IOM SOUTH SUDAN REPORTING PERIOD SEPTEMBER

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1 IOM SOUTH SUDAN H U M A N I TA R I A N U P D AT E # 3 7 REPORTING PERIOD SEPTEMBER The first IOM Rapid Response Team (RRT) spreads cholera awareness messages throughout Eastern Equatoria state. Since conflict broke out in December 2013, 1.7 million have fled their homes. Many have crossed into neighboring countries (estimated 449,000 people have fled to neighboring countries of Kenya 42,200 individuals, Uganda 123,100 individuals, Ethiopia 189,900 individuals and Sudan 93,400 individuals). However, 1.3 million individuals remain internally displaced and most are seeking shelter in remote rural areas across the country. Displacement patterns remain fluid, driven by violence, access to emergency assistance and floods. There are currently 96,000 internally displaced persons (IDPs) sheltering in nine UN bases across South Sudan. Approximately 186,999 people displaced early during the conflict have since returned to their homes having in many cases lost all their belongings. The general security situation for the reporting period has been tenuous and unpredictable with reports of gunfire and conflict taking place in Renk, Upper Nile State. Security concerns in Bentiu resulted in the suspension of fixed-wing flights to the Rubkona/ Bentiu airstrip and surrounding counties though helicopter flights are still permissible. Cholera cases in South Sudan continue to decline with only 28 cases reported earlier this month. However, poor conditions, particularly in the Bentiu H I G H L I G HT S IOM launches a new protection program to provide psychosocial support to conflict affected populations with the PoCs Biometric Registration exercises completed in both the Bor PoC and Juba Tongping and UN House PoCs PoC, continue to be a concern for partners. There is an increase in Kala-azar reported in Sudan with 50% of reported cases found in Lanken, Jonglei State. Kala -azar is a disease caused by a sand fly endemic to South Sudan. The increased prevalence of this disease is largely attributed to the ongoing conflict as access to treatment is challenging and food insecurity and malnutrition decrease immunity. Heavy rains throughout the country continue to pose significant challenges for the transport of humanitarian staff and cargo with the conditions of roads worsening and runway conditions remaining poor. Follow IOM South Sudan on Facebook and IOM directly at ssudanpsu@iom.int or visit

2 CAMP COORDINATION AND CAMP MANAGEMENT (CCCM) The Camp Coordination and Camp Management (CCCM) Cluster facilitates the delivery of life-saving services to IDPs in displacement sites and collective centres throughout South Sudan. The CCCM Cluster ensures that basic humanitarian living conditions are provided, while also building the foundations for voluntary return and recovery interventions where it is possible and safe to do so. IOM and UNHCR co-lead the CCCM Cluster, in coordination with ACTED. IOM continues to act as CCCM state focal point in Upper Nile, Jonglei, Western Bahr el Ghazal and Warrap. Site Development, Expansion and Improvement (CCCM and Shelter/NFI shared responsibilities) Efforts to increase capacity and improve living conditions continue at PoC sites in Malakal, Bor, Bentiu and UN House in Juba; and IDP sites in Mingkaman. IOM leads efforts to expand the PoC areas in Malakal and Bor and provides assistance at the UN House and Mingkaman sites. Malakal PoC The relocation of IDPs from the old Malakal PoC to the new sectors 1, 2 and 3 is ongoing. Tents to accommodate over 13,000 individuals have been pitched. The installation of lighting continues. CCCM staff received protection training in order to better respond to IDP concerns in the PoC. Juba, UN House PoC 3 Relocation of Tongping PoC residents to UN House PoC 3 continues. As of 16 September 9,177 IDPs have been relocated. According to the biometric registration exercise in Tongping, there are 5, 035 IDPs residing in the PoC. Bor PoC The relocation of IDPs from the existing PoC to the new site has been further postponed as the fencing of the new PoC has yet to be finalized. Other site preparation work, including interior fencing and site preparation have been completed. The community has been mobilized and are ready to relocate to the new site once exterior fencing has been completed. Bentiu PoC Drainage of the Bentiu PoC is the priority of the humanitarian community as heavy rain has left standing water throughout the PoC. Please reference the water and sanitation section of this update for details of IOM involvement in the drainage efforts in Bentiu.. Page 2

3 DISPLACEMENT TRACKING Biometric Registration The DTM Round Five report will be released during the next reporting period. In order to gather better information on displaced individuals residing in UNMISS Protection of Civilian (PoC) sites, the International Organization for Migration began biometric registration of IDPs in June of Biometric registration entails the fingerprinting of all household members and photographing young children and babies. Biometric registration reduces duplication and errors commonly found in a normal registration and provide a baseline of information for which humanitarian actors can use for planning and service provision. Biometric registration in the Bor has been completed with 2,722 individuals having been fingerprinted or photographed. Biometric registration has also been completed in all of the Juba PoCs. A profile of the Juba PoC population can be found below. IOM staff at the registration tent in the Tongping PoC Page 3

4 HUMANITARIAN HUBS SHELTER AND NON FOOD ITEMS (NFI) The CCCM Cluster has established humanitarian hubs, a common office and accommodation space accessible by aid workers, at key displacement locations throughout the country. IOM, in collaboration with UNMISS, established and manage the hubs within the UNMISS compound in Bentiu, Malakal, and Bor. BOR With the capacity for 100, the Bor hub is currently occupied by 36 humanitarian staff. As lead of the Shelter and Non-Food Items (NFI) Cluster in South Sudan, IOM provides essential household items and emergency shelter materials to conflict and disasteraffected populations. IOM also manages the Shelter and NFI Core Pipeline, a mechanism to ensure that key NFIs and emergency shelter materials are prepositioned in strategic locations and ready to be deployed rapidly. As of 8 September, 4,482 metric tons of Shelter and NFI stick has been moved throught the pipeline to 48 locations with 149 requests served. It is important to note that 93% of the metric tonnage moved was transported by IOM. BOR HUMANITARIAN HUB MALAKAL 228 humanitarian staff are currently accommodated. The capacity for the Malakal Hub is 200 and a program criticality review is needed to establish the allocation of space. BENTIU The hub has opened and hosts 188 humanitarian staff. The Bentiu Hub can accommodate 200 staff. MOBILE HUBS Located in Mathiang, Longochuk, Upper Nile. The hub consists of temporary office and accommodation space for 25 people. This hub is fully operational and managed by Relief International. As of 8 September, Crisis Response Plan (CRP) partners have served 142,714 households with non-food items (NFI) and 49,112 households with shelter to date. This represents 71% of the CRP target for NFI, and 55% of the CRP target for shelter response. Access to Rumbek continues to be a challenge. Rumbek, Lakes state is the consolidation and departure point for all humanitarian cargo to be transported to Bentiu, Unity State. Given the current state of the roads, it takes 8 to 10 days for items to be moved from Juba to Rumbek. Additionally, an estimated 300 trucks from different stakeholders have been stuck on the road, inclusive of 7 IOM trucks delivering Shelter/NFI materials to Rumbek. These trucks have been stuck for more than 20 days. IOM frontline response Since the start of the crisis, IOM's frontline response team has distributed NFI items to over 47,700 households, 703 of these households have also been provided with additional shelter material. A total of 38 distribution operations have been carried out across the country. MATHIANG MOBILE HUB The team has also participated in 21 assessments and rapid response monitoring exercises. Page 4

5 WATER, SANITATION AND HYGIENE (WASH) WASH Cluster State Focal Point IOM is the WASH Cluster State Focal Point in Upper Nile State. As WASH state focal point, IOM continues to lead the coordination of WASH response and, in coordination with the health cluster, cholera response in the state. IOM is also the main WASH actor in Malakal and Melut PoC and collaborates with partners to ensure that IDPs at PoCs have access to potable water and sanitation facilities to improve and maintain good hygiene practices. IOM WASH Emergency Operations Bentiu PoC The recent flooding of Bentiu PoC has impacted many regular WASH activities as IOM has focused on draining standing water and decommissioning and replacing collapsed latrines. IOM also focused on hygiene promotion through home visits and focus group discussions on good hygiene practices in hopes to prevent the spreading of water borne illnesses. 48 new latrines were constructed and the construction of an additional 32 new latrines has begun. Malakal PoC Hygiene awareness activities were carried out throughout the week and visits to beneficiary homes were prioritized. Highlights for the week in Malakal are that 3,172 households received soap distributed by IOM, the PoC 1 primary school was connected to the main water supply and the results of a survey at water points within the PoC indicate that 91 % of the population walk less than 10 minutes to access water points. Additionally, a training on water quality monitoring was conducted and 4 staff were successfully trained on bacteriological testing. Trench excavation for the water pipeline running from the MSF water treatment center to the distribution bladder has been completed. The laying of the pipe to connect the two points has since commenced. A groundwater level monitoring exercise continued in PoC 4 as there are fears that water levels are reducing due to sustained pumping from boreholes around the PoC. Testing for bacteria in the Malakal PoC Malakal PoC 15.4 Liters of safe water available per person per day 31 persons per latrine Bentiu PoC Due to flooding in the Bentiu PoC, WASH efforts have been focused on drainage, the replacement of destroyed latrines and the provision of clean safe water. Melut PoC 30 Liters of safe water available per person per day 20 persons per latrine Page 5

6 HEALTH IOM is the Primary Health Care actor in Malakal and Bentiu PoCs providing clinical assistance to IDPs, returnees and host communities. IOM operates mobile health services to the South Sudan-Sudan border area of Wonthou. IOM clinics provide curative consultations, health education sessions, routine immunization for children under five and maternal health care. Top morbidities for all sites continue to be upper respiratory tract infections, malaria and diarrheal diseases. Bentiu PoC 681 Health Consultations Top Morbidities Respiratory Track Infections Skin Diseases Accidental Trauma The IOM maternity unit in Bentiu has opened and will be fully operational in the coming week. The new maternity unit will be accessible 24 hours a day and trained midwives and traditional birth attendants will be on call for deliveries. The flooding within the PoC has made the receipt of microscopy services for RDT(-VE) malaria patients a challenge as infected clients are required to walk through flooded areas to reach the hospital which houses the microscopy services. The IOM Health team in Malakal continued with their regular activities, including health promotion, reproductive health services, nutrition screening, vaccinations and testing. The number of patients reporting to the clinic for malaria treatment are on the increase. Patients testing positively for the mosquito-borne infection accounted for nearly a quarter of the total number of consultations. Community health promoters continue to visit families in their homes to deliver key health messages. These sessions focus on the prevention of diseases, water borne illnesses and malaria. In this reporting period over 560 households were visited benefiting approximately 2, 063 individuals. Malakal PoC 881 Health Consultations 514 Children Vaccinated Top Morbidities: Respiratory Track Infections Malaria Accidental Trauma PROTECTION IOM South Sudan has launched a new project that seeks to enhance the mental health and psychosocial well being of the conflict affected populations living in PoC sites throughout the country. The project is based on three components: 1) Direct service delivery which will first target the Bor PoC site 2) Mainstreaming of Mental Health and Psychosocial Support through the CCCM cluster 3) Capacity building and sustainability through provision of training to community members and humanitarian actors, ensuring the involvement of the University of Juba throughout the project as well as working in close collaboration with other actors to strive towards harmonization and integration. Page 6

7 REFUGEE RESPONSE As the lead provider of WASH at Doro refugee camp, IOM continues to meet the needs of the refugee population. All key water, hygiene and sanitation indicators are above the minimum standards. The need remains to maintain these standards to prevent the outbreak and spread of waterborne diseases amongst the refugee population and surrounding host communities during the course of the rainy season. This reporting period 10,248 individuals were reached with hygiene and and sanitation promotion messages. 8,243 refugees were visited in their homes and 2,005 attended open community sessions. An emphasis has been placed on the prevention and control of cholera and diarrhoea. Though a total of 393,080 liters of water were treated through bucket chlorination systems, IOM has installed four dosatrons to enhance the system of chlorination in the camp liters of safe water available per person per day 14 persons per latrine 341 idividuals for every hygiene promoter 22 people per shower block RAPID RESPONSE TEAM (RRT) IOM South Sudan s Rapid Response Teams are a multi-sector initiative created to support the humanitarian response to the emergency in South Sudan by providing swift assistance in the sectors of WASH, Health and Shelters/NFI. IOM RRTs will be deployed throughout South Sudan based on the priorities identified by the humanitarian community. The first IOM RRT was deployed to Torit in Eastern Equatoria to support WASH efforts in Lopa Lafon, Ikotos and Magwi counties. The team has returned having completed the rehabilitation of 13 boreholes and following a successful cholera/sanitation/hygiene campaign which reached over 3,500 individuals. Multi sector teams have carried out assessments in Ayod county in Jonglei state. Borehole rehabilitation in Eastern Equatoria Page 7

8 COMMON TRANSPORT SERVICE The IOM operated Common Transport Service (CTS), a free service for transporting humanitarian supplies in South Sudan, is helping partners to deliver aid across the country. CTS trucks remain strategically positioned across the country to provide transport assistance to humanitarian partners. This week, the distribution took place as follows Melut metric tons Malakal metric tons Juba metric tons Rumbeck metric tons M a b a n m e t r i c t o n s m e t r i c t o n s o f c a r g o w e r e m o v e d RAPID RESPONSE FUND The Rapid Response (RRF) is a flexible funding mechanism allowing for swift disbursement of grants through NGO/Community-Based Organization (CBO) partners in response to onset emergencies. Presently, eight grants are active under the RRF programme benefitting water and sanitation in Juba UN House POC 1, Nutrition support in Fangak county, Jonglei State, Cholera response in Upper Nile State and Eastern Equatoria, Camp Management in Bentiu and the provision of health care in the Juba Tongping Poc. A child receives nutritional screening in Fangak, Jonglei state. Funding for IOM South Sudan s emergency operation is provided by Page 8