IOM SOUTH

REPORTING PERIOD 18-30 SEPTEMBER

HUMANITARIAN UPDATE #38

The IOM medial team celebrate the opening of the new maternity clinic. The clinic is operational 24 hours a day and 7 days a week.

HIGHLIGHTS across . Approximately 186,999 people The first baby is born in the IOM Bentiu displaced early during the conflict have since maternity clinic returned to their homes having in many cases lost all of their belongings. CCCM partners begin the expansion of the The general security situation for the reporting period PoC has been tenuous and unpredictable with reports of gunfire and conflict taking place in Upper and States. Cattle raiding and general insecurity has been reported throughout the country. Since conflict broke out in December 2013, 1.7 million have fled their homes. Many have crossed The Integrated Food Security Phase Classification (IPC) into neighboring countries (estimated 452,000 released an update on 23 September and FAO people have fled to neighboring countries of Kenya , projects that 1.5 million people will remain severely Uganda, and Sudan individuals). 1.4 million food insecure until the end of 2014., individuals remain internally displaced and most are seeking shelter in remote rural areas across the Heavy rains throughout the country continue to pose country. Displacement patterns remain fluid, driven significant challenges for the transport of by violence, access to emergency assistance and humanitarian staff and cargo with the conditions of floods. There are currently 96,650 internally roads worsening and runway conditions remaining displaced persons (IDPs) sheltering in nine UN bases poor.

Follow IOM South Sudan on Facebook www.facebook.com/iomsouthsudan and twitter @IOMSouthSudan . Email IOM directly at [email protected] or visit http://southsudan.iom.int/ CAMP COORDINATION AND BOR POC CAMP MANAGEMENT (CCCM) The relocation of IDPs from the existing PoC to the new site has been tentatively scheduled for the second week of October. The new site has been equipped with water The Camp Coordination and Camp Management and sanitation services, proper drainage systems and (CCCM) Cluster facilitates the delivery of life-saving child friendly spaces. Space and tents for health clinics services to IDPs in displacement sites and collective and classrooms have been prepared. centres throughout South Sudan. The CCCM Cluster ensures that basic humanitarian living conditions are provided, while also building the foundations for BENTIU POC voluntary return and recovery interventions where it is Drainage of the Bentiu PoC is the priority of the possible and safe to do so. IOM and UNHCR co-lead the humanitarian community as the rainy season has created CCCM Cluster, in coordination with ACTED. IOM muddy, deplorable conditions within. Please reference the continues to act as CCCM state focal point in Upper water and sanitation section of this update for details of Nile, Jonglei, and . IOM involvement in the drainage efforts in Bentiu.

Security in Unity state has been sporadic and new arrivals SITE DEVELOPMENT, EXPANSION & IMPROVEMENT to the PoC are reported daily. (CCCM and Shelter/NFI shared responsibilities) Efforts to increase capacity and improve living DISPLACEMENT TRACKING conditions continue at PoC sites in Malakal, Bor, Bentiu and UN House in ; and IDP sites in Mingkaman. IOM leads efforts to expand the PoC areas in Malakal Data collection for Round 6 of the displacement tracking and Bor and provides assistance at the UN House and matrix has closed. A preliminary count indicates that 81 Mingkaman sites. were monitored during this most recent round.

MALAKAL POC A biometric registration team is on the ground in Western Site planners and surveyors are on the ground and have Bahr el Ghazel to undertake biometric registration at the begun the expansion of the Malakal PoC. The expansion Wau PoC site. will be a 160,000 square meter area that will accommodate over 6,000 IDPs as well as water, health The Displacement Tracking Matrix Round 5 report, and other humanitarian services. This expansion will executive summary and site profiles can be found at decrease congestion inof the current PoC, improve https://southsudan.humanitarianreponse.info/ . access to services for residents and provide better living conditions through proper site development.

JUBA, UNHOUSE POC 3 Relocation of Tongping PoC residents to UN House PoC 3 continues. As of 30 September 10,128 IDPs have been successfully relocated to shelters in PoC 3. Due to attacks on humanitarian workers, perpetuated by IDPs, all services (excluding life saving interventions) were suspended during the week of 22-26 September. Following discussion between the IDP community, humanitarian actors and the RRP, services were reinstated on the 29th.

IOM staff at the registration tent in the Tongping PoC

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HUMANITARIAN HUBS

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. A girl outside her house in Mingkaman MALAKAL 228 humanitarian staff are currently accommodated. The capacity for the Malakal Hub is As of 29 September, 4,493 metric tons of Shelter and NFI 200 and a program criticality review is needed to stock has been moved through the pipeline to 48 locations establish the allocation of space. with 149 requests served. It is important to note that 93% BENTIU The hub has opened and hosts 188 of the metric tonnage moved was transported by IOM. humanitarian staff. The Bentiu Hub can accommodate 200 staff. As of 8 September, Crisis Response Plan MOBILE HUBS Located in Mathiang, Longochuk, Upper (CRP) partners have served 142,714 Nile. The hub consists of temporary office and accommodation space for 25 people. This hub is fully households with non-food items (NFI) and operational and managed by Relief International. 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 continues to be a challenge. Rumbek, 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 a variety of humanitarian agencies have been stuck on the road, Mathiang mobile hub inclusive of 7 IOM trucks delivering Shelter/NFI materials to Rumbek. These trucks have been stuck for more than 25 days. SHELTER AND NON FOOD ITEMS (NFI) IOM FRONTLINE RESPONSE

As lead of the Shelter and Non-Food Items (NFI) Cluster in Since the start of the crisis, IOM's frontline response team South Sudan, IOM provides essential household items and has distributed NFI items to over 51,000 households, 703 emergency shelter materials to conflict and disaster- of these households have also been provided with affected populations. IOM also manages the Shelter and additional shelter material. A total of 38 distribution NFI Core Pipeline, a mechanism to ensure that key NFIs operations have been carried out across the country. and emergency shelter materials are prepositioned in strategic locations and ready to be deployed rapidly. The team has also participated in 24 assessments and rapid response monitoring exercises.

International Organization for Migration (IOM) HUMANITARIAN UPDATE #38

Mission in the Republic of South Sudan Page 3 WATER, SANITATION AND HYGIENE (WASH)

WASH Cluster State Focal Point IOM is the WASH Cluster State Focal Point in 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 Malakal PoC Hygiene awareness activities were carried out throughout the week and visits to beneficiary homes Bentiu PoC were prioritized. Hygiene promoters visited 244 The recent flooding of Bentiu PoC has impacted many households to promote good practices surround waster regular WASH activities as IOM has focused on draining management. The hygienic handling of food was also standing water and decommissioning and replacing discussed with 1379 women in the new PoC. collapsed latrines. IOM also focused on hygiene promotion Additionally, 34 hygiene promoters were trained on through home visits and focus group discussions on good Communication with Communities (CwC) strategies; how hygiene practices in hopes to prevent the spreading of to lead focus group discussions and best practices for water borne illnesses. household visits. The training was conducted by CCCM partner, Internews. 10 new latrines were constructed and the construction of an additional 20 new latrines has begun. A water purification Continuous garbage collection and the removal of waste system is has been a priority to reduce the risk of disease and taken to the contamination. river for

installation A groundwater level monitoring continues in PoC 4 as there are fears that water levels are reducing due to sustained pumping from boreholes around the PoC. As the Malakal extension goes forward, the WASH sector has made recommendations for safety and privacy in the design of new latrines and bathing areas.

Malakal PoC Bentiu PoC Melut PoC

15.9 Liters of safe Due to flooding in the 29.3 Liters of water available per Bentiu PoC, WASH efforts safe water person per day have been focused on available per drainage, the person per day 32 persons per latrine replacement of destroyed

latrines and the provision 20 persons per latrine of clean safe water.

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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.

720 health consultations

Top Morbidities:

Respiratory Track Infections

Skin Diseases

2,598 individuals reached through health promotion campaigns

The Bentiu maternity Unit in Bentiu is operating 24 hours/ 7 days a week. The first baby to be delivered in

BENTIU PoC the new clinic was born on the day of the inauguration

MALAKAL PoC MALAKAL The IOM Health team in Malakal continued with their 912 health consultations regular activities, including health promotion, reproductive health services, nutrition screening, vaccinations and Top Morbidities: testing. Malaria The number of patients reporting to the clinic for malaria treatment are on the increase. Patients testing positively Respiratory Track Infections for the mosquito-borne infection represent nearly a third of Accidental Trauma the weekly consultations. Community health promoters continue to visit families in 356 children vaccinated their homes to deliver key health messages. These sessions

focus on the prevention of diseases, water borne illnesses 2,722 individuals reached and malaria. through health promotion

PROTECTION IOM’s seeks to enhance the mental health and psychosocial well being of the conflict affected populations living in PoC sites throughout the country. Through the provision of direct services in the Bor PoC, mainstreaming mental health / psychosocial support through the CCCM cluster and capacity building, this project aims to improve access to psychosocial support and increase the integration of psychosocial programming into existing humanitarian interventions. In the past week the program coordinator visited the Bor PoC to conduct a needs assessment and to identify project partners.

International Organization for Migration (IOM) HUMANITARIAN UPDATE #38 Mission in the Republic of South Sudan Page 5 REFUGEE RESPONSE 21 liters of safe As the lead provider of WASH at Doro , IOM continues to water available meet the needs of the refugee population. All key water, hygiene and per person per sanitation indicators are above the minimum standards. The need remains to maintain these standards to prevent the outbreak and spread of day waterborne diseases amongst the refugee population and surrounding host communities during the course of the rainy season. 15 persons per latrine In the past week, 10,563 individuals were reached with hygiene and sanitation promotion messaging. 2, 087 primary school pupils attended WASH education programming (1,074 of those in attendance were girls).

60 new latrines were constructed to replace 62 older latrines, that were 21 people per subsequently decommissioned, in Ingassana, Belatuma and Chali villages. shower block The new latrines were accompanied by hand washing stations and shower rooms. 341 individuals A replacement 20 cubic meter bladder was installed in Penamayo village. for every hygiene promoter Regular assessment activities took place throughout the reporting period and repair/maintenance was undertaken.as necessary.

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.

On 25 September a health team was deployed to Pigi/Canal county in to assess and respond to heath concerns of IDPs in the region. By 30 September, over 1,000 individuals had received medical and nutritional screening. Additionally, 1,700 children under the age of 5 were immunized against polio and measles. The response is ongoing and the team remains on the ground.

A mutli-sector team consisting of emergency shelter and water/sanitation staff was deployed on 27

September to Jikmir in of Upper Nile State. This team will assess the needs of the

population and determine the appropriate response. KOJA/IOM

Plastic sheeting used to protect firewood in Jikmir

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788 metric tons Juba 98 metric tons of cargo were moved Rumbeck 77 metric tons between 18 and 30 Malakal 54 metric tons Se pt em b er

The IOM operated Common Transport Service (CTS), a free service for transporting humanitarian supplies in South Sudan, is helping Maban 278 metric tons partners to deliver aid across the country. CTS trucks remain strategically positioned across the country to provide transport assistance to Melut 29 metric tons humanitarian partners. This week, the

RAPID RESPONSE FUND

The Rapid Response (RRF) is a flexible funding mechanism Council Refugee Danish Photo allowing for swift disbursement of grants through NGO/ Community-Based Organization (CBO) partners in response to onset emergencies. Presently, nine grants are active under the RRF programme benefitting water and sanitation in Juba UN House POC 1, Nutrition support in , Jonglei State, hepatitis E prevention in Mingkaman, Cholera response in Upper Nile State and , Camp Management in Bentiu and the provision of health care in the

Juba Tongping Poc .

Funding for IOM South Sudan’s emergency operation is provided by

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