UPDATE #20 Weekly COVID-19 Situation Report

17 – 23 August 2020

KEY FIGURES CURRENT REPORTING PERIOD

IOM managed PoE sites conducting COVID-19 screening 3 Individuals screened for COVID-19 at IOM operated PoE sites 8,694 Total confirmed cases of COVID-19 in South Sudan 2,507 Number of recoveries of COVID-19 cases in South Sudan 1,294 Total COVID-19 deaths in South Sudan Distribution of critical items to the most vulnerable households in Tonj South © IOM 2020 / Fatur SURUR 47

HIGHLIGHTS SITUATION OVERVIEW 01 276,101 individuals reached through COVID-19 specific hygiene The COVID-19 outbreak continued to slow down in the Africa region, as seen in the past two weeks. The current figures promotion sessions held at water in the region represent 4.4% of confirmed COVID-19 cases and 2.5% of deaths reported worldwide. South Africa remains points and through house to house the hardest-hit country on the African continent and is ranked fifth globally, although with relatively low numbers of deaths. campaigns. There was also a reduction in the incidence of cases in Nigeria, Ghana, Algeria, and Kenya in the past week. While these indicators are encouraging, the figures should be cautiously interpreted as they may be affected by many factors, including 02 8,694 travellers screened for the current testing capacity, according to WHO. COVID-19 at International Airport, Ground Crossing, Public health systems globally continue to come under severe strain due to the unprecedented COVID-19 pandemic with and . total numbers of infected individuals reaching 23,057,288 cases, and 800,906 people have died of the infection globally by the end of the week (WHO Global Epidemiological Update, 23 August 2020). In Africa, there were 1,000,379 cases and 03 4,843 reusable masks produced by 20,321 deaths, according to WHO. IOM beneficiaries. South Sudan continues to see a rise in the number of confirmed cases, with 2,507 confirmed cases, 1,294 recoveries, and 04 287,032 individuals received 47 deaths, as of 23 August 2020. COVID-19 sensitization.

COVID-19 TIMELINE IN SOUTH SUDAN

ve C - 19 C - 19 T he Country Screening at IOM Suspension South Sudan Registered Managed PoE Sites Revised The National of COVID-19 Records Its First Its First COVID-19 Death Screening at Juba airport, Wau Recovery Cases Global HRP for Task Force airport, and Nimule ground Neighbouring COVID-19 Released South Sudan recorded the Suspends Some Tests Ministerial Order signed by the 17 New Cases Two COVID-19 patients Health Minister issued the crossing. Suspension of direct Countries Revised COVID-19 Global The NTF suspends laboratory Close Borders recovered and were released Corona Virus Desease. immediate suspension of from the treatment center in testing for individuals seeking 17 COVID-19 cases Restriction of social gatherings. Kenya and close the virus in the world’s poorest voluntary testing and those con™rmed out of the1,509 Juba. until further notice. borders, with only cargo allowed countries, and address the needs travelling between states to tests conducted, bringing the from Uganda to South Sudan. of the most vulnerable. clear the backlog of samples. total to 2,507 cases.

13 March 19 March 23 March 15 April 04 May 07 May 07 May 11 May 14 May 17 May 26 May 27 May 03 Jun 16 Jun 23 Aug

C - 19 Appointment South IOM Expands Presidential of a Transitional C - 19 The Global SPRP Sudan Re-opens C - 19 Decree Relaxes The President Sub-committee South Sudan Airspace The Global Strategic Lockdown Measures Appoints The newly established COVID-19 HRP CPRP South Sudan re-opens airspace National Preparedness & Response Plan A New Task Force 2020 Addendum Curfew across the country with strict precautionary measures, National Task Force appoints expanded to include interventions The MoH released COVID-19 reduced to 10pm-6am. including 14-day self-quarantine President Salva Kiir a transitional sub-committee The COVID-19 Addendum that mitigate health and socio- Country Preparedness Re-opening of restaurants, prior to inter-state travel. appoints a new COVID-19 to review the activities of the requests for $390M, bringing and Response Plan, covering economic impacts. bars, & shops with observance Task Force to replace the former High Level Task Force. the overall South Sudan HRP April to September 2020. of social distancing. High-Level Task Force. appeal for this year to $1.9B.

Situation Overview 01 Update #20 Weekly COVID-19 Situation Report

PREPAREDNESS & RESPONSE

INFECTION PREVENTION & CONTROL

●    IOM continued to support IPC/WASH activities at three IOM-operated PoEs (Wau, Nimule Ground Crossing, and Juba International Airport). ●    In Wau, five permanent handwashing facilities in Wau Eastern Bank Market and Suk Hajar Market, Suk Jou Market, Wau Teaching Hospital, and Eastern Bank remained fully operational, benefitting 13,761 individuals (3,715 girls, 3,578 boys, 3,303 women, 3,165 men)1 during the reporting period. The trained handwashing teams continue to operate and maintain the handwashing stations. ●    In Juba, seven of the eight handwashing facilities constructed by IOM remained fully operational at Juba Bus Station, Juba River Port, Konyo Konyo Market, Hai Referendum Market, and Juba International Aiport, Jebel Market, and Gabat River Port, benefitting 26,343 individuals (7,113 girls, 6,849 boys, 6,322 women, 6,059 men)2 during the reporting period. One handwashing facility at Juba International Airport was not operational this week, as the construction of a septic tank to contain the wastewater was ongoing. IOM also completed the construction of 9 additional handwashing stations (500L each) in Juba (one in Gabat Market B, two in Installing handwashing station at the entrance of Hai Referendum Market and Bus Station A&B, three in Konyo Konyo Market, one in Mia Pibor AA site © IOM 2020/ Ambayo KALISTO Saba Bus Sation, and two in Shirikat Fish Market), bringing the total number of handwashing stations built by IOM to 41. Out of the 50 handwashing stations constructed by IOM in Juba, 12 were not operational in this reporting week. The 38 handwashing stations that were operational benefited 35,156 individuals (9,492 girls, 9,141 boys, 8,437 women, 8,086 men) MOBILITY during the reporting week. ●    In Twic, three handwashing facilities (1,000L each) and three handwashing stations (500L ●    IOM continued to conduct weekly assessment of mobility and each) at three health facilities (Wunrok PHCC, Mother Theresa Hospital, and Mayen Abun COVID-19 preparedness at 19 displacement sites and 56 points of Hospital) remained fully operational, benefitting 10,428 individuals (2,816 girls, 2,711 boys, entry/transit hubs, including those prioritized by the Points of Entry 2,503 women, 2,398 men)3. Technical Working Group, with the latest weekly update available ●    IOM conducted several WASH NFI distributions during this reporting period. In and here. Malakal PoC, the team distributed buckets, benefitting a total of 266 and 7,202 households respectively. IOM also distributed dignity kits in Magwi, benefitting 81 women and girls of ●    DTM South Sudan continued the COVID-19 Mobility Impact reproductive age. All distributions were complemented with COVID-19 sensitization, and exercise, providing information on movement restrictions, active dignity kits distributions included menstrual hygiene management (MHM) training sessions. measures, and the impact of the outbreak on different population groups in the country for 87 locations across the country, including ●    Through MHPSS, TRU, and CCCM programming, IOM is working with displaced communities land and blue border points, airports, and internal transit points and local organizations to produce 4,843 washable and reusable face masks in four locations and areas (towns, cities). Data is available at the DRM South Sudan across South Sudan, namely Wau, Bentiu, Malakal, and Abyei. The facemasks were distributed geoportal. to local communities and frontline humanitarian workers. ●    During past week DTM conducted 4,092 surveys, representing ●    IOM continues to maintain 676 handwashing stations, as follows: more than 10,000 individual journeys at active flow monitoring points in border areas and internal transit hubs. More than half of those interviews were conducted with IDPs at the gates of main 293 Handwashing Case management centre rehabilitated at displacement sites. Analysis of collected surveys is available at DTM stations, Bentiu PoC Malakal Teaching Hospital, Malakal County South Sudan geoportal. 1 Borehole drilled at Akoc & 6 Handwashing stations, Twic County 2 Handwashing stations, Bentiu Town POINTS OF ENTRY 248 Handwashing stations, Malakal PoC Abyei Northern Upper Nile ●    IOM continued COVID-19 screening and provided IPC/WASH Bahr 23 Handwashing stations, support at three POEs, namely Juba International Airport, Wau Western Bahr el Ghazal Unity Bentiu Logbase, Warehouse & Wau el Ghazal Airport Airport, and Nimule Ground Crossing. Warrap Humanitarian Hub 6 Handwashing Jonglei ●    Arrival and departure screening for COVID-19 was conducted, stations, IOM Office 58 Handwashing reaching a total of 8,694 travellers, as follows: in Wau Lakes stations, Juba International Airport, Juba River Port, Bus 6 Handwashing stations, & Markets 4,913 2,925 856 C.Equatoria stations, Wau PoC Western Juba Eastern individuals screened individuals screened individuals Equatoria International Equatoria Airport at Juba International at Nimule Border screened at 25 Handwashing stations, IOM office in Juba Airport Crossing Wau Airport 1 Case management centre constructed at Muktaah PHCC, Wau County ●    At Juba International Airport, screeners received refresher trainings Nimule Ground 1 Handwashing stations, 5 Handwashing Crossing IOM Warehouse in Magwi & 3 on the calibration of infrared non-contact thermometers. Similar stations, Wau Town Handwashing stations, in Magwi refresher trainings are planned for Nimule and Wau PoEs. ●    At Nimule PoE, IOM completed the construction of 2 blocks of latrines separated by gender at Jalei truck parking. The latrines Point of Entry with IPC / Case management WASH facilities (handwashing WASH support centres stations & boreholes) will be handed over to the Nimule Country authority and will be accessible to the public soon.

1,2,3 Based on WASH cluster standard of water usage (2L/day/person) and gender/age disaggregated percentage

Preparedness & Response 02 Update #20 Weekly COVID-19 Situation Report

RISK COMMUNICATION & COMMUNITY ENGAGEMENT

●    IOM continued COVID-19 awareness and hygiene promotion activities to ●   IOM started disseminating COVID-19 awareness raising messages, combined communities at Bentiu and Malakal PoCs, as well as outside the PoCs in Nimule, with gender equality messages, in coordination with City FM 88.4. The first Wau, Twic, Magwi, and Juba. radio show covered topics on the signs and symptoms of COVID-19, debunking common rumors, and stigmatization related to wearing a face mask. ●    Hygiene promotion sessions were held at water points and through house to house campaigns, including through the utilization of megaphones, reaching 276,101 ●    In Malakal, IOM MHPSS teams conducted 16 awareness raising sessions, individuals (55,506 girls, 54,936 boys, 79,346 women, 86,313 men, including 5,109 reaching 2,017 direct beneficiaries and 4,334 indirect beneficiaries with key persons with special needs) country-wide, with key messages including signs and messaging on MHPSS considerations during COVID-19 and its prevention, symptoms and prevention measures, all aligned with the Risk Communication and aimed at behavioral change while tackling misinformation. Community Engagement Technical Working Group guidance. ●    In Wau, IOM MHPSS teams continued to hold COVID-19 risk communications ●    IOM displayed awareness messages on COVID-19 at the 676 IOM-installed and awareness raising sessions, reaching 643 (250 male, 393 female) beneficiaries handwashing stations in order that beneficiaries can read messages every time they residing in the POC AA, Hai Masna collective site, Bushere, Jebel Kheir and 13 wash hands. In partnership with the Water Tankers Association, IOM continued bomas in Wau, including the Juvenile Centre. to carry out mass awareness raising campaigns displaying Information, Education, ●     and Communication (IEC) materials and playing pre-recorded messages through In Wau PoCAA, 200 cash for work participants were reached through megaphones with 50 water tankers in Juba. COVID-19 awareness raising activities. ●     ●    In Juba, IOM trained eight community hygiene promoters (5 women, 3 men) In addition, IOM’s Transition and Recovery team conducted COVID-19 and nine caretakers (6 women, 3 men) on COVID-19 prevention, IPC/WASH awareness raising with 78 women livelihood beneficiaries in Bussere and Bazia protocols, as well as GBV types and consequences, and referral for GBV services Jedid. ●     ●    IOM WASH and S-NFI teams conducted awareness-raising for 1,200 households In Abyei Administrative Area, IOM conducted awareness-raising and distribution that received NFI assistance in Wanhale Payam, Tonj South. of face masks for 3,642 individuals.

PIPELINE

●    IOM CP supported one partner in Juba with critical WASH items to support the Covid-19 response. The items will be distributed for household COVID-19 infection, prevention, and control. Approximately 10,500 individuals will benefit from these WASH items. ●    IOM continued its vital prepositioning to key logistics hubs that are still accessible by road transportation, ensuring the uninterrupted provision of key supplies for WASH Cluster partners’ COVID-19 responses during the rainy season. About 10 metric tonnes of buckets with taps and Purifier of Water (PuR) is being prepositioned to Bor logistics hub. ●    The procurement process of critical WASH supplies funded by BHA, DFID, CERF, and ECHO to support COVID-19 preparedness and response is progressing as planned and is expected to be completed in the next few weeks. In addition, personal protective equipment (PPE) procurement funded by BHA and DFID is ongoing.

COORDINATION NOTES ●   Active participation in various EVD/COVID-19 fora continued, including the Strategic Advisory Group, National Task Force, COVID-19 National Steering Committee meetings, Technical Working Groups, and State Task Forces.

●   Participation in the Inter-Cluster Coordination Group (ICCG) with OCHA, partners, and other stakeholders.

●   IOM is a member of the Needs Analysis Working Group (NAWG), a key platform that provides decision-makers (ICCG) and responders with data and analysis on impact and needs to help priorities response based on identified needs.

●   Under the IPC/WASH TWG, IOM continued to take the lead in the Sub-Committee on IPC/WASH in Communities and Camp-like Settings. IOM also continued to actively participate in the WASH Cluster EPnR technical working group to coordinate the ongoing COVID-19 response in Juba.

GBV integration training for Community Hygiene Promoters in Gudele, Juba © IOM 2020 / James WALLA

IOM’s COVID-19 response activities are supported by:

Preparedness & Response 03 Update #20