Living in constant fear of shelling, airstrikes and ongoing violence is taking a devastating toll on children and families in Syria.
Thousands have been killed or maimed. In Idlib, an alleged chemical attack has had devastating and deadly consequences for children and families.
More than 11 million people have now been forced from their homes. More than 650,000 are still trapped in besieged areas. And millions need food, water and medical care.
A teacher in the besieged town of Madaya told us: "We’ve lost a lot of young people, even children, even entire families...
All the houses were being hit with shells or mortars and of course bullets – the snipers never stop."
Conditions inside Syria are unimaginably difficult. But we continue to work with brave partners to offer a lifeline to exceptionally vulnerable children.
We urgently need your help to do more.
Watch: How Save the Children is helping