What began in 2011 in Syria as protests inspired by the Arab Spring has become an entrenched and bloody conflict that shows no sign of resolution as it approaches its 6th year.

The humanitarian and medical toll of the violence remains appalling. Millions of people have been internally displaced, or have sought refuge abroad. Millions more are trapped in communities that are under siege or hemmed in by the closed borders of neighbouring countries.

Meanwhile the level of violence inside the country shows no signs of abating. Death and injury is a daily reality. The year 2015 saw an increased number of countries engaging their military and entering the war, with four of the five permanent members of the UN Security Council  now actively engaged in hostilities.

The scale of death, injury and displacement from the conflict is unimaginable. By the end of 2015 MSF-supported facilities alone had recorded 7,009 dead, 154,647 wounded; 30-40 % being women and children. As MSF-supported facilities only serve a fraction of the country, the true toll is likely to be much, much higher.

An estimated four million people have fled outside the country with the vast majority fleeing to Lebanon, Turkey Jordan and Iraq. Hundreds of thousands of people are living in besieged areas inside the country, with extremely limited access to healthcare.

With massive unmet needs inside Syria, MSF should be running some of the biggest operations in its history, but the scale of the violence and the fast moving nature of the conflict means that the work MSF inside Syria is limited.

Despite these significant constraints, MSF continues to operate medical facilities inside Syria, as well as supporting directly more than 150 medical structures throughout the country. In neighbouring countries, throughout 2015 activities have been scaled up and additional projects have been opened, but still the needs remain enormous.

By: Association Intern