At the end of 2016, FEG investigated the impact of integrated aid (including cash transfers) on the household economies of Syrian refugees in Lebanon. The study focused on severely vulnerable households living in two contrasting areas, the Beka’a Valley (a rural zone) and Tripoli (an urban zone). The quantitative assessment used individual HEA to measure to what extent the integrated aid package enabled beneficiaries to meet the poverty threshold, set by the donor community as the Minimum Expenditure Basket. The assessment revealed that severely vulnerable refugees typically face a combination of challenges which limit their capacity to earn complementary income and for this reason their combined resources (aid plus own-income and credit) still fell short of the poverty threshold. Many of these very poor refugees are female-headed households caring for young children and who are facing health challenges – factors which limit their efforts to earn an income particularly in the winter months. However, a real benefit of the integrated aid package was ensuring access to sufficient food without resorting to credit. The study, which measured the income gap facing severely vulnerable refugees, was carried out for Save the Children Lebanon who will use the results to ensure that their efforts to implement a holistic aid package (combining cash transfers with livelihood, education and shelter support) reaches those households in need.