This report summarises recent evidence on what works in supporting refugee livelihoods in protracted crises. Particular attention is given to the work of the United Nations Relief and Works Agency for Palestine Refugees in the Near East (UNRWA) in developing livelihoods for Palestinian refugees living inside and outside camps in the MENA region . Refugee livelihoods programming is understood here as activities that promote wage employment or self-employment through skills and vocational training, microfinance, business development and job placement (Feinstein International Center, 2012).