- 4.9 million people are in need of humanitarian assistance in South Sudan, including 1.5 million internally displaced persons. Sexual violence remains widespread, especially against minors. - To date, reproductive health services have reached 2.8 million people in South Sudan, including over 72,000 women receiving antenatal care and over 12,000 assisted deliveries. - There are funding gaps of $11 million out of the $17 million required to meet humanitarian needs in South Sudan. Neighboring countries are also receiving large numbers of South Sudanese refugees, placing strain on resources.

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3. South Sudan overview
• 4.9 million peopleare in need humanitarian assistance in South Sudan, among them 1.5 million internally
displaced persons (IDPs).
• An estimated 25,000 women and girls are at risk of sexual violence in South Sudan.
• An estimated 140,000 pregnancies are projected, and 4900 births per month are projected.
• Movement of supplies to the remains a major challenge, constraining the distribution of dignity kits in
the
• Sexual violence is still widespread. About 76 percent of GBV survivors seen at the Juba Teaching Hospital
in the past 4 months have been under the age of 18.
• Abortion is an issue at all of the PoCs, with an extremely high incidence in the worst affected areas such
as Malakal and Bentiu, where partners report treating up to 6 women a week experiencing abortion.
Most of the women who show up at the clinics are between the ages of 17 and 25.
• In Bentiu, conditions remain dire due to with one drainage system put in place to help get rid of
the water; drainage is slow and most of the tents are still partially submerged in water, putting IDPs at risof
water-borne diseases.
Impact of the response
• To date, 2.8 million people have been targeted with reproductive health services in South Sudan; 700,000
are women are of reproductive age.
• More than 72,000 women have been provided with ANC services.
• More than 12,000 women have had assisted deliveries, and more than 1200 Caesarian sections have
been performed.
• More than 10,500 women and girls have been provided with dignity kits.
• Almost 89,000 people have been reached with GBV prevention messages.
• The women’s centres that were affected by last week’s in Bentiu have been repaired and
re-opened.
• In response to the high number of cases of sexual violence outside of the BentiuPoC, IRC held a session
on the GBV referral pathway, focusing on the do’s and don’ts of service provision once a survivor
her/ himself. Also in Bentiu, two safety audits were conducted by IRC in the most areas
of the PoCs.
• In Malakal, in response to high levels of sexual violence, UNFPA in partnership with local NGO Sobat
Community for Peace and Development has submitted two proposals to UNMISS for projects to provide
alternate activities for women and girls to protect them from GBV.
• Atraining in Family Planning was conducted by UNFPA in partnership with MSF and WHO in Yambio and
reached 15 community members. In Juba, 40 SRH mobilizers were trained on HIV in the Juba 3 PoC.
• UNFPA, with support from the Government of Japan, handed over two ambulances to the
Ministry of Health for use in Mingkama and Melut, two of the most areas in the country,
where they will transport women in labour or those with pregnancy-related complications to referral sites
and hospitals.
Fund raising
The South Sudan Country has mobilized
and invested $6,413,333 from CHF ($1,400,000),
Emergency Fund ($850,000), Japan Government
($1,200,000), CERF ($887,000), and Denmark
Government ($500,000).
Additionally, the CO has also allocated slightly over
$1.5 million from core resources to respond to the
humanitarian emergency. Over 85 per cent of these
funds are already utilized or committed.
There is a gap of nearly $11 million out of
the $17 million required.
services outreach camp at Nyumanzi settlement, Uganda.
Regional Update on the Humanitarian Situation in South Sudan
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5. Reaching refugees in
neighbouring countries
South Sudan Refugees in
Uganda
By early October 2014, Uganda had received almost
122,000 South Sudanese refugees (81,211
in Adjumani, 11,802 in Arua and 28,741 in
Kiryandongo districts) since December 2013. Women
make up almost half of all refugees –
a total of 58, 299, which includes 33,761 women of
reproductive age. The number of pregnant women
expecting deliveries from July to December 2014 was
3,750.
UNFPA Uganda has allocated US$1.9million for its
humanitarian response for South Sudanese refugees.
Progress
UNFPA has made notable progress in the following areas:
Emergency Reproductive Health (ERH) kits have been
delivered to health facilities in Adjumani, Kiryandongo
and Arua districts. These include clean delivery kits,
sexually transmitted infections (STI) kits, clinical
delivery assistance kits, clinical delivery assistance kits,
management of miscarriage and complications of abortion
kits, suture of tears and vaginal examination kits, vacuum
extraction delivery kits, referral level, reusable equipment
kits including C/section kits, referral level, drugs and
disposable equipment kits, and blood transfusion kits.
Five medical tents have been distributed to Adjumani,
Arua and Kiryandongodistricts. These are being used as
postnatal wards and for ANC visits. In the three districts,
4000 dignity kits have been delivered in anticipation of
3750 deliveries. Ten delivery beds have been supplied to
10 health facilities serving South Sudanese refugees in
Adjumani, Kiryandongo and Arua districts.
Twelve space tents have been secured for youth and
women, four of them to serve the refugee populations in
Mungula I & II, Olua I & II, Alere and Ayilo II settlements
in Adjumani. The remaining eight are to be supplied to
Kiryandongo settlement and Rhino camp.
RH services delivered
Among the refugees, the presence of almost 1000
pregnant mothers has been recorded, of whom 45 women
have been referred to a health facility for their ANC
visit. During an integrated service delivery camp, 2472
refugees were reached with FP information; of these,
2129 were females and 343 were males. In September,
326 women were registered for family planning.
Almost 2000 women attended ANC clinics. Of 1544
people tested for HIV & AIDS, 11 tested positive; people
who tested positive for STIs were treated. Six obstetric
cases were during the integrated services
outreach camp and repairs are ongoing in Adjumani
Hospital. Almost 6000 people were reached with ASRH
information,of which 2793 were males and 3065 were
females.
Six gender-based violence (GBV) survivors were
in Ayilo and Nyumanzi. They were referred to
health facilities for further management and are receiving
psychosocial counselling; referrals have been made for
legal redress.
Referral pathway billboards are being erected in Adjumani
and Rhino camps. Bicycles, gumboots and t-shirts have
been distributed to 30 people who have volunteered to do
community mobilization on GBV, identify GBV survivors
and carry out pregnancy mapping in the settlements of
Olua I &II, Mungula I&II, Alere and Ayilo II.
Six community dialogues on the causes and
consequences of GBV, leadership roles on matters of
GBV, and the GBV referral pathway have been held with
leaders from settlements of Ayilo 2, Olua I and Olua II. A
total of 8670 people participated, targeting approximately
36 per cent of the target population. Another six
awareness sessions on GBV were conducted. Drama
equipment has been procured for 3 groups of 25 people
each in Ayilo II, Olwa and Mungula settlements.
Distribution of clean delivery kits to midwives in Sudan.
Regional Update on the Humanitarian Situation in South Sudan
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7. South Sudan Program in Sudan
Sudan had received just over 100,000 South Sudanese
refugees by the end of October 2014. This was expected
to rise to an of 126,000 by the end of 2014. The
month of June saw the highest number of new arrivals
– close to 2000 a week. The number declined during
the rainy season but has increased more recently and
is expected to reach a rate of 2400 refugees a month.
The refugees are located mainly in White Nile state,
Khartoum, South and West Kordufan states, and Blue
Nile state.
UNHCR is currently updating its regional refugee
response plan as well as the for the 2015 Sudan
Humanitarian Work Plan (Strategic Response Plan).
An increase in displacement is anticipated in 2015, due
to continued and food insecurity within South
Sudan. Based on a ‘most likely’ scenario, an additional
144,000 new arrivals are expected in Sudan in 2015.
In anticipation of these new arrivals, a new site has been
in White Nile state, which already has four sites
for South Sudanese refugees (Alagaya, Alkashafa , Jouri
and Alredes). In these four sites, out of a total of 36,000
registered refugees, 71per cent are aged 0–17 years and
18 per cent are women (aged 18 and above), while 11 per
cent are men.More than 9 per cent of the total number
of registered refugees are girls aged 12–17 years. More
than 91 per cent of all households in the four sites are
female headed.
UNFPA Sudan has allocated almost $520,000 for its
humanitarian response for South Sudanese refugees, for
GBV response and RH in White Nile and South Kordufan.
A further $493,000 is to be mobilized this month for GBV
response and RH in White Nile, South Kordufan and
Khartoum.
Reproductive health care assistance
UNFPA provided emergency obstetric care through
supporting a referral system, including the rehabilitation
of an ambulance, the provision of medical supplies and
equipment contained in the emergency RH kits, and
1600 individual clean delivery kits. The supplies were
distributed to referral hospitals in White Nile state and
primary health care facilities next to the relocation sites
where the Southern Sudanese live.
Protection
UNFPA has conducted awareness raising campaigns on
GBV prevention and response, targeting local authorities
in South Kordufan state. So far, 1700 hygiene kits for
women have been distributed in the four relocation
sites in White Nile. Two dedicated spaces have been
established for women in Alagaya and Alkashafa sites
and these are being used as gathering points for GBV
awareness and other activities.
The response to the needs of South Sudanese refugees
has been challenging due to the long rainy season, which
has rendered some of the sites almost inaccessible.
White Nile state is also a relatively stable state, and many
of the implementing partners on the ground did not have
experience in working in emergency situations,
which limited the service provision to a few partners.
Ethiopia overview
Ethiopia has almost 644,000 refugees.South Sudanese
refugees make up the largest population group – more
than 255,000, including almost 190,000 who have
since the December 2013 outbreak of It is
estimated that the total number of refugees will reach
300,000 to 350,000 by the end of December 2014.
Around 80 per cent are women and children.
Progress
UNFPA Ethiopia has allocated an estimated $750,000 for
its humanitarian response for South Sudanese refugees,
mainly for procuring supplies and ambulances. Four
ambulances that have arrived in Addis Ababa are to be
handed over by UNFPA in the coming weeks, for use at
the refugee camps.
Emergency reproductive health kits that have been
procured are to be distributed shortly at the refugee
camps and at health facilities in the surrounding host
communities. A new batch of 3000 dignity kits have been
received in Addis Ababa and will be distributed in the
coming weeks to women of reproductive age.
Distribution of clean delivery kits to women by the Sudanese
Red Crescent.
Regional Update on the Humanitarian Situation in South Sudan
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9. UNFPA in conjunction with its partners is organizing capacity-building training, including BEmONC, clinical management
of rape survivors, infection prevention and MISP. A funding proposal for an additional $3,135,000 has been submitted to
the Japanese Embassy, as well as a proposal for $1.5 million that has been submitted to the Swedish Embassy.
Kenya overview
In Kenya, more than 43,000 South Sudanese refugees have arrived at Kakuma Refugee Camp, which is where most
South Sudanese are located. It is estimated that up to 100,000 asylum seekers from South Sudan will have arrived in
Kenya between December 2013 and December 2014. The majority of the new arrivals are female-headed households,
with women and children accounting for over 70 per cent: 21,807 female, 21,091 male and 27,884 children.
UNFPA Kenya has allocated about $300,000 per year for its Dadaab and Kakuma refugeeoperations. It is estimated
that around $150,000 will go towards supporting refugees in Kakuma per year. This includes support for maternity clinics
and wider sexual and reproductive health services, including sexual gender-based violence treatment and care.
Regional Update on the Humanitarian Situation in South Sudan
Progress
UNFPA is providing sexual and
reproductive health (SRH) services in
designated health facilities at Kakuma
and Dadaabrefugee camps as well as
through community outreach efforts.
UNFPA endeavours to scale up
support for SRH in Kakumarefugee
camp, with an even stronger focus
on the response to and prevention
of GBV. This continues to be an
underfunded area of intervention
despite high prioritization. In addition,
increased funding would allow for a
more targeted response to rape, forced
sex work, child labour, early marriage,
domestic violence and female genital
mutilation.
The SGBV (sexual and gender-based
violence) Prevention and Response
Programme in Kakuma refugee camp
and the host community, Turkana
County, is a proposed four year
programme that will reach 20,000
women and girls directly and 80,000
indirect This will cost
$3.5 million.
This will focus on the provision of
comprehensive access to quality care
and treatment services for survivors of
SGBV, including psychosocial support;
increased community capacity for
SGBV awareness in prevention and
recovery; and a protective environment
for women and girls in order to reduce
vulnerability to SGBV.
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10. Map from UNFPA ESARO
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