A/HRC/42/51 approval to move from Duma to Damascus. In the event residents are granted permission to commute to Damascus, they are required to leave their identification documents with government soldiers at the checkpoints. One man noted that soldiers manning the checkpoints had a computerized system for tracking the movements of civilians who entered and exited Duma. 74. Several interviewees echoed the pervasive sense of fear among residents in government-held areas, whereby civilians witnessed others being arrested for communicating with their relatives in the north or abroad.19 In Duma, civilians spoke of being monitored by government forces, noting that their phones were tapped and constantly monitored. In an effort to maintain their privacy, many residents throughout eastern Ghutah admitted to using single-use SIM cards. 75. The State is not supplying electricity to residential areas in Duma. Some residents noted how water supplied to the area was not potable. As in Dar‘a, the situation of children is also critical, with residents in Duma reporting that large numbers of children are begging in the streets, selling bread and peanuts, or working on construction sites. Others spoke of the disparate impact poverty had on girls, noting that girls as young as 13 years had been “offered” for marriages as a second or third wife to older men. C. Displacement 76. The Syrian conflict has displaced approximately 13 million civilians, including 6.7 million refugees and 6.2 internally displaced women, men and children. Uprooted from their homes and forced to leave everything behind, many continue to endure serious violations of their basic human rights. Attacks against medical and educational facilities, in addition to constraints on humanitarian access and the destruction of food supplies, have further compounded the plight of those fleeing and exacerbated their vulnerabilities. 77. The majority of those displaced are women and children who remain adversely affected by the conflict. In the context of displacement and beyond, women and girls face higher risks of exploitation and abuse. Persons with disabilities and older persons encounter significant protection and assistance concerns when relocated to settlements in which access to services is severely limited. Displacement, moreover, amplifies pre-existing gender inequalities and exacerbates gendered harms. Rukban camp 78. After nearly four years of living in continuously deteriorating conditions and one-off aid deliveries,20 some 16,000 women, men and children left the Rukban camp following a series of evacuations organized between late March and May. Evacuees described to the Commission that they had to pay for their transportation, including for their livestock and other items, to leave Rukban to travel to areas controlled by the Government. From there, civilians were then bussed out in batches and processed through security screening before reaching destinations in Homs Governorate. 79. Those lacking financial resources or otherwise unable to secure transportation out of Rukban remained behind, languishing in desperate conditions amid a wasteland. Women and girls have been affected disproportionally by rampant sexual and gender-based violence and exploitation. The situation of children is particularly extreme, with the majority of boys and girls in the camp having missed school for almost five years, in addition to those whose births were never officially registered with the competent authorities. Food, medicine and other life-saving supplies are no longer available. 80. The decision to leave, moreover, appears to be motivated by meagre prospects of further humanitarian deliveries and the increasing number of preventable deaths – including 19 20 14 See International Covenant on Economic, Social and Cultural Rights, art. 10 (3). The last joint humanitarian convoy to Rukban camp by the United Nations and the Syrian Arab Red Crescent took place on 6 February. It consisted of food, health and nutritional supplies, vaccines, educational supplies and other items.