• Open access
  • Published: 11 May 2018

The Syrian conflict: a case study of the challenges and acute need for medical humanitarian operations for women and children internally displaced persons

  • Rahma Aburas 1 ,
  • Amina Najeeb 2 ,
  • Laila Baageel 3 &
  • Tim K. Mackey   ORCID: orcid.org/0000-0002-2191-7833 3 , 4 , 5  

BMC Medicine volume  16 , Article number:  65 ( 2018 ) Cite this article

26k Accesses

28 Citations

20 Altmetric

Metrics details

After 7 years of increasing conflict and violence, the Syrian civil war now constitutes the largest displacement crisis in the world, with more than 6 million people who have been internally displaced. Among this already-vulnerable population group, women and children face significant challenges associated with lack of adequate access to maternal and child health (MCH) services, threatening their lives along with their immediate and long-term health outcomes.

While several health and humanitarian aid organizations are working to improve the health and welfare of internally displaced Syrian women and children, there is an immediate need for local medical humanitarian interventions. Responding to this need, we describe the case study of the Brotherhood Medical Center (the “Center”), a local clinic that was initially established by private donors and later partnered with the Syrian Expatriate Medical Association to provide free MCH services to internally displaced Syrian women and children in the small Syrian border town of Atimah.

Conclusions

The Center provides a unique contribution to the Syrian health and humanitarian crisis by focusing on providing MCH services to a targeted vulnerable population locally and through an established clinic. Hence, the Center complements efforts by larger international, regional, and local organizations that also are attempting to alleviate the suffering of Syrians victimized by this ongoing civil war. However, the long-term success of organizations like the Center relies on many factors including strategic partnership building, adjusting to logistical difficulties, and seeking sustainable sources of funding. Importantly, the lessons learned by the Center should serve as important principles in the design of future medical humanitarian interventions working directly in conflict zones, and should emphasize the need for better international cooperation and coordination to support local initiatives that serve victims where and when they need it the most.

Peer Review reports

The Syrian civil war is the epitome of a health and humanitarian crisis, as highlighted by recent chemical attacks in a Damascus suburb, impacting millions of people across Syria and leading to a mass migration of refugees seeking to escape this protracted and devastating conflict. After 7 long years of war, more than 6 million people are internally displaced within Syria — the largest displacement crisis in the world — and more than 5 million registered Syrian refugees have been relocated to neighboring countries [ 1 , 2 ]. In total, this equates to an estimated six in ten Syrians who are now displaced from their homes [ 3 ].

Syrian internally displaced persons (IDPs) are individuals who continue to reside in a fractured Syrian state now comprising a patchwork of government- and opposition-held areas suffering from a breakdown in governance [ 4 ]. As the Syrian conflict continues, the number of IDPs and Syrian refugees continues to grow according to data from the United Nations High Commissioner for Refugees (UNHCR). This growth is continuing despite some borders surrounding Syria being closed and in part due to a rising birth rate in refugee camps [ 5 , 6 ]. This creates acute challenges for neighboring/receiving countries in terms of ensuring adequate capacity to offer essential services such as food, water, housing, security, and specifically healthcare [ 4 , 7 , 8 ].

Though Syrian refugees and IDPs face similar difficulties in relation to healthcare access in a time of conflict and displacement, their specific challenges and health needs are distinctly different, as IDPs lack the same rights guaranteed under international law as refugees, and refugees have variations in access depending on their circumstances. Specifically, there are gaps in access to medical care and medicines for both the internally displaced and refugees, whether it be in Syria, in transit countries (including services for refugees living in camps versus those living near urban cities), or in eventual resettlement countries. In particular, treatment of chronic diseases and accessing of hospital care can be difficult, exacerbated by Syrian families depleting their savings, increased levels of debt, and a rise in those living in poverty (e.g., more than 50% of registered Syrian refugees in Jordan are burdened with debt) [ 9 ].

Despite ongoing actions of international humanitarian organizations and non-governmental organizations (NGOs) to alleviate these conditions, healthcare access and coverage for displaced Syrians and refugees is getting worse as the conflict continues [ 4 , 10 ]. Although Syria operated a strong public health system and was experiencing improved population health outcomes pre-crisis, the ongoing conflict, violence, and political destabilization have led to its collapse [ 11 , 12 , 13 ]. Specifically, campaigns of violence against healthcare infrastructure and workers have led to the dismantling of the Syrian public health system, particularly in opposition-held areas, where access to even basic preventive services has been severely compromised [ 14 , 15 , 16 , 17 ].

Collectively, these dire conditions leave millions of already-vulnerable Syrians without access to essential healthcare services, a fundamental human right and one purportedly guaranteed to all Syrian citizens under its constitution [ 4 ]. Importantly, at the nexus of this health and humanitarian crisis are the most vulnerable: internally displaced Syrian women and children. Hence, this opinion piece first describes the unique challenges and needs faced by this vulnerable population and then describes the case study of the Brotherhood Medical Center (the “Center”), an organization established to provide free and accessible maternal and child health (MCH) services for Syrian IDPs, and how it represents lessons regarding the successes and ongoing challenges of a local medical humanitarian intervention.

Syria: a health crisis of the vulnerable

Critically, women and children represent the majority of all Syrian IDPs and refugees, which directly impacts their need for essential MCH services [ 18 ]. Refugee and internally displaced women and children face similar health challenges in conflict situations, as they are often more vulnerable than other patient populations, with pregnant women and children at particularly high risk for poor health outcomes that can have significant short-term, long-term, and inter-generational health consequences [ 10 ]. Shared challenges include a lack of access to healthcare and MCH services, inadequate vaccination coverage, risk of malnutrition and starvation, increased burden of mental health issues due to exposure to trauma, and other forms of exploitation and violence such as early marriage, abuse, discrimination, and gender-based violence [ 4 , 10 , 19 , 20 ]. Further, scarce medical resources are often focused on patients suffering from acute and severe injury and trauma, leading to de-prioritization of other critical services like MCH [ 4 ].

Risks for women

A 2016 United Nations Population Fund (UNFPA) report estimated that 360,000 Syrian IDPs are pregnant, yet many do not receive any antenatal or postnatal care [ 21 , 22 ]. According to estimates by the UNFPA in 2015, without adequate international funding, 70,000 pregnant Syrian women faced the risk of giving birth in unsafe conditions if access to maternal health services was not improved [ 23 ]. For example, many women cannot access a safe place with an expert attendant for delivery and also may lack access to emergency obstetric care, family planning services, and birth control [ 4 , 19 , 24 , 25 , 26 , 27 , 28 ]. By contrast, during pre-conflict periods, Syrian women enjoyed access to standard antenatal care, and 96% of deliveries (whether at home or in hospitals) were assisted by a skilled birth attendant [ 13 ]. This coverage equated to improving population health outcomes, including data from the Syrian Ministry of Health reporting significant gains in life expectancy at birth (from 56 to 73.1 years), reductions in infant mortality (decrease from 132 per 1000 to 17.9 per 1000 live births), reductions in under-five mortality (from 164 to 21.4 per 1000 live births), and declines in maternal mortality (from 482 to 52 per 100,000 live births) between 1970 and 2009, respectively [ 13 ].

Post-conflict, Syrian women now have higher rates of poor pregnancy outcomes, including increased fetal mortality, low birth weights, premature labor, antenatal complications, and an increase in puerperal infections, as compared to pre-conflict periods [ 10 , 13 , 25 , 26 ]. In general, standards for antenatal care are not being met [ 29 ]. Syrian IDPs therefore experience further childbirth complications such as hemorrhage and delivery/abortion complications and low utilization of family planning services [ 25 , 28 ]. Another example of potential maternal risk is an alarming increase in births by caesarean section near armed conflict zones, as women elect for scheduled caesareans to avoid rushing to the hospital during unpredictable and often dangerous circumstances [ 10 ]. There is similar evidence from Syrian refugees in Lebanon, where rates of caesarean sections were 35% (of 6366 deliveries assessed) compared to approximately 15% as previously recorded in Syria and Lebanon [ 30 ].

Risks for children

Similar to the risks experienced by Syrian women, children are as vulnerable or potentially at higher risk during conflict and health and humanitarian crises. According to the UNHCR, there are 2.8 million children displaced in Syria out of a total of 6.5 million persons, and just under half (48%) of Syrian registered refugees are under 18 years old [ 1 ]. The United Nations Children’s Fund (UNICEF) further estimates that 6 million children still living in Syria are in need of humanitarian assistance and 420,000 children in besieged areas lack access to vital humanitarian aid [ 31 ].

For most Syrian internally displaced and refugee children, the consequences of facing lack of access to essential healthcare combined with the risk of malnutrition (including cases of severe malnutrition and death among children in besieged areas) represent a life-threatening challenge (though some studies have positively found low levels of global acute malnutrition in Syrian children refugee populations) [ 24 , 32 , 33 , 34 ]. Additionally, UNICEF reports that pre-crisis 90% of Syrian children received routine vaccination, with this coverage now experiencing a dramatic decline to approximately 60% (though estimating vaccine coverage in Syrian IDP and refugee populations can be extremely difficult) [ 35 ]. A consequence of lack of adequate vaccine coverage is the rise of deadly preventable infectious diseases such as meningitis, measles, and even polio, which was eradicated in Syria in 1995, but has recently re-emerged [ 36 , 37 , 38 ]. Syrian refugee children are also showing symptoms of psychological trauma as a result of witnessing the war [ 4 , 39 ].

A local response: the Brotherhood Medical Center

In direct response to the acute needs faced by Syrian internally displaced women and children, we describe the establishment, services provided, and challenges faced by the Brotherhood Medical Center (recently renamed the Brotherhood Women and Children Specialist Center and hereinafter referred to as the “Center”), which opened its doors to patients in September 2014. The Center was the brainchild of a group of Syrian and Saudi physicians and donors who had the aim of building a medical facility to address the acute need for medical humanitarian assistance in the village of Atimah (Idlib Governorate, Syria), which is also home to a Syrian displacement camp.

Atimah (Idlib Governorate, Syria) is located on the Syrian side of the Syrian-Turkish border. Its population consisted of 250,000 people pre-conflict in an area of approximately 65 km 2 . Atimah and its adjacent areas are currently generally safe from the conflict, with both Atimah and the entire Idlib Governorate outside the control of the Syrian government and instead governed by the local government. However, continued displacement of Syrians seeking to flee the conflict has led to a continuous flow of Syrian families into the area, with the population of the town growing to approximately a million people.

In addition to the Center, there are multiple healthcare centers and field hospitals serving Atimah and surrounding areas that cover most medical specialties. These facilities are largely run by local and international health agencies including Medecins Sans Frontieres (MSF), Medical Relief for Syria, and Hand in Hand for Syria, among others. Despite the presence of these organizations, the health needs of IDPs exceeds the current availability of healthcare services, especially for MCH services, as the majority of the IDPs belong to this patient group. This acute need formed the basis for the project plan establishing the Center to serve the unique needs of Syrian internally displaced women and children.

Operation of the Center

The Center’s construction and furnishing took approximately 1 year after land was purchased for its facility, a fact underlining the urgency of building a permanent local physical infrastructure to meet healthcare needs during the midst of a conflict. Funds to support its construction originated from individual donors, Saudi business men, and a group of physicians. In this sense, the Center represents an externally funded humanitarian delivery model focused on serving a local population, with no official government, NGO, or international organization support for its initial establishment.

The facility’s primary focus is to serve Syrian women and children, but since its inception in 2014, the facility has grown to cater for an increasing number of IDPs and their diverse needs. When it opened, facility services were limited to offering only essential outpatient, gynecology, and obstetrics services, as well as operating a pediatric clinic. The staffing at the launch consisted of only three doctors, a midwife, a nurse, an administrative aid, and a housekeeper, but there now exist more than eight times this initial staff count. The staff operating the Center are all Syrians; some of them are from Atimah, but many also come from other places in Syria. The Center’s staff are qualified to a large extent, but still need further training and continuing medical education to most effectively provide services.

Though staffing and service provision has increased, the Center’s primary focus is on its unique contribution to internally displaced women and children. Expanded services includes a dental clinic 1 day per week, which is run by a dentist with the Health Affairs in Idlib Governorate, and has been delegated to cover the dental needs for the hospital patients . Importantly, the Center facility has no specific policy on patient eligibility, its desired patient catchment population/area, or patient admission, instead opting to accept all women and children patients, whether seeking routine or urgent medical care, and providing its services free of charge.

Instead of relying on patient-generated fees (which may be economically prohibitive given the high levels of debt experienced by IDPs) or government funding, the Center relies on its existing donor base for financing the salaries for its physicians and other staff as well as the facility operating costs. More than an estimated 300 patients per day have sought medical attention since its first day of operation, with the number of patients steadily increasing as the clinic has scaled up its services.

Initially the Center started with outpatient (OPD) cases only, and after its partnership with the Syrian Expatriate Medical Association (SEMA) (discussed below), inpatient care for both women and children began to be offered. Patients’ statistics for September 2017 reported 3993 OPD and emergency room visits and 315 inpatient admissions including 159 normal deliveries and 72 caesarean sections, 9 neonatal intensive care unit cases, and 75 admissions for other healthcare services. To better communicate the clinic’s efforts, the Center also operates a Facebook page highlighting its activities (in Arabic at https://www.facebook.com/مشفى-الإخاء-التخصصي-129966417490365/ ).

Challenges faced by the Center and its evolution

The first phase of the Center involved its launch and initial operation in 2014 supported by a small group of donors who self-funded the startup costs needed to operationalize the Center facility’s core clinical services. Less than 2 years later, the Center faced a growing demand for its services, a direct product of both its success in serving its targeted community and the protracted nature of the Syrian conflict. In other words, the Center facility has continuously needed to grow in the scope of its service delivery as increasing numbers of families, women, and children rely on the Center as their primary healthcare facility and access point.

Meeting this increasing need has been difficult given pragmatic operational challenges emblematic of conflict-driven zones, including difficulties in securing qualified and trained medical professionals for clinical services, financing problems involving securing funding due to the shutdown of banking and money transferring services to and from Syria, and macro political factors (such as the poor bilateral relationship between Syria and its neighboring countries) that adversely affect the clinic’s ability to procure medical and humanitarian support and supplies [ 40 ]. Specifically, the Center as a local healthcare facility originally had sufficient manpower and funding provided by its initial funders for its core operations and construction in its first year of operation. However, maintaining this support became difficult with the closure of the Syrian-Turkish border and obstacles in receiving remittances, necessitating the need for broader strategic partnership with a larger organization.

Collectively, these challenges required the management committee and leadership of the Center to shift its focus to securing long-term sustainability and scale-up of services by seeking out external forms of cooperation and support. Borne from this need was a strategic partnership with SEMA, designed to carry forward the next phase of the Center’s operation and development. SEMA, established in 2011, is a non-profit relief organization that works to provide and improve medical services in Syria without discrimination regarding gender, ethnic, or political affiliation — a mission that aligns with the institutional goals of the Center. Selection of SEMA as a partner was based on its activity in the region; SEMA plays an active role in healthcare provision in Idlib and surrounding areas. Some other organizations were also approached at the same time of this organization change, with SEMA being the most responsive.

Since the Center-SEMA partnership was consummated, the Center has received critical support in increasing its personnel capacity and access to medicines, supplies, and equipment, resulting in a gradual scale-up and improvement in its clinical services. This now includes expanded pediatric services and the dental clinic (as previously mentioned and important, as oral health is a concern for many Syrian parents and children). The Center also now offers caesarean deliveries [ 41 ]. However, the Center, similar to other medical humanitarian operations in the region, continues to face many financial and operational challenges, including shortage of medical supplies, lack of qualified medical personnel, and needs for staff development.

Challenges experienced by the Center and other humanitarian operations continue to be exacerbated by the ongoing threat of violence and instability emanating from the conflict that is often targeted at local organizations and international NGOs providing health aid. For example, MSF has previously been forced to suspend its operations in other parts of Syria, has evacuated its facilities after staff have been abducted and its facilities bombed, and it has also been subject to threats from terrorist groups like the Islamic State (IS) [ 42 ].

The case study of the Center, which evolved from a rudimentary medical tent originally located directly in the Atimah displacement camp to the establishment of a local medical facility now serving thousands of Syrian IDPs, is just one example of several approaches aimed at alleviating the suffering of Syrian women and children who have been disproportionately victimized by this devastating health and humanitarian crisis. Importantly, the Center represents the maturation of a privately funded local operation designed to meet an acute community need for MCH services, but one that has necessitated continuous change and evolution as the Syrian conflict continues and conditions worsen. Despite certain successes, a number of challenges remain that limit the potential of the Center and other health humanitarian operations to fully serve the needs of Syrian IDPs, all of which should serve as cautionary principles for future local medical interventions in conflict situations.

A primary challenge is the myriad of logistical difficulties faced by local medical humanitarian organizations operating in conflict zones. Specifically, the Center continues to experience barriers in securing a reliable and consistent supply of medical equipment and materials needed to ensure continued operation of its clinical services, such as its blood bank, laboratory services, operating rooms, and intensive care units. Another challenge is securing the necessary funding to make improvements to physical infrastructure and hire additional staff to increase clinical capacity. Hence, though local initiatives like the Center may have initial success getting off the ground, scale-up and ensuring sustainability of services to meet the increasing needs of patients who remain in a perilous conflict-driven environment with few alternative means of access remain extremely challenging.

Despite these challenges, it is clear that different types of medical humanitarian interventions deployed in the midst of health crises have their own unique roles and contributions. This includes a broad scope of activities now focused on improving health outcomes for Syrian women and children that are being delivered by international aid agencies located outside of the country, international or local NGOs, multilateral health and development agencies, and forms of bilateral humanitarian assistance. The Center contributes to this health and humanitarian ecosystem by providing an intervention focused on the needs of Syrian women and children IDPs where they need it most, close to home.

However, the success of the Center and other initiatives working to end the suffering of Syrians ultimately relies on macro organizational and political issues outside Atimah’s border. This includes better coordination and cooperation of aid and humanitarian stakeholders and increased pressure from the international community to finally put an end to a civil war that has no winners — only victims — many of whom are unfortunately women and children.

Abbreviations

the Brotherhood Women and Children Specialist Center

Internally displaced persons

Maternal and child health

Medecins Sans Frontieres

Non-governmental organizations

Outpatient department

Syrian Expatriate Medical Association

United Nations Population Fund

the United Nations High Commissioner for Refugees

The United Nations Children’s Fund

UNHCR. Syria Regional Refugee Response: Inter-agency Information Sharing Portal [Internet]. data.unhcr.org. 2017. http://data.unhcr.org/syrianrefugees/regional.php . Accessed 17 July 2017.

iDMC. Syria [Internet]. 2017. http://www.internal-displacement.org/countries/syria . Accessed 31 Aug 2017.

Connor P, Krogstad JM. About six-in-ten Syrians are now displaced from their homes [Internet]. pewresearch.org. 2016. http://www.pewresearch.org/fact-tank/2016/06/13/about-six-in-ten-syrians-are-now-displaced-from-their-homes/ . Accessed 31 Aug 2017.

Akbarzada S, Mackey TK. The Syrian public health and humanitarian crisis: a “displacement” in global governance? Glob Public Health. 2017;44:1–17.

Article   Google Scholar  

Albaster O. Birth rate soars in refugee camp as husbands discourage use of contraception [Internet]. 2016. independent.co.uk . http://www.independent.co.uk/news/world/middle-east/birth-rate-soars-in-jordan-refugee-camp-as-husbands-discourage-wives-from-using-contraception-a6928241.html . Accessed 21 Nov 2017.

Reliefweb. Closing Borders, Shifting Routes: Summary of Regional Migration Trends Middle East – May, 2016 [Internet]. reliefweb.int. 2016. https://reliefweb.int/report/world/closing-borders-shifting-routes-summary-regional-migration-trends-middle-east-may-2016 . Accessed 21 Nov 2017.

Schweiger G. The duty to bring children living in conflict zones to a safe haven. J Glob Ethics. 2016;12:380–97.

Article   PubMed   PubMed Central   Google Scholar  

Arcos González P, Cherri Z, Castro Delgado R. The Lebanese–Syrian crisis: impact of influx of Syrian refugees to an already weak state. RMHP. 2016;9:165–72.

UNHCR and partners warn in Syria report of growing poverty, refugee needs. Geneva: UNHCR; 2016.

Devakumar D, Birch M, Rubenstein LS, Osrin D, Sondorp E, Wells JCK. Child health in Syria: recognising the lasting effects of warfare on health. Confl Heal. 2015;9:34.

Ferris E, Kirişçi K, Shaikh S. Syrian crisis: massive displacement, dire needs and a shortage of solutions. Washington, DC: Brookings Institution; 2013.

Google Scholar  

Abu-Sada C, Serafini M. Humanitarian and medical challenges of assisting new refugees in Lebanon and Iraq. Forced Migr Rev. 2013:1:70–3.

Kherallah M, Sahloul Z, Jamil G, Alahfez T, Eddin K. Health care in Syria before and during the crisis. Avicenna J Med. 2012;2:51–3. Available from: https://doi.org/10.4103/2231-0770.102275

Heisler M, Baker E, McKay D. Attacks on health care in Syria — normalizing violations of medical neutrality? N Engl J Med. 2015;373:2489–91.

Cook J. Syrian medical facilities were attacked more than 250 times this year [Internet]. huffingtonpost.com . 2016. http://www.huffingtonpost.com/entry/syria-hospital-attacks_us_56c330f0e4b0c3c550528d2e . Accessed 31 Aug 2017.

Ozaras R, Leblebicioglu H, Sunbul M, Tabak F, Balkan II, Yemisen M, et al. The Syrian conflict and infectious diseases. Expert Rev Anti-Infect Ther. 2016;14:547–55.

Article   CAS   PubMed   Google Scholar  

Fouad FM, Sparrow A, Tarakji A, Alameddine M, El-Jardali F, Coutts AP, et al. Health workers and the weaponisation of health care in Syria: a preliminary inquiry for The Lancet-American University of Beirut Commission on Syria. Lancet. 2017:390:2516–26;

Women in the World. Women and children now make up the majority of refugees [Internet]. nytimes.com. 2016. http://nytlive.nytimes.com/womenintheworld/2016/05/16/women-and-children-now-make-up-the-majority-of-refugees/ . Accessed 31 Aug 2017.

Yasmine R, Moughalian C. Systemic violence against Syrian refugee women and the myth of effective intrapersonal interventions. Reprod Health Matters. 2016;24:27–35.

Article   PubMed   Google Scholar  

Elsafti AM, van Berlaer G, Safadi Al M, Debacker M, Buyl R, Redwan A, et al. Children in the Syrian civil war: the familial, educational, and public health impact of ongoing violence. Disaster Med Public Health Prep. 2016;10:874–82.

Save the Children. A devastating toll: the impact of three years of war on the health of Syria's children [Internet]. 2014. http://www.savethechildren.org/atf/cf/%7B9def2ebe-10ae-432c-9bd0-df91d2eba74a%7D/SAVE_THE_CHILDREN_A_DEVASTATING_TOLL.PDF . Accessed 12 Jan 2016.

UNFPA. Women and girls in the Syria crisis: UNFA response [Internet]. unfpa.org. 2015. https://www.unfpa.org/sites/default/files/resource-pdf/UNFPA-FACTSANDFIGURES-5%5B4%5D.pdf . Accessed 31 Aug 2017.

UNFPA. Shortage in funding threatens care for pregnant Syrian refugees [Internet]. unfpa.org. 2015. http://www.unfpa.org/news/shortage-funding-threatens-care-pregnant-syrian-refugees . Accessed 31 Aug 2017.

Bilukha OO, Jayasekaran D, Burton A, Faender G, King’ori J, Amiri M, et al. Nutritional status of women and child refugees from Syria-Jordan, April-May 2014. MMWR Morb Mortal Wkly Rep. 2014;63:638–9.

PubMed   PubMed Central   Google Scholar  

Reese Masterson A, Usta J, Gupta J, Ettinger AS. Assessment of reproductive health and violence against women among displaced Syrians in Lebanon. BMC Womens Health. 2014;14:25.

Samari G. Syrian refugee women’s health in Lebanon, Turkey, and Jordan and recommendations for improved practice. World Med Health Policy. 2017;9:255–74.

Hakeem O, Jabri S. Adverse birth outcomes in women exposed to Syrian chemical attack. Lancet Glob Health. 2015;3:e196. https://doi.org/10.1016/s2214-109x(15)70077-x

West L, Isotta-Day H, Ba-Break M, Morgan R. Factors in use of family planning services by Syrian women in a refugee camp in Jordan. J Fam Plann Reprod Health Care. 2016. doi:10.1136/jfprhc-2014-101026.

Benage M, Greenough P, Vinck P, Omeira N, Pham P. An assessment of antenatal care among Syrian refugees in Lebanon. Confl Heal. 2015;9:8.

Huster KMJ, Patterson N, Schilperoord M, Spiegel P. Cesarean sections among Syrian refugees in Lebanon from December 2012/January 2013 to June 2013: probable causes and recommendations. Yale J Biol Med. 2014;87:269–88.

UNICEF. Humanitarian Action for Children - Syrian Arab Republic [Internet]. unicef.org. 2017. https://www.unicef.org/appeals/syria.html . Accessed 31 Aug 2017.

Hossain SMM, Leidman E, King’ori J, Harun Al A, Bilukha OO. Nutritional situation among Syrian refugees hosted in Iraq, Jordan, and Lebanon: cross sectional surveys. Confl Heal. 2016;10:26.

Mebrahtu S. The struggle to reach Syrian children with quality nutrition [Internet]. 2015. https://www.unicef.org/infobycountry/syria_83147.html . Accessed 31 Aug 2017.

Nolan D. Children of Syria by the numbers [Internet]. 2016. http://www.pbs.org/wgbh/frontline/article/children-of-syria-by-the-numbers/ . Accessed 31 Aug 2017.

Roberton T, Weiss W, The Jordan Health Access Study Team, The Lebanon Health Access Study Team, Doocy S. Challenges in estimating vaccine coverage in refugee and displaced populations: results from household surveys in Jordan and Lebanon. Vaccine. 2017;5:22.

Al-Moujahed A, Alahdab F, Abolaban H, Beletsky L. Polio in Syria: problem still not solved. Avicenna J Med. 2017;7:64–6.

Mbaeyi C, Ryan MJ, Smith P, Mahamud A, Farag N, Haithami S, et al. Response to a large polio outbreak in a setting of conflict — Middle East, 2013-2015. MMWR Morb Mortal Wkly Rep. 2017;66:227–31.

Sharara SL, Kanj SS. War and infectious diseases: challenges of the Syrian civil war. PLoS Pathog. 2014;10:e1004438.

Hassan G, Ventevogel P, Jefee-Bahloul H, Barkil-Oteo A, Kirmayer LJ. Mental health and psychosocial wellbeing of Syrians affected by armed conflict. Epidemiol Psychiatr Sci. 2016;25:129–41.

Sen K, Al-Faisal W, AlSaleh Y. Syria: effects of conflict and sanctions on public health. J Public Health (Oxf). 2013;35:195–9. https://doi.org/10.1093/pubmed/fds090 .

Pani SC, Al-Sibai SA, Rao AS, Kazimoglu SN, Mosadomi HA. Parental perception of oral health-related quality of life of Syrian refugee children. J Int Soc Prev Community Dent. 2017;7:191–6.

Liu J. Syria: Unacceptable humanitarian failure [Internet]. 2015. http://www.msf.org/en/article/syria-unacceptable-humanitarian-failure . Accessed 31 Aug 2017.

Download references

Author information

Authors and affiliations.

Joint Masters Program in Health Policy and Law, University of California - California Western School of Law, San Diego, CA, USA

Rahma Aburas

Brotherhood Medical Center for Women and Children, Atimah, Syria

Amina Najeeb

Department of Anesthesiology, University of California, San Diego School of Medicine, San Diego, CA, USA

Laila Baageel & Tim K. Mackey

Department of Medicine, Division of Global Public Health, University of California, San Diego School of Medicine, San Diego, CA, USA

Tim K. Mackey

Global Health Policy Institute, San Diego, CA, USA

You can also search for this author in PubMed   Google Scholar

Contributions

We note that with respect to author contributions, all authors jointly collected the data, designed the study, conducted the data analyses, and wrote the manuscript. All authors contributed to the formulation, drafting, completion, and approval of the final manuscript.

Corresponding author

Correspondence to Tim K. Mackey .

Ethics declarations

Ethics approval and consent to participate.

This community case study did not involve the direct participation of human subjects and did not include any personally identifiable health information. Hence, the study did not require ethics approval.

Competing interests

Amina Najeeb and Laila Baageel, two co-authors of this paper, were part of the foundation of the Center, remain active in its operation, and have a personal interest in the success of the operation of the clinic. The remaining authors declare that they have no competing interests.

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/ ), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/ ) applies to the data made available in this article, unless otherwise stated.

Reprints and permissions

About this article

Cite this article.

Aburas, R., Najeeb, A., Baageel, L. et al. The Syrian conflict: a case study of the challenges and acute need for medical humanitarian operations for women and children internally displaced persons. BMC Med 16 , 65 (2018). https://doi.org/10.1186/s12916-018-1041-7

Download citation

Received : 05 September 2017

Accepted : 20 March 2018

Published : 11 May 2018

DOI : https://doi.org/10.1186/s12916-018-1041-7

Share this article

Anyone you share the following link with will be able to read this content:

Sorry, a shareable link is not currently available for this article.

Provided by the Springer Nature SharedIt content-sharing initiative

  • Maternal child health
  • Syrian crisis
  • Humanitarian health aid
  • Internally displaced people

BMC Medicine

ISSN: 1741-7015

forced migration in syria case study

Content Search

Syria + 8 more

Forced Migration Review Issue 57: Syrians in displacement

  • Forced Migration Review

Attachments

Preview of syria2018.pdf

Foreword: Syria in 2018 – in search of solutions

Noor Al Hussein

This important issue of Forced Migration Review draws our attention to the current challenges facing displaced Syrians and the continuing search for solutions. The statistics of Syrian displacement are staggering – and the numbers continue to rise. Half of Syria’s population has been displaced: five and a half million are registered refugees and over six million are internally displaced.

The tragedy of Syria’s conflict and the levels of displacement of its people reflect specific stresses and shortcomings in our region that often mirror similar global patterns. These stresses and shortcomings include the legacies of erratic modern political and economic governance that we cannot change but they are mostly triggered by issues that are fully within our control: inadequate and wavering political will; poor or absent host state responses to accommodating refugees in the short term; insufficient and uncoordinated humanitarian and development aid; continued internal stresses and violence that perpetuate displacement; and direct participation in warfare inside Syria by half a dozen foreign countries from within and beyond our region.

Many countries and organisations have offered assistance, yet we are also witnessing the world’s weariness and its inability to devise a coherent, effective response that could end the suffering of these millions of displaced people. Jordan, Lebanon and Turkey host the majority of Syrian refugees. They have opened their borders, schools and clinics, with the help of substantial international humanitarian assistance.

Many communities and individuals have welcomed and helped the newcomers. However, the arrival of refugees in lowincome and vulnerable communities also exacerbates existing problems and creates new tensions, notably regarding jobs, wages and overburdened infrastructure. Sadly, some host countries eventually reach a breaking point, and close their doors to new refugees. Donor and compassion fatigue lead to more restrictive reception and hosting policies within and beyond the Middle East, as fear, anger and even desperation assert themselves.

The traumas that displaced people experience are caused by the same underlying and persistent deficiencies, disparities and dysfunctions that create large-scale human marginalisation and vulnerabilities in some societies. If the underlying drivers of human indignity are not addressed, displacement will continue, with all the accompanying challenges.

Such lessons – including the reality that many displaced people will never return home – have long been debated.

Researchers, humanitarian agencies, local non-governmental organisations and host governments should now pursue a vital yet elusive strategy; it must merge temporary asylum and emergency humanitarian aid mechanisms with the longer-term promises of development and dignity that emanate from access to work and residency opportunities. Doing so will lift up both displaced people and host communities.

Refugees need protection and hosting until a durable solution is possible – which for those who choose to return must be under safe, voluntary and dignified conditions. We must generate the political will and international mobilisation that are needed in order to assist displaced people and host communities alike, and must also better resource the work of local humanitarian organisations helping displaced Syrians.

Recent initiatives such as the Global Compact for Migration and the Global Compact on Refugees offer the possibility of progress but can only succeed with significant support and commitments by governments. We must support displaced people to regain the chance to live fulfilling, dignified lives – to return home in peace, or to build a new life elsewhere that allows them and their neighbours to flourish together.

Her Majesty Queen Noor Al Hussein of Jordan

Related Content

Estado de la población mundial 2024: vidas entrelazadas, hilos de esperanza - eliminar las desigualdades enmateria de salud y derechos sexuales y reproductivos, état de la population mondiale 2024: destins entremêlés, lueurs d’espoir - mettre fin aux inégalités dans la santé et les droits sexuels et reproductifs, state of world population 2024: interwoven lives, threads of hope - ending inequalities in sexual and reproductive health and rights [en/ar/ru], the role of volunteers in leaving no one behind: supporting united nations entities and national governments towards realizing the 2030 agenda for sustainable development.

  • Search Menu
  • Advance articles
  • Editor's Choice
  • Author Guidelines
  • Submission Site
  • Open Access
  • Why Publish?
  • About Migration Studies
  • Editorial Board
  • Call for Papers
  • Advertising and Corporate Services
  • Journals Career Network
  • Self-Archiving Policy
  • Dispatch Dates
  • Journals on Oxford Academic
  • Books on Oxford Academic

Issue Cover

Article Contents

1. introduction, 2. sample and measures, 3. findings, 4. discussion, supplementary data, acknowledgements.

  • < Previous

Migration aspirations in forced transnational families: the case of Syrians in Turkey

ORCID logo

  • Article contents
  • Figures & tables
  • Supplementary Data

David Schiefer, Franck Düvell, Ali Zafer Sağıroğlu, Migration aspirations in forced transnational families: the case of Syrians in Turkey, Migration Studies , Volume 11, Issue 3, September 2023, Pages 470–503, https://doi.org/10.1093/migration/mnad020

  • Permissions Icon Permissions

Increasingly high numbers of migrants around the globe have led migration scholars attempting to understand determinants of migration aspirations for many years. This study specifically looks at migration aspirations from two angles, (1) migration under conditions of a continuum of crises, in this case the (civil) war in Syria and precarious lives in Turkey, highlighting uncertainty and temporality entailed in crisis and (2) the role of family in migration aspirations. So far, scholarship primarily focuses on individuals in countries of origin and on voluntary migrants. Migration aspirations of forced migrants who have found refuge in another country are far less studied. Their situation, however, differs from voluntary migrants in distinct ways. Second, although the literature emphasizes the role of family for migration aspirations deep-level empirical inquiries are rare. Based on a survey among around 1,900 Syrian refugees in Turkey, this article addresses these gaps and explores the role family plays for migration aspirations among forced migrants. We take a close look by exploring how geographical family networks relate to migration aspirations and interact with other characteristics. We find that staying in Turkey seems to be the most likely option for participants at the time of the survey, but we also identify a substantial degree of uncertainty regarding migration aspirations. Furthermore, participants’ aspired places of living depend on the location of family members, above and beyond other characteristics. Moreover, (trans-)national family networks enhance or diminish effects of other determinants of migration aspirations such as perceived living conditions in Turkey.

Given the continuously increasing numbers of migrants and refugees around the globe (International Organization for Migration ( IOM) 2021 ), migration scholars have, for many years, been attempting to understand the drivers of individual migration aspirations (e.g. Aslany et al. 2021 ). Among others, family concerns have been identified as one important determinant (e.g. Cooke 2008 ). This article expands this research in two ways: First, most literature on migration aspirations focuses on individuals in countries of origin and on voluntary migration ( Czaika and Reinprecht 2022 ). This article adds a unique perspective to this work as it specifically investigates migration aspirations, first, in the context of a security crisis, a (civil) war, hence forced migration and second, by focusing on individuals and families who fled to a first safe country. Compared with other migrant groups, their legal status and living conditions are more strongly determined by precarity, temporality, and thus, uncertainty regarding the future. Second, despite the central role that theory has assigned to the family in the development of migration aspirations (e.g. Harbison 1981 ), studies rarely put the family at the center of their analyses. There is especially a lack of quantitative studies that attempt to disentangle how individual migration aspirations are linked to geographic-residential family patterns and how these are intertwined with other drivers of migration aspirations (e.g. perceived living conditions). This study expands this research by analyzing how (trans)national family networks drive migration aspirations above and beyond—and in interaction with—other determinants and whether and how these change over time.

This article is based on a survey among forced migrants from Syria in Turkey. In the following, we first introduce the topic of migration aspirations among forced migrants and how these are embedded in family considerations. We then outline the situation of Syrians in Turkey at the time of the survey. Subsequently, we introduce the study and present the findings, highlighting the uncertainty and temporality associated with desired future places of residence among the target group as well as the role of the (trans)national family networks for migration aspirations.

1.1 Migration aspirations in times of crisis

Migration aspiration is an umbrella term describing ‘cognitive and emotional orientations relating to future migration as a possibility in individuals’ lives’ ( Aslany et al. 2021 : 6). Migration aspirations are not equal to actual attempts or acts of migration ( Carling and Schewel 2018 ) but increase its likelihood (van Mol 2016). Intentions to move and intentions to stay are two components of migration aspirations that are not mutually exclusive and do not constitute clear-cut categories but rather a continuum, and there is a wide field of uncertainties and contingencies between the clear preference for or against migration ( Carling 2014 ; Schewel 2020 ). Migration aspirations evolve over time and can be repeatedly revisited depending on various factors ( Boccagni 2017 ). Scholars have discussed conditions and processes underlying individual migration aspirations on very different levels and from different theoretical perspectives, ranging from individual (e.g. demographic and socio-economic) determinants and individual cost–benefit considerations as an underlying process, to the role of social networks, of macrosocial factors such as economic development, and to approaches viewing migration as socially and culturally embedded projects (for reviews see e.g. Carling and Schewel 2018 ; Aslany et al. 2021 ).

Migration scholars generally assume that migration aspirations emerge as a result of individual consideration and evaluation processes. Benefits and costs of migration or staying are weighed against one’s own or one’s family’s needs, life goals, well-being, experiences, imaginations and perceptions, social expectations, or contextual circumstances (e.g. Timmerman, Heyse and Van Mol 2010 ). However, in cases of crisis, such as violent conflicts, matters are more complex. Regarding migration aspirations, at least three aspects account for differences between crisis and non-crisis contexts ( Voss and Lorenz 2016 ). The first is threat: Social upheaval or political and military conflicts intrude into people’s everyday lives, impair habitual patterns, and pose existential threats to economic, social, and physical security, thus causes the affected population to take drastic protective measures, of which fleeing is one possible option ( Rosenthal, Boin and Comfort 2001 ; Voss and Lorenz 2016 ). The second is constrained agency: Refugees still have agency (staying or fleeing, when and where to flee) (e.g. Turton 2003 ), and in the case of fleeing, migration aspirations are still driven by imaginations, perceptions, and corresponding evaluations of different places. However, the ability to make free, informed, and well-planned decisions whether to stay, return, or move on is strongly constrained. The need to move arises regardless of pre-crisis migration aspirations, thus, the ability to prepare (taking language courses, find a job, etc.) is reduced. Third, before the initial fleeing but also once arrived in a seemingly safe place, (further) migration decisions have to be made under high levels of uncertainty. The development of a crisis is often unpredictable; onward migration often involves high costs and legal barriers and imaginations of current and future places of living are often vague (e.g. Biehl 2015) . Developing an attitude toward migration, however, requires to a certain extent assessing one’s capabilities of migrating, potential outcomes of migration, their likelihood, and the value of these outcomes ( Willekens 2017) . Uncertainty undermines all these assessments ( Quintal, Lee and Soutar 2010 ). Taken together, forced migrants need to appraise the options of staying, returning, or moving on based on what seems possible and necessary in the current situation (see e.g. Robinson and Segrott 2002 ; Akesson and Coupland 2018 ; Müller-Funk et al. 2019 ; Borselli and Meijl 2021 ). As we will demonstrate in the subsequent sections of this article, sometimes staying put is the currently best choice and positions vis-á -vis return or onward migration are clearly more ambivalent.

1.2 Temporality of migration aspirations in times of crisis

Migration aspirations of forced migrants, accordingly, are subject to a high degree of temporality. Contextual conditions (e.g. the development of conflicts) can change unexpectedly, conditions in the first safe place can change and experiences made or new information received over time may instigate aspirations to migrate onward. Adverse conditions can accumulate over time until a certain tipping point is reached at which moving on constitutes the most feasible option ( Czaika and Reinprecht 2022 ). Moreover, initial migration decisions may be more strongly based on essential and immediate needs such as security or health, and more long-term considerations, such as educational opportunities, legal rights, or cultural similarity come to the fore over time once some kind of planning ahead is possible. Thus, migration aspirations, before and after initial fleeing, are dynamic and constantly revised over time (for further reading see, Robinson and Segrott 2002 ; Boccagni 2017 ; Akesson and Coupland 2018 ; Müller-Funk 2019 ; Müller-Funk et al. 2019 ; Borselli and Meijl 2021 ; Rottman and Kaya 2021 ).

1.3 Family networks as drivers of migration aspirations in times of crisis

Family is an important determinant of migration aspirations. Migration scholars have shown that migration aspirations often do not simply emerge on the individual level but rather on the collective level of a family: This is because it is not simply individual benefit that is at the core of migration decisions but the benefit of the household, that is, the family ( Boyd 1989 ; Stark 1991 ; Cooke 2008 ; Haug 2008 ). Family is the social background against which individual’s make migration decisions and thus serves as the link between macro-level contextual (e.g. economic) realities and micro-level individual cognitions ( Harbison 1981 ; Coleman 1986) . Furthermore, social network and transnationalism approaches view migration aspirations as determined by the geographical location of family members. Family members are among the most important social relations in people’s lives (e.g. in terms of social support and affection), thus, their places of residence can facilitate or hamper migration aspirations depending on the resources, opportunities, social capital, and obligations that these social ties entail (e.g. Massey et al. 1987 ; Boyd 1989 ; Kok 2010 ; Mulder 2018 ). Accordingly, in the process of migration decision making, individual and family-related considerations are strongly intertwined and far from straight-forward. Having children, for example, can be a reason to leave (e.g. to provide them with better education) but also a reason to stay (e.g. to prevent them from harm caused by migration).

Given that family is both a central source and recipient of care and support in human’s lives (e.g. Harrell 1997 ), its importance for migration aspirations in times of crises can be assumed to be as strong as, or even stronger compared with non-crisis contexts. Crisis poses a threat to peoples’ security, well-being, and future and in such times family members can provide or also be in particular need of support and care (e.g. Robinson and Segrott 2002 ). Therefore, their place of residence potentially is a particularly strong driver of decisions to stay, move on, or return ( Akesson and Coupland 2018 ; Borselli and Meijl 2021 ). In the case of forced migration, some peculiarities are added. One is that family members are often involuntarily physically separated across different localities (see Koç and Saraç 2020 ) driving desires to reunite. Furthermore, onward migration of single family members with the expectation to later arrange family reunification has been identified a survival strategy of families ( Dubow and Kutschminder 2021 ). Where relatives live can influence migration aspirations in different directions. Transnational relationships may thus facilitate onward migration (e.g. via legal family reunification) but may as well be a source of remittances, thereby improve living situation locally and thus enable relatives to remain in their places of residence (e.g. Şimşek 2019 ). In this regard, family networks and migration aspirations are mutually dependent and intertwined in complex ways especially in times of crises. Understanding these complexities requires to investigate residential family patterns and their relations to migration aspirations in depth.

1.4 The interplay of family and other drivers of migration aspirations

Family, of course, is not the only driver of migration aspirations. Many other factors play a role, such as the living conditions in the place of residence and the perceptions thereof, individual characteristics (age, gender, health, life aspirations, etc.), or transnational networks beyond family ( Aslany et al. 2021 ). These drivers, however, can be assumed to interact with family networks. For example, intentions to stay might be especially high when living conditions are good and family members live nearby. In contrast, good living conditions might not increase intentions to stay if families are separated across countries. Sometimes a person might benefit from migration (e.g. educational opportunities) but on the expenses of family members in need of care that would have to be left behind. Qualitative interviews with Syrians in Turkey show, for example, that decisions to migrate onward for better living conditions partly depend on encouragement or disapproval by parents ( Müller-Funk 2019 ) and that adverse living conditions (e.g. lacking educational opportunities) translate into the wish to move on especially with regard to the future of the children ( Üstübici, Kirişçioğlu and Elçi 2021 ). Thus, family and other drivers of migration aspirations do not simply add up but are intertwined, weighed against each other and jointly feed into individuals’ migration-related evaluations. Whereas qualitative studies highlight such dynamics, quantitative studies tend to analyze different drivers of migration aspirations separately without considering their potential interaction. This article utilizes our quantitative data to zoom deeper into such interactions.

1.5 The situation of Syrians in Turkey

The current situation of Syrians is determined by multiple crises or rather a continuum of crisis. This dates back to 2011 when an unviable human rights situation inspired an uprising, that was brutally suppressed which led to a civil war drawing in more and more regional and external actors. This amounted to a crisis of war and a subsequent humanitarian crisis. The consequence was large-scale displacement and a refugee crisis as millions fled to neighboring countries. There, in turn, a reception crisis unfolded as initially people were sleeping rough with few means of survival. Over time, reception conditions improved; however, in Turkey and other countries the refugees’ status remained precarious ( Düvell 2018) . Notably in Turkey, Syrian refugees were hit particularly hard by an economic crisis and in 2020 the health crisis, that is, the pandemic ( Düvell 2020) . Meanwhile, the initially hospitable reception of Syrians by Turkish policy and society has become increasingly hostile (e.g. Erdogan 2019 ). Political controversy, mounting incidences of racial violence ( The New Arab 2022 ) and the threat of forcefully returning 1 million Syrians ( Aljazeera 2022 ) represent yet another critical moment.

Although statistics are somewhat inconsistent, an estimated number of at least 4 million Syrians fled to Turkey of whom 3–3.6 million, so official numbers, are still in the country ( Directorate General of Migration Management (DGMM) 2022 ). Turkey hosts the largest number of refugees worldwide ( Düvell 2019 ; World Bank 2019 ). Around 1 million moved on to the European Union (EU) or other regions of the world (e.g. Erdogan 2019 ), mainly in 2015 and 2016, whereas only a rather small number returned to Syria ( World Bank 2019 ). Yet, the majority of the Syrian refugee population in Turkey remained in the country. Until winter 2015, Turkey pursued an open-door policy toward Syrians granting them temporary protection. However, in March 2016, EU and Turkey issued a joined statement, which in essence is aiming to contain Syrian refugees in Turkey and prevent further onward migration. In addition, Turkey constructed a wall along its southern border to stop further inflows from Syria. As a result, both the migration flows of Syrians into Turkey and from Turkey to Europe have strongly decreased.

Other than those in the EU, Syrians in Turkey are not recognized as refugees but granted only temporary protection by the Turkish government. Although having signed the 1951 Geneva Refugee Convention, Turkey limits its legal responsibility to asylum seekers from European countries (Biel 2015). The Asylum regime has been described as being very restrictive and unpredictable with regard to its outcome, leaving asylum seekers from third countries in a state of protracted uncertainty (Biel 2015). Syrians under temporary protection are granted access to some but excluded from other rights. While they have access to education and health care, their regional settlement is regulated and they have almost no legal access to the labor market ( Düvell 2018 ). The EU and individual member states support Turkey financially and practically to accommodate and integrate Syrians. However, the Syrian refugee situation remains precarious ( Baban, Ilcan and Rygiel 2017 ).

Accordingly, from 2016, Turkey was primarily a destination country for Syrians ( Düvell 2018 ; Müller-Funk 2019 ; Rottman and Kaya 2021 ) so that Syrians were or have been turned into an internationally immobile population. Those who entered Turkey with the intention to move to the EU have largely done so before 2016 ( UNHCR 2023) . Recent studies among Syrians in Turkey suggest that those who were still living in Turkey after 2016 either did not manage to migrate onward despite aspirations or deliberately decided to stay in Turkey. The majority perceives staying in Turkey as the currently most likely option. Returning to Syria is a strong desire, yet, viewed as rather unrealistic, and only a minority considers moving on as a desirable and realistic option (see Akesson and Coupland 2018 ; Müller-Funk 2019 ; Erdogan 2020 ; Üstübici, Kirişçioğlu and Elçi 2021 ). Following the framework suggested by Schewel (2020) , they thus represent a group characterized by either involuntary (aspiration but no capability to migrate) or acquiescent immobility (neither aspiration nor capability).

These studies also hint to uncertainties and dependencies involved in these considerations. Responses to survey questions about migration aspirations strongly vary depending on which conditional context (e.g. provision of papers, end of war) is presented, indicating the lack of clear imaginations with regard to future options. Furthermore, studies provide evidence that family concerns had played a central role in migration considerations among Syrians ever since the war began in 2011. Many families have been separated and scattered across multiple countries ( Koç and Saraç 2020 ). Aspirations to leave Syria or neighboring countries and move on to other places such as Europe have been affected by considerations with regard to their family’s future and well-being, by the desire for family reunification, and by transnational family networks. Staying close to one another, but also joint migration or even deliberate separation have been described as strategies to maintain the family’s well-being among Syrians ( Akesson and Coupland 2018 ; Müller-Funk 2019 ; Şimşek 2019 ; Borselli and Meijl 2021 ; Üstübici, Kirişçioğlu and Elçi 2021 ; Dubow and Kutchminder 2021 ; Tobin, Momani and Al Yakoub 2022 ). Thus, based on these studies it can be assumed that, despite being relatively immobile, migration aspirations of Syrians in Turkey after 2016, that is, whether to stay, leave, or return, have been still largely driven by family concerns.

This importance of family for migration aspirations is underscored by the high importance of family in Syrian society. Though family systems in Syria are rather diverse ( Rabo 2008 ), the family is described as the dominant institution in Syria with regard to support and security but also religious and cultural belonging ( Tobin, Momani and Al Yakoub 2022 ). Generally, family cohesion is strong and individual needs and aspirations are subordinated to (extended) family needs and obligations ( Haboush 2005 ). However, as Tobin, Momani and Al Yakoub (2022) point out, as a consequence of protracted separation, proximate family networks (e.g. within the country of destination) are more likely to represent social capital than more distant ones and thus also tend to play a stronger role for (im)mobility aspirations.

1.6 Research question and assumption

Based on the review of migration aspirations in times of crises, the role of family for migration aspirations, and the situation of Syrians in Turkey as provided so far, this study zooms into the role of family for migration aspirations under crisis conditions. Our empirical base is a survey among 1,886 Syrian individuals in six provinces across Turkey. Our analyses differ from existing studies in two ways: First, we take a case of migration under crisis conditions, whereas most migration aspiration studies focus on relatively voluntary migration. Second, we provide a deeper insight into (trans)national family networks and illustrate how these relate to migration aspirations over and above—and in interaction with—other determinants such as actual and perceived living conditions. Our analyses are guided by the following hypotheses:

We assumed that in 2018 the majority of Syrians in Turkey did not aspire to move back to Syria due to the security situation. We also assumed that only a minority held onward migration aspirations because most who wanted to move to Europe had already done so in 2015–6 while the majority aspires staying in Turkey.

Apart from this expected pattern of migration aspirations, we assumed that in 2018 Syrians in Turkey were highly uncertain regarding their future places of living. Given the unpredictable political situation in Syria, this uncertainty especially regarded to return aspirations. However, it also regarded to aspirations of staying, given the often precarious living conditions and increasingly hostile environments Syrians face in Turkey.

We furthermore expected that migration aspirations display some temporal dynamics. With increasing duration of the conflict in Syria and of settlement in Turkey, Syrian refugees’ further migration aspirations changed as did their reasons.

Family networks (i.e. family members’ place of residence) are assumed to relate to migration aspirations, above and beyond other individual and contextual characteristics. We hypothesized that having relatives in Turkey enhances intentions to stay whereas having relatives in Syria or another country nurtures aspirations to return or move on, respectively.

Finally, we expected that family members’ places of residence interact with other characteristics in their relation to migration aspirations in a mutually enforcing or inhibiting way.

The survey was conducted between November 2018 and May 2019. Due to scarce information about the Syrian population in Turkey (official statistics only provide numbers per gender and age groups on the level of provinces; see DGMM 2018 ), restricted access to address databases, and budgetary constraints it was not possible to draw a representative random sample. In order to still acquire a sample allowing us to draw conclusions about the Syrian population in Turkey, we developed a multi-stage-sampling approach combining different sampling techniques. Details of the procedure can be found in Schiefer et al. (2023) . In a nutshell, we first selected all provinces with a high share of Syrian refugees (at least 80,0000 registrations). These 13 (out of 81) provinces covered more than 80 per cent of the target group in Turkey. Among these provinces, we made a theoretically driven yet pragmatic preselection of six provinces, based on their geographic location (proximity to the Syrian border, proximity to the EU and Central Anatolia), high numbers of Syrians, and different economic opportunities. By the time of data collection, these six provinces hosted approximately 2 million or 57 per cent of Syrian refugees in Turkey ( DGMM 2018 ). Within these six provinces we chose 9 towns, and within these towns altogether 23 districts where Syrians were known to be concentrated. We also made sure that the districts represent different social classes, Syrians of different mother tongues, and different locations within the towns (central vs. peripheral). Because no official statistics on the local distribution of Syrian are available, we consulted local experts and other sources such as newspaper reports. Within the districts, households were randomly selected via random walks.

Table 1 documents sample characteristics. A comparison with official statistics and other surveys among Syrians in Turkey conducted under similar conditions at around the same time shows that, overall, the sample resembles the target group very well (see Schiefer et al. (2023) for details). Participants’ ages ranged between 18 and 87 years with an average age of 35.6 years. This age distribution is comparable to the official statistics ( DGMM 2018 ) and to other surveys (e.g. IOM 2018 ; Erdogan 2020 ). Fifty-nine per cent of the sample are female, a proportion that is higher than in the official statistics and other surveys. Around two-thirds of the participants stated having received a primary or middle school education, around 20 per cent stated higher levels, and around 12 per cent stated having no school degree. Our comparison with other studies reveals that one survey comprised more participants with a lower level of education ( TRC—Turkish Red Crescent and WFP—World Food Program 2019 ), another one surveyed comparably higher educated individuals ( Erdogan 2019 , 2020 ). The peak of participants’ arrivals in Turkey was between 2012 and 2016, around 88 per cent arrived during that time; hence at the time of the interview, most had been residing in Turkey for two to six years.

Sample characteristics

Note : Unweighted data.

Table 2 shows the descriptive statistics of all survey questions that were included in the analyses for this article. They comprise individual migration aspirations, family networks, living conditions in Turkey, and sociodemographic- and migration-related information. Aspirations to stay, return, or move on were asked with separate questions. The respective response categories were presented to the participants as shown in the table. The main analyses of this article focus on individual migration aspirations. In some cases, additional analyses were conducted with regard to family-related aspirations (‘Where would your family be better off?’) for comparative reasons. Due to constraints regarding the length of the interviews, family networks in Europe could not be assessed separately by types of relatives. Perceived living conditions in Turkey and Europe are captured by mean scores based on seven questions referring to different live domains (e.g. health system, accommodation, rights for refugees). The two scales showed a good reliability (Crohnbach’s α 0. 79 and 0.93, respectively).

Descriptive statistics of variables used for the analyses

Data are weighted to correct for the unequal distribution of the Syrian population across the included provinces in Turkey.

Percentage of participants having either little, moderate, or good knowledge of Turkish.

Response scales from 1 to 7 were categorized into low (scale mean 1 to ≤4) and high (scale mean >4 to 7).

Averaged across seven items.

Missing information due to incorrect assessment by interviewers.

The descriptive statistics in Table 2 as well as those in Section 3 (except for the regression analyses) are based on weighted data. A weight seemed reasonable because the Syrian population is unequally distributed across the six provinces covered by the study sample, whereas our sub-samples of each province are rather similar in size (around 300 participants per province). For example, the 315 participants from Istanbul represent around 560,000 Syrians registered in Istanbul, whereas the 297 participants from Ankara represent only around 90,000 ( DGMM 2018 ). The sub-samples of each province thus represent different numbers of Syrians. The weight corrects for these unequal ratios. It was computed as the inverse of the inclusion probabilities within provinces. That way, the sample represents the overall Syrian population in the six provinces more accurately. More details on the weight construction can be found in Schiefer et al. (2023) . Note, however, that the weighting procedure involves some uncertainties: The plausibility of official numbers on Syrians in Turkish provinces has been questioned ( Düvell 2019 ). Furthermore, the weight corrects only for population distributions within the six provinces, not within Turkey as a whole. Moreover, the assumption of a random probability selection, on which weighting approaches are commonly based, holds primarily for the household level (random walks) but less so for the city and district level (see Schiefer et al. (2023) for details).

As Table 2 documents, the questions ‘In the future, would you like to live in a country other than Turkey or Syria?’ and ‘In the future, would you like to stay in Turkey?’ did not offer a response option ‘I don’t know’. Furthermore, the question about aspirations to stay had a relatively large non-response rate (11.1 per cent), and also the question asking for onward migration had a small non-response rate (2.8 per cent). As shown in Section 3, we treat this non-response as an indicator of uncertainty regarding aspirations to stay in Turkey or move on and use them as dependent variables in regression analyses. We do this acknowledging that in our sample non-response can be interpreted as uncertainty, but in principle also as an act of concealment (refusal of response), especially since for Syrians in Turkey onward migration to Western countries is in most cases only possible through irregular channels and respective information thus are sensitive. To better understand the meaning of non-response to these questions, we compared whether respondents and non-respondents differed in their responses to other, potentially sensitive questions such as whether they had ever tried to get to Europe by means other than legal visa, whether they had received help from others when migrating to Turkey or whether they still have monetary savings. Some of these questions also include a response option ‘Prefer not to say’. Results, documented in Supplementary Appendix 1 , do not indicate substantial bias, but nevertheless do not completely rule out that non-response is a matter of concealment. However, the results of the regression analyses (see Section 3) again suggest that non-response is likely an expression of uncertainty.

3.1 Migration aspirations of Syrians in Turkey in 2018: Judgments in times of uncertainty

More than half of the participants confirmed that they would like to stay in Turkey in the future ( Table 2 ). In turn, 29 per cent expressed intentions to live in a country other than Turkey or Syria in the future. Notably, less than 2 per cent confirmed having enough money to travel to Europe indicating very low migration capabilities. Regarding return to Syria, participants appeared to be rather uncertain. Only 3 per cent agreed with this option, around 20 per cent disagreed, and the vast majority chose the response option ‘depending on the situation’ (63 per cent) or ‘I don’t know’ (14 per cent). When being asked about where their family would be better off, the majority of the participants, 57 per cent, chose Turkey. This is even slightly more than those who state that they want to stay in Turkey in the future. In comparison, 21 per cent expect their family to be better off in Syria and around 24 per cent say this would be in Europe.

The responses concerning the return to Syria illustrate the high degree of uncertainty with regard to the further development of the crisis and the future places of living. This is corroborated by the high rates of non-response to the question about living in Turkey in the future (11 per cent, Table 2 , see Section 2 for the interpretation of non-response) and to the questions about living conditions in Europe (47 per cent, Table 2 ). The latter indicates that imaginations of places outside of Turkey or Syria are vague, some participants explained that they knew too little about Europe.

Uncertainty is also reflected in the fact that 39 per cent of participants who answered positively to the question about moving on to places other than Syria or Turkey also answered positively to the question about staying in Turkey. Vice versa, 24 per cent of those who stated aspirations to stay in Turkey also stated aspirations to move on to other places. In the total sample, this makes 11 per cent of the participants who simultaneously consider both to stay and to move on ( Fig. 1 ), indicating a lack of clear preferences. Another 9 per cent of the total sample stated that they do not aspire to move on, but were uncertain (non-response) with regard to staying. In this regard, the various migration options are not a zero-sum game for Syrians in Turkey. Moreover, for around 26 per cent of participants neither staying nor moving on seemed to be an option ( Fig. 1 ). Within this group, in turn, 85 per cent made their return to Syria dependent on the situation there. This, again, demonstrates the high degree of uncertainty regarding desired places of living.

Responses to the questions asking for aspirations to stay in Turkey and aspirations to move on. Weighted data. Numbers represent percentages of the total sample.

Responses to the questions asking for aspirations to stay in Turkey and aspirations to move on. Weighted data. Numbers represent percentages of the total sample.

Taken together, the majority of participants saw themselves in Turkey in the future; only a (still large) minority of the participants seemed to be convinced that moving on to other places such as Europe is a desirable option. This depicts best their response to the crisis and Syria: to stay away from it. Only a minority perceives Syria as a desirable place, and whether living in Syria in the future is a realistic option is rather unpredictable. Simultaneously under conditions of a security crisis, people are often rather uncertain about their future whereabouts and sometimes multiple options are considered.

3.2 Temporality

Our data also illustrate the temporality inherent in migration aspirations in times of crisis. For example, safety was a predominant reason to choose Turkey as a country of destination (53 per cent, Table 2 ). Other aspects, such as rights of refugees (16.3 per cent), the presence of relatives in Turkey (16.3 per cent) and job opportunities (14.7 per cent) played a lesser role. In contrast, among those who expressed the intention to move on to another country only 26 per cent selected peace as one of the three most important reasons. Instead, they more often chose human rights (55 per cent), job opportunities (31.8 per cent), and the presence of family (25 per cent) as reasons. Although comparability is reduced here due to different wording of questions and different response options, these variations point to the temporal dynamics in migration aspirations: Over time, immediate needs such as security are replaced by more long-term needs such as rights, economic opportunities, and family networks.

Furthermore, respondents’ migration aspirations partly differ depending on the time they arrived in Turkey; another illustration of temporality. Using 2016 (the year of the EU–Turkey statement) as a cutoff, we find that participants who arrived in Turkey in the early years of the war mentioned geographic proximity, cultural similarity, and rights for refugees significantly more often as reasons for coming to Turkey compared with those who arrived later (proximity: χ 2 = 13.3, p < 0.01; similarity: χ 2 = 4.4, p < 0.05; rights: χ 2 = 6.4, p < 0.05). In contrast, family and friendship networks were significantly more important among those who arrived later (family: χ 2 = 12.5, p < 0.01; friends: χ 2 = 3.9, p < 0.05; Fig. 2 ) . Furthermore, aspirations to move onward are significantly higher among early than late arrivers (24% vs. 30%, χ 2 = 5.4, p < 0.05). Aspirations to stay and to return are, however, unrelated to the time of arrival. One assumption here is that those who arrived later chose Turkey more deliberately as a destination, for example, for family reasons, therefore onward migration is less attractive for them. Notably, human and refugee rights seemed to play a somewhat lesser role for later arrivals in Turkey and are more likely to be a reason for onward migration.

Reasons for coming to Turkey, by time of arrival. Weighted data. Vertical lines represent 95% confidence intervals.

Reasons for coming to Turkey, by time of arrival. Weighted data. Vertical lines represent 95% confidence intervals.

3.3 Migration aspirations: the role of family

Our survey provides detailed insides into the geographical dispersion of participants’ family members ( Table 2 ) as a consequence of a crisis. It shows that the crisis had a destructive impact on the coherence of families. Core families (spouses, children) rather fled as entire units, whereas extended families were rather separated and now live transnationally. One-third has parents in Turkey and around 40 per cent have parents in Syria. In addition, more than 40 per cent say that they have relatives living in Europe. Merely 7 per cent of participants have relatives in Turkey only. In turn, 50 per cent have relatives in both Turkey in Syria and another 37 per cent in Turkey, Syria, and Europe ( Fig. 3 ).

Dispersion of family members across countries. Weighted data.

Dispersion of family members across countries. Weighted data.

To analyze how these crisis-induced (trans)national family networks relate to migration aspirations among participants, we estimated several multiple logistic regression models. The dependent variables are individual migration aspirations. They comprise participants’ responses to the three questions asking whether in future they would like to (1) live in a country other than Syria or Turkey, (2) live in Turkey, or (3) return to Syria.

Depending on the response options presented in the survey, the outcome variables were operationalized in different ways. The models predicting individual aspirations to move on and individual aspirations to stay ( Table 3 ) estimate the likelihood of responding to the respective questions positively, negatively, or not at all. Given that participants were not offered the response option ‘I don’t know’, we assume that those who did not respond to the questions were primarily those who would have responded ‘I don’t know’ if they were presented this option. Non-response is thus regarded as valid information, in this case uncertainty regarding migration intentions, and included as dependent variables in the models in addition to yes/no-responses. 1 Regarding aspirations to return to Syria ( Table 4 ), the models estimate the likelihood of responding to the respective question with either ‘Yes’, ‘No’, ‘Depending on the situation in Syria’, or ‘I don’t know’. A very small number of non-responses ( N  = 20, 1 per cent) were excluded from these models.

Determinants of aspirations to move to other countries and to stay in Turkey: results of multiple logistic regression models

Notes : Numbers represent regression coefficients, stars indicate statistical significance (** p  < 0.01, * p  < 0.05). For each dependent variable, the reference category includes all other participants. / indicates that no values is assignable (no observations in cell).

Determinants of aspirations to return to Syria: results of multiple logistic regression models

Notes : Numbers represent regression coefficients, stars indicate statistical significance (** p  < 0.01, * p  < 0.05). For each dependent variable, the reference category includes all other participants.

All models ( Tables 3 and 4 ) compare participants who chose the respective response option (or did not respond, respectively) to all other participants. Because the resulting outcome variables are binary, binominal logistic regressions were performed.

Tables 3 and 4 document the results of the logistic regression models. The tables document regression coefficients that indicate the direction and the significance of the respective effects. Odds ratios, which allow to interpret the strength of effects, are documented in Supplementary Appendix 2 .

For each dependent variable, three models were estimated. The first model includes various characteristics that have been documented in the literature to be relevant determinants of migration aspirations (e.g. Aslany et al. 2021 ). These comprise demographic aspects, economic and social living situations in Turkey, migration capabilities, length of stay in Turkey, and perceived living conditions in Turkey and Europe. The second model examines family-specific determinants including the location of family members and the existence of household members younger than 10 years. The third model includes both family-related and other determinants.

Due to the high non-response rate regarding perceived living conditions in Europe, the variable was included as a binary variable (low: scale mean ≥1–4; high: scale mean >4–7) and non-response was included as a third category. For better comparability, the variable containing perceived living conditions in Turkey was then also dichotomized. Furthermore, due to very low frequencies, the variables assessing the presence of spouses in Syria and having enough money to travel to Europe were not used in the regression models. Regarding spouses, we instead constructed a variable that combines marital status and spouses’ places of residence: We compare unmarried (i.e. single, widowed, divorced) participants with those who are married and whose spouse lives in Turkey, and those that are married but whose spouse does not live in Turkey.

Overall, the regression models explain aspirations to move on to places other than Turkey or Syria better than aspirations to stay in Turkey or return to Syria. The respective pseudo-R coefficients for the full models (models 3) explaining aspirations to live in a country other than Turkey or Syria are 0.29 (likelihood of choosing the ‘Yes’-option), 0.25 (likelihood of saying ‘No’), and 0.19 (likelihood of non-response). The power of the models explaining aspirations to return to Syria is comparably small (pseudo-R around 0.07). Interestingly, with regard to aspirations to stay in Turkey, the likelihood of not responding to this question can be better explained (pseudo-R coefficients of 0.29) than the likelihood of responding ‘Yes’ or ‘No’ (Pseudo-R of 0.10 and 0.11). One possible interpretation why the different kind of aspirations can be explained differently well is that the participants are comparatively clear about the option of moving on, with the majority opting against it and those who opt for it do so only for specific reasons. The actual ambivalence involves the question of staying or returning. Another one is that the models might miss important explanatory factors for staying or returning, such as political activism which might, for example, be a relevant reason for returning.

We first inspect the variables unrelated to family. Some of them are associated with a tendency to aspire onward migration. Kurdish-speaking participants, for example, tend to more strongly aspire to move on to places other than Syria and Turkey and are less inclined to stay compared with participants speaking other languages, mostly Arabic. With regard to return aspirations, however, they seem to be more uncertain. They have a stronger tendency to respond with ‘I don’t know’ and a weaker tendency to respond with ‘depending’. An inspection of the odds ratio coefficients ( Supplementary Appendix 2 ) reveals that being a Kurdish mother tongue speaker has one of the strongest effects. The coefficient for the odds of responding ‘Yes’ to the question about moving on is 2.9, meaning that the odds are almost three times higher among Kurdish speakers compared with other participants. Higher educated participants by tendency also show stronger aspirations to move on and weaker aspirations to stay, but the coefficients fail to reach significance level in most cases. Return intentions are, according to the models, unrelated to education.

The opposite can be found for women and those who are more satisfied with living conditions in Turkey. They show higher aspirations to stay and lower aspirations to move on. Considering the odds ratios ( Supplementary Appendix 2 ), the satisfaction with living conditions in Turkey is also one of the strongest predictors of migration aspirations. For example, among those who are satisfied with conditions in Turkey the odds of expressing an aspiration to stay in Turkey are more than three times higher than among those who are dissatisfied (odds ratio of 3.45). Participants enjoying a better economic situation (household employment) are also less inclined to move on to other places and seem more uncertain (non-response) regarding staying. Return intentions seem to be unaffected by gender, perceptions of living conditions and economic situation, except for that those who are more satisfied less likely make return depending on the situation in Syria.

Temporal dynamics seem to play a role as well. The longer participants had lived in Turkey, the more likely they stated aspirations to move on. With regard to staying in Turkey, they tend to be less certain (higher non-response). However, the effects are comparably weak (low odds ratios).

Social networks outside of the family shape migration aspirations in complex ways. Those who have Turkish friends more likely want to stay in Turkey and less likely move on; return intentions are not affected. Interestingly, those who have Syrian friends in Turkey are less inclined to move on, but also more likely say ‘No’ (and less likely refuse response) when being asked about staying in Turkey. When being asked about returning to Syria, they less likely say ‘I don’t know’ and more likely make it dependent on the situation in Syria. Hence, Syrian networks in Turkey make onward migration less likely and considerations rather seem to circle around staying or returning.

Why it makes sense to assess aspirations to move on and to stay with separate questions also becomes apparent when looking at the effect of Turkish language skills. Participants with Turkish language proficiency are more likely not only to respond positively to the question about onward migration but also to the question of staying. Apparently, having Turkish language proficiency has multiple meanings. Notably, some of those with Turkish language proficiency are also more uncertain with regard to staying or returning.

Perceptions of living conditions in Europe are associated with high degrees of uncertainty. As shown in Table 2 , almost half of the participants did not respond to the respective questions. The regression models reveal that participants with positive perceptions of Europe show stronger aspirations to move on than those with a more negative perception. In fact, this is quite a strong effect. The odds of expressing an intention to move on are eleven times higher among those with positive compared to negative perceptions ( Supplementary Appendix 2 ). Aspirations to stay and return, however, are not related to positive views about Europe. Interestingly, uncertainty about Europe as a potential destination is partly related to uncertainty regarding migration aspirations. Those who seemed to be uncertain about the situation in Europe (non-response) are also more uncertain about staying in Turkey. They are less likely to say ‘Yes’ (significant) and more likely to refuse response (marginally significant) to the respective question. When being asked about returning to Syria, they are significantly less likely to say ‘No’, and—by tendency—also less likely to say ‘Yes’ and more likely say ‘Depending’ or ‘I don’t know’, but the latter three effects do not reach significance level.

We now turn to variables related to family. The regression models indicate that participants’ migration aspirations are associated with (trans)national family networks in complex ways. The most consistent driver is transnational ties, notably having family members in Europe. Those with family ties in Europe show stronger aspirations to move onward, are somewhat more uncertain regarding staying, and are more likely rejecting return to Syria. An inspection of the odds ratios shows that the odds for aspiring onward migration are more than twice as high when participants have family in Europe.

With regard to family in Turkey and Syria, our data allow to compare different types of relatives. Participants who have a spouse living in Turkey are less likely to show aspirations to move onward compared with those whose spouses lives abroad, mostly in a third country. Furthermore, they have weaker intentions to stay in Turkey (likelihood of saying ‘No’ significantly higher) and—by tendency—stronger intentions to return (higher likelihood of saying ‘Yes’; not significant). Additional analyses show that those with a spouse in Turkey more likely see their family better off in Syria than those with a spouse abroad (regression coefficient: 0.67, p < 0.01, odds ratio: 2.0). Thus, those who live with their spouse in Turkey seem to be somewhat more strongly oriented towards Syria.

The presence of children in Turkey or Syria is not significantly related to participants’ migration aspirations, at least after controlling for other factors. However, further analyses reveal an important difference between individual and family-related aspirations: Individuals who have children living in Turkey are more likely to state that their family is better off in Turkey (regression coefficient: 0.74, p < 0.01, odds ratio: 2.1) and worse off in Syria (regression coefficient: −0.63, p < 0.01, odds ratio: 0.5). By tendency, they also see their family worse off in Europe (marginally significant). Hence, having children in Turkey seems less relevant for individual considerations regarding desired places of living, but still has relevance for family-related considerations.

When participants have parents in Turkey, they less strongly aspire to move onward, presumably because their older parents do not want to migrate further. Aspirations to stay or return are, however, not significantly affected according to the regression models. Siblings living in Turkey or Syria do not seem to impact certain preferences regarding places of stay. Yet, those with siblings in Turkey seem to be more certain regarding migration aspirations: They less likely refused response to the questions about moving on or staying.

Grandparents, according to our data, seem to create uncertainty among participants regarding their future whereabout. Those who have grandparents living in Turkey or in Syria are less likely to clearly opt for or against staying but instead more likely refuse response to the question about staying in Turkey. These effects are rather strong. A similar pattern can be found regarding aspirations to move on, but the effects are not significant. Regarding return aspirations, participants with grandparents in Turkey have a higher likelihood of responding with ‘I don’t know’, and those with grandparents in Syria less likely opt against returning. Additional analyses show that those who have grandparents in Turkey less likely see their family better off in Turkey (regression coefficient: −0.53, p < 0.05, odds ratio: 0.6) and more likely better off in Syria (regression coefficient: 0.90, p < 0.01, odds ratio: 2.5). Although the pattern of findings is not entirely clear, one interpretation could be that in the eyes of participants, when considering aging grandparents, the family is seen as better off in their familiar homes in Syria. Another is that the immobility of grandparents who cannot or do not want to leave is at odds with migration aspirations of other family members.

Overall, the analyses demonstrate the complexity of interrelations between migration aspirations, family networks, and other drivers. Notably, some factors do not only explain aspirations (responding with ‘Yes’ or ‘No’), but also explain uncertainty regarding future places of living (non-response or responding with ‘I don’t know’). The differentiation between specific kin relations reveals unique patterns such as the importance of grandparents or spouses. The less explanatory power of the models explaining aspirations to stay and to return indicates that these options are less clear to participants than opting for or against moving on.

3.4 Zooming in deeper: the interplay of family with other characteristics

So far, we have looked at direct links between family networks and migration aspirations. Now we turn to the question how family networks and other characteristics interact in explaining migration aspirations. In particular, we scrutinize whether the location of relatives determines to what degree other characteristics are related to migration aspirations. We do that using aspirations to move on to other places as the example. We performed additional logistic regression models predicting responses to the question ‘In future, would you like to live in a place other than Syria or Turkey’. Unless included in the interaction term, the models control for gender, age, level of education, and Kurdish language. Table 5 shows respective interaction coefficients based on logistic regression models. As can be seen, a few interactions reach significance level.

How (trans-)national family networks and other characteristics interact in predicting aspirations to live in a place other than Syria or Turkey

Notes : Interaction coefficients based on logistic regression models. Stars indicate statistical significance (** p <0.01, * p <0.05). Unless included in the interaction term, the models control for gender, age, level of education, and Kurdish language.

One such interaction refers to the satisfaction with living conditions in Turkey and the place of residence of the spouse. Being dissatisfied with living conditions in Turkey increases the likelihood of wanting to move on. This effect, in turn, is significantly stronger among separated couples where the spouse is currently living abroad and thus indicates a network effect. For those who are unmarried or whose spouse is living in Turkey the effects are weaker ( Fig. 4 ).

Dissatisfaction with living conditions in Turkey, migration aspirations, and partnership status. Estimated marginal effects based on logistic regression models. Vertical lines represent confidence intervals at the 95% level. Control variables: gender, age, level of education, and Kurdish language background.

Dissatisfaction with living conditions in Turkey, migration aspirations, and partnership status. Estimated marginal effects based on logistic regression models. Vertical lines represent confidence intervals at the 95% level. Control variables: gender, age, level of education, and Kurdish language background.

Furthermore, the degree to which Kurdish-speaking and other participants differ in their migration aspirations depends on whether they have children in Turkey or not. While Kurdish mother tongue speakers are more inclined to move on to a place other than Syria or Turkey than participants speaking other languages, this difference is smaller among participants who have children in Turkey ( Fig. 5 ). In a similar vein, the role of family in Europe for onward migration aspirations seems to be more strongly for Kurdish-speaking participants than others.

Kurdish mother tongue, migration aspirations, and children in Turkey. Estimated marginal effects based on logistic regression models. Vertical lines represent confidence intervals at the 95% level. Control variables: gender, age, and level of education.

Kurdish mother tongue, migration aspirations, and children in Turkey. Estimated marginal effects based on logistic regression models. Vertical lines represent confidence intervals at the 95% level. Control variables: gender, age, and level of education.

Further analyses reveal that the locations of different types of family members partly also interact with each other in their relation to migration aspirations, although we find only a few significant interactions. For example, while participants have higher aspirations to move on when their spouse is not living in Turkey compared with those who both live in Turkey, this difference is only present among those who do not have children in Turkey. For those with children in Turkey having a spouse abroad is unrelated to aspiration to migrate onward ( Fig. 6 ). Thus, while having one’s spouse living abroad is more likely to motivate emigration, having children in Turkey mitigates this aspiration.

Aspirations to move onward depending on the presence of children and spouse in Turkey. Estimated marginal effects based on logistic regression models. Vertical lines represent confidence intervals at the 95% level. Control variables: gender, age, Kurdish language background, and level of education.

Aspirations to move onward depending on the presence of children and spouse in Turkey. Estimated marginal effects based on logistic regression models. Vertical lines represent confidence intervals at the 95% level. Control variables: gender, age, Kurdish language background, and level of education.

Altogether, we find comparably few significant interactions between family and other drivers of migration aspirations. Yet, those that meet the significance criterion point to the weighing processes individuals go through when considering future places of living. Each option conveys benefits and costs which demonstrate the complexity of migration aspirations already pointed at in the literature ( Czaika and Reinprecht 2022 ).

War constitutes one of the most severe crises families can go through. Families are torn apart in the course of forced migration and their subsequent living conditions in the place of refuge are often characterized by uncertainty, temporality, and unpredictability. In such a situation, deciding whether to stay, return home, or move on to another place involves complex considerations and a certain level of ambiguity tolerance. In this article, we argue that especially among refugees migration aspirations emerge not only from one’s individual living situation but more so against the backdrop of the location and prospects of one’s family. Current and prospective places of living, the costs and benefits of, and capabilities for migrating onward, returning, or staying are evaluated against the backdrop of local and transnational family networks.

Our survey among Syrian refugees in Turkey provides extensive insights into forced migrants aspirations regarding future places of living and the role that family networks play as drivers. First, we find that in 2018, after onward migration to Europe had been significantly slowed down by political measures, most Syrians viewed Turkey as the best option for themselves and their families, at least for the immediate future. Furthermore, their capabilities to migrate onward seemed to be rather low and family, we found, is one factor that holds them back. This corroborates other recent studies among Syrians in Turkey ( Akesson and Coupland 2018 ; Müller-Funk 2019 ; Üstübici, Kirişçioğlu and Elçi 2021 ) and is further supported by migration statistics: Since the survey took place, Syrians have represented only a minor share of all sea arrivals in Greece ( UNHCR 2022 ). Thus, Syrians in Turkey display what Schewel (2020) has described as either involuntary or acquiescent immobility. For some, this immobility can be a sign of coming to terms with one’s situation as best as possible and of some degree of settlement and integration despite adverse conditions (see e.g. Düvell 2019 ; Üstübici, Kirişçioğlu and Elçi 2021 ). Others, however, still aspire to move on but are unable to realize their aspirations due to a combination of strict border controls and limited financial resources. Also, in line with previous studies (e.g. Müller-Funk 2019 ), we find in the context of a crisis a substantial degree of uncertainty with regard to future places of living, especially the future in Syria, but also in Turkey. This shows how ambiguous imaginations of future places of living can be in the context of forced migration. Nevertheless, data also show that with increasing dissatisfaction with living conditions in Turkey, aspirations to migrate onward become more likely. Furthermore, for certain groups, notably Kurdish mother-tongue speakers, migrating onward is still a desirable option.

Our data illustrate that Syrian families in Turkey are in many cases forced transnational families, with family members scattered across multiple countries. Accordingly, their migration aspirations are related to family member’s places of residence in complex ways. Whereas having family in Europe is one of the strongest determinants of aspirations to move on, having children, parents, or grandparents in Turkey or Syria is more likely a motivation for staying put, sometimes even to return. This suggests that if someone has relatives in Turkey as well as in Syria or Europe (which is quite prevalent in our study), potentially conflicting care and social support aspects must be weighed against one another when considering future places of residence. The same regards to the degree to which social and economic integration in Turkey translates into migration aspirations. The imagination of better living conditions elsewhere must be weighed against potential costs of migration for family members with whom one has a close and caring relationship. In this regard, our article corroborates the assumption that migration aspirations are based on complex configurations of drivers that are specific to time and place ( Czaika and Reinprecht 2022 ).

The role of family for migration aspirations in times of crises, however, requires further investigation. Our data partly reflect rather weak statistical relations and interactions between family networks, other characteristics, and migration aspirations, which often do not reach significance level. Some findings partly contradict previous research. For example, the finding that distal family networks (to Europe) determine migration aspirations more strongly than proximal (in Turkey) contradicts findings of Tobin, Momani and Al Yakoub (2022) who concluded the opposite. Future studies should further scrutinize the conditions under which family networks shape migration aspirations.

Our findings need to be interpreted having a number of limitations in mind. First, it is unfortunate that the survey questions asking for aspirations to migrate onward or to stay in Turkey did not include the response option ‘I don’t know’. This would have been a more precise indicator of uncertainty. We used participants’ non-response as an indicator of uncertainty, and our findings support the assumption that non-response is in fact a meaningful response in terms of uncertainty; however, it cannot be ruled out that participants refused response for other reasons (e.g. concealment). Second, it is also unfortunate that the study did not include more differentiated information on which type of family members live outside of Turkey and Syria. Although we were able to show that relatives in Europe play an important role in onward migration intentions, it is to be expected that certain relatives such as partners and children represent a higher incentive for onward migration than distant ones. Third, although comparably large in numbers, Syrians represent only one group of forced migrants in Turkey. Refugees’ migration aspirations, however, can vary across groups. For example, Afghans in Turkey seem to be more inclined to move on to other places compared with Syrians (e.g. Üstübici, Kirişçioğlu and Elçi 2021 ), mostly because of a more precarious immigration status and also because they mostly flee individually, not as a family. Different migration statuses, family networks, migration histories as well as different living conditions in the country of settlement play a role here. Furthermore, Syrian family systems are described as rather collectivist ( Haboush 2005 ), hence, there is an overlap between forced migration and family culture which we cannot disentangle empirically. In general, future studies on migration aspirations ought to compare groups in crisis and non-crisis situations to specify the unique implications of crisis for migration aspirations. Fourth, although this article addresses the temporality of migration aspirations, our survey in 2018 only provides a snapshot. Since 2018, living conditions for Syrians in Turkey have deteriorated further due to an increasingly negative attitude of the Turkish population and subsequently the government toward refugees, but also due to the Corona pandemic that began in 2020 and the severe social impact this had on refugees ( Düvell 2020 ). Longitudinal or serial studies are recommended to capture temporality in times of crises more directly. Finally, we can describe relations between family networks and migration aspirations only as associations since the study design and analyses presented here do not allow causal claims nor do they provide deeper insights into the decision-making processes that take place over time (see e.g. Müller-Funk et al. 2019 ).

Despite these limitations, this article illustrates the importance family plays in migration aspirations in times of crisis and highlights that individual migration aspirations cannot be understood without embedding them in their family context. Moreover, it points to the fact that more scientific attention ought to be paid to specific types of family relations such as partnerships, relations between parents and underaged children or between adults and their aging parents, and the role they play for migration aspirations. Because family is not only one of many determinants of migration aspirations, but in itself already represents a very complex set of determinants.

Supplementary data are available at Migration Studies online.

This work was supported by the German Federal Ministry for Family Affairs, Senior Citizens, Women and Youth (Bundesministerium für Familie, Senioren, Frauen und Jugend, BMFSFJ).

This article is based on a research project conducted by the German Center for Integration and Migration Research (DeZIM-Institute, Berlin, PI: Dr Franck Düvell) in collaboration with the Migration Policy Research Centre at Ankara Yildirim Beyazit University in Turkey (PI: Prof. Dr Ali Zafer Sağıroğlu) and the Aalborg University in Denmark (PI: Prof. Dr Martin Lemberg-Petersen). All data collections were conducted with permission by the Directorate General of Migration Management in Turkey (DGMM). We would like to express our gratitude to the two anonymous reviewers, the journal editor, the guest editors of the Special Issue ‘Family migration in times of crises’ as well as the authors of the other articles of the special issue for their extremely valuable feedback on earlier versions of our manuscript.

Conflict of interest statement. All authors declare that they have no conflicting interests .

See Section 2 for a discussion and empirical check on how to interpret nonresponse in the data.

Akesson B. , Coupland K. ( 2018 ) Without Choice? Understanding War-affected Syrian Families’ Decisions to Leave Home. Migration Research Series, Vol. 54. Geneva, Switzerland.

Aljazeera . ( 2022 ) Fear among Syrian Refugees over Turkey “Voluntary Return” Plan . < https://www.aljazeera.com/news/2022/7/20/fear-among-syrian-refugees-over-turkey-voluntary-return-plan > accessed 2 Sept 2022.

Aslany M. , Carling J. , Mjelva M. B. , Sommerfelt T. ( 2021 ) Systematic Review of Determinants of Migration Aspirations . QuantMig Project Deliverable D2.2. Southampton: University of Southampton.

Baban F. , Ilcan S. , Rygiel K. ( 2017 ) ‘ Syrian Refugees in Turkey: Pathways to Precarity, Differential Inclusion, and Negotiated Citizenship Rights ’, Journal of Ethnic and Migration Studies , 43 / 1 : 41 – 57 .

Google Scholar

Biehl K. S. ( 2015 ) ‘ Governing through Uncertainty Experiences of Being a Refugee in Turkey as a Country for Temporary Asylum ’, Social Analysis , 59 / 1 : 57 – 75 .

Boccagni P. ( 2017 ) ‘ Aspirations and the Subjective Future of Migration: Comparing Views and Desires of the “Time Ahead” through the Narratives of Immigrant Domestic Workers ’, Comparative Migration Studies. , 5 / 1 : 4 – 18 .

Borselli M. , van Meijl T. ( 2021 ) ‘ Linking Migration Aspirations to Integration Prospects: The Experience of Syrian Refugees in Sweden ’, Journal of Refugee Studies , 34 / 1 : 579 – 95 .

Boyd M. ( 1989 ) ‘ Family and Personal Networks in International Migration: Recent Developments and New Agendas ’, International Migration Review , 23 / 3 : 638 – 70 .

Carling J. ( 2014 ) The Role of Aspirations in Migration. Paper Presented at Determinants of International Migration . Oxford : International Migration Institute, University of Oxford .

Google Preview

Carling J. , Schewel K. ( 2018 ) ‘ Revisiting Aspiration and Ability in International Migration ’, Journal of Ethnic and Migration Studies , 44 / 6 : 945 – 63 .

Coleman J. S. ( 1986 ) ‘ Social Theory, Social Research, and a Theory of Action ’, American Journal of Sociology , 91 / 6 : 1309 – 35 .

Cooke T. J. ( 2008 ) ‘ Migration in a Family Way ’, Population, Space and Place , 14 / 4 : 255 – 65 .

Czaika M. , Reinprecht C. ( 2022 ) ‘Migration Drivers: Why Do People Migrate?’, in Scholten P. (ed.) Introduction to Migration Studies , pp. 49 – 82 . Cham, Switzerland : Springer .

DGMM—Directorate General of Migration Management . ( 2018 ) ‘Temporary Protection, Republic of Turkey, Ministry of Interior’. Data Release as of December 2018. < https://en.goc.gov.tr/temporary-protection27 > accessed 6 Dec 2018.

DGMM—Directorate General of Migration Management . ( 2022 ) ‘Temporary Protection, Republic of Turkey, Ministry of Interior’. Data Release as of September 2022. < https://en.goc.gov.tr/temporary-protection27 > accessed 20 Sept 2022.

Dubow T. and Kuschminder K. ( 2021 ) ‘ Family Strategies in Refugee Journeys to Europe ’, Journal of Refugee Studies , 34 / 4 : 4262 – 78 .

Düvell F. ( 2018 ) ‘ From Migration Transition to Integration Challenge ’, New Perspectives on Turkey , 58 : 179 – 200 .

Düvell F. ( 2019 ) ‘Are there Really 3.6 Million Refugees in Turkey or Could There Be Considerably Less?’, DeZIM Briefing Note, 1. Berlin, Germany: German Center for Migration and Integration Research.

Düvell F. ( 2020 ) ‘ Turkey: The Coronavirus Emergency and Its Impact on Refugees ’, Zeitschrift Für Flüchtlingsforschung , 4 / 1 : 120 – 30 .

Erdogan M. M. (2020) Syrians Barometer 2019: A Framework for achieving Social Cohesion with Syrians in Turkey . Ankara, Turkey: Orion Kitabevi .

Erdogan M. M. ( 2019 ) Syrian Refugees in Turkey . Ankara, Turkey : Konrad Adenauer Stiftung .

Haboush K. L. ( 2005 ) ‘Lebanese and Syrian Families’, in McGoldrick M. , Giordano J. , Garcia-Preto N. (eds) Ethnicity & Family Therapy , 3 rd edn, pp. 468 – 86 . New York, London : Guilford Press .

Harbison S. F. ( 1981 ) ‘Family Structure and Family Strategy in Migration Decision Making’, in De Jong G. F. , Gardner R. W. (eds) Migration Decision Making: Multidisciplinary Approaches to Microlevel Studies in Developed and Developing Countries , pp. 225 – 51 . New York : Pergamon .

Harrell S. ( 1997 ) Human Families . New York : Routledge .

Haug S. ( 2008 ) ‘ Migration Networks and Migration Decision-Making ’, Journal of Ethnic and Migration Studies , 34 / 4 : 585 – 605 .

International Organization of Migration. ( 2018 ) Analysis: Flow Monitoring Surveys in Turkey. December 2017- February 2018 . Geneva, Switzerland: International Organization for Migration.

IOM—International Organization of Migration . ( 2021 ) World Migration Report 2022 . Geneva : IOM .

Koç İ. , Saraç M. ( 2020 ) ‘The Impact of Conflict-Induced Migration on Family Structure of Syrian Refugees in Turkey. A Comparative Analysis of Pre-Conflict and Post-Conflict Periods, 2006–2018’, in Çavlin A. (ed.) Syrian Refugees in Turkey , pp. 29 – 46 . London : Routledge .

Kok J. ( 2010 ) ‘The Family Factor in Migration Decisions’, in Lucassen J. , Lucassen L. , Manning P. (eds) Migration History in World History. Multidisciplinary Approaches , pp. 215 – 50 . Leiden, NL : Brill .

Massey D. et al. ( 1987 ) Return to Aztlan: The Social Process of International Migration from Western Mexico . Berkeley, CA : University of California Press .

Mulder C. H. ( 2018 ) ‘ Putting Family Centre Stage: Ties to Nonresident Family, Internal Migration, and Immobility ’, Demographic Research , 39 / 1 : 1151 – 80 .

Müller-Funk L. ( 2019 ) ‘Adapting to staying, or imagining futures elsewhere: Migration decision-making of Syrian refugees in Turkey’, International Migration Institute Working Papers Series, Vol. 154. Amsterdam.

Müller-Funk L. et al. ( 2019 ) ‘Researching urban forced migrants in Turkey and Lebanon: Alternative ways to study a vulnerable population in fragile political contexts’, IMIn Working Papers , Vol. 151 . Oxford, UK : International Migration Institute Network .

Quintal V. A. , Lee J. A. , Soutar G. N. ( 2010 ) ‘ Risk, Uncertainty and the Theory of Planned Behavior: A Tourism Example ’, Tourism Management , 31 / 6 : 797 – 805 .

Rabo A. ( 2008 ) ‘“ Doing Family”: Two Cases in Contemporary Syria ’, Journal of Women of the Middle East and the Islamic World , 6 / 2 : 129 – 53 .

Robinson V. , Segrott J. ( 2002 ) ‘Understanding the decision-making of asylum seekers’, Home Office Research Study, Vol. 243. London.

Rosenthal U. , Boin A. , Comfort L. K. ( 2001 ) Managing Crises: Threats, Dilemmas, Opportunities . Springfield, IL : Charles C Thomas .

Rottmann S. , Kaya A. ( 2021 ) ‘“ We Can’t Integrate in Europe. We Will Pay a High Price If We Go There” : Culture, Time and Migration Aspirations for Syrian Refugees in Istanbul ’, Journal of Refugee Studies , 34 / 1 : 474 – 90 .

Schewel K. ( 2020 ) ‘ Understanding Immobility: Moving beyond the Mobility Bias in Migration Studies ’, International Migration Review , 54 / 2 : 328 – 55 .

Schiefer D. et al.  ( 2023 ) ‘ Sampling Refugee Groups: The Example of Syrians in Turkey ’, International Migration , 1 – 17 .

Şimşek D. ( 2019 ) ‘ Transnational Activities of Syrian Refugees in Turkey: Hindering or Supporting Integration ’, International Migration , 57 / 2 : 268 – 82 .

Stark O. ( 1991 ) The Migration of Labour . Oxford : Blackwell .

The New Arab . ( 2022 ) ‘“Who Am I? I’m a Human Being!”: The Violent Rise of Anti-Syrian Racism in Turkey’, < https://english.alaraby.co.uk/analysis/violent-rise-anti-syrian-racism-turkey > accessed 23 Sept 2022.

Timmerman C. , Heyse P. , Van Mol C. ( 2010 ) EUMAGINE Research Project: Conceptual and Theoretical Framework. Project Paper 1. Antwerp, The Netherlands: University of Antwerp.

Tobin S. A. , Momani F. , Al Yakoub T. ( 2022 ) ‘“ The War Has Divided Us More than Ever”: Syrian Refugee Family Networks and Social Capital for Mobility through Protracted Displacement in Jordan ’, Journal of Ethnic and Migration Studies , 48 / 18 : 4365 – 82 .

TRC—Turkish Red Crescent, WFP—World Food Program . ( 2019 ) Refugees in Turkey: Livelihoods Survey Findings 2019 . Ankara, Turkey : Turkish Red Crescent, World Food Programme .

Turton D. ( 2003 ) ‘Conceptualising forced migration’, RSC Working Paper, Vol. 12. Oxford.

UNHCR . ( 2022 ) Sea Arrivals Dashboard Greece . Geneva, Switzerland : UNHCR .

UNHCR . ( 2023 ) Operational Data Portal. Refugee Situations. Mediterranean Situation . Greece. Geneva, Switzerland : UNHCR .

Üstübici A. , Kirişçioğlu E. , Elçi E. ( 2021 ) Migration and Development: Measuring Migration Aspirations and the Impact of Refugee Assistance in Turkey. ADMIGOV Deliverable 6.1 . Istanbul : Koç University .

Voss M. , Lorenz D. F. ( 2016 ) ‘Sociological Foundations of Crisis Communication’, in: Schwarz A. , Seeger M. W. , Auer C. (eds) The Handbook of International Crisis Communication Research , 1 st edn, pp. 45 – 55 . Chichester, UK : John Wiley & Sons .

Willekens F. ( 2017 ) ‘The Decision to Emigrate: A Simulation Model Based on the Theory of Planned Behaviour’, in Grow A. , Van Bavel J. (eds) Agent-Based Modelling in Population Studies. Concepts, Methods, and Applications , pp. 257 – 300 . Cham, Switzerland : Springer .

World Bank . ( 2019 ) The Mobility of Displaced Syrians: An Economic and Social Analysis . Washington, DC: World Bank. < https://www.worldbank.org/en/country/syria/publication/the-mobility-of-displaced-syrians-an-economic-and-social-analysis > accessed 11 Feb 2022.

Email alerts

Citing articles via.

  • Recommend to your Library

Affiliations

  • Online ISSN 2049-5846
  • Copyright © 2024 Oxford University Press
  • About Oxford Academic
  • Publish journals with us
  • University press partners
  • What we publish
  • New features  
  • Open access
  • Institutional account management
  • Rights and permissions
  • Get help with access
  • Accessibility
  • Advertising
  • Media enquiries
  • Oxford University Press
  • Oxford Languages
  • University of Oxford

Oxford University Press is a department of the University of Oxford. It furthers the University's objective of excellence in research, scholarship, and education by publishing worldwide

  • Copyright © 2024 Oxford University Press
  • Cookie settings
  • Cookie policy
  • Privacy policy
  • Legal notice

This Feature Is Available To Subscribers Only

Sign In or Create an Account

This PDF is available to Subscribers Only

For full access to this pdf, sign in to an existing account, or purchase an annual subscription.

  • 0 Shopping Cart

Internet Geography

International migration from Syria to Europe

forced migration in syria case study

Civil war erupted in Syria in March 2011 and continues today. Millions of Syrians have fled their homes and in some cases the country to escape the war. It is estimated that 11 million people fled their homes, with 6.6 million people being internally displaced (forced to move to another area of the country).

Syrians have sought refuge in neighbouring countries such as Turkey. The graph below illustrates the impact of the civil war in Syria on net migration in Turkey. Prior to the conflict in Syria, net migration was negative, meaning more people were leaving Turkey than were arriving. However, following the outbreak of war net migration increased rapidly.

The map below shows the refugee population by country of asylum. Following the start of the conflict in 2009 it is clear that refugee numbers not only increase in countries close to Syria, including Turkey but also in Europe. There has been a significant increase in the number of people seeking asylum in European countries, for example, in Germany the number of asylum seekers has doubled.

What are the push and pull factors causing Syrians’ to migrate to Europe?

Push factors include:

  • Unemployment due to war
  • Lack of food due to war
  • Lack of access to clean water due to war
  • Forced migration due to war

Pull factors include:

  • The opportunity to be safe from conflict
  • The opportunity of a better standard of living
  • Availability of public services such as education, welfare and health care
  • A reliable source of food and water
  • Safe and secure shelter

What are the impacts of Syrian migration to Europe?

Origin country (Syria)

  • Less pressure on resources and aid
  • Reduced risk of citizen targets
  • Money can be sent back to friends and family still in Syria

Destination country 

  • Greater cultural diversity
  • Low-wage workforce to do the jobs local people do not want
  • Opportunity to experience Syrian culture e.g. food

Migrants 

  • Safety from the risks associated with civil war
  • Opportunity to have a better quality of life
  • Opportunity to access education and healthcare

Negative impacts

  • A reduction in the number of people available to work, therefore less money is collected in taxes resulting in restricted economic growth
  • Loss of younger people who are more likely to migrate leaving behind an ageing population
  • Greater pressure on services such as healthcare and education
  • Greater pressure on resources such as food, water and energy
  • Language may be a barrier
  • Difficulty in adjusting to the culture
  • Migrants may be exploited as cheap labour
  • May experience discrimination and racism

Many Syrian migrants are being exploited for money by people traffickers offering them transportation across the Mediterranean Sea. This is an illegal practice, that forces authorities to accept an application for asylum. Traffickers charge considerable fees for transporting people in low quality, dangerous and overcrowded boats.

The image below shows poor quality boats and life jackets discarded by Syrian refugees.

Life jackets and boats left behind by Syrian refugees

Premium Resources

Please support internet geography.

If you've found the resources on this page useful please consider making a secure donation via PayPal to support the development of the site. The site is self-funded and your support is really appreciated.

Related Topics

Use the images below to explore related GeoTopics.

What are the impacts of migration?

Topic home, next topic page, igcse units, share this:.

  • Click to share on Twitter (Opens in new window)
  • Click to share on Facebook (Opens in new window)
  • Click to share on Pinterest (Opens in new window)
  • Click to email a link to a friend (Opens in new window)
  • Click to share on WhatsApp (Opens in new window)
  • Click to print (Opens in new window)

If you've found the resources on this site useful please consider making a secure donation via PayPal to support the development of the site. The site is self-funded and your support is really appreciated.

Search Internet Geography

Top posts and pages.

AQA GCSE 2024 Pre-release Revision

Latest Blog Entries

AQA GCSE Geography Pre-release Resources 2024

Pin It on Pinterest

  • Click to share
  • Print Friendly

Please enable JavaScript.

Coggle requires JavaScript to display documents.

Forced Migration In Syria Case Study - Coggle Diagram

  • How many people fail in leaving syria each year?
  • What led to forced migration in Syria?
  • why do Syrian refugee often immigrate to european countries?
  • Answer: They leave when they can stand their lives and they fell young anything else is better
  • In March 2011 violent government crackdown on public demonstrations in support of a group of teenagers. Who were arrested for anti-government graffiti in the southern town of Daraa and all of that led to what has happened today before our very eyes.
  • Answer: because they see that european countries are the safes and often has the strongest laws available.
  • The war is set in the North west province of Idlib but it has spread to almost all of syria. The war affects more than 75% of the country, the country's citizens, are migrating by water or land and almost 5.6 million of Syrian refugees are migrating to turkey, because they are one of the neighboring countries of syria.
  • The war has mainly affected the citizens of Syria by changing their point of view of life, and how their life means to them, the war has also affected a lot of countries like, Turkey, Lebanon, Jordan, Iraq, Egypt because those are the most known countries that Syrian citizens live at.
  • when the war first started the people slowly began to immigrate, the war started because of teenagers he were torrtcher, a group of teenagers who got arrested and tortured because of painting revolutionary slogans on a school property.
  • The war kills more people everyday, about 18,000 people immigrate out of syria daily making it one of the most immigrated countries in the world, this means that 13 million people in total are forcibly displaced. usual the easiest way for the people to flee syria they usually flee to the closest country available, but some people try to flee to countries like Germany or the united kingdom because it has the best care for refugees.
  • It has affected the countries by increasing the population drastically and lowering or raising the countries GDP which could help or hinder the countries economy.
  • People Who choose to immigrate to near my countries such as turkey or Jordan, have been accepted because the country gives pity to them, so they offer them a job, and let them live in their country, temporarily or for the rest of their lives. some foundations keep them sheltered and safe if 6they have a issue, or if they bare afraid for their lives, some foundations offer emotional therapy so they an forget what has happened or to make them think of something alternative. But most of the time the immigrants work so they can help grow the countries economy. some countries give chances to less unfortunate people who migrated or immigrated to another county.
  • This war has costed the economy around $428 Billion
  • Half of the Syrian population forcefully had to leave their homes.
  • The Syrian war created the largest Refugee Displacement ever to be recorded
  • 70 % of the population lack the amount of water
  • 17% of the population lack Adequate shelter
  • 10% of the population are internally displaced in t6he country and they are living in camps
  • 13.5 million people including children do not have humanitarian protection and assistance
  • Almost 60% of syria don’t have food to eat
  • four out of five people in syria live inn poverty
  • The Syrian War has mainly affected 6.5 million people, but it affected more then 10 million people by killing relatives family members, and it has also affected a lot of soldiers who have went to war in syria it has affected a lot of chidden but scaring them for life.
  • Syrian refugees often flee to countries close to syria, like Turkey. Almost 3.6 million Syrian Citizens flee to Turkey and whenever they want to flee to European countries they often go to Germany because they offer free Public education until after collage, so that makes a very good spot for Syrian refugees to go to.
  • The country has affected a lot of its citizens by not having any food or water, not having a place to sleep, and the country is taking risks that kills their citizens everyday thus creating even more any citizens. was has happened for the passed 10 years has affected millions of peoples point of view of life and even made people dislike Arabians because what is going on here paints a different picture about Arabs, and it also endangers children and families, many people wake up and get the news that their family members had died and many people have seen their family members and friends pass away before their vary eyes, and that could lead to a lot of drama that cannot leave the human mind, it could make people afraid for their lives because of what they have seen and many people commit suicide to get away from these memories, and many people feel that the only way to forget about what has happened to them is to kill themselves.
  • but many people have different point of views about this and its mainly because some people seem to not mind about what is going on and many people make assumptions about anything they see

ORIGINAL RESEARCH article

This article is part of the research topic.

Forced migration in education: challenges and opportunities

Making vulnerable groups able to connect socially and digitally -opportunities and pitfalls Provisionally Accepted

  • 1 Western Norway University of Applied Sciences, Norway

The final, formatted version of the article will be published soon.

Introduction: This article addresses digital and social inclusion of adults with potential low digital skills. The article presents a case study of how digital learning activities (DLAs) as a service to refugees, immigrants, senior citizens, and young adults neither in education, employment, or training (NEETs), are delivered outside the formal educational system by two libraries and one civic organization in Norway, Denmark, and Belgium. Through the theoretical lenses of social capital building, co-creation and co-producing, the article analyzes how the DLA’s were organized and tailored for the participant’s needs, with an emphasis on cooperation efforts with local sub-partners and representatives from the target groups. Methods: A multiple case-design was applied using a process tracing method combining qualitative and quantitative techniques. To measure the partner organizations’ experiences from the project, we conducted participant observation, personal and focus group interviews, in addition to self-reporting schemas about how they organized the DLA’s. Surveys were conducted to measure the participants’ experiences. Results: By combining literature and theoretical approaches from several fields; digital inclusion, public and civil organization research – with a particular focus on libraries, and their role in educating refugees and other vulnerable groups, the article provides new insights on how public and non-public organizations in local communities can work together to tailor-make DLAs and contribute to the promotion of digital inclusion. Discussion: Libraries and civic organizations have potential to reach out to vulnerable people in local communities, to provide innovative DLA’s and to connect both people and organizations. Vital for recruitment of participants and to find the right level of digital/technical ambition is to closely co-create and co-produce with representatives from other local organizations in both civil and public sector during the whole process. Co-creating activities with actors representing the target group in the planning phase as well as co-producing them in the implementation phase, are important prerequisites. The article discusses the challenges of trust-building, of finding the right level of digital ambition as well as developing long-term digital activities as important factors for the promotion of digital inclusion.

Keywords: Digital Inclusion, social inclusion, Refugees, Vulnerable groups, Co-producing, Co-creating, social capital

Received: 29 Nov 2023; Accepted: 17 Apr 2024.

Copyright: © 2024 Faye and Ravneberg. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) . The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Dr. Reidun Faye, Western Norway University of Applied Sciences, Bergen, Norway

People also looked at

IMAGES

  1. Forced Migration In Syria Case Study

    forced migration in syria case study

  2. Forced migration in Syria’s Idlib continues

    forced migration in syria case study

  3. Forced Migration ( Syria Case Study)

    forced migration in syria case study

  4. Forced migration in Syria’s Idlib continues

    forced migration in syria case study

  5. Forced migration in Syria’s Idlib continues

    forced migration in syria case study

  6. Forced migration in Syria's Idlib continues

    forced migration in syria case study

VIDEO

  1. Voluntary Migration: A Solution for Gaza?

  2. Syrian migrants struggle with tensions in Cypriot town

  3. IB Geography: Forced Migration and Internally Displaced Persons + Case Studies

  4. A generation becoming lost in Syria's north

  5. UN expert condemns mass detention of minors in northeast Syria

  6. Case Study: Syrian Asylum Seeker Living In London

COMMENTS

  1. The Syrian conflict: a case study of the challenges and acute need for

    The case study of the Center, which evolved from a rudimentary medical tent originally located directly in the Atimah displacement camp to the establishment of a local medical facility now serving thousands of Syrian IDPs, is just one example of several approaches aimed at alleviating the suffering of Syrian women and children who have been disproportionately victimized by this devastating ...

  2. Syrian Refugee Migration, Transitions in Migrant Statuses and Future

    See F. Düvell, "The 'Great Migration' of Summer 2015: Analysing the Assemblage of Key Drivers in Turkey", Journal of Ethnic and Migration Studies, 45(12), 2019, 2227-2240; see F. Fakhoury, "Multi-level Governance and Migration Politics in the Arab World: the Case of Syria's Displacement", Journal of Ethnic and Migration Studies ...

  3. PDF Forced Migration and Transitional Justice in Syria

    This case study was authored by the Syrian Justice and Accountability Center. Daraa, Syria. Image credit: Mahmoud Sulaiman. 2 | Forced Migration and Transitional Justice in Syria: The Case of Idlib and Internal Displacement We are wanted by the regime s security apparatus because

  4. PDF Forced Displacement and Transitional Justice in Northern Syria

    sources and on published studies and research on forced displacement in Syria as secondary data sources. I. Forced Displacement in Syria The phenomenon of forced displacement has been part of the Syrian revolution since its outbreak in March 2011, as a result of the security clampdown adopted by the Syrian government in facing the protests.

  5. Disentangling Forced Migration Governance: Actors and Drivers Along the

    Recent studies have explored how forced migration and its governance affects the politics of host states, particularly their foreign policy decision-making ... What is interesting for the Syrian case, thus, is how the driver constellation as well as its outcome changed over time: In the first years of the conflict, the international-normative ...

  6. Refugees, forced migration, and conflict: Introduction to the special

    While existing scholarship uncovered many important aspects of refugee migration, this literature is still relatively new. Much of the initial research has approached the multifaceted determinants and consequences of forced migration via cross-national analyses or examination of individual case studies of notable post-Cold War civil conflicts.

  7. Global trends in forced migration: Policy, practice and research

    Although the Syrian crisis has given an unprecedented momentum to global forced displacement issues, the current refugee crisis is not just a European or Middle Eastern concern. ... In the first case, ... Forced migration research and refugee studies primarily focus on gathering testimonials and voices of forcibly displaced persons, as well as ...

  8. PDF Refugees and Shifted Risk: An International Study of Syrian Forced

    The role of smuggling in forced migration has been a leading policy challenge of the Syrian refugee crisis in Europe and the Middle East. This study investigates how anti-smuggling gov-ernment policies have shaped migratory risks for Syrian refugees in five countries: Jordan, Turkey, Greece, Serbia and Germany.

  9. Strategic Dimensions of Forced Migration in Syria

    Strategic Dimensions of Forced Migration in Syria Alexander Bick Of the estimated 22.5 million refugees worldwide, nearly one quarter are Syrians.1 The country's civil war, now in its sixth year, has left as many as 500,000 people dead and has displaced another 11.5 million, more than half the country's pre-war population.

  10. PDF Protection in Europe for refugees from Syria

    The Refugee Studies Centre's (RSC) Forced Migration Policy Briefings series seeks to stimulate debates on issues of key interest to researchers, policy makers and practitioners ... 4 Case study: the UK's response to the Syrian refugee crisis 64 Conclusion 77 Tables Table 1: Refugees from Syria in neighbouring countries 15 ...

  11. Forced Migration Review Issue 57: Syrians in displacement

    Analysis in English on Syrian Arab Republic and 8 other countries about Gender and Protection and Human Rights; published on 22 Feb 2018 by Forced Migration Review

  12. Forced migrants and secure belonging: a case study of Syrian refugees

    Journal of Ethnic and Migration Studies Volume 48, 2022 ... Forced migrants and secure belonging: a case study of Syrian refugees resettled in the United States. ... Drawing on twelve months of participant observation and twenty-two interviews with six Syrian refugee families resettled in the south-eastern United States, I find that ...

  13. Forced Migration and Protection: Turkey's Domestic Responses to the

    Forced Migration, Refugees and Protection. Conflict and subsequent forced displacement stem from myriad interconnected causes and entail multidimensional costs for source, receiving, and non-receiving countries (Gottwald Reference Gottwald, Fiddian-Qasmiyeh, Loescher, Long and Sigona 2014).Forced migration 'refers to the movement of refugees and internally displaced people, as well as people ...

  14. Full article: Syrian refugees and other Syrian forced migrants in

    In 30 June 2021, this number was 658,000—almost without changes since the mid-2016. 1 Furthermore, more than half a million other Syrians were in Jordan as forced migrants without official refugee recognition. They often shared similar challenges as officially designated refugees. 2.

  15. Consequences of forced migration: A survey of recent findings

    Forced migration is defined as "movements of refugees and internally displaced people (those displaced by conflicts) as well as people displaced by natural or environmental disasters, chemical or nuclear disasters, famine, or development projects."(International Association for the Study of Forced Migration, IASFM) 1. Introduction. At the end of 2017, more than 65 million people were displaced ...

  16. Forced Migration Magnitude and violence in ...

    Third, this study outlines a framework to differentiate between FMC and other cases without forced migration, called Non-Forced Migration Crises (NFMC). The framework specifies a new index of Forced Migration Magnitude (FMM) and suggests two hypotheses to guide the comparison between crisis types and a third one, on the relationship between ...

  17. Unlocking Protracted Displacement: an Iraqi Case Study

    This case study uses secondary and primary research to address these ques-tions. It also sets out to map the changing nature of Iraqi forced migration in the Middle East and the complex nature of both the circular and irregular migration that is clearly emerging within this protracted crisis. Responses of international

  18. PDF Lesson seven: Force migration case study

    Forced migration case study Syria Lebanon Turkey Jordan. Much of the Middle East including Syria has been politically unstable since the so-called Arab Spring in ... Syria case study. Syria: Fact File POPULATION 24 million 17.9million (estimated) GDP 2,065 US$ LITERACY (%) 85% BIRTH RATE 24.04/1000

  19. Forced migrants and secure belonging: a case study of Syrian refugees

    DOI: 10.1080/1369183X.2020.1854087 Corpus ID: 230544554; Forced migrants and secure belonging: a case study of Syrian refugees resettled in the United States @article{DromgoldSermen2020ForcedMA, title={Forced migrants and secure belonging: a case study of Syrian refugees resettled in the United States}, author={Michelle S. Dromgold-Sermen}, journal={Journal of Ethnic and Migration Studies ...

  20. Migration governance in civil war: The case of the Kurdish conflict

    This case study is used for illustrative purposes and is designed as an exercise in exploratory research. ... as well as its regional dimensions and its extension into northern Syria in the context of the Syrian war, forced migration has been actively used by both states and non-state actors as part of their overall conflict strategies, as have ...

  21. Migration aspirations in forced transnational families: the case of

    This study specifically looks at migration aspirations from two angles, (1) migration under conditions of a continuum of crises, in this case the (civil) war in Syria and precarious lives in Turkey, highlighting uncertainty and temporality entailed in crisis and (2) the role of family in migration aspirations.

  22. International migration from Syria to Europe

    International migration from Syria to Europe. Civil war erupted in Syria in March 2011 and continues today. Millions of Syrians have fled their homes and in some cases the country to escape the war. It is estimated that 11 million people fled their homes, with 6.6 million people being internally displaced (forced to move to another area of the ...

  23. Forced Migration In Syria Case Study

    Half of the Syrian population forcefully had to leave their homes. The Syrian war created the largest Refugee Displacement ever to be recorded. 70 % of the population lack the amount of water. 17% of the population lack Adequate shelter. 10% of the population are internally displaced in t6he country and they are living in camps.

  24. The Significance of Migration Ahead of the 2024 EP Elections

    Migration used to be an issue owned by the far-right, which appealed to a widespread sense of unease and insecurity among the population to score points among the electorate. Importantly, the voters willing to heed the far right's message tend to be already positively predisposed to its overall political message, suggesting that attempts to ...

  25. Frontiers

    Introduction: This article addresses digital and social inclusion of adults with potential low digital skills. The article presents a case study of how digital learning activities (DLAs) as a service to refugees, immigrants, senior citizens, and young adults neither in education, employment, or training (NEETs), are delivered outside the formal educational system by two libraries and one civic ...