1
Republic of South Sudan
CHOLERASITUATIONANDRESPONSEUPDATES13OCTOBER2017
Epidemictrends
§ Choleratransmissionhascontinuedtodeclinecountrywidewithonlythreecounties[Juba,Budi,andFangak]reportingcholeracasesinthelastfourweeks[38-41,2017].
§ Inweek41,fouroutof13samplesfromJubatestedpositiveforVibriocholerae(table2).
Table 1: Cholera cases by county for weeks 38, 2017 to 41, 2017
CountyDatefirstreported
Casesreported Deaths
Newduring
reportingperiod
CumulativeNewduringreportingperiod
Cumulative
Numberofcases
(attackrateper10,000) Community Facility
Facility
CFR%Fangak 13-Oct-16 7 242 14 0 0 2 0.83
Juba 18-Jun-16 108 2726 47 0 25 10 1.28Budi 22-Jul-17 83 649 38 5 44 17 9.4
§ Duringthe last fourweeks, JubaandBudihavereportedthehighestnumberofcholeracases.Duringthesameperiod,fivedeathswerereportedfromBudi(Table1&Fig.1).
§ NonewcaseshavebeenreportedfromFangakinthelasttwoweeks(Table1&Fig.1).
44
34
0
23
46
716
21
00 7 00
5
10
15
20
25
30
35
40
45
50
Budi Juba Fangak
Num
bero
fcases
Epidemiologicalweekofonset
Fig.1|CholeracasesinJubaandBudifromweek38to41,2017
wk38 wk39 wk40 wk41
2
§ Acumulativeof649casesincluding61deaths[CFR9.4%]havebeenreportedinBudisinceweek29,2017(Table1andFigure2).Malechildrenandyoungadultsaremoreaffectedthantheirfemalecounterpartsofcorrespondingage(Figure3).
§ TheoutbreakinBudistartedon28July2017withtheinitialtransmissionoccurringamonggold-minersinNgauro.
Cordaid and the County Health Department are supporting management in Ngauro CTU,KimotongCTU,KimotongPHCC,VakaORP,NagishotPHCC,andKakilaiPHCCinBudicounty.
0
20
40
60
80
100
120
140
26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41
Num
bero
fcases
Epidemiologicalweekofonset
Fig.2|Choleraepidemiccurve,Budicounty2017
Alive Died
11.00
4.00
4.00
6.00
8.00
6.00
8.00
3.00
2.00
2.00
2.00
0.20
0.00
0.30
0.00
0.30
6.00
3.00
3.00
6.00
4.00
4.00
4.00
3.00
4.00
2.00
2.00
1.00
1.00
0.00
0.20
0.00
12 10 8 6 4 2 0 2 4 6 8
3
There are ample cholera case management kits and the cholera treatment facilities areadequatelystaffedforthecurrentcase-loads.Inadditiontocasemanagement,surveillance,andWASH interventions,a choleravaccinecampaignmicroplanhasbeendevelopedand iscurrentlybeingreviewedbythenationalOCVworkinggroup.InJuba,108caseswerereportedinthelastfourweeks[week38-41].MostofthecasesseeninJubainthelastfourweeksoriginatedfromRejafandKator.Anoralcholeravaccinecampaignhas been completed in Juba targeting both high-risk locations and areas with activetransmission.
Overallcholeratrends
§ Sincethestartofthecurrentoutbreakon18June2016,atotalof21,097casesincluding418deaths(CFR1.98%)havebeenreportedfrom26counties.ThemostaffectedcountiesincludeAyod,TonjEast,YirolEast,Fashoda,KapoetaEast,andKapoetaSouth(Figure4).
§ Themostaffectedpopulationsintheselocationsinclude:Landingsites/townsalongRiverNile;cattlecampdwellers;populationslivingonislands-nosocialservices;andIDPs-recentlydisplacedwithinadequateaccesstoWASH.
31- 4
- 11108
- 35
- - -
101-
10- -
40
- 70
1- - - -
74189
538
347
7131
1288
6687
- - 1
1304
380
22-
1441
14315
- 20 40 60 80 100 120 140 160 180 200Awerial
Ayod
Bor
Budi
CanalPigi
Duk
Fangak
Fashoda
Juba
KapoetaEast
KapoetaNorth
KapoetaSouth
Leer
Magwi
Malakal
Mayendit
Mayom
Nyirol
Panyijiar
Renk
Rubkona
Terekeka
TonjEast
TonjNorth
YirolEast
YirolWest
choleracasesper10,000population
Figure4|Choleracasesper10,000bycountyinSouthSudan,2016and2017
2017 2016
4
Choleracasefatalityrateswerehighestincountieswithpooraccesstohealthcareespeciallyinpopulationslivingintheislandsandcattlecamps(Figure5).Overall,ahigherproportionoffemales(52%)areaffectedthanmales(48%).Figure6showstheageandsexdistributionofcases.
1% 2%
3% 9% 1%
2%
3% 3%
3%
3%
1% 33%
1% 1%
3% 9%
0% 6% 1%
2% 1% 1%
0% 1%
0% 2% 44%
3% 7%
0% 0% 2%
0% 4%
0%
0% 5% 10% 15% 20% 25% 30% 35% 40% 45% 50% AwerialAyodBorBudi
CanalPigiDuk
FangakFashoda
JubaKapoetaEast
KapoetaNorthKapoetaSouth
LeerMagwiMalakal
MayenditMayomNyirol
PanyijiarRaja
RubkonaTerekekaTonjEast
TonjNorthYirolEastYirolWest
choleracasefatalityrate- CFR[%]
Figure5|Choleracasesfatalityrate(%)bycountyinSouthSudan,2016and2017
2017 2016
11.008.00
6.003.003.00
4.003.003.00
2.002.001.001.001.000.300.270.130.100.01
0.00
10.007.00
5.004.004.00
5.005.00
3.002.002.001.001.001.000.430.290.100.080.010.00
15 10 5 0 5 10 15
0-45-9
10-1415-1920-2425-2930-3435-3940-4445-4950-5455-5960-6465-6970-7475-7980-8485-8990+
Percentage%
Figure6|Choleracasedistributionbyageandsex,June2016- Sept2017
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AsseeninTable2,choleracaseshavebeenconfirmedeveryyearsincetheonsetoftheSouthSudan crisis in 2013. The 2016/17 outbreak is the longest and largest in magnitude andgeographical extent. Due to the protracted crisis, displacements, insecurity, and declininginvestment in WASH, access to safe drinking water and sanitation facilities has declinedsignificantly. Access to improved sanitation facilities is less than 10% while access to safedrinkingwaterfromimprovedwatersourcesisestimatedat60%.
TABLE2|CHOLERAOUTBREAKSINSOUTHSUDAN2014-2017
Summarymeasure 2014 2015 2016/17
No.cases 6,421 1,818 21,097
No.deaths 167 47 418CFR% 2.60% 2.59% 1.98%
No.countiesaffected 16 3 26
Duration(weeks) 29 19 (70)Ongoing
Outbreakstartdate 24/04/2016 18/05/2016 18/06/2016
Dateoflastcase 13/11/2016 24/09/2016 Ongoing
Attackrate[per10,000] 27 17 45.4CoordinationofcholeraresponseTheNational cholera task force is coordinating theoverall cholera response.The task forcemeetingsconveneweeklyonWednesdaysfrom2pmintheWHOconferencehallinJuba.CholeraresponseupdatesTheoverallresponsetocholerainSouthSudaniscoordinatedbythenationaltaskforcethatis
0
500
1000
1500
2000
23 26 28 30 32 34 36 38 40 42 44 46 48 50 52 2 4 6 8 10 12 14 16 18 20 22 24 26 28 30 32 34 36 38 40
2016 2017
Num
bercases/deaths
Epidemiologicalweekofonset
Fig.7|Choleratrendsweek23,2016towk41,2017
Alive Died
6
ChairedbyMoHwithsupportfromWHO,Unicef,andpartners(HealthandWASHclusters).TheweeklycholerataskforcemeetingsareongoinginJubaduringwhich,thecholerasituationandtheongoingcholerapreventionandresponseactivitiesintheaffectedandhigh-riskareasarereviewed.South Sudan was represented at the just concluded Global Cholera Taskforce on CholeraControl (GTFCC)oralcholeravaccineworkinggroupmeetingthatwasorganizedbyWHOinLagos,Portugal from12th to13thOctober2017.SouthSudanwas representedby theWHOCountryOfficeandMedAir.Twopresentationsweremade(byWHOSouthSudanandMedAir)totheworkinggrouptoshow-caseSouthSudan’sprogress,experiences,andlessonslearntinusingoralcholeravaccinestocomplementcholerapreventionandresponsein2017.Thisyear,SouthSudanhassecuredthehighestnumberoforalcholeravaccinedoseswhencomparedtoothercountries.ThisfollowsthecholerariskanalysisconductedinMarch2017duringwhichcholeratransmissionhotspotsweremappedandprioritizedfororalcholeravaccinationinthenexttwoyears.Table3:Dosesoforalcholeravaccinesdeployedin2017bysite
ProgressoforalcholeravaccinecampaignsAspartoftheongoingcholeraresponse,choleravaccineshavebeendeployedtocomplementcholeraresponseinseveralhigh-riskpopulationsandlocations.TheseareasincludeLeer,BorPoC,Malakal Town, Bentiu PoC,Mingkaman IDP settlement, Aburoc IDPs, Bentiu/RubkonaTown,Ayod(Pagil,Tar,Jiech,Karmun,Padek,andKandak),Juba(DonBoscoIDPsandadditionalhigh-risk locations), Tonj East and Marial Lou payam, Kapoeta North, Kapoeta South, andKapoetaNorth.Outofthe1,440,358dosessecuredbyWHOin2017,atotalof1089942doseshavebeendeployed(seeTable3).
Novaccinated
%coverage
Novaccinated
%coverage
1 Leer(oneround) 44731 30,772 69% 0% 22/02/2017 MedAir,WHO,UNICEF
2MalakalTown(pending2nd
round)16500 10,499 64% 0% 18-24Mar2017 MSF-E,WHO,UNICEF
3 BorPoC 2265 1,926 85% 1,885 83%3-4Apr2017;2nd
Rnd26-29Apr2017HLSS,WHO,UNICEF
4 Mingkaman 111,278 68,512 62% 42,296 38%
26Apr-5May2017;
2ndRnd:12-26May
&10-21Jun
MedAir,WHO,UNICEF
5 AyodTar(oneround) 19,400 15,649 81% 0% 9-22May MedAir,WHO,UNICEF
6 AyodPagil(oneround) 4,850 3,943 81% 0% 9-22May2017 MedAir,WHO,UNICEF
7 BentiuPoC 112,924 72,514 64% 77,603 69% 5-10May2017 IOM,WHO,Unicef
8 Rubkona&Bentiutowns 35204 31,908 91% 38,388 109%19-23Jun2017&11-
15Jul2017IOM,WHO,Unicef
9AburojIDPs(pending2nd
round)11,640 10,723 92% 0% 20-22May2017 MSF-E,WHO,UNICEF
10Ayod(Jiech,Karmun,Padek,
Kandak)18,550 13,756 74% 9,337 50%
20-26Jun2017&18-
23Jul2017IOM,CMD,WHO,UNICEF
11 JubaDonBoscoIDPs 5,940 4,536 76% 3,309 56%3-6Jul2017;24-27
Jul2017
MSF-CH;WHO,UNICEF,
HLSS
12 TonjEast(pending2ndround) 189,058 160,862 85% 6-10Aug2017 IOM,WHO,Unicef
13 KapoetaNorth 141,520 83,197 59% 71,406 50%29Jul-4Aug2017&
17-25Aug2017;11-SCI,WHO,UNICEF
14KapoetaSouth(pending2nd
round)97,000 78,863 81% 29Jul-4Aug2017; ARC,WHO,UNICEF
15KapoetaEast(pending2nd
round)97,000 85,058 88% 29Jul-4Aug2017 ARC,WHO,UNICEF
16 Juba(selectlocations) 200,000 173,000 87% 9Sep-6Oct2017 MSF-CH;WHO,UNICEF
Totaldosesdeployedin2017 1,107,860 845,718 76% 244,224 22%
PartnersFirsround Secondround
No SiteTarget
populationDates
7
Table2:CholeraculturetestresultsJun2016-Sept2017 Week41 Cumulative(2016-2017)
County Positive Positive Negative TotaltestedAbyei 1 1Akobo 2 2Awerial 55 63 118Ayod 2 6 8Bor 4 4 8Budi 2 1 3Duk 11 6 17Fangak 0 31 50 81Fashoda 7 14 21Juba 3 256 278 534KapoetaEast 8 8Kodok 1 2 3Lankien 3 1 4Leer 9 13 22Magwi 7 1 8Malakal 2 21 23Mayendit 4 6 10Mayom 4 7 11Panyijiar 1 1Pibor 5 5Pigi 2 4 6Renk 2 2Rubkona 30 91 121Terekeka 2 2TonjEast 8 8 16Torit 5 5Uror 2 2Wau 6 6YirolEast 10 12 23YirolWest 4 4KapoetaSouth 12 12 24Nyirol 3 1 4Totaltested 3 482 620 1,096
8
WASHCLUSTERRESPONSEUPDATES
Beneficiaries reached by WASH cluster partners in week 40
9
SOCIALMOBILISATIONUPDATES Social Mobilization, Communication and Hygiene Promotion Reporting Format (7-13 October, 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
TonjEast:MostaffectedMakuac,Pariang,PawengPayam,TonjSouthandMarial-Lou-TonjNorth.(Warrap)
- CCM,THESO,UNICEF,WHOandSMOH
Noreportshared
Bor,TwicEast,DukandPibor CDNF UNICEFsupportedpartnerCDNFcontinuewithcommunityengagementactivitieswhichincludehouseholdvisitswithcriticaldemonstrations,communitymeetings,water-pointandmarketawareness,schoolandcattlecampsinterventioninareasofBor,DukandTwicEast.- HousetoHousemobilization:From 6th – 12th October,
2017,70trainedmobilizersconductedhouse-to-housemobilizationreachingthetotal1,582HHs(6,326Individuals)withbehaviorchangeinterventiononintegratedcholeracontroldiarrhealdiseasepreventionandimmunization
- Atotalof9schoolsand1,933pupilsbenefitedfrom
school-basedinterventionsonintegratedcholeraawarenessandimmunizationsessioncarryoutbysocialmobilizersatdifferentschools,Bor,TwiceastandDukcounties
- CommunitysensitizationMeetings:Inthisperiod,thesocialmobilizersconductedcommunitymeetingsatdifferentpayamofBor,TwicEastandDukcounties.Atotalof7communitymeetingswereconducted
- Insecurity in the whole ofgreater Jonglei state has
made it difficult for social
mobilizers move to those
areas of Anyidi, Makuac,
Lith,Duk,etc.
- Lack of rain coats andgumboots for social
mobilizersasitisnowrainy
season.
- Lack of mobility such asmotorbikes, Bicycles for
supervisors and social
mobilizers to facilitate
theirmovementtothefield
site.
-
10
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
withover423communityleaderswhichincludelocalchiefs,religiousleadersandwomenandyouthleadersparticipating.
- Marketsawarenessinterventions: Socialmobilizers
alsocarriedout9marketsessionsreaching327individualsduringthemarketsessionswhichincludefoodvendorsinthementionedcountiesofJonglei
• School Interventions:A totalof10schoolsand2,416pupilsbenefitedfromschool-basedinterventionsonintegrated cholera awareness and immunizationsession carryout by social mobilizers at differentschoolsinBor,TwicEastandDukcounties.
• Interventionatwaterpoints: IntheremotevillagesofBor,TwicEastandDukcounties,thesocialmobilizersconducted6waterpointawarenessreachingatotalof359peopleincludingwatervendorswithCholeraanddiarrhealdiseaseeducativemessages. ThewatervendorswereorientedonCholeraanddiarrhealdiseasemessages including demonstration on hand washing,water treatment and safe water storage at householdlevel.
- Massmediaintervention:cholerakeymessagesandradiospotsarebeingbroadcastedonMingkaman100FM,andRadioJonglei95.9FM,6timesdailyinDinka,EnglishandArabicreachingpopulationinremotelocationsandvillageslifesavingmessagesoncholerapreventionandcontrol
11
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
• Religiousengagement:Socialmobilizersreachedpeoplewitheffectivecholeramessagesinover7churchesduringthelastSundayinthecountiesofBor,Twiceast,andDuks.In Payam of Pibor county of Lekuangole, Verteth andGumuruk,andPochallacountyofAkoye,Akila,Adongoand Burator from 5th – 12 Oct 2017, CDNF conductedsocialmobilization activities and reached the total 436HHsand4,236Individualsthrough23trainedvolunteerssocial mobilizers/home health promoters) educatingcommunityonsocialandbehaviorchange interventionon integrated cholera control diarrheal diseasepreventionandimmunization.Themobilizers also carried on school intervention in 7schoolswith1,249pupilsbenefitedonintegratedcholeraawarenessandimmunizationsession,inPayamsofPibor,Lekuangole,VertethandGumuruk.• In this period, the social mobilizers conducted
community meetings at different payams of Pibor,Lekuangole, Verteth and Gumuruk, number ofmeeting was 7 and 614 people inclusive ofcommunity leaders which comprise of local chiefs,religiousleadersandwomenandyouthleaders.
• Socialmobilizersmarketsessionreached8and1240individuals through market sessions including foodvendorsinthementionedcountiesofBoma.
12
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
• InhardtoreachvillagesofPibor,Lekuangole,Vertethand Gumuruk, payams the social mobilizersconducted 6 water point sessions reached total of650peopleincludingwatervendorswithCholeraanddiarrhealdiseaseeducativemessages.
Jonglei(Akobo,UrorandAkobo NileHopeandCHD
No updates shared -
AwerialCounty(Payams:Alel,Dor,Puluk,Bunangok,NileMagok,Abuyong)
CHADOandCHDs
CHADOcontinuewithcommunityinteractionsessionssuchashouseholdvisitswithcriticaldemonstrations,communitymeetings,water-pointandmarketawareness,schoolandcattlecampsinterventioninhotspotsareasinEasternLakesInAwerial,657households(2100individuals)havebeenreachedwithcholeramessagesby28trainedsocialmobilizers.Atotalof23and2850pupilsbenefitedfromschool-basedinterventionsoncholeraawarenesssessioncarryoutbysocialmobilizersatdifferentschoolsinAwerialThesocialmobilizersconducted38waterpointsessionsreachedtotalof310peopleincludingwatervendorswithCholeraanddiarrhealdiseaseeducativemessagesincludingdemonstrationonwatertreatmentandproperstorageAlso,Socialmobilizersconducted35marketawarenesssessionsandreached447individualsincludingfoodvendorsinthementionedcountiesAtthesameweek,thesocialmobilizersconducted27communitymeetingsandattendedby398peopleinclusiveofcommunityleaderswhichcompriseoflocalchiefs,religious
-
13
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
leadersandwomenandyouthleadersatdifferentPayamsofEasternLakes.Religiousleaderswereengagedandatthetimechurchservices,Socialmobilizersreachedpeoplewitheffectivecholeramessagesinover8churches/parishesinthecountiesofEasternreachingpopulationwithlifesavingmessagesoncholeracontrolandpreventionCHADOconductedsocialmobilizationoutreachactivitiesin30Cattlecampswithtotalof1041individual
YirolEast(Payams:Adior,Malek,Lekakedu,YaliPagarauTin-agauandNyang)
CHADOandCHDs
CHADOtrained27Socialmobilisers/healthpromotershaveconductedarangeofcommunityengagementactivitiesinallPayamsofYirolEast,whichincludeAdior,Malek,Lekakedu,Yali,PagarauTin-agauandNyang.Asofthisweekbelowwereachievements; 28trainedSocialmobilisers/healthpromotersinYiroleast,havereached,670householdsand2834peoplewithkeymessagesoncholerapreventionandcontrolonthesamenotetheyhaveconducted45communitymeetingsand700peopleparticipated,36marketsessionconductedwithtotalof400individualsreached.Also,thetrainedcommunitymobilizersreached39schoolswithtotalof696pupils,73watersessionsconductedwithtotalof643individualsreachedwithkeymessagesoncholerapreventionandcontrolTheReligiousleaderswerealsoengaged:Duringreligiousservicesandcholerakeymessagesinthechurches/parisheswithlifesavingmessagesoncholera
-
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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
controlandpreventionwereconveyedin13parishesinthecounty
YirolWest(Payams:Abang,Anuol,YirolCentre(Town),Geng-Geng,Geer,AluakLuak,Mapuordit)
CHADOandCHD
InYirolWest, CHADOhad28trainedSocialmobilisers/healthpromotershavereached791households2134people)withkeymessagesoncholerapreventionandcontrol.
- InAnuolpayamthehealthfacilityneedstobesupportedwithsomeNFIsmaterials,andhandwashingfacilities,safedrinkingwater,andhygienepromotion
JubaGurei,Kator,Lologo,Gumbo,Nesitu
Healthlink,SMoHandCHD
AspartofMassmedia,atotalof14FMstationscontinuewithairingofradiospotsandtalk-showsinJubaandYei.Asof6-13October,2017,980 times radio jingleshavebeenbroadcastedreachingover2millionpeopleacrossthecountry.Also,partofcommemorationofGlobalHandWashing,1talk-show was conducted on Radio Miraya joint byUNICEFDeputyRepresentativeandDGNationalMinistryof Water Cooperation and Irrigation. Radio jinglesproducedin9languagesarebeingbroadcastedbylocalradiostationsacrossthecountry
Thisweek,streetannouncementofcholeramessageshasbeenongoingthroughFive(5)PublicAddressSystems(PAs)infivemainareasoftheCitynamely;Rejaf,Kator,Juba,MunukiandNyar-kenyi/Northern
-
15
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
Bari.ThePAsconducts5hours’announcementsperday(3hr.morningand2hrsevening).
UpperNile(Maban,MelutandRenk)
MobileTheaterTeamandCHD
• MabanSocialMobilizersarecontinuedwithsocialMobilizationforintegratedcommunitymobilizationincludingmeaslesandhygienepromotioninBunjtowntogetherwithC4DteaminMaban
• CholerapreventionawarenesscampaignwereconductedinHaiKhartoumMarketandHai,were85girls,122boys,43women19men.
• Four(4)sessiononhygienepromotionwereconductedthroughhousetohouseandinschoolinBankumaprimary,HaiNeemwere102girls,98boys,34women24men
• InMelutSocialMobilizershadconducted2hygienepromotionssessionsinHai-ShamalTrarawere30boys,45girls,22womenand17men.Thatgivethetotalnumberof114reached.
• CholerapreventionawarenesscampaignwereconductedinHai-Salamthroughhousetohousewere56girls,46boys,34women22men.Thatgivethetotalnumberof160reached.
• OneSessionsoncholerapreventionwasconductedinHai-BigMarketwere26girls,33boys,17men23women.Thatgivethetotalnumberof103reached.
• OnesessiononhygieneinSchoolmessageswasconductedinweredemonstrationofhandwashingwasshowtochildren
-
16
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
• Meanwhile in Renk, social mobilizers conducted two meeting with local community leaders in Girwa and Hai-Thoma on Cholera, Polio, Measles and Hygiene promotion. Population reached in two communities with the same messages were 12 men, 23 women attend during the sessions.
• The mobilizers had also conducted four sessions on hygiene and immunization in Girwa and Thoma in Renk town were 25 women, 53 boys, 41 girls 9 men were reach. The partner also conducted two (2) Focus Group Discussions with women group in Sawary on Cholera prevention and Hygiene Promotion messages, 31 women group were attend the session and benefited.
UNICEF supported partner, Community Development Network Forum (CDNF) carrying out series of community engagement activities in Bor, Twic East, Duk, Pibor and Pochall
17
CHADOsocialmobilizersconductinghouseholdawarenessandwaterpointsensitization
MTTsocialmobilizersdoinghygienepromotionsinMelutandRenk
18
ContactsDr. Mathew Tut Director, Emergency Preparedness and Response Ministry of Health, Ministerial Complex Juba, Republic of South SudanEmail: [email protected]
Dr. Joseph F. Wamala EpidemiologistWorld Health Organization Ministerial Complex Juba, Republic of South Sudan Email: [email protected]
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