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South Sudan SITUATION REPORT 31 DECEMBER 2015

1

South

Sudan Humanitarian

Situation Report

18-31 DECEMBER 2015: SOUTH SUDAN SITREP #76 SITUATION IN NUMBERS

Indicators

Cluster for 2015 UNICEF for 2015

Cluster Target Cumulative results (#)

Target achieved

(%)

UNICEF Target*

Cumulative results (#)

Target achieved (%)

WASH: # of target population provided with access to water as per agreed standards (7.5-15 litres of water per person per day)

3,500,000 2,539,186 73% 600,000 540,328 90%

Nutrition: # children 6-59 months with Severe Acute Malnutrition admitted for treatment

148,958 131,479 88% 148,958 131,479 88%

Health: # of children 6mo-15y vaccinated for measles

1,207,705 308,481 26%

Education # of children and adolescents (aged 3-18) with access to education in emergencies

446,748 415,308 93% 200,000 264,332 132%

Child Protection: # of children reached with critical child protection services

340,295 501,567 147% 275,280 365,807 133%

Highlights from 2015

• So far in 2015, 131,479 children have been admitted for the treatment of

severe acute malnutrition. This is 50 per cent more children than were

admitted in 2014 and 71 per cent more than in 2013. Of these, 88.3 per

cent were discharged as cured, above the Sphere standard of 75 per cent.

• The rapid response mechanism continued to be central in expanding

lifesaving assistance to the most hard to reach areas affected by the

ongoing conflict. This year, over 540,000 people, including almost 95,000

children under 5, were reached through 35 UNICEF and partner RRMs.

• Through the Back to Learning Initiative, 358,094 children gained access to

learning opportunities, including 264,332 conflict-affected children

provided with education services and 93,762 children out of school for

other reasons returned to the classroom.

• For the 1,755 children released from Cobra Faction the socioeconomic

reintegration programme continues with goats distributed to 1,241

released children and 869 most vulnerable children from the community;

and agricultural inputs (seeds and tools) have been provided to 283

released children and 289 vulnerable children from the community.

• Through RRMs, short term emergency WASH interventions and medium

term interventions in PoCs and static IDP sites, UNICEF reached 540,328

people with safe water and 297,040 with safe sanitation in 2015.

• Through the first round of sub-National Immunization Days in Greater

Upper Nile, Lakes and Warrap states 1,770,728 (103 per cent of areas

reached) children have been vaccinated against polio.

1.66 million People internally displaced since 15

December 2013 (OCHA, Humanitarian Snapshot dated 1 December,

2015)

887,681* Estimated internally displaced children

under 18 years

Outside South Sudan

647,861 Estimated new South Sudanese refugees in

neighbouring countries since 15 December

2013 (UNHCR, Regional Refugee Information Portal,

dated 18 December, 2015)

Priority Humanitarian Funding

needs January - December 2015

US$ 183.3 million

* Disaggregated data is yet to be made available, as

registration has not been completed across the country.

Children under 18 years have been calculated based on

census

UNICEF’s Response with Partners

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Situation Overview & Humanitarian Needs Since the conflict began two years ago, over 2.3 million people have been displaced from their homes in South Sudan,

including 1.66 million who remain displaced inside the country. According to UNMISS, as of 17 December, the estimated

number of IDPs in six Protection of Civilians (PoC) sites is 185,498 including 106,534 in Bentiu; 27,950 in Juba UN House;

47,791 in Malakal; 2,289 in Bor; 700 in Melut; and 234 in Wau.

The security situation across the country remained tense; with particular volatility in Unity, Upper Nile and Western

Equatoria. Unpredictability continues due to on-going political developments, the dollar/SSP exchange rate and

ongoing criminal attacks in Western Equatoria, Eastern Equatoria, Warrap and Lakes states. Tensions have eased after

the arrival of 145 SPLA in Opposition delegates to Juba on 21 December and the subsequent engagement between the

two sides. However, the President issued a decree on 24 December appointing 28 Governors for the 28 states recently

approved by Cabinet that the Opposition described as a setback to the peace accord and is already creating instability

in Eastern Equatoria, Warrap and the Greater Pibor Administrative Area (GPAA).

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) This year, more than 540,000 people, including almost 95,000 children under 5, were reached through 35 UNICEF and

partner RRMs. Multi-sectoral response teams (WASH, Health, Nutrition, Education and Child Protection) were deployed

to Jonglei, Upper Nile, Unity and Western Equatoria states, reaching: Kandak, Wai, Menime, Kurwai, Jazeera, Nyanapol,

Kuach, Nimni, Turkei, Old Fangak, Ngop, Kuernyang, Wai, Pagil, Makak, Haat, Pagak, Maiwut, Domma, Juaibor, Dublual,

Wau Shiluk, Abruoc, Nyal, Koch, Buaw, New Fangak, Kaldak, Nyilwak, Mayendit, Keew, Kurwai, Oriny, Maridi and

Athidway. Follow up missions were conducted Wai, Kurwai, Buaw and Koch. UNICEF also participated in two

interagency emergency response missions to Leer County in early December, successfully supporting the re-

establishment of humanitarian services.

The RRM continued to be central in expanding lifesaving assistance to the most hard to reach areas affected by the

ongoing conflict. In the first quarter of 2015, access was successfully negotiated to cover humanitarian gaps in Guit and

Rubkona Counties. After the upsurge of conflict heavily affected humanitarian presence in Southern Unity starting in

May, RRM missions successfully responded with implementing partners in Mayendit and Koch Counties in September.

Insecurity also affected humanitarian access and presence in the northernmost parts of Upper Nile State. UNICEF

spearheaded the humanitarian response in Wau Shilluk in August after months of inaccessibility. The RRM has also

been instrumental in the re-establishment of regular humanitarian programmes in Fashoda and Manyo counties. Due

to increased instability in Western Equatoria, UNICEF conducted a standalone response to Maridi County in September

providing lifesaving supplies and interventions for displaced populations.

The RRM also contributed to collecting data on the nutritional status of children in Greater Upper Nile with more than

81,000 children under five screened for malnutrition, and treatment provided for 1,140 newly identified severely

malnourished children. A total of 691 unaccompanied and separated children were identified by these missions. In

addition, more than 132,000 children were vaccinated against measles and 145,000 against polio; more than 192,000

people received WASH supplies; and 15,500 children and adolescents benefited from access to education in

emergencies. RRM responses to locations in southern Unity will continue in early 2016 with scheduled follow up

missions to Koch county as well as initial multisectoral responses in multiple locations in northern Mayendit County.

Following the escalating conflicts affecting southern Unity in particular from mid-2015, a minimum emergency package

in the form of basic survival kits was developed by UNICEF together with other agencies. A total of 21,391 basic survival

kits containing essential non-food items as well as emergency food rations were dispatched across Guit, Koch,

Mayendit, Leer and Panayijar Counties. Additionally, 7,602 kits were distributed to affected locations in Upper Nile

state (Wau Shilluk, Fashoda and Manyo Counties).


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Summary Analysis of Programme Response

HEALTH: UNICEF continued to support the provision of primary health care services in Bentiu, Bor, Juba, Malakal PoCs

and Mingkaman IDP site as well as Torit and Wau. A total of 47,156 curative consultations were provided during this

reporting period, 17 per cent less than in the previous two weeks, with 31 per cent (14,576) of these consultations

provided to children under 5. Since January 2015, UNICEF and partners have provided 760,807 primary health care

consultations to conflict-affected people. UNICEF has supported implementing partners to ensure correct diagnosis

and timely treatment of common childhood illnesses through operational costs, technical assistance, as well as the

provision of antibiotics, respiratory timers and malaria drugs for prompt and effective case management.

Malaria continued to be the leading cause of morbidity, accounting for 60 per cent of consultations for both those

under and above 5 years with 16,730 cases reported (over 80 per cent children under 5) in Bentiu, Bor, Juba and Malakal

PoCs and Mingkaman, including surrounding host communities. UNICEF continued the distribution of malaria test kits

and drugs for the management of malaria cases. Over 1,781 long-lasting insecticide treated nets were distributed in

these areas during the reporting period.

Integrated community case management (iCCM) of common childhood illnesses continued in Mingkaman IDP site. In

this reporting period, 388 children were reached with this community-based lifesaving intervention (52 per cent girls)

targeting malaria, pneumonia and diarrhoea. More than half of the children (52 per cent) were treated for malaria

while 44 per cent were treated for acute watery diarrhoea. Fourteen children were referred to health facilities. This

year, 19,543 children under 5 received lifesaving interventions from community drug distributors through the iCCM

programme; lessons learned from Mingkaman will be used to roll iCCM out more broadly in 2016.

UNICEF continued to support the provision of key maternal, newborn and prevention of mother-to-child transmission

of HIV (PMTCT) services at the primary care level in Bentiu, Bor, and Malakal PoCs and Mingkaman IDP site, as well as

surrounding host communities. During this reporting period, there was a 5 per cent drop in total antenatal care (ANC)

visits from 3,679 in the last reporting period to 3,481. However, 150 more pregnant women attended four or more

ANC visits as compared to the 723 who did in the last reporting period. During the ANC visits, 874 pregnant women

received two or more doses of intermittent presumptive treatment for the prevention of malaria, 1,984 received

iron/folic acid and 1,174 received deworming medications for prevention of maternal anaemia. The increase in the

four or more ANC visits has correspondingly led to an increase in health facility deliveries assisted by skilled birth

attendants by over 30 per cent as 513 women pregnant women delivered at a health facility compared to 354 in the

last reporting period. Over 618 women attended postnatal services for both mother and baby. In the programme of

HIV counselling and testing, 621 pregnant women were counselled and tested for HIV; 7 were identified as HIV positive

and three enrolled on treatment.

Routine immunization services continued in health facilities for children under 5, pregnant women and women of child

bearing age in conflict-affected areas, including provision of cold chain supplies, supportive supervision for vaccination

staff and social mobilization through the community volunteers and via radio announcements and announcement in

churches to correct misconceptions about immunization. Through these efforts, 8,256 children from 6 month to 15

years have been vaccinated against measles, 15,714 under 15 years against polio, and 4,863 women against tetanus

and 3,982 children have been supplemented with Vitamin A.

0

20,000

40,000

60,000

80,000

100,000Disease Trends from Week 1 to 52 of 2015

Total Consultation Malaria Diarrhoea ARI Other diseases


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The first round of sub-National Immunization Days (SNIDs) in Greater Upper Nile, Lakes and Warrap states continued

in Renk, Melut and Lower Manyo counties during the reporting period, vaccinating 26,694 (103.7 per cent) children

under 5 against polio. Twenty-one per cent had never been vaccinated before. In total, the first round on SNIDs has

now reached 1,770,728 (103 per cent of areas reached) children. The fourth round of NIDs in the seven less-affected

states was delayed from 12 to 22 December and preliminary results are still pending. Inactivated Polio Vaccine (IPV)

has now been introduced in seven states, and is now starting in Upper Nile with the training of 14 health workers.

Two solar fridges were provided to Leer and Thonyor primary health care centres (PHCCs) run by MSF while three solar

fridges were installed in Bor South and Twic East counties. The installation of 23 solar fridges in Greater Bahr el Ghazal

and Eastern Equatoria is underway. This year, 40 ice-lined fridge/freezers, 49 freezers and 100 solar fridges have been

distributed to improve cold chain functionality across the country.

NUTRITION: So far in 2015, 131,479 children have been admitted for the treatment of severe acute malnutrition

(SAM) across the country. This is 50 per cent more children than were admitted in 2014 and 71 per cent more than in

2013. Of these, 88.3 per cent were discharged as cured, above the Sphere standard of 75 per cent.

The highest admissions were in Northern Bahr el Ghazal, where 33,102 children, or 200 per cent of the targeted

caseload, were treated for SAM. This was partly attributable to the social mobilization efforts in the first quarter of the

year. In Greater Upper Nile, 89 per cent of the caseload was reached in Jonglei, 70 per cent in Unity and 64 per cent in

Upper Nile.

Screening data from Bentiu PoC, Rubkona and Bentiu Town showed a proxy SAM rate of 10.8 per cent and proxy GAM

rate of 29.3 per cent from the 1,539 children screened. The high proxy GAM rate may be due to children from the

neighbouring Rubkona Payams newly able to access nutrition services in Rubkona and Bentiu Hospital with the start of

the dry season and improved security situation in the area. Admissions to Bentiu outpatient therapeutic programmes

(OTPs) have remained consistently high in 2015. During the reporting period, 278 children were admitted to OTPs in

Bentiu PoC, Rubkona and Bentiu Hospital and 30 to Stabilization Centres. After training on the use of rapid diagnostic

tests, OTPs in Bentiu PoC have begun regularly testing children admitted for malaria, with 49 cases testing positive and

treated during the past two weeks.

10,519

13,559 14,298 14,374

12,721

10,41310,530 11,294 11,274 11,132

11,244

5,9066,887

7,5219,122

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9,2019,579 9,438

6,248

0

2000

4000

6000

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January February March April May June July August September October November

SAM Admission trends in 2014 and 2015

2015 2014

197%

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89%70% 66% 65% 64% 59%

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SAM admission against 2015 target (January - November 2015)

2015 Plan Achievement


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In the first month of the Joint Nutrition

Scale-Up social mobilization campaign

in Warrap State, 47,149 of the targeted

241,160 children have been screened

across the seven counties of the state,

with 2,643 children identified with

SAM and referred for treatment if not

already enrolled in a programme. The

highest prevalence of proxy GAM was

from Twic (36.9 per cent), followed by

Tonj North (33.6 per cent) and Gogrial

East (25.8 per cent). To treat children

identified with SAM, 13 additional OTP

sites have been opened in the state,

increasing the total to 89.

In Upper Nile State, 24,426 children under 5 were screened for malnutrition with a proxy SAM rate of 1.4 per cent and

a proxy GAM rate of 7.7 per cent. The majority of the children screened were from areas where services by partners

have continued to be offered. Screening was also continued in Mingkaman after the recent influx, with 667 children

screened and a proxy SAM rate of 4.2 per cent and proxy GAM rate of 27.1 per cent. All the children with SAM and

moderate acute malnutrition (MAM) were admitted to OTPs and targeted supplementary feeding programmes.

From January 2015 to date, the UNICEF RRM nutrition team deployed to 35 locations. The RRM contributed to the

establishment or re-establishment of nutrition services in 14 hard to reach locations in Jonglei, Unity and Upper Nile

states. A total of 81,638 children were screened and 1,140 children identified with SAM and not already enrolled in any

existing OTP received an initial treatment through the RRM. Additionally, 73,982 children were reached with Vitamin

A supplementation and 61,519 children received deworming treatment. Finally, 38,461 pregnant and lactating women

were reached with key infant and young child feeding messages.

Fifty-one SMART surveys were conducted and validated during 2015 of which 34 (67 per cent) had GAM levels above

the 15 per cent WHO emergency threshold. Most of the high prevalence counties were from the Greater Upper Nile

region of the high burden states of Warrap and Northern Bahr el Ghazal. Eight more surveys are expected to be

completed in the coming days, bringing the total to 59 of 65 planned surveys. Information generated through these

surveys has improved, with only one SMART survey invalidated in 2015 as compared to nine in 2014. Areas of southern

Unity remained inaccessible for surveys through most of 2015, though RRMs and reconnaissance missions were

completed, and a continuous surveillance system has now been put in place with support from a global panel of experts

in collaboration with a nutrition information experts in South Sudan.

Throughout the year, three rounds Food Security and Nutrition Monitoring System (FSNMS) surveys were conducted,

with Greater Upper Nile and the high burden states above the 15 per cent WHO emergency threshold. Persistent

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Prevalence of Proxy GAM and SAM from Social

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Proxy GAM Proxy SAM

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SMART Surveys in 2015

GAM SAM


6

insecurity prevented some rounds of the survey in Jonglei, Unity and Upper Nile. The latest round could not be

conducted in Western Equatoria due to growing insecurity in the state.

WASH: Through RRMs missions, short term emergency WASH interventions and medium term interventions in PoCs

and static IDP sites, UNICEF reached 540,328 people with safe water and 297,040 with safe sanitation in 2015.

In areas of relative security such as Central Equatoria, Eastern Equatoria, Western Equatoria, Western Bahr el Ghazal,

Northern Bahr el Ghazal, Lakes and Warrap States, broken water points were repaired and rehabilitated. Kapoeta East

in Eastern Equatoria State was targeted for the drilling, motorization and rehabilitation of water points providing safe

water to 37,500 people in an effort to eradicate Guinea Worm from South Sudan. Only four Guinea Worm cases have

been reported in 2015. In the Greater Pibor Administrative Area (GPAA), to support communities reintegrating

demobilized children, 39,593 people were reached with safe water. Provision of safe water in GPAA has been an

ongoing challenge. The water resources in the area are seasonal and hydro geophysical surveys have failed to locate

aquifers in Gumuruk even at depths exceeding 100 metres. Hydro geophysical surveys aimed to reach greater depths

are ongoing; failing which alternative options such as surface water treatment (SWAT) systems or construction of small

water catchment structures may have to be explored.

Towards the end of the year, UNICEF made progress in the repair and rehabilitation of water points in the urban areas

Bor (15,520), Rumbek (3,500), Aweil Centre (4,500), Torit (8,000), Yambio (10,000) and Bentiu Town (14,000) in advance

of possible returns of IDPs.

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CES EES Lakes Jonglei NBeG UNS UNITY Warrap WBeG WES

Prevalence of Acute Malnutrition by State (FSNMS round 15, 16 and 17)

GAM SAM cut-off

CES Unity JongleiUpper

NileLakes WBeG NBeG Warrap EES WES

21 RRM

Missions

Safe Water Supply 32934 135000 77537 102500 75700 3900 21945 12312 65500 10,000 108,031

Safe Sanitation 32934 148,350 16,205 60025 32724 865 3232 0 2305 400 0

Hygiene 32934 124401 125320 65839 70,000 2690 11100 0 48271 3115 133,912

WASH NFIs 28,000 121502 193726 13579 95769 11692 9285 3035 2881 53625 136,628

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Coverage of WASH Services by UNICEF and Partners in South Sudan

Safe Water Supply Safe Sanitation Hygiene WASH NFIs


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Provision of safe water based on the Sphere Standards in PoCs and IDP camps continued by UNICEF and WASH Cluster

partners, though influxes into PoCs at different times during the year temporarily lowered the water supply in Bentiu

and Malakal PoCs below standards. The Bentiu PoC water network system is now fed by nine boreholes ensuring at

least 14 litres per person per day (L/p/day) for over 105,000 residents. The new design of UNICEF’s semi-permanent

latrines has reduced the collapse of latrines especially during the rainy season. To date, 1,500 semi-permanent latrines

have been constructed in Bentiu PoC (1,000 through direct UNICEF implementation and 500 through partners) serving

75,000 people based on the Sphere Standard of 1 latrine to 50 people. In addition to the WASH interventions in Bentiu

PoC, UNICEF has extended delivery of safe water services to Bentiu Town, through repairing of 28 boreholes that are

now serving over 14,000 people.

In Malakal PoC, over the reporting period, UNICEF rehabilitated a latrine block in one temporary learning space and

installed two bladder tanks of 5,000L in schools provide students with drinking water. In Wau Shilluk, Solidarites

continues to provide safe water for all of Wau Shilluk and improve hygiene in northern Wau Shilluk while World Vision

is carrying out hygiene promotion in southern Wau Shilluk and has completed 20 latrines in the area. Through these

interventions, UNICEF and partners have reached over 40,000 people in Wau Shilluk with access to safe water and over

7,750 people with access to safe sanitation facilities.

Due to the influx of new IDPs in Mingkaman, UNICEF assisted with the reactivation of a SWAT system which will serve

over 1,500 people with safe water per day. In order to ensure a continued safe water supply in Mingkaman, including

for the new arrivals, UNICEF has contracted the drilling of two new boreholes which will serve over 1,000 people and

are expected to be operational by early January 2016.

Sanitation coverage in South Sudan is low, at only 14 per cent nationwide, with open defecation exacerbated by

population displacement. UNICEF continues to support the effort towards accelerated demand driven approaches to

sanitation and hygiene improvement, through Community-Led Total Sanitation (CLTS) which reached 26,628 people

with safe sanitation in 2015. Participation in international events such as Global Hand Washing Day helped to reach an

estimated two million people with key hygiene messages. The main challenge in adopting the use of safe sanitation

and good hygiene practices is behavioural change; which is a challenge to introduce in mobile populations that are

seeking refuge and security on a continuous basis.

UNICEF as WASH Cluster core pipeline manager procured, transported, prepositioned and distributed supplies to 52

WASH partners, reaching over 1.5 million emergency-affected people. WASH core pipeline materials are now becoming

depleted and the dry season will be used to pre-position and distribute additional supplies.

EDUCATION: In 2015, through the Back to Learning (BTL) Initiative,

358,094 children returned to learning opportunities, including 264,332

conflict-affected children provided with Education in Emergencies

services and 93,762 children out of school for other reasons returned

to the classroom. A total of 7,678 teachers (25 per cent female),

Parent-Teacher Association (PTA) members and other education

personnel have been trained to effectively support EiE in conflict-

affected areas, exceeding the target of 5,300. Against the target of 475,

528 temporary learning spaces (TLSs) were set up/rehabilitated. All

schools closed in the middle of December 2015 and will resume

academic activities during the first week of February 2016.

Insecurity in Western Equatoria has led to closure of 44 primary

schools, which affected 15,944 children (46 per cent girls) and 273 teachers (31 per cent female). UNICEF has provided

education supplies including 100 blackboards, 155 tarpaulins and 83 Early Childhood Development Kits as well as BTL

social mobilization materials to support the resumption of classes in affected areas in the first week of February 2016.

Working closely with State Ministries of Education, Science and Technology (SMoESTs), UNICEF and partners are

ensuring that examinations for Primary 8 candidates are facilitated, including for children in PoCs. In Central Equatoria,

UNICEF and partners supported exams in Juba PoC for 750 (25 per cent girls) children. In Jonglei, 750 (15 per cent girls)

children wrote the examination including in the opposition controlled areas where examinations were conducted at

eight centres. In the Greater Pibor Administrative Area, 62 children (15 per cent girls) took the exam with help from

Central Ministry of Education and UNICEF. In Western Equatoria, the exam started on 7 December in most counties

77,750

264,332

228%

-

50,000

100,000

150,000

200,000

250,000

300,000

2014 2015

Number of children reached with

Education in Emergencies


8

except Mundri West, Mundri East and Ezo Centre that are directly affected by recent insecurity. A total of 1,848

candidates (33 per cent girls) were registered. The sMoEST has developed alternative examination papers awaiting any

improvement in the security to cover these remaining counties.

In Upper Nile, examinations are scheduled for 25-30 January 2016 in 4 out of 13 counties (Renk, Melut, Maban and

Makal) with 116 (12 per cent girls) candidates registered so far. In Unity State, a similar situation has postponed exams

until 25 January 2016 for counties like Mayom and Panayijar. UNICEF is working closely with partners to support

sMoEST to ensure the exams are held as planned for the 1,138 (16 per cent girls) registered students.

During the year, more than 100 schools were occupied, destroyed or closed. UNICEF and partners established 528 TLSs

or support rehabilitation of existing classrooms in 15 counties in five states. These and other classrooms were

supported with 1,224 school-in-a-box kits; 553 early childhood education kits; 853 teacher’s kits; 127 school tents; 873

blackboards; and 1,522 recreation kits.

According to the Annual Education Census

2015, pre-service teacher education is

limited with only 13 education colleges in

the country. One third of teachers are

untrained/unqualified. Short orientation

sessions on teaching methodology, life

skills, peacebuilding, psychosocial support

and the teacher’s code of conduct in

emergencies were conducted to improve

their class management skills and instil

confidence in teaching. In addition, 300

education personnel were provided with life skills and peacebuilding education training, which was passed along to

8,000 students. To counteract the impact of the conflict on children and adolescents, UNICEF mainstreamed life skills

and peacebuilding education into the emergency response focusing on psychosocial support, conflict mitigation and

community mobilization to increase resilience against conflict and protection of vulnerable populations, especially

children.

Forty per cent of all EiE beneficiaries are girls,

with a significant increase in number of girls to

95,798 in the third quarter and increasing over

100,000 enrolled by the fourth quarter. Only 25

per cent of all teachers and PTA and School

Management Committee members trained are

women as it is difficult to enrol female

participants due to insecurity, culture and social

norms.

Eight RRMs in 2015 included an education

component, reaching 14,158 (41 per cent girls)

children with education services. The missions

were conducted in Jonglei and Upper Nile State

and were also used to train 228 teachers,

volunteers and PTA members.

CHILD PROTECTION: Overall in 2015, UNICEF reached 365,807 children with specialized child protection services (133

per cent of target) designed to reduce psychosocial distress and reduce the risk of further rights violations. This

represents over twice as many children as were reached in 2014. Several strategic shifts were achieved, including a

transition from the predominantly static Child Friendly Space based approach to psychosocial support (95 per cent of

psychosocial support service delivery in 2014) to community based approaches, which now account for 70 per cent of

service delivery. For the first time, a new quality assessment framework has been developed, which will be rolled out

in the first quarter of 2016 as part of UNICEF’s and the Child Protection Sub-Cluster’s efforts to improve the quality of

service delivery. This includes standardized quality indicators which will be adopted by all partners; and the

21,156 37,612

58,76849,575

88,134

137,709

95,798

134,436

230,234

106,569

157,763

264,332

-

50,000

100,000

150,000

200,000

250,000

300,000

learners (F) learners (M) total

Learners Reached Per Quarter

Q1 Q2 Q3 Q4

118 957 1,3432,687 2,806 3,544 3,893

5,035 5,908 6,585 7,192 7,678

Teachers, facilitators and PTA trained to provide

education in emergencies


9

introduction of systematic child feedback tools to ensure that children have the opportunity to both provide their views

on, and influence the evolution of, programme implementation.

Prevention efforts have also been strengthened, with improved and more standardized approaches to prevention

messaging and a successful scale-up of mine risk education services to enable children to better understand how to

avoid injuries associated with landmines and other unexploded ordnances. This year, 212,354 people were reached

with mine risk education (MRE), 134,237 of whom were children. Much of this mine risk education is now taking place

in schools (65 per cent of all children reached were school children) and the capacity building of teachers and a more

systematic roll out of the official MRE curriculum will be a priority in 2016.

The national unaccompanied and separated children (UASC)

caseload now sits at 11,430, with 9,201 of these children being

identified by UNICEF and its partners since the conflict began

in December 2013. The active caseload of registered children

is now 8,595 (48 per cent girls) requiring regular monitoring

visits, family tracing action, and/or post-reunification and

reintegration support. A total of 3,332 children have been

reunified (including 28 children in the last two weeks),

however, with over half of these children returning to their

families within the last 6 months. This is, in part, due to the

strategic improvements including increased rates of follow

ups - and targeted tracing prioritizing - the most vulnerable

children as well as more rigorous and accurate reporting on

tracing activities. With the increasing caseload and

accelerating reunifications, more flight bookings were managed, more accompanying adults needed and the

introduction of temporary alternative care arrangements for children in transit. With follow ups and tracing referrals

on the rise, UNICEF will be required to provide more intensive technical support to partners to strengthen caseload

management.

For the 1,755 children already released in the Greater Pibor Administrative Area, the socioeconomic reintegration

programme continues. All of these children received interim care and family tracing services, with 100 per cent of

children being supported to return to their families. These children also received a basic package of supplies to support

their reintegration and follow up visits will periodically be conducted for the next two years to ensure that they remain

living at home and are accessing the relevant reintegration services. To date, 2,682 children (76 per cent of the targeted

3,510 children) have now received their early economic reintegration support. This includes goats for 1,241 released

children and 869 most vulnerable children from the community; and agricultural inputs (seeds and tools) have been

provided to 283 released children and 289 vulnerable children from the community. The remaining distributions were

not possible due to livestock shortages and access constraints, particularly in Labrab and Marwo, but will be concluded

in the first quarter of 2016. In addition, two school farms have been established, and 160 children have been involved

in the first harvest of vegetables; these new skills are intended to assist them and their families with household

subsistence farming and prepare these children for appropriate agricultural work after their education.

The mop up exercise to reach the remaining (estimated) 250 children has continued to be postponed by the National

Disarmament, Demobilisation and. Reintegration Commission and efforts to resolve this in the final weeks of 2016

were further disrupted by renewed tension and small scale conflict which has erupted in response to the

announcement of a new Governor. While immediate efforts will now turn to follow up visits for children at risk of re-

recruitment and support to partners to monitor for (re-)recruitment, the opening of youth centres, the distribution of

remaining livestock, scaling up access to education services and initiation of vocational training programmes will be

priorities in early 2016.

Throughout the year, GBV prevention and response services focused on GBV case management, psychosocial activities,

referrals, coordination, risk mitigation and capacity building, reaching 85,257 people. In the last two weeks, 247

community members in Malakal and Wau Shilluk participated in community dialogue sessions prioritize actions to

address issues of violence against women and girls. In Bentiu, UNICEF and partners conducted 14 awareness raising

sessions on types of GBV and available services, reaching 250 individuals (72 per cent females).

Nyayiaw, 6, on a flight to be reunited with her family. ©

UNICEF/2015/South Sudan/Rich


10

UNICEF’s GBV programming now covers 20 counties across 2 states, compared to 11 counties at the end of 2014. To

date, 51 participants from 22 organizations (15 national and 4 international NGOs operating in emergency-affected

areas; and 3 government ministries) have completed a UNICEF-led “GBV Basics” training, followed by peer-to-peer

learning workshops that allowed partners to share experiences and best practices. As part of the broader GBV capacity

building initiative, UNICEF launched a mobile training team specifically focused on clinical management of rape (CMR).

Since November, four trainings have taken place – in Juba, Wau, Yambio and Yei – reaching a total of 100 clinical staff

and 17 non-clinical staff across more than 50 health facilities. The fifth training planned for Unity State had to be

cancelled due to insecurity. Additional CMR trainings both in Unity and other conflict affected areas will be a priority

for early 2016.

UNICEF also completed the final year of the Communities Care programme, which targets negative social norms that

underpin GBV and strengthens community-based response services for survivors. Through the programme, 302 service

providers – across health, education, psychosocial support and law enforcement sectors – were trained in survivor-

centred GBV response, while 520 people (44 per cent female) who took part in the sixteen-week series of community

discussions have now made individual commitments to address gender inequality

COMMUNICATION FOR DEVELOPMENT (C4D): This year, UNICEF in collaboration with MoH, WHO and partners

provided social mobilization and communication support to four National Immunization Days (NIDs) in seven les-

affected states reaching over 2.4 million children under 5 during every round. Based on post campaign evaluation data,

household awareness is above 90 per cent and 97 per cent of families and caregivers are able to state the benefits of

oral polio vaccines with refusals at 0.1 per cent. In Greater Upper Nile, UNICEF and partners are making efforts to reach

children with vaccination for the first time since the onset of the conflict. To date, using a mix of approaches such as

capacity building, social mobilization, and advocacy and behavior change communication, UNICEF and partners have

been able to conduct SNID social mobilization in 24 counties. Preparations are currently underway for a Meningitis

campaign which will be rolled-out in late January 2016 and is expected to reach 90 per cent of children and youth ages

1-29 years old.

Diarrhea and cholera prevention communication continues to be the focus in Central Equatoria state where a cholera

outbreak was contained in early November 2015. UNICEF is working closely with MoH, WHO and partners to

preposition information, education and communication (IEC) materials to scale-up activities in 2016. In Kajo-Keji, Yei,

Lainya, Terekeka, Morobo and payams outside of Juba City, UNICEF continues to support community outreach

interventions and enhancing skills of families and communities in household water treatment methods, oral

rehydration salt preparation and proper handwashing. To date, 55 social mobilizers have reached 12,559 households

and 249 schools (29,350 students) have been reached with the comprehensive set of activities with cholera prevention

and control key messages and distributed 61,693 aquatabs and 12,641 sachets of PUR.

SUPPLY & LOGISTICS: During the reporting period, US$ 2 million worth of supplies were dispatched to various

locations country wide. Supplies dispatched included seven trucks of nutrition supplies to Rumbek using the Juba-

Tarakeka – Yirol route which opened up two weeks ago after recent flooding. In addition, 8,800 cartons of ready-to-

use therapeutic food (RUTF) to IRC in Aweil, CCM in Tonj East, World Vision in Kuajok and Goal in Twic. Five trucks of

WASH supplies were sent to Bor including soap, buckets and collapsible jerry cans as part of the dry season

prepositioning exercise in Jonglei.

As the rainy season comes to an end and roads begin to open up to Bentiu after six months of no access, 16 trucks with

multi-sectoral supplies have been loaded and are ready for dispatch and the convoy, with escort, is expected to leave

on 2 January 2016. The convoy size will be limited to 30 trucks for all humanitarians requiring the armed escort to

Bentiu. In 2015, US$1.4 million dollars’ worth of multi-sectoral supplies were air-lifted to Bentiu in response to the

child survival crisis in the PoC.

Overall in 2015, UNICEF delivered US$38.6 million worth of supplies for the humanitarian response. Approximately 400

containers of regional and off-shore procurement were off-loaded into the Juba warehouse. 952 MT of cargo were

delivered using Logistics Cluster barge and air assets to conflict-affected areas to partners or for UNICEF direct

implementation and 190 charter flights were coordinated to deliver multi-sectoral supplies including vaccines, nutrition

supplies and cold room prefabricated panels to improve and increase vaccine storage capacity.

FUNDING: Against UNICEF’s 2015 requirement of US$ 183.3 million, the funding received has increased to US$ 98

million, or 54 per cent funded.


11

Appeal Sector Original 2015 HAC

Requirement (US$)

Revised 2015 HAC

Requirement (US$)

Funds Received Against

2015 HAC (US$) Funding Gap

Nutrition 34,207,267 37,120,069 16,020,134 21,099,935 57%

Health 22,958,021 32,150,000 12,693,584 19,456,416 61%

WASH 44,900,000 45,900,000 26,828,558 19,071,442 42%

Child Protection 33,974,176 33,974,176 16,957,984 17,016,192 50%

Education 29,588,149 29,588,149 20,451,948 9,136,201 31%

Cholera Response 4,580,914 5,508,428 - -

Sub-Total* 165,627,613 183,313,308 98,460,637 84,852,671 54%

* The requirement US$2,326,709, for cluster coordination costs, has been included in sub-costs for nutrition, WASH, child protection & education sectors.

Next Sitrep: 14 January 2016 UNICEF South Sudan Crisis: www.unicef.org/southsudan; http://www.childrenofsouthsudan.info/

UNICEF South Sudan Facebook: www.facebook.com/unicefsouthsudan

UNICEF South Sudan Appeal: http://www.unicef.org/appeals/

Jonathan Veitch Ettie Higgins Faika Farzana

Representative Deputy Representative Resource Mobilization Specialist

UNICEF South Sudan UNICEF South Sudan UNICEF South Sudan

Email: [email protected] Email: [email protected] Email: [email protected]

Who to contact for further information:


12

Annex A - SUMMARY OF PROGRAMME RESULTS1

Cluster 2015 UNICEF and IPs 2015

Target2

(Jan-Dec) Results

(Jan-Dec) Target

(Jan-Dec) Results

(Jan-Dec) Change since last report

NUTRITION3

# of children aged 6 to 59 months with Severe Acute Malnutrition admitted for treatment

148,958 131,479 148,958 131,479 6,813

% of children 0-59month with SAM admitted for treatment recovered

75% 88.3% 75% 88.3% -

# of children 6-59 months receiving vitamin A supplementation 1,712,944 2,066,379 1,712,944 2,066,379 -

# of children 12 - 59 months receiving de-worming medication 1,226,107 224,821 1,226,107 224,821 43,386

# of pregnant and lactating women reached with infant and young children feeding messages

288,496 471,105 288,496 471,105 16,422

HEALTH

# of children 6 months-15 years vaccinated for measles4 1,207,705 308,4815 8,356

# of children below 15 years vaccinated against polio 1,259,097 1,029,768 15,714

# of households receiving ITNs 300,000 193,5836 1,781

# of pregnant women attending at least ANC 1 services 47,013 34,314 3,481

# of pregnant women attending ANC counselled and tested 32,909 19,194 621

# of pregnant women receiving clean delivery kits in conflict-affected areas

19,271 11,5437 -

WATER, SANITATION AND HYGIENE

# of target population provided with access to water as per agreed standards (7-15 litres of water per person per day).

3,500,000 2,539,186 600,000 540,328 4,000

# of target population provided access to appropriate sanitation facilities (as per the Sphere Standards)

1,700,000 1,629,331 250,000 297,0408 1,050

CHILD PROTECTION

# of children reached with critical child protection services9 340,295 501,567 275,280 365,807 23,868

# of former children associated with armed forces or groups and children/minors at risk of recruitment enrolled in reintegration programmes

4,000 2,682 4,000 2,68210 49

# of registered UASC receiving Family Tracing and Reunification services and family-based care/appropriate alternative care services11

8,80012 11,501 6,880 9,201 57

# of women, men, girls and boys receiving GBV prevention and response services

80,000 85,257 1,584

# of children, adolescent and other community members provided with knowledge and skills to minimise the risk of landmines/ERWs

257,500 212,354 0

EDUCATION

# of children and adolescents (aged 3-18) with access to education in emergencies

446,748 415,308 200,000 264,332 9,057

# of teachers other education personnel and Parent-Teacher Association members trained to provide education in emergencies

8,416 1,030 5,300 7,678 132

# of classrooms rehabilitated/constructed 900 726 475 528 -

CHOLERA13

# of households in outbreak states reached directly with messages on cholera prevention and control practices

300,000 151,24114 35,241

# of operational oral rehydration points supported by UNICEF 25 42 -

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. 2 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 The measles vaccination target is not attained since 2015 is not a target year in the South Sudan measles elimination plan to conduct campaigns. It will be attained in 2016 as campaigns are planned. 6 ITNs are provided through routine and mass distributions and RRM missions, targeting either households or individuals. The reported figure is the number of households which received ITNs, and the number of ITNs distributed is 268,356. In addition, to respond to malaria outbreak occurred in non-conflict-affected areas, the total number of ITNs distributed in the country reached 452,153 ITNs. 7 Distribution of clean delivery kits is conducted for pregnant women at IDP sites and through RRM missions. Due to access constraints, especially insecurity which limits deployment of RRM missions, it is challenging to reach out all pregnant women targeted. 8 Target surpassed due to influxes into PoCs, especially Bentiu PoC. 9 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.” 10 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 as per the Paris Principles. 11 This includes missing children who have been traced. 12 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. 13 These are new indicators in the UNICEF Humanitarian Action for Children (HAC), introduced as part of the mid-year review. 14 Funding for this activity became available with delay, and the implementation is ongoing to attain the target.

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