Updated June 21, 2018
Syria’s Humanitarian and Protection Crisis: Current Status
The humanitarian and protection needs of the Syrian 
number is imprecise and fluid. Displacement shifts as the 
population have increased in manifold ways since the start 
situation on the ground evolves. Many Syrians, some of 
of the Syrian conflict in March 2011. Years of war have 
whom have been displaced multiple times within the 
contributed to the vulnerability of millions of Syrians and 
country, leave their homes to escape violence and then 
led to an estimated 250,000 to 500,000 deaths since 2011. 
return when conflict in their area decreases. It is not clear 
The majority of Syria’s remaining population (estimated to 
how many IDPs are affected by repeat displacements, or if, 
be about 17 million in 2016) requires humanitarian and 
or how often, they are included in IDP counts. Many IDPs 
protection assistance. The United States is the largest 
stay in unofficial shelters, unfinished buildings, makeshift 
humanitarian donor to Syria, and Congress may seek to 
accommodations, and unofficial camps. IDPs are 
further review U.S. funding and programs as well as 
predominantly women, children, and the elderly.  The most 
address ongoing challenges, such as those associated with 
vulnerable members of communities hosting refugees have 
civilian protection. 
been targeted for assistance. Syria also hosts refugees from 
Scope of the Humanitarian Needs 
elsewhere, including 30,000 Iraqis. Other populations have 
been vulnerable to the conflict, particularly the remaining 
In its 2018 Humanitarian Needs Overview, the U.N. Office 
420,000 Palestinian refugees. New displacements continue 
for the Coordination of Humanitarian Affairs (UNOCHA) 
to occur in areas where there is fighting.  
estimated that nearly 69% of the Syrian population lives in 
extreme poverty, with a majority in dire circumstances. 
In addition, according to the U.N. High Commissioner for 
Refugees (UNHCR), more than 5.6 million Syrians have 
Syrian Population: Key Indicators of Need 
registered as refugees abroad, with most fleeing to countries 
in the immediate surrounding region (Turkey, Lebanon, 
 
9 mil ion people are food insecure (54% of population);  
Jordan, Iraq, and Egypt) as well as Europe, where many 
 
7.6 mil ion people are estimated to be in need of water, 
Syrians have applied for asylum. Experts recognize that 
sanitation, and hygiene (WASH) assistance; 
some fleeing Syrians have not registered as refugees and 
 
11.3 mil ion people require health assistance (due to injuries, 
have chosen instead to blend in with the local population, 
disease outbreaks, serious medical conditions and 
living in rented accommodations and makeshift shelters, 
disabilities), and many have limited or no access to health 
particularly in towns and cities. UNOCHA estimates that 
services due to attacks on health infrastructure and 
85% of all Syrian refugees are living outside camps in 
personnel;  
mostly urban settings, where refugees are often more 
 
1.75 mil ion school-age children are out of school; and 
difficult to identify and assist.  
 
mil ions of people need shelter, and many others are without 
Civilian Protection and Access Concerns 
adequate housing due to damage or destruction of 
Systematic violations of human rights and international 
infrastructure. 
humanitarian law (IHL) have been widespread by all 
For the 5.3 million children affected by the conflict, the 
parties, including the Islamic State. Civilian protection 
impact can be seen in profound, life-changing ways. Many 
concerns include mass executions, systematic rape and 
have lost parents and siblings and experienced 
sexual violence, torture, and appalling treatment of those in 
psychological trauma or physical injury. Experts note a 
detention. Conflict has also resulted in high levels of 
sharp increase in child labor and other activities of an 
civilian casualties, exposure to explosive hazards, and 
exploitative and illicit nature involving children.  
indiscriminate attacks.  Groups with greater vulnerability 
Population Displacement and Movement  include children, youth, women and girls, people with 
chronic illness, disabilities, and injuries, and the elderly. 
Shifting frontlines, changeable territorial control, and high 
According to many observers, religious and ethnic 
levels of violence also make the provision of humanitarian 
minorities have been under threat, and the security situation 
assistance difficult if not impossible in some areas. As of 
has had a major impact on their wellbeing. 
May 2018, an estimated 13.1 million people inside Syria, 
more than three quarters of the population, need assistance, 
The protection of civilians in conflict is closely 
including 5.6 million Syrians facing particularly acute 
intertwined with a lack of access to populations and 
needs due in part to conditions of displacement, exposure to 
the safe provision of assistance. 
hostilities, and limited access to basic goods and services.   
Approximately 2.98 million people of those in acute need 
National and international humanitarian efforts have been 
are living in hard-to-reach areas controlled by Syrian 
severely constrained in providing assistance and protection 
government forces, opposition forces, or terrorist 
to IDPs and others affected by the conflict in Syria due to 
organizations.  
restrictions imposed by the parties to the conflict. 
Experts estimate that there are more than 6.1 million 
Government and opposition interference, the closure of key 
Internally Displaced Persons (IDPs) in Syria, but this 
border points, bureaucratic procedures, and resource 
https://crsreports.congress.gov 
Syria’s Humanitarian and Protection Crisis: Current Status 
shortfalls continue to hinder aid delivery, particularly to 
insecurity are attributed to the decision by some to risk the 
those living in besieged and hard-to-reach areas. Beyond 
dangerous journey away from the region, with many fleeing 
the security situation for aid convoys, the United Nations 
to Europe and expanding the crisis’s impact. 
also has reported on the challenges of procuring the 
Humanitarian Funding 
necessary permits from the Syrian government to deliver 
In December 2017, the United Nations, along with 
aid to several areas it is otherwise ready to reach.    
humanitarian partners, launched several 2018 appeals for 
International Response 
Syria, including the Regional Refugee and Resilience Plan 
The international humanitarian response is massive and 
(3RP) for $5.61 billion and the Humanitarian Response 
complex and aims to keep pace with urgent developments 
Plan (HRP) for $3.51 billion. Since 2011, U.N. appeals 
as the crisis in the region continues to escalate. U.N-led, 
have consistently remained underfunded and resulted in 
multiagency cross-line convoys (between government-held 
cuts to food aid and cash assistance. According to UNHCR, 
and opposition-held areas) and cross-border operations 
chronic funding shortages greatly limit aid programs for 
(from Turkey and Jordan to Syria) provide humanitarian 
refugees and host communities in the region. As of June 21, 
assistance to millions of people across the country each 
2018, the 3RP appeal was 36.9% funded and the appeal for 
month, including when possible to besieged locations, with 
Syria was 27.3% funded.  Despite multiyear donor pledges 
basic, life-saving relief including food and medicine.  
and possible loan options from international financial 
institutions to widen the resource base, funding remains 
Selected Civilian Protection Efforts in Syria 
insufficient for immediate needs.  
 
In 2013, the United Nations activated a “Level 3 (L3) 
The United States is the largest humanitarian donor to the 
Emergency” for Syria to mobilize resources for the 
Syria crisis and since FY2012 to May 11, 2018, has 
humanitarian response. The provision of assistance remains 
allocated more than $8 billion to meet humanitarian needs 
dependent on guarantees from all parties to the conflict of 
using existing funding from global humanitarian accounts 
safe and unhindered access, which has not yet been achieved. 
and some reprogrammed funding. U.S. humanitarian policy 
L3 status has been extended until the end of December 
is guided by concerns about humanitarian access and 
2018. 
protection within Syria, the large refugee flows out of the 
country that strain the resources of neighboring countries 
 
In 2014, the U.N. Security Council adopted Resolutions 2139 
and 2165 aimed at increasing humanitarian access and aid 
(and could have a negative impact on the overall stability of 
delivery in Syria. The resolutions (and subsequent related 
the region), and a significantly protracted and escalating 
resolutions renewing their mandate) have explicitly 
humanitarian emergency. Given the complex and dangerous 
recognized Syrian sovereignty, while authorizing the 
operating environment, there are many challenges in the 
expanded delivery of humanitarian assistance without the 
delivery of assistance, including security of staff and 
government’s permission.  
oversight and remote management of programs.   
The Administration’s FY2019 budget request for global 
 
Reports of the U.N. Independent International Commission 
of Inquiry on the Syrian Arab Republic continue to highlight 
humanitarian assistance totals $6.3 billion, which is roughly 
the need for civilian protection.  
33% less than the FY2018 enacted amount ($9.4 billion.) 
The allocations for Syria have not yet been specified. In 
 
The International Committee of the Red Cross (ICRC) 
keeping with established international humanitarian 
continues to raise awareness about the obligations of States 
standards, U.S. humanitarian assistance is provided on the 
to ensure that the parties they support within Syria respect 
basis of need alone and according to the principles of 
and comply with International Humanitarian Law (IHL). 
universality, impartiality, and human dignity.  
In the region, the types of assistance and shelter options 
Outlook 
available to refugees vary in the countries that are hosting 
Areas where fighting has abated often remain unstable and 
them. The added economic, energy, and natural resource 
humanitarian priorities include establishing freedom of 
pressures of large Syrian refugee populations weigh heavily 
movement for civilians, facilitating civilian demining 
on neighboring countries, particularly in Lebanon, Jordan, 
activities, and providing assistance through humanitarian 
and Turkey. The impact on many host communities has 
organizations. Access is critical to any ceasefire as well as 
become overwhelming, especially as the percentage of 
movement towards a political solution, and the pressure on 
registered refugees, compared to a country’s overall 
humanitarian actors to deliver assistance, regardless of 
population, continues to grow.  
these broader developments, remains high. Challenges in 
A priority for the international community has been to 
the provision of lifesaving assistance, ongoing concerns 
increase assistance to host countries and communities and 
about protection of civilians, and extensive violations of 
to encourage neighboring states to keep their borders open 
IHL have also brought into question the limits of 
to those fleeing conflict in Syria. However, as the conflict 
humanitarian action in Syria. Congress may debate 
has continued and escalated, neighboring countries have 
humanitarian assistance and civilian protection measures as 
taken steps to greatly limit official border crossing points or 
it considers the Administration’s FY2019 budget request. 
effectively close the border to refugees entirely, leaving 
Rhoda Margesson, Specialist in International 
thousands of Syrians stranded. Lack of assistance has 
Humanitarian Policy   
reportedly led to an increase in negative coping strategies, 
such as begging, survival sex, and higher debt. Deepening 
IF10648
poverty, lack of legal work options, limited education, and 
 
https://crsreports.congress.gov 
Syria’s Humanitarian and Protection Crisis: Current Status 
 
 
 
Disclaimer This document was prepared by the Congressional Research Service (CRS). CRS serves as nonpartisan shared staff to 
congressional committees and Members of Congress. It operates solely at the behest of and under the direction of Congress. 
Information in a CRS Report should not be relied upon for purposes other than public understanding of information that has 
been provided by CRS to Members of Congress in connection with CRS’s institutional role. CRS Reports, as a work of the 
United States Government, are not subject to copyright protection in the United States. Any CRS Report may be 
reproduced and distributed in its entirety without permission from CRS. However, as a CRS Report may include 
copyrighted images or material from a third party, you may need to obtain the permission of the copyright holder if you 
wish to copy or otherwise use copyrighted material. 
 
https://crsreports.congress.gov | IF10648 · VERSION 7 · UPDATED