NaEPF South Sudan Humanitarian Response Plan - Medici Senza Frontiere

Project location: SOUTH SUDAN
Project start date: July 2017 - Project end date: December 2018
Project number: 2017-065
Beneficiary: Medici Senza Frontiere Italia


Médecins Sans Frontières (MSF) was founded in 1971 in France by a group of doctors and journalists in the wake of war and famine in Biafra. Their aim was to establish an independent organisation that focuses on delivering emergency medicine aid quickly, effectively and impartially.

MSF works in several regions in South Sudan and is concerned by the insufficient humanitarian assistance available. They respond to the urgent medical needs of people affected by violence and maintain their essential healthcare programs across South Sudan, despite the growing challenges they face reaching those in greatest need.
The Nando and Elsa Peretti Foundation has awarded a grant to MSF's project which will be carried out in South Sudan, Doro, Upper Nile State. Doro is one of four refugee camps in Maban. The population living in Doro refugee camp, which fled violence in the Blue Nile State, is dependent on external support in health, water and sanitation (watsan), food, shelter and education sectors. There is a generalized lack, if not absolute absence of infrastructure and basic services and thus a frequent lack of access to even the most basic health care among the population. MSF provides primary and basic secondary health care - including mental health, health promotion, Sexual and Reproductive Health care (SRH), emergency and nutrition programs - in a PHCC (Primary Health Care Centre) inside Doro refugee's camp situated near the border of Blue Nile and supports the Bunj county hospital's outpatient department.

Since November 2013, MSF has supported the Ministry of Health outpatient department in Bunj hospital.
In 2016, a Measles vaccination was completed in Bomas, Bunj town. A coverage survey was done in June and revealed 98% coverage. Last year, the number of malaria cases seen in Doro and Bunj hospital OPD started to rise rapidly. The number of beds had to be increased from 33 to 61 inside Doro Primary Health Care Center in order to respond to the peak of patients. Starting week 22, a sharp increase in malaria cases was also observed in Bunj making it the highest number of malaria cases since MSF started supporting the OPD.
Furthermore, the replacement of semi-temporary structures (containers) and the construction of a maternity ward has been done help reach an adequate sustainability of the healthcare facilities for future handover.
A high proportion of morbidity in Doro PHCC OPD (an average of 52% during July-Sept 2016) was attributed to malaria, and it is a major source of morbidity in Bunj OPD as well (an average of 53% during July-Sept 2016). Mobile clinics were organised to respond to the peak of malaria cases.

In 2017, MSF strategy is focused on running the medical activities with higher quality. These objectives are maintained with continuous improvement of the quality of care, capacity building and empowerment of the national staff through more responsibilities and continuous trainings.

In response to the increasing malaria burden a multi-pronged vector control strategy has been devised for 2017. The principle objectives of these activities are to reduce malaria morbidity and mortality in the refugee and host communities by reducing the longevity and density of malaria vectors in the area leading to a reduction in malaria transmission.
The direct beneficiaries are estimated to be 79.000 people. Doro had a population reaching 51.659 refugees by end of July 2015 (UNHCR last registration); there are 4000 people in the nearby host community of Doro camp and 13.903 Inpatient Department IDPs (some of which not close to MSF facilities). The host community of Bunj and surroundings reaches numbers up to 10.000 people.

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