All procedures involving human participants in this study were performed by the ethical standards of the official permission was sought from the University of Sulaimani/ college of nursing. The Directorate of Sulaimani governorate was informed about the research and written permission had been obtained to carry it out (JCC, on 1-11-2020), and the Arbat comp (UNHCR) manager was informed to ensure their agreement. An agreement was made by the researcher with the camp manager about the procedures for data collection. Informed consent by children and relatives was obtained.