IRNA Report: [Mingkaman, Awerial County Lakes State, 7th Sept 2020] | 1

IRNA Report: Mingkaman, Awerial County, Lakes State 7th September.2020.

Situation overview has been receiving heavy rains and unprecedented overflow of river Nile into settlements along the riverside and at the lowlands from early July 2020 . By end of July to the beginning of August, the flood level was reported to be between 1.5 Metres to 2 metres prompting massive population movement to Bor Town, Dhiam-dhiam island within Jonglei, Mingkaman, Mangola and Juba. On 7th August 2020, in the humanitarian meeting where Mingkaman ICWG was reviewing its findings of the Awerial flood assessment, the Relief and Rehabilitation Commission office (RRC) in Awerial reported first arrival of three boats from Jonglei State with 347 households with 1735 individuals and indicated the likelihood of unprecedented massive population movement into Mingkaman according to information they received from their Jonglei RRC counterpart . As predicted, number of boats with people started coming to Mingkaman gradually but between the 22-30th of August the daily number of boats coming with the IDPs changed so rapidly from 2-3 boats daily to 7-10 boats daily with thousands of IDPs arriving with some arriving even at night. The IDPs soon finds themselves in the Churches and schools in Mingkaman and some are being hosted by old IDPs or host relatives. Jonglei Flood IDPs Numbers Even though the RRC, UNHCR and later the IOM deployed port monitors to monitor the influx of flood IDPs from Jonglei State, there were different figures of the IDPs recorded at the Mingkaman Port. For instance, the RRC recorded 37,215 people (5,654HHs) from 7th August to 5th of Sept 2020 and their latest figures not received by OCHA’s Deep Field Coordinator is reported to be over 38,000 while UNHCR reported to have recorded 30,497 individuals, 3,730 households from 4th of August to 13th of Sept. According to information received from the IOM on the 8th Sept 2020, their Mingkaman focal point recorded, a total of 32,660 individuals (5,608 households) displaced from Twic East ( 27,251 individuals/ 4,634 households) from Nyuak, Pakeer, Lith, Ajuong, payams) and Duk ( 5,409 individuals/ 974 households from Payuel, Ageer, Duk Padiet Payams) but the data from South was not included in the IOM data. Additionally, the IDP’s leaders, reported their numbers in Mingkaman to be 53,169 from Duk 770HH/5,953 individuals), Twic East (4,230HH/29,485individuals) and South Bor Counties (2700HH/17,731individuals) but this data dropped to 50,376 individuals and 7,287HHs when we requested breakdown by Payams. These differences came because of some boats arriving over the weekend, late in the evening, at night and / or early in the morning while some port monitors did not start their day coupled with counting gap at the port. These figures can only be verified and confirmed through biometric registration which is planned by WFP to start in Mingkaman from week of 14th Sept 2020 and this exercise may take two to three weeks or more depending on the realities of the situation. This Inter-agency Rapid Need Assessment (IRNA) was proposed, discussed and endorsed by the Mingkaman Inter-Cluster Working Group (ICWG) on the 4th of September 2020 and was conducted on the 7th of September 2020. The main objectives of this IRNA was to visit nine IDPs high concentration areas in Mingkaman subdivided into three main sites namely; Site zero/ 0 (Thon-Achak, Mingkaman Primary School, New Market), Site 1 (Tomrok Primary School, Matt-Academy and Roordit) and Sit 2 ( Kon Anok, Pannhial and Padar Primary schools), hold focus groups discussion, key informant interviews, household interviews and MUAC screening to find out current needs and compiled IRNA report to be shared with NAWG and ICCG for immediate response. Methodology Team Composition and allocation: 31 staff grouped into three teams Yellow, Orange and Green from 20 agencies (ARUDA, CEF, CHADO, CINA, CRS, CUAMM, FCA, HDC, HESS, NPA, PLAN, RAO/FAO, REACH, RUWASSA, SMA,TRC,UNHCR,WFP, WHO and YWDI) represented 7 clusters (FSL, Nutrition, Health, WASH, Protection, Shelter &NFI and Education) during a one IRNA conducted in eight IDPs sites within Mingkaman. Design and Instrument: A combination of purposive selection, simple random and stratified sampling was used. During data collation, a total of 25 focus group discussions , 23 key informant interviews and 35 households’ interviews were conducted and 635 children under 5 years were also MUAC screened with the help of 10 Community nutrition volunteers (CNVs) and 2 nutrition assistants (NA) from CUAMM. Transact walk and observations were also used. Inter-Agency Rapid Needs Assessment http://southsudan.humanitarianresponse.info/ IRNA Report: [Mingkaman, Awerial County Lakes State, 7th Sept 2020] | 2

This IRNA Report is a product of Inter-Agency Assessment mission conducted and information compiled

Site overview New arrival stranded in Kon Anok secondary school New arrival struggling for a space inside compound Padar Primary school compound

Location map

Drivers and underlying factors Before flooding, there was combination of acute level of food insecurity in , Duks, Twic East and Bor South Counties and their neighboring Counties in the West of the Nile (Yirol East and Awerial County) and there was already local movement of people between Twic East to Bor Town and Mingkaman in search of better livelihood as shown in the FEWS NET Food Security classification phase above. The reported food insecurity was latter compounded by escalated insecurity caused by confrontation between greater Jonglei and Greater Pibor Youth but the primary cause for massive population displacement was unprecedented level of flood which the community says was for greater than the 1964 flood known locally in greater Bor as Paweer. Lack of humanitarian agencies in the island and other key social services and limited drier space in Bor Town coupled with insecurity at the far East drier areas compelled many people to come to Mingkaman for safety and humanitarian assistance. According to the IDPs, the hard hit their areas include; Twic East, some parts of Duk, , and Some

Inter-Agency Rapid Needs Assessment http://southsudan.humanitarianresponse.info/ IRNA Report: [Mingkaman, Awerial County Lakes State, 7th Sept 2020] | 3 Parts of Bor Town in Jonglei State. Most Cattle are reportedly migrated to Central and Eastern Equatoria and the vulnerable group that used to rely on milk production are the most affected by this climatic calamity.

Scope of the crisis and humanitarian profile

The current scale and situation of the flood affected IDPS from Jonglei is changing rapidly and humanitarian situation is appalling. There are over 50,000 IDPs according the RRC and IDPs community leaders. Whether figures are correct or not, the planned SCOPE Biometric registration by WFP will address the issue of the figures. However, chief among the humanitarian concerns are: prolonged overcrowding in schools and churches where the IDPs are staying due to lack of shelters and NFI in order for IDPs to move to drier areas already allocated to them by the County Government and the RRC. At current concentration points, a few available Pit latrines in all the schools where IDPs are residing are filled up .Open defection is the being practice along the road and at the schools surrounding and new market compound which is a potential risk for diseases outbreak. Humanitarian on the ground do not have NFIs and Shelter, WASH kits for households, food stock and humanitarian situation is dire and support from National Clusters is urgently needed.

Current population figures

County/Payam/Boma Current location Host Affected/ Sour Notes of displacement Population Displaced ce population

HH Invds Twic East ,Nyuak Mingkaman 1,485 9,538 Twic East, Pakeer Mingkaman 1,395 8,368 Twic East/Lith Mingkaman 360 5,756 Twic East/Juong Mingkaman 382 2,043 Twic East/Kongor Mingkaman 195 1,087 Figures could increase Sub Total or drop after SCOPE 3,817 26,792 IDPs BMR Duk/(Duk/Payuel/Duk Mingkaman 770 5, 953 leaders Padiet and Ageer) Bor South/Jalle Mingkaman 540 3,602 Bor South/Baidit Mingkaman 825 5,223 Bor South/Makuach Mingkaman 285 1,813 Bor South/Anyidi Mingkaman 255 1,771 Bor South/Bor Town Mingkaman 330 2,217 Bor South/ Mingkaman 465 3,105 Sub Total Mingkaman 2,700 17,631

Grand Total Mingkaman 7,287 50,376

Status of the population in the affected area Most of the IDPs community are using surface water and open unprotected water source for domestic and personal use at household levels. (Bathing and washing cooking items) because of non-functional / breakdown of 7 motorized solar water systems in all the sites of site 1,2,3 and non-rehabilitation of broken-down hand pumps in site 2 sector 2 and site 3 sector 1 coupled with long queuing time for water collection from water points that take almost 4 hrs. to collect water for drinking and domestic/personal use. At the health facilities, the current number has overwhelmed planned health and nutrition facilities. There is prolonged waiting time to receive medical care in OPD and the situation is aggravated by insufficient

Inter-Agency Rapid Needs Assessment http://southsudan.humanitarianresponse.info/ IRNA Report: [Mingkaman, Awerial County Lakes State, 7th Sept 2020] | 4 drugs to meet the increased demands. The main health concerns reported by the health professionals, revealed increased cases of Acute Respiratory Infections (89%), malaria (78%) and diarrhea (67%) as the three leading conditions are a major concern and are worried of stock out of essential supplies. MUAC Screening already indicate 3.15% of Severe Acute Malnutrition (SAM) and 17% of Moderate Acute Malnutrition (MAM) among the IDPs which is already above emergency threshold.

A few of the IDPs came along with some food reserves that they got from Jonglei prior to their displacement and this food reserve has been exhausted for most of the households. The IDPs have now stayed more than a month and some are surviving through kinship support from old IDPs and host communities while others are coping through begging or borrowing from the fellow old IDPS or host communities. Humanitarian on the ground do not have NFIs and Shelter, WASH kits for households, food stock and humanitarian situation is dire and support from National Clusters is urgently needed. Methodology Team Composition and allocation: 31 staff grouped into three teams Yellow, Orange and Green from 20 agencies (ARUDA, CEF, CHADO, CINA, CRS, CUAMM, FCA, HDC, HESS, NPA, PLAN, RAO/FAO, REACH, RUWASSA, SMA,TRC,UNHCR,WFP, WHO and YWDI ) represented 7 clusters (FSL, Nutrition, Health, WASH, Protection, Shelter &NFI and Education) during a one IRNA conducted in eight IDPs sites within Mingkaman. Design and Instrument: A combination of purposive selection, simple random and stratified sampling was used. During data collation, a total of 25 focus group discussions , 23 key informant interviews and 35 households’ interviews were conducted and 635 children under 5 years were also MUAC screened with the help of 10 Community nutrition volunteers (CNVs) and 2 nutrition assistants (NA) from CUAMM. A transact walk and observations methods were also used during data collection.

Bar chart showing IRNA sample sizes used by each cluster Number of IRNA assessors per Cluster

Key response priorities Food Security and Livelihoods(FSL) • Immediate SCOPE biometric registration and verification to determine the actual figures of population displaced. • Immediate distribution of food and/ Cash entitlements for 30 days for period of 3 Months (Sept-November) while Cluster will continue to observe the magnitude of flooding impacts. • Support with fishing tools • The three categories of displaced people such as people who came with assistance cards, SCOPE registered beneficiaries without physical cards and non-registered people should all be provided with equal assistance under current flood emergency response. Shelter and NFI • Immediate distribution of Plastic Sheeting, Blankets, Cooking Sets, Bar of Soap, Sleeping Mats, Mosquito Nets, Ropes for the Construction of the shelter, Bamboos and poles and Dignity Kits.

WASH Inter-Agency Rapid Needs Assessment http://southsudan.humanitarianresponse.info/ IRNA Report: [Mingkaman, Awerial County Lakes State, 7th Sept 2020] | 5 • Distribution of Pur with filter cloth for household water purification using open surface water and Aqutabs for household near the hand pumps. • Distribution of soaps for household’s hand washing and personal hygiene practices. • Distribution of buckets with taps/without taps and collapsible Jerry can for fetching • Construction of communal emergency latrines where the displaced has moved in or household. • Decommissioning of filled latrines in the schools. • Lunching hygiene promotion key message activities (Always use Latrine/cat method, hand washing with soap, personal hygiene, domestic hygiene, food hygiene, safe water chain and integration with COVID -19 key message). • Rehabilitation of 11 motorized solar water systems in all site 1, 2 and 3. • Rehabilitation of broken-down hand pumps in site 2 sector 2 and site 3 sector 1 Health • Urgent need to established mobile clinics at the sites to help relieve overcrowding in the health facilities • Need for shelters to help decongest the overcrowded sites as one way to mitigate risks of disease transmission especially covid-19 among others. • Establishment of focused ANC services to be integrated in the outreach team • Increased immunization activities to under 5 and other groups targeting specific diseases with high risk of outbreak • Increase drug and medical supplies to meet the increasing demands • Increased human resources in Mingkaman PHCC • Admission space/wards in Mingkaman PHCC need to be given special attention especially in this era of Covid-19 pandemic. • Supply of more vaccines to Mingkaman PHCC to meet the increased demands • Distribution of mosquito nets to help prevent malaria infections Nutrition • Need to increase number of nutrition workers or volunteers to conduct active screening of malnutrition at sites and make referrals • Increase nutrition supplies to Mingkaman PHCC to meet the demand • More human resources are needed at the facility. • Formations of mother to mother support groups at the IDPs settlement sites

Protection • Construct emergency shelters and distribute NFIs to persons with specific needs. • Construct child friendly spaces and women friendly spaces were counselling, and women empowerment activities will be carried out. • Set up emergency latrines and water points to accommodate the new IDPs. • Distribute dignity kits to girls and wet mothers. • Strengthen GBV awareness in the sites immediately. • Distribution of tools and seeds as the IDPs mentioned that they had been doing farming. • Distribution of emergency food and nutrition supplies for malnourished children and PLW. • Information circulation of the existing public services such as Reproductive Health Clinic through Radio Mingkaman and other platforms. Education • Provision of plastic sheets – shelter/NFIs cluster. • Food assistance – FSL cluster. • Awareness creation on covid-19 – all clusters. • Hygiene promotion – WASH/health clusters. • PSS activities for the new IDPs – protection/health/education. • Provision of NFIs (mosquito nets, cooking sets) – NFIs cluster • Provision of medicine – Health cluster. • Allocation of land – Awerial county local authority. • Supply of school materials when schools reopened – education cluster.

Inter-Agency Rapid Needs Assessment http://southsudan.humanitarianresponse.info/ IRNA Report: [Mingkaman, Awerial County Lakes State, 7th Sept 2020] | 6 • Construction of more temporary learning spaces- education cluster. Humanitarian access Physical access

Mingkaman is accessible to the IDPs from Duk, Twic East and Bor Town through River Transport and from Juba through River transport and by Road. Current IDPs concentration areas are physically accessible to Partners. Humanitarian access There are no humanitarian Services at current IDPs areas, access to food assistance has not yet been provided with exception of 400 bags of maize flour distributed by ARUDA two weeks ago to only 400 HHs. No nutrition centres, there are no mobile clinics, no pit latrines and no market nearby and their limited access to clean drinking water. IDPs have to access key social services from the old IDPs and host communities and these services are already overwhelmed due to large numbers of new IDPs. There was no insecurity incident recorded in current location.

An elderly woman in one of the classrooms in Padaar Primary School. Photo by: Reuben Ajok. Quick estimate of IDPs by concentration areas

Jonglei Flood IDPs concentration Areas in Mingkaman Site Location No.of HH No.of Pple 0 Thon- Achak 60 420 0 Mingkaman Primary School 86 602 0 New Market 40 280 1 Tomrok Primary School 200 1400 1 Matt Academy 50 350 1 Roordit Primary School 600 4200 2 Padar Primary School 3000 21000 2 Pannhial Primary School 0 0 2 Kon Anok Primary School 1000 7000

Total 5036 35252 This table does not capture population staying with old IDPs KEY FINDINGS Food security and livelihoods

Inter-Agency Rapid Needs Assessment http://southsudan.humanitarianresponse.info/ IRNA Report: [Mingkaman, Awerial County Lakes State, 7th Sept 2020] | 7 Key findings • Majority of the new IDPs are at risk of starvation. They have very limit access to food. Since they arrived in Mingkaman, 80% of the IDPs sometimes spent days or night without getting food and this can happen for more than 10 days in a month. It’s also too often for some of them to spend some days without food (14 days) a month. • Majority of the new IDPs are experiencing poor diet with having access to only two type of cereal diet: Sorghum and maize. Most of them do not know about vegetable, fruits, tuber crop and oil crop. This may cause a serious malnourishment among the new IDPs children. • The flood disaster affects all the community and so, it was not possible to send some of the family members or children to relatives who are better off. • Very few of the new IDPs had managed to sell off some of their cattle to those taking their cattle to Kit in Central Equatoria in order to use income as transport fare. While majority have no livestock or have lost them to the 2019 annual inundation. • Few of the IDPs are able to borrow cash or in-kind food items from fellow IDPs or host to help feed their families before they have some external assistants. • Some IDPs are currently living through kinship support from fellow IDPs. There was a case of traders’ contribution to support new arriving IDPs with food aid that last one day. The risk with kinship support is that, both the new, old IDPs and the host will come to a point where they have nothing to feed their families altogether. • Some IDPs are engage in wild crafting or collection of wild fruits and leave from the forest while others are not able because they are unfamiliar with the local environment. • The new IDPs have left all of their livelihood assets including cattle with or without attendant because it was better decision for them to safe life of their children than animal. Currently, they are not in possession of livestock to slaughter. • During assessment demographic proportion of the IDPs was estimated as 40% children, 35% women and 25 Men.

IDPS Estimated Demographic Proportion

25% 40%

35%

Children Women Men

Priorities for Immediate Humanitarian response • Immediate SCOPE registration • Immediate food/Cash distribution • Vegetable Seeds and fishing kits distribution

Shelter and Non-Food Items;

Inter-Agency Rapid Needs Assessment http://southsudan.humanitarianresponse.info/ IRNA Report: [Mingkaman, Awerial County Lakes State, 7th Sept 2020] | 8 Key findings • Based on the assessment that was carried out, the number of households that were assessed in all locations is 7500 households. The people are living in schools and Churches as stated earlier, this made their lives harsh and difficult. • Below were some of the findings that the team found on the ground, • Children and Adults do sleep on torn plastic sheets and pieces of mattress. • Lack of containers for carrying water and cooking utensils. • Congestion of the people in one classroom as there is no accommodation. • Poor Shelter, most people live in torn cover plastic sheet. • Lack of Mosquito Nets as a result many children and adults are suffering from Malaria. Priorities for Immediate Humanitarian response • Immediate distribution of Plastic Sheeting, Blankets, Cooking Sets, Bar of Soap, Sleeping Mats, Mosquito Nets, Ropes for the Construction of the shelter, Bamboos and poles and Dignity Kits

Health Key findings The team applied the standard IRNA questionnaire used by health clusters in the context of emergency to assess the needs of the IDPs. The methods of interview employed involved Key Informant (KI), Focus Group Discussions (FGD) and Observation (O). The team visited 9 sites altogether plus one health facility and below are the finding reports: • On the question of main health concerns reported by the health professionals, revealed Acute Respiratory Infections (89%), malaria (78%) and diarrhea (67%) as the three leading conditions. • In all the 9 sites visited 100% reported no unusual illness or rumors of epidemic prone disease. • In all the sites visited no mother or care taker took any child for immunization. • 100% of the pregnant women in the visited sites were attending to ANC services. • In the 9 sites visited, 8 live births were recorded and 100% were attended to by TBAs. No any maternal and neonatal death recorded in the last one week to the assessment date. • 78% of the sites visited were accessing services from Mingkaman PHCC and 100% were taking 30 minutes to one hour reaching the facility. • 100% respondents reported accessing free service provision in Mingkaman PHCC. • 89% of the sites visited were accessing services from Mingkaman PHCC. • 100% of respondents reported that both men and women use health services without any restrictions considering local cultural practices. • The assessment revealed that 100% women and girls access freely health services whenever needed without male authorization. • The assessment estimated that essential medicines in Mingkaman PHCC would last about 2 to four weeks. • 100% respondents from all the 9 sites visited reported poor sanitation especially open defecations as their key health concerns • 100% of respondents at the nine sites had information on covid-19 pandemic. • Of all 9 sites visited, none of them had preventive measures in place to contain covid-19 spreading. • Most monthly data reviewed in Mingkaman PHCC for the three preceding months showed slight increase in service utilization as seen in the table below; Services Aug 2020 Jul 2020 Jun 2020

OPD 1719 1398 1275

IPD 425 257 168

ANC (first visit) 30 16 21

EPI (Penta 3) 78 76 91

Inter-Agency Rapid Needs Assessment http://southsudan.humanitarianresponse.info/ IRNA Report: [Mingkaman, Awerial County Lakes State, 7th Sept 2020] | 9

1719 1800 1398 1600 1275 1400 OPD 1200 1000 IPD 800 ANC (first visit) 425 EPI (Penta 3) 600 257 400 168 200 0 Jun-20 Jul-20 Aug-20

On when they would be expecting to return home, respondents from 89% sites visited talked of 2-3 years, 11% were expecting to go back after one year and none talked of less than one year About main challenges to providing continuous/sustained health care in Mingkaman PHCC, all the departmental heads mentioned the following: • Overcrowding leading to prolonged waiting time to receive medical care in OPD • Insufficient drugs to meet the increased demands have been a major concern and are worried of stock out of essential supplies within 2 to 3 weeks • Lack of enough admission space in the wards due to the increased number of admission and were expecting much more in the next few weeks. • Noncompliance to covid-19 preventive measures on the part of patients • Lack of essential supplies like anti-venom, anti-convulsant, anti-rabies, Kits PEP, anti-retroviral and anti- psychiatric medications • Inadequate human resource due to increased demands Priorities for Immediate Humanitarian response • There is need to established mobile clinics at the sites to help relieve overcrowding in the health facility • Need for shelters to help decongest the overcrowded sites as one way to mitigate risks of disease transmission especially covid-19 • Establishment of focused ANC services to be integrated in the outreach team • Increased immunization activities to under 5 and other groups targeting specific diseases with high risk of outbreak • There is needed to urgently improve WASH conditions at all sites • There is need to increase drug and medical supplies to meet the increased demands • Increased human resources in Mingkaman PHCC • Admission space/wards in Mingkaman PHCC need to be given special attention especially in this era of Covid-19 pandemic. • Supply of more vaccines to Mingkaman PHCC to meet the increased demands • Distribution of mosquito nets to help prevent malaria infections • There is a need to develop a long-term plan of intervention for these IDPs as they intend to remain for sometimes in Mingkaman town according to the assessment finding.

Water and Sanitation (WASH). Key findings Access to Water • Most community are using surface water and open unprotected water source for domestic and personal use at household levels. (Bathing and washing cooking items). • Inadequate WASH NFIs (Buckets with taps and without taps, jerry cans, and soaps) and dirty ones observed for fetching water/storage. • Non-functional / broken down motorized solar water systems in all the sites of site 1,2,3 • Non-functional / broken down hand pumps in site 2 sector 2 and site 3 sector 1. • Insufficient water supply in all the visited sites. • Long querying time for water collection from water points for almost 4 hrs. to collect water for drinking and domestic/personal use. • Non-functional water management committees in all the water points.

Inter-Agency Rapid Needs Assessment http://southsudan.humanitarianresponse.info/ IRNA Report: [Mingkaman, Awerial County Lakes State, 7th Sept 2020] | 10 Hygiene Situation

• Filled up latrines in all the schools where IDPs are residing at moment. • Open defection observed along road paths, schools, concentrated areas and new market areas compound. • Collapsed latrines at schools due flooding. • Poor personal hygiene practices (dirty clothing and no bathing). • Poor / dirty living surrounding/compound in schools and new market areas. • Dirty surrounding around water points.

Priorities for Immediate Humanitarian response

• Rehabilitation of 11 motorized solar water systems in all site 1, 2 and 3. • Rehabilitation of broken-down hand pumps in site 2 sector 2 and site 3 sector 1. • Lunching hygiene promotion key message activities (Always use Latrine/cat method, hand washing with soap, personal hygiene, domestic hygiene, food hygiene, safe water chain and integration with COVID -19 key message). • Distribution of Pur with filter cloth for household water purification using open surface water and Aqutabs for household near the hand pumps. • Distribution of soaps for household’s hand washing and personal hygiene practices. • Distribution of buckets with taps/without taps and collapsible Jerry can for fetching. • Rehabilitation of broken hand pumps. • Refresher training of water management committees for water points both hand pumps and motorized solar water systems in all the sites. • Construction of communal emergency latrines where the displaced has moved in or household. • Decommissioning of filled latrines in the schools.

Protection Key findings • The reasons for displacement include flooding and lack of food. The IDPs preferred Mingkaman to other areas because its highland (dry), safe, closer to Jonglei, cheap in terms of transport, presence of relatives in Mingkaman and the food assistance in Mingkaman. • The IDPs pointed out that they encountered various challenges during their movement from Jonglei to Mingkaman such as inadequate number of boats for transport, hunger, drowning of some members, sickness, insecurity and pulling of people and household items to Dhiam-Dhiam port. These challenges have led to families and family members being left behind in the areas of displacement. • The IDPs pointed out that they are leaving peacefully with the host communities and old IDPs so far and are not restricted to movement to areas they will. • The challenges facing IDPs in Mingkaman are lack of shelters and NFIs, food, drugs in the facility, few water points coupled with congestion and no latrines, lack of tools for cultivation and site for settlement. When asked to prioritize, different groups stated shelters and NFIs, food, stock health facilities, put up more water points, latrines, tools for cultivation, site for settlement. • GBV cases were not mentioned however, women reported that girls experience forceful engagement but boys which was not usual back home, lack of bathrooms in the sites affects girls and women as they cannot bath anytime they will. • The community reported that they came with their leaders from the areas of displacement, they reported that they had tried constructing dykes but could not help and appeal to the government to construct and renovate better dykes. • The coping mechanisms deployed now in Mingkaman is begging from relatives and neighbors, some came with some food items and is now finished. • The IDPs reported that persons with specific needs (older persons, persons with disability, women and children) were the most affected and here as well such as standing in the long queues at the water points.

Inter-Agency Rapid Needs Assessment http://southsudan.humanitarianresponse.info/ IRNA Report: [Mingkaman, Awerial County Lakes State, 7th Sept 2020] | 11 • Some IDPs mentioned lack of knowledge of the existing humanitarian and public services such as the Mingkaman PHCC. • 4 Death cases were reported during the displacement; 3 were gunned down by unknown gunmen (suspected Murle criminals) and one woman had her shelter collapse on her. 3 death causes reported in Mingkaman (2 older persons and 1 child) alleged death cause to be sickness and hunger. • Separated, unaccompanied, orphans and children with mental disabilities were identified during the assessment (14 children). 72 most vulnerable persons (older persons, persons with disabilities, women at risk) were identified at Mat Academy when a survey was carried out. • The IDPs intend to remain here in the short term and return in the long term could better measures be taken against insecurity and flooding. Priorities for Immediate Humanitarian response

• Construct emergency shelters and distribute NFIs to persons with specific needs. • Construct child friendly spaces and women friendly spaces were counselling, and women empowerment activities will be carried out. Nutrition Key findings • 100% sites visited did not get any support on infant milk products or baby bottles or teats since their arrival in Mingkaman • Respondents from 11% of the visited sites identified problems in exclusive breast feeding since the beginning of the crisis • 100% of the sites visited did not report any case of women refusing breast feeding their children. • The assessment found out that the IDPs Community nutritionally treats boys and girls equally hence no marked distinct differences. • The assessment found out that Mingkaman had existing community and facility-based capacities and activities of SFP (TSFP-CUAMM AND BSFP/TSFP-CRS), OTP-CUAMM and SC-CUAMM. Screening Status of Children 6-59 Months Boys 6-59 months Girls 6-59 months

Number Number of Numb Number of boys Total Number Total girls with er of of boys with Number Total Number of girls Number Total Total Nam yellow boys with red yellow of boys Number of girls with red of girls Number children MUAC e of with MUAC MUAC with green of boys with MUAC with green of girls U5 (≥11.5cm oedem (<11.5 (≥11.5cm MUAC Screened oedema (<11.5 MUAC Screened Screened Site to a cm) to (>12.5) cm) (>12.5) <12.5cm) <12.5cm)

All sites 0 13 65 253 331 0 7 43 254 304 635 visited

• There were a total 635 under 5 children screened for malnutrition during the assessment, 20 were severely malnourished, 108 moderately malnourished and 507 were normal. This gives a GAM rate of 20%. • A pie chart show malnutrition among under5 children of IDPs community

Inter-Agency Rapid Needs Assessment http://southsudan.humanitarianresponse.info/ IRNA Report: [Mingkaman, Awerial County Lakes State, 7th Sept 2020] | 12

20

108

SAM

MAM

507 NORMAL

Priorities for Immediate Humanitarian response

• Need to increase number of nutrition workers or volunteers to conduct active screening of malnutrition at sites and make referrals • Increase nutrition supplies to Mingkaman PHCC to meet the demand Next steps

Cluster Priority actions Human and Responsible By when material entity resources needed FSL • Biometric registration and verification Additional funding FSL ASAP to determine the actual figures of and Delivery of food Partners population displaced. 3months food, fishing • Distribution of full food entitlements for kits, vegetable seeds 30 days for period of 3 Months (Sept- to Mingkaman. November) while observing the Increase of number of magnitude of flooding impacts. retailers to support • Support with fishing tools additional CBT. • The three categories of displaced people such as people who came with assistance cards, SCOPE registered beneficiaries without physical cards and non- registered people should all be provided with equal assistance under current flood emergency response. • Support with vegetable and crop kits • Support with small livestock if possible. Shelter • Immediate distribution of Plastic Funding, material and ASAP NFIs Sheeting, Blankets, Cooking Sets, Bar of deployment of Soap, Sleeping Mats, Mosquito Nets, additional Shelter and Ropes for the Construction of the shelter, Bamboos and poles and Dignity Kits NFI personnel Health • There is need to established mobile Funding and Supplies ASAP clinics at the sites to help relieve and human resource overcrowding in the health facility (Community • Need for shelters to help decongest the overcrowded sites as one way to mitigate Nutrition volunteers and Nutrition Inter-Agency Rapid Needs Assessment http://southsudan.humanitarianresponse.info/ IRNA Report: [Mingkaman, Awerial County Lakes State, 7th Sept 2020] | 13 risks of disease transmission especially Assistants covid-19 • Establishment of focused ANC services to be integrated in the outreach team • Increased immunization activities to under 5 and other groups targeting specific diseases with high risk of outbreak • There is needed to urgently improve WASH conditions at all sites • There is need to increase drug and medical supplies to meet the increased demands • Increased human resources in Mingkaman PHCC • Admission space/wards in Mingkaman PHCC need to be given special attention especially in this era of Covid-19 pandemic. • Supply of more vaccines to Mingkaman PHCC to meet the increased demands • Distribution of mosquito nets to help prevent malaria infections • There is a need to develop a long-term plan of intervention for these IDPs as they intend to remain for sometimes in Mingkaman town according to the assessment finding. WASH • Rehabilitation of 11 motorized solar Funding and spare WASH ASAP water systems in all site 1, 2 and 3. parts for boreholes Partners • Rehabilitation of broken-down hand and motorized pumps pumps in site 2 sector 2 and site 3 sector 1. rehabilitation. • Lunching hygiene promotion key message activities (Always use Latrine/cat method, hand washing with soap, personal hygiene, domestic hygiene, food hygiene, safe water chain and integration with COVID -19 key message). • Distribution of buckets with taps/without taps and collapsible Jerry can for fetching. • Rehabilitation of broken hand pumps. • Construction of communal emergency latrines where the displaced has moved in or household. • Decommissioning of filled latrines in the schools. Protection • Construct emergency shelters and Funding and NFIs Protection ASAP distribute NFIs to persons with specific Partners needs. • Construct child friendly spaces and women friendly spaces were counselling, and women empowerment activities will be carried out. Nutrition • Need to increase number of nutrition Funding and Supplies Nutrition ASAP workers or volunteers to conduct active and human resource Partners.

Inter-Agency Rapid Needs Assessment http://southsudan.humanitarianresponse.info/ IRNA Report: [Mingkaman, Awerial County Lakes State, 7th Sept 2020] | 14 screening of malnutrition at sites and (Community make referrals Nutrition volunteers • Increase nutrition supplies to and Nutrition Mingkaman PHCC to meet the demand Assistants Education • Allocation of land – Awerial county Funding Education local authority. Partners • Supply of school materials when schools reopened – education cluster. • Construction of more temporary learning spaces- education cluster.

Assessment information IRNA stands for “Initial Rapid Needs Assessment”. Initial: Serves as a ‘first look’ at locations where immediate emergency humanitarian response is anticipated and determines immediate priorities for intervention – registration and targeting of caseload can be required as follow- up, or ‘blanket’ distribution of aid can be actioned directly. Rapid: Deployed quickly, from a list of pre-trained and pre-qualified humanitarian personnel Needs Assessment: The IRNA is an Inter-agency and inter-cluster process using an ICWG-endorsed tool, reporting format and methodology – namely The IRNA form, and the IRNA Reporting Template. The IRNA was endorsed by the Inter Cluster Working Group (ICWG) and launched in November 2012, combined with training of humanitarian actors at Juba and state level. The assessment to Mingkaman Jonglei flood IDPs Concentration Sites was carried out by the following individuals:

Cluster Name Organization Email Phone FSL Santino Akeen WFP [email protected] 09222465726 Maketh Kuot Deng FCA [email protected] 0925374427 David Reech WFP [email protected] 0923116336 Joseph Awuol NPA [email protected] 0924125763 Kur Nathaniel REACH mingkaman.field-coordinator@reach- 0925737437 initiative.org Peter Mabuto Solomon Jalang Plan international [email protected] 0920077721 Bub Mading CINA [email protected] 0928200777 John Nhial ARUDA [email protected] 0923433239 Daniel Anyidi RAO [email protected] 0922431091 CRS [email protected] 0923232809 WASH James Mabior CRS James. [email protected] 920234075 Moses Lematia RUWASSA [email protected] 924165522 Health Dwamoi Allaric CUAMM [email protected] 927715365 Aguer Ateny CEF [email protected] 922533819 Chuti Michael WHO [email protected] 922395049 Nutrition Paul Chak CUAMM 920406040 Ezra Kuol YWDI 921632265 Jacob Chol CRS 923102423

Inter-Agency Rapid Needs Assessment http://southsudan.humanitarianresponse.info/ IRNA Report: [Mingkaman, Awerial County Lakes State, 7th Sept 2020] | 15 Protection John Majur HESS [email protected] 09925785656 Elizabeth Akuc CRS [email protected] 0920301940 Abraham Kuech HDC [email protected] 0925243919 Reuben Ajok UNHCR [email protected] 0925341798 James Mabior SMA [email protected] 0925882348 Education Moses Makuach HESS [email protected] 0920079922 Andruga Hillary FCA [email protected] 0928271370 Elizabeth Akuach 0928577446 CRS John Ariech CEF [email protected] 0922526222 Shelter & Machiek Abel Plan [email protected] 0924827233 NFI

Long queue at Mingkaman new market Broken motorized pump New IDPs disembarking from the boat

Disembarked Jonglei IDPs in Mingkaman Jonglei flood affected IDPs arriving Mingkaman

Inter-Agency Rapid Needs Assessment http://southsudan.humanitarianresponse.info/