Palestine refugees in four earthquake-affected governorates continue to grapple with displacement, one month after the earthquake. 2,355 Palestine refugees continue to be displaced, 423 of these currently live in collective shelters in Aleppo and Lattakia. Needs for core relief items like mattresses and food remain high in the collective shelters. Psychological trauma from the earthquake and multiple aftershocks have also had a significant impact on refugees’ emotional wellbeing, especially children. UNRWA continue to respond to the earthquake, albeit on a very limited budget. The donor conference, held on 20 March 2023 in Brussels has raised a glimmer of hope for affected communities with new pledges anticipated from a few donors. As part of shaping the humanitarian and recovery efforts, UNRWA is participating in a wider UN-coordinated Syria Earthquake Recovery Needs Assessment (SERNA).