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Posts published in “South Sudan”

South Sudan: The official opening of John Garang Infectious Diseases Unit – a multipurpose unit for managing Infectious Diseases in South Sudan

Source: Government of the Republic of South Sudan
Country: South Sudan

Following the declaration of EVD outbreak in North Kivu and Ituri provinces of the Democratic Republic of the Congo, and the threat of cross-border spread, South Sudan has therefor...

South Sudan: South Sudan: “The most challenging thing for patients is the difficulty of accessing maternal health services

Source: Médecins Sans Frontières
Country: South Sudan

Milscent Moyo
MSF Midwife and Maternity and Neonate Supervisor
Milscent Moyo, from Zimbabwe, just completed a six-month assignment at Aweil State Hospital, South Sudan, where MSF operates one of the few maternity wards where a woman can safely give birth in former Northern Bahr El Ghazal State.

In September, there was a peak in births in the Doctors Without Borders/Médecins Sans Frontières (MSF) maternity ward at Aweil State Hospital, and we were getting an average of 120-plus deliveries per week, with maybe five or six C-sections and two or three vacuum deliveries. There are two midwives and one nurse aide dedicated to delivery room, managing all these patients—sometimes 10 women in labor per 12-hour shift. It's a really challenging situation, and we need to manage those who are imminent deliveries, those who are having obstetric emergencies like increased high blood pressure and those with vaginal bleeding, and when we stabilize them we go back and see that everybody else is taken care of.

The most challenging thing for patients is the difficulty of accessing maternal health services. Ours is one of very few medical facilities where a woman can give birth with skilled care in Northern Bahr El Ghazal State. We run one of only two maternity wards in the state that can provide C-sections, and the only one with sufficient staffing and a blood bank.

Once the pregnant women are admitted in a timely manner in our facility, they are taken good care of. The mortality rate in our maternity is generally very low. When patients are referred from other facilities, however, they often arrive too late and they may die before we can save them. Without good roads or vehicles, transportation is a major challenge, which means that some patients in need don’t even make it. They may be late in reaching a primary health care center, and that center may only have one ambulance, which is not always functioning. We often see women who arrive with dust up to their knees after walking for two days to reach our hospital. It is even worse during raining season when most of the communities are completely cut off due to flooding.

The other issue is malnutrition. Many of our patients are malnourished and yet have this desire to have five-plus children, regardless of their nutritional status. And they don't know what their options are for contraception.

What we've done is we've tried to incorporate contraception education in our rounds every single day. Once the doctor reviews the patient we have to make sure that the woman gets information about contraception. Most of them say, "OK, wait for my husband," but when the husband comes and the midwife follows up with them, most of them opt for it. They often prefer injectable contraception which lasts for three months. And then hopefully they can continue the care in their community clinic or a primary health care center, where they get family planning services.

Another initiative we have is helping midwives learn to use a diagnostic tooled called Point of Care Ultrasound, or POCUS. I think it’s a very good initiative, firstly for building the skills of the midwives and also for the clinical care for the patients. Because there are cases when the midwives are able to identify a very complicated condition, which the obstetrician can confirm, and refer a patient to the operating theater. It's a movement in the right direction, since we want to focus more on the complicated cases.

At the same time, the biggest need I see is for basic maternal care services at the local level. Some health care centers don't have a trained midwife. But this is where the good management of pregnant women starts, with monitoring of potential problems, and preventive treatments such as iron supplements, malaria prophylaxis, and testing and treatment for HIV and syphilis.

If there could be a skilled midwife in every community that our patients come from, it would be so much better. These issues should really be attended to during pregnancy. And if there's a skilled midwife, they would be able to recognize problems during pregnancy and make a referral to our center, so that the woman can be cared for properly.

South Sudan: UNICEF South Sudan Humanitarian Situation Report, 1 – 30 November

Source: UN Children's Fund
Country: South Sudan

Highlights

  • On 27 November, the Ministry of Finance, together with UN agencies, launched the National Development Strategy for South Sudan for the period July 2018 to June 2021.

  • Through UNICEF’s robust advocacy and technical support, the South Sudan Government signed the Civil Registry Act 2018 into law. The Act will see children being registered and receiving their birth certificates.

  • World Children’s Day was celebrated on 20 November, with children taking over the airwaves of three radio stations throughout the day.

  • The Ministry of Health, with support from UNICEF, the World Health Organization (WHO) and partners, implemented a Sub-National Immunization Day campaign, targeting over 2 million children under 5 years with Oral Polio Vaccine along with deworming and Vitamin A supplementation in Central Equatoria, Eastern Equatoria, Western Equatoria, Unity, Jonglei and Upper Nile.

Situation Overview and Humanitarian Needs

Humanitarian access has improved in some areas and deteriorated in others. The secession of hostilities has allowed for renewed access to Greater Baggari, Western Bahr el Ghazal, for the first time since September 2018. UNICEF and partners have taken advantage of this opportunity and are responding to the needs of an estimated 28,000 people in Integrated Food Security Phase Classification (IPC) Phase 4 conditions in the area. Similarly, in Central Equatoria, decreases in clashes between government and opposition forces in some areas have allowed UNICEF and partners to conduct several response activities to those affected by the recent fighting. However, the sustainability of access in these areas remains uncertain. At the same time, UNICEF and partners faced 15 reported access incidents in November, including a sharp rise in inter-communal violence, as well as restrictions of movement and bureaucratic impediments, many of which occurred in Jonglei and Unity states. These incidents delayed or prevented programme activities to support approximately 164,000 people in need.

As the dry season approaches, the ability to take advantage of new and existing modalities of transportation, particularly roadways, are likely to improve. In November, the Logistics Cluster reported that it facilitated the transport of 1,261 metric tons of humanitarian cargo by road, air and river to 44 destinations on behalf of 75 organizations, the highest amount of cargo moved in a single month so far in 2018.

On 27 November, the Ministry of Finance, together with UN agencies, launched the National Development Strategy for South Sudan for the period July 2018 to June 2021. The plan seeks to consolidate peace and stabilize the economy through strategic actions in six priority areas: (i) create enabling conditions for and facilitate the voluntary return and integration of displaced South Sudanese; (ii) develop appropriate laws and enforce the rule of law; (iii) ensure secure access to adequate and nutritious food; (iv) silence the guns by facilitating a permanent cessation of hostilities; (v) restore and expand the provision of basic services and; (vi) restore and maintain basic transport infrastructure such as roads and bridges. Speaking at the launch, Vice President Wani Igga read the President’s speech requesting all government offices, development partners and investors to align their programmes and investments with the strategy.

South Sudan: Will 2019 bring peace or famine? South Sudan marks five years of war

Source: Thomson Reuters Foundation
Country: South Sudan

The conflict has forced an estimated 4.2 million people from their homes, about 2 million inside and 2.2 million outside the country

By Isabelle Gerretsen

LONDON, Dec 14 (Thomson Reuters Foundation) - As South Sudan's civil war enters its sixth year, conflict has lessened following a peace deal but violence prevents 1.5 million people receiving aid and famine is possible in 2019.

Despite a fragile accord signed by the government and rebel groups in September, the world's youngest country is awash with weapons and riven with ethnic grievances, with civilians bearing the brunt of the violence and cycle of revenge.

"We have a long way to go to ensure that all parties meaningfully engage in the peace process," said Janardhan Rao, country director for aid group Mercy Corps.

"The sexual violence against women and girls in South Sudan is abhorrent and underscores that signing a peace agreement is only a starting point," he told the Thomson Reuters Foundation.

Here are 10 facts about the war in South Sudan:

  • The war has killed almost 400,000 people since 2013, about half dying from violent injuries.

  • The conflict has forced an estimated 4.2 million people from their homes, about 2 million inside and 2.2 million outside the country.

  • About two-thirds of the population - 7 million people - require humanitarian aid, with women and children most in need.

  • More than four in 10 people - an estimated 5.2 million - face severe malnutrition.

  • South Sudan has the world's highest rate of children out of school, with more than 70 percent - 2.2 million - not receiving an education.

  • Every third school has been damaged, destroyed, occupied or closed since 2013.

  • During the first three months of 2019, the United Nations (U.N.) predicts that every other person in South Sudan will be severely short of food.

  • The U.N. appealed on Thursday for $1.5 billion in aid in 2019.

  • Combatants on all sides have perpetrated serious human rights abuses, including gang rape, abductions, sexual slavery of women and girls and recruitment of children.

  • About 1.5 million people live in areas with high rates of hunger and sexual violence where it is difficult or impossible to deliver relief due to fighting and attacks on aid workers. Sources: Mercy Corps, Medecins San Frontieres, United Nations Office for the Coordination of Humanitarian Affairs, London School of Tropical Medicine, Unicef, Reuters (Reporting by Isabelle Gerretsen @izzygerretsen; Editing by Katy Migiro. Please credit the Thomson Reuters Foundation, the charitable arm of Thomson Reuters, that covers humanitarian news, women's and LGBT+ rights, human trafficking, property rights, and climate change. Visit http://news.trust.org)

Ethiopia: ECHO Factsheet – Ethiopia – Last updated 17/12/2018

Source: European Commission's Directorate-General for European Civil Protection and Humanitarian Aid Operations
Country: Eritrea, Ethiopia, Somalia, South Sudan

Introduction

Ethiopia, the second most populous country in Africa, faces a massive internal displacement crisis due to inter-communal violence and conflicts. The displacement crisis started in autumn 2017 and has escalated and spread in the second half of 2018. Meanwhile, there is dramatic political change brought about by the arrival of a new prime minister in 2018, an ongoing refugee influx from South Sudan and Eritrea, and millions of Ethiopians who need emergency food assistance and support to rebuild their livelihoods.

What are the needs?

The number of people forced to leave their homes and move to another place in Ethiopia (internally displaced persons or IDPs) has risen to almost 3 million. About 1.4 million people were forced from their homes in the first half of 2018. This is more than in Syria, Yemen, or the Democratic Republic of Congo and represents the fastest growing displacement crisis in the world. Two-thirds of today’s displaced people have fled inter-communal violence. Ethnic tensions have boiled over into violence; the violence and displacement has spread even further with the sweeping reforms and profound transformation that are undergoing in the country.

Unknown numbers of people have been killed, many were injured and victims of gender-based violence. In some areas, the authorities are inviting the IDPs to return to their place of origin. However, many of the ‘returned’ instead take shelter in sites near their village of origin. All returns should be voluntary, safe, and dignified.

As Ethiopia slowly recovers from two successive droughts, millions of people - in particular farming and herding communities in the south and southeast of the country – need emergency food assistance and support to rebuild their livelihoods.

Ethiopia hosts nearly one million refugees mainly from South Sudan – who are fleeing ongoing war and food insecurity - and Eritrea following the re-opening of the Ethiopia-Eritrea border in 2018. Refugees rely on aid to meet their basic needs including education and protection from gender-based violence.

How are we helping?

In 2018, the European Union has allocated €63 million to help people in need in Ethiopia. The focus is on addressing the most urgent humanitarian needs resulting from conflict-related displacement, the influx of refugees from South Sudan and Eritrea and climate-driven emergencies such as drought and flooding.

The response to the internal displacement (driven by the drought, conflicts and violence) focuses on life-saving interventions. Such interventions ensure the emergency supply of safe water, improved sanitation and hygiene promotion, shelter, food assistance, cash transfers, healthcare including the detection and treatment of malnourished children, and the prevention of and response to disease outbreaks such as cholera.

EU partner humanitarian organisations provide thousands of displaced families with essential items such as plastic sheets as a protection against the elements, mats, blankets, jerry cans, and other household goods. However, they face considerable challenges in trying to access all locations where violence has occurred to conduct independent needs assessments.

EU humanitarian aid to South Sudanese refugees provides shelter and access to safe water and sanitation facilities. Creating a protective environment for the most vulnerable refugees, such as unaccompanied minors and people with disabilities, is a priority. The EU funds food assistance, including e-vouchers that refugees can exchange for fresh food at markets. EU funding also supports the detection and treatment of acutely malnourished children and mothers. Education in emergencies is another priority, providing primary education to refugee children.

In response to the recent influx of Eritreans, the EU has scaled up its support to humanitarian organisations providing shelter and basic assistance to new arrivals.

After heavy floods and landslides in May 2018, which affected more than 320 000 people in the country’s Somali region in the eastern part of the country, the European Union allocated €2 million to provide emergency shelter, clean drinking water, and essential items such as mosquito nets and blankets.

Last updated
17/12/2018

World: WHO AFRO Outbreaks and Other Emergencies, Week 50: 8 – 14 December 2018 Data as reported by 17:00; 14 December 2018

Source: World Health Organization
Country: Angola, Benin, Cameroon, Central African Republic, Chad, Democratic Republic of the Congo, Ethiopia, Guinea, Kenya, Liberia, Madagascar, Mali, Mauritania, Mauritius, Namibia, Niger, Nigeria, Sao Tome and Princ...

Uganda: Uganda Country Refugee Response Plan: The integrated response plan for refugees from South Sudan, Burundi and the Democratic Republic of the Congo, January 2019 – December 2020

Source: UN High Commissioner for Refugees
Country: Burundi, Democratic Republic of the Congo, South Sudan, Uganda

Executive Summary

Whilst seeking to meet humanitarian needs, the 2019-2020 RRP also serve as a transition plan towards sustainable refug...

South Sudan rejects U.S. targeted sanctions, calls for bilateral dialogue

December 17, 2018 (JUBA) - South Sudanese government Monday rejected the U.S. targeted sanctions imposed on two of its nationals Obac William Olawo and Gregory Vasili and called for bilateral dialogue to improve relations.
On Friday 14 December, the U.S. Department of Treasury's Office of Foreign Asset Control (OFAC) designated businessman Olawo for supplying the Government with weapons and ammunition. While Vasili, the former governor of Gogrial State, was designated for brokering deals (...)

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World: IRC Emergency Watchlist 2019

Source: International Rescue Committee
Country: Afghanistan, Bangladesh, Cameroon, Central African Republic, Democratic Republic of the Congo, Ethiopia, Iraq, Libya, Mali, Mexico, Myanmar, Nicaragua, Niger, Nigeria, Pakistan, Somalia, South Sudan, Suda...

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