South Sudan

South Sudan SITUATION REPORT 24 September 2015
Children tested for malaria in Bentiu PoC
South
Sudan
Humanitarian
Situation Report
11 – 24 SEPTEMBER 2015: SOUTH SUDAN SITREP #68
SITUATION IN NUMBERS
1.64 million
Highlights
•
UNICEF and MSF Holland organized a campaign of malaria presumptive People internally displaced since 15
2013
treatment screening 29,731 children 6 months to 5 years in Bentiu December
(OCHA, Humanitarian Bulletin dated 18 September,
Protection of Civilian (PoC) site for fever. Fifty-four per cent of those 2015)
screened, 16,112 children, were treated for malaria.
•
On 22 September, UNICEF, WFP and partners deployed two RRM missions
to Koch and Buaw in Koch County, to deliver multi-sectoral assistance to
highly vulnerable populations. This is the first time that large scale
lifesaving assistance has been provided in the county since violence broke
in May 2015. The UNICEF team will be screening and treating children
under 5 for malnutrition; providing immunization services to children
under 15 and pregnant women; delivering WASH supplies; and identifying
and registering unaccompanied and separated children. UNICEF, in
coordination with other actors will also be delivering survival kits.
•
876,986*
Estimated internally displaced children
under 18 years
Outside South Sudan
628,495
Estimated new South Sudanese refugees in
neighbouring countries since 15 December
2013 (UNHCR, Regional Refugee Information Portal,
dated 21 September, 2015)
UNICEF in collaboration with state Ministries of Health, WHO and health
partners launched the first of two rounds of Sub-National Immunization
Priority Humanitarian Funding
Days (SNIDs) in five states: Lakes, Warrap, Jonglei, Upper Nile and Unity.
The campaign will deliver two successive doses of Oral Polio Vaccine needs January - December 2015
targeting 1,927,256 children under 5 in response to the case of circulating US$ 183.3 million
Vaccine-Derived Polio Virus (cDVPV) detected in Mayom County. It aims
Disaggregated data is yet to be made available, as
at rapidly building up a high population immunity to interrupt the *registration
has not been completed across the country.
Children under 18 years have been calculated based on
circulation of the cVDPV.
census
UNICEF’s Response with Partners
Cluster for 2015
Indicators
WASH: # of target population provided
with access to water as per agreed
standards (7.5-15 litres of water per
person per day)
Nutrition: # children 6-59 months with
Severe Acute Malnutrition admitted for
treatment
Health: # of children 6mo-15y
vaccinated for measles
Education # of children and
adolescents (aged 3-18) with access to
education in emergencies
Child Protection: # of children reached
with critical child protection services
UNICEF for 2015
Cluster Target
Cumulative
results (#)
Target
achieved
(%)
UNICEF
Target*
Cumulative
results (#)
Target
achieved (%)
3,500,000
1,999,789
57%
600,000
487,711
81%
148,958
92,167
62%
148,958
92,167
62%
1,207,705
254,988
21%
446,748
351,132
79%
200,000
208,946
104%
340,295
369,777
109%
275,280
259,922
94%
1
South Sudan SITUATION REPORT 24 September 2015
Situation Overview & Humanitarian Needs
Conflict and food insecurity have displaced 2.2 million people since the current conflict began in December 2013. Of
these, 1.64 million people are currently displaced within South Sudan. As of 27 August, an estimated 201,911 IDPs are
sheltering in Protection of Civilian (PoC) sites including 121,194 in Bentiu, 28,663 in Juba UN House, 48,840 in Malakal,
2,289 in Bor, 723 in Melut and 202 in Wau.
The security situation across country remains volatile. Upper Nile has been mostly calm during the reporting period, as
have Bentiu and its surrounding areas. Humanitarian agencies continue to travel to Bentiu town to assess and register
new arrivals and re-establish services. However, fighting and insecurity continued in Southern Unity. Heavy clashes
were also reported in Central and Western Equatoria states. Routes including Juba – Yei; Juba – Kajo Keji; and Juba Yambio continue to be unsafe, which, along with the clashes in the Equatorias, are hampering supply movements.
Cases of cholera continue to decline with 18 cases in week 37 and 8 in week 38. The total number of cholera cases
reported by WHO is 1,751 including 46 deaths for a case fatality rate (CFR) of 2.63 per cent. Of these, 1,614 cases and
45 deaths were reported in Juba (CFR 2.78 per cent) while 138 cases and 1 death (CFR 0.72 per cent) were reported
from Bor. In Juba, the majority of cases were reported from Munuki, Northern Bari, Kator and Rejaf payams while in
Bor most cases were reported from Makuach payam.
Humanitarian leadership and coordination
UNICEF actively participates in the Humanitarian Country Team and the Inter Cluster Working Group, which lead
strategic and cross-sectoral coordination of humanitarian programmes. UNICEF leads the WASH, Nutrition and
Education clusters as well as the Child Protection sub-cluster. Within the Health cluster, UNICEF provides leadership on
vaccination, communication and social mobilization. UNICEF also supports the core supply pipelines for the Education,
WASH and Nutrition clusters, providing essential humanitarian supplies to all partners. While continuing to focus on
the delivery of life-saving interventions, UNICEF is also investing in providing access to education and a protective
environment for affected children.
Humanitarian Strategy: Rapid Response Mechanism (RRM)
As part of the interagency rapid response teams, UNICEF continues to expand activities in remote locations together
with WFP and partners. More than 840,000 people, including close to 193,000 children under 5, have been reached by
UNICEF and RRM partners to date. In 2015 alone, 23 RRM missions have been conducted in Greater Upper Nile,
reaching close to 340,000 people, including 70,450 children under 5.
On 22 September, UNICEF, WFP and partners deployed two RRM missions to Koch and Buaw in Koch County, to deliver
multi-sector assistance to highly vulnerable populations. This is the first time that large scale lifesaving assistance has
been provided in the county since violence broke in May 2015. The UNICEF team will be screening and treating children
under five for malnutrition; providing immunization services to children under 15 and pregnant women; delivering
WASH supplies; and identifying and registering unaccompanied and separated children. UNICEF, in coordination with
IOM, FAO and World Relief, will also be delivering survival kits.
Summary Analysis of Programme Response
HEALTH: The number of malaria cases continues to rise across the country with high numbers of cases reported in
Northern Bahr el Ghazal, Upper Nile and Unity States. From the beginning of 2015, a total of 1,142,951 malaria cases
have been treated country wide. In an attempt to reduce the malaria upsurge in Bentiu PoC, UNICEF in collaboration
Incidence Rate (100,000 Population)
Comparisons of National Malaria Incidence Rate by Week from 2013 - 2015 Country
600.0
2013
2014
2015
500.0
400.0
300.0
200.0
100.0
0.0
Wk Wk Wk Wk Wk Wk Wk Wk Wk Wk Wk Wk Wk Wk Wk Wk Wk Wk Wk Wk Wk Wk Wk Wk Wk Wk Wk Wk Wk Wk Wk Wk Wk Wk
02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35
2
South Sudan SITUATION REPORT 24 September 2015
with MSF Holland directly implemented a campaign of malaria presumptive treatment at the household level for all
children aged 6 months to 5 years with history of fever. A total of 29,731 children (85 per cent of an estimated caseload
of 35,000) were screened and 16,112, or 54 per cent of children screened, were treated for malaria.
Mentor Initiative, supported by UNICEF, continued implementation of vector control activities in Bentiu PoC. This
includes indoor residual spraying, with 10,766 out of 11,316 shelters having been sprayed, covering 92,127 individuals.
Additionally, 53,859 long-lasting insecticide-treated nets (LLITNs) have been distributed as a preventative measure
against malaria.
Community volunteers in Bentiu continue to provide integrated WASH, health and nutrition services at the household
level. Messages focus on the importance of early health seeking behavior and personal and environmental hygiene.
Screening and referral for malaria, diarrhea and acute respiratory disease continued in week 37 and 38, with the
volunteers also providing pre-referral treatment for diarrheal diseases using oral rehydration salt.
UNICEF continued supporting the health implementing partners to deliver basic primary health care services in Bentiu,
Bor, Juba, Malakal and Wau PoCs and Mingkaman IDP site. During the reporing period, 11,002 consultations were
provided for children under 5. Malaria again emerged as the top cause of morbidity, accounting for 78 per cent of all
consultations.
In Mingkaman IDP camp, Health Link through UNICEF support continued integrated community case management
(ICCM), treating 554 children for malaria, pneumonia and diarrhea. Since the launch of ICCM in Mingkaman, 15,059
children under 5 have been provided treatment for common childhood illnesses.
This year, through the RRM, UNICEF has been able to vaccinate 84,880 children against measles and 89,272 against
polio, while also providing 27,973 pregnant women at least one dose of tetanus toxoid vaccine, including 5,530 who
received clean delivery kits.
The first round of Sub-National Immunization Days (SNIDs) was launched in five states: Lake, Warrap, Unity, Jonglei
and Upper Nile targeting 1,927,256 children under the age of five. UNICEF supplied 1,202,000 doses of oral polio
vaccine for the campaign. Through routine immunization and vaccination of new arrivals in PoCs, 3,762 children were
vaccinated against measles, 5,709 against polio and 1,091 vaccinated for BCG, with 1,931 chlidren having received
pentavalent vaccine and 1,286 women of child-bearing age against tetanus.
Cholera cases continue to decrease with 18 cases reported in week 37 and 8 in week 38. UNICEF and Health Link
continue to support six oral rehydration points in Juba hotspot areas, which have provided treatment to 265 suspected
cholera cases.
UNICEF supports IOM, IRC, IMC, and Health Link South Sudan to provide both facility and community-based integrated
maternal and neonatal health and prevention of mother-to-child transmission of HIV (MNH/PMTCT) services for IDPs
in the Greater Upper Nile region. A total of 1,936 pregnant women accessed antenatal care services during the
reporting period, of whom 1,408 were provided iron and folic acid; 1,393 were counselled for HIV; 1,204 tested for HIV
(13 tested positive) and 344 delivered with a skilled birth assistants. Post-natal care services were provided to 150
women and 17 pregnant women were referred for complications of delivery to the next level of care. During the
reporting period, UNICEF distributed 900 HIV test kits to all states including PoCs and IDP camps. The kits are expected
to serve about 43 PMTCT sites nationwide.
NUTRITION: A total of 92,167 children with severe acute malnutrition (SAM) have been admitted to UNICEF supported
nutrition programmes so far this year. This represents 62 per cent of the annual target (148,958). The Integrated Food
Security Phase Classification (IPC) analysis workshop ran from 9 to 19 September, with the results expected to be
officially released in the next two weeks once they are endorsed by the government and partners.
3
South Sudan SITUATION REPORT 24 September 2015
In Bentiu PoC, 30,101 children under 5 were
screened as part of a malaria campaign. Among 200
these children screened, 431 (1.4 per cent) were
identified with SAM and 1,918 (6.4 per cent) with
150
MAM. During the reporting period, 1,026 children
with SAM without medical complication were
admitted to outpatient therapeutic programmes. 100
Meanwhile, 505 children were discharged and 264
defaulted from OTPs. There is need to intensify
health education among mothers and communities 50
on the risks of defaulting, as these children are
likely to come back in worse situation, predisposing
0
them to complications and death. A total of 3,383
children are now admitted to OTPs.
Admissions in Bentiu PoC and Bentiu Town in week
37
174
166
156
134
121
118
56
50
35
42
34
17
7
PoC S1Care
18
12
7
PoCS5 Care PoC S3 Cww PoC S4 Cww PoC S 5 WR Bentiu Town
Care
OTP
TSFP U5
TSFP/ PLW
During the reporting period, 90 children under 5 with SAM with medical complication were admitted to the Bentiu PoC
Stabilization Centre, while 20 were discharged as cured and 50 transferred to OTPs. There are now 155 children
admitted to the Stabilization Centre, a burden to the medical services and a peak in terms of admissions, corresponding
to the height of the hunger period.
Comparatively, more admissions for SAM have been made in 2015, partly because of the increased number of PoC
occupants and to some extent because of the precarious food security and nutrition situation in the PoC.
Bentiu PoC SAM Admissions Comparison : 2014 to 2015
700
615
600
Admissions 2014
Admissions 2015
Admissions
500
400
300
522
514
504
484 507 500
466
436
355
358
358 332
336
511
480
278
228
273278
186 197185
168
153
200
128
141
140156
132145126
118
117
116
112 119
106
96
104
82 66 75
80
76
69 53 76
61
55
100
20 14 21 24
214
149
94108
92 83
106100
72 65 68 65
68
47 61 33
47 53 34
9310483
0
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52
Epidemiological Week
There are still reports of increased number of deaths in Bentiu PoC with 34 deaths reported in week 36 and 29 reported
in week 37. Admission of children with SAM with complications is still very high. This could be an indication of factors
like the poor food security situation and sub-optimal WASH, infant and young child feeding and health interventions
causing higher morbidity and mortality rates. UNICEF and Nutrition cluster partners continue to expand nutrition
services; increase human resources; intensify capacity building; improve monitoring; strengthen early detection and
referral; and ensure the most effective use of community health workers.
Partners have begun to expand operations outside of Bentiu PoC, with Care operating nutrition treatment services in
Bentiu Town. RRM missions have been dispatched in Southern Unity as part of a joint effort to provide lifesaving
assistance and provide a stepping stone to re-establish nutrition services in these locations. UNIDO (supported by
Medair) will be part of the RRM in Mayendit and is exploring options to re-establish services. Other partners are
working to re-establish presence in Leer and Koch.
In Upper Nile, 10,690 children were screened during the reporting period, of whom 189 (1.8 per cent) were identified
with proxy SAM and 830 (7.8 per cent) with proxy moderate acute malnutrition (MAM). The results need to be taken
with caution as many reports were not received. However, the nutrition situation across the state is precarious with a
high incidence of malaria, measles and food insecurity; inadequate WASH practices; and poor health seeking
4
South Sudan SITUATION REPORT 24 September 2015
behaviours. Some areas of the state remain inaccessible including Wau Shilluk and other areas surrounding Malakal
PoC.
In Jonglei, with reports from seven out of nine counties, 4,549 children were screened. Sixty per cent of these counties
had proxy-GAM above the emergency threshold of 15 per cent. The highest proxy GAM was from Fangak (45.5 per
cent) followed by Ayod (38.7 per cent), Pibor (24 per cent), and Nyirol (25.8 per cent). In Jonglei State, there are 81
OTPs, 14 Stabilization Centres (SCs) and 48 targeted supplementary feeding programme (TSFP) centres. To increase
coverage and reach more children, an additional 17 OTPs, 2 SCs and 8 TSFPs are planned. Currently, some counties lack
SCs and there remains poor coverage of OTP services in the Greater Pibor Administrative Area and parts of North
Jonglei.
So far this year, 38 SMART surveys have been validated. Among these completed surveys, the highest prevalence of
malnutrition was reported in Bentiu PoC, with a GAM prevalence of 34.1 per cent, double the 15 per cent WHO
emergency threshold. SMART survey results from Malakal PoC and Mingkamen IDP site had GAM rates of 18.9 per cent
and 21.8 per cent respectively. Among the last surveys to be validated were some of the lowest GAM rates from
Kapoeta East (8.4 per cent) in Eastern Equatorial State, Ragga (9.3 per cent) and Wau (10.4 per cent) both from Western
Bar el Ghazal.
40
34.1
35
30
30
25.6
25
20
21.1
20.1
24.9
23.4 24.223.2
23.1
20.1
19.6
22.9
22.1
19.9
19.5
11.7
8.8
10
4.4
6.3
3
2.8
7.4
5.5
7.5
0.5 1
18.3
2.8
11.6
4.8 5.3 4.6
2.3
7.7
7.2
5.8
4.6
6.3
4
5.4
2.6
21.8
21.5
17.6
14.8
1
threshold
14.113.6
10.5
9.8
4
15%
18.9 emergency
18.4
15.3
15.2
13.9
15
5
29.1
26.5
5
2.1
8.4
6.9
5.5
3.2 4.1
4.8
3.2 3.3
1.1
10.49.3
4.6
1.4 2.4
1.6
Feb
Apr
GAM (WHZ <-2 and/or oedema) 6-59 mo
Jun
Raga
Wau
Malakal PoC
Ikotos
Kapoeta East
Renk IDP
Jul
Awerial/ Minkamen
Yei
Benitu PoC
Fangak
Juba PoC
Renk Community
Lopa Lafon
Jur River
Gogrial East
Nasir
Tonj North
Ulang
Akobo East
Ayod
May
Gogrial West
Uror
Longetchuk
Panyijar
Aweil South
Maban
Pariang
Mayom
Twic East
Kapoeta North
Wulu
Yirol East
Aweil Centre
AAA
Mar
Abiemnhom
Twic
Nyirol
Akobo West
0
Aug
SAM (WHZ <-3 and/or oedema) 6-59mo
WASH: Water supply is now being provided in Bentiu PoC
Average L/p/d of Water in Bentiu PoC in 2015
at 10.2 litres per person per day (L/p/d), within the Sphere
Standard of 7.5-15 l/p/day. The construction of the water 14
supply network in Sectors 1, 4 and 5 is now complete. 12 12.0
10.3
10.2
Additional work including installing tap stands, chlorine
9.3 9.0
8.8
10
dosers and pipeline connections to OTPs, schools and the
7.3 6.9
8
MSF hospital is ongoing. Installation of a T95 tank in Sector
5.8
6
4 and a T70 tank in Sector 5 is complete and all tap stands
in Sector 5 have been installed. The water supply in all
4
sectors is running relatively well. UNICEF is also extending
2
water supply services to Bentiu Town through the repair
0
and rehabilitation of boreholes. Seven out of the targeted
twelve broken boreholes have been repaired and are
functioning, with the remaining five boreholes scheduled
to be repaired in the next two weeks. Preparations are also underway to rehabilitate the urban water treatment plant
in Bentiu Town.
5
South Sudan SITUATION REPORT 24 September 2015
In terms of solid waste management in Bentiu PoC, access to the dumpsite is challenging due to the recent rains.
Discussions on road maintenance and access are ongoing with UNOCHA and the Relief, Reintegration and Protection
(RRP) section of UNMISS to enable the movement of tractors and trucks to the dump site. UNICEF has started a
refresher training on hygiene promotion, enrolling 61 community volunteers. The volunteers will be in charge of
establishing community groups in each of the 61 blocks within the PoC.
In Malakal POC, water is supplied at 9 L/p/d, also within Sphere Standards. Desludging continues to mitigate against
overflow of latrines that could result in disease outbreaks. Similarly, 392 tons of solid waste was also collected and
safely disposed during the reporting period. Regardless, the increase in rains is filling up the clogged drainage system
in the PoC, which is becoming a breeding ground for mosquitoes, increasing the malaria caseload and spreading water
borne diseases. To address this issue, UNICEF will engage the services of Mentor Initiative to intervene urgently through
a vector control programme.
In Mingkaman IDP camp, UNICEF continues to support over 72,000 people with safe water supply. The 2,289 residents
of Bor PoC are also supplied with over 15 L/p/d of safe water. All the 147 latrines stances in Bor PoC have been
renovated and desludged and are fully functional. Sanitation and hygiene campaigns (including cholera prevention
messages) have also benefited over 1,500 people.
People Served with Water Supply & Sanitation Services in the PoCs and
Vulnerable Communities in Different States through UNICEF Funding
160,000
Safe Water Supply
140,000
No. Of People Served
While
cholera
cases
have
significantly
decreased,
preparedness
and
response
activities are still ongoing. In
Mingkaman,
house-to-house
hygiene promotion reached 8,034
people during the reporting period,
while in Bor similar campaigns
reached 1,500 people. In Malakal
PoC, local radio stations conducted
programmes discussing good
hygiene practices and protection
against cholera.
Sanitation
120,000
100,000
80,000
60,000
40,000
20,000
0
Juba UN
House
Jonglei
Upper Nile
Unity
Mingkaman
EES
Safe Water Supply
28,000
59,616
101,500
124,000
72,700
72,000
UNICEF continues to support host
Sanitation
28,000
15,805
54,169
145,151
32,724
and vulnerable communities living
States
outside PoCs with safe water
supply (266,489), improved sanitation (28,683), hygiene promotion messages (124,450) and WASH supplies (199,143).
EDUCATION: To date, as part of the Back to Learning (BTL) initiative, UNICEF has provided 208,946 children (37 per
cent girls) aged 3-18 with Education in Emergencies (EiE) services through the provision of technical assistance, supplies
and operating costs to partners as well as through RRM direct implementation. A total of 5,908 (27 per cent females)
teachers, Parent-Teacher Association (PTA) members and other education personnel have been trained to effectively
support EiE in conflict-affected areas.
In Bentiu PoC, despite the current influxes of IDPs and pressure for space, UNICEF through its implementing partners
(INTERSOS, Mercy Corps and World Relief) has maintained the delivery of basic education services and enrolled 14,100
school aged children (48 per cent girls) in the PoC. The construction of nine temporary learning spaces in Sector 5 was
completed to support an additional 720 (51 per cent girls) children. UNICEF continues to advocate for the importance
of education in space allocation within the PoC.
School enrolment within Bentiu Town stands at 1,450 children (39 per cent girls) in four functional schools. To ensure
access to safe and protective learning spaces, UNICEF and partners completed the rehabilitation of two primary schools
(22 classrooms) in Bentiu town to benefit 1,320 (42 per cent girls) children.
Space for education activities remains a problem in Malakal PoC, but with the relocation to the new PoC extensions,
UNICEF and partners are effectively campaigning with Camp Management to secure space for temporary learning
spaces. Overcrowding is alleviated by using the same space for learning activities in the morning and Child Protection
activities in the afternoons. Also in Malakal PoC, UNICEF and partner War Child Canada support Village Saving and
6
South Sudan SITUATION REPORT 24 September 2015
Lending Associations whereby 15 women from different tribal backgrounds are supported to work together to diversify
their livelihood through commercial activities like selling tea and household products in the market.
In Western Bahr el Gazhel, in AbieiKuol Cattle camp, there are 15 groups listening to peace messages on the Digital
Audio Programmes with a total of 375 (male) listeners. The challenge remains integrating female into the listening
groups as their male counterpart does not see the value of girls’ or women’s education. Some of the participants in the
listening groups are coming from the neighbouring payams and this is increasing interaction and social cohesion among
rival communities.
CHILD PROTECTION: So far in 2015, UNICEF and partners have reached 259,922 children with critical child protection
services, including psychosocial support, family tracing and reunification services and prevention messaging. An
additional 5,686 people (1,795 boys, 1,603 girls, 1,166 men and 1,122 women) were reached with Mine Risk Education
(MRE) messages during the reporting period, for a total of 99,790 people reached in 2015. In recognition of the
increasing demand for MRE for newly displaced populations, an additional three community based child protection
organizations were trained and accredited to conduct Mine Risk Education in Pagak, Ulang and Malakal. These three
teams will be deployed to the field next week to deliver lifesaving messages and materials on landmines, unexploded
ordnance (UXO) and abandoned ordnance (AXO).
Despite continued access constraints throughout Greater Upper Nile, 150 unaccompanied and separated children
(UASC) were reunified with their parents over the past two weeks, bringing the total to 2,224. Twenty-one per cent of
registered unaccompanied children and 32 per cent of separated children have now been successfully reunified with
their families since the beginning of the crisis. Partners are, however, continuing to identify more UASC and missing
children. An additional 254 children were registered in RapidFTR over the past two weeks, 71 per cent of whom are in
Unity and Upper Nile States. The total caseload stands at 10,252 UASC and missing children (49 per cent girls), of which
separated children make up 57 per cent and unaccompanied children make up nearly 15 per cent. Of these, 83 per
cent of cases remain active and open, requiring regular follow-up visits, tracing and/or post-reunification and
reintegration support. Forty per cent of registered UASC children have been followed up at least once.
Following the signing of the new peace agreement which requires all armed actors to release all children, UNICEF and
the National Disarmament, Demobilization and Reintegration Commission are leading the finalization of a strategy to
respond to the possible releases, together with partners from the Child Protection Sub-Cluster.
In the Greater Pibor Administrative Area (GPAA), the distribution of livestock is half completed, with 1,620 children
(both children released from Cobra Faction and other vulnerable children in the community) provided livestock and
agricultural inputs and receiving training and mentoring from the partner to effectively manage these new household
resources. A new Family Tracing and Reunification Specialist arrived in-country to support the ongoing follow up of
returned children and the broader case management of the children targeted with socio-economic activities. The
transition of interim care centres to youth centres in ongoing and on track for completion in October. Once operational,
these will enable more community children to be reached as they will provide a convening space for psychosocial
support and vocational training opportunities and a central coordination point for the broader reintegration efforts.
During the reporting period, UNICEF expanded its GBV programmatic coverage to two new locations in Unity State and
three counties in Jonglei. As part of a new GBV project in Bor, UNICEF and partners conducted a training for teachers
in preparation for community discussions targeting the root causes of GBV. Also in Bor, UNICEF conducted a three-day
“GBV Basics” training for NGOs and government ministries. A new GBV project is being launched in Bentiu PoC, which
will include community engagement and awareness raising as well as a focus GBV risk mitigation in WASH
interventions. UNICEF continues to lead coordination of GBV activities for all of Upper Nile State and, with partners, is
providing life-saving GBV services within Malakal PoC. Partners in Upper Nile have been trained on how to update
processes to refer GBV survivors to services. Programming in Wau Shilluk and Fashoda County remained suspended
due to insecurity. Through a capacity building programme with police and social workers in Central Equatoria, UNICEF
and partners conducted consultative meetings where police, social workers and local school administrators came
together to discuss strategies for addressing GBV in schools. In Akobo, Pochalla and Nasir counties, awareness raising
on GBV services was conducted through visits to churches, schools, and health centers. In Yambio, two GBV awareness
sessions were conducted within the reporting period but activities there were also affected by insecurity.
COMMUNICATION FOR DEVELOPMENT (C4D): UNICEF continues to support cholera prevention efforts in Central
Equatoria and Jonglei through communication and social mobilization activities. To date, 235 Central Equatoria Ministry
7
South Sudan SITUATION REPORT 24 September 2015
of Health and South Sudan Red Cross social mobilizers have reached 82,936 households (over 497,000 individuals) in
Juba City, Rajaf Payam, Northern Bari Payam and Gondokoro Island Payam with cholera prevention and control
messages and cholera household supplies through house-to-house visits. UNICEF also continues to support radio
messaging through 22 radio stations in Central Equatoria, Eastern Equatoria and Upper Nile States and Mingkaman IDP
camp.
UNICEF in collaboration with state Ministries of Health, WHO and health partners are undertaking two rounds of SubNational Immunization Days (SNIDs) in five states: Lakes, Warrap, Jonglei, Upper Nile and Unity. The campaign will
deliver two successive doses of Oral Polio Vaccine (tOPV) to all children under 5 in response to a recent outbreak of
circulating Vaccine-Derived Polio Virus detected in Mayom County. The SNID campaign is a part of the Polio Outbreak
Response Phase-II, which also includes four rounds of NIDs (November and December 2015 and February and March
2016). It aims at rapidly building up a high population immunity to interrupt the circulation of the cVDPV. UNICEF is
supporting the campaign through a mix of communication and social mobilization activities including a radio campaign,
megaphone announcements, community dialogue, and house to house mobilization display of community engagement
materials to reinforce the importance of immunization.
SUPPLY & LOGISTICS: During the reporting period, nutrition supplies including 1,804 cartons of ready-to-use
therapeutic food (RUTF), 222 cartons of therapeutic milk, Vitamin A, amoxicillin, counselling cards, equipment and
MUAC tapes were provided to NGO partners and state Ministries of Health.
In support of the Bentiu Emergency response, ten 72m2 tents and two 30m3 onion water tanks were dispatched to the
PoC by charter. 1,161 cartons of soap, 1,210 tarpaulins and 99 squatting plates were airlifted from Rumbek to Bentiu
via the Logistics Cluster.
To help rehabilitate the cold chain, 53 solar direct drive refrigerators, freezers and refrigerator / freezer combinations
were dispatched to state Ministry of Health facilities in Central Equatoria, Eastern Equatoria, Jonglei, Lakes, Northern
Bahr el Ghazal, Warrap and Western Equatoria states.
Finally, 260 Early Childhood Development kits; 200 school-in-a-box kits; 180 recreation kits; 60 Child Friendly Space
kits; 9,740 school bags; 100 blackboards; 4 tents; tarpaulins and footballs were all dispatched to Malakal PoC.
FUNDING: Against the revised funding requirement of US$ 183.3 million, UNICEF has received US$ 73.8 million.
UNICEF is grateful for the pledge of GBP 4.5 million from the Government of the United Kingdom for the areas of child
protection, health, education and cholera response.
Appeal Sector
Original 2015
HAC
Requirement
(US$)
34,207,267
22,958,021
44,900,000
33,974,176
29,588,149
Revised 2015 HAC
Requirement (US$)
Funds Received
Against 2015 HAC
(US$)
Funding Gap
Nutrition
37,120,069
16,326,575
20,793,494
56%
Health
32,150,000
8,801,051
23,348,949
73%
WASH
45,900,000
20,299,696
25,600,304
56%
Child Protection
33,974,176
13,587,961
20,386,215
60%
Education
29,588,149
12,890,338
16,697,811
56%
Cholera Response
4,580,914
1,870,337
2,710,577
59%
Total*
165,627,613
183,313,308
73,775,959
109,537,349
60%
* The requirement US$2,326,709, for cluster coordination costs, has been included in sub-costs for nutrition, WASH, child
protection and education sectors.
Next SitRep: 8 October 2015
UNICEF South Sudan Crisis: www.unicef.org/southsudan
UNICEF South Sudan Facebook: www.facebook.com/unicefsouthsudan
UNICEF South Sudan Appeal: http://www.unicef.org/appeals/
Who to contact
for further
information:
Jonathan Veitch
Representative
UNICEF South Sudan
Email: jveitch@unicef.org
Ettie Higgins
Deputy Representative
UNICEF South Sudan
Email: ehiggins@unicef.org
Faika Farzana
Resource Mobilization Specialist
UNICEF South Sudan
Email: ffarzana@unicef.org
8
South Sudan SITUATION REPORT 24 September 2015
Annex A - SUMMARY OF PROGRAMME RESULTS1
Cluster 2015
Target2
(Jan-Dec)
UNICEF and IPs 2015
Results
(Jan-Sep)
Target
(Jan-Dec)
Results
(Jan- Sep)
Change since
last report
148,958
92,167
148,958
92,167
7,940
75%
88.5%
75%
88.5%
-
# of children 6-59 months receiving vitamin A supplementation
1,712,944
202,252
1,712,944
202,252
952
# of children 12 - 59 months receiving de-worming medication
1,226,107
157,270
1,226,107
157,270
2,753
288,496
271,852
288,496
271,852
37,714
# of children 6 months-15 years vaccinated for measles4
1,207,705
254,988
3,762
# of children below 15 years vaccinated against polio
1,259,097
809,171
5,709
# of households receiving ITNs
300,000
144,161
53,859
# of pregnant women attending at least ANC 1 services
47,013
22,056
1,936
# of pregnant women attending ANC counselled and tested
32,909
9,919
1,204
19,271
1,725
-
600,000
487,711
25,999
250,000
282,612
2,425
NUTRITION3
# of children aged 6 to 59 months with Severe Acute Malnutrition
admitted for treatment
% of children 0-59month with SAM admitted for treatment
recovered
# of pregnant and lactating women reached with infant and young
children feeding messages
HEALTH
# of pregnant women receiving clean delivery kits in conflictaffected areas
WATER, SANITATION AND HYGIENE
# of target population provided with access to water as per agreed
3,500,000
1,999,789
standards (7-15 litres of water per person per day).
# of target population provided access to appropriate sanitation
1,700,000
1,464,200
facilities (as per the Sphere Standards)
CHILD PROTECTION
# of children reached with critical child protection services5
# of former children associated with armed forces or groups and
children/minors at risk of recruitment enrolled in reintegration
programmes
# of registered UASC receiving Family Tracing and Reunification
services and family-based care/appropriate alternative care
services
# of women, men, girls and boys receiving GBV prevention and
response services
# of children, adolescent and other community members provided
with knowledge and skills to minimise the risk of landmines/ERWs
340,295
369,777
275,280
259,922
19,616
4,000
2,338
4,000
2,3386
324
8,8007
10,252
6,880
8,202
204
80,000
68,912
2,640
257,500
99,790
5,686
EDUCATION
# of children and adolescents (aged 3-18) with access to
education in emergencies
# of teachers other education personnel and Parent-Teacher
Association members trained to provide education in emergencies
# of classrooms rehabilitated/constructed
446,748
351,132
200,000
208,946
9,747
8,416
8,590
5,300
5,908
232
900
502
475
399
21
300,000
82,936
39,244
25
42
-
CHOLERA8
# of households in outbreak states reached directly with
messages on cholera prevention and control practices
# of operational oral rehydration points supported by UNICEF
No change since last report is denoted by “-“
1
Partner reporting rates remain below 100 per cent; UNICEF continues to work with its implementing partners to improve monitoring and reporting of results.
These are the revised targets for both Cluster and UNICEF as reflected in the revised Strategic Crisis Response Plan (Jan-Dec 2015). UNICEF annual targets for
Health, Child Protection and Education are higher than those of the 2015 SRP, as UNICEF requirements are higher than the inter-agency appeal.
3
Following the inter-agency decision, Multi-Sector Refugee Cluster will be responsible for the results of nutrition intervention for refugees. UNICEF and partners
will continue to assist refugee population, and all nutrition actors in South Sudan will benefit from UNICEF’s SAM treatment supplies. Nutrition results for
refugees will be updated by UNHCR on a monthly basis.
4 Targets and results of vaccination against measles and polio only reflects the campaign numbers in order to avoid double counting with the routine EPI results.
5 Critical child protection services include psychosocial support delivered through CFS or community based mechanisms, support to access other basic services,
case management for the most complex cases and prevention messaging targeting children at risk of recruitment, family separation or other child protection risks.”
6 This includes 1,755 children released from Cobra Faction in Pibor as well as 2 children who escaped another armed group who were supported by UNICEF
through the DDRC. Additionally, this includes other vulnerable children in the community reached with socioeconomic integration along with the released
children, as per the Paris Principles.
7
This target includes 7,020 unclosed cases that have been identified in 2014 but still require FTR services and family-based care/appropriate alternative care
services in 2015. The discussion on this indicator is still ongoing among Child Protection Sub-cluster.
8
These are new indicators in the UNICEF Humanitarian Action for Children (HAC), introduced as part of the mid-year review.
2
9