Republic of South Sudan - World Health Organization · 3 Cholera Control. In view of this, a one week OCV campaign is scheduled on the 28th July to the 3rd August, 2017 for counties

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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%

4

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;

mailto:[email protected]

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- 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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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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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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- 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


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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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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- 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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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


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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


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 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 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

22

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

Documents

Republic of South Sudan - World Health Organization · 3 Cholera Control. In view of this, a one week OCV campaign is scheduled on the 28th July to the 3rd August, 2017 for counties