“It is like a terrifying nightmare that just keeps going on and on.” The words of a doctor from rural Damascus. The Syrian conflict which has its roots in protests by opposition supporters in the southern city of Deera in March 2011 has entered its fourth year.<br /><br />There are daily and deadly battles between rebel groups and regime forces. As many as 140,000 have died, millions driven from their homes, whole communities shattered.<br /><br />There was a time two years into the fighting when international observers predicted the downfall of President Bashar al-Assad. It has not happened and he remains secure.<br /><br />“If there is a popular demand for me to be nominated, I will run. I will not abandon my national duty,” he is quoted as saying of his intentions for forthcoming presidential elections. <br /><br />A US – Russian deal was brokered for the removal and destruction of chemical weapons. But it has been frustration for the international community in attempts to end the civil war. <br /><br />On Friday UN Secretary-General Ban Ki-moon said Iran and Russia should pressure their ally Damascus to re-start peace talks.<br /><br />The numbers of those who have fled are by any estimation staggering – one of the largest refugee exoduses in recent history. Neighbouring countries have borne the brunt of the problem. Millions have been displaced internally.<br /><br />The United Nations has called for 6.5 billion dollars to provide medical care, food, water and shelter for these people. It is the UN’s largest appeal. <br /><br />“Much said and little done” were the words of UN Secretary-General Ban Ki-moon That was one year ago. Twelve months on what has changed for the next generation of Syrians?