MULTISECTORAL NEEDS ASSESSMENT - II
Homs & Hama (SEPTEMBER 2025)
HIGHLIGHTS
- COMPLETE GAP IN HUMANITARIAN ASSISTANCE: STRIKINGLY LOW HUMANITARIAN AID COVERAGE (ONLY 3%).
- HEALTH CARE COLLAPSE: NEARLY 1 IN 4 PEOPLE CANNOT ACCESS THE HEALTH SERVICES THEY URGENTLY NEED.
- MOTHERS & CHILDREN AT RISK: DESPITE HIGH ANC/PNC ATTENDANCE, 26% OF PREGNANCIES END IN LOSS, AND CHILD MALNUTRITION RISKS SOAR DUE TO POOR DIET DIVERSITY AND LACK OF SUPPLEMENTS.
- EDUCATION CRISIS: 1 IN 5 CHILDREN IS OUT OF SCHOOL – POVERTY, CHILD LABOR, AND EARLY MARRIAGE KEEP THEM AWAY FROM CLASSROOMS.
- MENTAL HEALTH EMERGENCY: OVER HALF THE POPULATION REPORTS PSYCHOLOGICAL DISTRESS, YET PROFESSIONAL SUPPORT REMAINS ALMOST INACCESSIBLE.
- RETURN INTENTIONS: SIGNIFICANT PROPORTION WANT TO RETURN, BUT INSECURITY, DESTROYED INFRASTRUCTURE, AND FINANCIAL BARRIERS ARE THE BIGGEST OBSTACLES.
MAIN NEEDS IN HAMA:
- Shelter and living conditions
- Financial resources
- Access to basic services, including health care, water, electricity, and education
MAIN NEEDS IN HOMS:
- Security
- Financial resources
CONTEXT AND PURPOSE OF THE REPORT
Following the political transition in Syria in December 2024, access to reliable information on the humanitarian situation across provinces became essential. To inform humanitarian planning and recovery strategies, Dünya Doktorları (DDD)/Médecins du Monde (MdM) Türkiye conducted a multi-sectoral needs assessment (MSNA) in Homs and Hama governorates during September 2025.
The assessment aimed to:
– Identify communities’ access to basic services.
– Understand barriers to meeting essential needs and accessing basic services
– Inform future humanitarian and early recovery interventions in central Syria.
DATA COLLECTION METHODOLOGY AND DEMOGRAPHICS OF THE SAMPLE
- Sample size: 803 households (Homs 480, Hama 323)
- Gender balance: 57% female, 42% male
- Age groups: Majority (65%) between 18–49 years; elderly (65+) represent 10%.
- Interview sites: Primarily in cities/villages (81%), with smaller shares in camps (10%) and health facilities (7%)
