South Sudan Nutrition Crisis Report 1

South Sudan Nutrition Crisis Report 1

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Situation Overview
Violence broke out in Juba, the capital city in December 2013, and quickly spread to other locations in South Sudan. Today, Two months after, the conflict has continued to escalate, with heavy fighting taking place in 7 of the 10 states.
The humanitarian situation continues to deteriorate today. Up to 1.5 million people have been displaced since the crisis started, 599,990 of which are children under 18 years. 378,000 refugees have fled to neighbouring countries in Ethiopia, Kenya, Sudan and Uganda.
New arrival families have poor health and nutritional status, and the child mortality is on the rise – the under-5 mortality out of 1,000 live births rise from 11 in late May to 18 in early July. Most of the deaths are due to preventable diseases such as diarrhoea, pneumonia and malnutrition. Access to safe drinking water and sanitation remains insufficient and heavy rains and strong winds are further compounding the response. Since 25 April, 1,846 cholera cases including 39 deaths were reported.

UNICEF’s Response
Health
-319,613 children 6 months to less than 15 years old were vaccinated against measles; 210,956 were vaccinated against polio; Vitamin A supplements were provided to 62,925 children 6-59 months old; and 29,642 children 12-59 months old were dewormed. A meeting has been scheduled to map the way for the integrated measles, polio and vitamin A campaign.
-Children under 5 years old mainly consult health services because of acute respiratory infection / pneumonia (1,164 cases), malaria (1,085 cases) and diarrhoea (606 cases). UNICEF provided primary health care kits, diarrhoeal disease kits and anti-malaria drugs for treatment.
-53,079 household received two insecticide treated nets.
-3,011 pregnant women were reached with antenatal care services such as counselling and tests.
-UNICEF works closely with key line Ministries, WHO and other partners to enhance the support towards cholera prevention and response, including supporting on-site technical support, case management, advice and guidance to the medical staff of Cholera Treatment Centre.
-Social mobilization and health education activities is ongoing, focusing on key preventive measures, proper hand washing, water treatment, use of oral rehydration salts to manage diarrhoea cases, and to seek early treatment.

Nutrition
-Since January, 570,261 6-59 months children were screened for malnutrition. 7 per cent were identified as having severe acute malnutrition and 13.3 per cent with moderate acute malnutrition.
-40,879 children have received Vitamin A supplement. 2,433 children have and 1,618 pregnant and lactating women have received micronutrient supplement.
-UNICEF supports 268 Outpatient Treatment Program sites and 27 Stabilization Centers to provide treatments for children suffering from severe acute malnutrition. So far, UNICEF and partners have helped 31,528 children with severe acute malnutrition to access therapeutic care and among them 69 per cent have recovered.
-2,443 cartons of ready-to-use therapeutic food (RUTF) were released to partners to treat more than 2,500 children with severe acute malnutrition without complications for 6 to 8 weeks. Assorted medicines and anthropometric equipment were also dispatched.
Water, Sanitation & Hygiene (WASH)
-270,400 people have now got access to safe drinking water.
-225,900 people have access to appropriate sanitation facilities. UNICEF rented trucks continued daily solid waste and liquid waste collection and disposal for about 45,000 people, and constructed latrines and bathrooms, benefiting over 5,900 people.

-UNICEF-supported hygiene promotion activities continued, so far 279,568 people are reached with hygiene promotion message.
-UNICEF continued to support government and NGO partners on cholera response. UNICEF-trained chlorinators continued water treatment at 12 designated water truck filling stations and providing water treatment chemicals for 76 UNICEF-supported social mobilizers to conduct house to house campaigns, targeting 36,000 people in vulnerable locations. So far, 20,385 households were reached with key WASH message and supplies.
-UNICEF also supports safe collection and disposal of cholera waste from all treatment centres, and constructed a water storage bank, hand washing facilities, soak away pit for a children hospital In Juba.
Education
-22,453 school-aged children and adolescents gain access to education in emergencies and school supplies.
-4,051 pre-school children have access to play and early learning with learning materials.
-724 teachers, 175 education personnel and parent-teacher association members are trained to provide or support education in emergencies, such as knowledge and skills on monitoring and reporting grave violation committed again children in armed conflicts, including attacks on schools.
-114 classrooms are now established or rehabilitated UNICEF and partners will also continue to distribute additional school supplies, such as exercise books, rulers, pens, chalkboard, school bags, etc.
Child Protection
-UNICEF and partners have reached 42,019 affected children and adolescents with critical child protection services.
-60 UNICEF-supported child friendly spaces provide psychosocial support to improve the emotional and mental well being to 32,781 boys and girls.
-A total of 590 community members in various locations received information on how to better protect children during the crisis and where to look for assistance for children who are seriously affected.
-3,507 unaccompanied and separated children are identified and registered in the database. 305 children are reunified with their family and 257 children are placed in foster families.
-In Malakal, UNICEF and partners are continuing to provide medical and psychosocial support to survivors of gender-based violence and conducted community awareness on referral pathways.