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Wau Shilluk, Malakal County, Upper Nile State 25 January 2014

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Wau Shilluk, Malakal County, Upper Nile State 25 January 2014 IRNA Report: Wau Shilluk, 25 January 2014 Initial Rapid Needs Assessment: Wau Shilluk, Malakal County, Upper Nile State 25 January 2014 This IRNA Report is a product of Inter-Agency Assessment mission conducted and information compiled based on the inputs provided by partners on the ground including; government authorities, affected communities/IDPs and agencies. IRNA Report: Wau Shilluk, 25 January 2014 Situation Overview: Residents of Malakal (primarily of the Shilluk Tribe) have been seeking safe haven in Wau Shilluk in Malakal County since 24 December 2013 according to RRC actors on the ground. Reports of upwards of 17,000 IDPs concentrated in Wau Shilluk reached OCHA on the 19 January 2014 by way of World Vision staff in Kodok (Baliet County) and an IRNA mission was planned. The mission confirmed that There is a large number of IDPs in the area based on the numbers of people occupying public buildings and the very crowded streets and open spaces in the town. The RRC Coordinator that met the IRNA Team on arrival indicated that there were now 45,000 IDPs in Wau Shilluk Boma, with an additional 30,000 distributed across 6 surrounding Bomas. At most the IRNA team could only visually estimate 2,000 – 3,000 potentially displaced, due to the common patterns of IDP absorption into the host communities and the daily patterns of movement in and out of the town. Regardless of the actual number of displaced people in Wau Shilluk Boma, there is clearly great stress on the host community – due to pre-existing conditions, proximity to past intense fighting (Wau Shilluk is less than 20km form Malakal Town) and an IDP population likely larger than that of the community. Given the high population density in the area, a multi sector emergency response is required urgently. Site overview Location Map Wau Shilluk, North Side of White Nile, 20km ENE of Malakal IRNA Report: Wau Shilluk, 25 January 2014 Drivers of Crisis and underlying factors Key Response Priorities Armed conflict centred on Malakal Town has forced thousands to flee to safety and large numbers have FSL: accumulated in Wau Shilluk and the surrounding Bomas • Protect fisheries-based livelihood placing a serious stress on the host community and options by supplying emergency fishing impacting already vulnerable IDPs who often fled their kits to host and IDP communities homes with very little belongings. • 15 day assistance for host and IDP population after proper registration Wau Shilluk was highly vulnerable to shock even before the th crisis which began December 15 . In 2013, Malakal County Health: had a cereal deficit of 11,845 metric tons. In early 2014 the • Support for the existing PHCU with County’s cereal deficit is projected to slightly decrease to 9,612 metric tons meaning that before the conflict, the drugs and staff to serve the needs of the county was projected to meet about 67% of its 2014 total IDPs cereal requirements1 Malakal County is considered to be in “emergency’ phase of the IPC (Integrated Food Security Nutrition: Phase Classification (IPC) • MUAC screening for the IDPs is urgently needed to determine if a nutrition Scope of crisis and humanitarian profile intervention is needed. 2 Population of Malakal County: 143,842(2013) Protection: Population of Wau Shilluk Payam: 6,212 (2008) • Protection mainstreaming with IDPs in Wau Shilluk Boma: 45,0003 respective agencies IDPs in Wau Shilluk Payam: 75,0004 • Protection monitoring during emergency response The host communities of Wau Shilluk are riverine, dependent on fisheries, livestock and agricultural Shelter/NFI: livelihood options. Food stocks are rapidly diminishing with • Distribution of full NFI kits to all the increase in population the market prices for basic families. Add two plastic sheets in place commodities have increased drastically. Basic services such of sleeping mats or mattresses. as primary healthcare are at the breaking point. Schools are full of displaced families as are other public buildings. WASH • SWAT System: set up and train local Most families fled from Malakal without any belongings, people in management and operation of though some women periodically return to Malakal to try the SWAT and salvage items. The perception is that men are not safe • Construct emergency latrines to return to Malakal for unspecified reasons. Most families were not yet confident of returning to Malakal • Train and carry out hygiene promotion permanently, but intended to when they perceived the activities situation to be ‘safe’. • Distribute WASH NFIs along with any distribution being carried out. • Train and deploy latrine attendants in location. 1 CFSAM November 2013 2 Projected from 2008 census 3 As reported by county RRC, not verified 4 As reported by county RRC, not verified IRNA Report: Wau Shilluk, 25 January 2014 Humanitarian Access Physical access Wau Shilluk is approximately 20 km ENE from Malakal on the North bank of the White Nile. Physical access is primarily via water or air. Access coordination Humanitarian assistance should not be used to create a push and pull factor for this location. It is recommended that extensive engagement be conducted with the community to determine their future plans before assistance is extended. Key Findings Education: Key findings: • The schools are occupied by IDPs, it is not possible to open the schools for children/ education under this circumstances. Priorities for humanitarian response • Programs for Emergency Education targeting both Host Community and IDPs are recommended. Food Security and Livelihoods Key findings: • The IDPs are reportedly in precarious food security situation; especially those without relatives in the area. • These IDPs were previously eating 2-3 meals a day but are currently eating only one; courtesy of their host communities. • The host communities of Wau Shilluk are riverine communities dependent on fisheries, livestock and agricultural livelihood options. Communities and IDPs continue to fish but both IDPs and host communities are facing shortages of fishing equipment. • The host communities reported that given the current IDP situation, they will run out of food in about a week. • The market in Wau Shilluk is still functional but except for cow and goat meat and the prices for all other basic commodities have at least doubled. Since the replenishment access point is Kodok, supply lines to which have also reportedly been disrupted, this market too is soon likely to run out of basic commodities. In short, as things stand now, market-based interventions are not an option in Wau Shilluk. Priorities for humanitarian response • To protect fisheries-based livelihood options of particularly the riverine host communities and to some extent the staying IDPs—by supplying emergency fishing kits to both communities. • Food access will remain a challenge as purchasing power has been eroded even in the event IRNA Report: Wau Shilluk, 25 January 2014 that availability improves. The population, regardless of what their location would be (i.e. in the event they decide to move back to Malakal) needs emergency food assistance for a limited amount of time till availability and access related challenges are overcome. The stress on the host community by the displaced population is also significant; therefore, the host population also requires some form of assistance. • 15 day assistance should be extended to the population after a proper registration is conducted and protection actors advise food security partners regarding the intentions of the population vis-a-vis their plans to return to Malakal town Health Key findings: • Health care is being provided by the MOH with support from IMA World Health through the Rapid Result Fund. • Currently there are 6 health care workers at the PHCU in Wau Shilluk (2 medical assistants, 1 clinical officer and 2 nurses). All of the health workers are IDPs’ who are from Malakal, except one of the medical assistants who is from Wau Shilluk. • The clinic received their last supply of drugs in December before the conflict started. This supply of drugs is now almost finished because of the influx of IDPs. According to the health staff the current supply of drugs will only last for a few days. There is no Oral Rehydration Salts (ORS) or Zinc at the clinic, which are both needed for treatment of diarrhoea of children or RDT’s for testing for malaria. • From January 22-25 the clinic staff saw 419 patients in their out-patient department, mainly seeing cases of diarrhoea and malaria. The staff is overwhelmed with the number of patients and report working from morning to night to see all of the patients. • The clinic staff only reported one suspect case of Kala Azar, but did not report any other cases of outbreak diseases, such as measles or cholera. However, the sanitation situation is grim with open defecation and people drinking water straight from the River Nile. • There is a functional cold chain at the PHCU. • IDP women that were interviewed stated that the main illnesses are diarrhoea, malaria and headaches. They reported that they did not go to the PHCU because there were no medications there. Priorities for humanitarian response • The PHCU urgently needs medical supplies, including drugs and RDT’s for malaria. • They also need human resources to help with the influx of patients from the IDPs. Nutrition Key findings: • There is no nutrition programming in Wau Shilluk. MUAC tapes and tally sheets were left behind for the health staff to start screening the IDPs. • Women at interviewed at a school housing IDPs said that they did not have enough food to eat as the money they brought with them from Malakal was now gone and they could not purchase food in the market. The women said that they share food with other families. IRNA Report: Wau Shilluk, 25 January 2014 Priorities for humanitarian response • Exhaustive MUAC screening of IDP children under 5 and Pregnant and Lactating Women (PLW) Shelter + NFI Key findings: • Families have fled to the area from Malakal.
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