IOM OIM IOM South Sudan SITREP # 31 29 July 2014 Jennifer Pro/IOM SITUATION REPORT A mother and child at the UNMISS Tongping PoC in Juba OVERVIEW The security situation remains unpredictable and highly volatile, especially in Jonglei, Unity and Upper Nile states. Reports of sporadic clashes and the mobilization of armed elements were reported in Nasir town (Upper Nile) and in parts of Jonglei. HIGHLIGHTS 1,528 people received consultations and treatment this week at IOM clinics in PoC and Bentiu PoC 124 metric tonnes humanitarian cargo moved by CTS trucks from 22 July to 29 July Over 1.1 million people remain internally displaced across the country and just over 434,000 people have fled the violence to neighbouring countries (Uganda 120,700, Kenya 42,400, Ethiopia 182,200 and Sudan 89,000). There are currently over 95,000 internally displaced persons (IDPs) sheltering in seven UN bases across South Sudan. Since the declaration of the cholera outbreak on 15 May, a total of 5,176 cholera cases including 115 deaths have been confirmed as of 27 July. The case fatality rate is 2.2%, which is above the emergency threshold of 1%. In Wau Shiluk, Upper Nile State, 876 cases have been confirmed including 17 deaths, while at PoC 60 cases including two deaths are confirmed. Heavy rainfall has inundated shelters at the Protection of Civilians (PoC) site in Bentiu (Unity) and humanitarian actors are facing challenges especially with regards to sanitation. Camp management partners assisted people in the worst affected areas of the PoC to move into communal spaces in other parts of the PoC site. The hardest hit were PoC 2, 3 and 4. The rainy season has increased the risk of disease across the country, including respiratory, water-borne and other communicable diseases. People in displacement sites are at the highest risk of disease transmission. The most commonly reported illnesses include pneumonia and other acute respiratory infections and malaria representing 40 per cent of cases treated in the sites.
IOM RESPONSE CAMP COORDINATION AND CAMP MANAGEMENT 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, West 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, Bor, Bentiu and UN House in Juba; and IDP sites in Mingkaman/ Awerial. IOM leads efforts to expand the PoC areas in and Bor and providing assistance at the UN House and Mingkaman sites. PoC Three days of heavy rain have hampered some PoC activities. Site preparation for is complete. Relocation into the new PoC from PoCs 3, 4 & 5 is ongoing and scheduled to be completed within the week. Bor PoC The need for a further 1,000 meters of culverts remains, AECOM has committed to funding this project. The fencing of the Bor PoC is progressing slowly. IOM can provide laborers to assist with installation but the supplies are needed. IDPs are resistant to move into the PoC until the fencing is completed. Discussions with the community are ongoing. Bentiu PoC Heavy rains over the weekend have destroyed many shelters inside the PoC and there is an estimated 20-30 cm of water flooding many areas. IOM and other humanitarian staff are working to move those most severely affected by the flooding. Drainage of the area is a priority though fears of more rain complicate the situation. UN House (PoC 3) Site works in PoC 3 are 98% complete. IOM and ACTED are working together to complete minor work (e.g. additional bridges over drainage etc.). It is anticipated that all work for this PoC will be completed by mid- August. The relocation of IDPs from Tongping to UN House PoC 3 continues with more than 4,000 individuals having been moved to PoC 3. Humanitarian Hubs The CCCM Cluster is establishing humanitarian hubs, common offices and accommodation space accessible to aid workers, at key displacement locations throughout the country. IOM, in collaboration with UNMISS, establishes and manages the hubs within the UNMISS compound in Bentiu,, and Bor. Humanitarian hub managers are in place at all three locations and mechanism for suggesting improvements are being introduced to track the quality of services at each of the hubs. Mobile hubs A team from International Humanitarian Partnership (IHP) has arrived in Juba to support the deployment of the mobile hubs to both Koch (Unity) and Melut (Upper Nile). UNITY JONGLEI Bentiu the Bentiu hub currently accommodates over 170 staff. The target date for completion of the Bentiu hub is 8 August. UPPER NILE Work on the hub is ongoing and ablution blocks and water supply have been improved. There are currently over 200 humanitarian actors occupying the hub. Bor The setup of the hub is completed. Over 60 humanitarian staff moved into the new office and accommodation on 21 July. 2
WATER, SANITATION AND HYGIENE IOM is the Upper Nile focal point for water, sanitation and hygiene (WASH) assistance covering, Melut, Wau Shiluk and Rom. Emergency WASH response in Upper Nile State As WASH state focal point, IOM continues to lead the coordination of cholera response in partnership with the Health Cluster. IOM is the WASH Cluster State Focal Point in Upper Nile State. IOM is a main WASH actor in 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. As WASH state focal point, IOM continues to lead the coordination of cholera response in partnership with the Health cluster. A consolidated Cholera Response Plan for Upper Nile is being developed and will be shared within the week. 15 litres water available per person per day 35 individuals per latrine Melut PoC 25 litres water available per person per day 32 individuals per latrine Bentiu PoC IOM has deployed a WASH team to augment the WASH response at the PoC site. Construction of 20 hand washing points at latrine blocks is ongoing. The ratio of latrines per person in PoC 4 stands at 124 persons per latrine. SHELTER AND NON-FOOD ITEMS 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 disaster-affected 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. 3,260 metric tonnes of Shelter and NFI stock has been moved through the pipeline Water systems have the capacity to deliver 17 to 20 liters per day. Cholera prevention campaigns were carried out in the old PoCs week. IOM hygiene promotion teams used PHAST (Participatory Hygiene and Sanitation Transformation) methodologies to ensure involvement of IDPs and to empower them in the decision making to improve hygiene and sanitation to prevent cholera. As an incentive for participation, IOM provided bars of soap and buckets to participants. IOM continues to support cholera response efforts outside of the PoC by providing daily transportation of at least 10,000 liters, of treated water from its treatment plant in the PoC to the teaching hospital. Koch - Unity Delivery of non-food items for 7,165 households Ongoing Juba (PoC3) Delivery of 3,750 shelter materials at POC3 Ongoing Melut - Upper Nile Delivery of shelter materials for 1,500 households Completed Akobo - Jonglei Delivery of shelter materials for 1,750 households Completed 3
Shelter and NFI Operations/technical support Bor construction of internal perimeter fence in new POC site underway pitching of tents at greater concentration underway. IOM collected two truckloads of firewood during this reporting period, as women are often assaulted while collecting firewood in the wooded areas surrounding the PoC. Firewood will be distributed to the IDPs by ACTED. The delivery of wood boosts efforts to provide a protected environment for the IDP population in the PoC HEALTH IOM is the main primary health Care actor in and Bentiu PoCs providing clinical assistance to IDPs, returnees and host communities. IOM extended 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. 1,528 people received consultations and treatment this week at IOM clinics in PoC and Bentiu PoC UPPER NILE JONGLEI Bentiu Respiratory Tract Infections Skin Diseases Malaria Accidental Trauma 34% 13% 10% 4% UNITY Respiratory Tract Infections Skin Diseases Malaria Accidental Trauma 28% 6% 14% 11% 750 Consultations Two health promoters carried out routine health promotion activities in POC 5 IOM supported cluster partner with 1,000 Tablets of Methyl dolpa and 1000 Tablets of Metformin to improve the management of chronic illnesses. 778 Consultations 204 children under five received immunizations against childhood diseases 708 IDPs benefitted from daily health education focusing on Cholera and other common causes of morbidity. A total of 624 households were visited by health promoters and 1573 individuals attended. Distribution of long lasting insecticide treated nets (LLINs) has been incorporated into the immunization/anc program. A total of 114 LLINs were distributed. 4
REFUGEE RESPONSE As lead provider of WASH response at the Doro camp, IOM continues to meet the needs of the camp s refugee population. All key water, hygiene and sanitation indicators are above the minimum standards. However, there remains a need 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. As part of overall Cholera preparedness and response efforts in refugee Camps, IOM carried out Cholera awareness trainings for 68 sheiks and 38 traditional birth attendants. IOM is working on collaborating with MSF Belgium and UNHCR to develop a harmonized approach to cholera training and messaging. WASH Standards at the Doro camp 21 litres water availability per person per day 14 individuals per latrine 22 individuals per bathing facility 144 active community level hygiene promoters COMMON TRANSPORT SERVICE The IOM-operated Common Transport Service (CTS) is a free service for transporting humanitarian supplies in South Sudan. CTS is helping partners to deliver aid across the country. CTS trucks remain strategically positioned across the country to provide transport assistance to humanitarian partners. 124 metric tonnes humanitarian cargo moved by CTS trucks from 22 July to 29 July over 5,000 metric tonnes humanitarian cargo moved by CTS trucks since January 2014 48 metric tonnes Rumbek 28 metric tonnes Juba 48 metric tonnes Bentiu 156 kg 6
RAPID RESPONSE FUND The Rapid Response Fund (RRF) is a flexible funding mechanism allowing for swift disbursement of grants through NGO/Community-Based Organization (CBO) partners in response to onset emergencies. There are currently eight active projects in crisis-affected areas of the country being supported across a range of sectors. Active IOM Rapid Response Fund Projects (29 July) CARE WASH, Health Bentiu PoC - Unity 17,000 individuals Mercy Corps WASH Bentiu PoC - Unity 13,000 individuals Nonviolent Peaceforce Protection Jonglei, Upper Nile and Unity 50,000 individuals Nile Hope Nutrition Fangak and Akobo West - Jonglei 6,340 individuals Terre des Hommes (Tdh) Child Protection Juba, non-un urban sites 1,456 individuals The Health Support Organization (THESO) WASH UN House, Juba 4,500 individuals Funding for IOM South Sudan s emergency operations is provided by Total Beneficiaries Total 156,805 Individuals 7