South Sudan SITUATION REPORT 24 September 2015 Children tested for malaria in Bentiu PoC South Sudan Humanitarian Situation Report 11 – 24 SEPTEMBER 2015: SOUTH SUDAN SITREP #68 SITUATION IN NUMBERS 1.64 million Highlights • UNICEF and MSF Holland organized a campaign of malaria presumptive People internally displaced since 15 2013 treatment screening 29,731 children 6 months to 5 years in Bentiu December (OCHA, Humanitarian Bulletin dated 18 September, Protection of Civilian (PoC) site for fever. Fifty-four per cent of those 2015) screened, 16,112 children, were treated for malaria. • On 22 September, UNICEF, WFP and partners deployed two RRM missions to Koch and Buaw in Koch County, to deliver multi-sectoral assistance to highly vulnerable populations. This is the first time that large scale lifesaving assistance has been provided in the county since violence broke in May 2015. The UNICEF team will be screening and treating children under 5 for malnutrition; providing immunization services to children under 15 and pregnant women; delivering WASH supplies; and identifying and registering unaccompanied and separated children. UNICEF, in coordination with other actors will also be delivering survival kits. • 876,986* Estimated internally displaced children under 18 years Outside South Sudan 628,495 Estimated new South Sudanese refugees in neighbouring countries since 15 December 2013 (UNHCR, Regional Refugee Information Portal, dated 21 September, 2015) UNICEF in collaboration with state Ministries of Health, WHO and health partners launched the first of two rounds of Sub-National Immunization Priority Humanitarian Funding Days (SNIDs) in five states: Lakes, Warrap, Jonglei, Upper Nile and Unity. The campaign will deliver two successive doses of Oral Polio Vaccine needs January - December 2015 targeting 1,927,256 children under 5 in response to the case of circulating US$ 183.3 million Vaccine-Derived Polio Virus (cDVPV) detected in Mayom County. It aims Disaggregated data is yet to be made available, as at rapidly building up a high population immunity to interrupt the *registration has not been completed across the country. Children under 18 years have been calculated based on circulation of the cVDPV. census UNICEF’s Response with Partners Cluster for 2015 Indicators WASH: # of target population provided with access to water as per agreed standards (7.5-15 litres of water per person per day) Nutrition: # children 6-59 months with Severe Acute Malnutrition admitted for treatment Health: # of children 6mo-15y vaccinated for measles Education # of children and adolescents (aged 3-18) with access to education in emergencies Child Protection: # of children reached with critical child protection services UNICEF for 2015 Cluster Target Cumulative results (#) Target achieved (%) UNICEF Target* Cumulative results (#) Target achieved (%) 3,500,000 1,999,789 57% 600,000 487,711 81% 148,958 92,167 62% 148,958 92,167 62% 1,207,705 254,988 21% 446,748 351,132 79% 200,000 208,946 104% 340,295 369,777 109% 275,280 259,922 94% 1 South Sudan SITUATION REPORT 24 September 2015 Situation Overview & Humanitarian Needs Conflict and food insecurity have displaced 2.2 million people since the current conflict began in December 2013. Of these, 1.64 million people are currently displaced within South Sudan. As of 27 August, an estimated 201,911 IDPs are sheltering in Protection of Civilian (PoC) sites including 121,194 in Bentiu, 28,663 in Juba UN House, 48,840 in Malakal, 2,289 in Bor, 723 in Melut and 202 in Wau. The security situation across country remains volatile. Upper Nile has been mostly calm during the reporting period, as have Bentiu and its surrounding areas. Humanitarian agencies continue to travel to Bentiu town to assess and register new arrivals and re-establish services. However, fighting and insecurity continued in Southern Unity. Heavy clashes were also reported in Central and Western Equatoria states. Routes including Juba – Yei; Juba – Kajo Keji; and Juba Yambio continue to be unsafe, which, along with the clashes in the Equatorias, are hampering supply movements. Cases of cholera continue to decline with 18 cases in week 37 and 8 in week 38. The total number of cholera cases reported by WHO is 1,751 including 46 deaths for a case fatality rate (CFR) of 2.63 per cent. Of these, 1,614 cases and 45 deaths were reported in Juba (CFR 2.78 per cent) while 138 cases and 1 death (CFR 0.72 per cent) were reported from Bor. In Juba, the majority of cases were reported from Munuki, Northern Bari, Kator and Rejaf payams while in Bor most cases were reported from Makuach payam. Humanitarian leadership and coordination UNICEF actively participates in the Humanitarian Country Team and the Inter Cluster Working Group, which lead strategic and cross-sectoral coordination of humanitarian programmes. UNICEF leads the WASH, Nutrition and Education clusters as well as the Child Protection sub-cluster. Within the Health cluster, UNICEF provides leadership on vaccination, communication and social mobilization. UNICEF also supports the core supply pipelines for the Education, WASH and Nutrition clusters, providing essential humanitarian supplies to all partners. While continuing to focus on the delivery of life-saving interventions, UNICEF is also investing in providing access to education and a protective environment for affected children. Humanitarian Strategy: Rapid Response Mechanism (RRM) As part of the interagency rapid response teams, UNICEF continues to expand activities in remote locations together with WFP and partners. More than 840,000 people, including close to 193,000 children under 5, have been reached by UNICEF and RRM partners to date. In 2015 alone, 23 RRM missions have been conducted in Greater Upper Nile, reaching close to 340,000 people, including 70,450 children under 5. On 22 September, UNICEF, WFP and partners deployed two RRM missions to Koch and Buaw in Koch County, to deliver multi-sector assistance to highly vulnerable populations. This is the first time that large scale lifesaving assistance has been provided in the county since violence broke in May 2015. The UNICEF team will be screening and treating children under five for malnutrition; providing immunization services to children under 15 and pregnant women; delivering WASH supplies; and identifying and registering unaccompanied and separated children. UNICEF, in coordination with IOM, FAO and World Relief, will also be delivering survival kits. Summary Analysis of Programme Response HEALTH: The number of malaria cases continues to rise across the country with high numbers of cases reported in Northern Bahr el Ghazal, Upper Nile and Unity States. From the beginning of 2015, a total of 1,142,951 malaria cases have been treated country wide. In an attempt to reduce the malaria upsurge in Bentiu PoC, UNICEF in collaboration Incidence Rate (100,000 Population) Comparisons of National Malaria Incidence Rate by Week from 2013 - 2015 Country 600.0 2013 2014 2015 500.0 400.0 300.0 200.0 100.0 0.0 Wk Wk Wk Wk Wk Wk Wk Wk Wk Wk Wk Wk Wk Wk Wk Wk Wk Wk Wk Wk Wk Wk Wk Wk Wk Wk Wk Wk Wk Wk Wk Wk Wk Wk 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 2 South Sudan SITUATION REPORT 24 September 2015 with MSF Holland directly implemented a campaign of malaria presumptive treatment at the household level for all children aged 6 months to 5 years with history of fever. A total of 29,731 children (85 per cent of an estimated caseload of 35,000) were screened and 16,112, or 54 per cent of children screened, were treated for malaria. Mentor Initiative, supported by UNICEF, continued implementation of vector control activities in Bentiu PoC. This includes indoor residual spraying, with 10,766 out of 11,316 shelters having been sprayed, covering 92,127 individuals. Additionally, 53,859 long-lasting insecticide-treated nets (LLITNs) have been distributed as a preventative measure against malaria. Community volunteers in Bentiu continue to provide integrated WASH, health and nutrition services at the household level. Messages focus on the importance of early health seeking behavior and personal and environmental hygiene. Screening and referral for malaria, diarrhea and acute respiratory disease continued in week 37 and 38, with the volunteers also providing pre-referral treatment for diarrheal diseases using oral rehydration salt. UNICEF continued supporting the health implementing partners to deliver basic primary health care services in Bentiu, Bor, Juba, Malakal and Wau PoCs and Mingkaman IDP site. During the reporing period, 11,002 consultations were provided for children under 5. Malaria again emerged as the top cause of morbidity, accounting for 78 per cent of all consultations. In Mingkaman IDP camp, Health Link through UNICEF support continued integrated community case management (ICCM), treating 554 children for malaria, pneumonia and diarrhea. Since the launch of ICCM in Mingkaman, 15,059 children under 5 have been provided treatment for common childhood illnesses. This year, through the RRM, UNICEF has been able to vaccinate 84,880 children against measles and 89,272 against polio, while also providing 27,973 pregnant women at least one dose of tetanus toxoid vaccine, including 5,530 who received clean delivery kits. The first round of Sub-National Immunization Days (SNIDs) was launched in five states: Lake, Warrap, Unity, Jonglei and Upper Nile targeting 1,927,256 children under the age of five. UNICEF supplied 1,202,000 doses of oral polio vaccine for the campaign. Through routine immunization and vaccination of new arrivals in PoCs, 3,762 children were vaccinated against measles, 5,709 against polio and 1,091 vaccinated for BCG, with 1,931 chlidren having received pentavalent vaccine and 1,286 women of child-bearing age against tetanus. Cholera cases continue to decrease with 18 cases reported in week 37 and 8 in week 38. UNICEF and Health Link continue to support six oral rehydration points in Juba hotspot areas, which have provided treatment to 265 suspected cholera cases. UNICEF supports IOM, IRC, IMC, and Health Link South Sudan to provide both facility and community-based integrated maternal and neonatal health and prevention of mother-to-child transmission of HIV (MNH/PMTCT) services for IDPs in the Greater Upper Nile region. A total of 1,936 pregnant women accessed antenatal care services during the reporting period, of whom 1,408 were provided iron and folic acid; 1,393 were counselled for HIV; 1,204 tested for HIV (13 tested positive) and 344 delivered with a skilled birth assistants. Post-natal care services were provided to 150 women and 17 pregnant women were referred for complications of delivery to the next level of care. During the reporting period, UNICEF distributed 900 HIV test kits to all states including PoCs and IDP camps. The kits are expected to serve about 43 PMTCT sites nationwide. NUTRITION: A total of 92,167 children with severe acute malnutrition (SAM) have been admitted to UNICEF supported nutrition programmes so far this year. This represents 62 per cent of the annual target (148,958). The Integrated Food Security Phase Classification (IPC) analysis workshop ran from 9 to 19 September, with the results expected to be officially released in the next two weeks once they are endorsed by the government and partners. 3 South Sudan SITUATION REPORT 24 September 2015 In Bentiu PoC, 30,101 children under 5 were screened as part of a malaria campaign. Among 200 these children screened, 431 (1.4 per cent) were identified with SAM and 1,918 (6.4 per cent) with 150 MAM. During the reporting period, 1,026 children with SAM without medical complication were admitted to outpatient therapeutic programmes. 100 Meanwhile, 505 children were discharged and 264 defaulted from OTPs. There is need to intensify health education among mothers and communities 50 on the risks of defaulting, as these children are likely to come back in worse situation, predisposing 0 them to complications and death. A total of 3,383 children are now admitted to OTPs. Admissions in Bentiu PoC and Bentiu Town in week 37 174 166 156 134 121 118 56 50 35 42 34 17 7 PoC S1Care 18 12 7 PoCS5 Care PoC S3 Cww PoC S4 Cww PoC S 5 WR Bentiu Town Care OTP TSFP U5 TSFP/ PLW During the reporting period, 90 children under 5 with SAM with medical complication were admitted to the Bentiu PoC Stabilization Centre, while 20 were discharged as cured and 50 transferred to OTPs. There are now 155 children admitted to the Stabilization Centre, a burden to the medical services and a peak in terms of admissions, corresponding to the height of the hunger period. Comparatively, more admissions for SAM have been made in 2015, partly because of the increased number of PoC occupants and to some extent because of the precarious food security and nutrition situation in the PoC. Bentiu PoC SAM Admissions Comparison : 2014 to 2015 700 615 600 Admissions 2014 Admissions 2015 Admissions 500 400 300 522 514 504 484 507 500 466 436 355 358 358 332 336 511 480 278 228 273278 186 197185 168 153 200 128 141 140156 132145126 118 117 116 112 119 106 96 104 82 66 75 80 76 69 53 76 61 55 100 20 14 21 24 214 149 94108 92 83 106100 72 65 68 65 68 47 61 33 47 53 34 9310483 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 Epidemiological Week There are still reports of increased number of deaths in Bentiu PoC with 34 deaths reported in week 36 and 29 reported in week 37. Admission of children with SAM with complications is still very high. This could be an indication of factors like the poor food security situation and sub-optimal WASH, infant and young child feeding and health interventions causing higher morbidity and mortality rates. UNICEF and Nutrition cluster partners continue to expand nutrition services; increase human resources; intensify capacity building; improve monitoring; strengthen early detection and referral; and ensure the most effective use of community health workers. Partners have begun to expand operations outside of Bentiu PoC, with Care operating nutrition treatment services in Bentiu Town. RRM missions have been dispatched in Southern Unity as part of a joint effort to provide lifesaving assistance and provide a stepping stone to re-establish nutrition services in these locations. UNIDO (supported by Medair) will be part of the RRM in Mayendit and is exploring options to re-establish services. Other partners are working to re-establish presence in Leer and Koch. In Upper Nile, 10,690 children were screened during the reporting period, of whom 189 (1.8 per cent) were identified with proxy SAM and 830 (7.8 per cent) with proxy moderate acute malnutrition (MAM). The results need to be taken with caution as many reports were not received. However, the nutrition situation across the state is precarious with a high incidence of malaria, measles and food insecurity; inadequate WASH practices; and poor health seeking 4 South Sudan SITUATION REPORT 24 September 2015 behaviours. Some areas of the state remain inaccessible including Wau Shilluk and other areas surrounding Malakal PoC. In Jonglei, with reports from seven out of nine counties, 4,549 children were screened. Sixty per cent of these counties had proxy-GAM above the emergency threshold of 15 per cent. The highest proxy GAM was from Fangak (45.5 per cent) followed by Ayod (38.7 per cent), Pibor (24 per cent), and Nyirol (25.8 per cent). In Jonglei State, there are 81 OTPs, 14 Stabilization Centres (SCs) and 48 targeted supplementary feeding programme (TSFP) centres. To increase coverage and reach more children, an additional 17 OTPs, 2 SCs and 8 TSFPs are planned. Currently, some counties lack SCs and there remains poor coverage of OTP services in the Greater Pibor Administrative Area and parts of North Jonglei. So far this year, 38 SMART surveys have been validated. Among these completed surveys, the highest prevalence of malnutrition was reported in Bentiu PoC, with a GAM prevalence of 34.1 per cent, double the 15 per cent WHO emergency threshold. SMART survey results from Malakal PoC and Mingkamen IDP site had GAM rates of 18.9 per cent and 21.8 per cent respectively. Among the last surveys to be validated were some of the lowest GAM rates from Kapoeta East (8.4 per cent) in Eastern Equatorial State, Ragga (9.3 per cent) and Wau (10.4 per cent) both from Western Bar el Ghazal. 40 34.1 35 30 30 25.6 25 20 21.1 20.1 24.9 23.4 24.223.2 23.1 20.1 19.6 22.9 22.1 19.9 19.5 11.7 8.8 10 4.4 6.3 3 2.8 7.4 5.5 7.5 0.5 1 18.3 2.8 11.6 4.8 5.3 4.6 2.3 7.7 7.2 5.8 4.6 6.3 4 5.4 2.6 21.8 21.5 17.6 14.8 1 threshold 14.113.6 10.5 9.8 4 15% 18.9 emergency 18.4 15.3 15.2 13.9 15 5 29.1 26.5 5 2.1 8.4 6.9 5.5 3.2 4.1 4.8 3.2 3.3 1.1 10.49.3 4.6 1.4 2.4 1.6 Feb Apr GAM (WHZ <-2 and/or oedema) 6-59 mo Jun Raga Wau Malakal PoC Ikotos Kapoeta East Renk IDP Jul Awerial/ Minkamen Yei Benitu PoC Fangak Juba PoC Renk Community Lopa Lafon Jur River Gogrial East Nasir Tonj North Ulang Akobo East Ayod May Gogrial West Uror Longetchuk Panyijar Aweil South Maban Pariang Mayom Twic East Kapoeta North Wulu Yirol East Aweil Centre AAA Mar Abiemnhom Twic Nyirol Akobo West 0 Aug SAM (WHZ <-3 and/or oedema) 6-59mo WASH: Water supply is now being provided in Bentiu PoC Average L/p/d of Water in Bentiu PoC in 2015 at 10.2 litres per person per day (L/p/d), within the Sphere Standard of 7.5-15 l/p/day. The construction of the water 14 supply network in Sectors 1, 4 and 5 is now complete. 12 12.0 10.3 10.2 Additional work including installing tap stands, chlorine 9.3 9.0 8.8 10 dosers and pipeline connections to OTPs, schools and the 7.3 6.9 8 MSF hospital is ongoing. Installation of a T95 tank in Sector 5.8 6 4 and a T70 tank in Sector 5 is complete and all tap stands in Sector 5 have been installed. The water supply in all 4 sectors is running relatively well. UNICEF is also extending 2 water supply services to Bentiu Town through the repair 0 and rehabilitation of boreholes. Seven out of the targeted twelve broken boreholes have been repaired and are functioning, with the remaining five boreholes scheduled to be repaired in the next two weeks. Preparations are also underway to rehabilitate the urban water treatment plant in Bentiu Town. 5 South Sudan SITUATION REPORT 24 September 2015 In terms of solid waste management in Bentiu PoC, access to the dumpsite is challenging due to the recent rains. Discussions on road maintenance and access are ongoing with UNOCHA and the Relief, Reintegration and Protection (RRP) section of UNMISS to enable the movement of tractors and trucks to the dump site. UNICEF has started a refresher training on hygiene promotion, enrolling 61 community volunteers. The volunteers will be in charge of establishing community groups in each of the 61 blocks within the PoC. In Malakal POC, water is supplied at 9 L/p/d, also within Sphere Standards. Desludging continues to mitigate against overflow of latrines that could result in disease outbreaks. Similarly, 392 tons of solid waste was also collected and safely disposed during the reporting period. Regardless, the increase in rains is filling up the clogged drainage system in the PoC, which is becoming a breeding ground for mosquitoes, increasing the malaria caseload and spreading water borne diseases. To address this issue, UNICEF will engage the services of Mentor Initiative to intervene urgently through a vector control programme. In Mingkaman IDP camp, UNICEF continues to support over 72,000 people with safe water supply. The 2,289 residents of Bor PoC are also supplied with over 15 L/p/d of safe water. All the 147 latrines stances in Bor PoC have been renovated and desludged and are fully functional. Sanitation and hygiene campaigns (including cholera prevention messages) have also benefited over 1,500 people. People Served with Water Supply & Sanitation Services in the PoCs and Vulnerable Communities in Different States through UNICEF Funding 160,000 Safe Water Supply 140,000 No. Of People Served While cholera cases have significantly decreased, preparedness and response activities are still ongoing. In Mingkaman, house-to-house hygiene promotion reached 8,034 people during the reporting period, while in Bor similar campaigns reached 1,500 people. In Malakal PoC, local radio stations conducted programmes discussing good hygiene practices and protection against cholera. Sanitation 120,000 100,000 80,000 60,000 40,000 20,000 0 Juba UN House Jonglei Upper Nile Unity Mingkaman EES Safe Water Supply 28,000 59,616 101,500 124,000 72,700 72,000 UNICEF continues to support host Sanitation 28,000 15,805 54,169 145,151 32,724 and vulnerable communities living States outside PoCs with safe water supply (266,489), improved sanitation (28,683), hygiene promotion messages (124,450) and WASH supplies (199,143). EDUCATION: To date, as part of the Back to Learning (BTL) initiative, UNICEF has provided 208,946 children (37 per cent girls) aged 3-18 with Education in Emergencies (EiE) services through the provision of technical assistance, supplies and operating costs to partners as well as through RRM direct implementation. A total of 5,908 (27 per cent females) teachers, Parent-Teacher Association (PTA) members and other education personnel have been trained to effectively support EiE in conflict-affected areas. In Bentiu PoC, despite the current influxes of IDPs and pressure for space, UNICEF through its implementing partners (INTERSOS, Mercy Corps and World Relief) has maintained the delivery of basic education services and enrolled 14,100 school aged children (48 per cent girls) in the PoC. The construction of nine temporary learning spaces in Sector 5 was completed to support an additional 720 (51 per cent girls) children. UNICEF continues to advocate for the importance of education in space allocation within the PoC. School enrolment within Bentiu Town stands at 1,450 children (39 per cent girls) in four functional schools. To ensure access to safe and protective learning spaces, UNICEF and partners completed the rehabilitation of two primary schools (22 classrooms) in Bentiu town to benefit 1,320 (42 per cent girls) children. Space for education activities remains a problem in Malakal PoC, but with the relocation to the new PoC extensions, UNICEF and partners are effectively campaigning with Camp Management to secure space for temporary learning spaces. Overcrowding is alleviated by using the same space for learning activities in the morning and Child Protection activities in the afternoons. Also in Malakal PoC, UNICEF and partner War Child Canada support Village Saving and 6 South Sudan SITUATION REPORT 24 September 2015 Lending Associations whereby 15 women from different tribal backgrounds are supported to work together to diversify their livelihood through commercial activities like selling tea and household products in the market. In Western Bahr el Gazhel, in AbieiKuol Cattle camp, there are 15 groups listening to peace messages on the Digital Audio Programmes with a total of 375 (male) listeners. The challenge remains integrating female into the listening groups as their male counterpart does not see the value of girls’ or women’s education. Some of the participants in the listening groups are coming from the neighbouring payams and this is increasing interaction and social cohesion among rival communities. CHILD PROTECTION: So far in 2015, UNICEF and partners have reached 259,922 children with critical child protection services, including psychosocial support, family tracing and reunification services and prevention messaging. An additional 5,686 people (1,795 boys, 1,603 girls, 1,166 men and 1,122 women) were reached with Mine Risk Education (MRE) messages during the reporting period, for a total of 99,790 people reached in 2015. In recognition of the increasing demand for MRE for newly displaced populations, an additional three community based child protection organizations were trained and accredited to conduct Mine Risk Education in Pagak, Ulang and Malakal. These three teams will be deployed to the field next week to deliver lifesaving messages and materials on landmines, unexploded ordnance (UXO) and abandoned ordnance (AXO). Despite continued access constraints throughout Greater Upper Nile, 150 unaccompanied and separated children (UASC) were reunified with their parents over the past two weeks, bringing the total to 2,224. Twenty-one per cent of registered unaccompanied children and 32 per cent of separated children have now been successfully reunified with their families since the beginning of the crisis. Partners are, however, continuing to identify more UASC and missing children. An additional 254 children were registered in RapidFTR over the past two weeks, 71 per cent of whom are in Unity and Upper Nile States. The total caseload stands at 10,252 UASC and missing children (49 per cent girls), of which separated children make up 57 per cent and unaccompanied children make up nearly 15 per cent. Of these, 83 per cent of cases remain active and open, requiring regular follow-up visits, tracing and/or post-reunification and reintegration support. Forty per cent of registered UASC children have been followed up at least once. Following the signing of the new peace agreement which requires all armed actors to release all children, UNICEF and the National Disarmament, Demobilization and Reintegration Commission are leading the finalization of a strategy to respond to the possible releases, together with partners from the Child Protection Sub-Cluster. In the Greater Pibor Administrative Area (GPAA), the distribution of livestock is half completed, with 1,620 children (both children released from Cobra Faction and other vulnerable children in the community) provided livestock and agricultural inputs and receiving training and mentoring from the partner to effectively manage these new household resources. A new Family Tracing and Reunification Specialist arrived in-country to support the ongoing follow up of returned children and the broader case management of the children targeted with socio-economic activities. The transition of interim care centres to youth centres in ongoing and on track for completion in October. Once operational, these will enable more community children to be reached as they will provide a convening space for psychosocial support and vocational training opportunities and a central coordination point for the broader reintegration efforts. During the reporting period, UNICEF expanded its GBV programmatic coverage to two new locations in Unity State and three counties in Jonglei. As part of a new GBV project in Bor, UNICEF and partners conducted a training for teachers in preparation for community discussions targeting the root causes of GBV. Also in Bor, UNICEF conducted a three-day “GBV Basics” training for NGOs and government ministries. A new GBV project is being launched in Bentiu PoC, which will include community engagement and awareness raising as well as a focus GBV risk mitigation in WASH interventions. UNICEF continues to lead coordination of GBV activities for all of Upper Nile State and, with partners, is providing life-saving GBV services within Malakal PoC. Partners in Upper Nile have been trained on how to update processes to refer GBV survivors to services. Programming in Wau Shilluk and Fashoda County remained suspended due to insecurity. Through a capacity building programme with police and social workers in Central Equatoria, UNICEF and partners conducted consultative meetings where police, social workers and local school administrators came together to discuss strategies for addressing GBV in schools. In Akobo, Pochalla and Nasir counties, awareness raising on GBV services was conducted through visits to churches, schools, and health centers. In Yambio, two GBV awareness sessions were conducted within the reporting period but activities there were also affected by insecurity. COMMUNICATION FOR DEVELOPMENT (C4D): UNICEF continues to support cholera prevention efforts in Central Equatoria and Jonglei through communication and social mobilization activities. To date, 235 Central Equatoria Ministry 7 South Sudan SITUATION REPORT 24 September 2015 of Health and South Sudan Red Cross social mobilizers have reached 82,936 households (over 497,000 individuals) in Juba City, Rajaf Payam, Northern Bari Payam and Gondokoro Island Payam with cholera prevention and control messages and cholera household supplies through house-to-house visits. UNICEF also continues to support radio messaging through 22 radio stations in Central Equatoria, Eastern Equatoria and Upper Nile States and Mingkaman IDP camp. UNICEF in collaboration with state Ministries of Health, WHO and health partners are undertaking two rounds of SubNational Immunization Days (SNIDs) in five states: Lakes, Warrap, Jonglei, Upper Nile and Unity. The campaign will deliver two successive doses of Oral Polio Vaccine (tOPV) to all children under 5 in response to a recent outbreak of circulating Vaccine-Derived Polio Virus detected in Mayom County. The SNID campaign is a part of the Polio Outbreak Response Phase-II, which also includes four rounds of NIDs (November and December 2015 and February and March 2016). It aims at rapidly building up a high population immunity to interrupt the circulation of the cVDPV. UNICEF is supporting the campaign through a mix of communication and social mobilization activities including a radio campaign, megaphone announcements, community dialogue, and house to house mobilization display of community engagement materials to reinforce the importance of immunization. SUPPLY & LOGISTICS: During the reporting period, nutrition supplies including 1,804 cartons of ready-to-use therapeutic food (RUTF), 222 cartons of therapeutic milk, Vitamin A, amoxicillin, counselling cards, equipment and MUAC tapes were provided to NGO partners and state Ministries of Health. In support of the Bentiu Emergency response, ten 72m2 tents and two 30m3 onion water tanks were dispatched to the PoC by charter. 1,161 cartons of soap, 1,210 tarpaulins and 99 squatting plates were airlifted from Rumbek to Bentiu via the Logistics Cluster. To help rehabilitate the cold chain, 53 solar direct drive refrigerators, freezers and refrigerator / freezer combinations were dispatched to state Ministry of Health facilities in Central Equatoria, Eastern Equatoria, Jonglei, Lakes, Northern Bahr el Ghazal, Warrap and Western Equatoria states. Finally, 260 Early Childhood Development kits; 200 school-in-a-box kits; 180 recreation kits; 60 Child Friendly Space kits; 9,740 school bags; 100 blackboards; 4 tents; tarpaulins and footballs were all dispatched to Malakal PoC. FUNDING: Against the revised funding requirement of US$ 183.3 million, UNICEF has received US$ 73.8 million. UNICEF is grateful for the pledge of GBP 4.5 million from the Government of the United Kingdom for the areas of child protection, health, education and cholera response. Appeal Sector Original 2015 HAC Requirement (US$) 34,207,267 22,958,021 44,900,000 33,974,176 29,588,149 Revised 2015 HAC Requirement (US$) Funds Received Against 2015 HAC (US$) Funding Gap Nutrition 37,120,069 16,326,575 20,793,494 56% Health 32,150,000 8,801,051 23,348,949 73% WASH 45,900,000 20,299,696 25,600,304 56% Child Protection 33,974,176 13,587,961 20,386,215 60% Education 29,588,149 12,890,338 16,697,811 56% Cholera Response 4,580,914 1,870,337 2,710,577 59% Total* 165,627,613 183,313,308 73,775,959 109,537,349 60% * The requirement US$2,326,709, for cluster coordination costs, has been included in sub-costs for nutrition, WASH, child protection and education sectors. Next SitRep: 8 October 2015 UNICEF South Sudan Crisis: www.unicef.org/southsudan UNICEF South Sudan Facebook: www.facebook.com/unicefsouthsudan UNICEF South Sudan Appeal: http://www.unicef.org/appeals/ Who to contact for further information: Jonathan Veitch Representative UNICEF South Sudan Email: [email protected] Ettie Higgins Deputy Representative UNICEF South Sudan Email: [email protected] Faika Farzana Resource Mobilization Specialist UNICEF South Sudan Email: [email protected] 8 South Sudan SITUATION REPORT 24 September 2015 Annex A - SUMMARY OF PROGRAMME RESULTS1 Cluster 2015 Target2 (Jan-Dec) UNICEF and IPs 2015 Results (Jan-Sep) Target (Jan-Dec) Results (Jan- Sep) Change since last report 148,958 92,167 148,958 92,167 7,940 75% 88.5% 75% 88.5% - # of children 6-59 months receiving vitamin A supplementation 1,712,944 202,252 1,712,944 202,252 952 # of children 12 - 59 months receiving de-worming medication 1,226,107 157,270 1,226,107 157,270 2,753 288,496 271,852 288,496 271,852 37,714 # of children 6 months-15 years vaccinated for measles4 1,207,705 254,988 3,762 # of children below 15 years vaccinated against polio 1,259,097 809,171 5,709 # of households receiving ITNs 300,000 144,161 53,859 # of pregnant women attending at least ANC 1 services 47,013 22,056 1,936 # of pregnant women attending ANC counselled and tested 32,909 9,919 1,204 19,271 1,725 - 600,000 487,711 25,999 250,000 282,612 2,425 NUTRITION3 # of children aged 6 to 59 months with Severe Acute Malnutrition admitted for treatment % of children 0-59month with SAM admitted for treatment recovered # of pregnant and lactating women reached with infant and young children feeding messages HEALTH # of pregnant women receiving clean delivery kits in conflictaffected areas WATER, SANITATION AND HYGIENE # of target population provided with access to water as per agreed 3,500,000 1,999,789 standards (7-15 litres of water per person per day). # of target population provided access to appropriate sanitation 1,700,000 1,464,200 facilities (as per the Sphere Standards) CHILD PROTECTION # of children reached with critical child protection services5 # of former children associated with armed forces or groups and children/minors at risk of recruitment enrolled in reintegration programmes # of registered UASC receiving Family Tracing and Reunification services and family-based care/appropriate alternative care services # of women, men, girls and boys receiving GBV prevention and response services # of children, adolescent and other community members provided with knowledge and skills to minimise the risk of landmines/ERWs 340,295 369,777 275,280 259,922 19,616 4,000 2,338 4,000 2,3386 324 8,8007 10,252 6,880 8,202 204 80,000 68,912 2,640 257,500 99,790 5,686 EDUCATION # of children and adolescents (aged 3-18) with access to education in emergencies # of teachers other education personnel and Parent-Teacher Association members trained to provide education in emergencies # of classrooms rehabilitated/constructed 446,748 351,132 200,000 208,946 9,747 8,416 8,590 5,300 5,908 232 900 502 475 399 21 300,000 82,936 39,244 25 42 - CHOLERA8 # of households in outbreak states reached directly with messages on cholera prevention and control practices # of operational oral rehydration points supported by UNICEF No change since last report is denoted by “-“ 1 Partner reporting rates remain below 100 per cent; UNICEF continues to work with its implementing partners to improve monitoring and reporting of results. These are the revised targets for both Cluster and UNICEF as reflected in the revised Strategic Crisis Response Plan (Jan-Dec 2015). UNICEF annual targets for Health, Child Protection and Education are higher than those of the 2015 SRP, as UNICEF requirements are higher than the inter-agency appeal. 3 Following the inter-agency decision, Multi-Sector Refugee Cluster will be responsible for the results of nutrition intervention for refugees. UNICEF and partners will continue to assist refugee population, and all nutrition actors in South Sudan will benefit from UNICEF’s SAM treatment supplies. Nutrition results for refugees will be updated by UNHCR on a monthly basis. 4 Targets and results of vaccination against measles and polio only reflects the campaign numbers in order to avoid double counting with the routine EPI results. 5 Critical child protection services include psychosocial support delivered through CFS or community based mechanisms, support to access other basic services, case management for the most complex cases and prevention messaging targeting children at risk of recruitment, family separation or other child protection risks.” 6 This includes 1,755 children released from Cobra Faction in Pibor as well as 2 children who escaped another armed group who were supported by UNICEF through the DDRC. Additionally, this includes other vulnerable children in the community reached with socioeconomic integration along with the released children, as per the Paris Principles. 7 This target includes 7,020 unclosed cases that have been identified in 2014 but still require FTR services and family-based care/appropriate alternative care services in 2015. The discussion on this indicator is still ongoing among Child Protection Sub-cluster. 8 These are new indicators in the UNICEF Humanitarian Action for Children (HAC), introduced as part of the mid-year review. 2 9