republic of south sudan - world health organization · 3 cholera control. in view of this, a one...
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Republic of South Sudan
CHOLERA RESPONSE UPDATES AS OF 17 July 2017
Coordination of cholera response Overall coordination of the cholera response at the national level is coordinated by the National cholera taskforce that meets weekly on Wednesdays from 2pm in the WHO conference hall in Juba. In addition, the cholera coordination meeting in Juba Teaching hospital convenes on Monday starting 11am and Friday starting 9am in the Postgraduate School. At the sub-national level, cholera taskforce committees are coordinating the cholera response in Yirol East and Yirol West, Nyirol, Uror, Tonj East, Kapoeta South, Kapoeta North, and Kapoeta East. Other non-affected states have also initiated cholera preparedness meetings in Aweil, Torit, Wau, Yambio, and Rumbek. Across the border in Sudan, the week 27, 2017 joint situation report by the Federal Ministry of Health and WHO showed that 15 out of the 18 states have been affected by acute watery diarrhoea with active transmission reported in Kassala, Blue Nile, River Nile, Gezira, Senar, Khartoum, Gedarif, Northern, White Nile, South Kordofan, North Kordofan, West Kordofan, North Darfur and East Darfur. All the states bordering South Sudan are affected. This therefore calls for enhanced preparedness in Renk, Western Bank of the Nile, Pariang, Abiemnhom, Abyei, Aweil East, Aweil North, and Raja counties. To enhance cross-border surveillance and response, cross-border meetings are planned starting with the South Sudan, Uganda, and Kenya meeting that is planned for next month in Nimule. Surveillance and case management updates New cholera alerts Kapoeta: Suspected cholera cases with 6 deaths reported in Lokitala, Jie cattle camp, a remote and swampy village in Kapoeta East. The area is said to be a cattle camp and currently inaccessible. A team comprising MOH, WHO, ARC has been dispatched to the area to respond. General cholera trends The locations with active transmission have not change and remains the following counties; Kapoeta East, Kapoeta South, Kapoeta North, Tonj East, Yirol East, Yirol West, Uror, Nyirol, Panyijiar, and Juba. Reports from the Ministry of Health and Partners in Kapoeta show a decline of cholera cases in Kapoeta East, Kapoeta South, and Kapoeta North. However, accessibility remains a big challenge in the very remote areas in the Kapoetas.
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Similarly, the outbreak has continued to decline in Tonj East with transmission reported to have plummeted in Paweng and Makuach. However, a new hotspot has emerged in Marial lou, in Tonj South where suspect cholera cases have been reported. Low level transmission continues in Yirol East and Yirol West; in Uror (Pieri), and Nyirol (Lankien). In Juba, transmission in Don Bosco IDP camp is controlled following the first round of oral cholera vaccination from 3rd to 6th July 2017. Sporadic transmission continues from widespread areas including Gondokoro, Shirkat, Lologo, Gudele 2, Rock City, Kor William, and Nyakuron. Cholera response updates and field missions At least 50 cholera treatment facilities including cholera treatment centers and units; and oral rehydration points are currently operational in the areas with active cholera transmission. In Tonj East, there are currently seven (7) cholera treatment facilities (4-CTUs and 3-ORPs) in Tonj East. The four CTUs are located in Makuac, Mapara, Paweng and Paliang payams while the ORPs are in Ager bac, Aliet and Aper num. Four more ORPs are proposed to be sited at Marial Lou, Wunbol, Gol guk and Pagour. Three staff have been identified to work in the CTUs and WHO and the partner (CCM) on the ground planned to conduct case management refresher training for staff working in all the treatment centres. A total of 15 cholera treatment facilities have been set up in Kapoeta state, with Kapoeta South having 2 CTUs and 1 ORP; Kapoeta East having 3CTUs and 3 ORPs; and Kapoeta North having 1 CTC and 5 ORPs. Due to increased number of cases in Katiko, ARC decided to shift one ORP allocated to Kapoeta East to Katiko. The ORP was established on Saturday July 08, 2017. Additionally, 2 CHWs, 1 Cleaner and 1 Sprayer have also been recruited for Katiko ORP. A planned training on Cholera case management, infection control and prevention scheduled for Napotpot CTU staffs was postponed and pushed forward to next week because of coordination meetings at the State level. The MoH/WHO cholera rapid response teams continue to support and coordinate the cholera prevention and response activities in Kapoeta and Tonj states. In Juba, a joint MoH, WHO, MSF-CH, and HLSS team assessment last week has resulted in the functioning of the ORPs in Don Bosco, Gumbo, Kator, Lologo, Nyakuron, Al Sabah, and Gurei. Oral cholera vaccination As part of the ongoing cholera response, cholera vaccines have been deployed in Leer, Bor PoC, Malakal Town, Bentiu PoC, Mingkaman IDP settlement, Aburoc IDPs, Bentiu/Rubkona Town, Ayod (Pagil, Tar, Jiech, Karmun, Padek, and Kandak), and Juba (Don Bosco IDPs). During the week, the second round of OCV vaccination was completed in Bentiu and Rubkona Towns. Out of the 544 140 doses secured by WHO in 2017, a total of 261,495 doses have been deployed during the first round and 160,171 doses deployed during the second round in the eted locations as indicated in the table. There are no cholera cases reported from any of the sites where the oral cholera vaccines have been deployed in 2017. Similarly, WHO has secured additional 500,010 doses of OCV from the Global Taskforce for
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Cholera Control. In view of this, a one week OCV campaign is scheduled on the 28th July to the 3rd August, 2017 for counties with high active transmission. These include Kapoeta North, Kapoeta South, Kapoeta East and Tonj East and the surrounding payams. A one-day OCV campaign training for MoH staff, Partners and other key stakeholders is scheduled to take place on the 18th July, 2017. An additional two million doses of oral cholera vaccines are required to mitigate the risk of cholera in high risk areas and to interrupt transmission in the areas with ongoing transmission. WHO is in the final stages of securing these additional doses to complement the ongoing cholera response. Table 2: Doses of oral cholera vaccines deployed in 2017 by site
No Site
Target
populatio
n
Novaccinated
inFirstround
CoverageFirst
Round%
No
vaccinatedin
Secondround
Coverage
SecondRound
%
Dates Partners
1 Leer(oneround) 44731 30,772 69% 0% 22/02/2017 MedAir,WHO,UNICEF
2 MalakalTown(oneround) 16500 10,499 64% 0% 18-24Mar2017 MSF-E,WHO,UNICEF
3 BorPoC(tworounds) 2265 1,926 85% 1,885 83%3-4Apr2017;2ndRnd
26-29Apr2017HLSS,WHO,UNICEF
4 Mingkaman(tworounds) 111,278 68,512 62% 42,296 38%
26Apr-5May2017;2nd
Rnd:12-26May&10-
21Jun
MedAir,WHO,UNICEF
6 AyodTar(oneround) 19,400 15,649 81% 0% 9-22May MedAir,WHO,UNICEF
7 AyodPagil(oneround) 4,850 3,943 81% 0% 9-22May2017 MedAir,WHO,UNICEF
9 BentiuPoC(tworounds) 112,924 72,514 64% 77,603 69% 5-10May2017 IOM,WHO,Unicef
11Rubkona&Bentiutowns(two
rounds)35204 31,908 91% 38,387 109% 20-23Jun2017 IOM,WHO,Unicef
13 AburojIDPs(oneround) 11,640 10,723 92% 0% 20-22May2017 MSF-E,WHO,UNICEF
14Ayod(Jiech,Karmun,Padek,
Kandak)(oneround)15,000 11,140 74% 0% 22-25Jun2017 IOM,CMD,WHO,UNICEF
15 JubaDonBoscoIDPs(oneround) 5,940 3,909 66% 0% 3-6Jul2017 MSF-CH;WHO,UNICEF
Totaldosesdeployedin2017 379,732 261,495 69% 160,171 42%
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Sudan
Ethiopia
Kenya
Uganda
Central African Republic
6.6
36.4
4.9
2.28
6.45
4.6
4.9
Map created by WHO/CO, South Sudan, 06/07/17
River
Legendxx Case fatality rate (CFR)
Counties with Cholera alert
Cases per 10,000 population
46 - 60
31 - 45
16 - 30
0.1 - 15
No case reported
Democratic Republic of Congo
>60
Raga
Pibor
Wau
Juba
Lafon
Uror
Ayod
Wulu
Ibba Kapoeta East
Yei
Ezo
Baliet
Renk
Abyei
Maban
Duk
Tambura
Akobo
Bor South
Torit
Melut
Nagero
Maridi
Budi
Nyirol
Terekeka
Yambio
Pariang
Nzara
Tonj North
Fangak
Pochalla
Mvolo
Twic
Aweil Centre
Koch
Guit
Magwi
Cueibet Twic East
Longochuk
Aweil East
Awerial
Mayom
Yirol East
Ikotos
Aweil North
Maiwut
Yirol West
Jur River
Manyo
Ulang
Tonj South
Panyijiar
Lainya
Panyikang
Tonj East
Mundri West
Aweil West
Mundri East
Fashoda
Rubkona
Kapoeta North
LeerGogrial East
Luakpiny/Nasir
Gogrial West
Mayendit
Rumbek North
Kajo-Keji
Rumbek East
Rumbek Centre
Abiemnhom
Morobo
Aweil South
Malakal
Kapoeta South
Pageri
1.5
1.5
3.5
1.1
Pigi2.40.78
3.2 1.1
2.3
1.60.1
1.6
1.8
Counties with Active Tranmission
Awerial
Ayod
Canal/Pigi
Duk
Fashoda
Juba
Kapoeta East
Kapoeta North
Kapooeta South
Nyirol
Panyijiar
Tonj East
Yirol East
Yirol West
Cholera fatality density map by CFR, week 24 of 2016 to week 26 of 2017
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WASH CLUSTER RESPONSE UPDATES Note: WASH Cluster partners to send their Cholera response updates by Friday 4pm every week at [email protected] and [email protected]
WASH Cluster Key Cholera Response updates: 16th
July 2017
Nine (9) WASH Cluster partners namely Help, RUWASSA, CCOSS, CAFOD, MEDAIR, ADA, CRS, NH reported in the prescribed WASH
Cluster Cholera weekly reporting matrix
Locations with ongoing outbreak and hot spots (Payam level)
WASH Partners present Ongoing Action with number of population reached with Cholera interventions
Gaps and recommended action
Tonj East: Most affected Makuac, Paliang, Paweng, Wunlit Payam. UNICEF – WASH Focal point – Josaphat
UNICEF OXFAM
WASH response continues
No major WASH response activities in Tonj East
WASH and Social mobilizers not working closely. Need to strengthen WASH response activities in Tonj East
Kapoeta South and North (Kapoeta town, Nakware, Namorunyang, Paringa, Nachilagur, Machi)
IOM
IOM - Hygiene promotion activities ongoing at community level with
cholera messages in the 3 targeted payams in Kapoeta South (Nakwasingira, Napetait and Kapoeta town) and 6 payams in Kapoeta North (Najie, Chumakori, Lokwamor, Lomeyen, Paringa and Nakwa). A total of 13,565 individuals (3536 men, 4689 women and 5340 children) have been sensitized on water treatment at household level, hand washing practices, safe water chain, proper disposal of human excreta and proper health seeking behavior for cholera. Mass campaign has been held in Nanaknak, Machi 1 and Machi 2;
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Locations with ongoing outbreak and hot spots (Payam level)
WASH Partners present Ongoing Action with number of population reached with Cholera interventions
Gaps and recommended action
- Since the beginning of the intervention, IOM team has been able to complete the improvement of 74 boreholes (Kapoeta North – 33 and Kapoeta South – 41) on 109 have been repaired.
Kapoeta East (Loyolo, Mogos, Natinga, Katodori)
IRW Plan RAAH
IRW - Assessment conducted in Natinga/New site to identify
potential intervention, but later it is agreed that SI will take over the area and IRW will be focus on Nadapal, Narus and Napotpot
- Hygiene promotion activities ongoing in the targeted areas; - Assessment of boreholes still ongoing to determine the
number that will be repaired; Plan - Training of additional hygiene promoters; - Rehabilitation of boreholes; - Construction of latrines; - Distribution of NFI kits; Rural Action Against Hunger (RAAH) - Funding has been receiving from Cordaid for 3 months with
possibility of extension; - Assessment conducted in Lolim (2,542 individuals) and Lopua
(6,296 individuals); - Based on the findings, 4 boreholes will be repaired, 10 hygiene
promoters already trained and deployed;
Action points RAAH will coordinate with Unicef for the training of hygiene promoters;
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Locations with ongoing outbreak and hot spots (Payam level)
WASH Partners present Ongoing Action with number of population reached with Cholera interventions
Gaps and recommended action
SI - Distribution of 3,267 kits distributed in Mogos; - Completion of the repair of 7 boreholes (6 in Mogos and 1 in
Napotpot); - 22 hygiene promoters trained and doing hygiene promotion
sessions in 11 bomas – Plan is to handed them over to ARC (exit strategy);
- Assessment plan for Natinga. UNICEF - Unicef has received supplies from Torit (broom, ORS, drums,
aquatabs, spades…) and plan distribution per county; - UNICEF has handed over the sprayer team in Kapoeta North to
Save the children.
Northern Jonglei (Wechjal, Karam, Akobo, Uror) OXFAM/ Nile Hope – WASH Focal Point
Nile Hope OXFAM PAH Tearfund
Nile Hope Akobo West (Wechjal, Buong, Wechtot) 2000 individuals have improved access to safe water supply through rehabilitated boreholes; 1400 individuals reached with key hygiene messages Uror (Pieri, Pulchol, Karam) Hygiene promotion focusing on cholera key messages that include safe water, safe and safe disposal. Total of 2970 individuals received hygiene messages; 3500 individuals increased access to safe water supply through rehabilitated 7 hand pumps. Akobo East Nile Hope WASH team through hygiene promotion and social mobilization reached 876 individuals (125 women,30 men 423 boys and girls 298
The area is not accessibility and lack of cholera response supplies and boreholes spare parts Accessibility from Juba to these areas remain the challenge and WASH supplies e.g. boreholes spare parts Need for WASH NFI e.g. soaps and PUR lack of boreholes spare parts
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Locations with ongoing outbreak and hot spots (Payam level)
WASH Partners present Ongoing Action with number of population reached with Cholera interventions
Gaps and recommended action
Duk (Jonglei)
CRS – WASH Focal Point
CRS PAH
CRS - Reached 416 HH (3,189 beneficiaries 1,596 males and 1,593
females) with hygiene messages through house to house hygiene sensitization.
- Reached 1387 beneficiaries with hygiene messages through mass campaign.
- 7,871 strips of aqua taps to 210 HH - Distributed 540 sachet of PUR water purifiers to 42 HH in Jual
village in poktap boma
- Disinfected 9 stances of latrines in 9 infected HH - Cleaned/chlorinated 95 jerrycan during Jerry can cleaning
campaign at two water points - Distributed 9 latrine slabs to 9 HH for household’s latrines
promotion. - Distributed 275 bars of soap distributed 550 HH for
handwashing promotion. - Distributer 2209 strips of Aqua taps distributed to 221 HH. - 884 buckets/jerrycans were chlorinated at house to house
campaigns. - Received NFIs from Bor and Juba
Gaps/Challenges: - There is need for supply of working
gears (Masks, Gumboots, raincoats, aprons and gloves)
- Lack of disinfection facility (knapsack sprayer)
Recommendation and actions: - CRS has on the process receiving
some of the abovementioned NFIs from WASH cluster. This will be solved by next week
Fangak (Jonglei) – Keew, Juaibor
ADA
ADA (Keew) - Hygiene promotion messaging – 5 Household Visits - Soap distribution (128 households) - Distribution of HHWT - Chlorine Tabs for 128 HH - Latrine constructed in Public Areas/ Markets – 1 stance ADA (Juaibor)
-
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Locations with ongoing outbreak and hot spots (Payam level)
WASH Partners present Ongoing Action with number of population reached with Cholera interventions
Gaps and recommended action
- Hygiene promotion messaging – 5 Household Visits - Soap distribution (205 households) - Distribution of HHWT - Chlorine Tabs for 205 HH - Latrine construction in Public Areas/ Markets – 4 stances
Ayod (Jonglei) CMD – WASH Focal Point
CMD Medair CRS
WASH response continues
Mingkaman (Lakes) RUWASSA – WASH Focal Point
RUWASSA funding support by UNICEF HELP (supported by German corporation) CRS
CRS - Conducted house to house visit with messages. A total of 524
HH, 5372 individuals (2877 female and 2495 male) reached. – - Excavation of 6 stances of latrine commenced in Dor CTU - A total 252 HH received 63 bar of soaps and 233 stripes of
aqua-tab (100 Dor and 152 for Mingkaman). - Inspected constructed latrines in Mingkaman to assess the
repair of the damages reported by Public Health Officer - Conducted mass jerry cans cleaning exercise at an identified
water point in Mingkaman. - Aqua-safe given out during mass jerry cans cleaning at
identified water point were 375 stripes for 60 individuals for 1week.
- School hygiene promotion campaign conducted on June 30 at St. Paul Girls primary school in Mingkaman and 200 pupils were reached.
- Disinfected 12 public latrines with 65 stances in Mingkaman used by a total 1831 individuals (M 705, F 775 and Children-351).
- Attended cholera Task force and WASH cluster meetings in
Challenges - NFIs distribution does not meet
required sphere standard.
Recommendation
Check with core pipeline on sufficient supply of NFIs prepositioned in Awerial.
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Locations with ongoing outbreak and hot spots (Payam level)
WASH Partners present Ongoing Action with number of population reached with Cholera interventions
Gaps and recommended action
Mingkaman on Friday and Wednesday respectively. - Excavation of one block of latrines with six stances is in
progress at Dor CTU. RUWASSA - Water Storage container distribution (jerry cans or buckets) -20
HHs hand washing buckets - Distribution of HHWT – PUR – 144 HH near the riverside - Distribution of HHWT - Chlorine Tabs - Distribution during
water point monitoring - Soap distribution (households) - in site 0, section 8,1 ,2,3 ,7 and
6 - Hygiene promotion messaging - School Session - Schools
outreach in St. Paul Girls p/s, Pan Nhial p/s and Thonachak p/s - Hygiene promotion messaging - Household Visits - Hygiene promotion messaging - water points - Hygiene
promotion messaging at 18 water points - Hygiene promotion messaging at new port side
Yirol (Lakes) HELP – WASH Focal Point
HELP CCOSS CAFOD PAH HACT CHADO HACO CRS
CCOSS - Hygiene promotion messaging - Public Session/Events - 3,373
ppl - Hygiene promotion messaging - Household Visits – targeting
32,058 beneficiaries - Training - AWD/Cholera messaging for 10 community hygiene
promoters (CHPs) - Distribution of 900 WASH Cholera Kits (hygiene kits) - Distribution of HHWT – PUR for 900 HH - Distribution of HHWT – Filters for 900 HH - Water Storage container distribution (jerry cans or buckets) for
900 HH
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Locations with ongoing outbreak and hot spots (Payam level)
WASH Partners present Ongoing Action with number of population reached with Cholera interventions
Gaps and recommended action
- Hand pump rehabilitation – 4.000 beneficiaries - Mass Cleaning campaign (environmental cleaning) – 1.895
beneficiaries CAFOD - Hygiene promotion messaging - Public Session/Events in
Lekakedu – beneficiaries reached 1.065 - Hygiene promotion messaging - Public Session/Events in
Pagarau – beneficiaries reached 2.656
HELP - Distribution of HHWT - Chlorine Tabs for 2.404 HH - Water Storage container disinfection campaign - Distributed
soap to 2.512 beneficiaries during jerry can cleaning at 20 water points of both Yirol west town, OTP's and Yirol East OTPs
- Water Storage container disinfection campaign -2.184 jerry cans were cleaned in 20 water points with 546 beneficiaries reached during jerry can cleaning campaign
- Water Storage container distribution (jerry cans or buckets) distributed to 144 beneficiaries during hygiene promotion
Renk (Upper Nile) SFP – WASH Focal Point
Medair
Medair - Sanitation, improvement of water supply and hygiene
promotion targeting 1.000 beneficiaries
Aburoc (Upper Nile) SFP – WASH Focal Point
World Vision Solidarités International
WASH response ongoing
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Locations with ongoing outbreak and hot spots (Payam level)
WASH Partners present Ongoing Action with number of population reached with Cholera interventions
Gaps and recommended action
Cordaid
Juba OXFAM – WASH Focal Point
Medair PAH NRC OXFAM UNICEF THESO Live Well NSDO BEDN GBI
Medair - Don Bosco - Sanitation and hygiene promotion activities targeting 4.000
beneficiaries - No new cases coming from the site in the previous week
Terekeka NRC – WASH Focal Point
NRC
WASH response continues
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SOCIAL MOBILISATION UPDATES Social Mobilization, Communication and Hygiene Promotion Reporting Format (Date: 7-14 July, 2017….)
Locations with ongoing
outbreak and hot spots (
Payam level)
Partners present Ongoing Action with number of
population reached with Cholera
interventions
Gaps and recommended action
Tonj East: Most affected Makuac, Paliang, Paweng Payam, Tonj South and Marial-Lou-Tonj North. (Warrap)
- CCM, THESO, UNICEF, WHO and SMOH
UNICEF supported partner THESO continue with community engagement activities which include household visits with critical demonstrations, community meetings, water-point and market awareness, school and cattle camps intervention in areas of Tonj East, Tonj South and Marial-Lou in Tonj North where there has been cholera outbreak. - 74 social mobilizers deployed reaching
692 HHs Note that partners like WHO, CCM and SMOH/CHD are leading case management and overall technical guidance.
- Inadequate borehole and pit latrine - Megaphone with battery - Continues mentorship - Transport for field movement
Kapoeta ( EEQ) SSRC, ARC, Singaita FM - No updates shared from Kapoeta by SSRC/ARC
- Singaita FM, a community radio continue broadcasting cholera messages (jingles, Talk-shows, Interviews, News bulletin) in Toposa, Dindinga and English.
- This week, a total of 72 jingles aired 12 per day.
-
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Torit, Nimule (EES) Health Link, SSRC and Radio stations
- 3 radio Voice of Torit and Radio Emmanuel continue to broadcast cholera messages. A total of 180 jingles aired (10 times a day)
-
Jonglei (Duk, Bor and Twic East
- CDNF, SMoH, CHDs UNICEF supported partner CDNF continue with community engagement activities which include household visits with critical demonstrations, community meetings, water-point and market awareness, school and cattle camps intervention in areas of Bor, Duk and Twic East.
- From 7-14 July, 2017, CDNF
reached total 2640 HHs and
10,560 Individuals through 80
trained volunteers social
mobilizers/home health
promoters) educating community
on social and behaviour change
intervention on cholera control
and diarrheal disease prevention
- A total of 11 schools and 3850
pupils benefited from school-
based interventions on cholera
awareness session carryout by
social mobilizers at different
schools in Bor,Twic east and Duk
counties
- In hard to reach villages of Bor,
Inadequate WASH supplies (PUR and Aquatabs)
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Twic east and Duk counties, the
social mobilizers conducted 16
water point sessions reached total
of 480 people including water
vendors with Cholera and
diarrheal disease educative
messages including
demonstration on proper water
treatment and storage
- Social mobilizers conducted 8
market sessions and reached 624
individuals including food vendors
in the mentioned counties of
Jonglei
- In the same period, the social
mobilizers also conducted 15
community meetings and
attended 300 people inclusive of
community leaders which
comprise of local chiefs, religious
leaders and women and youth
leaders at different payams of
Bor, Twic east and Duk counties,
- Mass media intervention: cholera key messages and radio spots are being broadcasted on Radio Mingkaman100 FM, and Radio
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Jonglei 95.9FM, 6 times daily in Dinka, English and Arabic reaching population in remote locations and villages with lifesaving messages on cholera prevention and control
- Religious engagement: Social mobilizers had reached people with effective cholera messages in over 16 churches in during Sunday in the counties of Bor, Twic east, and Duk.
Akobo, Old Fangak, (Jonglei)
Nile Hope, FCDI - In Northern Jonglei counties of Fangak, Ayod and Pigi. Fangak community development Initiative (FCDI), UNICEF C4D supported through its social mobilization network had conducted engage community as part of cholera response. Below were achieved in the last two weeks;
- House to house visit: FCDI social mobilizers had so far reached total of 21,228 individuals (3,435HHs) with cholera keys messages. By educating them with simple five key steps of cholera prevention and control majors.
- School interventions session: The FCDI social mobilizers conducted awareness in Fangak, Ayod and pigi
-
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Counties and it has reached 9 Schools and 3150 pupils with key hygiene behavioral messages on cholera diseases control, through dramas session at school.
- Community Meetings: 7 meetings conducted reaching 105 community leaders such as local chiefs, religious leaders, women and youth leaders with a cholera messages
- FCDI Social mobilizes, managed to conduct 8 dialogue meetings with food vendors in Fangak on how to achieve positive change.
- No updates shared by Nile Hope
Payinjiar: Thoanom, Pachak, Ganyiel
UNIDO, Nile Hope, IRC, Mercy Corps
- No updates shared -
Yirol East(Eastern Lakes), Adior Payam, Malek Payam, Lekakedu Payam, Yali Payam, Pagarau Payam, Tin-agau Payam, Nyang (Lakes)
- SSRC, CHADO/ CHD - From 7-14 July, 2017, 26 trained mobilizers from CHADO conducted household visits, community meetings, water-points and market awareness sessions and schools reaching the following;
Weekly summary - Number of households for the
week are 245 - The estimated number of people
reached for this week are 514 - There were four cases identified - The four cases were referred - The Number of school sessions
conducted in Yirol East were five - The number of pupils reached
Gaps: - Intercommunal clashes leading to
reduction of social mobilisation - Lack of rain coats and gum boots
for community mobilizers especially during this rainy season.
- Lack of megaphones during community meetings and mobilisation
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were 750 - The number of community
meetings conducted in Awerial county were five
- The Estimated number of people reached are 954
- The number of Market sessions conducted are 12
- The estimated number of people reached in Market sessions are 94
- Number of Water Point Intervention sessions done were 3
- The estimated number of people reached is 31
- No updates shared from SSRC
Awerial ( Eastern Lakes) Mingkaman, Alel, Dor, Puluk, Bunangok, Nile, Magok, Abuyong
- - From 7-14 July, 2017, 32 trained Social Mobilizers from CHADO conducted household visits, community meetings, water-points and market awareness sessions, schools and cattle camps interventions in the six payams of Awerial county i.e. Nile, Puluk, Bunangok, Abuyong, Alel and Magok reaching the following;
Weekly summary
- Number of households for the week are 186
- The estimated number of people reached for this week are 523
- There were no cases identified
Gaps: - Intercommunal clashes leading to
reduction of social mobilisation - Lack of rain coats and gum boots
for community mobilizers especially during this rainy season.
- Lack of megaphones during community meetings and mobilisation
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- There are no Cases referred - The Number of schools reached
were three - The number of pupils reached
were 167 - Number of cattle camps reached
are 3 - Estimate number of people
reached in cattle camps are 394 - The number of community
meetings conducted in Awerial county were six (6)
- The Estimated number of people reached are 198
- The number of Market sessions conducted are 11 reaching about 89 people
- Number of Water Point Intervention sessions done were 7 reaching 26 people
Yirol West (Eastern Lakes), Abang Payam, Anuol Payam Yirol Centre (Town), Geng-Geng Payam, Geer Payam, Aluak Luak Payam, Mapuordit Payam
- CHADO, SSRC and CHD - From 7-14 July, 2017, 28 trained mobilizers from CHADO conducted household visits, community meetings, water-points and market awareness sessions and schools in six out of seven payams of Yirol West county i.e. Yirol center, Abang, Aluak-luak, Geer, Geng-geng and Mapuordit Payams reaching the following;
Weekly summary - Number of households for the
- Some areas (Aluol Payam) is inaccessible due to very poor network both road and communication.
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week are 283 - The estimated number of people
reached for this week are 704 at household level
- There were no cases identified - The Number of schools reached
were 2 - The number of pupils reached
were 327 - The number of community
meetings conducted in Awerial county were 4
- The Estimated number of people reached are 59
- The number of Market sessions conducted are 5
- The estimated number of people reached in Market sessions are 18
- Number of Water Point Intervention sessions done were 11
- The estimated number of people reached is 72
- No updates shared from SSRC
Juba Cholera was confirmed in Juba by lab culture. Four cases were admitted to JTH CTC on 8th June, originating from Gumbo, Atabara, checkpoint and Rock city.
- MoH, SMoH-Jubek, SSRC, Radio Stations, Telecom Companies, THESO-POC
As part of mass media, UNICEF, MoH SMoH and partners continue to engage radio stations, Public Address systems and drama groups to inform and educate communities on cholera prevention and control practices in Juba and Yei.
- Economic crisis-Fuel shortage in
town sometimes affect
operation of radio stations and
PAs
- Insecurity in some areas
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- A total of 14 FM stations continue with airing of radio spots and talk-shows in Juba and Yei. As of 8-14 July, 2017, 840 times radio jingles have been broadcasted reaching over 2 million people across the country.
- This week, street announcement of
cholera messages has been ongoing
through Five (5) Public Address
Systems (PAs) in five main areas of
the City namely; Rajaf, Kator, Juba,
Munuki and Nyar-kenyi/Northern
Bari.The PAs conducts 5 hours
announcements per day (3 hr
morning and 2hrs evening) and will
be ongoing for a period of 60 days.
- THESO is also conducting hygiene
promotion and megaphone
announcements in Juba POC
- SMoH-Jubek in collaboration with
UNICEF conducted roadshow in Konyo-
Konyo and Ghabat Markets to education
public on cholera prevention and control
on 7 and 15 July, 2017 respectively. The
roadshow comprised of traditional
dances, drama performances, quizzes,
- Sound
impediments/interruption
(Megaphones for vehicle used
for PA in Munuki is not
efficient/not loud to be heard in
the community. Explore more
audible speakers and favorable
hours such as early in the
morning.
- Areas not accessible due to bad
roads in Munuki Payam
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and demonstration critical practices on
handwashing with soap, water
chlorination, and preparation of ORS
reached about 2500 people in respective
locations.
- Ministry of Health, WHO and UNICEF
in collaboration with Vivacell Telecom
Company have re-activated Cholera
hotline (1144) which currently
respond to all calls as well as
educating callers on cholera response
and preventive measures. No report
shared