South Sudan Nutrition Crisis Report 2

South Sudan Nutrition Crisis Report 2

14:55
Situation Overview
The 20 July attack on Nassir Town, Upper Nile State represented the most serious resumption of hostilities since the Cessation of Hostilities Agreement signed on 23 January, still continues.
More than 1.5 million people remain displaced, including 100,000 people sheltered in UNMISS bases and 425,000 people who have fled to neighbouring countries in Ethiopia, Kenya, Sudan and Uganda.
The Executive Directors of UNICEF and WFP visited South Sudan from 24 to 26 June, warning that children in South Sudan cannot wait any longer before the world takes action. Nearly one million children under five years old in South Sudan will require treatment for acute malnutrition in 2014. If the world fails to provide the help needed right now to accelerate and scale up life-saving food and nutrition efforts, UNICEF estimates that 50,000 children could die from malnutrition in the course of this year.
As of 27 July, there have been a total of 5,271 cholera cases including 115 deaths, with a case fatality rate of 2.2 per cent. New cases were also reported in the week of 23 to 29 July in Juba County, Upper Nile and Eastern Equatoria States. To date, Torit County in Eastern Equatoria has the highest attack rate (highest proportion of population affected) in the country at 1.2 per cent.

UNICEF’s Response
Health
-UNICEF and partners have strengthened the coordinated cholera response in Eastern Equatoria State. A cumulative number of 1,071 cholera patients have been treated at UNICEF-supported oral rehydration points in the state and 117 were referred to cholera treatment centres (CTCs).
-As of today, 389,852 children 6 months to less than 15 years old were vaccinated against measles; 284,021 children below 15 years old were vaccinated against polio.
-79,530 household received two insecticide treated nets.
-8,044 pregnant women were reached with at least one antenatal care service, and 3,624 pregnant women received antenatal counselling and tests.
-The pentavalent vaccine, covering diphtheria, tetanus, pertussis, hepatitis B and influenza type b, was launched on 16 July in Central Equatoria and Western Equatoria states. Training has been provided and all states have distributed pentavalent vaccines to the countries and facilities.
Nutrition
-The total number of children screened from January to date is 627,140. Of these children, 42,378 (6.8 per cent) were identified as suffering from severe acute malnutrition (SAM) and 79,502 (12.7 per cent) from moderate acute malnutrition (MAM).
-The total number of reported new admissions to the therapeutic feeding programme stands at 42,378  children aged 6 to 59 months. To date, 67.5 per cent of children were discharged as cured.
-69,734 children aged 12 to 59 months received Vitamin A supplementation. 1,618 pregnant and lactating women have received micronutrient supplement, or iron and folic acid.
-36,268 children received de-worming medication.
Water, Sanitation & Hygiene (WASH)
-UNICEF continued to accelerate its WASH response to the cholera outbreak focused on prevention activities, including providing technical support to partners and core pipeline supplies (such as water purification tablets, soap and jerry cans).
-In cholera-affected Eastern Equatoria, UNICEF supported the installation of a water treatment plant, to provide safe water to the community of 5,000 residents.
-To date, UNICEF and its implementing partners continue to provide access to safe water for 416,800 internal displaced persons (IDPs) across the country, while 237,800 IDPs are accessing safe sanitation.

Education
-So far this year, 164 classrooms are established or rehabilitated with support from UNICEF and implementing partners.
-To date, 30,525 school-aged children including adolescents gain access to education in emergencies and school supplies.
-4,886 pre-school children have access to play and early learning with learning materials.
-937 teachers, 383 other education personnel and Parent-Teacher Association Members are trained to provide or support education in emergencies.
-Lack of teacher payment continues to disrupt education services with teachers refusing to work unless they are paid. UNICEF is coordinating a meeting with Education Ministers and Director Generals of the key conflict-affected state to discuss the Malakal Protection of Civilians sites, teacher incentives and other matter to improve the quality of education in emergencies.
Child Protection
-Grave child rights violation continues to be documented and verified. For the first time, reports include girls are included in military uniform. UNICEF, together with UNMISS, is following up with the local and national leadership and continues to engage in advocacy to address the issues, such as release of three schools currently occupied by armed groups in the state.
-Under UNICEF’s leadership, a rapid gender-based violence assessment was conducted in Malakal in May. Results show over 90 per cent of the 102 respondents reported that they were aware of incidents of rape, with latrines identified as areas of particular risk. Other instances of sexual violence during the conflict and outside Protection of Civilians sites.
-To date, 6,512 people received gender-based violence prevention and response services.
-To date, UNICEF and partners have reached 56,358 children and adolescents with essential child protection services, including psychosocial support, case management and referrals.
-Child friendly spaces are providing psychosocial support for 44,502 children, helping them heal from the trauma associated with displacement and conflict and to build their resilience.
-Since the crisis began in December, 4,750 unaccompanied and separated children (UASC) have been identified. A total of 484 children have been reunified with their families. UNICEF will expand the family tracing network to other affected counties and continues to monitor and support follow ups to ensure children in foster care and extended family care remain protected.
UNICEF is appealing for HK$1.18 billion (US$ 151.7 million) to provide immediate life-saving and life-sustaining assistance and protection in South Sudan Nutrition Crisis. To date, UNICEF still needs HK$802.6 million (US$102.9 million).