UNRWA provides health care, education, emergency relief, and infrastructure development. It runs 111 elementary and preparatory schools throughout the country. However, in the past few years, due to funding shortages, the classes have become overcrowded and almost all schools work double shifts. UNRWA has one vocational training centre in Damascus. UNRWA provides health services through 23 primary health centres, as well as contracted and PRCS hospitals. The recent funding shortages for UNRWA have resulted in the adoption of austerity measures, such as the limitation of the number of hospital referrals as well as the period of hospital care. In the refugee camps, UNRWA provides basic environmental health services such as sewage and solid waste disposal.
In 1999, ECHO (European Commission Humanitarian Office) held talks with the Syrian Government, the Syrian Red Crescent, PRCS, and UNRWA in order to implement an assistance programme for Palestinian refugees, in the form of construction and equipment for hospitals and clinics, provision of training for medical staff, installation of sanitation in camps, and rehabilitation of handicapped persons.
UNICEF and the Syrian government have signed a master plan of cooperation 2002–2006. The plan's official name is "Programme of Cooperation for Palestinian Children and Women in Jordan, Lebanon, the Syrian Arab Republic and the West Bank and Gaza". In Syria "The Palestinian Refugee Programme" is a joint programme between UNICEF and GAPAR, with the aim of giving assistance to Palestinian women and children in the refugee camps. The programme provides vaccines, and undertakes the training of health workers and capacity building in certain areas of education.
UNICEF and UNRWA are working together on "Palestinian Refugee Support", a project for the assistance for Palestinian refugees in Syria in the areas of health and education.