HUMANITARIAN HUMANITARIAN PROGRAMME CYCLE 2020 NEEDS OVERVIEW ISSUED NOVEMBER 2019 SOUTH SUDAN About This document is consolidated by OCHA on behalf of the Humanitarian Country Team and partners. It provides a shared understanding of the crisis, including the most pressing humanitarian need and the estimated number of people who need assistance. It represents a consolidated evidence base and helps inform joint strategic response planning. The administrative boundaries and names shown and designations used on this map and subsequent maps and tables in the document do not imply official endorsement or acceptance by the United Nations. Final boundary between the Republic of Sudan and the Republic of South Sudan has not yet been determimed. Final status of Abyei area is not determined. Manyo SUDAN Renk Melut Fashoda Maban ABYEI Panyijiar UPPER NILE REGION Panyikang Malakal Abiemnhom UNITY Baliet Aweil North Aweil Rubkona East Mayom Guit Canal/Pigi Longochuk Twic Fangak Aweil West Gogrial Luakpiny/ East Nasir Raja NORTHERN Aweil Gogrial West Koch Maiwut BAHR EL South Nyirol Ulang Tonj GHAZAL North Ayod Aweil Centre Mayendit WARRAP Leer Tonj ETHIOPIA East WESTERN Panyijiar JONGLEI Akobo BAHR EL Rumbek Duk Wau Jur North Uror GHAZAL River Cueibet Rumbek Twic East Pochalla Centre Yirol Tonj East South Rumbek East CENTRAL Nagero LAKES Yirol Bor South West Pibor AFRICAN Awerial Wulu REPUBLIC Tambura Mvolo Terekeka WESTERN EQUATORIA Mundri Lafon Kapoeta West Mundri CENTRAL North Kapoeta East Ezo Ibba East EQUATORIA Maridi EASTERN Yambio Juba EQUATORIA Nzara Juba Kapoeta South Lainya Torit Budi Yei Ikotos Kajo-keji Magwi KENYA DEMOCRATIC REPUBLIC OF THE CONGO UGANDA COVER PHOTO: UPPER NILE, SOUTH SUDAN Sandy Chuol, 10 years old, carries a jerry can of water for her family in Malakal town, Upper Nile. She walks about 30 minutes from home to collect water twice a day. ©UNICEF South Sudan Table of Contents 02 Summary of Humanitarian Needs 36 Part 3: Sectoral Analysis 43 Camp Coordination and Camp Management 07 Part 1: Impact of the Crisis and Humanitarian 45 Education Consequences 47 Emergency Shelter and Non-Food Items 08 Context of the Crisis 49 Food Security and Livelihoods 12 Impact of the Crisis 51 Health 16 Scope of Analysis 54 Nutrition 17 Humanitarian Consequences of the Crisis 56 Protection 24 Intersectoral Severity of Needs 61 Water, Sanitation and Hygiene 26 People in Need 64 Annexes 30 Part 2: Risk Analysis and Monitoring of Situation 65 Intersectoral Analysis Methodology and Needs 74 Sectoral Data Sources and Methodologies 31 Risk Analysis and Projected Evolution of Needs 80 Information Gaps and Limitations 33 Timeline of Events 83 Acronyms 34 Monitoring of Situation and Needs 84 End Notes 01 HUMANITARIAN NEEDS OVERVIEW 2020 Summary of Humanitarian Needs TOTAL POPULATION PEOPLE IN NEED 11.7M 7.5M WESTERN BAHR EL GHAZAL, SOUTH SUDAN A group of displaced children play at Wau PoC site, Western Bahr el Ghazal. ©OCHA South Sudan Context and impact of the crisis and unresolved issues between R-ARCSS signatories around A year after the signing of the Revitalized Agreement on the security arrangements for the opposition are among the sources 1 Resolution of the Conflict in South Sudan (R-ARCSS), the ceasefire of uncertainty concerning the country’s short-term future. holds in most parts of the country. Armed conflict between State This can affect displaced people’s decisions about returning to security forces and opposition armed groups has been contained their places of origin or habitual residence. Although an estimated to a small number of areas in the Equatorias where Government 1 million people have returned from displacement inside South forces continue to clash with non-signatories to the agreement. Sudan or from countries of asylum since November 2017,2 nearly Many areas are seeing intra- and inter-communal violence, enabled 4 million people remain displaced by the humanitarian crisis: 1.5 by small-arms proliferation and weak rule of law. This is often million internally3 and more than 2.2 million as refugees. Recent driven by resource scarcity in areas that have experienced years of interviews with internally displaced people (IDPs) found that beyond severe food insecurity. the continued threat of conflict, potential barriers to return included Overall progress on the implementation of the R-ARCSS has been lack of safety, services and livelihood opportunities in areas of modest. The deadline for the parties to the agreement to form a return; the destruction or occupation of former homes; and lack of transitional government of national unity has been extended twice, accountability for human rights violations committed during the most recently until early 2020, following regional mediation efforts war, including sexual violence.4 Intention surveys with refugees aimed at preventing the country from slipping back into conflict. found lack of livelihoods; inadequate basic services; lack of political Delayed cantonment of former fighters, full integration of forces, solutions; safety and security; and lack of education opportunities decisions concerning the number of states and their boundaries, as key reasons for not returning.5 02 SUMMARY OF HUMANITARIAN NEEDS Scope of analysis children are afflicted with psychological trauma as a result of Since no part of the country has been spared from the witnessing violence or experiencing it directly during attacks on humanitarian crisis, the Humanitarian Needs Overview (HNO) schools or similar violent incidents.10 Vaccination coverage is low, analysis covers all 78 counties of South Sudan. All segments of the with 43 per cent coverage of one of the most critical vaccinations population apart from the wealthiest quintile in each county were for children under 1 year, PENTA 3 (diphtheria, pertussis, tetanus, 6 considered to be affected by the crisis. Specifically, the analysis hepatitis B and haemophilus influenza). considered the needs of four segments of the population: IDPs, An estimated 5.2 million people are facing severe issues with their returnees from within South Sudan and from countries of asylum, living conditions. Two thirds of the counties have a convergence host community members and people who are otherwise affected of high WASH, protection and education-related needs. Lack of but not displaced, and some 300,000 refugees from neighbouring basic services is one of the main drivers of need and one of the countries in South Sudan. main obstacles for people to begin recovering from the years of The severity analysis and calculations of people in need conflict and violence. More than 40 per cent of the population have focused on two main humanitarian consequences of the crisis: no access to primary health care services. An estimated 60 per physical and mental well-being, and living standards. As South cent of the total population either rely on unimproved or surface Sudan remains in a protection crisis, protection-related needs water sources; or have to walk more than 30 minutes to reach the were prominently integrated within the analysis of these two improved water sources or face protection risks even if they could humanitarian consequences. Resilience and recovery needs were access the improved sources. In some parts of the country, three also considered in the analysis. in four children are out of school. Only 20 per cent of at-risk women The severity levels used for the HNO were adjusted to needs that and girls have access to services related to gender-based violence are most related to sustaining and improving physical and mental (GBV). Only 6.5 per cent of at-risk children—those below the age of well-being, and living standards. The thresholds of calculating the 18 years with likelihood that violation of and threats to their rights people in need are higher than in many other emergencies. This is will manifest and cause harm to them—can access psychosocial in a context where the level of development remains compromised support and other child protection services. and fragile: South Sudan ranked third last out of 189 countries in Displaced people and spontaneous returnees face specific 7 the 2018 Human Development Index. It is a setting where, two challenges with their living conditions. This includes IDPs and years into the country’s independence, basic services were limited refugee returnees in IDP-like situations living in overcrowded or absent in many areas, even before the conflict broke out in 2013. conditions in camps and spontaneous settlements, without access to safe shelter, and returnees without access to accountable legal Humanitarian consequences remedies related to housing, land and property. South Sudan and its people continue to reel from the impacts of years of conflict, violence and limited of development investment. While a marked increase in displaced people deciding to return Some 7.3 million people are facing problems related to their would be an indication of greater stability and prospects for physical and mental well-being. Almost half of all counties have a prosperity and potentially reinforce these in the long term, high convergence of high needs related to food insecurity, protection, volumes of returns could in the short to medium term worsen and water, sanitation and hygiene (WASH). vulnerable people’s well-being and living conditions, and erode community resilience. This could be due to greater competition over Food insecurity is the main driver behind the number of people in limited food and livelihoods, pressures put on already stretched need. Nearly 6.4 million people or 54 per cent of the population basic services, or problems related to housing, land and property. were acutely food insecure in August 2019, according to the The current level of service provision in areas of return is estimated Integrated Food Security Phase Classification (IPC) analysis. The to be unsustainable for higher rates of return. prevalence of global acute malnutrition (GAM) among children increased from 13 per cent in 2018 to 16 per cent in 2019, People in need and severity of needs exceeding the global emergency threshold of 15 per cent.