Doctors Without Borders/Médecins Sans Frontières (MSF) teams are responding to medical needs in Juba following recent intense fighting in the city. Here, MSF field coordinator Ruben Pottier explains the difficult situation.
After five days of fighting, this is the second day that it has been calm—there is no shooting that you can hear. The ceasefire has been respected in the sense that militarized groups are not fighting each other, but there is still a lot of shooting and looting going on. According to many of the patients we saw today, as well as our South Sudanese staff, one particular area of the city is still very insecure.
They have had to flee their homes, and they are still too afraid to go back. Their houses have been looted and they have lost all their belongings. Some people who decided to go back home have found that everything was stolen, so they have had to come back to the compound of St. Theresa’s Church, in the south of Juba, where we are running our mobile clinic. People’s main humanitarian needs are for food, shelter, water, sanitation, and basic health care.
Yesterday we did 150 consultations, today we did 377 consultations. We also screened children for malnutrition, and provided therapeutic food for those who were severely or acutely malnourished. Our patients are telling us terrible stories—how armed men came into their houses and shot the people inside. In escaping from the violence, many people lost family members. Today I met an eight-year-old boy whose mother and father were both shot and who now has no one to take care of him. I saw a girl of 12, her three-year-old sister in her arms, come for a consultation, saying she had lost both parents. My colleagues in the mobile clinic have seen at least three other children who came without any family, saying their mother and father had been shot.
A lot of people were caught in the crossfire and have bullet wounds. Many others were injured while running in the chaos as they fled the fighting. Some grabbed wire fences while trying to climb over and have cuts to their fingers; others have wounds and bruises on their heads, arms, and legs.
Two patients told us that armed men without uniforms came to their house, took away their children, [and] took away all their possessions, including their clothes. They said they had to flee naked out of the house. They received some clothes from people in the neighborhood, and those clothes are now all they have.
The stories we have been hearing are very terrible—including stories of things that are going on now, since the fighting stopped. It is quite traumatic to hear these stories, especially when you have heard the shootings and the bombings, the noise of people running in the street. It’s very stressful for us, but of course for the people living in those areas, including many of our South Sudanese staff, it is even more stressful and more traumatizing.