Gogrial East County - Water, Sanitation and Hygiene Factsheet State, South November/December2018

Overview and Methodology WASH Needs Severity Map The dynamic and multi-faceted nature of the South countrywide WASH baseline in July and August of Sudanese displacement crisis has created significant 2018 during Round 22 of the Food Security and challenges for the delivery of humanitarian aid. Nutrition Monitoring System (FSNMS). FSNMS evel 2 - Stressed Accessibility and security issues within partners agreed to once again incorporate WASH evel 3 - Warning have impeded a systematic understanding of WASH cluster indicators for FSNMS Round 23 (November needs in many areas of the country, and have created and December of 2018). FSNMS is a seasonal evel 4 - Alert difficulties in establishing a clear and unambiguous countrywide assessment conducted, funded and run evel 5 - Emergency system for prioritizing the delivery of aid, thereby limiting by the World Food Programme, UNICEF, and the Upper Nile the effectiveness of humanitarian planning and limiting the Food and Agriculture Organization, and supported by Upp er Nile

Jongle i potential impact of donor funding. As this crisis continues REACH in Round 22. FSNMS, established in 2010, is Northern Unity to expand, evolve and spill into neighbouring countries, it a representative survey that employs two-stage cluster Western Bahr el has become increasingly important to fill information gaps sampling, using a state based sample size and cluster Bahr el Ghazal Ghazal to inform a more effective humanitarian response and determination. In each county, access permitting, 9 Warrap planning for immediate life-saving WASH activities and clusters were selected and 12 households interviewed contingency planning for durable solutions. per cluster. Jonglei In 2018, REACH, in close coordination with the WASH FSNMS is a critical source of information that allows Lakes Cluster, identified five core WASH indicators: 1. %of for the identification of affected areas, the prioritization Households (HHs) by displacement status; 2. % of HHs of resources and for monitoring trends. The data reported having safe access to and use an improved collected during FSNMS is used for the Integrated Western water source (borehole, tapstand, water yard) as their Food Security Phase Classification (IPC) analysis, Equatoria main source of drinking water; 3. % of HHs reported the Humanitarian Needs Overview (HNO) and the Eastern Central Equatoria having access to a latrine (private, shared, or communal/ Humanitarian Response Plan (HRP), as well as Equatoria institutional); 4. % of HHs reported having access to key additional decision making platforms. WASH NFIs (soap, mosquito nets, water containers); and 5. % of HH reported that one or more HH member was FSNMS Assessment Coverage affected by self-reported water or vector borne disease in This WASH composite aims to measure the severity of WASH needs in each county. The - Not having access to a latrine (private, shared, or communal/institutional). Full coverage in the county was achieved. composite was created with four indicators, each broken into 5 levels of severity, as seen in - Not owning a jerrycan or bucket with a lid and soap, and that every member of the the two weeks prior to data collection. this matrix http://bit.ly/2EqRYwJ. The final severity ranking was created by calculating the HH did not sleep under a mosquito net. average level from the following indicators: -Not having safe access to and use an improved - Having one or more household members affected by self-reported water or vector These five indicators were used to establish the first water source (borehole, tapstand, water yard) as a main source of drinking water. borne disease in the two weeks prior to data collection. Displacement Percentage of households by displacement status 1: Percentage of IDP households by time arrived in their Percentage of returnee households by time arrived in Most commonly reported vulnerability, by percentage current location: their current location: of households: (more than one answer was possible) Host community 2% In the last one year 1% In the last one year 100% Children under 5 72% Returnee 7% Elderly persons 41% IDP 1% Chronically ill 15% Female headed 13% Physically disabled 5% Gogrial East County - Water, Sanitation and Hygiene Factsheet Warrap State, South Sudan November/December2018

Water

65% of Gogrial East County HHs reported having safe access to an improved source of drinking Most commonly reported sources Most commonly reported time spent of drinking water by percentage of collecting drinking water (walking to water as their main source, in November and December, 2018. This was a decrease from the households: collection point, waiting, filling container, previous season. returning home) by percentage of 79% of Gogrial East County HHs reported having safe access to an improved source of drinking households: water as their main source, in July and August, 2018 . Borehole 5% 30 minutes to 1 hour 4% 9% of HHs reported feeling unsafe while collecting water, in November and December, 2018. This was an increase from the previous season. ! Swamp 14% Less than 30 minutes 24% 7% of HHs reported feeling unsafe while collecting water, in July and August, 2018. River or stream Between 1- 2 hours Overall 13% 22% Unprotected well % More than 2 hours % % of HHs having safe access to and use an improved water source (borehole, tapstand, water yard) as their main source of drinking water in under 30 minutes: Hand dug well 2% 0 Borehole 5% 30 minutes to 1 hour 4% 1 - 20 Twic Swamp 15% Less than 30 minutes 2% 21 - 40 ^ River or stream 13% Between 1- 2 hours 21% 41 - 0 Host Gogrial West 1 - 80 Unprotected well 5% More than 2 hours 7%

81 - 100 Hand dug well 2% Gogrial East Tonj North Unprotected well 1% Between 1- 2 hours 1% Tonj East K IDPs

Tonj South

Borehole 75% 30 minutes to 1 hour 5% L River or stream 13% Between 1- 2 hours 25% Unprotected well 13% More than 2 hours 25% Returnees

This simple water access composite aims to measure access to an improved water - Access to a borehole, tapstand, or water yard as the primary source of drinking water source, without protection concern. The composite was created by averaging the - Can collect water (walking to collection point, waiting, filling container, returning ‘yes’ responses of households reporting on the following indicators, with all indicators home) in under 30 minutes considered to have the same weight: - Did not report any security concerns while accessing water point

2 Gogrial East County - Water, Sanitation and Hygiene Factsheet Warrap State, South Sudan November/December2018

Sanitation

1% of Gogrial East County HHs reported having access to a latrine (private, shared, or Most commonly reported defecation Most commonly reported excreta disposal location by percentage of households: methods for children under five by communal/institutional), in November and December, 2018. This was an increase from the percentage of households: previous season. 0% of Gogrial East County HHs reported having access to a latrine (private, shared, or communal/institutional), in July and August, 2018. In the bush % In the bush 1% 1% of HHs reported their most common defecation location was a latrine, in November and December, 2018. This was an increase from the previous season. ! In the latrine 1% No answer % Left where it is 0% of HHs reported their most common defecation location was a latrine, in July and August, Overall 4% 2018. % of HHs not usually using a latrine (private, shared, or communal/institutional)2:

0 In the bush % In the bush 2% 1 - 20 Twic In the latrine 1% No answer % 21 - 40 ^ Left where it is 2% 41 - 0 Host Gogrial West 1 - 80

81 - 100 Gogrial East Tonj North In the bush 1% In the bush 1% Tonj East K IDPs

Tonj South

In the bush 1% In the bush 75% L Left where it is 25% Returnees

3 Gogrial East County - Water, Sanitation and Hygiene Factsheet Warrap State, South Sudan November/December2018

Health

76% of Gogrial East County HHs reported one or more HH member was affected by self-reported Most commonly self-reported water or Most commonly self-reported water or water or vector borne disease in the two weeks prior to data collection, in November and vector borne diseases for adults in the vector borne disease for children under 5 December, 2018. This was a decrease from the previous season. two weeks prior to data collection by in the two weeks prior to data collection percentage of households: (more than one by percentage of households: (more than one 90% of Gogrial East County HHs reported one or more HH member was affected by self-reported answer was possible) answer was possible) water or vector borne disease in the two weeks prior to data collection, in July and August, 2018. Typhoid 73% Malaria 1% Malaria was the most commonly reported water or vector borne disease in November and December, Malaria 71% Fever 1% 2018. This was the same as the previous season. ! Stomach pain Flu 5% Overall 71% Malaria was the most commonly reported water or vector borne disease in July and August, 2018. Fever % AWD 1% % of HH with one or more HH member affected by self-reported water or vector borne disease in Typhoid 4% the two weeks prior to data collection: AWD 52% 0 Typhoid 72% Malaria 1% 1 - 20 Twic Stomach pain 7% Fever % 21 - 40 ^ Malaria % Flu 5% 41 - 0 Host Gogrial West 1 - 80 Fever 5% AWD 11%

81 - 100 AWD 47% Typhoid 5% Gogrial East Tonj North AWD 1% Fever 1% Tonj Eye infection 1% Flu 1% East K Fever 1% Malaria 1% IDPs Flu 1% Tonj South Malaria 1%

L Returnees

4 Gogrial East County - Water, Sanitation and Hygiene Factsheet Warrap State, South Sudan November/December2018

WASH NFIs

15% of Gogrial East County HHs reported owning at least one jerrycan or bucket with a lid, with access to soap, and that every member of the HH slept under a mosquito net in November and December, 2018. This was a decrease from the previous season. 24% of Gogrial East County HHs reported owning at least one jerrycan or bucket with a lid, with access to soap, and that every member of the HH slept under a mosquito net in HH in July and August, 2018. 1 was the average number of jerrycans and/or buckets per HH in July and August, 2018. This was a decrease from the previous season. 2 was the average number of jerrycans and/or buckets per HH in November and December, 2018.

Ownership of a bucket or a Ownership of soap by percentage of Every member of the household sleeps jerrycan with a lid by percentage households: under a mosquito net by percentage of Endnotes of households: households: 1. This data is as of November/December 2018. Note, population movement remains fluid. 2. An institutional latrine can be found in a school, hospital, clinic, market ! No 3% No 31% No 3% place. Overall Yes 1% Yes % Yes 1% 3. HHs are asked to produce soap within a minute when assessing the presence of soap in the HH, as if they are not able to locate it within a minute then it stands to reason it is not commonly used. 4. The composite was created by averaging the ‘yes’ responses of HHs reporting on the following indicators, with all considered to have the same weight: access to soap, access to jerrycans/buckets with lids, everyone in ^ No 37% No 3% No 3% the HH slept under a mosquito net. Yes 3% Yes 7% Yes 2% Host About REACH REACH facilitates the development of information tools and products that enhance the capacity of aid actors to make evidence- based decisions in emergency, recovery and K No 1% Yes 1% Yes 1% development contexts. All REACH activities IDPs are conducted through inter-agency aid coordination mechanisms. For more information, you can write to our in- country office: southsudan@reach-initiative. org or to our global office: geneva@reach- L No % No 50% No 3% initiative.org. Visit www.reach-initiative.org and follow Returnees Yes % Yes 50% Yes 3% us @REACH_info.

Returnees 5 Gogrial West County - Water, Sanitation and Hygiene Factsheet Warrap State, South Sudan November/December2018

Overview and Methodology WASH Needs Severity Map The dynamic and multi-faceted nature of the South countrywide WASH baseline in July and August of Sudanese displacement crisis has created significant 2018 during Round 22 of the Food Security and challenges for the delivery of humanitarian aid. Nutrition Monitoring System (FSNMS). FSNMS evel 2 - Stressed Accessibility and security issues within South Sudan partners agreed to once again incorporate WASH evel 3 - Warning have impeded a systematic understanding of WASH cluster indicators for FSNMS Round 23 (November needs in many areas of the country, and have created and December of 2018). FSNMS is a seasonal evel 4 - Alert difficulties in establishing a clear and unambiguous countrywide assessment conducted, funded and run evel 5 - Emergency system for prioritizing the delivery of aid, thereby limiting by the World Food Programme, UNICEF, and the Upper Nile the effectiveness of humanitarian planning and limiting the Food and Agriculture Organization, and supported by Upp er Nile

Jongle i potential impact of donor funding. As this crisis continues REACH in Round 22. FSNMS, established in 2010, is Northern Unity to expand, evolve and spill into neighbouring countries, it a representative survey that employs two-stage cluster Western Bahr el has become increasingly important to fill information gaps sampling, using a state based sample size and cluster Bahr el Ghazal Ghazal to inform a more effective humanitarian response and determination. In each county, access permitting, 9 Warrap planning for immediate life-saving WASH activities and clusters were selected and 12 households interviewed contingency planning for durable solutions. per cluster. Jonglei In 2018, REACH, in close coordination with the WASH FSNMS is a critical source of information that allows Lakes Cluster, identified five core WASH indicators: 1. %of for the identification of affected areas, the prioritization Households (HHs) by displacement status; 2. % of HHs of resources and for monitoring trends. The data reported having safe access to and use an improved collected during FSNMS is used for the Integrated Western water source (borehole, tapstand, water yard) as their Food Security Phase Classification (IPC) analysis, Equatoria main source of drinking water; 3. % of HHs reported the Humanitarian Needs Overview (HNO) and the Eastern Central Equatoria having access to a latrine (private, shared, or communal/ Humanitarian Response Plan (HRP), as well as Equatoria institutional); 4. % of HHs reported having access to key additional decision making platforms. WASH NFIs (soap, mosquito nets, water containers); and 5. % of HH reported that one or more HH member was FSNMS Assessment Coverage affected by self-reported water or vector borne disease in This WASH composite aims to measure the severity of WASH needs in each county. The - Not having access to a latrine (private, shared, or communal/institutional). Full coverage in the county was achieved. composite was created with four indicators, each broken into 5 levels of severity, as seen in - Not owning a jerrycan or bucket with a lid and soap, and that every member of the the two weeks prior to data collection. this matrix http://bit.ly/2EqRYwJ. The final severity ranking was created by calculating the HH did not sleep under a mosquito net. average level from the following indicators: -Not having safe access to and use an improved - Having one or more household members affected by self-reported water or vector These five indicators were used to establish the first water source (borehole, tapstand, water yard) as a main source of drinking water. borne disease in the two weeks prior to data collection. Displacement Percentage of households by displacement status 1: Percentage of IDP households by time arrived in their Percentage of returnee households by time arrived in Most commonly reported vulnerability, by percentage current location: their current location: of households: (more than one answer was possible) Host community % Between 2-3 years 1% Children under 5 2% IDP 1% Elderly persons 42% Chronically ill % Adopted children 7% Female headed 7% Gogrial West County - Water, Sanitation and Hygiene Factsheet Warrap State, South Sudan November/December2018

Water

73% of Gogrial West County HHs reported having safe access to an improved source of drinking Most commonly reported sources Most commonly reported time spent of drinking water by percentage of collecting drinking water (walking to water as their main source, in November and December, 2018. This was a decrease from the households: collection point, waiting, filling container, previous season. returning home) by percentage of 78% of Gogrial West County HHs reported having safe access to an improved source of drinking households: water as their main source, in July and August, 2018 . Borehole 73% 30 minutes to 1 hour 43% 16% of HHs reported feeling unsafe while collecting water, in November and December, 2018. This was an increase from the previous season. ! River or stream 17% Less than 30 minutes 3% 14% of HHs reported feeling unsafe while collecting water, in July and August, 2018. Unprotected well Between 1- 2 hours Overall 7% 1% Hand dug well 3% More than 2 hours 1% % of HHs having safe access to and use an improved water source (borehole, tapstand, water yard) as their main source of drinking water in under 30 minutes: 0 Borehole 73% 30 minutes to 1 hour 42% 1 - 20 Twic River or stream 17% Less than 30 minutes 3% 21 - 40 ^ Unprotected well 7% Between 1- 2 hours 1% 41 - 0 Host Gogrial West 1 - 80 Hand dug well 3% More than 2 hours 1%

81 - 100 Gogrial East Tonj North Borehole 1% 30 minutes to 1 hour 1% Tonj East K IDPs

Tonj South

L Returnees

This simple water access composite aims to measure access to an improved water - Access to a borehole, tapstand, or water yard as the primary source of drinking water source, without protection concern. The composite was created by averaging the - Can collect water (walking to collection point, waiting, filling container, returning ‘yes’ responses of households reporting on the following indicators, with all indicators home) in under 30 minutes considered to have the same weight: - Did not report any security concerns while accessing water point

7 Gogrial West County - Water, Sanitation and Hygiene Factsheet Warrap State, South Sudan November/December2018

Sanitation

0% of Gogrial West County HHs reported having access to a latrine (private, shared, or Most commonly reported defecation Most commonly reported excreta disposal location by percentage of households: methods for children under five by communal/institutional), in November and December, 2018. This was a decrease from the percentage of households: previous season. 8% of Gogrial West County HHs reported having access to a latrine (private, shared, or communal/institutional), in July and August, 2018. In the bush 1% In the bush 7% 0% of HHs reported their most common defecation location was a latrine, in November and December, 2018. This was a decrease from the previous season. ! Dig a hole and cover 24% 8% of HHs reported their most common defecation location was a latrine, in July and August, Overall 2018. % of HHs not usually using a latrine (private, shared, or communal/institutional)2:

0 In the bush 1% In the bush 7% 1 - 20 Twic Dig a hole and cover 24% 21 - 40 ^ 41 - 0 Host Gogrial West 1 - 80

81 - 100 Gogrial East Tonj North In the bush 1% In the bush 1% Tonj East K IDPs

Tonj South

L Returnees

8 Gogrial West County - Water, Sanitation and Hygiene Factsheet Warrap State, South Sudan November/December2018

Health

84% of Gogrial West County HHs reported one or more HH member was affected by self- Most commonly self-reported water or Most commonly self-reported water or reported water or vector borne disease in the two weeks prior to data collection, in November vector borne diseases for adults in the vector borne disease for children under 5 and December, 2018. This was a decrease from the previous season. two weeks prior to data collection by in the two weeks prior to data collection percentage of households: (more than one by percentage of households: (more than one 86% of Gogrial West County HHs reported one or more HH member was affected by self- answer was possible) answer was possible) reported water or vector borne disease in the two weeks prior to data collection, in July and August, 2018. Malaria 74% Malaria 2% Malaria was the most commonly reported water or vector borne disease in November and December, Fever 5% Fever 57% 2018. This was the same as the previous season. ! Typhoid Stomach pain 1% Overall 2% Malaria was the most commonly reported water or vector borne disease in July and August, 2018. Stomach pain 2% AWD 11% % of HH with one or more HH member affected by self-reported water or vector borne disease in Flu 7% the two weeks prior to data collection: Flu % 0 Malaria 74% Malaria 2% 1 - 20 Twic Fever 5% Fever 57% 21 - 40 ^ Typhoid 2% Stomach pain 1% 41 - 0 Host Gogrial West 1 - 80 Stomach pain 2% AWD 11%

81 - 100 Flu % Flu 7% Gogrial East Tonj North Fever 1% Tonj Malaria 1% East K Others 1% IDPs

Tonj South

L Returnees

9 Gogrial West County - Water, Sanitation and Hygiene Factsheet Warrap State, South Sudan November/December2018

WASH NFIs

9% of Gogrial West County HHs reported owning at least one jerrycan or bucket with a lid, with access to soap, and that every member of the HH slept under a mosquito net in November and December, 2018. This was a decrease from the previous season. 25% of Gogrial West County HHs reported owning at least one jerrycan or bucket with a lid, with access to soap, and that every member of the HH slept under a mosquito net in HH in July and August, 2018. 1 was the average number of jerrycans and/or buckets per HH in July and August, 2018. This was a decrease from the previous season. 2 was the average number of jerrycans and/or buckets per HH in November and December, 2018.

Ownership of a bucket or a Ownership of soap by percentage of Every member of the household sleeps jerrycan with a lid by percentage households: under a mosquito net by percentage of Endnotes of households: households: 1. This data is as of November/December 2018. Note, population movement remains fluid. 2. An institutional latrine can be found in a school, hospital, clinic, market ! No 37% No 45% No 3% place. Overall Yes 3% Yes 55% Yes 7% 3. HHs are asked to produce soap within a minute when assessing the presence of soap in the HH, as if they are not able to locate it within a minute then it stands to reason it is not commonly used. 4. The composite was created by averaging the ‘yes’ responses of HHs reporting on the following indicators, with all considered to have the same weight: access to soap, access to jerrycans/buckets with lids, everyone in ^ No 3% No 45% No 2% the HH slept under a mosquito net. Yes 4% Yes 55% Yes 71% Host About REACH REACH facilitates the development of information tools and products that enhance the capacity of aid actors to make evidence- based decisions in emergency, recovery and K No 1% No 1% No 1% development contexts. All REACH activities IDPs are conducted through inter-agency aid coordination mechanisms. For more information, you can write to our in- country office: southsudan@reach-initiative. org or to our global office: geneva@reach- L initiative.org. Visit www.reach-initiative.org and follow Returnees us @REACH_info.

Returnees 10 Tonj East County - Water, Sanitation and Hygiene Factsheet Warrap State, South Sudan November/December2018

Overview and Methodology WASH Needs Severity Map The dynamic and multi-faceted nature of the South countrywide WASH baseline in July and August of Sudanese displacement crisis has created significant 2018 during Round 22 of the Food Security and challenges for the delivery of humanitarian aid. Nutrition Monitoring System (FSNMS). FSNMS evel 2 - Stressed Accessibility and security issues within South Sudan partners agreed to once again incorporate WASH evel 3 - Warning have impeded a systematic understanding of WASH cluster indicators for FSNMS Round 23 (November needs in many areas of the country, and have created and December of 2018). FSNMS is a seasonal evel 4 - Alert difficulties in establishing a clear and unambiguous countrywide assessment conducted, funded and run evel 5 - Emergency system for prioritizing the delivery of aid, thereby limiting by the World Food Programme, UNICEF, and the Upper Nile the effectiveness of humanitarian planning and limiting the Food and Agriculture Organization, and supported by Upp er Nile

Jongle i potential impact of donor funding. As this crisis continues REACH in Round 22. FSNMS, established in 2010, is Northern Unity to expand, evolve and spill into neighbouring countries, it a representative survey that employs two-stage cluster Western Bahr el has become increasingly important to fill information gaps sampling, using a state based sample size and cluster Bahr el Ghazal Ghazal to inform a more effective humanitarian response and determination. In each county, access permitting, 9 Warrap planning for immediate life-saving WASH activities and clusters were selected and 12 households interviewed contingency planning for durable solutions. per cluster. Jonglei In 2018, REACH, in close coordination with the WASH FSNMS is a critical source of information that allows Lakes Cluster, identified five core WASH indicators: 1. %of for the identification of affected areas, the prioritization Households (HHs) by displacement status; 2. % of HHs of resources and for monitoring trends. The data reported having safe access to and use an improved collected during FSNMS is used for the Integrated Western water source (borehole, tapstand, water yard) as their Food Security Phase Classification (IPC) analysis, Equatoria main source of drinking water; 3. % of HHs reported the Humanitarian Needs Overview (HNO) and the Eastern Central Equatoria having access to a latrine (private, shared, or communal/ Humanitarian Response Plan (HRP), as well as Equatoria institutional); 4. % of HHs reported having access to key additional decision making platforms. WASH NFIs (soap, mosquito nets, water containers); and 5. % of HH reported that one or more HH member was FSNMS Assessment Coverage affected by self-reported water or vector borne disease in This WASH composite aims to measure the severity of WASH needs in each county. The - Not having access to a latrine (private, shared, or communal/institutional). Full coverage in the county was achieved. composite was created with four indicators, each broken into 5 levels of severity, as seen in - Not owning a jerrycan or bucket with a lid and soap, and that every member of the the two weeks prior to data collection. this matrix http://bit.ly/2EqRYwJ. The final severity ranking was created by calculating the HH did not sleep under a mosquito net. average level from the following indicators: -Not having safe access to and use an improved - Having one or more household members affected by self-reported water or vector These five indicators were used to establish the first water source (borehole, tapstand, water yard) as a main source of drinking water. borne disease in the two weeks prior to data collection. Displacement Percentage of households by displacement status 1: Percentage of IDP households by time arrived in their Percentage of returnee households by time arrived in Most commonly reported vulnerability, by percentage current location: their current location: of households: (more than one answer was possible) Host community 1% Children under 5 77% Female headed 4% Elderly persons 43% Conflict injuries 12% Chronically ill 1% Tonj East County - Water, Sanitation and Hygiene Factsheet Warrap State, South Sudan November/December2018

Water

75% of Tonj East County HHs reported having safe access to an improved source of drinking Most commonly reported sources Most commonly reported time spent of drinking water by percentage of collecting drinking water (walking to water as their main source, in November and December, 2018. This was an increase from the households: collection point, waiting, filling container, previous season. returning home) by percentage of 69% of Tonj East County HHs reported having safe access to an improved source of drinking households: water as their main source, in July and August, 2018 . Borehole 71% Less than 30 minutes 57% 8% of HHs reported feeling unsafe while collecting water, in November and December, 2018. This was an increase from the previous season. ! Swamp % Between 1- 2 hours 23% 2% of HHs reported feeling unsafe while collecting water, in July and August, 2018. Unprotected well 30 minutes to 1 hour Overall % 21% River or stream 4% % of HHs having safe access to and use an improved water source (borehole, tapstand, water yard) as their main source of drinking water in under 30 minutes: Tap stand 4% 0 Borehole 71% Less than 30 minutes 57% 1 - 20 Twic Swamp % Between 1- 2 hours 23% 21 - 40 ^ Unprotected well % 30 minutes to 1 hour 21% 41 - 0 Host Gogrial West 1 - 80 River or stream 4%

81 - 100 Tap stand 4% Gogrial East Tonj North

Tonj East K IDPs

Tonj South

L Returnees

This simple water access composite aims to measure access to an improved water - Access to a borehole, tapstand, or water yard as the primary source of drinking water source, without protection concern. The composite was created by averaging the - Can collect water (walking to collection point, waiting, filling container, returning ‘yes’ responses of households reporting on the following indicators, with all indicators home) in under 30 minutes considered to have the same weight: - Did not report any security concerns while accessing water point

12 Tonj East County - Water, Sanitation and Hygiene Factsheet Warrap State, South Sudan November/December2018

Sanitation

1% of Tonj East County HHs reported having access to a latrine (private, shared, or communal/ Most commonly reported defecation Most commonly reported excreta disposal location by percentage of households: methods for children under five by institutional), in November and December, 2018. This was an increase from the previous percentage of households: season. 0% of Tonj East County HHs reported having access to a latrine (private, shared, or communal/ institutional), in July and August, 2018. In the bush % In the bush 7% 1% of HHs reported their most common defecation location was a latrine, in November and December, 2018. This was an increase from the previous season. ! In the latrine 1% Dig a hole and cover 3% 0% of HHs reported their most common defecation location was a latrine, in July and August, Overall 2018. % of HHs not usually using a latrine (private, shared, or communal/institutional)2:

0 In the bush % In the bush 7% 1 - 20 Twic In the latrine 1% Dig a hole and cover 3% 21 - 40 ^ 41 - 0 Host Gogrial West 1 - 80

81 - 100 Gogrial East Tonj North

Tonj East K IDPs

Tonj South

L Returnees

13 Tonj East County - Water, Sanitation and Hygiene Factsheet Warrap State, South Sudan November/December2018

Health

85% of Tonj East County HHs reported one or more HH member was affected by self-reported Most commonly self-reported water or Most commonly self-reported water or water or vector borne disease in the two weeks prior to data collection, in November and vector borne diseases for adults in the vector borne disease for children under 5 December, 2018. This was a decrease from the previous season. two weeks prior to data collection by in the two weeks prior to data collection percentage of households: (more than one by percentage of households: (more than one 89% of Tonj East County HHs reported one or more HH member was affected by self-reported answer was possible) answer was possible) water or vector borne disease in the two weeks prior to data collection, in July and August, 2018. Malaria 2% Fever 7% Fever was the most commonly reported water or vector borne disease in November and December, Fever 5% Malaria % 2018. This was different to the previous season. ! Stomach pain AWD 25% Overall 32% Malaria was the most commonly reported water or vector borne disease in July and August, 2018. AWD 14% Stomach pain 2% % of HH with one or more HH member affected by self-reported water or vector borne disease in Flu 1% the two weeks prior to data collection: Flu 11% 0 Malaria 2% Fever 7% 1 - 20 Twic Fever 5% Malaria % 21 - 40 ^ Stomach pain 32% AWD 25% 41 - 0 Host Gogrial West 1 - 80 AWD 14% Stomach pain 2%

81 - 100 Flu 11% Flu 1% Gogrial East Tonj North

Tonj East K IDPs

Tonj South

L Returnees

14 Tonj East County - Water, Sanitation and Hygiene Factsheet Warrap State, South Sudan November/December2018

WASH NFIs

18% of Tonj East County HHs reported owning at least one jerrycan or bucket with a lid, with access to soap, and that every member of the HH slept under a mosquito net in November and December, 2018. This was a decrease from the previous season. 26% of Tonj East County HHs reported owning at least one jerrycan or bucket with a lid, with access to soap, and that every member of the HH slept under a mosquito net in HH in July and August, 2018. 2 was the average number of jerrycans and/or buckets per HH in July and August, 2018. This was the same as the previous season. 2 was the average number of jerrycans and/or buckets per HH in November and December, 2018.

Ownership of a bucket or a Ownership of soap by percentage of Every member of the household sleeps jerrycan with a lid by percentage households: under a mosquito net by percentage of Endnotes of households: households: 1. This data is as of November/December 2018. Note, population movement remains fluid. 2. An institutional latrine can be found in a school, hospital, clinic, market ! No 25% No 71% No 25% place. Overall Yes 75% Yes 2% Yes 75% 3. HHs are asked to produce soap within a minute when assessing the presence of soap in the HH, as if they are not able to locate it within a minute then it stands to reason it is not commonly used. 4. The composite was created by averaging the ‘yes’ responses of HHs reporting on the following indicators, with all considered to have the same weight: access to soap, access to jerrycans/buckets with lids, everyone in ^ No 25% No 71% No 25% the HH slept under a mosquito net. Yes 75% Yes 2% Yes 75% Host About REACH REACH facilitates the development of information tools and products that enhance the capacity of aid actors to make evidence- based decisions in emergency, recovery and K development contexts. All REACH activities IDPs are conducted through inter-agency aid coordination mechanisms. For more information, you can write to our in- country office: southsudan@reach-initiative. org or to our global office: geneva@reach- L initiative.org. Visit www.reach-initiative.org and follow Returnees us @REACH_info.

Returnees 15 Tonj North County - Water, Sanitation and Hygiene Factsheet Warrap State, South Sudan November/December2018

Overview and Methodology WASH Needs Severity Map The dynamic and multi-faceted nature of the South countrywide WASH baseline in July and August of Sudanese displacement crisis has created significant 2018 during Round 22 of the Food Security and challenges for the delivery of humanitarian aid. Nutrition Monitoring System (FSNMS). FSNMS evel 2 - Stressed Accessibility and security issues within South Sudan partners agreed to once again incorporate WASH evel 3 - Warning have impeded a systematic understanding of WASH cluster indicators for FSNMS Round 23 (November needs in many areas of the country, and have created and December of 2018). FSNMS is a seasonal evel 4 - Alert difficulties in establishing a clear and unambiguous countrywide assessment conducted, funded and run evel 5 - Emergency system for prioritizing the delivery of aid, thereby limiting by the World Food Programme, UNICEF, and the Upper Nile the effectiveness of humanitarian planning and limiting the Food and Agriculture Organization, and supported by Upp er Nile

Jongle i potential impact of donor funding. As this crisis continues REACH in Round 22. FSNMS, established in 2010, is Northern Unity to expand, evolve and spill into neighbouring countries, it a representative survey that employs two-stage cluster Western Bahr el has become increasingly important to fill information gaps sampling, using a state based sample size and cluster Bahr el Ghazal Ghazal to inform a more effective humanitarian response and determination. In each county, access permitting, 9 Warrap planning for immediate life-saving WASH activities and clusters were selected and 12 households interviewed contingency planning for durable solutions. per cluster. Jonglei In 2018, REACH, in close coordination with the WASH FSNMS is a critical source of information that allows Lakes Cluster, identified five core WASH indicators: 1. %of for the identification of affected areas, the prioritization Households (HHs) by displacement status; 2. % of HHs of resources and for monitoring trends. The data reported having safe access to and use an improved collected during FSNMS is used for the Integrated Western water source (borehole, tapstand, water yard) as their Food Security Phase Classification (IPC) analysis, Equatoria main source of drinking water; 3. % of HHs reported the Humanitarian Needs Overview (HNO) and the Eastern Central Equatoria having access to a latrine (private, shared, or communal/ Humanitarian Response Plan (HRP), as well as Equatoria institutional); 4. % of HHs reported having access to key additional decision making platforms. WASH NFIs (soap, mosquito nets, water containers); and 5. % of HH reported that one or more HH member was FSNMS Assessment Coverage affected by self-reported water or vector borne disease in This WASH composite aims to measure the severity of WASH needs in each county. The - Not having access to a latrine (private, shared, or communal/institutional). Full coverage in the county was achieved. composite was created with four indicators, each broken into 5 levels of severity, as seen in - Not owning a jerrycan or bucket with a lid and soap, and that every member of the the two weeks prior to data collection. this matrix http://bit.ly/2EqRYwJ. The final severity ranking was created by calculating the HH did not sleep under a mosquito net. average level from the following indicators: -Not having safe access to and use an improved - Having one or more household members affected by self-reported water or vector These five indicators were used to establish the first water source (borehole, tapstand, water yard) as a main source of drinking water. borne disease in the two weeks prior to data collection. Displacement Percentage of households by displacement status 1: Percentage of IDP households by time arrived in their Percentage of returnee households by time arrived in Most commonly reported vulnerability, by percentage current location: their current location: of households: (more than one answer was possible) Host community 1% Children under 5 % Elderly persons 52% Female headed 23% Chronically ill 1% Physically disabled % Tonj North County - Water, Sanitation and Hygiene Factsheet Warrap State, South Sudan November/December2018

Water

95% of Tonj North County HHs reported having safe access to an improved source of drinking Most commonly reported sources Most commonly reported time spent of drinking water by percentage of collecting drinking water (walking to water as their main source, in November and December, 2018. This was an increase from the households: collection point, waiting, filling container, previous season. returning home) by percentage of 82% of Tonj North County HHs reported having safe access to an improved source of drinking households: water as their main source, in July and August, 2018 . Borehole 5% Less than 30 minutes 3% 10% of HHs reported feeling unsafe while collecting water, in November and December, 2018. This was an increase from the previous season. ! Hand dug well 2% Between 1- 2 hours 35% 6% of HHs reported feeling unsafe while collecting water, in July and August, 2018. Unprotected well 30 minutes to 1 hour Overall 2% 24% Swamp 1% More than 2 hours 2% % of HHs having safe access to and use an improved water source (borehole, tapstand, water yard) as their main source of drinking water in under 30 minutes: I don't know 1% 0 Borehole 5% Less than 30 minutes 3% 1 - 20 Twic Hand dug well 2% Between 1- 2 hours 35% 21 - 40 ^ Unprotected well 2% 30 minutes to 1 hour 24% 41 - 0 Host Gogrial West 1 - 80 Swamp 1% More than 2 hours 2%

81 - 100 I don't know 1% Gogrial East Tonj North

Tonj East K IDPs

Tonj South

L Returnees

This simple water access composite aims to measure access to an improved water - Access to a borehole, tapstand, or water yard as the primary source of drinking water source, without protection concern. The composite was created by averaging the - Can collect water (walking to collection point, waiting, filling container, returning ‘yes’ responses of households reporting on the following indicators, with all indicators home) in under 30 minutes considered to have the same weight: - Did not report any security concerns while accessing water point

17 Tonj North County - Water, Sanitation and Hygiene Factsheet Warrap State, South Sudan November/December2018

Sanitation

0% of Tonj North County HHs reported having access to a latrine (private, shared, or communal/ Most commonly reported defecation Most commonly reported excreta disposal location by percentage of households: methods for children under five by institutional), in November and December, 2018. This was a decrease from the previous percentage of households: season. 1% of Tonj North County HHs reported having access to a latrine (private, shared, or communal/ institutional), in July and August, 2018. In the bush 1% In the bush % 0% of HHs reported their most common defecation location was a latrine, in November and December, 2018. This was a decrease from the previous season. ! No answer % Left where it is 1% of HHs reported their most common defecation location was a latrine, in July and August, Overall 4% 2018. Dig a hole and cover 2% % of HHs not usually using a latrine (private, shared, or communal/institutional)2:

0 In the bush 1% In the bush % 1 - 20 Twic No answer % 21 - 40 ^ Left where it is 4% 41 - 0 Host Gogrial West 1 - 80 Dig a hole and cover 2%

81 - 100 Gogrial East Tonj North

Tonj East K IDPs

Tonj South

L Returnees

18 Tonj North County - Water, Sanitation and Hygiene Factsheet Warrap State, South Sudan November/December2018

Health

65% of Tonj North County HHs reported one or more HH member was affected by self-reported Most commonly self-reported water or Most commonly self-reported water or water or vector borne disease in the two weeks prior to data collection, in November and vector borne diseases for adults in the vector borne disease for children under 5 December, 2018. This was a decrease from the previous season. two weeks prior to data collection by in the two weeks prior to data collection percentage of households: (more than one by percentage of households: (more than one 89% of Tonj North County HHs reported one or more HH member was affected by self-reported answer was possible) answer was possible) water or vector borne disease in the two weeks prior to data collection, in July and August, 2018. Malaria 5% Malaria 1% Malaria was the most commonly reported water or vector borne disease in November and December, Stomach pain 5% Fever 53% 2018. This was the same as the previous season. ! Typhoid Stomach pain 35% Overall 5% Malaria was the most commonly reported water or vector borne disease in July and August, 2018. AWD 33% Flu 1% % of HH with one or more HH member affected by self-reported water or vector borne disease in AWD 14% the two weeks prior to data collection: Fever 33% 0 Malaria 5% Malaria 1% 1 - 20 Twic Stomach pain 5% Fever 53% 21 - 40 ^ Typhoid 5% Stomach pain 35% 41 - 0 Host Gogrial West 1 - 80 AWD 33% Flu 1%

81 - 100 Fever 33% AWD 14% Gogrial East Tonj North

Tonj East K IDPs

Tonj South

L Returnees

19 Tonj North County - Water, Sanitation and Hygiene Factsheet Warrap State, South Sudan November/December2018

WASH NFIs

6% of Tonj North County HHs reported owning at least one jerrycan or bucket with a lid, with access to soap, and that every member of the HH slept under a mosquito net in November and December, 2018. This was a decrease from the previous season. 25% of Tonj North County HHs reported owning at least one jerrycan or bucket with a lid, with access to soap, and that every member of the HH slept under a mosquito net in HH in July and August, 2018. 1 was the average number of jerrycans and/or buckets per HH in July and August, 2018. This was a decrease from the previous season. 2 was the average number of jerrycans and/or buckets per HH in November and December, 2018.

Ownership of a bucket or a Ownership of soap by percentage of Every member of the household sleeps jerrycan with a lid by percentage households: under a mosquito net by percentage of Endnotes of households: households: 1. This data is as of November/December 2018. Note, population movement remains fluid. 2. An institutional latrine can be found in a school, hospital, clinic, market ! No 47% No 42% No 5% place. Overall Yes 53% Yes 5% Yes 42% 3. HHs are asked to produce soap within a minute when assessing the presence of soap in the HH, as if they are not able to locate it within a minute then it stands to reason it is not commonly used. 4. The composite was created by averaging the ‘yes’ responses of HHs reporting on the following indicators, with all considered to have the same weight: access to soap, access to jerrycans/buckets with lids, everyone in ^ No 47% No 42% No 5% the HH slept under a mosquito net. Yes 53% Yes 5% Yes 42% Host About REACH REACH facilitates the development of information tools and products that enhance the capacity of aid actors to make evidence- based decisions in emergency, recovery and K development contexts. All REACH activities IDPs are conducted through inter-agency aid coordination mechanisms. For more information, you can write to our in- country office: southsudan@reach-initiative. org or to our global office: geneva@reach- L initiative.org. Visit www.reach-initiative.org and follow Returnees us @REACH_info.

Returnees 20 Tonj South County - Water, Sanitation and Hygiene Factsheet Warrap State, South Sudan November/December2018

Overview and Methodology WASH Needs Severity Map The dynamic and multi-faceted nature of the South countrywide WASH baseline in July and August of Sudanese displacement crisis has created significant 2018 during Round 22 of the Food Security and challenges for the delivery of humanitarian aid. Nutrition Monitoring System (FSNMS). FSNMS evel 2 - Stressed Accessibility and security issues within South Sudan partners agreed to once again incorporate WASH evel 3 - Warning have impeded a systematic understanding of WASH cluster indicators for FSNMS Round 23 (November needs in many areas of the country, and have created and December of 2018). FSNMS is a seasonal evel 4 - Alert difficulties in establishing a clear and unambiguous countrywide assessment conducted, funded and run evel 5 - Emergency system for prioritizing the delivery of aid, thereby limiting by the World Food Programme, UNICEF, and the Upper Nile the effectiveness of humanitarian planning and limiting the Food and Agriculture Organization, and supported by Upp er Nile

Jongle i potential impact of donor funding. As this crisis continues REACH in Round 22. FSNMS, established in 2010, is Northern Unity to expand, evolve and spill into neighbouring countries, it a representative survey that employs two-stage cluster Western Bahr el has become increasingly important to fill information gaps sampling, using a state based sample size and cluster Bahr el Ghazal Ghazal to inform a more effective humanitarian response and determination. In each county, access permitting, 9 Warrap planning for immediate life-saving WASH activities and clusters were selected and 12 households interviewed contingency planning for durable solutions. per cluster. Jonglei In 2018, REACH, in close coordination with the WASH FSNMS is a critical source of information that allows Lakes Cluster, identified five core WASH indicators: 1. %of for the identification of affected areas, the prioritization Households (HHs) by displacement status; 2. % of HHs of resources and for monitoring trends. The data reported having safe access to and use an improved collected during FSNMS is used for the Integrated Western water source (borehole, tapstand, water yard) as their Food Security Phase Classification (IPC) analysis, Equatoria main source of drinking water; 3. % of HHs reported the Humanitarian Needs Overview (HNO) and the Eastern Central Equatoria having access to a latrine (private, shared, or communal/ Humanitarian Response Plan (HRP), as well as Equatoria institutional); 4. % of HHs reported having access to key additional decision making platforms. WASH NFIs (soap, mosquito nets, water containers); and 5. % of HH reported that one or more HH member was FSNMS Assessment Coverage affected by self-reported water or vector borne disease in This WASH composite aims to measure the severity of WASH needs in each county. The - Not having access to a latrine (private, shared, or communal/institutional). Full coverage in the county was achieved. composite was created with four indicators, each broken into 5 levels of severity, as seen in - Not owning a jerrycan or bucket with a lid and soap, and that every member of the the two weeks prior to data collection. this matrix http://bit.ly/2EqRYwJ. The final severity ranking was created by calculating the HH did not sleep under a mosquito net. average level from the following indicators: -Not having safe access to and use an improved - Having one or more household members affected by self-reported water or vector These five indicators were used to establish the first water source (borehole, tapstand, water yard) as a main source of drinking water. borne disease in the two weeks prior to data collection. Displacement Percentage of households by displacement status 1: Percentage of IDP households by time arrived in their Percentage of returnee households by time arrived in Most commonly reported vulnerability, by percentage current location: their current location: of households: (more than one answer was possible) Host community 1% Children under 5 7% Elderly persons 47% Female headed 45% Conflict injuries 1% Physically disabled % Tonj South County - Water, Sanitation and Hygiene Factsheet Warrap State, South Sudan November/December2018

Water

39% of Tonj South County HHs reported having safe access to an improved source of drinking Most commonly reported sources Most commonly reported time spent of drinking water by percentage of collecting drinking water (walking to water as their main source, in November and December, 2018. This was a decrease from the households: collection point, waiting, filling container, previous season. returning home) by percentage of 49% of Tonj South County HHs reported having safe access to an improved source of drinking households: water as their main source, in July and August, 2018 . Borehole 3% Less than 30 minutes 4% 18% of HHs reported feeling unsafe while collecting water, in November and December, 2018. This was an increase from the previous season. ! River or stream 2% 30 minutes to 1 hour 27% 2% of HHs reported feeling unsafe while collecting water, in July and August, 2018. Hand dug well Between 1- 2 hours Overall 25% % Unprotected well 1% % of HHs having safe access to and use an improved water source (borehole, tapstand, water yard) as their main source of drinking water in under 30 minutes: 0 Borehole 3% Less than 30 minutes 4% 1 - 20 Twic River or stream 2% 30 minutes to 1 hour 27% 21 - 40 ^ Hand dug well 25% Between 1- 2 hours % 41 - 0 Host Gogrial West 1 - 80 Unprotected well 1%

81 - 100 Gogrial East Tonj North

Tonj East K IDPs

Tonj South

L Returnees

This simple water access composite aims to measure access to an improved water - Access to a borehole, tapstand, or water yard as the primary source of drinking water source, without protection concern. The composite was created by averaging the - Can collect water (walking to collection point, waiting, filling container, returning ‘yes’ responses of households reporting on the following indicators, with all indicators home) in under 30 minutes considered to have the same weight: - Did not report any security concerns while accessing water point

22 Tonj South County - Water, Sanitation and Hygiene Factsheet Warrap State, South Sudan November/December2018

Sanitation

1% of Tonj South County HHs reported having access to a latrine (private, shared, or communal/ Most commonly reported defecation Most commonly reported excreta disposal location by percentage of households: methods for children under five by institutional), in November and December, 2018. This was an increase from the previous percentage of households: season. 0% of Tonj South County HHs reported having access to a latrine (private, shared, or communal/institutional), in July and August, 2018. In the bush 7% In the bush % 0% of HHs reported their most common defecation location was a latrine, in November and December, 2018. This was the same as the previous season. ! In the river 3% Dig a hole and cover 1% Left where it is 0% of HHs reported their most common defecation location was a latrine, in July and August, Overall 1% 2018. % of HHs not usually using a latrine (private, shared, or communal/institutional)2:

0 In the bush 7% In the bush % 1 - 20 Twic In the river 3% Dig a hole and cover 1% 21 - 40 ^ Left where it is 1% 41 - 0 Host Gogrial West 1 - 80

81 - 100 Gogrial East Tonj North

Tonj East K IDPs

Tonj South

L Returnees

23 Tonj South County - Water, Sanitation and Hygiene Factsheet Warrap State, South Sudan November/December2018

Health

75% of Tonj South County HHs reported one or more HH member was affected by self-reported Most commonly self-reported water or Most commonly self-reported water or water or vector borne disease in the two weeks prior to data collection, in November and vector borne diseases for adults in the vector borne disease for children under 5 December, 2018. This was a decrease from the previous season. two weeks prior to data collection by in the two weeks prior to data collection percentage of households: (more than one by percentage of households: (more than one 92% of Tonj South County HHs reported one or more HH member was affected by self-reported answer was possible) answer was possible) water or vector borne disease in the two weeks prior to data collection, in July and August, 2018. Malaria 7% Fever % Fever was the most commonly reported water or vector borne disease in November and December, Fever % Malaria 74% 2018. This was different to the previous season. ! AWD AWD 3% Overall 4% Malaria was the most commonly reported water or vector borne disease in July and August, 2018. Stomach pain 32% Stomach pain 21% % of HH with one or more HH member affected by self-reported water or vector borne disease in Flu 15% the two weeks prior to data collection: Typhoid % 0 Malaria 7% Fever % 1 - 20 Twic Fever % Malaria 74% 21 - 40 ^ AWD 4% AWD 3% 41 - 0 Host Gogrial West 1 - 80 Stomach pain 32% Stomach pain 21%

81 - 100 Typhoid % Flu 15% Gogrial East Tonj North

Tonj East K IDPs

Tonj South

L Returnees

24 Tonj South County - Water, Sanitation and Hygiene Factsheet Warrap State, South Sudan November/December2018

WASH NFIs

11% of Tonj South County HHs reported owning at least one jerrycan or bucket with a lid, with access to soap, and that every member of the HH slept under a mosquito net in November and December, 2018. This was a decrease from the previous season. 38% of Tonj South County HHs reported owning at least one jerrycan or bucket with a lid, with access to soap, and that every member of the HH slept under a mosquito net in HH in July and August, 2018. 2 was the average number of jerrycans and/or buckets per HH in July and August, 2018. This was the same as the previous season. 2 was the average number of jerrycans and/or buckets per HH in November and December, 2018.

Ownership of a bucket or a Ownership of soap by percentage of Every member of the household sleeps jerrycan with a lid by percentage households: under a mosquito net by percentage of Endnotes of households: households: 1. This data is as of November/December 2018. Note, population movement remains fluid. 2. An institutional latrine can be found in a school, hospital, clinic, market ! No 2% No 7% No 27% place. Overall Yes % Yes 22% Yes 73% 3. HHs are asked to produce soap within a minute when assessing the presence of soap in the HH, as if they are not able to locate it within a minute then it stands to reason it is not commonly used. 4. The composite was created by averaging the ‘yes’ responses of HHs reporting on the following indicators, with all considered to have the same weight: access to soap, access to jerrycans/buckets with lids, everyone in ^ No 2% No 7% No 27% the HH slept under a mosquito net. Yes % Yes 22% Yes 73% Host About REACH REACH facilitates the development of information tools and products that enhance the capacity of aid actors to make evidence- based decisions in emergency, recovery and K development contexts. All REACH activities IDPs are conducted through inter-agency aid coordination mechanisms. For more information, you can write to our in- country office: southsudan@reach-initiative. org or to our global office: geneva@reach- L initiative.org. Visit www.reach-initiative.org and follow Returnees us @REACH_info.

Returnees 25 Twic County - Water, Sanitation and Hygiene Factsheet Warrap State, South Sudan November/December2018

Overview and Methodology WASH Needs Severity Map The dynamic and multi-faceted nature of the South countrywide WASH baseline in July and August of Sudanese displacement crisis has created significant 2018 during Round 22 of the Food Security and challenges for the delivery of humanitarian aid. Nutrition Monitoring System (FSNMS). FSNMS evel 2 - Stressed Accessibility and security issues within South Sudan partners agreed to once again incorporate WASH evel 3 - Warning have impeded a systematic understanding of WASH cluster indicators for FSNMS Round 23 (November needs in many areas of the country, and have created and December of 2018). FSNMS is a seasonal evel 4 - Alert difficulties in establishing a clear and unambiguous countrywide assessment conducted, funded and run evel 5 - Emergency system for prioritizing the delivery of aid, thereby limiting by the World Food Programme, UNICEF, and the Upper Nile the effectiveness of humanitarian planning and limiting the Food and Agriculture Organization, and supported by Upp er Nile

Jongle i potential impact of donor funding. As this crisis continues REACH in Round 22. FSNMS, established in 2010, is Northern Unity to expand, evolve and spill into neighbouring countries, it a representative survey that employs two-stage cluster Western Bahr el has become increasingly important to fill information gaps sampling, using a state based sample size and cluster Bahr el Ghazal Ghazal to inform a more effective humanitarian response and determination. In each county, access permitting, 9 Warrap planning for immediate life-saving WASH activities and clusters were selected and 12 households interviewed contingency planning for durable solutions. per cluster. Jonglei In 2018, REACH, in close coordination with the WASH FSNMS is a critical source of information that allows Lakes Cluster, identified five core WASH indicators: 1. %of for the identification of affected areas, the prioritization Households (HHs) by displacement status; 2. % of HHs of resources and for monitoring trends. The data reported having safe access to and use an improved collected during FSNMS is used for the Integrated Western water source (borehole, tapstand, water yard) as their Food Security Phase Classification (IPC) analysis, Equatoria main source of drinking water; 3. % of HHs reported the Humanitarian Needs Overview (HNO) and the Eastern Central Equatoria having access to a latrine (private, shared, or communal/ Humanitarian Response Plan (HRP), as well as Equatoria institutional); 4. % of HHs reported having access to key additional decision making platforms. WASH NFIs (soap, mosquito nets, water containers); and 5. % of HH reported that one or more HH member was FSNMS Assessment Coverage affected by self-reported water or vector borne disease in This WASH composite aims to measure the severity of WASH needs in each county. The - Not having access to a latrine (private, shared, or communal/institutional). Full coverage in the county was achieved. composite was created with four indicators, each broken into 5 levels of severity, as seen in - Not owning a jerrycan or bucket with a lid and soap, and that every member of the the two weeks prior to data collection. this matrix http://bit.ly/2EqRYwJ. The final severity ranking was created by calculating the HH did not sleep under a mosquito net. average level from the following indicators: -Not having safe access to and use an improved - Having one or more household members affected by self-reported water or vector These five indicators were used to establish the first water source (borehole, tapstand, water yard) as a main source of drinking water. borne disease in the two weeks prior to data collection. Displacement Percentage of households by displacement status 1: Percentage of IDP households by time arrived in their Percentage of returnee households by time arrived in Most commonly reported vulnerability, by percentage current location: their current location: of households: (more than one answer was possible) Host community 1% Children under 5 7% Elderly persons 42% Female headed 1% Chronically ill 1% Physically disabled 1% Twic County - Water, Sanitation and Hygiene Factsheet Warrap State, South Sudan November/December2018

Water

97% of Twic County HHs reported having safe access to an improved source of drinking water as Most commonly reported sources Most commonly reported time spent of drinking water by percentage of collecting drinking water (walking to their main source, in November and December, 2018. This was a decrease from the previous households: collection point, waiting, filling container, season. returning home) by percentage of 100% of Twic County HHs reported having safe access to an improved source of drinking water as households: their main source, in July and August, 2018 . Borehole 7% Less than 30 minutes 5% 2% of HHs reported feeling unsafe while collecting water, in November and December, 2018. This was a decrease from the previous season. ! River or stream 3% 30 minutes to 1 hour 15% 28% of HHs reported feeling unsafe while collecting water, in July and August, 2018. Overall

% of HHs having safe access to and use an improved water source (borehole, tapstand, water yard) as their main source of drinking water in under 30 minutes: 0 Borehole 7% Less than 30 minutes 5% 1 - 20 Twic River or stream 3% 30 minutes to 1 hour 15% 21 - 40 ^ 41 - 0 Host Gogrial West 1 - 80

81 - 100 Gogrial East Tonj North

Tonj East K IDPs

Tonj South

L Returnees

This simple water access composite aims to measure access to an improved water - Access to a borehole, tapstand, or water yard as the primary source of drinking water source, without protection concern. The composite was created by averaging the - Can collect water (walking to collection point, waiting, filling container, returning ‘yes’ responses of households reporting on the following indicators, with all indicators home) in under 30 minutes considered to have the same weight: - Did not report any security concerns while accessing water point

27 Twic County - Water, Sanitation and Hygiene Factsheet Warrap State, South Sudan November/December2018

Sanitation

14% of Twic County HHs reported having access to a latrine (private, shared, or communal/ Most commonly reported defecation Most commonly reported excreta disposal location by percentage of households: methods for children under five by institutional), in November and December, 2018. This was an increase from the previous percentage of households: season. 10% of Twic County HHs reported having access to a latrine (private, shared, or communal/ institutional), in July and August, 2018. In the bush % In the bush 1% 11% of HHs reported their most common defecation location was a latrine, in November and December, 2018. This was an increase from the previous season. ! In the latrine 11% In the latrine % 7% of HHs reported their most common defecation location was a latrine, in July and August, Overall 2018. % of HHs not usually using a latrine (private, shared, or communal/institutional)2:

0 In the bush % In the bush 1% 1 - 20 Twic In the latrine 11% In the latrine % 21 - 40 ^ 41 - 0 Host Gogrial West 1 - 80

81 - 100 Gogrial East Tonj North

Tonj East K IDPs

Tonj South

L Returnees

28 Twic County - Water, Sanitation and Hygiene Factsheet Warrap State, South Sudan November/December2018

Health

88% of Twic County HHs reported one or more HH member was affected by self-reported water Most commonly self-reported water or Most commonly self-reported water or or vector borne disease in the two weeks prior to data collection, in November and December, vector borne diseases for adults in the vector borne disease for children under 5 2018. This was a decrease from the previous season. two weeks prior to data collection by in the two weeks prior to data collection percentage of households: (more than one by percentage of households: (more than one 95% of Twic County HHs reported one or more HH member was affected by self-reported water answer was possible) answer was possible) or vector borne disease in the two weeks prior to data collection, in July and August, 2018. Malaria 72% Malaria was the most commonly reported water or vector borne disease in November and December, Malaria 72% 2018. This was the same as the previous season. ! Fever 3% Fever 5% Malaria Flu Flu 21% was the most commonly reported water or vector borne disease in July and August, 2018. Overall 12% Stomach pain 1% Stomach pain 17% % of HH with one or more HH member affected by self-reported water or vector borne disease in Others 1% the two weeks prior to data collection: Typhoid % 0 Malaria 72% Malaria 72% 1 - 20 Twic Fever 3% Fever 5% 21 - 40 ^ Flu 12% Flu 21% 41 - 0 Host Gogrial West 1 - 80 Stomach pain 1% Stomach pain 17%

81 - 100 Typhoid % Others 1% Gogrial East Tonj North

Tonj East K IDPs

Tonj South

L Returnees

29 Twic County - Water, Sanitation and Hygiene Factsheet Warrap State, South Sudan November/December2018

WASH NFIs

18% of Twic County HHs reported owning at least one jerrycan or bucket with a lid, with access to soap, and that every member of the HH slept under a mosquito net in November and December, 2018. This was a decrease from the previous season. 28% of Twic County HHs reported owning at least one jerrycan or bucket with a lid, with access to soap, and that every member of the HH slept under a mosquito net in HH in July and August, 2018. 2 was the average number of jerrycans and/or buckets per HH in July and August, 2018. This was the same as the previous season. 2 was the average number of jerrycans and/or buckets per HH in November and December, 2018.

Ownership of a bucket or a Ownership of soap by percentage of Every member of the household sleeps jerrycan with a lid by percentage households: under a mosquito net by percentage of Endnotes of households: households: 1. This data is as of November/December 2018. Note, population movement remains fluid. 2. An institutional latrine can be found in a school, hospital, clinic, market ! No 3% No % No % place. Overall Yes 4% Yes 31% Yes 4% 3. HHs are asked to produce soap within a minute when assessing the presence of soap in the HH, as if they are not able to locate it within a minute then it stands to reason it is not commonly used. 4. The composite was created by averaging the ‘yes’ responses of HHs reporting on the following indicators, with all considered to have the same weight: access to soap, access to jerrycans/buckets with lids, everyone in ^ No 3% No % No % the HH slept under a mosquito net. Yes 4% Yes 31% Yes 4% Host About REACH REACH facilitates the development of information tools and products that enhance the capacity of aid actors to make evidence- based decisions in emergency, recovery and K development contexts. All REACH activities IDPs are conducted through inter-agency aid coordination mechanisms. For more information, you can write to our in- country office: southsudan@reach-initiative. org or to our global office: geneva@reach- L initiative.org. Visit www.reach-initiative.org and follow Returnees us @REACH_info.

Returnees 30