Lebanon is facing an ongoing and complex humanitarian crisis fueled by decades of political instability, one of the worst economic collapses globally in over 150 years (as classified by the World Bank) and the impacts of the COVID-19 pandemic. Poverty in Lebanon rose from 12% in 2012 to 44% in 2022; in the Akkar region it increased from 22% to 62%. Among Syrian refugees, poverty reached 87% 1. These challenges have been further compounded by the recent displacement of people and new arrivals in Akkar. In response to the growing pressure on both Syrian refugees and Lebanese host communities, particularly in Akkar—one of Lebanon’s poorest and most underserved regions—NASEEJ conducted a rapid needs assessment to better understand local priorities and to ensure community voices inform future humanitarian programming. The assessment involved a review of existing sectoral reports and data, as well as qualitative consultations through FGDs and KIIs. It focused on key areas including water access and service coverage, sanitation infrastructure, hygiene practices, health risks, coping strategies, and priority WASH-related needs.