UPDATE #29 Bi-Weekly COVID-19 Situation Report

14 - 27 December 2020

KEY FIGURES CURRENT REPORTING PERIOD

IOM managed PoE sites conducting COVID-19 screening 5

Individuals screened for COVID-19 at IOM operated PoE sites 30,856

Total confirmed cases of COVID-19 in South Sudan 3,511

Number of recoveries of COVID-19 cases in South Sudan 3,118 A boy washes his hands at the IOM constructed handwashing facility at Hai Total COVID-19 deaths Referendum Market/Bus Stop in © IOM 2020 / Alex McBride in South Sudan 63 SITUATION OVERVIEW HIGHLIGHTS Public health systems globally continue to come under severe strain due to the unprecedented COVID-19 01 457,561 individuals reached through COVID-19 awareness and pandemic with total numbers of infected individuals reaching 75 million cases, and 1.6 million people have hygiene promotion sessions held at died of the infection globally as of 20 December (WHO Global Epidemiological Update, 22 December 2020). water points and through house to In Africa, there were 1,716,697 cases and 37,741 deaths, according to WHO. house campaigns. According to WHO, COVID-19 cases in the African region have risen steadily over the past two months, underscoring the need for reinforced public health measures to avert a surge in infections, particularly as 02 IOM MHPSS teams reached 8,324 people gather or travel for end-of-year celebrations. Since mid-October, an average of 46,000 cases per beneficiaries with key messages week have been recorded in the 47 countries in the African region compared with about 29,000 cases per on MHPSS considerations during week between early September and early October. South Africa continues to report high numbers of new COVID-19. cases and deaths, and has the highest case incidence (1,003 new cases per 1 million population) within the region, according to WHO. Increased movement and interactions as well as slack observance of public health 03 IOM Core Pipeline processed six requests from three partners to measures such as physical distancing and wearing of masks are some of the factors behind the upsurge in provide PPE supplies to healthcare cases in the Africa region. and frontline workers. South Sudan continues to see a rise in the number of confirmed cases, with 3,511 confirmed cases, 3,118 recoveries, and 63 deaths, as of 27 December 2020.

COVID-19 TIMELINE IN SOUTH SUDAN

ve C-19 C-19 Screenin at IOM Sout Sudan Te Country NT Reoved Manaed PoE Sites Records Its irst Revised Reistered Suspension 1-day uarantine oba HRP or Its irst COVID-19 Deat o COVID-19 or Doestic Trave Screening at uba airport, Wau Recovery Cases Neibourin COVID-19 Reeased Negativity Certificates The Nation Tas Force NTF lifts airport, and Nimule ground Two COVID-19 patients South Sudan recorded the Countries 14-day quarantine requirement for Scoos Re-open crossing. Suspension of direct recovered and were released Revised COVID-19 Global first death resulting from Ministerial Order signed by the Cose orders domesticinter-state travel. in Sout Sudan flights from affected countries. from the treatment center in HRP appeals for $6.71B to fight Corona Virus Desease. Health Minister issued the Restriction of social gatherings. Kenya and close uba. the virus in the world’s poorest immediate suspension of Schools re-open in South borders, with only cargo allowed countries, and address the needs COVID-19 negativity certificates Sudan under the Phase-1 plan from Uganda to South Sudan. of the most vulnerable. until further notice. for Primary 8 and Senior 4.

13 Mar 19 Mar 23 Mar 15 Apr 04 May 07 May 07 May 11 May 14 May 17 May 03 Jun 16 Jun 26 Aug 01 Oct 05 Oct 27 Dec

C-19 C-19 Sout IOM Epands COVID-19 HRP Ne Cases Te oba SPRP Sudan Re-opens Presidentia  Addendu UGANDA Confirmed C-19 Its Airspace Te overnent The Global Strategic Decree Reaes Te President The COVID-19 Addendum Sout Sudan South Sudan re-opens airspace o Uanda 277 new COVID-19 cases Preparedness Response Plan Locdon Measures Appoints requests for 39M, bringing Nationa CPRP with strict precautionary measures, Re-opens Airport & borders confirmed out of 9,978 tests expanded to include interventions Curfew across the country A Ne Tas orce the overall South Sudan HRP including 14-day self-quarantine conducted, bringing the total The MoH released COVID-19 that mitigate health and socio- reduced to 1pm-6am. President Salva Kiir appeal for this year to 1.9. The Government of Uganda prior to inter-state travel. to 3,511 confirmed cases. Country Preparedness economic impacts. Re-opening of restaurants, appoints a new COVID-19 reopened its international and Response Plan, covering bars, shops with observance Tas Force to replace the airport and land borders for April to September 22. of social distancing. High-Level Tas Force. tourists and other travellers.

Situation Overview 01 Update #29 Bi-Weekly COVID-19 Situation Report

PREPAREDNESS & RESPONSE

INFECTION PREVENTION & CONTROL MOBILITY

●    DTM South Sudan conducted its regular remote weekly assessment of COVID-19 mobility restrictions and response measures at 90 locations, including land and blue border points, airports, internal transit points and areas of relevance. Sixty-four of the ninety locations monitored sent updates during the period 6 to 26 December 2020. ●    Based on data submitted by 27 December 2020 for 18 out of 34 flow monitoring points (FMPs) located at the country’s borders, internal transit hubs and displacement sites, DTM enumerators carried out 1,720 interviews, representing 4,417 individuals surveyed. The holiday season has caused delays in submission from some deep field locations. ●    In addition to Flow Monitoring, DTM continues operating in Bentiu PoC, Malakal PoC, Wau Masna collective centre, and Naivasha IDP camp. Displacement Site Flow Monitoring (DSFM) activities were carried out and three out of four sites (Bentiu PoC, Wau Masna Motorized borehole in Hai Wurduk, Sherikat in Juba and Naivasha IDP camp) sent updates, at which 283 interviews © IOM 2020 / Anis Chowdhury were conducted, representing 831 individual movements in to and out of the sites / camp.

●   In Juba, all of the 18 handwashing facilities (1,000L) constructed by IOM remained fully operational (Juba Bus Station, Juba River Port, Konyo Konyo Market, Hai Referendum Market, JIA-A, JIA- C, Jebel Market, Gabat River Port, Gumbo Owino market, Shirikat Taxi Terminal, POINTS OF ENTRY Custom Bus Terminal, Juba University A, Juba University B, Juba University C, Juba Teaching Hospital, Shirikat Kampala Bus Park, Lologo II – New Market, and Gumbo Police Station), benefiting 89,808 individuals (24,249 girls, 23,350 boys, 21,554 women, 20,655 men). This brings the total number of people benefitting from these facilities since they were built to 908,404 individuals (245,179 girls, 236,282 boys, 218,013 women, 208,930 men). ●   In Juba, two additional handwashing stations (500L) were installed in St. Kizito Church and Referendum Church. Out of the 94 HWSs built by IOM, 89 remained operational. Two HWS in Gudele 1 (Hai Bertara – B) and Gudele 2B were not operational due to leaking taps, however the leaks were fixed by 27 December. Three HWS in St. Mary College (2) and Holy Family Primary School (1) were not operational as the schools were closed over the Christmas school holidays. The functional handwashing stations benefited 176,786 Individuals (47,732 girls, 45,965 boys, 42,428 women, 40,661 men). ●   IOM handed over one motorized borehole to the community of Suk Libia in Juba after providing training to the Water Management Committee. Upgrading of the five borehole IOM Screener carrying out temperature checks at systems in Gumbo, Lologo II, Lemon Gaba and Joppa Block 1, and Nesitu is ongoing. Wunthou PoE in Renk © IOM 2020 / Lam Deng ●   In Nimule, all three handwashing stations (500L) installed by IOM remained fully operational benefiting 9,545 individuals (2,195 men, 2,291 women, 2,577 girls, 2,482 boys). ●    IOM continued COVID-19 screening and provided IPC/WASH ●   IOM continued to support IPC/WASH activities at five IOM-operated PoEs (Wau, Nimule support at five PoEs, namely Juba International Airport, Wau Ground Crossing, Wunthou (Renk), Amiet (Abyei), and Juba International Airport). Airport, Nimule Ground Crossing, Wunthou (Renk), and Amiet (Abyei). IPC/WASH support at the PoEs includes the supply of ●   IOM maintained 658 handwashing stations, as follows: clean water through water trucking, rehabilitation and maintenance of sanitation facilities, construction and installation of handwashing Case management centre Handwashing stations, Bentiu 1 227 rehabilitated at Malakal Teaching facilities, and supply of IPC materials, such as face masks, soap, and PoC, Bentiu Logbase, Warehouse, Hospital, Malakal County hand sanitizers. Humanitarian Hub, & Bentiu Town Renk Wunthou ●    Arrival and departure screening for COVID-19 was conducted, 266 Handwashing reaching a total of 30,856 travellers, as follows: stations, Malakal PoC Abyei Northern Upper Nile 11,552 3,408 Bahr individuals screened at individuals screened Western Bahr el Ghazal Unity 9,715 Wau Juba International Airport at Wau Airport el Ghazal Airport individuals Warrap screened at Jonglei Nimule Border 28 Handwashing 105 134 Handwashing stations, 6,076 Crossing stations, IOM Office Lakes Juba International Airport, Juba individuals screened individuals screened in Wau, around Wau River Port, Bus stations, Markets, & at Wunthou (Renk) at Amiet (Abyei) PoC & Town IOM Office in Juba C.Equatoria Western Juba International Equatoria Airport ●    IOM continued to support two health facilities nearest to the PoEs in Nimule and Renk with medical supplies, incentives, provision 1 Case management centre constructed at Muktaah PHCC, of training for health facility staff, and risk communications. 1,469 Wau County individuals from the host communities were provided with health Nimule Ground Crossing 3 Handwashing stations, Nimule, IOM care services at the outpatient clinic in Nimule Hospital, bringing Warehouse & the total number of patients seen to 10,145 since 18 October POINT OF ENTRY WITH IPC / CASE MANAGEMENT WASH FACILITIES (HANDWASHING 2020. WASH SUPPORT CENTRES STATIONS & BOREHOLES)

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

Preparedness & Response 02 Update #29 Bi-Weekly COVID-19 Situation Report

PIPELINE

●   IOM Core Pipeline released water tanks (20 m3) and tapstands from the warehouse ●   IOM processed and approved six PPE supplies request from three different in Juba. These items are required for the SWAT system set up in Mangalla as part organizations. The PPE items released included medical gloves, protective coveralls, of the IOM WASH flood emergency responses within which COVID-19 response thermometers, body bag and hand sanitisers, which were utilised to support the and prevention will be integrated. The SWAT system provides treated drinking COVID-19 preparedness activities in Juba, Wau, Mundri East and West, as well water for the flood affected IDPs from Jonglei who are currently displaced in in Raja county. Mangalla.

RISK COMMUNICATION & COMMUNITY ENGAGEMENT

●    IOM continues to mainstream COVID-19 response and prevention into handwashing facilities, on average 53% had wash their hands (a decrease from the humanitarian, recovery, resilience, and development programming. previous week’s average of 70%), while an average of 18% of them were wearing a face mask (an increase from the last week’s average of 11%). This exercise ●     COVID-19 awareness and hygiene promotion activities to communities at was conducted in 29 public places (markets, bus stations, ports, university and Bentiu and Malakal PoCs, as well as outside the PoCs in in Juba, Jur River, and hospital) within Juba at which IOM is currently implementing COVID-19 related Wau, as well as Points of Entry in Abyei, Renk and Nimule. Risk communication activities. and awareness messages on COVID-19 continued to be disseminated through a network of 254 Community Hygiene Promoters (CHPs) working across the ●    IOM has also observed the application of the COVID-19 prevention measures country, reaching 457,561 individuals (143,862 men, 144,281 women, 83,044 in Abyei Administrative Area and Nimule during the period 21 to 27 December. boys, 86,374 girls, including 14,938 PSNs), with key messages including signs and Out of 2,720 individuals (1,344 men, 1,376 women) who have passed by at the symptoms and prevention measures, all aligned with the Risk Communication and handwashing facilities in Abyei, on average 38% of them were wearing face mask. Community Engagement Technical Working Group guidance. In Nimule, out of 73,560 individuals (35,780 men, 37,780 women) who have passed by at the handwashing facilities, on average 9% of them were wearing a ●     COVID-19 related radio messages, combined with protection, gender equality, and face mask (down from 14% during the previous week). GBV mainstreaming, was disseminated through City FM 88.4. The 18th and 19th radio talk show were held on 17 and 24 December 2020 respectively. The 18th ●    IOM also conducted some observations on the application of the preventive radio talk show dicussed International Migrants Day, highlighting how migrants measures on COVID-19 at points of entry (PoE) in Nimule and Renk. Out of have been affected by COVID-19. The 19th radio talk show sought to remind 85,011 individuals (41,483 men, 43,528 women) who have passed by at the listeners about the COVID-19 pandemic, its symptoms and preventive measures. handwashing facilities, on average 78% of them were wearing a face mask. At the same time IOM GBV team also discussed the key role of women at the ●     community level in preventing the COVID-19. In Malakal, Bentiu and Wau, IOM MHPSS teams continued to hold COVID-19 risk communication and awareness raising sessions, reaching 8,324 beneficiaries with ●    During the period 21 to 27 December, IOM also observed the application of key messages on MHPSS considerations during COVID-19 and its prevention, COVID-19 prevention measures at its handwashing points across Juba. Out aimed at behavioural change while tackling misinformation. 160 reusable face of 20,620 individuals (11,716 men, 8,904 women) who have passed by the masks were also distributed to IOM beneficiaries in need in Wau.

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 continued its participation in 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. ●  With the Central Emergency Response Fund’s support, IOM’s four partners continued their activities in health and WASH initiatives to prevent the spread of COVID-19. International Rescue Committee, operating in Rubkona County, and Medair, operating in Juba County, conducts health and WASH activities. In Yei County, , and Nimule, the Norwegian Refugee Council conducts WASH activities, while United Networks for Health conducts health activities in the same locations. The programming is set over nine months.

Risk communication activities at Nimule Ground Crossing © IOM 2020

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

Preparedness & Response 03 Update #29