The assessment aimed at gathering data and providing evidence about main needs as well as challenges faced by conflict-affected households in Afrin district in terms of health, protection, nutrition and psychosocial well-being. The assessment relies on primary data collected through household-level quantitative surveys. In total, 376 respondents were surveyed across 5 communities in Afrin sub-district and Jindires sub-district located in northern Aleppo
governorate in November 2019.
As a result of the assessment, DDD's key findings are as follows in terms of demographics, disability, MHPSS, protection, primary healthcare, maternal health, and food security and nutrition:
DEMOGRPAHICS
• The average household size is 6 members, composed of three male and three female members, including 2 adults, 3 children and 1 elderly member.
• Adults represent 40% of households’ members, followed by children under 13 (38%), while adolescents and elderly people (over 50) only represent 12% and 10% of households members respectively.
• Most households live in informal sites (65%) such as unfinished houses and non-residential premises, while 32% reside in formal sites such as rented or private houses.
• Most of households are male-headed (93%), with the average age of the head of household is 43 years old.
• Most households are hosted by host communities as – on average, half of households’ members are IDPs, mostly from Idleb, Aleppo, Deir-ez-Zor, Damascus/Al-Ghouta governorates.
DISABILITY
• 70% of households have at least one member with one or more disability and/or impairment, including visual impairment (38%), mobility issues (38%), cognitive impairment (20%), hearing problems (18%), communication difficulty (15%) and self-care difficulties (10%).
• Only 8% of households with a member suffering from cognitive impairment have access to specialised services.
• Only 22% households with a member living with physical disability have access to specialised services.
MENTAL HEALTH AND PSYCHO-SOCIAL SUPPORT (MHPSS)
• 55% of the households report having at least one member suffering from stress.
• Relatives and friends are the main support group for people with emotional distress or mental issues reach out to.
• Lack of awareness about MHPSS services available, stigma and cost of services were cited as main reasons for not seeking professional support.
PROTECTION
• 56% of households did not send their children to school in the 30 days prior the assessment.
• Only a small proportion (6%) of households host unaccompanied/separated children. Female-headed are more
likely to care for unaccompanied/separated children.
• Child labour is highly prevalent in Afrin district as reported by 72% of households.
• 73% of respondents and their households do not feel safe or feel partially safe in their community.
• Intra-household violence and physical and/or sexual violence is high, as reported by 23% and 18% of households, respectively.
• Protection services and safe spaces are scarce in Afrin district. 82% of households do not have access to any psychosocial support and/or community space and 53% reported a lack of safe spaces for women and girls.
PRIMARY HEALTHCARE
• One in five households cannot access healthcare services when needed.
• Main barriers to healthcare services include distance, transportation costs, costs of treatment and medication,
inexistence of health services nearby and lack of specialised services.
• One in four households would require home visit due to family responsibility (42%), inability to leave their home (23%), chronic conditions (16%) and/or physical or mental disability (19%).
• One in five (22%) was not able to receive treatment after getting sick in the last three months.
• Half of households have at least one member with health issues, and 32% with a chronic condition.
• Households reported prevalence of diarrhoea (34%), leishamniasis (6%) and respiratory illness (30%) in the last 30 days.
• Children in 77% of households have been vaccinated and receive regular follow-up.
MATERNAL HEALTH
• 83% of pregnant women have received ante-natal care, yet only 7% have received post-natal care.
• 28% of pregnant women have not received any maternity kits, ultrasounds, tetanus vaccinations, or prenatal vitamins during their pregnancy.
• 79% of households have positive perceptions regarding family planning, yet only 53% have access to family planning services.
FOOD SECURITY AD NUTRITION
• Households consume an average of 2 meals a day.
• 46% declared facing difficulties feeding their children aged 0-5 months.
• 25% face difficulty feeding their children aged 6-23 months.
To read and download the full assessment, please click the link below:
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