RAPIID EMERGENCY ASSESSM A MENT OF DISPLAC CED POPULATION NS AWERIAL, YIR ROL, MUND DRI AND T TEREKEKA A COUNTIE ES JANUAR RY 2014 RAP PID EMERGENCY A ASSESSMENT OF D DISPLACED POPULLATIONS YIROL, MUNDRI A AND TEREKEKA CO OUNTIES AWERIAL, Y Conten nts EXECUTIVE SUMMA ARY ....................................................................................................................... 3 1. INTRODUCTION A AND BACKGR ROUD INFO ORMATION .................................................................... 8 1.1 Introductio on.......................................................................................................................... 8 1.2. Background d .......................................................................................................................... 9 2. MAGN NITUDE OF T THE PROBLE EM ..................................................................................................... 9 2.1. Cause of the problem ........................................................................................................... 9 2.2. Analysis of the Effects of Insecuritty and Displaacement ................................................. 10 2.3. Timing of O Occurrence t to the Magn nitude of thee Crisis .................................................... 13 2.4. Populations Affected b by Conflicts .................... . ................................................................ 13 3. SHELT TER AND PERSONAL PR ROTECTION EFFECTS ..................................................................... 14 3.1. Shelter ................................................................................................................................. 14 3.2. Personal prrotection Efffects ............................................................................................... 15 4. RELIEFF ASSISTANCE ...................................................................................................................... 16 5. HEALT TH AND NUT TRITION STA ATUS............................................................................................... 17 5.1. Health .................................................................................................................................. 17 5.2. Nutritional Status of Ch hildren 12 – 59 months ................................................................. 19 6. WATER AND SANITATION ............................................................................................................ 20 Water .................................................................................................................................. 20 6.1. 6.2. Sanitation ............................................................................................................................ 22 7. EDUCA ATION ................................................................................................................................... 23 8. SECUR RITY OUTLO OOK .................................................................................................................... 23 9. FOOD SECURITY O OUTLOOK F FROM JAN – – MARCH 20 014 ........................................................... 25 10. CONC CLUSION ............................................................................................................................... 27 2 RAP PID EMERGENCY A ASSESSMENT OF D DISPLACED POPULLATIONS YIROL, MUNDRI A AND TEREKEKA CO OUNTIES AWERIAL, Y EXECUTIIVE SUMMA ARY The NPA and RRC assessment team made a vissit to Aweriaal, Yirol, Mund dri and Terekkeka from th he 10th th through tto 17 Januarry 2014. The assessment was conductted in a respo onse to emergency in ord der to determine the possible effects of the occurren nce on the lo ocal food, nu utrition and l livelihood security understanding ects of fightin ng on situation.. The assessment objectiive was to esstablish an u g of the effe internal d displaced pop pulations’ food, nutrition n and liveliho ood security and determine the imme ediate needs and d priorities. The inseccurity became a concern for the resid dents from t he 16th Deceember 2013, w when the fig ghting broke outt between th he president’s guards in Ju uba. The situ uation escalaated, when m more SPLA so oldiers defected to oppositio on forces baccked by White Army carrried out the series of atttacks on the SPLA positions and civilian populations in southern parts of Jon nglei. The fig ghtings were e destructive e, and which ressulted in a ma ass displacem ment from pe ermanent setttlements an nd loss of asssets. For insttance, food stoccks, livestockk and propertties were lootted and burn nt. The housses were burn nt and lives l ost. Since mid d‐December 2013, many people p fled fighting f in Bo or, Twic eastt & Duk , Ge emeiza & Mangala went in hiding h in islan nds and toiccs and crosse ed the river N Nile. Many ffled to Awerrial, Yirol, Mu undri, Wanyang g and Nyokin ne and Tom mbek. They lack access to shelters, and living under treess and makeshifts. Insecuritty continues to increase f further suffeering and displacement. The deteriorrating situation shows no sig gn of abating g. Since late e December 2 2013, the situ uation for displaced popu lation has beeen differentt. The conflicct and insecurityy have had w wide range off effects on h households’ access to food and, as a consequencce, on the displa aced populattion’s welfare e. Loss of livvestock, food stocks, excchange and t trade meanss a lot. The sseverity of fo ood insecuritty has increased d, displaced p populations’ responses haave become progressing more seriou us and threatening to liveliho oods. Large numbers of d displaced populations aree running a c continually hiigh risk of inaability to meet f food needs. This is so be ecause, as fo ood crisis exttends throug gh time, displlaced househ holds’ capacity t to cope is ste eadily eroded d. If no reliief assistance is forthcoming, the assessment tteam foreseee a substanttial crisis a head. Displaced d population ns will sufferr greatest fo ood, nutritio on and healtth related sstress. The likely response of displaced d populationss who do nott receive reli ef assistancee will be to abandon disp placed areas for refugee cam mps in Kenya and Uganda.. Given that the food d sources will w be insuffficient to m meet immediate needs of the disp placed populatio on, early inte erventions off non‐food ittems, relief food, health h, nutrition, w water, sanitaation, fishing an nd agriculturral inputs arre recommen nded. Thesee would help p and minim mize the sufffering which oth herwise will lead to overrall deprivatio on and avoid d a situation of respondin ng in a “too much too late fo or too long”.. The follow wing are the summary of key findings and recomm mendations fo or action: NFIs & Sh helter Key findin ngs 3 RAP PID EMERGENCY A ASSESSMENT OF D DISPLACED POPULLATIONS YIROL, MUNDRI A AND TEREKEKA CO OUNTIES AWERIAL, Y Liiving conditio ons of displacced populations are near r catastrophicc, made worsse by chronicc sh hortages of s shelters. The e majority of displaced po opulations laccked access t to shelters an nd were encamp w ed under the e trees, although few werre living in maakeshift shelters. Th he fighting w was particularrly destructivve; hence perrsonal belong gings were se eemingly takken or destroyed to decimate the population n. People mo oved the insstant they saaw or though ht the hite army we ere advancin ng towards ttheir villages and they m moved opposition forces and wh in nstantly – dro opping everything, taking g very little w with them. Recommeendations Immediatte: Th he provision of a basic shelter materiaal (plastic sheeeting, poless and strings)) and tents w will ce ertainly beco ome a necessity. These w would allow th he displaced households to erect te emporary she elters thus eaasing the con ngestion. NFIs such as M N Mats, soap, fo ood, mosquitto nets, jerry cans, blankeets, cooking a and feeding uttensils are im mmediate prio ority needs in n displaced s ites and to faacilitate somewhat eventtual re eturns to norrmalcy. Health & & Nutrition ngs Key findin Th he January 2014 assessment found th he prevalencee for illness e episodes amo ong children were ra anked as (I) diarrhoea (iii) acute respiratory tracct infections (cough and d pneumoniaa) (iii) su uspected ma alaria and (iv)) vomiting. Further, epissodes of diarrrhoea, suspe ected malaria and re espiratory illn ness among a adults were r reported. La ack of shelte ers for displaced populatiions (living u under the treees) is life thrreatening, ass they arre exposed to t extreme conditions c su uch as intense cold or h heat. Assesssment reportts the likkelihood of p pneumonia outbreak, relaated to lack o or poor shelteer. Th he nearest re eferral hospittal for Aweriaal IDPs is locaated in Yirol, over 100 km far. Th he nutrition status for ch hildren 1‐5 ye ears is deterio orating very fast as a ressult of inadeq quate dietary intake e. It is precipiitated by the e lack of acceess to nutritiious foods (ffish and porrridge) an nd milk throu ugh displacem ment, as welll as a combin nation of heaalth and care e related causses at th he household d and commu unity levels. Recommeendations Immediatte: Sccale up healtth service dellivery system ms, so that dissplaced popu ulations are r eached. Reinforce prim mary health c care program mme, particullarly to addreess preventivve health actiivities ra ather than cu urative, provvision of suffiicient drug aavailability an nd essential a and quality h health se ervices is hig ghly recomme ended. Addittional facilitiees to respon nd to surgical emergencie es are needed. he existing health h service es, by expan nding immunisation prog grammes. Waays to Sttrengthen th esstablish additional facilities to enable health centrres respond to any eventtual epidemicc that may arise due m oming rains. to concentraation of IDPss in limited arrea and upco Public health m measures invvolving impro oved shelter, water supplly and person nal hygiene, a as well as food sa w afety measurres are highlyy required. A supplement A tary ration for children un nder 5 years, pregnant wo omen and lacctating mothe ers is re ecommended d. This suppllementary ration would p provide additional kilocalo ories. 4 RAP PID EMERGENCY A ASSESSMENT OF D DISPLACED POPULLATIONS YIROL, MUNDRI A AND TEREKEKA CO OUNTIES AWERIAL, Y Water & & Sanitation Key findin ngs Assessment A results show that 100 percent of the respondentts utilised the deep bore eholes an nd water tan nker / taps ass their main s sources of waater. By contrast, in Tom mbek, Nyokine and Wanyang, W the e majority of displaced po opulations a ccess uncleaan and unsaffe water from m the river Nile. a displaced house hold in mostt displaced ssettlements could By mid‐Januarry 2014, an average ulted in enorrmous not meet minimum water requirementts per houseehold per dayy, which resu su uffering. On the contrary, displace ed househol ds in Mund dri were able e to meet w water re equirement. In n Awerial, To ombek, Nyokkine and Wan nyang, assesssments indicate improper disposal off solid waste, w which contributess to public health. h All tthe displaced d population ns were foun nd to defecate in th he open. The ere is lack off sanitation in n the four diisplaced sitess, which forcces all displaced pop pulation to defecate in the open. These takeen into acco ount of all these co onditions inccrease the risk of a majo or disease ou utbreak. In Mundri and Yirol, the story is different for d displaced pop pulations, wh here assessm ment estimattes that 100 aand 57 perce ent of re espondents u use pit latrine es as their primary meanss of sanitation n respectivelly. Recommeendations Im mmediate: In n emergency situations th he provision o of adequate safe water iss of particular concern in order to o control the spread of infectious dise ease and in paarticular to p prevent large scale outbre eak off diseases. Itt remains a key priority to o reduce wateer and sanitaation‐related illnesses thaat kill people, especcially children n below the aage of five ye ars old. Provvision of suffficient safe an nd cllean water fo or domestic p purposes is an absolute reequirement a and should never be co ompromised. Repair two de eep boreholes in Mingkam man to ease w water probleem for displacced populatio ons ass well as resid dent populattions. In n displacement situation a and presence e of a large n umber of peeople, manag ged open defecation can n be extreme e but feasible e short‐term solution giveen that enoug gh space is avvailable. Use Communi U ity‐Led Total Sanitation (C CLTS) initiativve, the displaaced househo olds should b be en ncouraged to o construct p pit latrines. R RRC, civil auth hority and caamp leadersh hip should takke ra adical mobilissation and se ensitisation o of displaced p populations t to change the eir perceptions ab bout using pit latrines. Im mprovement of sanitation n has direct im mpact on chiildren. The mobilisation a m and sensitisattion of the displaced com mmunities tow ward this end d seems to be e crrucial. Promotion and support to improving h hygiene behavviours and geender aspectts; strong sup pport o the use of s sound approaaches toward ds improving g sanitation c coverage with h technologies to which are affo w ordable, effecctive and envvironmentallyy friendly. 5 RAP PID EMERGENCY A ASSESSMENT OF D DISPLACED POPULLATIONS YIROL, MUNDRI A AND TEREKEKA CO OUNTIES AWERIAL, Y Educatio on Key findin ngs Ed ducation for displaced ch hildren tends to be dismallly. The prim mary schools i in Awerial, M Mundri West W and Yiro ol open in February F 2014. Howeverr, the schoo ols in Bor So outh County were su upposed to o open in Janu uary 2014. In Mingkaman n‐ Awerial, where people from Greate er Bor have been dissplaced has o one primary s school. In M Mundri Payam m, there are 1 4 primary scchools (including 4 prrivate schoolls) and 3 seco ondary schoo ols; while Yirol Town has 6 primary scchools an nd 2 seconda ary schools. By contrast, in Tombek, Nyokine and d Wanyang – Terekeka Co ounty, th here are no schools in the e proximity. Recommeendations Im mmediate: Maintain educ M cation service es for childre en, particularlly during emergency periods, are esse ential both to ensure e that childre en do not misss their educ ational oppo ortunities and d because sch hools play importan nt role in psycchological we ellbeing. Thee efforts shou uld be made to ensure that th he education of children i s not disruptted. Provide schola astic materials to children n. Food Seccurity & Live elihoods Key findin ngs Lo oss of livesto ock and cropss not only afffect nutrition n directly thro ough of loss of milk and m meat products and sorghum wh hich are consu umed, it has indirectly efffects nutritio on through th he oss of a tradittional reserve e of food and d cash. The l oss of livesto ock and crops is like losing g all lo off one’s saving, hence botth the househ hold’s and th he children’s v vulnerability to food sh hortages are increased ass a result of im mpact of con nflict. Fo ood becomes more important than evver. This is seelf‐evident in n contexts off heightened vu ulnerability, f for example internally dissplaced peop ple who have lost their access to food. As th housands of people are displaced, so t the severity o of their accesss to food inssecurity in ntensifies, and they becom me trapped in n the debilitaating strugglee simply to fiind adequate e fo ood for survivval. Th he displaced households will have lesss recourse t o the kinds o of risk‐minim mising mechan nisms avvailable. The e displaced h households’ w welfare signaals a fragile f food securityy prospect, w which will w continue to deteriorate rapidly. As A the severrity of food insecurity inccreases, disp placed households re esponses be ecome progrressing moree serious an nd threatenin ng to livelihoods. arge numberrs of displaced populatio on will run aa continually high risk off inability to meet La fo ood needs. A A cyclical redu uction in diettary intake is expected. Conflict has be ecome a critiical influence e on seed sys tems securitty. Seeds were looted burnt, an nd lost during the escape e to displaced d sites. IDP h households w will not have s seeds and wiill fa ace limited acccess to seed ds in the com ming season. Recommeendations Im mmediate: Advocate the A reinforceme ent and accele eration of fo od and non‐ffood assistan nce to vulnerrable populations. 6 RAP PID EMERGENCY A ASSESSMENT OF D DISPLACED POPULLATIONS YIROL, MUNDRI A AND TEREKEKA CO OUNTIES AWERIAL, Y Provision of se eeds and oth her agriculturral inputs for farming are essential to i improving th he ecconomic possition of displaced househ holds (also w when they return to their a areas). Proviision off such inputss motivates th hem to cultivvate land and d become self‐sufficient in n food, co onsequently decreasing t their vulnerab bility. Provision of fishing equipm ment is imporrtant. Immed diate fishing e equipment in ntervention f for argeted displlaced househ holds is cruciaal in enhancin ng household d food security. ta Restocking for the most vu ulnerable me embers of thee communitiees (also when they return n to th heir areas) 7 RAP PID EMERGENCY A ASSESSMENT OF D DISPLACED POPULLATIONS YIROL, MUNDRI A AND TEREKEKA CO OUNTIES AWERIAL, Y 1. INTRODUCTION A AND BACKGR ROUD INFO ORMATION 1.1 In ntroduction n The follow wing report s stems from a a visit the NP PA and RRC tteams made t to Awerial, Y Yirol, Mundri West and Terekeka Counties from the e 10 January through to 17th Januaryy 2014. The e assessmentt was conducte ed in a respon nse to emerg gency in orde er to determ mine the posssible effects of the occurrence on the lo ocal food, nutrition and livelihood security s situaation. The assessment objective w was to establish an understtanding of the t effects of o fighting o on internal displaced populations’ food, nutrition and livelihoo od security an nd determine e the immediiate needs an nd priorities. The areas covered by b assessmen nt teams inccluded Ming kaman (Aweerial), Yirol, Mundri, Nyo okine, Wanyang g and Tombe ek. The team ms conducte ed 74 key infformant inteerviews (Awe erial; 17, Yiro ol; 26, Mundri; 2 21, Nyokine; 4 4, Wanyang; 3, and Tomb bek; 3) and 339 focused g group discusssions (Aweriaal; 29, Yirol; 4, M Mundri; 3, Nyo okine; 1, Wan nyang; 1, and Tombek; 1) w with mostly w women. A checklisst was used to provide the assessme ent team with h a reminderr and guide t to all the typ pes of information needed. The checkklist is easy to use, an nd provides a comprehe ensive outlin ne of information needs yett flexible guid de. The invesstigation wass carried out through sem mi‐ structured d interviews w with individu uals and grou ups of displaced d householdss, and with SRRC S officials on the gro ound. This w was a guided conversatiion in which on nly the topiccs were pre‐‐determined and new q questions or insights arise as a resu ult of discussions and visua alised analysis. The interrviews were informal and d convention nal, but remained controlled d and structu ured. New a avenues of questioning w were pursued d as the interrviews develo oped. Special efforts were made to enssure that a range r of opin nions was reepresented aand to enablle the understan nding of all sides of the isssues. In additio on, the team m made exten nsive use of direct obserrvation to heelp build up a picture off how people were w survivin ng, particulaarly after the displacem ment. Directt observation is an effe ective assessme ent tool to record what te eams see and d hear to help p shape the u understandin ng of a situatiion or a problem m. Direct observation is a also a good w way to crosss‐check peop ple’s answerss to question ns and information acquired during the semi‐structured interview ws (seeing iss believing). The teams tried and looke ed at a numb ber of factorss to back up t the informatiion already co ollected. Focus gro oup discussio ons were use ed to gain a rapid underrstanding of key themes or issues. FFocus group discussions were w used to o generate qualitative d data (insigh hts into needs, expectations, d feelings of I DPs). attitudes,, perceptionss, beliefs and Key inforrmant intervviews were commonly used u in dataa collection for rapid asssessments. Key informant interviews were one w where individu uals with prio or knowledg ge of affected population ns are questione ed to gatherr key informaation on the impact of fiighting and on priority n needs. Intervviews had particular value in n gaining a p perspective o of the impactt of disaster o on the populations. Theyy also provided holistic and d qualitative overviews of the impaact of a disaaster. The iinternal disp placed populatio ons were va aluable key informants simply s beca use they sh hare their re epresentative e but personal experience. Key informaant interview ws were used d to delve intto sensitive is ssues that arre not appropria ate for focus group discusssions. 8 RAP PID EMERGENCY A ASSESSMENT OF D DISPLACED POPULLATIONS YIROL, MUNDRI A AND TEREKEKA CO OUNTIES AWERIAL, Y The reporrt, which follows, is based d on analysis and findingss, and provides the impacct of insecuritty and displa acement. 1.2. Background B d clashes erup pted between n two The fighting in South Sudan begaan on the 15thh December 2013, when c factions in i military barracks in th he national capital c Juba,, and escalatted into all‐o out war between government troops an nd those loyaal to Riek Maachar. The vi olence has sp pread to som me states of S South Sudan. There has bee en sustained f fighting in Jo onglei, Unity and Upper N Nile States. Civilians – – including children and w women have e not been sp pared, and m make up the majority of t those displaced d and desperrate need of humanitarian. Assessmeent estimatees – many mo ore fled the areas during the intensive fighting and a an estimated d 32,000 perssons have fled to neighbo oring countie es. Of these disp placed popullation, some 60,000 have e taken refug ge on bases o of UN Peacekkeeping Mission in South Sudan (UNMISS S), where cro owded encam mpments havve been estaablished. Maany of whom have fled a wave of ethnic violence pittting governm ment forces a against oppo osition forcess. On the gro ound, the huma anitarian situa ation is dire. The talkss brokered by b Intergoverrnmental Au uthority on D Developmentt (IGAD) are aimed at ending more than four weekss of fighting. The conflictt has left tho usands dead d, while large populationss have been disp placed or havve fled the co ountry. Instability continu ues to plaguee Jonglei, Upper Nile and Unity States, an nd IGAD – sponsored talkks in Addis Ab baba, have yeet to yield a negotiated s settlements t to the conflict. oost with chin na – which iss the biggest buyer of Sou uth Sudan’s o oil – The push for peace was given a bo pushing f for peace and d offering to mediate betw ween the tw wo sides. 2. MAGN NITUDE OF T THE PROBLE EM 2.1. C Cause of the problem The fightiing in Juba began on the 15th December 2013, whe n clashes eru upted between two factio ons in military b barracks in Ju uba, and escaalated into all‐out war bettween goverrnment troop ps and those e loyal to Riek Machar. M The e violence sp pread to som me states of South Sudan. There haas been susttained fighting in n Bor, Jongle ei. South Su udan was sha aken by violence since mid‐Decembe m er 2013 when President Kiir accused d Riek Machar o of standing behind a failed coup attem mpt against h his regime. H However, in Juba, the fig ghting subsided after 3 days,, and somewhat people b began to movve, although with fear. In Bor, Jo onglei State, fighting beg gan on the 177th Decemberr 2013, life w was a struggle e for survivall. For civilians, f fighting brou ught little butt misery, partticularly sincee the escalattion of the co onflict. At the nig ght of the 17th December 2013, Peter Gadet – Com mmander of D Division 8 defected from SPLA in Panpan ndier Militaryy Barrack, He eadquarter. The fighting g took placee between go overnment fforces 9 RAP PID EMERGENCY A ASSESSMENT OF D DISPLACED POPULLATIONS YIROL, MUNDRI A AND TEREKEKA CO OUNTIES AWERIAL, Y and Division Comman nder Peter Gaadet / Oppossition forces. The govern nment forces were pushe ed out by opposition forces. On the m morning of the 18th Decem mber 2013, there was movvement of large population from southern part of Bo or Town to t he northern part. This w was the indicaation of likelyy clashes in B Bor Town. O On the 18th December 2013, the fighting b began in Bor T Town. In thee evening of the 18th Dece ember 2013, many people crrossed the rivver Nile fleein ng for safety. Some peop ple did hide t themselves in n the toics, isslands and bush hes, but were followed by opposition forces, and escaped d to Aweriaal, Yirol, Nyo okine, Wanyang g and Tombekk. The fighting on the ground betwe een governm ment and opp position forcces mostly afffected areass such as Panpan ndier, Malual Chaat, Bor T Town, Laudie er and Chinu uerben. In th hese battles, villages and crops were burrnt; cattle loo oted, civilian were killed & assaulted . Banks and d shops were e broken into o and looted. The five payams of Bor B South Co ounty, includ ding Kolnyan ng, Anyidi, M Makuach, Jale e and Baidit were affected. The payams of Kolnyang, Anyidi and d Makuach, w which surrou und Bor Town, were exte ensive affected by the fightting in Bor Town. T Furth her, the resp pondents revvealed that B Baidit Payam m was mostly afffected by fighting – esp pecially Math hiang and Gaaamez Bomaas, where ho ouses were b burnt, crops burrnt and loote ed, and cattle looted. Th he elderly, bllind and disaabled people who were le eft as they could not flee for safety were e killed. The deve elopment wa as signal of the end of even relativve stability in n some payams, which were consumed in terrible fighting on the ground, a serious esscalation of tthe conflict, and a deepening humanita arian crisis. Violent displacement has led to lo oss of accesss to livelihoo od, loss of seeeds and fraagile food seccurity combined d has had serrious effects.. Many households have lost assets s such as cattle e. This meant that when people displaced to other areas, they have few rresources an nd are forced d to rely on host communiities or relief assistance. 2.2. Analysis of t A the Effectss of Insecurrity and Dissplacemen nt The inseccurity caused d by opposittion forces and White Arrmy is increaasingly seriou us in Jonglei as a cause of population d displacementt and impoverishment. A ll three coun nties of Duk, Twic East an nd Bor are affeccted by the fighting. No ot only that but people of Gemeizaa and Mangaalla Payams were displaced d to Nyokine and Wanyan ng Islands resspectively. In n Juba, havin ng security siituation imprroved some peo ople fled for safety to Mu undri. Indeed d, Bor South County was most affecte ed by the con nflicts and inseccurity. The fightting has caussed widespre ead displacem ment, resultiing in large p population g groups to become vulnerablle to food, nutrition and livelihood ass well as sociial disruption n. The impacct of displace ement on availa ability and access to food, f nutrition status and health depends o on many facctors. Displacem ments have reduced peop ple’s ability to o support th emselves and increased t trauma and s stress within the e population which adverrsely affected d the caring p practices of c children. 10 RAP PID EMERGENCY A ASSESSMENT OF D DISPLACED POPULLATIONS YIROL, MUNDRI A AND TEREKEKA CO OUNTIES AWERIAL, Y A large in nflux of disp placed peoplle has put pressures p on the infrastrructure, health and sanittation us, increasing facilities, as well as the food resou urces of the r resident com mmunities, thu g the vulneraability of the lattter group. T This has cause ed the sociall relations beetween displaaced and ressident populaations to suffer. People ha ave been disp placed from their original lands due to o fighting, th he collapse of food produ uction systems in Jonglei State S have resulted r in hunger. Th his is particu ularly true ffor women, their dependen nt children, and other vu ulnerable gro oups includin ng the elderrly, the disab bled, orphans and widows. The crisiss has compounded manyy fold when social s relatio ons have beeen destroyed. The crises have destroyed d normal sup pport system ms. The fighting has resullted in loss o of lives, in ph hysical separaations for varyin ng periods off time, in forced relocatio on, and in peermanent sep paration of ssome commu unity / household members. Women and a their de ependent children have been affecteed more sevverely by dissruption of social relations.. Children, particularly infants, have e succumbed d early to d diseases thatt make theirr way through the populattion. An ovverwhelming majority off displaced p populations in Awerial, Yirol, Mundri, Nyokine, N Wanyang and Tombek T are women w and their depend dent children n. They com mprise more tha an 90 percen nt of the uprrooted popullations. The ir presence iin all categories of vulne erable groups re eflects the magnitude of t their vulnerability. The loss of shelter is life‐threaten ning, as displaced populaations are exxposed to exxtreme conditions such as in ntense cold a and heat. It is s traumatic b because it is a accompanied d by a loss off possessionss. It is humiliatin ng due to losss of privacy. Women end dure greaterr humiliation due to more e stringent taaboos associate ed with infrin ngement on their personal privacy. LLoss of sheltters implies lloss of prote ection from other people. T The fighting have forced large numbeers of peoplee at any one time to reso ort to er the trees. In Awerial, N Nyokine, Wan nyang and To ombek, majorrity of makeshift shelters and living unde the people are living u under the tre ees. Further, few displaceed household ds are living in n makeshiftss. One of the well‐know wn characterristics of unusual enviro onments is sttress and itss effects on men, women a and children. Stress is variable but prresent in diffeerent phasess of an emerrgency or disaaster. Unusual situations ha ave themselvves become powerful sttressors com mpelling peop ple to experrience stress. Many of the economic and social networks th hat househo lds normally employ durring times of crisis have bee en shattered. In these caases, coping mechanismss differ, becaause displace ed household ds are no longerr available ass a safety ne et. The overw whelming maajority of dissplaced households are m mainly women and children s struggling to survive with h little hope o of returning h home. The fightting has lea ad to the breakdown of o political sstructures an nd of econo omic system ms, to productivve land along g the river Nile lying idle a and cattle loo oted and desstroyed, to fllights of disp placed people. I t is a processs that heighte ens people’s vulnerabilityy. At community level, a assessment fo ound a patte ern emerging g of three diffferent experriences of conflict. The first i is characterissed by the to otal destructiions of the co ommunity’s habitat: hom mes are destrroyed; constant attacks on people obliged them to ab bandon their homes and m move elsewh here. As disp placed people, their t membe ers are oblig ged to move e several tim mes, as theirr options fo or refuge become 11 RAP PID EMERGENCY A ASSESSMENT OF D DISPLACED POPULLATIONS YIROL, MUNDRI A AND TEREKEKA CO OUNTIES AWERIAL, Y narrowerr. They face the prospectt of never be eing able to r return to theeir homes, livving perpetuaally in temporarry shelters orr camps. has affected communitiess by leading t to the death,, maiming. TThis has affeccted the econ nomic Fighting h viability o of the househ holds by desstroying its productive re source base,, either in the short‐term m or in the long‐‐term. Thiss leads to gross g impove erishment, tto acute foo od security, or to flightt and dependen nce on relief aid. e communities by Further, fighting has affected pssycho‐social health and ssense of ideentity of the promotin ng schisms, disrupting gender g strucctures and rrelations, an nd by inflicting on indivvidual memberss traumatic experiences which se eriously imp pair their ccapacity to carry out their responsib bilities. duced the sttandard of livving and leveels of resourrces availabillity in societyy as a The confllicts have red whole, an nd destroys h health, welfaare and educaation servicees. Displaced d people are d doubly vulne erable to this red duction in resources and support. Firsst, physical vvulnerability h has become h higher. Conflict has h changed d the option ns available to individuaals and communities cau ught up in these conflicts, restricting them. t It has deepened the t poverty aand vulnerab bility from w which it grew w or in other insttances, has challenged th he past. Women are a negativelly affected by b conflict an nd turbulent change. W Women’s vulnerability and d how changes in their situ uation lead, in many cases, to loweer status, in ncreased marginalisation, and perhaps t to greater ab buse of their h human rightss. Bor Soutth County su uffered a serries of brutaal and destru uctive fightin ell endowed with ng. It is we fisheries and animal r resources tho ough these a are all but deestroyed in t the conflict, when people e fled from theiir lands and huge numbe ers of animalls were looteed. Looting and theft off civilian prop perty, the loss o of cattle has t therefore pro ovoked perm manent destittution. It is well known tha at populatio on affected by armed cconflict expeerience seve ere public h health conseque ences often aggravated by displace ement, food d scarcity an nd collapse of public h health services. Violent displacement has led to lo oss of access to clean w water, loss off livelihood, loss of seeds and fragile food security ccombined hass serious effe ects. Many d displaced hou useholds havve lost assetss such as cattle. This meanss that when people are d displaced to other areas, they have few resources and are forced d to rely on r resident communities or r relief assistan nce. Insecurityy and conflictt are having w wide range o of effects on households’’ access to fo ood (i) looting and destructio on of food stocks has reduced access to food (ii)) looting of l ivestock hass reduce acce ess to trade and d exchange, milk, meat and a social ne etworks and d (iii) reduced d access to areas affecte ed by insecurityy and confliccts could reduce access to wild foo ods, fish, veegetable gard dens and income s. Insecuritty and confllict have forrced peoplee away from earning opportunitie o m their tradittional livelihood ds and increasingly comm mon source off risk to food entitlementts. 12 RAP PID EMERGENCY A ASSESSMENT OF D DISPLACED POPULLATIONS YIROL, MUNDRI A AND TEREKEKA CO OUNTIES AWERIAL, Y It is impo ortant to view w the insecurrity and confllict in Decem mber 2013 and d January 2014 and in the e near future no ot simply in lig ght of its imm mediate effects on the po opulation, bu ut with the lo ong lasting im mpact on the tra aditional livellihoods patte ern of househ holds. 2.3. Timing of O T Occurrence to the Mag gnitude of the Crisis The fightting came at possibly one e of the worrst times of the year witth respect to o household food, nutrition and livelihoo od security. In Duk, Twicc East and B or Counties, the 2013 cro op productio on fell well shorrt of the norm mal productio on due to flo ooding and m militias’ activiities carried b by David Yau u Yau. The food needs were e severed with the widesspread loss o of propertiess, livestock aand food sto ocks – uth County. especiallyy the Bor Sou Normally in Decembe er, communitties in Duk, T Twic East and d Bor Countiees, and Gemeza and Man ngalla Payams prepare p for Christmas se eason; sorgh hum crop is being dried d on dry stan nds, collectio on of thatched grass for co onstruction o of new house es. Further, women colleect firewood d and sell the em to the markkets. Those h households l iving along t the river Nilee clear the veegetable gard dens and praactice subsisten nce fishing. F Fish are sold to markets a and remainin ng ones conssumed. Fishiing is a vital social and econ nomic activity. Further, livestock ow wners migratte with theirr cattle to drry season grrazing areas. In Juba, in Decembe er, people prrepare for Christmas C seeason. Furth her, they paarticipate in petty businesse es to generatte income to meet the foo od needs. Moreover, insecurity and conflictts impinge on o mobility, rrestricting other optionss for meeting the food nee eds. Not on nly that but trade and exchange e ab bruptly affeccted by confflicts, altering g the household food and cash econo omies. The e conflicts d disrupt markkets and cau use labour tto be withdraw wn from productive activitties. 2.4. Populations P s Affected by Conflictts The numb bers of displa aced people,, where thesse are provid ed, are at beest rough esttimates, base ed on figures provided by RRC, R civil autthority and other o key info ormants. Acccurate figurres are difficult to establish,, as the disp placed population are no ot found in ‘camp’ situaation, but diispersed and d few integrated with relattives. Any estimates, e th herefore, sh hould be takken only as indicative o of the magnitud de of the problem. e below show ws estimates of total displacement as p provided by RRC in mid‐January 2014 The table Displaced Sites Awerial man) (Mingkam Yirol Mundri Nyokine Isslands Wanyang Islands Tombek Numb ber of Households 400 Still co onducting reg gistration of IDPs 1,004 2,020 2,002 Number of Population 146,613 (figu ure given on t the 11th January 2014 was 136,9977) 2,250 Still conduccting registration of IDPs 6,020 12,132 10,430 So ource: RRC, Aweerial, Yirol, Mund dri, Nyokine, Wanyang and Tombbek, 2014 13 RAP PID EMERGENCY A ASSESSMENT OF D DISPLACED POPULLATIONS YIROL, MUNDRI A AND TEREKEKA CO OUNTIES AWERIAL, Y The figure es provided b by RRC are faar higher than those avail able on OCH HA situation M Map. endation Recomme here is a need for close m monitoring off displaced po opulations in n all sites. Some displaced d Th populations arre still in hiding and out o of reach. Furtther, some displaced pop pulations are moving out of m f the sites to Juba and beyyond. Th he populatio on figures sho ould be updated time and d again. A joint regular ve erification ex xercise in necessary to esstablish the ccorrect figurees for plannin ng and targetting purposes. 3. SHELT TER AND PERSONAL PR ROTECTION EFFECTS 3.1. S Shelter ms which con nfront The criticcal problems of internallyy displaced populations a re all the claassic problem internallyy displaced po opulation everywhere. T The people diisplaced to M Mingkaman –– Awerial, Tombek and Wanyyang, their liiving conditio ons are nearr catastrophiic. The displlaced populaations are living in precariou us conditions, made worse by chronic shortages o f shelters. In n January 20114, the majorrity of displaced d population ns lacked acccess to she elters and w were encam mped under the trees. One responde ent in Aweria al was asked a question o on shelter an nd replied “aas you can seee, we sleep u under the trees” ”. Further, t there are few w and majoritty displaced h households iin Awerial an nd Nyokine Isslands living in m makeshift she elters respecttively. Awerial ID DPs ( NPA 12.1.2014) By contra ast, in Mund dri and Yirol, displaced populationss have found d shelters w with relativess and friends, and a need a minimum off relief assistance. Thee displaced populations are housed with relatives, space is extrremely limite ed. In Yirol, fe ew displaced d population are living in t the churchess. al and Yirol, 5 55.8 percent of the respo ondents said they can provide some building matterials In Aweria d population for tempo orary shelterrs. Assessme ent revealed the displaced n can provide e poles, if the ey are 14 RAP PID EMERGENCY A ASSESSMENT OF D DISPLACED POPULLATIONS YIROL, MUNDRI A AND TEREKEKA CO OUNTIES AWERIAL, Y provided with pangas and axes. In Mundri, 75 percent of the respo ondents said d they are ab ble to provide p poles and gra ass. In Tomb bek, Nyokine e and Wanya ng islands, 554 percent off the respondents reported they can pro ovide local po oles and Papyyrus. Generallyy, in Yirol and Awerial, th he displaced d population said the bu uilding materrials needed from external sources incclude tents, plastic she eeting, poless and bamb boos. In M Mundri, disp placed households requested d to be assistted with plasstic sheeting and iron sheeets. In Tom mbek, Nyokine and Wanyang g Islands, 90 percent said d they would d like to be provided with plastic sh heeting and ttents, while 40 p percent requ uested to be assisted with h iron sheets and other ro oofing materrials. Recomme endation Immediatte he provision of a basic shelter materiaal (plastic sheeeting, poless and strings)) and tents w will Th ce ertainly beco ome a necessity. These w would allow th he displaced households to erect te emporary she elters thus eaasing the con ngestion. Mid‐term Depending on D n security situ uation in IDPss areas return n arrangemeents, arrangements to be planned in advvance to support IDPs witth shelter maaterials that a are rain proo of need to be e put in n plan. 3.2. Personal pr P otection Efffects In Aweria al, Yirol, Tom mbek, Nyokine and Wanyaang, displaceed population ns told the a assessment t teams that fighting was pa articularly de estructive, hence person nal belongin ngs were see emingly take en or destroyed d to decimatte the population. For in nstance, hou uses and pro operty were llooted and b burnt. This is sig gnificant beca ause personaal belongingss lost per hou usehold mean ns a lot. Whether real or imagiined – and it is probably r real – the feaar of oppositiion forces an nd white armyy was widespread. Whenevver and whe erever the asssessment teeams talked to displaced d populationss, the story wass basically th he same: peo ople moved t the instant th hey saw or t thought the opposition fforces and whitte army werre advancing g towards th heir villages.. And they moved insttantly – drop pping everythin ng, taking verry little with them. The d displaced peeople are mo ostly women and children n who arrived ca arrying the fe ew personal b belongings th hey managed d to savage b before fleeing g. For Mund dri displaced population l left Juba from the 21st Deecember 2013, when the security situ uation had some ewhat impro oved. The he eads of households manaaged to send d women, ch hildren and elderly people to o the relativves in Mundrri with hand d luggages aand many peersonal possessions were left behind w with some of h household m members – wh hich were inttact. erry cans, foo od, blankets, mosquito neets, cooking and feeding utensils soap and The distriibutions of je mats wou uld ease the b burden on th he displaced h households. Recomme endation 15 RAP PID EMERGENCY A ASSESSMENT OF D DISPLACED POPULLATIONS YIROL, MUNDRI A AND TEREKEKA CO OUNTIES AWERIAL, Y NFIs such as M N Mats, soap, fo ood, mosquitto nets, jerry cans, blankeets, cooking a and feeding uttensils are im mmediate prio ority needs in n displaced s ites and to faacilitate somewhat eventtual re eturns to norrmalcy. 4. RELIEF F ASSISTAN NCE Doctors o of Africa, Savve the Childre en, Internatio onal Committtee of Red Crross (ICRC), M MSF, Oxfam, CCM and WFP are agenciess on the grou und, howeverr, appear to b be falling sho ort in their effforts to mitig gate the difficu ult conditions faced by displaced popu ulation. Hum manitarian effforts are makking good progress,, but life‐saving assistance e is still urgen ntly needed. Two weeks into the resp ponse, majorr needs rem main the distribution of fo ood, access t to clean wateer, provision of shelter maaterials, child d protectio on and health h services. The table e below show ws activities u undertaken by NGOs that operate in A Awerial, Yirol,, Mundri and Terekeka NGOs and UN ICRC CCM MSF Oxfam Save the C Children WFP Doctors off Africa PSI AAH South Sud dan Red Cross SEM NPA Awerial A Relief food R Non‐food item N s Health services H s Health services H s Water and W sanitation Protection serv P vices for displaced population p Relief food R Yirol Mundri T Terekeka Relieff food Health Services Health serrvices Health serrvices Health serrvices Land rights L Agricu ulture/ livestock Health serrvices A Agriculture Source: RRC C, Awerial, Yirol, Mundri and Terrekeka, 2014 The food and non‐foo od items distrributions in A Awerial and Y Yirol were rep ported to be fair, accounttable, transpare ent, and gender sensitive e. The transsparent systeem, results in n the fewer opportunitie es for abuse lea ading to unfa air distributio on practices. The beneficciaries were i nformed of t their entitlem ments and the timing t of disstributions. The relief asssistance waas distributed d to women because of their primary r ole in househ hold food maanagement. Any relieff assistance d distribution s system requirred an identiification of th he intended b beneficiariess. The relief food was distrib buted to ben neficiary housseholds for 1 5 days. The distribution cycle will de epend on the type of popula ation served,, the contextt and food reesources available. In Aw werial, assesssment revealed that not all displaced households re eceived relieef food and non‐food ite ems. Assesssment results sh howed that 50 5 and 35.7% % of the resp pondents in A Awerial and Yirol receive ed relief food d and 16 RAP PID EMERGENCY A ASSESSMENT OF D DISPLACED POPULLATIONS YIROL, MUNDRI A AND TEREKEKA CO OUNTIES AWERIAL, Y non‐food items (no no on‐food item ms were distriibuted in Yiro ol) respectiveely. In Aweriial, each disp placed household received 25 2 kg of sorg ghum, 10‐15 kilogrammes k of beans, 5 litres of oil aand salt. In Yirol, displaced d populationss received on nly sorghum from WFP. No other fo ood and non n‐food items were distribute ed. Further, in Awerial, non‐food n ite ems were distributed, bu ut to some displaced households. Each displaced d household r received plasstic sheeting;; 1, blankets; 3, small buccket; 1, mosquito nets; 2, mats; 2, small je erry can; 1, sa aucepans; 2, p plates; 10, sp poons; 5 and cups; 5. On t the 11th Januaary 2014, RRC C told the assessment that 6 67,500 displaced persons out of 136,99 97 had receivved foods an nd non‐food it tems. On the co ontrary, in M Mundri, Tomb bek, Nyokine e and Wanya ng Islands, n no NGOs or U UN agencies have intervene ed with relieff assistance. of emergenciies. Howeve r, it is used in n different w ways dependin ng on Food aid has a role in prevention o stage and d particular c circumstance e of the food d security situ uation. The relief food continues to be an essential element of an overall fo ood security. The displacced population are entire ely dependent on food assiistance for outright o conssumption, an nd the prioritty is to allevviate malnutrrition and to o save lives. The e non‐food items are miniimising livelih hood stress. Recomme endation n view of the e fact that dissplaced popu ulations havee little or no income earn ning opportu unities In in n areas theyy are displacced and havve fled theirr homes witth little or n nothing, it is the co onclusion off the assessm ment that prrovision of rrelief assistance is justifiied. It shou uld be noted that dissplaced population are being b hosted d by local co ommunities w who have miinimal sp placed popu pare capacityy to cater fo or the food needs n of disp ulations and hence food aid is fu urther justifie ed in order not n to burde en host comm munities to p point where they may re equire fo ood assistancce. 5. HEALT TH AND NUT TRITION STA ATUS 5.1. H Health Assessme ent of displa aced househo olds with children aged less than fivve years wass conducted.. The prevalencce of illnesse es is similar to other dataa collected in n South Sudaan. Assessment indicatess that morbidityy rates have increase as a a result of tw wo changes in n epidemiolo ogical structu ure: (i) move ement of the population into o new areas a and (ii) crowding in camp p leading to in ncreased disease transmission rates. Most epid demics and c communicab ble diseases a are related t o risk factorrs upon arrivaal of personss into displaced d areas and camps, rath her than being carried b by the displaaced populaations to a ccamp. Diseases are associatted with riskk factors succh as inadeq uate water aand sanitatio on, crowding g and poor shellter – especia ally in Aweriaal, Tombek, N Nyokine and W Wanyang Islaands. In Aweria al, Yirol, Tombek, Nyokine e and Wanyang, the Janu ary 2014 asseessment foun nd the prevaalence for illnesss episodes am mong children were ranke ed as (I) diarrrhoea (ii) acu ute respirato ory tract infecctions (cough an nd pneumon nia) (iii) suspected malariia and (iv) vo omiting. Furtther in Awerial, Yirol, Tom mbek, 17 RAP PID EMERGENCY A ASSESSMENT OF D DISPLACED POPULLATIONS YIROL, MUNDRI A AND TEREKEKA CO OUNTIES AWERIAL, Y Nyokine and Wanyan ng Islands, episodes e of diarrhoea, ssuspected m malaria and rrespiratory illness among ad dults were re eported. d, Gemeiza ( N NPA 15.1.2014 4) IDPs in Nyyikone Island In Mundrri, suspected d malaria, resspiratory tracct infectionss and diarrho oea in descending order were common diseases among children n. While adults suffered fr rom diseasess such as diarrrhoea, suspected malaria and respiratorry tract infections. Diarrhoea a, suspected malaria, and respiratory t tract infectio ons are primaary causes off morbidity am mong displaced d population ns. Diarrhoe eal diseases are a majo or cause off morbidity among disp placed populatio ons, primarilyy because of the inadequ uacy of waterr supply, insu ufficient and poorly sanittation facilities. Serious illne ess, such as d diarrhoea, is harmfully afffect children n more than adults. Malaaria is currently one of the most seriouss health problems affectting displaced population ns. Malaria is the most com mmon diseasse in Awerial,, Yirol, Mund dri, Tombek, Nyokine and d Wanyang I slands. It is most common in Awerial, T Tombek, Nyo okine and Wanyang Island ds, which aree all near larg ge bodies of w water of the rivver Nile. Give en the dry season, acute r respiratory in nfections aree among the leading causses of morbidityy. In Aweria al, Tombek, N Nyokine and Wanyang Isllands, lack off shelters forr displaced p populations ((living under the e trees) is life e threatening g, as they arre exposed to o extreme co onditions succh as intense e cold or heat. A Assessment r reports the li ikelihood of p pneumonia o outbreak, relaated to lack o or poor sheltter. In Aweria al, sick persons sought he ealth servicess in primary h health care c centre (PHCC C) run by CCM M and supported by MSF du uring the crissis. In Mund dri and Yirol, displaced po opulations se eek treatments in PHCC in M Mundri and L Lui Hospital, and Yirol Ho ospital respeectively. In M Mundri, assessment team m was told, therre were inadequate drugs in health faacilities and hence displaaced population sought h health care from m drug sellers and private e care provid ders. In Tom mbek and Waanyang, displaced populaations 18 RAP PID EMERGENCY A ASSESSMENT OF D DISPLACED POPULLATIONS YIROL, MUNDRI A AND TEREKEKA CO OUNTIES AWERIAL, Y access he ealth services in health facility f and mobile m clinic respectively.. While in N Nyokine Islan nd, no health faccilities is available. Recomme endations ms, so that dissplaced popu ulations are r eached. Sccale up healtth service dellivery system Reinforce prim mary health c care program mme, particullarly to addreess preventivve health actiivities ra ather than cu urative, provvision of suffiicient drug aavailability an nd essential a and quality h health se ervices is highly recomme ended. Sttrengthen th he existing health h service es, by expan nding immunisation prog grammes. Waays to esstablish additional facilities to enable health centrres respond to any eventtual epidemicc that to concentraation of IDPss in limited arrea and upco may arise due m oming rains. 5.2. Nutritional N Status of C Children 12 – 59 month hs Assessme ent teams did conduct nutritional assessment byy use of MUA AC measurem ment. Meassuring mid uppe er arm circumference (M MUAC) is a rapid meanss of screenin ng children to find the most malnourisshed. In Januarry 2014, a rap pid MUAC asssessment was w conducteed in Aweriall for children n 1‐5 years frrom a sample of o 96 children n. 12.5 perce ent (12) of th he children w were severelyy malnourish hed, 3 percen nt (3) were moderately malnourished, 11.5 1 percent (11) were at risk malnutrrition. 73 pe ercent (70) o of the were nourish hed (normal n nutrition stattus). children w A rapid assessment a in i Yirol reco orded 19 perrcent (4) of children weere severely malnourishe ed, 43 percent (9) ( of childre en was mod derately maln nourished. I n Yirol, 21 raandomly sele ected childre en 1‐5 years werre screened w with 38 perce ent (8) of chiildren with no ormal nutritiion status. A rapid assessment a of o 20 random mly selected d children ag ged 1 – 5 years were scrreened in M Mundri recorded 5 percent (11) 0f children n with at risk malnutritio on, while 95 percent (19) of children n with normal nu utritional status. ne, Wanyang and Tombekk – Terekeka County, asseessment team ms through vvisible observvation In Nyokin reported some cases of malnourished children. In Awerial, Yirol, Mu undri and Terekeka T Cou unties, asse ssment team m found no o visible sign ns of malnutrittion among adults. a The assessment team was in n agreementt, however, tthat the situ uation was worsening witho out concerte ed efforts on the part o of NGOs, UN agencies, governmentt and donors. The nutrition status for f children 1‐5 1 years is deteriorating d very fast. Itt is precipitatted by the laack of access to nutritious fo oods (fish and d porridge) aand milk thro ough displaceement, as we ell as the impaact of diseases i in an environ nment in which health serrvices are red duced, caring g structures h have been brroken down witthin society, a and trauma h has increased d. 19 RAP PID EMERGENCY A ASSESSMENT OF D DISPLACED POPULLATIONS YIROL, MUNDRI A AND TEREKEKA CO OUNTIES AWERIAL, Y In an individual level, nutrition staatus is deterriorating as tthe result of inadequate dietary intakke, or infection,, or a combin nation of both h. These in t urn derive fr om a combin nation of food, health and d care related ca auses at the h household an nd communitty levels. The mostt common types t of dise eases suffere ed by young g children in n both stable e and emerg gency situationss are diarrh hoea, acute respiratory infections aand malaria.. All these e conditions may contributte to malnutrrition through h loss of app petite, mal‐ab bsorption of nutrients and d loss of nutrrients through diarrhoea orr vomiting an nd decreased d food intakke. Children who are sicck frequentlyy lose their appetite and are e thus unlikelyy to maintain n dietary inta ke. For childrren, nutrition n status depe ends not onlyy on the foo od available w within the ho ousehold, but also on the prriorities of ho ousehold, kno owledge of a available foo ds and how to make the best use of these foods in h household, feeding practtices and cariing practicess. In addition n, the health environmen nt and availabilitty of health services will a also affect the nutritional status of thee children. Recomme endations measures invvolving impro oved shelter, water supplly and person nal hygiene, a as Public health m well as food sa w afety measurres are highlyy required. A supplement A tary ration for children un nder 5 years, pregnant wo omen and lacctating mothe ers is re ecommended d. This suppllementary ration would p provide additional kilocalo ories. ER AND SAN NITATION 6. WATE 6.1. W Water Water is a basic nutrrient of the human bodyy and is criti cal to human life. It is also essential for preparation of food sttuffs and req quirements fo or food prepaaration. Domesticc water supp plies are one of the fundaamental requ uirements fo or human life e. Without w water, life canno ot be sustain ned beyond a a few days and lack of acccess to adequate waterr supplies leaads to the sprea ad of disease es. Children bear the gre eatest health h burden asssociated with h poor wate er and sanitation n. Diarrhoeal diseases are e attributed t to poor wateer supply, san nitation and h hygiene. In Awerial, the main n options used u for waater supply in displaced d settlements include w water purificatio on systems (water tankering supplie es and taps)) and three deep boreholes. In Aw werial, displaced d populationss are served with new waater suppliess as a result o of investmen nt by Oxfam. The newly insstalled waterr points have e eased life in n the camp a and little time is wasted in fetching w water. Knowing they are drinking d from m a clean source s is alsso a huge benefit, botth physicallyy and psycholog gically. Asse essment foun nd 13.8 and 8 86.2 percent of the respo ondents did a access waterr from boreholes and water tanker supplies / taps respectively. I In Mingkamaan – Awerial,, there are 7 deep boreholes. Of these, 2 boreholess are broken and 2 boreh holes are useed by the pollice. The ressident and displaced popula ations have access to only o 3 deep boreholes. In Awerial,, water tankkering supplies a and taps are the most wid despread. 20 RAP PID EMERGENCY A ASSESSMENT OF D DISPLACED POPULLATIONS YIROL, MUNDRI A AND TEREKEKA CO OUNTIES AWERIAL, Y In Yirol and Mundri, the t assessme ent results show that 10 0 percent off the respondents utilise ed the deep boreholes as the eir main sourrce of water. In Tombe ek, Nyokine a and Wanyang g, the majority of displac ed populatio ons access un nclean and unsafe water fro om the riverr Nile. Nyokine and Waanyang Islan nds are new w settlements, therefore,, lack boreholes. On the co ontrary, some e displaced p populations in n Tombek acccess clean w water from a deep borehole. The quan ntity of waterr delivered aand used for households is an importtant aspect o of domestic w water supplies, which influences hygiene e and therefo ore public heaalth. By mid Ja anuary 2014, an average d displaced household in A Awerial, Yirol and Mundri had access t to 60, 78 and 14 40 litres of wa ater per day f for drinking, cooking, perrsonal and do omestic hygiiene. The 90 litres of water per househo old size of 6 i is considered d the minimu um water req quirements. The total ave erage standard water usage e would be closer to apprroximately 90 0 litres per household per day. This m means each persson (househo old size of 6)) in Awerial, Y Yirol and Mu ndri consum med a minimu um of 10, 13 aand 23 litres of w water per dayy. In Awerial and Yirol, m many displaceed household ds lacked acce ess to basic w water requirements resulting in enormou us suffering. In Aweria al, one woma an from Bor Town, Rebecca Alek Ajakk said “the w water is veryy close to us –– and water is li ife. So our livves are safe n now”. For instan nce the SPHERE project sets out 15 liitres of wateer used per p person per d day as being a key indicator in meeting minimum standards for disaster reli ef (SPHERE 1998). A h higher quanttity of about 20 litres per pe erson per dayy should be assured to taake care of b basic hygiene e needs and basic food hygiene. The im mportance of adequate w water quantityy has been recognised fo or many yearrs and there hass been an exttensive debaate about the e relative imp portance of water quanttity, water qu uality, sanitation n and hygiene in protectin ng and impro oving health. In Aweria al, there is on ngoing impro oving water f facility which h is not only a clean and s safe water so ource that will ensure thatt children an nd their fam milies are ke pt free from m diseases. It is also w within reasonab ble walking distances d thaat will drasticcally reduce the burden of fetching water from m long distance especially fo or girls and women. w The e governmen nt and NGOss have tried to provide w water sources, t the average distance of d displaced households to water sourcees is about 6 6, 8 and 4 minutes in Aweria al, Yirol and M Mundri respe ectively. Thiss way, accesss to clean waater has greaatly improved d and time spen nt fetching w water by wom men and girls could be putt to more pro oductive use.. endation Recomme n emergency situations th he provision o of adequate safe water iss of particular concern in order In to o control the spread of infectious dise ease and in paarticular to p prevent large scale outbre eak off diseases. Itt remains a key priority to o reduce wateer and sanitaation‐related illnesses thaat kill people, especcially children n below the aage of five ye ars old. Provvision of suffficient safe an nd cllean water fo or domestic p purposes is an absolute reequirement a and should never be co ompromised. Repair two de eep boreholes in Mingkam man to ease w water probleem for displacced populatio ons ass well as resid dent populattions. 21 RAP PID EMERGENCY A ASSESSMENT OF D DISPLACED POPULLATIONS YIROL, MUNDRI A AND TEREKEKA CO OUNTIES AWERIAL, Y 6.2. Sanitation Assessme ent has revea aled the majjority of disp placed populaations are frrom rural are eas with outd doors defecatio on habits. Th hese habits b become unhyygienic in cro owded camp and become e a focus of i insect infestatio ons and disea ases. al, Tombek, N Nyokine and Wanyang, assessments indicate imp proper dispossal of solid w waste, In Aweria which co ontributes to public healtth. All the displaced d po opulations w were found to o defecate in the open. Th here is lack of sanitation i in the four displaced site s, which forcces all displaced populatiion to defecate in the open. People are defecating in n open areass and when t this is taken i into account of all these con nditions incre easing the rissk of a major disease outb break is extreemely high. Mingkam men ( Awerial)) IDPs ( NPA 1 11.1.2014) There is p pollution arou und the sitess, which is caused due to open defecaation by displaced populations. Open deffecation has grave implications on he ealth of peop ple, particularrly children. Estimates fo or the total number of displaced ho ouseholds without w saniitation faciliity are in agreement with independ dently observvations of asssessment te eams. The stories of co ommunities defecating in the bushes arre a common n practice in A Awerial, Tom mbek, Nyokinee and Wanyaang displaced d sites. In Yirol, 57 percent of the resp pondents use e pit latrinees. On the contrary, 433 percent o of the responde ents were deffecating in th he open. In Mundrri, the story is different for displaced population ns, where asssessment esstimates thaat 100 percent o of responden nts use pit latrines as the eir primary m means of saniitation. Pit laatrines are o one of the mostt common human h excre eta disposal systems an nd their use is on the rise to mee et the sanitation n. Mundri ha as aimed for an open defe ecation free status, with it achieving 100 percent of pit latrines coverage. However, there are low levels of hand waashing faciliity coveragee. People tto‐date have e not appreciatted that theyy need to wash w hands after a visiting g a latrine, th hey have lattrines but are not washing h hands. Recomme endations 22 RAP PID EMERGENCY A ASSESSMENT OF D DISPLACED POPULLATIONS YIROL, MUNDRI A AND TEREKEKA CO OUNTIES AWERIAL, Y Immediatte In n displacement situation a and presence e of a large n umber of peeople, manag ged open defecation can n be extreme e but feasible e short‐term solution giveen that enoug gh space is avvailable. Short‐term Use Communi U ity‐Led Total Sanitation (C CLTS) initiativve, the displaaced househo olds should b be en ncouraged to o construct p pit latrines. R RRC, civil auth hority and caamp leadersh hip should takke ra adical mobilissation and se ensitisation o of displaced p populations t to change the eir perceptions ab bout using pit latrines. Im mprovement of sanitation n has direct im mpact on chiildren. The mobilisation a m and sensitisattion of the displaced com mmunities tow ward this end d seems to be e crrucial. Promotion and support to improving h hygiene behavviours and geender aspectts; strong sup pport to o the use of s sound approaaches toward ds improving g sanitation c coverage with h technologies which are affo w ordable, effecctive and envvironmentallyy friendly. 7. EDUC CATION Education n is often the e most valuaable asset forr children to pursue. Thee insecurity a and conflicts have deprived children fro om education. Educatio on for displaaced children n tends to b be dismally. The primary s schools in Aw werial, Mund dri West and Yirol open in n February 22014. Howevver, the scho ools in Bor South h County we ere supposed d to open in January 20144. In Mingkaaman‐ Aawerrial, where people from Grea ater Bor have e been displaaced has one primary scho ool. In Mundrri Payam, there are 14 prim mary schoolss (including 44 private scho ools) and 3 se hools; econdary sch while Yiro ol Town has 6 primary scchools and 22 secondary s schools. By contrast, in Tombek, Nyyokine and Wanyyang – Terekkeka County, there are no schools in th he proximity.. The civil a authority, go overnment, U UN agencies and NGOs sh hould ensuree that education of children is not disru upted is an essential e emergency inte erventions. Special conssideration sh hould be given to ensure th hat displaced children havve equal acce ess to schooliing opportun nities. endation Recomme M cation service es for childre en, particularlly during emergency periods, are esse ential Maintain educ both to ensure e that childre en do not misss their educ ational oppo ortunities and d because sch hools play importan nt role in psycchological we ell being. Thee efforts sho ould be made e to ensure th hat th he education of children i s not disruptted. Provide schola astic materials to children n. 8. SECUR RITY OUTLO OOK During th he assessmen nts, the security situation n in Awerial, Y Yirol, Tombeek, Nyokine a and Wanyang g was described d as generallyy calm, indicaating the ove erall situation ns are completely stable with people living their norm mal life. By c contrast, in M Mundri, there e were reportts of scattereed security in ncidents in Lu ui and Mvolo‐Ma aridi‐Mundri Junction, where w the op pposition for ces exchang ged fire with h the govern nment forces on n the 4th and d 2nd of January 2014 respectively. T hereafter, th he security situation has been calm and without any incidents wh hich would afffect the oveerall situation n. 23 RAP PID EMERGENCY A ASSESSMENT OF D DISPLACED POPULLATIONS YIROL, MUNDRI A AND TEREKEKA CO OUNTIES AWERIAL, Y Ayak Ayo ong Mereng , a woman orriginally from Langbar B ‐ Bor Town, b but displaced to Awerial d during the assesssment , said “ it is imposssible for herr to go back t to her previo ous home areea at present as no one is theere. The areea is being occcupied by opposition o fo orces and wh hite army. W When we sleeep we think abo out what will happen in th he morning. She is not suure of going b back to his orriginal area u unless the SPLA forces chasee the opposittion forces an nd white arm my away and d provide adeequate securiity. If there willl be no securiity, then we w would not go o back”. t Bor Sou uth is not seccure enough for people tto consider g going back in any This quotte indicates that case. The e security wo ould depend d on how the e SPLA force s advance an nd consolidaate themselve es. If this happ pens, people a are likely to g gradually return to their r respective arreas, to rebuiild houses (but for now grass is not availa able) and con ncentrate on n cultivation. On the 18 8th January 2014, 2 SPLA forces f dislodged the opp position forces and white army from m Bor. However, the team do oes not know w how long t the SPLA forcces would ho old on in the area and advvance to other areas in Bor, Twic East and a Duk Counties. Howevver, intelligeence information suggestts the combined d opposition forces and w white army are regroupin ng. Indeed th he conditionss in many paarts of Jonglei would w remain n insecure. Would W the security s situaation deterio orate, continued suffering will increase. The deteriorating security situation s shows no sig n of abating.. The majo or stress, which w the displaced d po opulation is facing, is the insecuriity and resu ulting displacem ment. If the s security will worsen, acce ess to cultivaable land for the displace ed household ds will become i ncreasingly l imited. IDPs in To ombek (Terek keka) ( NPA 1 6.1.2014) g to the most likely scenaario develope ed by assessm ment teams, the risks renewed widesp pread According conflict iss somewhat low for the period January through to April 2014 4, however, already therre is a marked d decrease in lo ocalised inseccurity and co onflicts in som me areas com mpared to latte Decemberr 2013 and mid J January 2014 period and t this is expectted to contin ue until secu urity measure es are establiished. Areas mo ost affected b by increased insecurity are e found in Bo or South Cou unty. Recomme endation 24 RAP PID EMERGENCY A ASSESSMENT OF D DISPLACED POPULLATIONS YIROL, MUNDRI A AND TEREKEKA CO OUNTIES AWERIAL, Y Th here is an urg gent need to o enable a mo ore systemat ic presence o of police and security forcces to o help preven nt security incidents in an nd around thee displaced sites in Awerial. 9. FOOD SECURITY O OUTLOOK F FROM JAN – – MARCH 20 014 Prior to the displacem ment, food so ources were v very significaant for supplyy of the calorific requirem ments of the pe eople. Own crop production would account forr a large foo od needs. So orghum crop p was consumed in considerrable amounts. Milk playyed importan nt role in dietts of many people, accou unting for high a animal protein consumed d. Wild foodss which inclu ude; lalop fru uits and nuts, water lilly w would suppleme ent own crop ps and milk. What makes wild foodss such an imp portant part of the household food baskket is not neccessarily the amount conssumed, but r rather their n nutritional and medicinal v value. Thus, anyy decline in the consumpttion of wild f foods may h have nutrition nal repercusssions. Majorrity of the respo ondents said they purchase foods through marketts. This chan nge is accom mpanied by a more in diet fro om own crop ps to one baased upon markets. m Foo od purchasess from the m markets have been means off securing foo od supplies. Different combination ns of optionss play an important role and allow the people to o meet theirr food needs. In ncreased foo od and incom me options le ead to greatter food avaiilability, acce ess and ultim mately improved d food intake e and diets. People enjoy sufficient a access to eneergy. With t the available food options, f food securityy remained sttable, with lo ocalised food security pro oblems. In mid Ja anuary 2014, results of the assessmen nt reveal thatt displacemeent is one off the main sh hocks. Food seccurity of disp placed populations in the e sites is of concern. This has led tto low house ehold income, d decreased acccess to basicc food stockks and a relia nce on negaative coping m mechanisms. The majority o of the displacced households do not haave adequatee food consu umption to m meet their nee eds. In Januarry 2014, in ma any displaced d sites, the situation was deteriorating g due to the depletion off food sources. S Some displacced households hardly me eet their basiic energy neeeds and depe end heavily o on the markets f for food purchases leavin ng them vuln nerable to prrice fluctuatiions. Lack o of financial m means prevents displaced po opulations fro om successfu ully carrying o out income g generating acctivities. The food d security pro ospects rem main bleak. The consequeence of inseecurity includ des not only their immediatte impact upo on household d consumption, but also their differen ntial impact on the produ uctive activities,, which are c crucial to future productiion and conssumption. Itt is obvious t that the disp placed populatio on will not ha ave sufficientt means to acccess food so ources. With the insecurity, ho owever, a nu umber of straategies have been underm mined. People will contin nue to exploit options such as social nettworks, trade e and exchan nge, which w will become somewhat critical means – how much and for how w long is nott known. Mo ost displaced d householdss will continue to exploit th he social nettworks from relatives an nd friends (reemittances). The increassed health risk of living und der the trees and makesh hifts without mosquito neets, and the f food securityy risk of living g with so few via able options,, makes this a an increasing g problematicc option. Loss of livestock, fisshing equipm ment and fo ood stocks m means a lott. Before tthe displacem ment, exchange e and trade w would be crittical means b by which ho useholds seccure foods. T The insecuritty has altered access to imp portant food d source of exchange e an d trade. Thee strain put o on the house ehold food economies by displaced pop pulation remaains a questio on. When displaced hou useholds fled d their areas, did d not carry w with them the sorghum, w which was lo ooted and bu urnt by oppo osition forces and 25 RAP PID EMERGENCY A ASSESSMENT OF D DISPLACED POPULLATIONS YIROL, MUNDRI A AND TEREKEKA CO OUNTIES AWERIAL, Y white army. Many displaced households h hardly h have the resources to trade and exchange. However, few displaced households who have e cash and wo ould need sorghum grain. Cultivatio on is essentia al for re‐estab blishing traditional livelih hoods. The ID DPs have lostt their harvests of last seaso on due to dissplacement. The producction capacitiies of farmerrs especially from Bor Co ounty, Mangala and Gemieza a have been significantly affected. In a normal seaason, farmerrs depend on n their own seed ds. Considerring the factt that 2013 season s had aalready been n affected b by flooding, small harvests have alreadyy been burnt, looted. A As the fightin g has resulteed in destrucction of crop ps and food storres, IDP farm mers will havve no seeds and tools to o re‐establish h their farmiing in the co oming season, w where ever th hey will be residing. This w will leave the m heavily deependent on food aid. The secu urity situation n in Jonglei will be majjor determin nant factor tto either allo ow the disp placed households to return back to orig ginal areas an nd begin cul tivation or n not. The asse essment team ms do oved securityy in Jonglei in n the coming months. If i it happens, itt will take tim me for not foresee the impro people to o return backk to their resp pective areass. From the e perspective e of coping fo ood options, the displaceed population will face greater constraints on their a ability to respond to a fo ood crisis. Th he displaced households will have lesss recourse t to the kinds of risk‐minimisin r ng mechanissms available e. The displaaced househ holds’ welfare signals a ffragile food secu urity prospecct, which willl continue to o deteriorate rapidly. As t the severity of food insecurity increasess, displaced households h responses become prog gressing morre serious an nd threatenin ng to livelihood ds. Large num mbers of disp placed population will run n a continually high risk o of inability to meet food need ds. A cyclical reduction in n dietary intaake is expecteed. The confllict brought t terrible devastation to th he lives and li ivelihoods off the people.. The conflict also took a devastating toll t on livelih hoods. Seed ds were lootted, lost during the esccape to disp placed settlemen nts. Bor South County waas mostly afffected by losss of seeds. If no assistance is prrovided to su upport the displaced d po opulations, th hey will face e substantial food insecurityy. As a resu ult most disp placed people are likely tto leave for refugee cam mps in Kenyaa and Uganda, a as the option ns for securin ng food will b be insufficien nt or not at all. endations Recomme eeds and oth her agriculturral inputs for farming are essential to i improving th he Provision of se ecconomic possition of displaced househ holds (also w when they return to their a areas). Proviision off such inputss motivates th hem to cultivvate land and d become self‐sufficient in n food, co onsequently decreasing t their vulnerab bility. Provision of fishing equipm ment is imporrtant. Immed diate fishing e equipment in ntervention f for ta argeted displlaced househ holds is cruciaal in enhancin ng household d food security. Advocate the A reinforceme ent and accele eration of fo od and non‐ffood assistan nce to vulnerrable populations. ulnerable me embers of thee communitiees (also when they return n to Restocking for the most vu th heir areas) 26 RAP PID EMERGENCY A ASSESSMENT OF D DISPLACED POPULLATIONS YIROL, MUNDRI A AND TEREKEKA CO OUNTIES AWERIAL, Y 10. CONC CLUSION Jonglei Sttate has been suffering from conflict for many ye ars. There iss no question n that the fig ghting is taking a heavy toll. Fighting haas killed tens of thousand ds. Thousand ds have fled the state an nd are living in re efugee camp ps and displacced settleme ents. ment strains c coping mech hanisms and t the loss of caattle dives peeople into destitution. Displacem With the intensificatiion of the conflict, c targeting of civiilians, both by direct vio olence as w well as structural destruction n of livelihood ds, has becom me commonp place by opp position force es & white army. There hass been lootin ng and theft o of cattle and other civilia n property b by opposition n forces and w white army. Th housands off homes have been burn nt, personal belongings looted, crop ps destroyed d, and cattle seized by oppo osition forcess and white a army. The p patterns resu ult in perman nent displace ement and destitution of civiilians. The impa act of fighting and associated violencce has been escalating. A number o of people had d lost their hom mes and crop ps, but had always a manaaged to returrn after the fighting is ovver. Increassingly, however,, the scale off violence and destruction n , including the burning of homes, t theft of cattle and the violen nce against civilians havve caused the em to permaanently leavee their home es. When civvilians are loote ed and permanently disp placed without cattle or access to grain the que estion of whether humanita arian assistan nce is availablle can be critical. The confflict and inse ecurity have e upset the normal balaance betweeen self‐sufficciency and d death resulting in food inseccurity, which is largely a trransitory pheenomenon. TThe commun nity normal m means of accesssing food is compromise c d by opposittion forces aand white arrmy. The disp placed population will be unable to gaiin access to enough foo od; the fightting reduced d population’s access to food directly, by b affecting household food f stocks and other prroductive asssets. This haas resulted to the displaced d population t to face a sub bstantial and shortfall to f food consum mption. The relieff assistance w will play a vittal part in re educing the s suffering and d prevent a m more catastrrophic disruption n to food and d livelihood a activities. 27
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