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At the 10-year mark of the Syrian crisis, this paper will analyze humanitarian aid organizations at the internationaland local levels i that deliver healthcare aid to Syrian refugeesin Jordan under the broader context of a movement towards aid localization. The paper will begin by examining refugee theory and policy in Jordan’s context, the network of humanitarian aid in Jordan, and reports on capacities of healthcare provision to Syrian refugeesto defend the crucial role aid organizations play in healthcare provision to Syrian refugees in Jordan. After identifying the needforhumanitarian assistance, the paper willdraw on interviews with aid organizations and organizational activities to argue for the decentralization of healthcare aid from a camp-based model and UNHCR organizational mandate in order to meet the healthcare needs of urban Syrian refugees in Jordan.