South Sudan Humanitarian Situation Report 3-16 JUNE 2016: SOUTH SUDAN SITREP #88 SITUATION IN NUMBERS Highlights UNICEF/2016/South Sudan/Kodak Albert On 11 June, UNICEF supported the successful reunification of the 4,000 th child with her family after becoming separated during the conflict, as depicted in the photo above. 8,800 children are still waiting to find their parents, and Family Tracing and Reunification (FTR) efforts continue. Food insecurity is a key concern throughout the country, with rising levels of malnutrition. In a majority of cases, SMART surveys conducted in South Sudan this year show Global Acute Malnutrition (GAM) levels above the 15% WHO emergency threshold. As a result of increasing food insecurity, nutrition programmes threaten to become overstretched. As of mid-may, UNICEF and partners have admitted 87,613 children to various SAM programmes in the country, representing already more than half of the total target for 2016. It is estimated that up to 876,000 children in South Sudan are suffering from psychosocial distress, highlighting the need for an effective Child Protection response. However, the UNICEF Child Protection response remains underfunded. In the face of this critical funding situation, UNICEF continues to provide Gender-Based Violence (GBV) prevention and response services in four states, with a 40% reduction in services since the beginning of 2016. 1.69 million People internally displaced since 15 December 2013 (OCHA, Humanitarian Snapshot 5 May 2016) 907,447* Estimated internally displaced children under 18 years Outside South Sudan 725,876 Estimated new South Sudanese refugees in neighbouring countries since 15 December 2013 (UNHCR, Regional Refugee Information Portal, dated 15 June 2016) UNICEF South Sudan Humanitarian Action for Children (HAC) Appeal January - December 2016 US$ 154.5 million *Disaggregated data is yet available, as registration has not been completed across the country. Children under 18 years have been calculated based on census. UNICEF s Response with Partners Indicators Nutrition: # of children 6 to 59 months with severe acute malnutrition admitted for treatment Health: # of children aged 6 months to 15 years in conflictaffected areas vaccinated against measles WASH: # of people provided with access to safe water as per agreed standards (7.5-15 litres per person per day) Child Protection: # of children and adolescents reached with critical child protection services Education # of children and adolescents aged 3 to 18 years provided with access to education in emergencies Cluster for 2016 Cumulative results (#) UNICEF and implementing partners for 2016 Cumulative achieved results (#) (%) 161,958 87,613 166,222 87,613 53% 1,117,904 200,670 18% 2,300,000 1,093,728 560,000 485,230 87% 721,218 92,808 600,000 92,808 15% 446,000 285,564 325,000 173,926 54% Funding gap: $65m Funding Status against 2016 HAC 2016 Funding requirement: $154m Carry forward amount: $37m* Funds received to date: $52m* *Funds available includes funding received for the current appeal as well as the carry-forward from the previous year. 1
Situation Overview & Humanitarian Needs Over 2.4 million people have been displaced since fighting broke out in Juba in December 2013. This includes 725,876 people who have crossed into neighbouring countries. According to the UN Mission in South Sudan, the six Protection of Civilian (PoC) sites are currently sheltering 158,799 internally displaced people (IDPs): 95,126 in Bentiu, 32,791 in Malakal, 27,959 in Juba, 2,004 in Bor, 700 in Melut, and 219 in Wau. Despite some progress in the political arena following the formation of the Transitional Government of National Unity, the faltering economy, the depreciation of the South Sudanese Pound, and the displacement of populations remain ongoing challenges. The situation is compounded by worsening food insecurity, with 2.8 million facing crisis or emergency level food insecurity. WFP warns that the food security situation remains dire, as thousands continue to flee the country in search of food and livelihood opportunities, particularly in Western and Northern Bahr el Gazal and Central and Eastern Equatoria regions. Partly as a result of food insecurity, more than 70,000 South Sudanese have arrived in neighbouring Sudan since the beginning of 2016, with the majority of these seeking refuge in Darfur. According to UNHCR, Sudan is currently host to some 232,000 South Sudanese; 230,000 more have sought refuge in Ethiopia, 207,000 in Uganda, and 57,000 in Kenya. During the reporting period, an interagency mission comprising ministry officials, UN agencies, and NGOs visited Biringi, Greater Baagari Payam of Wau County in Western Bahr el Gazal, which had been cut off from humanitarian assistance since December 2015. As part of the interagency mission, UNICEF undertook Mid-Upper Arm Circumference (MUAC) screening of 375 children under five and 90 pregnant and lactating women, providing nutritional supplements to women and children affected by Severe Acute Malnutrition (SAM) and Moderate Acute Malnutrition (MAM). In addition, 375 children received Vitamin-A and 294 children were treated with deworming medication, while 1,024 children and youth were vaccinated against meningitis and 240 children against measles. Furthermore, all the families were provided with WASH-related Non-Food Items (NFIs). Humanitarian Leadership and Coordination UNICEF actively participates in the Humanitarian Country Team and the Inter Cluster Working Group, which leads 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. As Cluster Lead Agency, UNICEF provides technical support, leadership and funding to working groups on four key child protection responses: Children Associated with Armed Forces and Armed Groups, Psychosocial Support, Family Tracing and Reunification, and the Monitoring and Reporting Mechanism. A technical working group on Information Management ensures that the overall situation and response information is captured, analysed and shared with the wider humanitarian community. Humanitarian Strategy No joint Rapid Response Mechanism (RRM) missions were conducted during the reporting period. UNICEF has so far reached 1,007,656 people, including 203,646 children under 5, through 83 integrated RRM missions with 12 conducted in 2016. Along with other humanitarian and development actors, UNICEF has scaled up outreach interventions in Unity and Upper Nile regions with the intention of promoting voluntary resettlement and restoration of displaced populations in the areas of origin. Summary Analysis of Programme Response HEALTH: UNICEF and WHO conducted a joint polio outbreak assessment from 6 to 10 June 2016, which confirmed the interruption of the polio virus transmission in South Sudan. However, the assessment also revealed that the risks of future outbreaks exist due to poor routine immunisation systems including cold chain infrastructure. As such, preventive Supplementary Immunisation Activities will continue, while investments in strengthening routine immunisation are being scaled-up. In Upper Nile, 60 community members were educated on IPV in Malakal Town, and 75 social mobilisers were trained in Manyo, Melut, Renk Counties; 30 social mobilisers were also trained in Unity State. In parallel, in Jonglei s Bor County, 46 churches conducted health talks during their religious services to promote 2
immunisation and polio eradication initiatives in the community; 4,200 households were reached with key lifesaving messages on the importance of immunisation. No new cases of Viral Hemorrhagic Fever have been reported, and the number of new measles cases has reduced considerably; during the reporting period, only 13 suspected cases were reported countrywide bringing the cumulative number of suspected cases to 1,419 this year. UNICEF will continue to advocate and mobilise resources for strengthening routine immunisation and response to the measles outbreak to enable implementing partners to respond promptly to any outbreaks in the most affected areas. UNICEF is working in close colloboration with WHO and the National MoH to mobilise more resources for follow up campaigns to be conducted countrywide, targeting 3,032,719 children as per the measles elimination plan in South Sudan. In contrast, the number of consultations for malaria cases has sharply increased, with rains favouring the multiplication of mosquitos. Following the rising number of malaria cases, UNICEF and its partners are stepping up malaria prevention and control by strengthening social mobilisation emphasising prevention and early health seeking behaviour; the broadcasting of malaria messages is ongoing. 12000 10000 Total consultations ARI AWD Malaria 2016 CONSULTATIONS 8000 6000 4000 2000 0 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 NUTRITION: High malnutrition rates were observed in recently conducted SMART surveys, with GAM levels often above the 15% WHO emergency threshold as shown in the graph below. The situation is of particular concern in Eastern Equatoria, where the screening of 8,295 children aged 6-59 months in the eight counties of Kapoeta North, Magwi, Ikwoto, Kapoeta East, Lopa/Lafon, Torit, and Kapoeta South revealed a SAM rate of 7.4% and an approximate GAM rate of 23.3%. Primarily as a result of food insecurity, there are continuous movements of populations from Eastern Equatoria into the neighbouring countries of Uganda and Kenya. 35 30 25 20 15 10 5 0 27.3 26.1 13.8 10.8 9.4 6.7 4.6 2.7 2.0 0.8 16 15.9 1.6 1.1 24 21 20.9 18.3 4.6 3.6 3.7 4.9 29.2 28.5 29.2 25 24.8 25.6 23.8 21.8 19.5 16.9 17.9 15.7 7.6 8.0 6.7 7.8 6.8 4.5 4.3 4.2 4.5 5.8 4 4 GAM (WHO Standards) SAM (WHO Standards) High malnutrition rates are a worrying observation as further deterioration is anticipated ahead of the peak of the lean season. The high GAM rates coincide with the increased SAM admissions observed in the programme data. UNICEF and partners have admitted 87,613 children to various SAM programmes in the country as of mid-may, representing approximately 53% of the total target for 2016. Increasing malnutrition and food insecurity have major resource and supply implications, and the situation will have to be monitored closely moving forward to ensure that children s nutrition needs are addressed. 3
WASH: In Northern Bahr el Ghazal, hunger driven migration to neighboring Sudan continues to affect the operation and sustainability of WASH facilities/services, with many of those operating the facilities leaving the area. In the Bentiu POC however, the population has decreased from 98,653 to 95,126 within the past two weeks due to voluntary departures of IDPs, which reduced the pressure on the water supply and sanitation facilities in the camp. In an effort to restore the provision of safe water supplies outside the POCs, priority is being given to health facilities, schools, and highly populated areas. UNICEF supported Wau Urban Water Corporation to re-establish the provision of safe water to the population in Wau town, through repairs, planning for revenue collection, leak detection and management. However, such programme implementation faces challenges as a result of constant breakdowns due to the heavy operational demand on pumps and generators. A technician undertook a thorough assessment of the system and recommended more suitable pumps and spare parts for future use. Prepositioning of cholera preparedness contingency materials is ongoing. To compliment this, various trainings on cholera preparedness and response are being conducted by UNICEF and partners. EDUCATION: Schools have reopened across the country after a brief recess during the last week of May and first week of June. The conflict-affected states of Unity, Upper Nile, and Jonglei are showing signs of improvement in terms of enrolment in schools and an increasing demand for education. Indeed, the enrolment in Malakal and Wau Shilluk increased to 6,454 (1,911 girls) from 4,267 reported in the middle of last month. Similar trends have been reported in other counties in the three states. In the less affected states, the schools are reported to be functioning normally. However, delayed and irregular payments of government teachers salaries continue to adversely impact the functioning of schools, with low motivation and high levels of absenteeism among teachers. A recent study by the Education Cluster found that, from February to April 2016, 48% of 1,959 schools visited were closed; Unity State was the most affected with 79.5% of schools closed, followed by Western Equatoria and Upper Nile States. UNICEF along with its partners is supporting counties in the opening of schools and is providing support in terms of setting up temporary learning spaces (TLS), training of teachers, mobilisation of communities, and the provision of teaching and learning materials. In Unity state, during the reporting period, UNICEF and its partners opened eight more schools in Ganiyal and Nyal counties taking the total to 74 schools with an enrolment of 18,899 children (including 8,517 girls) in nine counties so far. In Jonglei and Upper Nile and Unity, UNICEF distributed education supplies to 178,364 children (40% girls) in 16 counties since the beginning of the academic year. The distribution of supplies dominated the activities in most of the states. CHILD PROTECTION: A total of 91 of the abducted Ethiopian children have now been safely returned to Ethiopia. Meanwhile, 1,755 children associated with armed groups have been released in the Greater Pibor Administrative Area, and 15 of the 22 previously identified children associated with armed groups in Bentiu have also been released. In parallel, family tracing and reunification efforts continue. The photos below show the reunification of the 4000 th child with her family on 11 June; 8,800 children are still awaiting family reunification. UNICEF/2016/South Sudan/Kodak Albert Finally, UNICEF has started supporting two new women and girl friendly spaces (WGFS) in Leer, bringing the total number of UNICEF-sponsored WGFS to 10 countrywide since the start of the crisis, and reaching 4,733 women and girls during the reporting period. 4
SUPPLY & LOGISTICS: Supply has supported programmes in the procurement of various local and offshore goods and services with an overall value of US$460,702.82 during the period of 01 to 14 June 2016. Programme supplies valued at US$974,000 were dispatched during the reporting period to implementing partners and UNICEF hubs as part of the dry season pre-positioning plan. Thirty per cent of supplies dispatched were for education programming as part of the Back to Learning Campaign (BTL) whilst Nutrition supplies accounted for 25% of the deliveries. Due to road access constraints, the Logistics Cluster air assets were used to airlift Child Protection and Nutrition supplies to Medair in Padeah, Din Din, and Goal in Maiwut and Pagak. Eleven trucks loaded with multi-sectoral supplies for Bentiu POC have been stuck in Abienhom for close to 2 weeks awaiting UNMISS Force Protection delayed by road conditions. Incessant rains have also exacerbated the issue of road access from Abienhom to Bentiu. FUNDING: Funding Requirement (as defined in Humanitarian Appeal for 2016) Appeal Sector Requirements in US$* Funds Available in US$** Funding Gap US$ % Nutrition 30,095,196 24,119,556 5,975,640 20% Health 22,869,759 12,193,943 10,675,816 47% WASH 38,500,000 26,145,316 12,354,684 32% Child Protection 36,000,000 10,687,896 25,312,104 70% Education 27,000,000 16,154,979 10,845,021 40% Total 154,464,955 89,301,690 65,163,265 42% *The requirement for cluster coordination costs has been included in sub-costs for the nutrition, WASH, child protection and education sectors. **Funds available includes funding received against current appeal as well as carry-forward from the previous year (approximately US$ 37 million). Next SitRep: 14 July 2016 UNICEF South Sudan Crisis: www.unicef.org/southsudan; http://www.childrenofsouthsudan.info/ UNICEF South Sudan Facebook: www.facebook.com/unicefsouthsudan UNICEF South Sudan Appeal: http://www.unicef.org/appeals/ Who to contact for further information: Mahimbo Mdoe Representative UNICEF South Sudan Email: mmdoe@unicef.org Shaya Ibrahim Asindua Deputy Representative UNICEF South Sudan Email : sasindua@unicef.org 5
Annex A - SUMMARY OF PROGRAMME RESULTS 1 # of children aged 6 to 59 months with severe acute malnutrition (SAM) admitted for treatment % of children aged 6 to 59 months with SAM admitted for treatment recovered NUTRITION Cluster for 2016 UNICEF and partners for 2016 2 (Jan-Dec) Results (Jan-May) 3 (Jan-Dec) Results (Jan-May) Change since last report 161,958 4 87,613 166,222 5 87,613 12,021 >75% 88.4% >75% 88.4% - # of children 6 to 59 months having received vitamin A supplementation 2,066,708 1,462,057 2,066,708 1,462,057 14,402 # of children 12 to 59 months de-wormed 1,087,741 906,523 1,087,741 906,523 10,769 # of pregnant and lactating women reached with infant and young child feeding (IYCF) messages HEALTH # of children aged 6 months to 15 years in conflict affected areas vaccinated against measles # of children under 15 years in conflict affected areas vaccinated against polio # of children under 5 years, pregnant women and other vulnerable people receiving a long-lasting insecticide treated net (LLITN) # of preventive and curative consultations provided to children under 5 years at facilities or through community-based care # of pregnant women attending antenatal care (ANC) counselled and tested for HIV WATER, SANITATION AND HYGIENE # of people provided with access to safe water as per agreed standards (7-15 litres per person per day) 567,366 362,914 567,366 362,914 48,269 1,117,904 200,670 345 1,221,772 149,382 835 400,000 81,862 23,730 520,011 290,649 31,242 35,351 16,025 1,768 2,300,000 1,093,728 560,000 485,230 32,785 # of people provided access to appropriate sanitation facilities 1,100,000 371,284 345,000 146,812 1,575 # of people reached with participatory hygiene promotion messages 800,000 548,535 29,685 CHILD PROTECTION # of children and adolescents reached with critical child protection services 6 721,218 92,808 600,000 92,808 - # of unaccompanied and separated children (UASC) and missing children having received family tracing and reunification (FTR) services and familybased or alternative care since the beginning of the conflict # of children formerly associated with armed forces or groups and children at risk of recruitment enrolled in reintegration programmes # of people receiving gender-based violence (GBV) prevention and response services # of children, adolescents and other vulnerable people provided with knowledge and skills to minimize risk of landmines and explosive remnants of war (ERW) EDUCATION # of children and adolescents aged 3 to 18 years provided with access to education in emergencies 15,000 12,924 12,000 10,289 42 10,000 3,751 10,000 3,751 760 80,000 71,342 15,592 300,000 61,432 15,813 446,000 285,564 325,000 173,926 5,789 # of temporary learning space (TLS) classrooms established 350 132 250 129 - # of teachers/educators/teaching assistants/parent-teacher association (PTA) members and school management committee (SMC) members trained 10,800 3,210 10,000 4,483 807 1 Partner reporting rates remain below 100 per cent; UNICEF continues to work with its implementing partners to improve monitoring and reporting of results. 2 WASH, Child Protection and Education Clusters validate cluster members results monthly. To provide up-to-date snapshot, UNICEF may report tentative results bi-weekly before validated by the Clusters. 3 UNICEF annual targets for child protection and education are higher than those fixed in the Humanitarian Response Plan (HRP) as UNICEF requirements are higher than the inter-agency appeal. 4 The Nutrition Cluster target does not include refugee children who are covered under the Multi-Sector Refugee Appeal. 5 UNICEF s nutrition response covers all children, including refugee children residing in the country. 6 Critical child protection services include psychosocial support delivered through Child Friendly Space (CFS) or community based mechanisms, case management and prevention messaging targeting children and adolescents at risk of recruitment, family separation or other child protection risks. 6