Where We Work

Lebanon

Syria Refugee Crisis

The crisis is now more than a decade old

A small nation of 5.3 million people, Lebanon hosts more refugees per capita than any other country in the world.

Lebanon is home to 1.5 million Syrian refugees, who have escaped the conflict in their home country. But their struggle is not yet over. Lebanon’s ongoing economic crisis means that 9 out of 10 Syrian refugees in Lebanon need assistance to meet their basic needs, and 84% can’t access the medications they urgently require.

International Medical Corps is working to change that. We have provided essential services—including healthcare, mental health and psychosocial support (MHPSS) and gender-based violence (GBV) prevention and response initiatives—in Lebanon since 2006.

Population

More than 5.3 million 

Syrian Refugees

1.5 million

Estimated to need humanitarian assistance in 2023

3.8 million

Beirut Emergency Response: One Year Overview

On August 4, 2020, Beirut experienced a massive explosion that ripped through the entire city. Hours after the explosion, International Medical Corps teams were supporting survivors. Within the first two weeks, we reached more than 54,000 women, men and children with vital humanitarian aid.

The Challenges

Population Displacement

More than one-quarter of Lebanon’s population are refugees, while more than 90,000 people have been displaced by conflict around the southern border

Widespread Poverty

More than 80% of Lebanon’s population lives in poverty. Inflation has skyrocketed, and unemployment rates are high

Overburdened Healthcare System

The economic crisis, supply shortages and high demand for services have overwhelmed the healthcare system

Our Response

International Medical Corps has played a key role in providing relief to vulnerable people in Lebanon since 2006. Following the 2011 outbreak of armed conflict in Syria, we expanded our programming to meet the basic health and mental health needs of Syrians who sought refuge in Lebanon. We also stepped up our services to respond to the impacts of the financial and economic crisis in 2019, the COVID-19 pandemic, the 2020 Beirut port explosion and the 2022 cholera outbreak. Today, our activities address the needs of refugees and vulnerable Lebanese residing in greater Tripoli, Akkar, Beirut and Mount Lebanon, Bekaa and the South.

Healthcare

International Medical Corps ensures access to quality healthcare services for Syrian refugees, migrants, vulnerable Lebanese and other at-risk people. We do this by supporting a network of more than 50 primary healthcare clinics (PHCCs) and dispensaries across the country, focusing on disease prevention and health maintenance. These health services include routine consultations for common diseases, diagnostic testing, immunizations, referrals, management and reporting of communicable diseases, antenatal care packages, non-communicable disease packages, and screening and assessment for malnutrition and for growth and development. The services we support also include wellness and preventive health benefit packages for children and adults, specialized health services for people with disabilities (PwDs), and homecare services for older people and PwDs.

Enhancing national primary-care capacity is a priority for International Medical Corps. We procure medications based on the essential medication list of the Ministry of Public Health (MoPH) and work closely with PHCCs to ensure that medications are prescribed and dispensed safely and rationally. We also build the capacity of supported PHCCs by coordinating structured training sessions and day-to-day on-site coaching and support, as well as providing financial incentives through a performance-based financing arrangement. This approach improves the quality of services at each facility, helping them maintain their status as members of the MoPH’s Primary Health Care Network and preparing them to meet accreditation requirements in the future.

Awareness-raising and health education through community health clubs are key components of our plan to improve community health-seeking behaviors, limit the spread of infectious diseases, minimize primary and secondary healthcare costs and improve health outcomes. We identify volunteers from local areas and provide them with in-depth training and field coaching to expand outreach in communities, enabling them to become health outreach volunteers who serve as a vital link between PHCCs and the community. They provide referrals and follow-ups for refugees and vulnerable Lebanese in homes, informal settlements and shelters, as well as in schools and underserved neighborhoods.

We also coordinate with local and international partners to organize health campaigns across the country, educating communities through interactive health and hygiene awareness sessions and distributing hygiene and feminine kits.

Gender-Based Violence

Women and girls in Lebanon continue to be affected by GBV, with early marriage, domestic violence, sexual violence (rape and sexual assault) and sexual exploitation representing the most common forms of violence. Unfortunately, most GBV goes unreported due to the fear, shame and stigma that burden many survivors.

International Medical Corps’ programs take an integrated approach to supporting women and girls who are affected by or at risk of GBV, particularly those who face heightened vulnerabilities due to conflict, displacement and socioeconomic instability. Our priority is to strengthen core services—particularly case management and psychosocial support services—for GBV survivors, and to provide access to quality healthcare. To prevent future GBV incidents, we also work with communities to address protection risks, combat harmful practices and work toward social and behavioral change. Through our programs, we help develop best practices and standards around GBV prevention and response.

We work with local organizations and female community leaders to address risks and deliver quality, focused support services for GBV survivors through community centers and safe spaces for women and girls. We also work with communities to promote gender equality and combat beliefs and practices that perpetuate different forms of GBV. In particular, we engage men and boys on concepts of gender equality and help transform harmful attitudes into behaviors that demonstrate respect and support for gender equality.

Mental Health and Psychosocial Support

Since starting operations in Lebanon, International Medical Corps has played a leading role in delivering comprehensive mental health programming. We have expanded access to MHPSS services by training primary healthcare providers on topics ranging from detection and referral to the World Health Organization’s Mental Health Gap Action Programme (mhGAP). This enables primary healthcare providers to detect, refer, diagnose and treat mild to moderate mental disorders, integrating mental health into the services they offer.

Working with more than 20 partner PHCCs, we provide ongoing support to PHCC nurses and mhGAP-trained doctors to enhance screening and management of mild to moderate mental health cases, in line with the packages developed by the MoPH’s National Mental Health Program (NMHP).

Based in primary healthcare and community centers, multidisciplinary case management teams provide free treatment, including specialized services and psychotropic medications when needed. We also refer cases when needed.

To mitigate the risk of inter- or intra-communal tensions, we continue to conduct focus group discussions with community members from different nationalities, genders and age groups to ensure that programs and activities respond to the needs of different populations (including PwDs) while mainstreaming protection into social-stability activities. Our psychosocial support activities—such as community support-group interventions focusing on enhancing social connectedness—are designed to raise awareness of mental health issues and provide people with the resources they need to help themselves and those around them.

International Medical Corps coordinates closely with the NMHP on various activities and services. This program provides national guidelines and policies for mental health services in Lebanon. Our partnership enables the integration of mental health into primary healthcare and improves the national supply chain of psychotropic medications to PHCCs.

Explosion in Lebanon

On Tuesday, August 4, 2020, a massive explosion tore through Beirut, killing at least 220 people, injuring more than 6,500 and leaving some 300,000 homeless—including at least 100,000 children. International Medical Corps immediately launched an emergency response, coordinating closely with the government and other responders to quickly provide help to overwhelmed hospitals and health facilities. Our teams mobilized urgently needed supplies and staff, quickly deployed mobile medical units to provide care to affected communities, and provided mental health and gender-based violence prevention and treatment services to those affected by the catastrophe.

Learn more about our response to the explosion

Our Impact

488,132
In 2023, we reached 488,132 people with a multi-sectoral response, including health, MHPSS, GBV, nutrition and WASH services.
60+
Currently, we support more than 60 facilities, including primary healthcare centers, community centers, and women’s and girls’ safe spaces.

The Things We Carry: Stories of Syrian refugees and what they took with them as they fled

Since 2011, when Syria erupted into civil war, more than 5.6 million citizens (a population roughly the size of Los Angeles and Philadelphia combined) have fled their homes by land and sea in search of refuge for themselves and their families. What do they carry when they go?

READ MORE

Frequently Asked Questions

  • What challenges do refugees face in Lebanon?

    Like Lebanese citizens, refugees face poverty, poor living conditions and a lack of job opportunities in Lebanon. They also suffer from additional hardships, including discrimination and anti-refugee sentiment, which make it harder to find shelter and safety, An estimated 80% of Syrian refugees currently don’t have legal residency in Lebanon, which means that they could be deported at any time. After already experiencing the horrors of having to flee the war in their home country, this continued uncertainty about their future can have a severe impact on refugees’ mental health and well-being.

  • Why are there so many refugees in Lebanon?

    Lebanon, which shares borders with Syria and Israel, has long been a refuge for displaced people. Since the mid-20th century, it has housed many Palestinian refugees, although tensions between Lebanese and Palestinian populations have existed for nearly as long. Many Palestinian refugees in Lebanon live in crowded refugee camps and lack access to basic services. More recently, the Syrian civil war caused large numbers of Syrians to seek refuge in Lebanon, too.

  • Why is Lebanon experiencing an economic crisis?

    Since the end of its civil war in 1990, Lebanon has accrued large amounts of national debt. In 2019, the government defaulted on this debt. Banks closed because they were unable to pay depositors, and the Lebanese currency collapsed. As inflation skyrocketed, public services crumpled. The COVID-19 pandemic and the Beirut port explosion—which caused billions of dollars in damages—compounded the situation.
    The crisis is still ongoing today. About 80% of Lebanon’s population lives below the poverty line, and 36% live on less than $2.15 a day.

  • How can I help people in Lebanon?

    Your donations help us support vulnerable people in Lebanon and around the world. Donate to International Medical Corps today for your money to make a difference.

Resources

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Situation Reports

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