: Humanitarian response to the crisis Operational update | 26 June to 1 July 2016

This report is produced by OCHA Iraq in collaboration with humanitarian partners. Due to the rapidly changing situation, the numbers and locations listed in this report may no longer be accurate. Updates will continue on a weekly basis, as needed or as information is available. Situation Overview The emergency humanitarian response to some 85,000 displaced people from Fallujah during the reporting period focused on providing all displaced people with emergency shelter, drinking water, emergency sanitation access and basic household items. No significant new displacement from Fallujah has occurred since 21 June. Humanitarian response efforts were hampered from 28 to 30 June when a curfew was established and bridges between Anbar and closed due to a sudden increase of insecurity in eastern Anbar, including near Ameriyat al Fallujah. With many aid workers and trucks carrying humanitarian supplies needing to move daily between Baghdad and Anbar, the interruption of access even for a temporary period threatened to pose extreme risks to the wellbeing of displaced people, particularly for vulnerable groups. Access has since been restored.

A new wave of displacement began on 30 June, with thousands of people fleeing military operations in Jazeera Al Khalidiyah, the river peninsula between and Fallujah, north of the River. Humanitarian partners reported that approximately 300 families (over 1,800 people) had arrived to Khalidiyah camp and the Joint Coordination and Monitoring Center (JCMC) of the Government of Iraq reported that over 770 families (4,600 people) had arrived to Kilo 18, some 40 kilometres west of Khalidiyah. Access to safety is precarious, with people needing to pay smugglers or to swim across the Euphrates. Emergency provisions for people on the move, including ready-to-eat food, bottled water and hygiene kits, are available in Khalidiyah. The Ministry of Displacement and Migration sent 1,200 tents to Kilo 18 while shelter partners prepared to set up 300 tents.

Estimated number of displaced people currently sheltering in camps and temporary sites in Anbar. Population figures include people displaced from Fallujah since 23 May 2016 as well as people displaced from other locations and previous periods. Source: Camp Coordination and Camp Management Cluster.

The mission of the United Nations Office for the Coordination of Humanitarian Affairs (OCHA) is to mobilize and coordinate effective and principled humanitarian action in partnership with national and international actors. Coordination Saves Lives Iraq: Humanitarian response to the Fallujah crisis | 2

Humanitarian Response

Protection Needs: Displaced people from the Albu Hawa, Jameela and Al Karmah areas have reportedly been encouraged to return to their home areas within . There are concerns that conditions for safe and voluntary return have not yet been established. Hazardous conditions in the camps, including the extremely high prevalence of scorpions and overstretched basic services remain core concerns. Women and girls, including survivors of gender- based violence (GBV), have faced immense hardship over the past two years living under the control of the Islamic State of Iraq and the Levant (ISIL) and are suffering emotional and psychological distress that requires immediate intervention. Over 60 per cent of the recently displaced people from Fallujah are female, with a high proportion of female-headed households. This, coupled with overcrowding, lack of privacy, and poor access to basic services increases the risk of exposure to GBV, in particular sexual exploitation and abuse. Documentation and legal support are needed for the displaced people who fled Fallujah without their identity documents. Response: The Protection Cluster conducted regular monitoring, including community-level assessments with over 9,000 displaced people, within the Ameriyat al Fallujah, Habbaniyah Tourist City and Khalidiyah camps. Protection partners also visited Kilo 18/7 site in Ramadi District to monitor the situation, following displacement from Jazerat al Khalidiyah and a rapid protection assessment was conducted at Ihsan al Fallujah camp, located near the Bzeibiz area. A mobile team of social workers provided psychosocial support and community awareness sessions to women and girls in the Ameriyat al Falluja, Habbaniyah Tourist City and Khalidiyah areas and commenced case management for newly identified GBV survivors. During the reporting period, nearly 1,300 women and girls have been reached with GBV assistance in Ameriyat al Fallujah, Habbaniyah Tourist City and Khalidiyah camps. Gaps and challenges: Partners have been unable to fully establish critical psychosocial support and case management activities; safe areas for women and girls where they can receive information and begin the healing process; or mental health services, medical care, legal support and protection for those deeply traumatized or otherwise requiring higher level support. Funding, supplies and personnel are insufficient. Capacity building on specific areas of technical protection expertise remains a key gap. Support to ensure proper clinical management of most severe cases of GBV needs to be made available in all medical installations.

Shelter and Non-Food Items Needs: Up to an estimated 2,000 families require further shelter assistance. All those living in the open air have been provided with emergency arrangements. However, there are families living in unfinished structures such as communal kitchens under construction, rub halls, schools and mosques, which require further support. The construction of a further five camps (two in Ameriyat al Fallujah, two in Habbaniyah Tourist City and one in Khalidiyah) by cluster partners will address these shelter needs. Response: A cluster partner installed 755 tents in three sub-camps of Khalidiyah and Habbaniyah Tourist City and displaced families have already started to move in. A S-NFI partner started to install one new camp in Khalidiyah with 250 tents while a further 500 tents will be prepositioned in Ameriyat al Fallujah and 500 tents in Habbaniyah Tourist City on 2 July. Some 300 tents were dispatched on 1 July to the Kilo 18/7 sites to provide immediate shelter for those displaced during the week from Jazeerat Al-Khalidiyah. Over 1,950 core relief item kits were distributed in Ameriyat al Fallujah and Khalidiyah central camp during the reporting period. Some 1,600 displaced households in Khalidiyah received essential household items, together with food and hygiene parcels, on 23 and 24 June; another 1,000 families in the Bzeibiz area received the same package of aid on 29 June. To support coordination, the S- NFI Cluster established an Action Group for Anbar to increase communication among the partners. Gaps and challenges: Insecurity and military operations during the week prevented the movements of trucks transporting tents and emergency household items to various displacement camps and settlements.

Water, Sanitation and Hygiene (WASH) Needs: Improving access to sanitation remains a significant need. The WASH Cluster is aiming to reach the minimum standard of one latrine for 50 people over the next month. Currently, facilities completed or under installation, meet the needs of over one-third of all people. Over 950 latrines and nearly 500 showers are being

United Nations Office for the Coordination of Humanitarian Affairs (OCHA) Coordination Saves Lives | www.unocha.org Iraq: Humanitarian response to the Fallujah crisis | 3 dispatched to the camps. While the overall average water supply through water trucking and Reverse Osmosis (RO) units has been significantly improved, there remain gaps in assuring and sustaining equitable supply of the minimum rate of 20 liters per person per day across all camps, and particularly the supply of at least five liters of drinking water per person per day. This remains a key priority for the cluster to ensure health and well-being of the people facing extreme summer temperatures. Response:  Amiriyat al Fallujah (AAF) camps: Water infrastructure is being ramped up and on-going services continue in all sub-camps. Some 1,000 litres of drinking water were trucked to the mosque and sub-camp 13 during the reporting period. Eight water tanks with 2,000 litre capacity were installed in camp 31 and the school camp. Preparations were made to install 13 bladders of 5 m3 in camp 30 and 28 in Bzeibiz Camp 74. Daily water production from RO units continued with a current average supply 180 m3 through 5 units; one unit is under maintenance. Daily water trucking continued at an average of 1,860 m3 chlorinated domestic water and 302 m3 drinking water. Some 26 latrines were installed in camp 30; four septic tanks were constructed and 14 latrines were installed in camp 28. Some 42 elevated water tanks of 5,000 litres in camps 16, 17, 22, 23, 24, 25 and 26 are pending finalization. Partners continued cleaning campaigns for latrines and showers in new and old camps, as well as garbage removal and hygiene promotion.  Al Khalidiyah camps: At the UNHCR camp, the construction continued of 112 latrines, 80 showers (including sanitation units with facilities for people with disabilities) and 8 (2,000 litre) water tanks. The RO unit is now operational, producing 50 m3 of drinking water daily. An additional eight latrines, eight showers and 20 water tanks (2,000 litre) were installed in the UNHCR sector and in Khalidiyah Al Smoud camp sectors.  Habbaniyah Tourist City camps: A cleaning campaign was completed at the mosque and surrounding areas. Nine groups of sanitation facilities were built in Tahrier-I and Tahrier II camp extensions. Each group consists of two female and male latrines, one shower and one water tank. In Fallujah camp, a WASH partner is installing eight latrines, eight showers and four water tanks (5,000 litres). Anbar provincial authorities provided and completed installation of 50 (1,000 litre) water tanks, 15 in Fallujah camp, 15 in F-4 camp, and 20 in F-2 camp. Cluster partners distributed four sets of bottled drinking water per family to 2,500 families in all the outside camps. RO units continue to provide 49 m3 drinking water per day while 940 m3 of domestic water was trucked to the camp every day. Local authorities provide displaced families in informal settlements with drinking water from a compact water treatment unit in Khalidiyah by water trucking (15m3 daily). Gaps and challenges: Improving access to sanitation remains a significant need. Assuring routine cleaning and maintenance of latrine facilities remains a key challenge. Efforts to support this continue through the WASH service centres and NGO partner. Assuring and sustaining equitable supply of the minimum rate of 20 litres per person per day across all camps, and particularly supply of at least five litres of drinking water per person per day remains a key priority for the cluster. Lack of precise numbers of displaced people per location, plus fluid movements of displaced people between various sectors of the Ameriyat al Falluja camps, make it difficult to determine coverage rates and gaps and guarantee sustained operations and maintenance of WASH facilities.

Food Security Needs: Over 85,000 who fled Fallujah and surroundings since 23 May need continued food assistance. Response: Some 50,000 displaced people received food assistance during the reporting period. In the Khalidiyah camps, cluster partners distributed 5,000 food parcels with dry food and nearly 3,300 cooking sets including stoves in Khalidiyah camp. Some 1,500 hot meals were also distributed each day in Khalidiyah Al Smoud camp sectors and local volunteers distributed 500 hot meals for Iftar and 462 food parcels for the families in the sub-camp 3. In Ameriyat al Fallujah, partners provided 25,000 people with 5,600 dry food parcels and 200 rations in Bzeibiz area to cover the needs of one family of five for approximately three weeks. In Kilo 18, a partner provided dry food parcels to 1,500 families on 30 June and ready-to-eat meals were distributed to the latest arrivals from Jazeera Al Khalidiyah. Figures are still being confirmed. Gaps and challenges: Cluster partners are concerned about the lack of coverage amongst families that lived in Ameriyat al Falluja camp before those displaced from Fallujah arrived. Poor access and conflicting information on camp locations, populations, and names remain a challenge.

United Nations Office for the Coordination of Humanitarian Affairs (OCHA) Coordination Saves Lives | www.unocha.org Iraq: Humanitarian response to the Fallujah crisis | 4

Camp Coordination and Camp Management Needs: Electricity is unavailable in many camps in Ameriyat al Fallujah, Habbaniyah Tourist City and Khalidiyah, which has dire effects as displaced people are braving extreme summer temperatures. Response: Three generators were provided to Khalidiyah camps by a local actor. A CCCM partner installed 12 generators and additional five are planned to be installed in the camps in Anbar. Bzeibiz central camp has been connected with the national electricity grid by camp management. On 27 June, the CCCM Cluster conducted a one-day session on camp coordination and camp management for nine camp managers and field staff in Baghdad who will be assigned in Bzeibiz, Habbaniyah Tourist City and Khalidiyah camp sites. Gaps and challenges: Movements of trucks within Anbar have been hindered at the checkpoints due to the curfew imposed during the military operations conducted during the week. Funds are needed to continue building capacity for NGOs, local authorities and agencies’ staff to handle the response and providing of services according to international standards.

Health Needs: Health and hygiene promotion activities at the tent/household level as well as referrals to available services in all camps are needed. Response: From 25 to 30 June, Health Cluster partners provided consultations to over 7,700 people, including over 100 emergency referrals, over 360 reproductive health care and 24 mental health consultations in the different camps. Top morbidities included gastroenteritis, chest infections, urinary tract infection and skin infestations. A shipment of medicines was delivered to Health partners, to be used in Al-Salam primary health care clinic (PHCC), Dary-1 and Dary-2 PHCCs in Ameriyat al Fallujah IDP complex. Four ambulances have been delivered to Anbar Directorate of Health to help with referrals. Twenty-four teams conducted a vaccination campaign for displaced children from Fallujah in the camps. From 24 to 30 June, over 700 children were vaccinated against polio and over 9,000 against measles. In total, over 18,000 displaced children from Fallujah were vaccinated against polio and over 15,600 children from 9 months to 15 years against measles. Gaps and challenges: The medical supply chain remains as a challenge for some health partners. Staffing remains a challenge to respond to new movements of people.

Rapid Response Mechanism

Needs: Rapid Response Mechanism (RRM) partners are able to cover most of the immediate needs of accessible displaced people that have been screened by security forces. Due to the increasing summer temperatures partners have doubled the quantity of water in each RRM kit from 18 liters to 36 liters per family. Response: Some 1,914 RRM kits were distributed to 8,239 newly displaced people (1,620 families) in the reporting period. Most of the distributions took place in Anbar and Salah Al-Din. In addition, over 360 dignity kits were distributed in Ameriyat al Fallujah and Kilo 18/7 sites. Gaps and challenges: The temporary closure of the Bzeibiz Bridge negatively affected the movement of partner staff to the camps and transportation of goods. There is significant delay between displaced people receiving the RRM kits for immediate response and the provision of second line assistance.

Coordination Needs: The Humanitarian Country Team held in-depth discussions on the Fallujah response during its meeting on 21 June and identified that area-based field coordination in Ameriyat al-Fallujah, Habbaniyah Tourist City and Khalidiyah is a critical need, particularly as insecurity continues to limit the presence of coordination staff in the Anbar Governorate. Response: The Iraq Humanitarian Pooled Fund is considering allocations in support of expanding area-based coordination via NGO partners. Consideration of possible ways to rapidly fill this critical gap is ongoing.

For further information, please contact: Cecilia Attefors, Humanitarian Affairs Officer, [email protected], Tel. (+964) 751 135 2880 Philippe Kropf, Communications Officer, [email protected], Tel. (+964) 751 135 2875

United Nations Office for the Coordination of Humanitarian Affairs (OCHA) Coordination Saves Lives | www.unocha.org