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Posts published in “Health”

Kenya: Mandera residents to be vaccinated against meningitis

Source: Kenya Daily Nation
Country: Kenya, South Sudan, Uganda
By MANASE OTSIALO

At least 700,000 residents of Mandera County aged between one and 29 years will be vaccinated against meningitis in the next nine days.

This was said by the County Chief...

ADB approves over $24 million for urban water development in Juba

The African Development Bank has approved a proposal to commit $24.7 million to support South Sudan Strategic Water Supply and Sanitation Improvement Project. The money will finance the rehabilitation of approximately 50 kilometers of the Juba town distribution network and related works, including metering and public water collection outlets. According to the bank’s Board of […]

The post ADB approves over $24 million for urban water development in Juba appeared first on Eye Radio.

Democratic Republic of the Congo: WHO AFRO Outbreaks and Other Emergencies, Week 25: 17 – 23 June 2019; Data as reported by 17:00; 23 June 2019

Source: World Health Organization
Country: Angola, Burkina Faso, Burundi, Cameroon, Central African Republic, Chad, Comoros, Congo, Côte d'Ivoire, Democratic Republic of the Congo, Ethiopia, Guinea, Kenya, Lesotho, Liberia, Mali, Mauritius, Mozambique, Namibia, Niger, Nigeria, Sierra Leone, South Africa, South Sudan, Uganda, United Republic of Tanzania, Zambia, Zimbabwe

This Weekly Bulletin focuses on selected acute public health emergencies
occurring in the WHO African Region. The WHO Health Emergencies Programme
is currently monitoring 77 events in the region. This week’s edition covers key
new and ongoing events, including:

  • Cholera in Nigeria
  • Ebola virus disease in Democratic Republic of the Congo
  • Humanitarian crisis in Ethiopia
  • Humanitarian crisis in South Sudan.

For each of these events, a brief description, followed by public health measures
implemented and an interpretation of the situation is provided.

A table is provided at the end of the bulletin with information on all new and
ongoing public health events currently being monitored in the region, as well as
recent events that have largely been controlled and thus closed.

Major issues and challenges include:

The outbreak of Ebola virus disease (EVD) in North Kivu and Ituri provinces,
Democratic Republic of the Congo continues, with fluctuating transmission
intensity. There has been a period of improved security recently, allowing
response teams to access communities and operate more freely. As a result,
indicators over the past few weeks provide early signs of an easing of the
transmission intensity in major hotspots. However, concerns remain over the
number of new cases still occurring in areas that previously had lower rates of
transmission. Additionally, the lack of funding to support response operations
has reached a worrying level. The international community must step up
funding to support the ongoing response and strengthen preparedness in
Democratic Republic of the Congo and neighbouring countries.

Health authorities in Nigeria have confirmed a new cholera outbreak in Adamawa
State, one of the three states in north-east Nigeria with prolonged complex
humanitarian emergencies. These states are vulnerable to experiencing large
cholera outbreaks, as has been seen in the recent past. It is therefore critical
that the current cholera outbreak is responded to swiftly at the initial stages
to prevent escalation of the situation.

Uganda: UNICEF Uganda Humanitarian Situation Report – May 2019

Source: UN Children's Fund
Country: Burundi, Democratic Republic of the Congo, Kenya, South Sudan, Uganda

Highlights

  • Nearly 11,200 refugees from the Democratic Republic of the Congo (DRC) and South Sudan arrived in Uganda in May, bringing the total population of new arrivals since January 2019 to approximately 44,000 people.

  • With UNICEF support, over 18,800 children were immunized against measles in refugee-hosting districts.

  • Over 412,000 children aged 6-59 months have received Vitamin A supplementation in West Nile since the beginning of the year.

  • Following several months of dry weather that threatened crop and livelihoods in eastern Uganda, rainfall levels increased towards the end of May. However, severe food insecurity—particularly in the regions of Karamoja and Teso—is ongoing.

  • Since the start of the year, over 8,000 children with Severe Acute Malnutrition (SAM) in Karamoja and across 12 refugee-hosting districts have been treated for SAM by the Government of Uganda (GoU) with support from UNICEF.

Situation Overview and Humanitarian Needs.

Refugees

Uganda remains the largest refugee-hosting country in Africa with over 1.2 million refugees and asylum-seekers, according to UNHCR and the Office of the Prime Minister (OPM). Approximately 815,831 people are from South Sudan, 339,476 from the DRC, 39,647 from Burundi, and 29,170 from Somalia. Over 44,000 refugees from South Sudan and DRC arrived in the period January to May 2019.
Despite the signing of the Revitalized Agreement on the Resolution of the Conflict in the Republic of South Sudan (R-ARCSS) on 11 September 2018, the humanitarian situation in the country remains grave, with UNHCR, OPM, UNICEF, and other partners preparing for a possible surge in refugee arrivals from the Equatoria region of the country in the wake of reports of deteriorating security conditions. Preliminary reports indicate that a majority of South Sudanese in Uganda are not willing to return home due to insecurity, generalized violence, and a lack of political stability. UNICEF and humanitarian partners are continuing to prepare for a similar surge in new arrivals from eastern DRC due to security concerns.
In May, OPM, UNHCR, and partners launched the revised Refugee Response Plan (RRP) for Uganda for 2019-2020, calling for more funding to support refugees and host communities given anticipated increases in the refugee population (from 1.25 million to 1.3 million) by the end of 2020. The plan, which stands at US$ 927 million for 2019 alone, was revised downwards following verification of the numbers of refugees registered in Uganda in 2018.1 The plan articulates ongoing needs to support emergency response, restoration of the environment, and support to livelihoods.

Disease Outbreaks

Ebola Preparedness and Response: By the end of May 2019, the Public Health Emergency Operations Centre at the Ministry of Health (MoH) had not reported any suspected or confirmed cases of EVD in Uganda. However, by 11 June, there were three confirmed EVD cases in Kasese district in Uganda. The three individuals had travelled to Uganda from the DRC, and all three have since died. The UNICEF response to the confirmed cases of Ebola is being reported in a separate EVD Situation Report. The EVD section of this report relates to UNICEF’s preparedness efforts in May.
Uganda remains the most at risk country in the region for cross border importation of EVD. Since August 2018, UNICEF, in partnership with the Uganda Red Cross Society (URCS) and district health teams, has supported MoH in reaching over 2.3 million persons with information on Ebola prevention, control, reporting, and care-seeking through approximately 340,000 household visits and 14,000 community group meetings at primary schools, churches and mosques, market places, bus stops, and funeral gatherings.
Measles Outbreaks: A total of 91 districts (71 per cent of all districts in the country) have investigated at least one suspected case of measles in their jurisdiction. The Ministry of Health has tasked all districts with conducting active searches for measles cases in their health facilities and communities to increase detection and reporting. In May, UNICEF supported the government in immunizing a total of 18,882 children against measles, bringing UNICEF’s achievement against the 2019 target to 30 per cent.
Yellow Fever Virus: In May 2019, MoH declared a yellow fever outbreak after cases were reported in Masaka and Koboko districts, in central and northern Uganda respectively. The rapid response teams of the MoH, in collaboration with district teams, conducted contact tracing and monitoring of line-listed contacts of the index cases. Additionally, MoH drafted a request to the International Coordination Group on vaccines for a reactive campaign in the two affected districts.

Hydro-Meteorological Conditions

Dry Conditions in Karamoja and Teso Regions: Regional monitoring reports show that rainfall from March to mid-May was below 80 percent of the country’s average, delaying planting by four to six weeks in north-eastern Uganda.2 By mid-May, above-average rainfall was reported in the northeast, which may nevertheless produce below-average yields in much of the region. By the end of May, pastoralist populations were reported to have returned to the area after having left in search of pasture and water earlier in the year. The situation continues to be monitored, with UNICEF’s main concern being the overuse of and stress on existing boreholes during the extended dry season, which has led to extensive mechanical failures with the infrastructure.

South Sudan: UNICEF South Sudan Humanitarian Situation Report – May 2019

Source: UN Children's Fund
Country: Democratic Republic of the Congo, South Sudan

Highlights

  • On 03 May, leadership of the parties to the Revitalized Agreement on the Resolution of the Conflict in South Sudan (R-ARCSS) unanimously agreed to extend the Pre-Transitional period by six months after its original date of conclusion on 12 May 2019 to create more time to complete ongoing and pending tasks yet to be completed during the original Pre-Transitional period.

  • The second round of the national Polio immunization campaign was implemented from 30 April to 06 May, targeting 3,158,099 children, the administration data showed that 3,232,687 children were vaccinated, the post campaign evaluation survey coverage is 91 per cent.

  • As of January 2019, a total of 2,732,892 children 6-59 months were reached with vitamin A, surpassing the 2019 target. A similar coverage of 100 per cent of the annual target was also achieved for deworming of children 12-59 months with 2,237,249 children reached.

Situation Overview and Humanitarian Needs

According to the January 2019 integrated food security phase classification (IPC) projections for May to July 2019, the total number of people in crisis (IPC phase 3) acute food insecurity or worse is projected to 6.87 million people or 60 per cent of the population with an estimated 50,000 people in Catastrophe (IPC Phase 5). In 2019, about 860,000 children under five are estimated to be acutely malnourished including 259,000 of severe acute malnutrition (SAM).
To reach 2019 targets and to be ready to respond for the first quarter 2020, UNICEF Nutrition Programme needs to mobilize US$ 42 million before September 2019 for procurement of Ready-To-Use Therapeutic food (RUTF) and frontline cost of the programme. There is risk for RUTF pipeline break during the last quarter of 2019 or early 2020, if UNICEF fails to mobilize adequate resources before September 2019; highlighting the urgent need for donor support to avoid a pipeline break for life saving nutrition interventions.
In May, UNICEF and partners have faced an increasing number of challenges with bureaucratic impediments, operational interference and access restrictions for the delivery of humanitarian services. In April, the Ministry of Health introduced a new harmonized incentive scale to create consistency and equity across different cadres of health workers. While the new incentive scale has increased incentives for some workers and expanded the number of health facility staff receiving incentives, some have seen their incentives decrease. In many cases, those who have seen their incentives decrease have initiated strikes, leading to the closure of the health facilities and a lack of health services to the population. While the number of health facilities closed has fluctuated (with some returning to work and others starting to strike), at its peak, 75 health facilities supported by UNICEF in Jongeli and Upper Nile were closed due to the strike. By the end of the month, 35 health facilities are closed, limiting health services to almost 1 million people.
UNICEF, together with the health cluster, donors, state and opposition authorities, are engaging with health facility staff to have them return to work pending further discussions on the new incentives and the regularization of salaries for all health workers.
State and non-state civilian authorities, as well as local youth groups, are increasing the number of bureaucratic impediments placed on humanitarian actors and attempting to interfere in operational decisions by humanitarian actors. In Malakal, state authorities have increased the rate of different airport fees, increasing the costs for UNICEF and partners to operate in Upper Nile. Similarly, opposition authorities in Tonga have requested visiting humanitarian actors to stay at pre-designated hotels rather than humanitarian compounds, and demanded hiring be done locally rather than bringing national staff from other parts of the country. Similarly, in Pibor (Jongeli) and Yambio (Western Equatoria), youth groups have sent threatening letters demanding national staff from Juba be replaced with staff from the local population. UNICEF and the NGO Forum are working to address these impediments together with national state and opposition authorities to ensure operational independence.
While physical access in much of the country remains possible due to the decrease in both armed hostilities and active denials of access for UNICEF and partners, violence in several parts of the country are limiting humanitarian operations.
In southern Central Equatoria, sporadic fighting between the South Sudan Peoples Defense Force (SSPDF – formerly the SPLA) and the National Salvation Front (NAS – a non-signatory to the peace agreement) continues to impede both regular humanitarian activities and EVD preparedness efforts outside of Yei town. However, UNICEF and OCHA continue to negotiate access with all parties to conflict and are gradually expanding operations in new areas outside of Yei. In Warrap, a dramatic increase in inter-communal clashes has led to restrictions on many key transport routes around Rumbek, hindering the movement of humanitarian cargo and programme activities.

S.Sudan exempts Ebola equipment entering into the country

The Council of Minister has directed relevant government authorities to exempt all Ebola testing equipment and medicines entering into the country.  According to the Information Minister, the cabinet in its regular meeting on Friday said there should be no delay of Ebola prevention and treatment materials at the country’s entry points. The move comes after […]

The post S.Sudan exempts Ebola equipment entering into the country appeared first on Eye Radio.

South Sudan: WFP South Sudan Situation Report #248, 21 June 2019

Source: World Food Programme
Country: South Sudan, Uganda

Highlights

• A record number of people – 6.9 million, or more than 60 percent of South Sudan’s entire population – do not know where their next meal will come from as hunger peaks during the l...

World: World Bank Group Support in Situations Involving Conflict-Induced Displacement – An Independent Evaluation

Source: World Bank
Country: Afghanistan, Algeria, Angola, Armenia, Azerbaijan, Bangladesh, Bosnia and Herzegovina, Burkina Faso, Burundi, Cambodia, Cameroon, Chad, Colombia, Congo, Côte d'Ivoire, Croatia, Democratic Republic of the Congo, Djibouti, Ecuador, Eritrea, Ethiopia, Georgia, Guinea, Indonesia, Iraq, Jordan, Kyrgyzstan, Lebanon, Liberia, Mali, Mauritania, Montenegro, Myanmar, Nepal, Niger, occupied Palestinian territory, Pakistan, Philippines, Rwanda, Senegal, Serbia, Sierra Leone, Somalia, South Sudan, Sri Lanka, Sudan, Syrian Arab Republic, the Republic of North Macedonia, Timor-Leste, Turkey, Uganda, World, Yemen, Zambia

Highlights

  • In 2016, the World Bank Group stepped up its engagement in situations of conflictinduced forced displacement at the global and country levels and adopted a new approach to its engagement that recognizes displacement as a development challenge that must be addressed to attain the World Bank Group’s twin goals.

  • Since fiscal year 2016, the Bank Group’s analytical, financial, and operational support has become more aligned with its stated development approach building on lessons from past engagements. This is an important shift.

  • Advisory services and analytics have shifted from providing a rationale for Bank Group engagement in situations involving conflictinduced forced displacement to contextspecific needs assessments focused on evidence-based, medium-term solutions.
    The World Bank successfully mobilized new financing to support situations involving conflict-induced forced displacement and crowded-in funding from other donors. World Bank support for populations forcibly displaced by conflict and their host communities has increased, become more balanced, and focused on priority sectors to
    generate economic opportunities. These are significant achievements.

  • At the same time, the Bank Group has not yet fully leveraged its comparative
    advantages in implementing its development approach. Evidence generated
    from analytical and advisory services needs to be translated better into
    context-specific policy dialogue, project design, and programming.
    Project design, in particular, could further address the specific needs and
    vulnerabilities of conflict-induced forcibly displaced persons and their host
    communities, especially the specific needs and vulnerabilities of the women
    and children among them. Projects should also more systematically include
    specific indicators to monitor and evaluate the effects on affected populations.

  • The World Bank engages and coordinates with humanitarian actors and
    development organizations at various levels, but coordination could be further
    strengthened. Additionally, select partnerships at the country level could be
    leveraged to ensure sector coherence and to foster policy dialogue to enact
    institutional reforms toward self-reliance that address the vulnerabilities of
    forcibly displaced persons. The Bank Group could also increase engagement
    to catalyze the private sector’s role in situations of conflict-induced forced
    displacement.

  • Internal and external factors inhibit the Bank Group’s development
    response to address situations of conflict-induced forced displacement.
    Internal factors include varying levels of active leadership in Country
    Management Units, growing but still limited Bank Group experience, and
    incentives. External factors include the varying nature of displacement
    situations, government capacity, macroeconomic and development
    challenges, and complex political economy factors.

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