Humanitarian aid during the Syrian Civil War

The main effort is coordinated by Jacy Singh of the United Nations Office for the Coordination of Humanitarian Affairs (UNOCHA) in accordance with General Assembly Resolution 46/182.[4] The primary framework for this coordination was initially the Syria Humanitarian Assistance Response Plan (SHARP) which appealed for US$1.41 billion in 2013 to meet the humanitarian needs of Syrians affected by the conflict.[5] The official United Nations data on the humanitarian situation and response is available online.[6] UNOCHA also provides information to the affected population in Arabic on Facebook[7] and in English on Twitter.[8]

In September 2014, UNOCHA's operations in Syria, Turkey and Jordan were brought together into a single response framework, and drafted the 2015 Humanitarian Needs Overview (HNO) and the 2015 Syria Strategic Response Plan (SRP).[9] A united appeal for Syria was launched, and in February 2015, the Whole of Syria (WoS) approach was formalized with the implementation of the 2015 SRP.[10][11]

An internal evaluation of UNOCHA's efforts painted a gloomy picture of the situation in Syria, but was positive regarding UNOCHA's work, and the new WoS approach.[12] The report identified that: "Against this backdrop OCHA has achieved some notable successes. The long drawn-out struggle to gain access to people in need is far from over, but it is much enhanced by the Security Council resolutions approved in 2014. This was directly the work of OCHA and the campaigning work of the ERC. OCHA has also struggled at times, notably in delivering on its coordination mandate that has been contested in all of the operational contexts at one time or another. The current trajectory is positive, as are attempts to unify the formerly fragmented response under the WoS initiative."

However, since the report, the aid situation has once again deteriorated. More than seventy aid groups, including the Syrian American Medical Society and the Syrian Civil Defense, withdrew from UNOCHA's "Whole of Syria" aid campaign on 8 September 2016, alleging that the UN and the Syrian Arab Red Crescent were allowing the Syrian government to interfere with aid.[13] On 19 September, an attack hit a UN-Red Crescent aid convoy in rebel-held Urum al-Kubra, killing at least 14 people and destroying 18 truckloads of food, according to the International Federation of Red Cross and Red Crescent Societies.[14][15] The vehicles were hit by around five missiles while parked at a Red Crescent warehouse for unloading.[15] Stephen O'Brien, UN Under-Secretary-General for Humanitarian Affairs and Emergency Relief Coordinator, said that if the targeting was deliberate it would be a war crime.[14] Anonymous U.S. officials blamed Russia, saying two Russian Sukhoi Su-24 warplanes were flying over the aid convoy at the precise time it was struck.[16] The Russian Defense Ministry, however, denied that either its forces or the Syrian air force were responsible and disputed the contention that the UN vehicles had been hit by any munitions, insinuating that the Syrian Civil Defense may have somehow been involved in the cargo catching fire.[17] In the wake of the attack, the UN halted all humanitarian aid convoys in Syria, blaming the security situation.[18]

Within the countries neighbour Syria that are hosting Syrian refugees the Office of the United Nations High Commissioner for Refugees (UNHCR), also known as the UN Refugee Agency, is mandated to protect and support Syrian refugees in their voluntary repatriation, local integration or resettlement to a third country. The main framework for coordinating the refugee response is the Syria Regional Response Plan (RRP).[19] Detailed and up-to-date information on the refugee situation can be accessed on the Inter-agency Information Sharing Portal,[20] which is maintained by UNHCR.

The World Health Organization has reported that 35% of the country's hospitals are out of service and, depending upon the region, up to 70% of the health care professionals have fled. Cases of diarrhoea and hepatitis-A have increased by more than twofold since the beginning of the year. Due to the fighting the normal vaccination programs cannot be undertaken. The displaced refugees also may pose a risk to the countries to which they have fled.[21]

The UN World Food Program (WFP) is responsible for the distribution of most emergency food aid in Syria.[1]

Outside the SHARP and the RRP mechanism, the International Committee of the Red Cross, in partnership with the Syrian Arab Red Crescent, has been providing water, food, medical materials and other items to millions people affected by the fighting.[22] ragmented response under the WoS initiative."

The EU provided €374 million in humanitarian assistance to the Syria crisis in 2015. In addition member states have provided another €4.5 billion. In November 2015 the EU created the €3 billion Refugee Facility for Turkey to deliver support to Syrian refugees and host communities in Turkey.[25]

From 2012 until 2018, Ireland has sent €100 million to Syria.[3]

USAID and other government agencies in US delivered nearly $385 million of aid items to Syria in 2012 and 2013. On 4 February 2016, US Secretary of State John Kerry announced another $601 million in new humanitarian funding for Syria and neighboring countries, bringing its total contribution to more than $5.1 billion in humanitarian assistance.[26] The US is providing food aid, medical supplies, emergency and basic health care, shelter materials, clean water, hygiene education and supplies, and other relief supplies.[1][27] Islamic Relief has stocked 30 hospitals and sent hundreds of thousands of medical and food parcels.[28]

In late 2019, the Pentagon asked for authority to spend up to $25 million in logistical support to diplomats and aid workers in Middle Eastern war zones, including Syria. [29] This would allow State Department and USAID officers to be detailed to the military to protect them to proceed with stabilization efforts. The Deputy Secretary of Defense Mick Mulroy said that this authority would help the Department of Defense to enable the State Department and the USAID to conduct stabilization operations and humanitarian assistance. [30]

The United Kingdom has allocated over £1 billion (c. $1.6 billion) in aid since 2012 to over 30 aid organisations and partners including United Nations agencies, international non-governmental organisations and the Red Cross. The aid is aimed at meeting the immediate needs of vulnerable people in Syria and of refugees in other countries in the region including Jordan, Lebanon, Turkey, Iraq and Egypt. Additional funds have been allocated by the Department for International Development to help build longer-term stability in the region.[31][32][33][34]

The Norwegian government has provided 2.65 billion NOK (approx. $338.5 million) in humanitarian aid to Syria and its neighboring countries since the beginning of the unrest in 2011. [35]

Iran has been exporting between 500 and 800 tonnes of flour daily, by sea and land, to Syria.[36] Only on December 2, Iran send 3rd consignment of relief aid to Syria's Aleppo. The head of the Relief and Rescue Organization of the Iranian Red Crescent Society (IRCS), Morteza Salimi, told IRIB that the shipment included 150,000 food cans. He added that two consignments of relief aid, weighing about 80 tonnes, have already been sent to the crisis-hit city over the past two days. They included tents, blankets and oil heaters. The IRCS official noted that Iran has so far dispatched 28,000 blankets, 400 tents, 800 rugs, 5,000 oil heaters, 1,400 boxes of dried bread, eight tonnes of medicines, 700 sets of dishware and 165,000 food cans to people in Aleppo.

Israel began providing assistance to wounded Syrian civilians from the onset of the Syrian civil war. The aid consisted of medical care, water, electricity, education or food and was given to Syrians near the ceasefire line between Israel and Syria, often escorted across by Israeli soldiers. Over 200,000 Syrians received such aid, and more than 4,000 of them were been treated in Israeli hospitals from 2013 to September 2018.[37][38][39] Many of the treated victims were civilians, often children.[40] According to rebels, this number included 250 opposition fighters out of the 700 Syrians who had been treated in Israel as of 2014.[41] In the summer of 2017 Israel enabled the opening of a field clinic, "Camp Ichay", in the central area of the Golan Hights, across the border fence. The hospital, responsible for an area of 80,000 people, was operated by an american humanitarian organisation "Friendships", took care of about 10% of the population, before having to shut down a year later.

The Israel Defense Forces granted special permits for Syrians who were critically injured to enter Israel and obtain the necessary medical treatment; the IDF escorted them to and from the hospital.[42] The majority of the injured Syrians were been sent to the Ziv Medical Center in Safed, where the director of the trauma center stated: "we don’t know who we’re treating, armed or not armed, wearing uniform or not wearing uniform. Because of the critical condition in which many of them arrive, we don’t question who they are. It is irrelevant. They are patients and are treated with the best measures we have in the hospital. Everyone gets the same treatment".[42] The Israel Defense Forces also set up a field hospital along the border to help treat less threatening injuries.[43][44]

It was also claimed that in addition to Syrian civilians, Israel was providing medical treatment for rebels in Syria.[45][46][47] and allowed some fighters to cross the ceasefire line in Golan Heights to seek medical treatment on the Israeli-controlled side.[48] The Syrian ambassador to the UN, Bashar al-Ja'afari, also accused Israel of helping Jabhat al-Nusra and treating their wounded in the Golan Heights area.[49] However, according to Rubin Center for Research in International Affairs, "There is no evidence Israel gives aid to Nusra", even though some individual fighters might get treatment and no evidence that Israel supplies them with aid and cash the way they give aid to Fursan."[50] Reportedly, Israel also provided medical and humanitarian aid to Fursan al-Jawlan. Diesel fuel was given to work water pumps so the local cattle could drink.

In September 2018, Israel announced that it was ending the aid programme, dubbed "Operation Good Neighbor".[51]

On 26 April 2013 a humanitarian convoy, inspired by Gaza Flotilla, departed from Turkey to Syria. Called Hayat (Life), it is set to deliver aid items to IDPs inside Syria and refugees in neighboring countries: Turkey, Lebanon, Jordan, Iraq and Egypt.[52]

On 20 October 2016, a Russian plane carrying Serbian aid including food, medicine, and clothes arrived in Syria. The aid was destined for Aleppo.[53]

In January 2016, Russia delivered 22 tonnes of humanitarian aid to several Syrian cities.[54][55]

In mid-February 2016 Syrian military transport planes with the support of Russian fighters Su-30 brought another batch of the joint Russian-Syrian humanitarian aid to the inhabitants of the besieged militants city of Deir ez-Zor. The cargo parachute attached to the P-7 platform was parachuted in from a height of 4 km in the government-controlled areas of Deir ez Zor – the administrative center of the eponymous province in the north-east of the country. The total humanitarian aid weight dropped on parachute more than 50 tonnes.[56]

On 19 September, an airstrike hit a UN-Red Crescent aid convoy in rebel-held Urum al-Kubra, killing at least 14 people and destroying 18 truckloads of food, according to the International Federation of Red Cross and Red Crescent Societies.[14][15] The vehicles were hit by around five missiles while parked at a Red Crescent warehouse for unloading.[15] Stephen O'Brien, UN Under-Secretary-General for Humanitarian Affairs and Emergency Relief Coordinator, said that if the targeting was deliberate it would be a war crime.[14] Latter the UN Commission named the Syrian Air Force as the sole perpetrator of the attack.[57]

In US Congress, the not yet passed bill, Stop UN Support for Assad Act aims to prevent the United Nations from misdirecting United States funds to Assad.[58]