In late April 2019, a military offensive was launched south of Idlib and north of Hama governorates. The escalation of violence continued since then, with bombing and shelling leading to hundreds of deaths and thousands of injuries, according to multiple reports, and reaching a particularly high level of intensity in the past weeks. Various civilian infrastructures, including medical facilities, schools, markets and camps for displaced people, have also been hit and damaged since the beginning of the offensive. The escalation in violence has caused the displacement of more than 450,000 people as well (as of August 1st, 2019), adding to the previous displacements of hundreds of thousands of people to and in Idlib governorate. Most of these newly displaced people have gone towards densely-populated areas and are living in makeshift tents or out in the open under olive trees, in need of food, water, and medical care. MSF has been responding with distribution of NFIs, medical donations, mobile clinics, and the reinforcement of existing health structures.