IOM plans to provide both multi-purpose cash-based assistance, and cash and voucher assistance for specific purposes such as food, and other basic needs, to the most vulnerable including migrants, refugees and Lebanese. Beneficiaries will be identified and referred through IOM outreach workers and IOMs humanitarian partners. Eligibility for assistance will be determined by IOM case managers conducting needs and vulnerability assessments. Eligibility criteria will be clearly communicated to prospective beneficiaries through selection process. Direct assistance will include:

• Provision of cash and voucher for food via cards redeemable at food outlet stores;
• Distribution of multipurpose cash assistance;
• Provision of winterization support.

Either directly or through local NGOs, IOM will provide cash-based and in-kind assistance to cover shelter and non-food items to the most vulnerable, including migrants, refugees, and Lebanese. Beneficiaries will be identified and referred through IOM outreach workers and IOMs humanitarian partners. Eligibility for assistance will be determined by IOM case managers conducting needs and vulnerability assessments. Assistance will include:

• Provision of cash for rent;
• Maintenance support for temporary and safe shelters;
• Provision of non-food items.

To ensure vulnerable groups can access essential health care, IOM will support primary health care and essential medications for acute and chronic diseases, non-COVID 19 hospitalization by supporting hospital costs, including deliveries, neonatal care, (maternal, neonatal and child health services) diagnostics, specialized psychiatric care for the most vulnerable. Activities will include:

• Conduct social mobilization, community engagement and outreach to vulnerable communities;
• Provide integrated and accessible health messaging on key health topics;
• Facilitate migrants access to COVID-19 vaccination through the national system.

Based off victim identification and referral through outreach, and/or referrals from partners, IOM will provide protection and assistance to vulnerable migrants, refugees and Lebanese who have been subject to violence, exploitation, and abuse, including Gender Based Violence (GBV), human trafficking, and also irregular migrants rescued at sea or returned. People targeted will receive case management support and services to ensure their needs are considered and properly addressed, either directly by IOM or via onward referral to third party service providers. Protection services will be based on need, and may include:

• Provision of basic assistance;
• Provision of temporary shelter;
• Provision of legal aid (awareness, counselling, and legal representation) for people under the Kafala system;
• Provision of empowerment and awareness sessions;
• Delivery of immediate life-saving humanitarian assistance at disembarkation points;
• Provision of onward case management support to returning migrants in coordination with Lebanese border authorities.

With growing numbers of migrants stranded and wishing to leave Lebanon as conditions continue to worsen, IOM will aims to provide voluntary, safe and dignified humanitarian return by air to migrants. This will involve:

• Implementation of pre-departure counselling and medical checks;
• Coverage of airfare;
• Preparation of travel documentation;
• Provision of airport, in-flight and onward escorts where necessary.

IOM’s rapid response teams will continue responding to humanitarian needs following incidents at the Port of Beirut or other location with disembarking irregular migrants intercepted/rescued at sea. These teams include health staff trained in psychological first aid (PFA). Activities will include:

• Provision of PFA at Port of Beirut;
• Expansion of rapid responses to other points of entry in Lebanon;
• Referral of cases with severe psychological issues to specialized psychiatric care.

IOM will provide integrated, area-based interventions designed to support local communities affected by loss of livelihoods, in order to prevent community tensions, and mitigate the drivers of irregular migration. This includes livelihoods and social cohesion activities at the communal and individual level, and through a job creation approach. Activities will include:

• Support community-based planning via committees to promote social cohesion among displaced and host communities in areas of pronounced socioeconomic difficulties;
• Implement community support projects to improve local facilities, infrastructure, services;
• Provide material support to local governments based on their specific needs;
• Implement cash for work activities providing income generation;
• Provide grants and trainings to support employability and self-employment aspirations;
• Provide grants to small and medium enterprises to boost local businesses and job creation.

IOM will support and implement activities to help hospitals, primary healthcare, medical supplies, and wider heath system maintain functionality and accessibility for population groups harshly affected by economic deterioration in Lebanon. These will include:

• Provide quality and essential medicines and medical supplies to meet increasing health system demand;
• Support primary healthcare centres (PHCs) through provision of medical supplies and trainings to health staff;
• Support the NGO Consortium in establishing a common pipeline for medicines;
• Support maintenance of operational capacity at one public hospital;
• Enhance protection in the humanitarian health response through trainings for health workers on GBV identification and culturally sensitive approaches
• Support laboratories with the provision of testing supplies, diagnostics, operational needs, and materials;
• Continue engagement with Lebanese health and border authorities, to build on assessment findings and recommendations by IOM in 2021, regarding steps to align infection prevention and disease control measures with the International Health Regulations (IHR).

To strengthen the overall provision of MHPSS in Lebanon, IOM will enable the provision of services by local NGOs. IOM will also work to build the capacity of the Ministry of Social Affairs (MoSA)’s Social Development Centres, through partnership with local NGOs, to provide MHPSS activities and services to local communities, and to foster sustainbale solutions. This will include:

• Provision of direct assistance and capacity development of local service providers focused on social cohesion, peacebuilding, MHPSS, recreational activities, youth;
• Provision of group and individual psychosocial counselling;
• Implementation of art-based and recreational activities for children and youth; 
• Partnerships with local NGOs for provision of peacebuilding and social cohesion activities, such as recreational events, workshops, and community initiatives; 
• Conducting local outreach.

Activities under disaster prevention aim to strengthen relevant stakeholders’ capacity to reduce the likelihood of possible disasters through a multi-hazard approach. Activities will respond to a mapping of community identified hazards by improving relevant local and national capacities to respond to these dangers. Activities will include:

• Implementation of training and education events;
• Conducting community based vulnerability and capacity assessments and mapping;
• Provision of infrastructure and equipment;
• Conducting local, national, regional and bilateral dialogues.

IOM will support Lebanese authorities in maintaining effective public health measures and response capacity at points of entry. Activities will include:

• IOM rapid response teams support points of entry in responding to occurrence of public health events of concern, humanitarian assistance and/or data collection;
• Strengthen infection prevention and control measures;
• Strengthen surveillance systems, including event based surveillance/indicator based surveillance, risk communication, and health screening;
• Improve interagency coordination among government.

Through the use of field enumerators, data analysts, and technical specialists, IOM Lebanon will conduct a series of research and data activities, to improve knowledge on migration trends in Lebanon, and better monitor population changes over specified periods. This will include:

• Conduct round two of the Migrant Presence Monitoring (MPM);
• Support the implementation of the multi-sector response plan 2022;
• Conduct thematic research covering the mobility dynamics of crisis.