DOCSLIB.ORG

SPPHC-HIV Strengthening the Provision of Primary Health Care – HIV Services [IM 17714]

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
SPPHC-HIV Strengthening the Provision of Primary Health Care – HIV Services [IM 17714] SPPHC-HIV Strengthening the Provision of Primary Health Care – HIV Services [IM 17714] PY6/COP19 Q1 Progress Report October – December, 2019 Submitted Jan 31, 2020 This report is made possible by the generous support of the American people through the United States President’s Emergency Plan for AIDS Relief (PEPFAR) and the United States Agency for International Development (USAID) Cooperative Agreement Number AID-668-A-15-00001. The contents are the responsibilities of the SPPHC project and do not necessarily reflect the views of PEPFAR, USAID or the United States Government. 1 TABLE OF CONTENTS Table of Contents ......................................................................................... 2 Acronyms ............................................................................................. 3 Executive Summary .............................................................................. 4 Background .......................................................................................... 5 COP19 Q1 Results ................................................................................. 7 1st 95: Prevention: HTS ............................................................................................... 7 2nd 95: Treatment Performance ............................................................................... 12 3rd 95: Viral Suppression .......................................................................................... 14 Priority Area Activities ........................................................................ 16 Project Management .......................................................................... 20 6.1 Coordination and Collaboration .................................................................... 20 Challenges and Next Steps ................................................................. 21 Annex 1: Success Story .................................... Error! Bookmark not defined. Annex 2: Implementation Plan Progress .................................................... 22 2 ACRONYMS AIDS Acquired immune deficiency OGAC Office of the U.S. Global AIDS syndrome Coordinator ANC Antenatal Care PEPFAR President’s Emergency Plan for AIDS Relief ART Antiretroviral Therapy PHCC Primary Health Care Center ARV Antiretroviral PHCU Primary Health Care Unit BHCs Boma Health Committees PICT Provider Initiated Counseling and CES Central Equatoria State Testing CHD County Health Department PMTCT Prevention of Mother-to-Child CHW Community Health Worker Transmission CIP County Implementing Partner PNC Postnatal Care CMC Camp Management Committee POC Protection of Civilian DBS Dried Blood Spot PPFP Postpartum Family Planning DHIS District Health Information System SIAPS Systems for Improved Access to Pharmaceuticals and Services EID Early Infant Diagnosis SPPHC Strengthening Provision of Primary FP Family Planning Health Care HIV Services FSW Female Sex Worker SSAC South Sudan HIV/AIDS Commission GRSS Government of the Republic of STI Sexually Transmitted Infection South Sudan TOT Training-Of-Trainers HHP Home Health Promoter TWG Technical Working Groups HEI HIV Exposed Infant UNAIDS The Joint United Nations HIV Human Immunodeficiency Virus Programme on HIV/AIDS HSSP Health Systems Strengthening USAID United States Agency for Project International Development HTC HIV Testing and Counseling USG United States Government IEC Information, Education and VCT Voluntary Counseling and Testing Communication WHO World Health Organization IYCF Infant and Young Child Feeding MNCH Maternal, Newborn and Child Health MOH Ministry of Health MSM Men Who Have Sex with Men 3 EXECUTIVE SUMMARY 13,160 This quarterly report for the period 1 October to 31st December 2019 received a HIV test highlights the activities, progress and performance of the Jhpiego’s SPPHC project in South Sudan. The Strengthening the Provision of 30% achieved to target Primary Health Care Services for HIV (SPPHC-HIV) project is a 5-year HIV Care and Treatment mechanism, implemented by Jhpiego since 2015. 498 During this period, the project was implemented at 10 Primary Health new HIV cases diagnosed Care Centers across Juba and Tambura including expansion of 20% achieved to target services to two new sites. (Mupoi and Lutheran PHCCs). 4% Yield The project identified 498 new HIV cases from a total of 13,177 previously undiagnosed individuals. This translates to an achievement of 20% of the annual target for people tested positive(HTS_Pos) for 3,938 CoP19 with an overall yield of 4%. The project continued with efforts pregnant women know to scale up efficient and targeted Index testing services at both their HIV status community and facility level. This modality has demonstrated high 37% achieved to target yields when implemented with fidelity. During this period, SPPHC project prioritized scale of TLD, MMD and 4,558 IPT. With the in country supply chain of TLD90 improving during this PLHIV receiving life-saving period, scale up plans developed in Q4 were implemented with intensity, including weekly tracking using a dashboard, achieving TLD anti-retroviral therapy coverage of 74% and MMD coverage of 95%. Key focus going forward 57% of the target is to ensure more clients are on 6MMD in line with PEPFAR priorities. The partnership with the CSOs NEPWU in Juba and direct engagement of Community Health Workers in Tambura led to a 1,643 significant improvement in efforts to track and return clients with PLHIV with missed appointments and lost to follow up. documented VL results, In the coming quarter, Jhpiego through the SPPHC will intensify Suppression rate 73% efforts to reduce client losses through client centered care , improving counseling and messaging at ART initiation, scaling up MMD6, strengthening the work of the CSOs/CHWs in tracking clients at community level as well improving the quality of care at site level. TLD 74% coverage MMD 95% coverage 4 BACKGROUND South Sudan has a generalized HIV epidemic of 2.5% (2019 UNAIDS Estimates Spectrum). However, of the estimated 186,817 People Living with HIV (PLHIV) in South Sudan, only 45,144 (24%) know their status. Of those, 22,113 are currently receiving ART, of whom, 74% are virally suppressed. Decades of conflict have disrupted critical infrastructure and service delivery, and essential support to South Sudan’s health system is essential for reaching epidemic control. With funding from USAID/PEPFAR, the Strengthening the Provision of Primary Health Care Services for HIV (SPPHC-HIV) began in 2015 as a PMTCT Option B+ project, and has now expanded to supporting and increasing access to quality, comprehensive HTC, PMTCT and ART services in Jubek and Tambura States. The project supports the continuum of care from HIV testing services to treatment and adherence at 10 health facilities in these regions, leveraging the primary health care system and community health workers in those facilities’ catchment areas to identify PLHIV and link them to life-saving care and treatment. Goals and Objectives The goal of the project is to support and increase access to quality, comprehensive HIV testing and counseling (HTC), PMTCT, and Antiretroviral Therapy (ART) services – including pediatric and adolescent HIV care – within Jubek and Tambura States. The objectives of the project are: Strengthen Western and Central Equatoria States MOH and their County Health Departments (CHDs) capacity to effectively plan, implement, manage and coordinate HIV programs including HTC, PMTCT, and ART services; Develop institutional and human resource capacity in comprehensive HIV services; and Provide quality, integrated, comprehensive HIV services that will reduce new infections and keep HIV- positive patients healthy. Project Coverage The SPPHC project is being implemented in 10 static sites in Jubek State (formerly Central Equatoria State) and Tambura State (formerly Western Equatoria State), with the following services available at each site: Facility HTS PMTCT EID ART VL TB Gumbo PHCC Yes Yes Yes Yes Yes No Gurei PHCC Yes Yes Yes Yes Yes Yes Juba POC Yes Yes Yes Yes Yes Yes Kator PHCC Yes Yes Yes Yes Yes Yes Lutheran PHCC Yes Yes Yes Yes Yes No Munuki PHCC Yes Yes Yes Yes Yes Yes Mupoi PHCC Yes Yes Yes Yes Yes No Nyakuron PHCC Yes Yes Yes Yes Yes No Source Yubu PHCC Yes Yes Yes Yes Yes Refill Tambura PHCC Yes Yes Yes Yes Yes Yes Total 10 10 10 10 10 5 5 These static sites are MOH-run Primary Health Care Centers (PHCCs), with the exception of the POC, which is operated by the United Nations Mission in South Sudan (UNMISS) and health services are overseen by International Medical Corps (IMC). In COP19, the project added 2 static sites Lutheran Church PHCC in Jubek and Mupoi in Tambura states. Additionally, the project operates HIV testing and ART services Kimu PHCC and Aru Juntion PHCU as a satellite sites. Community Platform At the community level, the project this year engaged NEPWU as sub awardee, to leverage their community platform for client tracing, with a focus on tracing clients lost to follow up (LTFU) as well as index case partners. In Tambura, the project provides direct support to expert’s client from Twai PLHV association. In POC, the project has directly engaged CHWs to implement LTFU and Index Contact tracing in the community, using Nuer- speaking CHWs to reach that population. 6 COP19 Q1 RESULTS 1st 95: Prevention: HTS Facility HTS_TST FY20Q1 % ach FY20 FY20 FY20 % FY20 Target HTS_TST Cum. Cum. Target Yield (%) Cum HTS_POS HTS_POS Ach. Results Target Results Gumbo 181 1293 714% 16 30 188% 2.3%
Load more

Recommended publications
  • Annex 2 USAID South Sudan Gender Based Violence Prevention And
    USAID/SOUTH SUDAN GENDER-BASED VIOLENCE PREVENTION AND RESPONSE ROADMAP SEPTEMBER 2019 Contract No.: AID-OAA-TO-17-00018 September 26, 2019 This publication was produced for review by the United States Agency for International Development. It was prepared by Banyan Global. Contract No.: AID-OAA-TO-17-00018 Submitted to: USAID/South Sudan DISCLAIMER The authors’ views expressed in this publication do not necessarily reflect the views of the United States Agency for International Development (USAID) or the United States Government. Recommended Citation: Gardsbane, Diane and Aluel Atem. USAID/South Sudan Gender-Based Violence Prevention and Response Roadmap. Prepared by Banyan Global. 2019. Cover photo credit: USAID Back Cover photo credit: USAID USAID/SOUTH SUDAN GENDER- BASED VIOLENCE PREVENTION AND RESPONSE ROADMAP SEPTEMBER 2019 Contract No.: AID-OAA-TO-17-00018 4 USAID/SOUTH SUDAN GENDER-BASED VIOLENCE PREVENTION AND RESPONSE ROADMAP CONTENTS 1. INTRODUCTION 9 1.1 ROADMAP OBJECTIVE 9 1.2 STRUCTURE OF ROADMAP 9 2. INTEGRATING GBV IN THE USAID/SOUTH SUDAN OPERATIONAL FRAMEWORK 11 2.1 THEORY OF CHANGE 11 2.2 INTEGRATING THE THEORY OF CHANGE INTO THE USAID/SOUTH SUDAN OPERATIONAL FRAMEWORK 12 3. GBV PREVENTION AND RESPONSE ROADMAP PROGRAMMATIC GUIDING PRINCIPLES 19 4. BRINGING IT ALL TOGETHER – GBV PREVENTION, MITIGATION AND RESPONSE ROADMAP 27 5. GUIDELINES TO ADDRESS GBV IN MONITORING, EVALUATION AND LEARNING 39 6. KEY RESOURCES 41 ANNEX A: GBV PREVENTION AND RESPONSE ROADMAP LITERATURE REVIEW 57 ANNEX B: PROGRAM AND DONOR REPORT 73 ANNEX C: GBV LITERACY TRAINING 95 ANNEX D: LIST OF KEY DOCUMENTS CONSULTED 99 ANNEX E.
    [Show full text]
  • Social Science in Humanitarian Action
    Social Science in Humanitarian Action www.socialscienceinaction.org Key considerations: cross-border dynamics between South Sudan and DRC This brief summarises key considerations concerning cross-border dynamics between South Sudan and the Democratic Republic of Congo (DRC) in the context of the outbreak of Ebola in North Kivu and surrounding provinces. In light of the DRC outbreak, South Sudan began preparedness activities in August 2018 with the development of the first South Sudan National Ebola Preparedness Plan (August 2018 – March 2019) and the formation of the National Ebola Task Force (NTF) and Technical Working Groups (TWGs). Health care workers, frontline workers, community volunteers and military personnel in high risk states were trained on EVD surveillance (detection, alert and investigation), management of suspected and confirmed cases, laboratory safety procedures, safe and dignified burials, risk communication and social mobilisation, and infection prevention and control (IPC). An Emergency Operations Center (EOC) was established in Juba and a free hotline to report EVD alerts set up (with the call-in number 6666). Rapid Response Teams (RRTs) were put in place across the country and local capacity for GeneXpert testing was established. Screening points and four isolation units were set up and vaccination of frontline health workers started.i The focus of the Second EVD Preparedness Plan (April – September 2019) shifted from initial preparedness needs to active response should a single case be confirmed. Priority activities
    [Show full text]
  • Weekly Update on Ebola Virus Disease (EVD) Preparedness #3
    16 SEPTEMBER 2018 Weekly Update on Ebola Virus Disease (EVD) Preparedness for South Sudan UPDATE # 3 1. Highlights § South Sudan, as a priority one country for Ebola virus disease outbreak (EVD) preparedness continues to make progress to enhance capacities for EVD case detection, investigation, response, and prevention. § There is no confirmed case of Ebola in South Sudan. § The national Ebola taskforce meets twice weekly and is coordinating the implementation of the EVD contingency plan. § The Ebola taskforce working groups are currently updating and implementing the EVD contingency plan to enhance preparedness capacities at national and high-risk states. § In-country surveillance and at 6 frontiers (Nimule, Juba International Airport, Yambio Airport, Wau Airport, Gangura, and Sakure) is ongoing. There are plans to open 8 additional border screening points based on the risk of EVD importation from DR Congo. § Resource gap and security concerns are the major challenges for effective preparedness and response. 2. Ebola Situation update from North Kivu of Democratic Republic of Congo 2.1. Latest updates § As of 13th September 2018, a total of 140 cases with 94 deaths have been reported. Of these, 109 are laboratory confirmed and 31 probable cases. The 140 cases include 17 healthcare workers (16 confirmed, 1 probable); and one death. § Over 5306 contacts have been line listed with 75-97% being followed up daily in the past week. § Ring vaccination commenced and at least 8,229 contacts and health workers have been vaccinated. South Sudan Public Health Emergency Operations Center (PHEOC) 1 Weekly Update on Ebola Virus Disease (EVD) Preparedness for South Sudan 3.
    [Show full text]
  • Human Security, Conflicts and Human Development in South Sudan
    Master’s Thesis 2019 30 ECTS Faculty of Landscape and Society Department of International Environment and Development Studies Human Security, Conflicts and Human Development in South Sudan Tolulope Abiodun Shokunbi Msc. International Development Studies The Department of International Environment and Development Studies, Noragric, is the international gateway for the Norwegian University of Life Sciences (NMBU). Established in 1986, Noragric’s contribution to international development lies in the interface between research, education (Bachelor, Master and PhD programmes) and assignments. The Noragric Master’s theses are the final theses submitted by students in order to fulfil the requirements under the Noragric Master’s programmes ‘International Environmental Studies’, ‘International Development Studies’ and ‘International Relations’. The findings in this thesis do not necessarily reflect the views of Noragric. Extracts from this publication may only be reproduced after prior consultation with the author and on condition that the source is indicated. For rights of reproduction or translation contact Noragric. © Tolulope Abiodun Shokunbi, December 2019 [email protected] Noragric Department of International Environment and Development Studies The Faculty of Landscape and Society P.O. Box 5003 N-1432 Ås Norway Tel.: +47 67 23 00 00 Internet: https://www.nmbu.no/fakultet/landsam/institutt/noragric DECLARATION I, Tolulope Abiodun Shokunbi, declare that this thesis is a result of my research investigations and findings. Sources of information other than my own have been acknowledged and a reference list has been appended. This work has not been previously submitted to any other university for award of any type of academic degree. Signature……………………………….. Date………………………………………… ii ACKNOWLEDGEMENTS Completing this work has been extremely challenging, so, I thank everyone that encouraged me to this point.
    [Show full text]
  • Disarmament, Demobilization and Reintegration in Practice: an Investigation of Its Process on Ex-Combatants in the Post- 2005 South Sudan
    DISARMAMENT, DEMOBILIZATION AND REINTEGRATION IN PRACTICE: AN INVESTIGATION OF ITS PROCESS ON EX-COMBATANTS IN THE POST- 2005 SOUTH SUDAN BY DOMINIC MICHAEL GENGE RESEARCH THESIS SUBMITTED TO THE SCHOOL OF HUMANITIES AND SOCIAL SCIENCES IN PARTIAL FULFILMENT FOR THE AWARD OF MASTER DEGREE OF ARTS IN INTERNATIONAL RELATIONS UNITED STATES INTERNATIONAL UNIVERSITY-AFRICA SUMMER 2019 DECLARATION I, the undersigned, do hereby declare that this work is my original endeavor and has never been submitted to any other college or university other than the United States International University-Africa for academic credit. Sign: ………………………………………. Date: ………………………………… Dominic Michael Genge (654545) Student. This thesis report has been submitted for examination with my approval as university supervisor. Signed………………………………………Date: …………………………………. Mr. George Kabongah Supervisor. Signed…………………………………….... Date…………………………………… Professor Martin C. Njoroge Dean, School of Humanities and Social Sciences. Signed……………………………………...Date……………………………………... Ambassador Professor Ruthie Rono Deputy Vice-Chancellor, Academic and Students Affairs. ii COPYRIGHT All rights reserved. No part or section of this thesis may be reproduced in any form or by any electronic or mechanical means, including information storage and retrieval systems, without prior knowledge and permission in writing from the publisher, except by the reviewers, who may quote brief passages in a review. iii DEDICATION This research is dedicated to the loving memory of my dear late father, District Education Officer (D.E.O), Mr. Michael Kumbobakiri, whose advice to us at a very tender age remained in my mind thirty years after his untimely death in September 1989. Before his sudden death, he used to advise us at round table that all the certificates he acquired and the achievements he attained would not be inherited by any one of us when he passed on from this world.
    [Show full text]
  • South Sudan Humanitarian Situation Report Issue # 13 19- 31 March
    Humanitarian Situation Report Issue # 13 25 – 31 MARCH 2019 Emergency supplies handed over to CUAMM in Eastern Lakes by WHO. Photo: WHO. South Sudan Emergency type: Humanitarian Crisis in South Sudan 2.27 MILLION 1.87 MILLION SOUTH 7.1MILLION INTERNALLY DISPLACED SUDANESE NEED WITH 0.2 MLLION IN REFUGEES IN HUMANITARIAN PROTECTION OF CIVILIAN NEIGHBOURING ASSISTANCE SITES COUNTRIES HIGHLIGHTS M § The Yellow Fever reactive mass campaign in Sakure th th WHO FUNDING REQUIREMENTS- 2019 Payam was successfully conducted from 25 to 29 March 2019. A total of 19,981 (102%) persons aged 9 7.2 M FUNDED months to 65 years were vaccinated. 23.4M REQUESTED (UNDER 2019 HRP) ACUTE MALNUTRITION -2019 § A new measles outbreak has been confirmed in Tonj North county after 5 samples tested positive. 860 000 CHILDREN 6-59 MONTHS (260 000 SAM, ESTIMATED TO BE ACUTELY 600 000 MAM) MALNOURISHED IN NEED OF § In response to the ongoing measles outbreaks in Juba, TREATMENT Pibor, Mayom, Abyei, Gogrial West, Aweil South and 59 FUNCTIONING STABILIZATION Melut counties, a cumulative total of 175,731 children CENTERS ACROSS COUNTRY aged 6-59 months have been vaccinated. CUMULATIVE VACCINATION - 2019 1199 695 ORAL POLIO VACCINATION § A suspected EVD case was reported in from Nagere village in Ezo County, Tambura State on 26 March 2019. This was a 4-years old male with high grade 184 192 # OF CHILDREN (6mths – 15 years) VACCINATED AGAINST MEASLES fever, diarrhoea loss of appetite, nose bleeding and vomiting blood. GenXpert analysis and PCR result for 17 135 # OF PERSONS VACCINATED AGAINST MENINGITIS the suspected Ebola samples were negative for Ebola 1 668 EBOLA VACCINATION virus and other VHFs.
    [Show full text]
  • Access to Health for Survivors of Conflict-Related Sexual Violence in South Sudan May 2020
    ACCESS TO HEALTH FOR SURVIVORS OF CONFLICT-RELATED SEXUAL VIOLENCE IN SOUTH SUDAN MAY 2020 Contents Acronyms ..................................................................................................................................................... 1 I. Executive summary ............................................................................................................................. 2 II. Methodology .................................................................................................................................... 6 III. Context ............................................................................................................................................. 7 1. Overview and scope of conflict-related sexual violence in South Sudan ....................................... 7 2. Overview of the public health sector in South Sudan ..................................................................... 8 IV. Physical harm and trauma resulting from sexual violence ....................................................... 10 1. Physical harm ................................................................................................................................. 10 1.1. Death ....................................................................................................................................... 10 1.2. Serious injuries and miscarriages ......................................................................................... 11 1.3. Chronic pain ..........................................................................................................................
    [Show full text]
  • South Sudan Powerpoint Maps
    MapAction South Sudan PowerPoint Maps Introduction The aim of this PowerPoint pack to provide you with some simple maps so that you can add your own data and information to them and use in presentations or reports. The maps are saved to the background so that your write or draw over them without touching the map itself. The PowerPoint pack provides all the tools that you would need to produce including symbols, callout boxes, legends and labels. All you need to do is copy and paste. How to guide Select the map you want to use. Add your data In the Labels and Symbology section there are ready made symbols, labels and callout boxes that can be cut and pasted onto your map. With the callout boxes, double click on them and begin typing your information. Contents 1. Introduction and How to guide 2. Country Map 3. State Maps 4. County Maps 5. Labels and Symbology 6. Logos 7. Weblinks 8. Data Collection 9. MapAction User Guide Country Map Showing State boundaries There are two types of country map: • Simple Country Reference Map – Copy and paste labels to map • Advance Country Reference Map – Admin boundaries colours can be changed. Select admin area, Right Click>>Format Shape>>Fill Contents Renk UPPER Maban NILE Malakal UNITY Bentiu Mayom NORTHERN BAHR EL Aweil GHAZAL WESTERN Nasser Gogrial BAHR EL Raja GHAZAL Kuajok Leer Waat Warrap Ayod WARRAP Wau Akobo JONGLEI Tonj Pochalla Rumbek Pibor LAKES Yirol Bor Tambura WESTERN EQUATORIA Terkeka Mundri EASTERN EQUATORIA Ezo Lafon Maridi Juba Kapoeta Yambio CENTRAL EQUATORIA Torit Chukudum Yei Kajo-Keji
    [Show full text]
  • South Sudan Rapid Response Displacement 2019
    RESIDENT/HUMANITARIAN COORDINATOR REPORT ON THE USE OF CERF FUNDS YEAR: 2019 RESIDENT/HUMANITARIAN COORDINATOR REPORT ON THE USE OF CERF FUNDS SOUTH SUDAN RAPID RESPONSE DISPLACEMENT 2019 19-RR-SSD-34983 RESIDENT/HUMANITARIAN COORDINATOR ALAIN NOUDEHOU REPORTING PROCESS AND CONSULTATION SUMMARY a. Please indicate when the After-Action Review (AAR) was conducted and who participated. 5 December 2019 An After-Action Review (AAR) session was held on 5 December 2019. All agencies involved in the allocation were invited and participated, except for UNHCR who did not attend. Relevant clusters also received an invitation, with CCCM and S/NFI clusters participating and WASH cluster providing feedback in written format. All agencies received a written questionnaire in advance of the AAR to help them prepare internally for the session, with responses from the questionnaire forming the basis of the main areas of discussion of the AAR. b. Please confirm that the Resident Coordinator and/or Humanitarian Coordinator (RC/HC) Report on the Yes No use of CERF funds was discussed in the Humanitarian and/or UN Country Team. The report was not discussed within the Humanitarian Country Team due to time constraints; however, they received an overview of the completed report for their review and comment as of the week of the 23 December 2019. c. Was the final version of the RC/HC Report shared for review with in-country stakeholders (i.e. the CERF recipient agencies and their implementing partners, cluster/sector coordinators and members and Yes No relevant government counterparts)? A final version of the RC/HC report was shared for review with in-country stakeholders as of 13 December 2019; this includes all participating agencies and relevant cluster coordinators.
    [Show full text]
  • Rapid Market Assessment for Conflict Affected Persons in Tambura County – Western Equatoria State, Republic of South Sudan
    RAPID MARKET ASSESSMENT FOR CONFLICT AFFECTED PERSONS IN TAMBURA COUNTY – WESTERN EQUATORIA STATE, REPUBLIC OF SOUTH SUDAN Compiled by: Sherrie Lilian R. LCED - M&E Officer March 2019 1 Table of Contents 1.0 INTRODUCTION ................................................................................................................................. 4 1.1 Objectives of the rapid market assessment .................................................................................. 5 1.3 Assessment Process ........................................................................................................................ 6 1.3 Assessment Coverage ..................................................................................................................... 7 1.4 Ethical Considerations ..................................................................................................................... 7 1.5 Major Challenges and Limitations ................................................................................................... 8 2.0 PRESENTATION OF KEY FINDINGS ........................................................................................................... 8 2.1 General Overview of the Tambura County (assessment location) ..................................................... 8 2.2 Organizational Profile (Lacha Community and Economic Development) ........................................... 9 2.3 Background Information ....................................................................................................................
    [Show full text]
  • VIOLATIONS and ABUSES AGAINST CIVILIANS in GBUDUE and TAMBURA STATES (WESTERN EQUATORIA) APRIL-AUGUST 2018 18 October 2018
    VIOLATIONS AND ABUSES AGAINST CIVILIANS IN GBUDUE AND TAMBURA STATES (WESTERN EQUATORIA) APRIL-AUGUST 2018 18 October 2018 Contents 1. Executive summary ........................................................................................................................ 4 2. Methodology ................................................................................................................................... 6 3. Contextual Background ................................................................................................................. 6 3.1 Historical Context ......................................................................................................................... 6 3.2 Recent Context .............................................................................................................................. 8 4. Findings .......................................................................................................................................... 9 4.1 Human Rights Abuses by SPLA-IO (RM) ..................................................................................... 9 4.1.1 Abduction of Civilians .......................................................................................................... 10 4.1.2 Ill-treatment and Killing during Looting of Civilian Property .............................................. 12 4.1.3 Forced Displacement ............................................................................................................ 13 4.1.4 Attacks on Humanitarian
    [Show full text]
  • SSHAP Cross Border Dynamics South Sudan
    Social Science in Humanitarian Action www.socialscienceinaction.org Key considerations: cross-border dynamics between South Sudan and DRC This brief summarises key considerations concerning cross-border dynamics between South Sudan and the Democratic Republic of Congo (DRC) in the context of the outbreak of Ebola in North Kivu and surrounding provinces. In light of the DRC outbreak, South Sudan began preparedness activities in August 2018 with the development of the first South Sudan National Ebola Preparedness Plan (August 2018 – March 2019) and the formation of the National Ebola Task Force (NTF) and Technical Working Groups (TWGs). Health care workers, frontline workers, community volunteers and military personnel in high risk states were trained on EVD surveillance (detection, alert and investigation), management of suspected and confirmed cases, laboratory safety procedures, safe and dignified burials, risk communication and social mobilisation, and infection prevention and control (IPC). An Emergency Operations Center (EOC) was established in Juba and a free hotline to report EVD alerts set up (with the call-in number 6666). Rapid Response Teams (RRTs) were put in place across the country and local capacity for GeneXpert testing was established. Screening points and four isolation units were set up and vaccination of frontline health workers started.i The focus of the Second EVD Preparedness Plan (April – September 2019) shifted from initial preparedness needs to active response should a single case be confirmed. Priority activities
    [Show full text]