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UNICEF South Sudan Humanitarian Situation Report

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UNICEF South Sudan Humanitarian Situation Report UNICEF SOUTH SUDAN SITUATION REPORT 30 November 2018 South Sudan Humanitarian Cecilia James and her eight- Situation Report month old twins receiving nutrition services in the Wau Protection of Civilians site. Photo: Ellie Kealey 01 – 30 NOVEMBER 2018: SOUTH SUDAN SITREP #127 SITUATION IN NUMBERS Highlights 1.97 million • On 27 November, the Ministry of Finance, together with UN agencies, Internally displaced persons (IDPs) launched the National Development Strategy for South Sudan for the period (OCHA South Sudan Humanitarian Snapshot, July 2018 to June 2021. 31 October 2018) • Through UNICEF’s robust advocacy and technical support, the South Sudan Government signed the Civil Registry Act 2018 into law. The Act will see 2.18 million children being registered and receiving their birth certificates. South Sudanese refugees in • neighbouring countries World Children’s Day was celebrated on 20 November, with children taking (UNHCR Regional Portal, South Sudan Situation over the airwaves of three radio stations throughout the day. 30 November 2018) • The Ministry of Health, with support from UNICEF, the World Health Organization (WHO) and partners, implemented a Sub-National 4.4 million Immunization Day campaign, targeting over 2 million children under 5 years South Sudanese who are severely with Oral Polio Vaccine along with deworming and Vitamin A food insecure supplementation in Central Equatoria, Eastern Equatoria, Western (October-December 2018 Projection, Integrated Food Security Phase Classification) Equatoria, Unity, Jonglei and Upper Nile. UNICEF’s Response with Partners in 2018 Funding Status Cluster for 2018 UNICEF and partners for 2018 Indicators Cumulative Cumulative Target Target results (#) Target results (#) achieved Jan-Oct Jan-Oct (%) Carry-over from Nutrition: # of children 2017: aged 6 to 59 months with Funding Gap: Severe Acute Malnutrition 209,140 174,944 215,312 176,278 81.9% US$ 64,843,099 (SAM) admitted for US$ 41,672,901 treatment Health: # of children aged 6 months to 15 years in conflict-affected areas 1,514,734 791,183 52.2% vaccinated against measles WASH: # of people provided with access to 2018 Funding safe water as per agreed 2,200,000 1,248,420 800,000 494,879 61.9% Requirement: standards (7.5–15 litres per person per day) US$ 183.3M Child Protection: # of children reached with 271,000 241,129 250,000 212,910 85.2% psychosocial support (PSS) Education: # of children and adolescents aged 3 to 685,720 559,042 18 years provided with 674,619 (285,344 500,000 (227,051 111.8% access to education in girls) girls) Funds Received: emergencies US$ 78,223,058 1 UNICEF SOUTH SUDAN SITUATION REPORT 30 November 2018 Situation Overview and Humanitarian Needs Humanitarian access has improved in some areas and deteriorated in others. The secession of hostilities has allowed for renewed access to Greater Baggari, Western Bahr el Ghazal, for the first time since September 2018. UNICEF and partners have taken advantage of this opportunity and are responding to the needs of an estimated 28,000 people in Integrated Food Security Phase Classification (IPC) Phase 4 conditions in the area. Similarly, in Central Equatoria, decreases in clashes between government and opposition forces in some areas have allowed UNICEF and partners to conduct several response activities to those affected by the recent fighting. However, the sustainability of access in these areas remains uncertain. At the same time, UNICEF and partners faced 15 reported access incidents in November, including a sharp rise in inter-communal violence, as well as restrictions of movement and bureaucratic impediments, many of which occurred in Jonglei and Unity states. These incidents delayed or prevented programme activities to support approximately 164,000 people in need. As the dry season approaches, the ability to take advantage of new and existing modalities of transportation, particularly roadways, are likely to improve. In November, the Logistics Cluster reported that it facilitated the transport of 1,261 metric tons of humanitarian cargo by road, air and river to 44 destinations on behalf of 75 organizations, the highest amount of cargo moved in a single month so far in 2018. On 27 November, the Ministry of Finance, together with UN agencies, launched the National Development Strategy for South Sudan for the period July 2018 to June 2021. The plan seeks to consolidate peace and stabilize the economy through strategic actions in six priority areas: (i) create enabling conditions for and facilitate the voluntary return and integration of displaced South Sudanese; (ii) develop appropriate laws and enforce the rule of law; (iii) ensure secure access to adequate and nutritious food; (iv) silence the guns by facilitating a permanent cessation of hostilities; (v) restore and expand the provision of basic services and; (vi) restore and maintain basic transport infrastructure such as roads and bridges. Speaking at the launch, Vice President Wani Igga read the President’s speech requesting all government offices, development partners and investors to align their programmes and investments with the strategy. Humanitarian Strategy In 2018, in line with UNICEF’s Humanitarian Action for Children (HAC) and the inter-agency Humanitarian Response Plan (HRP), UNICEF is strengthening and expanding its programmes through four modalities that increase the capacity and reach of interventions: (1) static operations in stable areas; (2) outreach programmes; (3) mobile campaigns; and (4) integrated rapid response mechanism (IRRM) missions. These modalities facilitate sustained service delivery in both secure and highly inaccessible locations. UNICEF continues to invest in strengthening national partner capacities and improving accountability to affected populations by building on existing community-based networks. This approach included 180 Days Scale-Up Plans from March to August 2018, targeting 11 priority counties considering the expected significant deterioration of the food security and nutrition situation during the lean season. Following the conclusion of the 180 Days Scale-Up Plan, UNICEF is supporting populations facing catastrophic food security conditions (IPC Phase 4 and 5) through the development of micro response plans to scale up interventions. The micro plans include Nutrition, Health, WASH, Education and Child Protection activities that aim to reach the most vulnerable populations, targeting 102,000 beneficiaries. Specific areas targeted include Leer and Mayendit, Pibor and Canal/Pigi, Panyikang, Greater Baggari and Cabel/Pigi. UNICEF aims to conduct five IRRM missions per month as the situation permits. Since the beginning of 2018, 50 joint IRRM missions with the World Food Programme (WFP) were conducted in 17 counties: Ayod, Duk, Canal/Pigi, Fangak, Koch, Leer, Longochuk, Luakpiny/Nasir, Mayendit, Nyirol, Nzara,Panyijiar, Raga, Rubkona, Torit, Uror and Wau/Baggari. Since January 2018, these missions have reached 545,179 people, including 112,178 children under 5 years of age. In November, three IRRM missions accessed hard-to-reach locations, also classified as facing IPC 4 (emergency) and IPC 5 (catastrophic) food security conditions, in Nadiangere, Western Equitoria, and Duk Pagaak and Pajut in Jonglei. These missions reached 14,529 new beneficiaries, including 2,867 children under 5 years of age. Additionally, two follow-up missions were conducted in Dablual and Thaker, Unity state. Five IRRM missions, planned to Ulang County, Upper Nile have been postponed to 2019 due to ongoing access negotiations with local authorities. 2 UNICEF SOUTH SUDAN SITUATION REPORT 30 November 2018 UNICEF is advocating at the national and local levels for increased and sustained humanitarian access. UNICEF is also facilitating coherent coordination through UNICEF leadership of the WASH, Education and Nutrition clusters, as well as the Child Protection sub-cluster. Summary Analysis of Programme Response Health: A total of 289,846 outpatients, of which 125,372 were children under 5 years and 154,113 were female, received curative consultative services of which 38 per cent was attributed to malaria, 19 per cent to pneumonia, 10 per cent to diarrhoea and 33 per cent to other communicable and non-communicable diseases. These consultations were provided through static health facilities, outreach, mobile clinics and RRMs. To prevent further spread of malaria, 160,262 long lasting insecticide treated nets were provided to children and pregnant women through immunization and maternal health care points. A total of 1,153,845 children from six states (Western, Central and Eastern Equatoria, Upper Nile, Jonglei and Unity) were immunized against polio during the third round of sub-national immunization days (SNID). Approximately 92 per cent of children under 5 targeted were vaccinated. Support to maternal health activities continued in UNICEF-supported locations across the country. This involved institutional capacity building and strengthening community systems to boost demand for services. Thirty-eight health care providers were trained on prevention of mother to child transmission (PMTCT) of HIV, 14,072 pregnant women attended the first recommended antenatal care (ANC) visit and 5,625 attended the fourth ANC visit in November. A total of 3,298 pregnant women gave birth in health facilities, of which 2,413 mothers (73 per cent) delivered under skilled birth attendance. A total of 7,083 pregnant women with unknown HIV status were counselled and tested; 70 tested positive, of which
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