Conflict between the Government of Syria (GoS) and armed opposition groups has intensified since the beginning of 2019, and escalated since 28 April, in northern Hama governorate and southern Idleb governorate, causing a wave of displacement. Some 152,000 people have been displaced between April 29 and 5 May, the majority into northern Idleb and northern Aleppo. Military operations have caused a high number of civilian casualties. The humanitarian situation in the affected governorates is deteriorating, with ongoing clashes, airstrikes, and shelling. The majority of IDPs live in makeshift settlements and report acute multi-sectoral needs.