Migration Health Unit2021 | Quarter 2 Report

In the reporting period, IOM South Sudan’s migration health unit (MHU) has continued with the provision of life saving health care services to vulnerable populations including IDPs, returnees, conflict affected host and flood affected communities in Upper Nile, Unity, Jonglei and Western Bahr El Ghazal states. IOM supported 22 health facilities through the provision of primary health care and routine immunization services in static and mobile/outreach intervention in Malakal, Wau and Rubkona counties.

During Q2, IOM MHU reached 226,333 beneficiaries in need through operations of static and mobile clinics.

Respiratory infection, Malaria and Acute watery diarrhoea constituted a cumulative total of 59% of all causes of morbidity with each contributing 35%, 14% and 10% respectively. There has been an increase in upper respiratory tract infection, Malaria and acute watery diarrhoea from the EPI week 21 to 26 (23rd May to 3rd July) in all locations. This could be attributed to the start of the rainy season and limited vector control interventions in the communities.

Overview

S O U T H S U D A N

A community mobilizer undergoing COVID19 Vaccination at Malakal PoC - IOM Clinic © IOM 2021 / OTIENO Benson

118,654 consultations provided in IOM static and mobile clinics

33,651children under 5 years screened for nutrition

55,019 inbound travellers to South Sudan screened in the IOM PoE screening sites

IOM Supported Health FacilitiesHealth facilities supported with static responses

Health facilities supported with mobile responses / Outreach

Health facilities supported with RRT deployments

16,076children under 5 yearsreceiving routine immunizations

PHCC- Primary Health Care Centre PHCU - Primary Health Care Unit Bentiu IDP Site S1- Bentiu IDP Site Sector 1 Bentiu IDP Site S3 - Bentiu IDP Site Sector 3 Bentiu IDP Site S5- Bentiu IDP Site Sector 5

UNITY

UPPERNILE

WBEG

UNITY

UPPER NILE

Abrouc PHCC

Bam PHCC

Malakal PoC Clinic

Akoka PHCC

Bori PHCCKinyiba PHCUJalimo PHCU

CES

WES

EES

51,797 individuals reached with health education including HIV prevention messages

673 births attended by skilled birth attendants

1,519 People reached with HIV Testing and Counselling (HTC) services in the PoCs/IDPs

IDP Sector 1 IDP Sector 3 IDP Sector 5

Naivasha IDPJebel Kher

Wau CountyStatic PHCC Mobile PHCU

Rubkona CountyStatic PHCC Mobile PHCU/C

Galachol PHCU

Walgak PHCC

FarajallaBaziaMajeuBuserriNew Site

Ding DingYoanyang ReangWaakNhialdiuBentiu PoC HospitalKoithiey

Comparison of top 3 medical conditions by weeks, Q2 2021

Health Emergency Response through deployment of Rapid Response Teams

IOM vaccinated 16,076 (8,217 men, and 7,859 women) children for BCG, Penatvalent, IPV and measles vaccines under routine immunization programme.

This number doesn’t include the OPV 1-3 vaccination in order to avoid double counting of children vaccinated.

On 29 June, IOM Health Rapid Response Teams (HRRT) were deployed to Akobo. Akobo is one of the 6 IPC 4 prioritized food insecure counties that have been identified for the scale up of all services including health.

IOM HRRT team is in constant coordination with the CHD, ROSS coordinator and executive director to establish one mobile health facility in Akobo West in addition to the already established static facility in Walgak. Data on number beneficiaries reached will be available in Q3 report.

Epidemic Disease Preparedness and response

IOM streamlined COVID-19 prevention in all of its interventions and continued with COVID-19 screening of travelers and supported Nimule Points of Entry (PoE) for COVID-19 screening during this quarter.IOM, participated in COVID-19 COVAX vaccination in Bentiu and Malakal reaching a total of 500 and 286 individuals respectively.

IOM continued to support point of entry disease surveillance at the Nimule PoE where IOM is conducting COVID-19 screening of travellers at Nimule border land crossing. In this quarter, a total of 55,019 (<18M=2,570, <18F=2,350, >18M=37,554, >18F=12,545) travellers were screened for COVID-19.

35%34%

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Bentiu Malakal Wau

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Q2 TOP 3 MORBIDITIES

Respiratory Track Infection Malaria Acute watery diarrhoea

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Bentiu Malakal

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PPO

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ED

WEEK IN YEAR 2021

COMPARISON OF TOP 3 MEDICAL CONDITIONS BY WEEKS, Q2 2021

Respiratory Track Infection Malaria Acute watery diarrhoea

Dr. Mary Auma Alai | Migration Health Program Officermalai@iom.int

Success Story

Coordination

Baby John receives care at Bam PHC IOM Clinic © IOM 2021 / Liatile PUTSOA

IOM continued chairing the weekly Emergency Responders Group in collaboration with Health Cluster to update partners about locations, population and response needs. IOM remains a member of the Health cluster Strategic Advisory Group (SAG).

Additionally, IOM continued to co-chair the PoE/Border Health Pillar of the COVID-19 National steering committee for Epidemic preparedness and response.

The Bam PHCC, run by IOM’s Health unit, sees approximately 1000 outpatients monthly. IOM also provides free health services at the clinic in the Malakal Protection of Civilians (PoC) site and other parts of Upper Nile State. IOM renovated the Bam health facility in September 2019/October 2020 after it became non-operational and dilapidated following the onset of conflict at the end of 2013. IOM’s Migration Health Unit (MHU) also trained Medical Assistants who work in the clinic.

Bam PHCC provides health services, including routine immunization activities. The outreach services targets

population in hard-to-reach locations for immunization and treatment of minor ailments. Nyaluok, the mother of baby John who got burnt, highlighted her appreciation of IOM for supporting the health facility to serve its population. Nyaluok said she tried to treat the burn wound at home because there was no health facility nearby. However, as days went by, the scarring got worse, and the wound became infected. Together with a close relative, they set off on foot and by boat – a day’s journey – to Bam Primary Health Centre Centre (PHCC), some 4 kilometers outside of Malakal town in South Sudan’s Upper Nile State.

2570 2350

37554

12545

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Male Female

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ELLE

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Gender & Age Chor

TRAVELLER S SCREENED FOR COVID-1 9 AT NIMULE BOARDER.

>18

<18