12 Mar 13 28 Nov 16

Syria: Two Years On, Humanitarian Assistance in Deadlock

After two years of extremely violent conflict, the humanitarian situation in Syria is now catastrophic and the aid provided falls drastically short of what is needed.  Releasing a report entitled "Syria Two Years On: The Failure of International Aid So Far", Médecins Sans Frontières / Doctors Without Borders (MSF) calls on the parties involved in the conflict to negotiate an agreement on humanitarian aid and to facilitate its supply around the country via neighbouring countries or across front lines. 

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Meanwhile states, the United Nations, and donors must acknowledge the country’s fragmentation and urgently support NGOs to help them provide assistance where they can.    

Health system collapsed

The Syrian population is faced with a conflict of extreme violence and a humanitarian situation of catastrophic proportions: the previously well functioning health system has collapsed; food shortages are commonplace, and water and electricity supply is disrupted.

“Medical aid is being targeted, hospitals destroyed and medical personnel captured,” explains Dr. Marie-Pierre Allié, President of MSF.

According to the United Nations, 2.5 million Syrians have been displaced in the country, while 57% of hospitals have been damaged and 36% are unable to function according to official data. These statistics do not include the private clinics or makeshift hospitals that have been destroyed or damaged.

One million refugees

Over 5,000 Syrians continue to flee the country every day, bringing the total number of refugees to one million people according to UNHCR. Most of these refugees have settled in neighbouring countries, where assistance programmes are insufficient and struggling to respond to the influx of people.

Limited, insufficient and politically-motivated aid distributions

While the needs of the population across Syria and refugees in neighbouring countries are considerable, the aid being provided is largely insufficient. In the government-controlled areas in Syria, aid is managed by the Syrian Arab Red Crescent (SARC) and other local organisations who are authorized by the government to distribute aid. United Nations’ agencies and international aid organisations authorized by the government are obliged to work in partnership with local organisations whose intervention capacity is saturated and restricted to certain geographical areas.

In areas under the opposition’s control, international aid is extremely restricted. The majority of aid to civilians comes from the Syrian diaspora, countries “friendly” with the opposition, and politico-religious welfare networks, and is thus subject to the political agendas of each of these stakeholders. MSF, which due to a lack of government authorization does not have access to Damascus-controlled territories, has been able to open three hospitals in the north of the country and has seen first-hand that aid is largely insufficient to meet the scale of the population’s needs.  

“The Damascus authorities hold the key to breaking this deadlock and removing all obstacles to independent aid across the country” explains Christopher Stokes, General Director of MSF.

“We call on the parties involved in the conflict, for want of political resolution, to reach at least a basic agreement on humanitarian aid to facilitate its provision through the most effective means possible.”

Agreement on aid urgently needed

Country Year © Author/MSF

Faced with this situation, the capacity of the humanitarian organisations to deploy impartial aid throughout Syria must be increased as a matter of urgency.

Such an agreement should stipulate the practical conditions for deploying aid as part of the humanitarian operations carried out from neighbouring states or across the front lines. MSF also calls on belligerent parties to respect all medical structures set up in the country.

In the meantime, the absence of any agreement should not prevent international NGOs taking action anywhere they can, regardless of which authority controls these areas. States and the United Nations must support cross-border humanitarian operations. Moreover, the supply of impartial aid to areas controlled by the opposition and neglected zones must no longer be subject to sanctioning by the Syrian government.