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South Sudan SITUATION REPORT 4 June 2015

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South Sudan SITUATION REPORT 4 June 2015 South Sudan SITUATION REPORT 4 June 2015 South Rich .org> unicef Sudan Humanitarian Situation Report UNICEF/2015/South Sudan/ UNICEF/2015/South AgotAgot<rmatema@ © 22 MAY – 4 JUNE 2015: SOUTH SUDAN SITREP #60 SITUATION IN NUMBERS Highlights 1.52 million People internally displaced since 15 The recent intensification of conflict has continued to take a heavy toll on December 2013 children with a total of 161 incidents of grave child rights violations (OCHA, Humanitarian Bulletin dated 29 May, 2015) reported this year, 84 of which have been reported from Unity State in May alone. This includes the verified killing of 95 children and unverified 812,816* reports of large scale use of children by the all sides to the conflict. Estimated internally displaced children Unverified reports of similar grave child rights violations have been under 18 years reported in Upper Nile State. Outside South Sudan There are eight suspected and one confirmed cholera case in Juba, seven of which are in Juba Protection of Civilians (PoC) site. UNICEF, WHO and 552,231 Cluster and implementing partners are working to increase prevention Estimated new South Sudanese refugees in and response interventions. neighbouring countries since 15 December 2013 (OCHA, Humanitarian Bulletin dated 29 May, 2015) The latest Interagency Phase Classification (IPC) results were released on 27 May, with nearly 248,000 children estimated to be suffering from severe acute malnutrition (SAM). Child malnutrition rates remain above Priority Humanitarian Funding needs the emergency threshold of 15 per cent in both conflict-affected and high- January - December 2015 burden states of Greater Upper Nile, Warrap and Northern Bahr el Ghazal. US$ 165.6 million** So far this year, UNICEF and partners have treated over 50,000 children with SAM. * Disaggregated data is yet to be made available, as registration has not been completed across the country. The final state launch of the Back to Learning initiative was held in Children under 18 years have been calculated based on census Western Equatoria on 3 June. Under Back to Learning, UNICEF and partners have reached 103,000 children with learning programmes in 2015. UNICEF’s Response with Partners Cluster for 2015 UNICEF for 2015 Target Indicators Cumulative UNICEF Cumulative Target Cluster Target achieved results (#) Target* results (#) achieved (%) (%) WASH: # of target population provided with access to water as per agreed 4,100,000 1,049,029 26% 600,000 287,860 48% standards (7.5-15 litres of water per person per day) Nutrition: # children 6-59 months with Severe Acute Malnutrition admitted for 137,883 50,254 36% 137,883 50,254 36% treatment Health: # of children 6mo-15y 1,207,705 174,708 14% vaccinated for measles Education # of children and adolescents (aged 3-18) with access to 224,299 188,688 84% 200,000 103,826 52% education in emergencies Child Protection: # of children reached 340,295 220,649 65% 182,500 156,098 86% with critical child protection services 1 South Sudan SITUATION REPORT 4 June 2015 Situation Overview & Humanitarian Needs While the humanitarian situation in the country continues to deteriorate, the Humanitarian Coordinator, Toby Lanzer, who has been instrumental in scaling the response to the current crisis, has been expelled from the country. The reporting period saw on-going violence and grave violations in Unity and Upper Nile states, where over 100,000 people have been newly displaced and 650,000 people have been cut off from humanitarian assistance. Children trapped by fighting without access to basic medical services and food will struggle to survive this lean season without an urgent resumption of humanitarian assistance in conflict-affected areas. As of 28 May, over 130,000 people were estimated to be sheltering in Protection of Civilian (PoC) sites. According to UNHCR, some 60,000 South Sudanese have fled the country in 2015. In Upper Nile State, fighting continued in Malakal and Melut County. Melut has been completely destroyed and emptied of civilians. The heavy fighting resulted in the killing of least six IDPs, including children. Humanitarian compounds and supply stores have been looted. Populations that had fled to Paloich and the bush have started returning to the Dethoma settlements where UNICEF partner GOAL has restarted health and nutrition services. In Unity State, sporadic fighting continues in southern parts of the State hampering the delivery of humanitarian assistance. Populations are once again escaping the violence, retreating to remote locations in swamps and on islands. There are eight suspected and one confirmed cholera case in Juba, seven of which are in Juba PoC. UNICEF, WHO and Cluster and implementing partners are working to increase prevention and response interventions. The latest Interagency Phase Classification (IPC) results were released on 27 May, with nearly 248,000 children at significant risk as food and nutrition security rapidly deteriorate in parts of South Sudan. Child malnutrition rates remain above the emergency threshold of 15 per cent in both conflict-affected and high-burden states. Nearly one in three children under 5 are malnourished in the worst-hit areas of Greater Upper Nile, Warrap and Northern Bahr el Ghazal. The crisis comes as a result of ongoing conflict, diminished household food stocks and a shrinking economy. The number of people facing severe food insecurity has almost doubled since the start of the year from 2.5 million to an estimated 4.6 million people. This is the highest number of families at crisis or emergency levels of food insecurity since the start of the conflict in December 2013. Humanitarian leadership and coordination UNICEF actively participates in the Humanitarian Country Team and the Inter Cluster Working Group, which lead strategic and cross-sectoral coordination of humanitarian programmes. UNICEF leads the WASH, Nutrition and Education clusters as well as the Child Protection sub-cluster. Within the Health cluster, UNICEF provides leadership on vaccination, communication and social mobilization. UNICEF also supports the core supply pipelines for the Education, WASH and Nutrition clusters, providing essential humanitarian supplies to all partners. While continuing to focus on the delivery of life-saving interventions, UNICEF is also investing in providing access to education and a protective environment for affected children. Humanitarian Strategy: Rapid Response Mechanism (RRM) As part of the interagency rapid response teams, UNICEF continues to expand activities in remote locations together with WFP and partners. More than 742,000 people, including over 156,000 children under 5, have been reached by the 49 UNICEF and partner RRMs to date. In 2015, 14 RRM missions in northern Jonglei and northern Unity States have reached close to 190,000 people, including 39,400 children under five. Several missions in 2015 have been undertaken in locations previously reached, both to address new needs following recent displacements and a change in context and to monitor programmes. Two missions are currently underway in Pagail, Ayod County, Jonglei State, and in Makak, Ulang County, Upper Nile State. In Pagil, UNICEF and partners have reached over 10,000 people with multi-sectoral assistance. This includes 2,543 children screened for malnutrition with 38 cases of severe acute malnutrition (SAM) detected and enrolled for treatment, as well as 150 cases of moderate acute malnutrition (MAM). Equally, 2,543 children were provided with Vitamin A and 2,128 children dewormed. Health interventions included the vaccination of 3,691 children against measles and 4,044 children against polio, while 803 pregnant women were vaccinated against tetanus. 765 medical consultations were also conducted and 191 clean delivery kits distributed. In addition, WASH supplies and mosquito nets were provided to over 2,400 households. 2 South Sudan SITUATION REPORT 4 June 2015 Summary Analysis of Programme Response HEALTH: During the reporting period, a total of nine suspected cholera cases were reported in Juba PoC and town, of which one case was confirmed. The national response strategy has been activated to heighten surveillance. An Oral Cholera Vaccination campaign is planned for Juba PoC in the coming weeks. South Sudan is expected to be hit by a national stock out of essential medecines starting as early as September. Currently, donors, the Ministry of Health and the UN system are discussing on how the crisis could be addressed in the immediate and medium term. A draft plan and quantification exercise will be finalized by early next week. UNICEF continues to support primary health interventions country wide including emergency lifesaving interventions in the conflict affected states. UNICEF implementing partners are operating health services in Mingkaman IDP site as well as Malakal, Bentiu and Juba PoCs. During this reporting period, 18,226 people accessed basic primary health care services, 33.4 per cent of whom were children under 5. Acute respiratory tract infection (ARI) continued to be the leading cause of morbidity followed by diarrhoea and malaria. So far this year, 169,848 people have been reached with primary health care through UNICEF support. Integrated community health volunteers in Bentiu PoC continued to provide integrated WASH, Health and Nutrition services. An increase in the cases of diarrhoea and fever has been observed during this reporting period, attributed to the heavy rains in the last two weeks worsened by poor drainage and inadequate latrines. Over 2,876 children with diarrhoea were treated with oral rehydration solution while 1,936 children with fever and difficulty in breathing were referred for further treatment to health facilities. Integrated community volunteers also continued their work in Mingkaman where 644 children were treated for malaria, pneumonia and diarrhoea, with a total of 2,917 children under 5 treated this year. In Pibor, UNICEF has supported Bio-Aid to establish health facilities in Lekuangole and Gumruk. During the reporting period, 2,705 people including 259 demobilized children accessed health services.
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