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Riang, Jonglei state - Emergency Intervention

South Sudan 2021 © Damaris Giuliana/MSF

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South Sudan

Cycles of violence and extreme flooding have forced millions of people to flee.

Related

  • Malaria
  • Malnutrition
  • Maternal health
  • COVID-19
  • Snakebite
  • Tuberculosis
  • HIV/AIDS
View more

Our work in South Sudan

South Sudan was hit by multiple emergencies in 2020, including escalating violence, COVID-19, severe flooding, and high levels of food insecurity. Doctors Without Borders/Médecins Sans Frontières (MSF) responded to these urgent medical and humanitarian needs while ensuring essential health care services continued in the 16 projects we run in the country.

Flooding in Unity State

What's happening in South Sudan?

Two years after the signing of a peace agreement, and despite the formation of a unity government, the situation in South Sudan remains fragile. Years of conflict have forced millions of people from their homes. A total of 7.5 million people—around two-thirds of the population—were in need of humanitarian assistance in 2020. Exposed to extreme violence and living in fear for their lives, hundreds of thousands of people in South Sudan are unable to access basic necessities such as food, water, and health care.

Seasonal Malaria Chemoprotection (SMC) in Aweil

How we're helping in South Sudan

Increased violence and fighting

There were repeated outbreaks of intense fighting, some lasting for months at a time, across South Sudan in 2020. Between January and October, more than 2,000 people were killed—including a South Sudanese member of our staff—and tens of thousands of people were displaced.

In Jonglei state and the Greater Pibor Administrative Area, our teams in Pieri, Lankien, and Pibor provided emergency medical care to people arriving in mass influxes of casualties, many with serious gunshot and stab wounds. The most critical patients from Pieri and Lankien were evacuated by plane to our hospital in the Protection of Civilians (PoC) site in Bentiu for surgery. Our teams also improved water and sanitation for the thousands of people who took refuge in an area next to the United Nations Mission in South Sudan (UNMISS), in Pibor town.

Brutal fighting forced our teams to suspend medical activities in Pieri for two days in May. In June, we suspended activities in Pibor after most of our staff sought safety in the remote bush area. When violence broke out again in August, we launched an emergency response. The project was closed in December, to enable the reorganisation of our medical activities in a more agile and efficient manner to respond to the community’s emergency health needs.

Widespread flooding

For the second consecutive year, severe flooding affected more than one million people across a wide swathe of South Sudan, submerging their homes and health facilities, and leaving them without adequate food, water, or shelter.

Our teams in Pibor, Old Fangak, and Leer responded to the massive needs, delivering emergency health care through mobile clinics, hospitals, and clinics. In Upper Nile state, we set up an emergency clinic serving the towns of Canal and Khor Ulus—which can only be reached by boat from Malakal town—and carried out an emergency intervention in Ulang Sobat region.

In Greater Pibor, malnutrition was a major concern. We scaled up our nutritional support for young children, through mobile clinics and our inpatient therapeutic feeding center in Pibor town. We also distributed 15,850 gallons of drinking water per day where floodwater had contaminated wells.

Across these projects, our teams treated thousands of people, mostly for malaria, respiratory tract infections, and acute watery diarrhea. We also supported a mass measles vaccination campaign in Malakal town and PoC. In addition, we offered psychosocial assistance and distributed relief items, including plastic sheeting, mosquito nets, and soap, to thousands of displaced families.

COVID-19 response

As the COVID-19 pandemic spread globally in early 2020, concerns that an outbreak would exacerbate an already dire humanitarian situation led MSF to integrate COVID-19 measures and new activities into all existing projects across the country, and start dedicated projects in Juba and Malakal teaching hospitals.

In Juba, we focused on strengthening infection prevention and control measures in health facilities, including the teaching hospital, and the national public health laboratory, the country’s primary testing facility. Our teams also trained health care workers, donated supplies, conducted health promotion activities, and set up handwashing points in several public locations.

Refugees and internally displaced people

In July, UNMISS announced it would begin to hand over the five PoC sites in the country to the national government. In Bentiu and Malakal PoCs, where we manage hospitals, the process had not yet started. However, in Bentiu, patients and community members voiced concerns to our staff about their safety once the UN is no longer protecting the site.

In both PoCs, our teams continued to treat conditions caused mainly by the living conditions, including malaria, diarrheal disease, hepatitis E, cholera, typhoid fever, trachoma, and skin infections, and call for improved water and sanitation.

In Yei county, following new waves of displacement, MSF outreach and mobile teams distributed relief items and offered general medical consultations, immunizations, and psychosocial help. We also supported the pediatric ward of Yei state hospital and ran general health care services at our clinic in Jansuk.

At our clinic in Doro camp, and in the hospital in Bunj in Upper Nile state, we provided medical care to refugee and host communities, including vaccinations, treatment for malaria and malnutrition, care for victims of sexual and gender-based violence, and assistance with births.

Mother and child care

We offered pediatric and maternal health care throughout the year at Aweil state hospital, which serves around 1.3 million people. In October, we supported the health ministry’s response to a seasonal peak in malaria, with rapid diagnostic tests, medication, and supervision at the hospital and in general health care centers.

Abyei Special Administrative Area

In Abyei, a disputed area between Sudan and South Sudan, our 180-bed hospital in Agok town continued to provide surgery, neonatal and pediatric care, and treat people for snakebites and diseases such as HIV, tuberculosis, malaria, and diabetes.

Project closure

In July, we closed the projects we had been running for 14 years in Yambio county, Western Equatoria state. These projects focused on seasonal malaria chemoprevention for vulnerable children in rural areas, support for the regional hospital, and an intervention assisting demobilized child soldiers.

SEE MORE

How we're helping in 2020

688,000

Outpatient consultations

195,300

Malaria cases treated

54,300

Malaria cases treated

13,400

Births assisted

5,100

Surgical interventions

More news and stories

View more related news & stories

Learn about MSF’s journalistic roots and our commitment to bear witness and speak out about the plight of the people we treat.

Story Apr 25, 2022

South Sudan: Tens of thousands of people urgently need aid after fleei...

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Destroyed tukul in Adok, Leer

News Apr 19, 2022

South Sudan: MSF staff member among dozens killed in renewed violence ...

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Story Jan 12, 2022

Surviving flooding in South Sudan: “We are suffering a lot”

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Learn about MSF’s journalistic roots and our commitment to bear witness and speak out about the plight of the people we treat.

View more related news & stories

How you can help

Not everyone can treat patients in the field. But everyone can do something.

Some humanitarian crises make the headlines—others don’t. Unrestricted support from our donors allows us to mobilize quickly and efficiently to provide lifesaving medical care to the people who need it most, whether those needs are in the spotlight or not. And your donation is 100 percent tax-deductible.

We need your support to continue this lifesaving work

We need your support to continue this lifesaving work

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