In April 2019 conflict between the Libyan National Army (LNA) aligned to the government in the east and the opposing UN-backed Government of National Accord (GNA), based in the northwest of Libya, escalated in and around the capital Tripoli. Clashes between the LNA, the GNC and their respective allied forces have affected 1.5 million people and displaced over 37,600. Around 90 civilian casualties have been reported, including at least 21 deaths. Key humanitarian needs include safe access to healthcare, and protection and shelter assistance. Migrants and refugees in Tripoli have been particularly impacted by the conflict due to their vulnerable status. Infrastructure, including water and power facilities, has been damaged. Severe movement restrictions have impacted civilian access to services, and humanitarian operations.