Case study of RRM

emergency intervention

in Jonglei,

Juba, 7th June 2017

1

WFP food assistance in Pigi Canal County, April 2017

Specific objectives:

Mapping population displacement & understanding the context;

Meet with drop zone coordinators & NPA (FSL partner) & Nile Hope (Nutrition) teams in both locations;

Food security HH surveys with families that had a Severe Acute Malnourished child in the OTP supported by Nile Hope in both locations (WFP & UNICEF supplies) – total of 4 HH interviews conducted (2 at each location)

Diel / Atar 3 context (Pigi Canal)

New Fangak context (Fangak County)

Evolution of outcome over time at two RRM sites

Location: New Fangak (Jonglei) Diel Payam/ Atar 3 (Pigi Canal)

Context: Established 1975 highland area which did not flood &

became the County HQ; December 2013 fighting in Malakal: displacement to Fangak/

Nasir/ Nyirol & Akobo; 2014 saw iG arrival & destruction of the town & removal of

trees (over 7 month period) & laying of land mines! Residents fled to peripheral payams October 2015 residents began to return to New Fangak (Nuer)

plus IDPs from Bentui (Nuer) and others from Malakal (Nuer, Dinka & Shilluck)

April 2017 registered case load of 38,800 2017:

July 2016 floods & poor harvest effect February 2017: arrival of new IDPs from Kaldak/ Khofulus/

Canal; Bentui & Leer; and even by boat from Juba April – July lean season: time of ‘normal’ food shortage

especially for more vulnerable HHs

-IDP case load 21,197 in 6 locations

around Atar 3 drop zone;

-Mixed Shilluck, Dinka & mainly

Nuer from six locations following

fighting around Malakal:

Khorfulus including NPA staff from (see map);

Kolethok Canal Kaldak Atar 2 Owach

Evolution of emergency interventions over time

Interventions: for the past 18 months;

-World Relief (livelihood protection + FAO) and

Nutrition (UNICEF) in more peripheral payams;

-Nile Hope WFP/ UNICEF Nutrition in peri urban

payams

-CAO healthcare (UNICEF) and GBV & protection

-NPA GFD partner

-MSF temporary clinic & preparing a temporary

hospital on site of the destroyed hospital

Shift from emergency relief (Oct 2015) to more

recovery (late 2016):

CAO: IGAs & women’s centre Nile Hope CBT program for 715 HHs after a

market assessment: including support to traders

New response just starting up – emergency relief:

-GFD supplies: WFP/ NPA registration & distribution

about to commence

-OTP / TSFP site run by Nile Hope: with RUTF (Plumpy

Nut) and RUSF (Plumpy Supp);

-WASH (Nile Hope): HP/ water treatment/ H2H

personal hygiene social mobilization/ hand washing

with soap & ash

-Health distribution of UNICEF drugs for self-

medication

-Anticipate IOM NFIs the following day;

Integrating FSL (NPA) Nutrition (Nile Hope) & Health (MSF) – using child

malnutrition as an outcome indicator I

Malnutrition status & outcome – New Fangak Malnutrition status & outcome – Diel/ Atar 3

Malnutrition:

OTP – 70 (SAM) PLW – 36 TSFP – 65 (MAM)

135 malnourished children for 38,800 population;

Malnutrition trend:

October 2015 considered by KI as very high (baseline 100)

June 2016 – scored 39 April 2017 – scored 31 July 2017 – predict 41 (lean season coming &

arrival of new IDPs)

Suggests a positive impact of the interventions;

Total 237 acute malnourished children: 63 SAM & 174

MAM (only for the IDPs around Atar 3) based on

MUAC screening – this appears to be very high;

-Malnourished PLW – 116 identified & CSB+ supplies;

237 malnourished children for 21,197 population but

5 other IDP sites data for SAM & MAM not yet

recorded;

Potentially high levels (seek assistance on calculating

a GAM rate)

Assumption: high levels associated with 6 weeks of

displacement and reliance solely on wild foods for

most of the vulnerable HHs (those with SAM children)

Integrating FSL (NPA) Nutrition (Nile Hope) & Health (MSF) – using child

malnutrition as an outcome indicator II

FSL & Nutrition cluster partners keep up the good work