The conflict in Syria is currently in its eight year and has resulted in substantial human suffering, loss of lives, widespread devastation of infrastructure and large-scale displacement. The prolonged crisis has resulted in increased population vulnerabilities and poverty. The 2018 Humanitarian Needs Overview (HNO) identified 13.1 million people in need, of whom 5.6 million are in acute need, 6.7 million are women and 5.3 million are children. The lack of access to basic services and continued conflict has created severe humanitarian needs. As a result of the crisis, the work of the Relief International (RI) and other international and national organizations has been predominantly focused on emergency response and lifesaving actions. RI’s response in Syria is coordinated through several hubs) and four sectors (Health, Wash, Livelihoods, transversal sector). RI’s response had continued inside Syria since 2012 through cross border interventions and through a hub-based approach. In 2018, RI has initiated a process of consolidating Syria response under a singly Senior Management Team based out of Amman with project implementation teams based in hubs depending on the needs.