16/10/2013 13:35 BST | Updated 16/10/2013 13:35 BST

Children and Families Trapped in Al Waer, Homs Face Dramatic Worsening of Humanitarian Conditions

An eerie calm descends over Al Waer, an outer suburb of Homs, as we enter an area that is home to some 400,000 people caught in the middle of on-going conflict. I am part of a joint mission, including Unicef, WFP, OCHA, UNDSS, and the Syrian Arab Red Crescent, here to access the humanitarian situation.

Al Waer has been the scene of regular shelling over the past two weeks. Some areas are overseen by snipers, making it hazardous to go in certain areas. To gain safe access for UN staff, permission had to be sought from all parties involved. The shelling effectively stopped during our three-hour visit, bringing a brief respite to the local people. After we left, the calm was shattered with renewed sounds of shelling.

Inundated with displaced families

When the crisis first began in Homs, many families fled from their homes to escape the fighting, seeking shelter in Al Waer, at that time a quiet place on the north-western outskirts of the city. As the crisis spread in Homs, however, Al Waer became inundated with displaced families. They currently represent around half of the residents, or 200,000 people. The area is to a great degree sealed off, with severe restrictions on movement in and out. Access for humanitarian supplies is similarly affected.

Since my last mission it is clear to see that more buildings had been destroyed, with more piles of rubble strewn about. With no one to collect it, garbage accumulates in the streets contributing to disease. Many children bear the marks of insect bites. Other essential services, like health care and education, have deteriorated significantly.

Health care suffering

One of the hospitals, managed by a local partner, was full of patients on my last visit in May 2013, but today it is practically deserted. Its director told me that the number of mothers coming to hospital for delivery services is down by around 70%. Medical supplies are limited. A third of medical staff has left the area, while remaining staff are hardly able to report to work because of the dangers in moving around. The hospital is on the point of closing. Unicef supports two mobile health teams which visit shelters daily, providing medical assistance and assessing the nutritional status of children. Around 72,000 children have been reached since the teams started work in March.

Emergency schooling

Children's education is badly affected. Of the 11 schools in Al Waer which used to support 70,000 children, 10 are being used as shelters for displaced families. The single operating school, which serves around 2,000 children, also devotes some of its limited classroom space to emergency accommodation. Classes that do run are overcrowded. A church basement caters for a further 500 students. Other children learn in the yard or open veranda of schools, where they are exposed to the increasingly cold temperatures and stray bullets Some students have already been wounded.

In the shelters, Unicef supports remedial education classes, linked to psychosocial support, for grade one- six children to catch up with missed learning.

To help reduce classroom overcrowding and provide more children the opportunity to learn, Unicef is negotiating with local partners on the construction of temporary learning spaces. In addition, 13 pre-fabricated classrooms are on their way to the area.

Thousands live in shelters

Although most displaced people in Al Waer live with host families or in rented apartments, around 13,000 displaced people rely on the 38 collective shelters set up in schools and tower blocks.

I visited a shelter in an unfinished building. Conditions were clean but basic. Some rooms are partitioned with plastic sheeting, with up to eight people sharing a room. People sleep on mats on the floor and many windows and doors are open to the outside, which becomes a serious concern with the approach of winter. Children were taking part in a Unicef-supported recreation class. Children I spoke to said that they ran to the basement whenever they heard the sound of shelling.

The biggest concern for mothers I met was the safety of their children amid the shelling. This particular shelter is close to the front lines and could be hit at any time. Winter was another major issue, with a need for children's winter clothing.

"How are we going to keep the children clean during winter if there is no hot water?", one mother asked.

Partner NGOs show incredible commitment

Unicef-supported emergency assistance in Al Waer is provided through the Syria Arab Red Crescent and partner NGOs that demonstrate an incredible commitment to humanity. Their workers risk their lives daily to get vital help to children in need. The health teams for example have come under fire four times in the last month alone. Just a few days ago, the office of one of our partners in Al Waer was hit by a rocket. Fortunately no one was hurt, but computers and vital records were destroyed, putting the programme work in jeopardy.

Al Waer presents extraordinary challenges to the provision of emergency assistance, but we and our partners are committed to continue to help children facing such desperate situations.

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