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South Sudan

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AHA Programmes (2013 – Present)

AHA has been operational in South Sudan since 2013 in Ajuong Thok and Pariang County – Unity State. In Ajuong Thok AHA has been providing comprehensive clinical curative services, reproductive healthcare, community based healthcare and nutrition services for refugees. In Pariang County, AHA has been providing IDPs and the affected host community with CCCM, protection mainstreaming and mobile health response.

Population of Concern

The major populations of concern in South Sudan are refugees in Ajuong Thok, IDPs and affected host communities in Pariang County – Unity State.

The population size in Ajuong Thok refugee camp has considerably increased from 6,867 in January 2014 to 15,153 by the end of December 2014. The settlement of large population of IDPs as a result of the conflict in South Sudan, most of who settled along the Diir River and integrated in the host community and in the refugee camp has changed the profile of the population surrounding the refugee camp in Jam Jang payam. Following an influx of new refugees into Ajuong Thok and the surrounding communities, the number of refugees is currently over 20,000.

Major IDP sites in South Sudan are Jamjang, Biu, Gumriak, Pariang, Aliny, Nyiel, Panyang and Yida Payams of Pariang County. At the beginning of the project in April 2013, the population figure was 3,657 households consisting of 17,336 individuals. UNHCR in collaboration with AHA and other CCCM cluster members registered an additional 105 IDP households comprising of 596 individuals. This new registration raised the IDP figure to a total of 17,932 individuals in 3,762 households.

Operational Context

Following the outbreak of conflict in South Sudan in December 2013, tens of thousands of men, women and children have been displaced and many have since died and millions more are threatened by violence, hunger, malnutrition and disease.

The most acute needs are found in Jonglei, Unity and Upper Nile states which have seen the most active hostilities. According to UNHCR, by mid-2014, there were over 1.4 million South Sudanese internally displaced by the conflict.

South Sudan is also hosting over 250,000 refugees from the Central African Republic (CAR), the Democratic Republic of the Congo (DRC), Ethiopia and Sudan. They include over 220,000 Sudanese refugees from the Blue Nile and South Kordofan regions who depend mainly on humanitarian aid for their survival.

Health Care:

Since April 2013, AHA, in partnership with UNHCR, has been implementing comprehensive primary healthcare and nutrition programs in Ajuong Thok refugee camp in Pariang County, Unity State. It’s benefited to date 9,583 refugees relocated from Yida, Malakal, Pariang and Nyel as well as a good proportion (34%) of host communities. AHA’s overall comprehensive primary health and nutrition project assists over 20,000 refugees and surrounding host communities.

AHA’s major focus is to address health concerns in refugee and IDP camps and among host communities, by involving the community in flexible, integrated, participant and comprehensive primary healthcare (CPHC) services in a continuum of care model with adequate referral networks for emergency cases.

The following bullet points summarize quantitatively the major achievements in healthcare in 2014.

  • A total of 44,800 consultations were made of whom 22% are nationals,
  • Crude mortality rate (CMR) was (0.2/10,000/day) which is lower than the sphere standard of <1/10,000/day,
  • Coverage of complete antenatal care was 55% and 87 % of births were attended by a skilled health worker,
  • There was an improved quality in health service delivery as indicated by balanced score card assessment results (42% in 2013 to 76% in April 2014).
  • 83% of pregnant women received two or more PNC,
  • Global Acute Malnutrition (GAM) rate was less than 8%; SAM was less than 1%; prevention strategy in all blocks in the refugee camp was implemented using MTM support groups, and
  • Measles vaccination coverage stands at 87.3%.

 

Key nutritional achievements:

 

  • Established 34 mother to mother support groups as an intervention in addressing the behavioural change of the maternal, infant and young child feeding practices in the camp.
  • Established a micronutrient strategy to support 77 mother to mother support groups to increase the micronutrient intake at household level. Seeds (eggplant, tomatoes, onions, oats, amaranth and water melon), 154 kilograms of sorghum and 154 kilograms of maize was distributed in partnership with CARE International.
  • Managed to supplement 2,694 pregnant and lactating women with CSB++, while coordinating with the reproductive health department to increase ante natal care visits.

 

health services in the bomas (villages) of Alilang, Toor, Akot, Tur and Ling, reaching an average of 100 beneficiaries per day, three times a week. In parallel, these outreach services conducted health education sessions to sensitize the community and mitigate risks of diseases the most common being respiratory tract infections (RTIs), rheumatic pain, malaria, and skin/eye infection.

The health facility in Ajuong Thok strengthened access to primary healthcare services by providing routine curative healthcare consultations for adults and under 5 children. The health facility was upgraded to accommodate 10 more beds in addition to the 15 that already exist. In addition, an isolation ward for communicable diseases /outbreaks was established. The waiting area was constructed in December 2013 and started functioning in January 2014. Services at the waiting area were strengthened to provide registration, triage, patient flow management, health education, and nutrition screening. A health education focal point that also manages triage was recruited.

In addition, AHA strengthened its laboratory services and the newly established emergency blood transfusion services, strengthened TB diagnostic measures like sputum examination and introduced treatment.

In line with the health challenges in Pariang County, AHA developed and undertook different strategic activities which are currently on-going to meet the demand for services such as improving infrastructure for healthcare service delivery, expanding services and improving the quality of services delivered.

 

For more information about AHA South Sudan, please contact southsudan@africahumanitarian.org