufficiently available and is of poor quality in the informal Thiban sub-district is mostly under SDF control sites. Less than half of IDPs in each site had enough water to meet needs, and this and hosts a large number of IDPs who have water reportedly sickened residents. reportedly fled sub-districts further south Shelter / NFIs • Main type of IDP shelter: Apartment / house with or without host community members, where ISIL maintains control or active conflict tent, unfinished buildings, collective shelter (mosque, school, shared space) continues. These IDPs are primarily sheltering • Reported electricity access: Private and communal generators, car batteries provide in host communities, though two informal sites electricity for 4-6 hours per day also host displaced households. Services and • Reported primary NFI needs: Bedding items (sheets, pillows), water containers, infrastructure are limited in the sub-district sources of light and are insufficient to meet civilian needs, and WASH • Primary drinking water source: Main water network and water trucking. Where households remain vulnerable to conflict-related functioning, the network reportedly provides 2-6 hours of water per day protection issues. • Reported water access: About half of the population has enough water for their needs • Main types of latrines: IDPs use private and communal latrines. IDPs, including Estimated population: those living in communities, also practice open defecation 53,498 individuals in total • Main types of bathing facilities: IDPs use communal bathing areas and private bathing 10,248 IDPs facilities within and outside their homes 43,250 host community members Healthcare • Healthcare facilities: Hospitals, general emergency clinics, and private clinics are 82% of host community members are returnees present and visits to private homes of doctors / nurses are common. Pharmacies and stores selling medical supplies are also widespread. Households can also access IDPs hospitals within Basira sub-district Population breakdown: • Healthcare providers: Private providers, local authorities, NGOs 41% male and 59% female • Medical supplies for vulnerable groups: Supplies for pregnant / breastfeeding 47% children (under 18) women are accessible in Thiban town, supplies for chronic diseases partially 42% adults (18 - 59) accessible, disability equipment inaccessible, supplies for injured / war-wounded 11% elderly (60+) partially accessible • Reported primary health needs: Surgery, skilled care during childbirth, treatment for Primary area(s) of origin: Abu Kamal, Ashara, chronic disease (diabetes, blood pressure, heart problems, kidney problems) Hajin, Jalaa, Susat sub-districts Food security • Main food source: Own production, purchased from markets inside the community, First arrivals: November 2012 purchased from markets outside the community IDPs staying longer than 1 week: 93% • Main sources of cooking fuel: Kerosene, burning wood, municipal gas • Bakery functionality: Most communities have functional bakeries Protection • Reported freedom of movement barriers: Transportation options available but expensive, insufficient transportation • Reported protection risks: Threat from armed groups, disputes between residents Education • Education facilities: Formal primary schools are present and accessible in all communities • Reported barriers to education: No education available for students of a certain age, schools lack trained teachers, children have to work

12 Deir-ez-Zor: East Line Sub-district Profiles June 2018 HAJIN / SUSAT SUB-DISTRICT Map 15: Assessed communities and informal sites in Hajin / Susat sub-district THIAN Community Population 7950(! (! 50 - 1,000 1500 (! (! 1,001 - 5,000 ASHARA Hajin (! 5,001 - 15,000 Informal Site HAIN Bahra 3705 (! !( 15,001 - 35,000 Hajin Informal sites 0 (! Community with more than 1,000 IDPs Shafa (! ALAA Kishkiyeh Informal Site Unassessed community 0 (! 1995 Labels AR R AA AL HA SAEH Shafa Reported number of !( 100 SSAT IDPs in location Sosa Informal Site IDPs living in vulnerable A AMAL 3135 Sosa shelter types 0 (! Marashdeh !( Bubadran Informal Site Bubadran !( H MS 713 I R A !( Upper Baguz I R A Overview Sectoral needs

Assessed communities: 5 / 10 Priority needs • Households in the four informal sites face particularly acute challenges. Diarrhea treatment was reported as a key health need in each location, while all assessed core food Assessed informal sites: 4 items are reportedly unaffordable for households in these sites. As the GoS-controlled Abu Kamal sub-district • Schools are present only in Gharanij and Abu Hamam towns, leaving households in other borders areas held by ISIL, insecurity continues areas of Hajin sub-district and in Susat sub-district without education opportunities. 3 to threaten households’ safety. Despite these Shelter / NFIs • Main type of IDP shelter: Apartment / house with or without host community members, risks, key infrastructure and facilities are collective shelter (mosque, school, shared space), tent, Rubb hall or mass tent functional. The main water network is operational • Reported electricity access: Private and communal generators provide electricity for 4-6 and reportedly provides a sufficient quantity hours per day of water in most communities. Additionally, a • Reported primary NFI needs: Water containers, cooking fuel, sources of light hospital is reportedly present and accessible in WASH • Primary drinking water source: Water trucking the sub-district and serves civilians from other • Reported water access: More than half the population has enough water for their locations, including communities in Ashara and needs Al-Mayadin sub-district. Nearly 6,000 more • Main types of latrines: IDPs use private and communal latrines. IDPs, including individuals are residing in the three assessed those living in communities, also practice open defecation communities than was the case during the • Main types of bathing facilities: IDPs use private bathing facilities within their home April 2018 assessment, an increase that also Healthcare • Healthcare facilities: Hospitals are present and visits to private homes of doctors / includes nearly 1,000 additional IDPs. nurses are common. Pharmacies and stores selling medical supplies are widespread. Households can also access hospitals within Abu Kamal and Thiban sub-districts Estimated population: • Healthcare providers: Private providers 62,148 individuals in total • Medical supplies for vulnerable groups: Supplies for pregnant / breastfeeding 18,998 IDPs women inaccessible, supplies for chronic diseases partially accessible, disability 43,150 host community members equipment inaccessible, supplies for injured / war-wounded inaccessible 72% of host community members are returnees • Reported primary health needs: Antibiotics, treatment for chronic disease (diabetes, blood pressure, heart problems, kidney problems) IDPs Food security • Main food source: Purchased from markets inside the community, own production, Population breakdown: food brought from place of origin 38% male and 62% female • Main sources of cooking fuel: Kerosene, purchased gas, burning wood 47% children (under 18) • Bakery functionality: Bakeries only functional in Sosa town 38% adults (18 - 59) Protection • Reported freedom of movement barriers: Restrictions on movement, safety / 15% elderly (60+) security situation, insufficient transportation • Reported protection risks: Restrictions on movement, threat from airstrikes, Primary area(s) of origin: Al-Mayadin, Hajin confiscation of documents sub-districts Education • Education facilities: Formal primary schools are present and accessible in some First arrivals: January 2018 communities in Hajin; there are no education facilities in Susat IDPs staying longer than 1 week: 98% • Reported barriers to education: Schools not in good condition, schools lack trained teachers, no space in school/unable to register, no education available for students of a certain age

13 Deir-ez-Zor: East Line Sub-district Profiles June 2018 ABU KAMAL SUB-DISTRICT Map 16: Assessed communities and informal sites in Abu Kamal sub-district Community Population ASHARA (! 50 - 1,000 HAIN (! 1,001 - 5,000 Ramadi Moezleh !( (! !( ALAA Hasrat 5,001 - 15,000 !( (! 15,001 - 35,000

Siyal !( Informal sites Hurriyeh !(Ghabra !( SSAT Community with more than 1,000 IDPs

Abu Kamal (! Unassessed community (!700 Labels A AMAL Sweiyeh(! Hura ARRAA 400 ALHASAEH 500 (! 100 Reported number of IDPs in location

IDPs living in vulnerable shelter types IRA HMS

IRA Overview Sectoral needs

Assessed communities: 3 / 9 Priority needs • The quality of water available to households is poor in all communities, although the quantity available to civilians is sufficient. KIs indicated the water provided Assessed informal sites: 0 through the main network tastes and smells bad. In Abu Kamal town, the water has As the GoS-controlled Abu Kamal sub-district reportedly sickened those who consumed it. borders areas held by ISIL, insecurity continues to • Main type of IDP shelter: Apartment / house with or without host community members 3 Shelter / NFIs threaten households’ safety. Despite these risks, • Reported electricity access: Private generators provide electricity for 2-8 hours per day key infrastructure and facilities are functional. • Reported primary NFI needs: Sources of light, batteries, heating fuel, disposable The main water network is operational and diapers reportedly provides a sufficient quantity of water WASH • Primary drinking water source: Main water network. The network reportedly in most communities. Additionally, a hospital is provides 4-6 hours of water per day reportedly present and accessible in the sub- • Reported water access: Everyone / nearly everyone has enough water for their needs district and serves civilians from other locations, • Main types of latrines: IDPs use private and communal latrines including communities in Ashara and Al-Mayadin • Main types of bathing facilities: IDPs use private bathing facilities within their home sub-district. Nearly 6,000 more individuals are Healthcare • Healthcare facilities: Hospitals and private clinics are present and visits to private residing in the governorate than was the case homes of doctors / nurses are common. Pharmacies and stores selling medical during the April 2018 assessment, an increase supplies are also widespread that also includes nearly 1,000 additional IDPs. • Medical supplies for vulnerable groups: Supplies for pregnant / breastfeeding women accessible, supplies for chronic diseases inaccessible, disability equipment Estimated population: only accessible in Hura town, supplies for injured / war-wounded partially accessible 15,400 individuals in total • Reported primary health needs: Psychiatric care, rehabilitation (recovery 1,600 IDPs programmes for those who have recently experienced injuries, especially to muscles 13,800 host community members or limbs), assistive devices (wheelchairs, prosthetics) 60% of host community members are returnees Food security • Main food source: Purchased from markets inside the community, own production, IDPs purchased from markets outside the community • Main sources of cooking fuel: Kerosene, burning animal manure Population breakdown: • Bakery functionality: Bakeries only functional in Abu Kamal town 58% male and 42% female 46% children (under 18) Protection • Reported freedom of movement barriers: Safety / security situation, restrictions on 35% adults (18 - 59) movement, transportation options available but insufficient • Reported protection risks: Serious threat from scorpions / snakes, confiscation of 19% elderly (60+) documents, threat from airstrikes Primary area(s) of origin: Abu Kamal, Jalaa Education • Education facilities: Formal nursery schools and primary schools are accessible and sub-district present in all communities, with intermediate and secondary education present in Abu Kamal town First arrivals: June 2012 • Reported barriers to education: Schools in poor condition, children have to work, IDPs staying longer than 1 week: 90% customs / tradition (early marriage, gender etc)

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