Syrians face staggering needs amid insecurity and healthcare crisis

Posted on May 23, 2025 by Arun Kumar

Wrapping up a visit to the country, Edem Wosornu, who heads operations and advocacy for the UN humanitarian affairs coordination office (OCHA) said that she could “feel the momentum for change” on the ground after years of suffering and hardship under the Assad regime ended with its overthrow last December.

But formidable challenges remain as 16.5 million Syrians require humanitarian assistance and protection, and needs are “staggering”.

Speaking from Gaziantep, a humanitarian hub in Türkiye just across the Syrian border, Ms. Wosornu noted an “encouraging trend of returns” since last December.

Over one million internally displaced people have come back to their areas of origin, she said, and more than half a million refugees have returned from neighbouring countries according to the UN refugee agency (UNHCR).

Devastated homes and opportunities

The OCHA official cited insecurity, damaged homes, inadequate services, lack of livelihood opportunities and the threat of unexploded ordnance as “key barriers” preventing people returning.

“People say, first and foremost they want security,” she stressed.

While the level of hostilities in the country has subsided, Ms. Wosornu said, localized tensions and clashes remain a “major concern”.

Remnants of heavy fighting pose a continued threat to civilians, said Dr Altaf Musani, the UN World Health Organization (WHO)’s Director of Health Emergencies.

He pointed to at least 909 casualties from unexploded ordnance since December 2024, including some 400 deaths – a majority of them women and children.

“We’re starting to see the admission rates and consultation rates in emergency rooms increase… Children and women, going about their daily life, trying to get water, trying to get food, trying to rebuild,” are walking through agricultural land, roads and rivers where unexploded munitions could be hiding, he said.

Camp residents at highest risk

Diseases, such as cholera and acute watery diarrhoea, are spreading, Dr. Musani said, stressing that more than 1,444 suspect cases of cholera and seven associated deaths have been recorded.

“This is particularly in Latakia and Aleppo, particularly around displacement camps,” he said.

“We know that when cholera gets hold in camps, it can serve as a brush fire, increasing both morbidity and mortality.”

The WHO official warned that more than 416,000 children in Syria are at risk from severe malnutrition and that more than half of children under five suffering from severe acute malnutrition are not receiving treatment.

“From a public health standpoint, we need to be able to watch that risk and intervene and save those children,” he said.

Boys play in an informal camp in Syria.

Pregnancy dangers

Dr. Musani also noted that half of the maternity hospitals in northwest Syria have suspended operations since September 2024 owing to financial cuts, which humanitarians are “witnessing globally” but which are “really apparent” in Syria.

Underfunding of the humanitarian operation in Syria is already severe. Earlier this week, OCHA’s Coordination Division head, Ramesh Rajasingham, told the Security Council that out of the $2 billion required for the UN and its partners to reach eight million of the most vulnerable people from January through June 2025, only 10 per cent has been received.

The country’s cash-strapped health facilities face a lack of skilled workers and equipment, said WHO’s Dr. Musani. The war had pushed some 50 to 70 per cent of the health workforce to leave the country in search of other opportunities, and the health infrastructure is in dire need of investment.

The WHO official noted that for the health system – the “heartbeat of the nation” – the sanctions imposed on the country during the Assad regime had resulted in a lack of much-needed upgrades, compromising the purchase of new MRI machines, CT scanners, laboratory equipment and software upgrades.

Over the past two weeks, both the United States and the European Union have moved to lift the sanctions. OCHA’s Ms. Wosornu expressed hope that thanks to this development “we’ll see the impact on goods and services, on the cost of doing operations in the country, on the ability to move goods quicker into the country”.

But “it will take time”, she added. “I believe the people of Syria are hopeful that this will change their everyday lives.”

Haiti: Displaced children face sexual violence risk

Posted on May 22, 2025 by Pallavi Guha

Since the assassination of President Jovenel Moïse in 2021, gang violence has permeated the capital Port-au-Prince and expanded into other regions, displacing over one million people.

The International Organization for Migration (IOM) estimates that more than half of the displaced are children, meaning one in eight Haitian children has been uprooted in recent years.

Children on the frontlines

Such displacement puts an already vulnerable population further at risk, increasing their chances of malnutrition, sexual violence and abuse. The UN Children’s Fund (UNICEF) has documented a 1,000 per cent increase in sexual violence against children between 2023 and 2024.

Continued displacement also puts children at risk of being recruited by gangs – they are already estimated to make up 50 per cent of all gangs in Haiti.

OCHA said the shocking death of a six-year-old girl on 3 May after she was brutally raped in a temporary displacement site in Port-au-Prince was a stark reminder of the extreme dangers faced by children living in highly precarious conditions.

“This intolerable act shakes our conscience,” the UN Humanitarian Coordinator in Haiti, Ulrika Richardson, said in a statement.

‘No child should ever endure such violence. We hope that justice will be served.”

‘We cannot look away’

Despite increased challenges to providing aid in Haiti, UN humanitarian partners have stepped up efforts to support survivors of sexual violence across affected regions.

In the past few months, over 6,000 people, many of whom are women and children, have received psychosocial care. Additionally, 745 dignity kits have been distributed and 600 people have been reached by an increasing number of mobile care clinics.

Partners are also implementing legal, medical and socio-economic reintegration services.

However, the ability of UN agencies and partners to continue distributing this aid is impaired by severe underfunding. In relation to gender-based violence alone, the UN has only received five percent of the $11 million needed to continue providing life-saving services.

Ms. Richardson upheld the UN’s commitment to children in Haiti

“We cannot look away,” she said. “The suffering of Haiti’s children is a call to our collective humanity. Acting together, in a coordinated and determined manner, is more necessary than ever to protect civilians and secure displacement sites.”

Deported migrants pass the border between the Dominican Republic and Haiti in Ouanaminthe.

Pregnant women deported

UN humanitarians in Haiti have also expressed deep concern over the growing number of pregnant and breastfeeding women being deported from neighbouring Dominican Republic, in violation of international standards.

For the past month, approximately 30 women who are pregnant or breastfeeding have been treated at humanitarian centres on the Haitian border.

“These expulsions raise serious humanitarian and human rights concerns, particularly when they involve pregnant women or mothers with very young children,” Ms. Richardson said.

The deportations are part of a larger increase which witnessed over 20,000 deportations from the Dominican Republic in April alone, the highest number on record.

The UN team in Haiti called for regional solidarity and migrational policies which uphold human dignity.

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Gazans face hunger crisis as aid blockade nears two months

Posted on April 29, 2025 by Pallavi Guha

Both the UN agency that assists Palestine refugees, UNRWA, and the World Food Programme (WFP) report that food stocks are now exhausted, even as supplies of lifesaving assistance pile up at border crossings waiting to be brought in.

Humanitarians continue to warn that hunger is spreading and deepening in the enclave, amid the blockage, access constraints, ongoing Israeli military operations and a rise in looting.

Scarcity, sharing and shame

UNRWA shared the testimony of a woman called Um Muhammad who is staying at a shelter in Gaza City and prepares food for 11 family members daily. Although she still has some flour, most families nearby have already run out.

“When I knead and bake, I feel very ashamed of myself, so I distribute some bread to the children who come asking for a piece of bread,” she said.

“We eat one meal a day, dividing bread among each person daily. We eat canned goods, lentils, and rice. When this stock runs out, I don’t know what we will do because what is available in the market is scarce.”

Longest blockade

Gaza has a population of more than two million people who mostly depend on aid, but no humanitarian or commercial supplies have entered since 2 March when Israel imposed a full blockade on the territory.

This is by far the longest ban on aid moving into the Strip since the start of the war in October 2023, following the deadly Hamas-led terror attacks on Israel.

The situation has led to shortages – not just of food, but other items including medicine, shelter supplies and safe water. WFP recently noted a 1,400 per cent increase in food prices when compared to the ceasefire period, which lasted from 19 January to 18 March of this year.

Malnutrition and looting

On Friday, the UN agency delivered its last remaining stocks to hot meals kitchens, which have been a lifeline in recent weeks. The kitchens are expected to fully run out of food within days, and another 16 closed over the weekend. Furthermore, all 25 WFP-supported bakeries are now shuttered.

There has been an increase in reports of looting incidents, the UN humanitarian affairs office OCHA said on Monday. Over the weekend, armed individuals reportedly ransacked a truck in Deir Al-Balah and a warehouse in Gaza City.

Meanwhile, the latest famine review analysis by the Integrated Food Security Phase Classification (IPC) got underway this week.

Humanitarian partners warn that the nutrition situation across Gaza is worsening. Since January, about 10,000 cases of acute malnutrition among children have been identified, including 1,600 cases of severe acute malnutrition.

Although treatment supplies remain available in the south, accessing them continues to be extremely challenging due to operational and security restrictions.

Healthcare also affected

OCHA stressed that the depletion of critical stocks in Gaza goes far beyond food. For example, trauma-related medical supplies are running out at a time when the number of people injured in mass casualty incidents continues to increase.

Gaza also lacks surgical supplies, including gowns, drapes and gloves. The World Health Organization (WHO) informed that their warehouse has run out of therapeutic milk, intravenous antibiotics and painkillers, as well as spare parts for ambulances and oxygen stations. 

Partners working in health add that an increasing number of critical staff are being denied access to Gaza, with a rise in the denial of entry for emergency medical teams, particularly highly specialized professionals – including orthopedic and plastic surgeons – and a recent restriction of movement across the enclave.  

Aid awaiting entry

As the aid ban continues, humanitarians are doing everything possible to reach people with whatever supplies remain available.

They also have stocks of food and other lifesaving items ready and waiting to enter the Gaza Strip as soon as border crossings re-open.

This includes nearly 3,000 UNRWA trucks of aid, while WFP has more than 116,000 metric tonnes of food assistance – enough to feed one million people for up to four months.