unicef south sudan country office rapid response … · kadet phcu is located a three hour walk...
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UNICEF SOUTH SUDAN COUNTRY OFFICE
Rapid Response Team Report
Location (State/County/Payam/etc): Kadet (Unity/Guit/Kadet)
Date of the Mission: 22nd – 31st October, 2014
1 Name & Title of
UNICEF Team
Leader
Simon BOL, WASH Specialist
2 Names & Titles
(with
org/depart/section)
of other members
of the team
1. Kim JIAL, Child Protection Specialist/UNICEF 2. Anita ABDALLAH, Nutrition Officer/UNICEF 3. Joseph DUOP LIEM, Health Officer/UNICEF 4. IRC & WFP teams
3 Sites visited 1. Kadet Payam Administrative HQ; 2. Kadet Registration Site; 3. Luotjop Primary Schoo; 4. Kadet Drop Zone; 5. 2 Water points.
Information and Data collected
4 General
Information
Provide the following general information about the mission site:
Number of registered people: 9,308
Number of households: 2,601
Total number of children under five (if available): 2,308
Total number of children under 18 years (if available): N/A
Humanitarian situation and needs (IDPs, last time they received support, who is in control of the area
etc.):
Kadet is currently the HQ of Kadet Payam and the eighth Payam of Guit County in Unity State under
control of SPLM-iO. The area has been indirectly and directly affected by the ongoing crisis in the
country. The entire population has been completely cut off from all basic services: health, education,
food aid, WASH, veterinary services, etc. since December 2013. As a result, the community are in dire
need of humanitarian assistance. The population of Guit County is 169,620 out of which Kadet Payam
has an approximate population of 17,120 including 3,920 IDPs who fled the fighting in Bentiu, Rubkona
and Guit according to County SSRRA and Payam Administration. All the IDPs have been integrated in
the host community. No IDP transit location/camp has been established nor has any humanitarian
support has been provided to the IDPs/host community since then.
Immediate Response Provided and Follow up Actions
4 Nutrition
Situation Overview
and Humanitarian
needs:
Provide a brief situation analysis and list down the critical humanitarian needs related to Nutrition
i) The people in Kadet payam depend mainly on livestock and fishing for livelihoods. However, there is a reported lack of efficient fishing equipment such as fishing nets and hooks. People in the area use traditional fishing spears. A recent assessment carried out by CARE in the four
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Rapid Response Team Report
payams of Chot Yiel, Nyathor, Niemne and Bil reported widespread cultivation of groundnuts, maize, millet and sorghum, although with some limitations in some areas due to heavy rains and pest. No cultivation was observed in the area of Kadet. According to conversations with the local population, the cultivation of traditional food crops such as maize and sorghum has been hampered by heavy flooding in the area throughout the rainy season. As part of their coping mechanisms, the population has recently started consuming water lily seeds as part of their household diet.
ii) There is no market in Kadet payam. The closest market is situated in Guit payam about 20 km
away from Kadet. This market is only partially functional with a few essential items available. The population of Kadet is reportedly not accessing the Guit market.
iii) A recent rapid nutrition assessment of 849 children 6-59 months done by CARE in Chotyiel
and Nemene payams in Guit county in October 2014 found 101 children with MUAC <11.5cm (11.9%) and 156 (18.4%) children with MUAC >11.5-<12.5cm. The findings indicated a critical nutritional situation of the population in the area.
iv) Guit County has previously not been covered with nutrition services. CARE International has
been supporting health facilities in Guit County until December 2013 but have not been able to restart their activities so far in 2014. CARE is currently in the process of amending their partnership with UNICEF to include nutrition services in the centres where they will re-establish their health support. The closest CARE-supported health facility is Guit PHCC which is situated approximately a two hour walk north of Kadet. However, during the current rainy season the travel time is increased to a 5-6 hours walk. The Kadet PHCU is situated a three hour walk from the WFP registration site and is currently equipped with the following health staff: Guit Community Health Director, Director of Kadet PHCU, one nutrition assistant and one EPI staff.
v) Infant and young child feeding (IYCF) practices are suboptimal with mothers reporting that they
provide cows’ milk to infants as early as right after giving birth. It is a common belief among mothers that breast milk is insufficient in quantity. Complementary feeding is mainly based on the diet used by the rest of the household and not specifically adapted to the age of the child.
Immediate Response/Results:
Summary of key interventions and results including challenges and how they were overcome
i) Key nutrition interventions for the rapid response included MUAC screening of children 6-59 months with provision of treatment for cases with acute malnutrition as well as micronutrient supplementation and deworming for children under 5 years. Pregnant and lactating women were assessed for their nutritional status using MUAC as well as provided with key messages on optimal infant and young child feeding.
ii) Age 6-59 months was determined by using height criteria 65-110 cm using screening sticks with clearly marked cut-offs. The same methodology for determining age was use by both WFP team and UNICEF through MUAC screening.
iii) A total of 14 volunteers and 1 nutrition assistant from MoH were trained to participate in the
RRM activities. The training consisted of a review of how to take MUAC, height and weight correctly. The participants were also trained in micronutrient supplementation and correct registration of screening results as well as IYCF counselling of pregnant and lactating women.
iv) A total of 2,153 children 6 – 59 months were screened for malnutrition using MUAC tape.
Among these, 13 children (0.6%) and 50 children (2.3%) were found with severe acute malnutrition (SAM) and moderate acute malnutrition (MAM) respectively.
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Screening results children 6-59 months Boys F Total (%)
Oedema 0 0 0 0%
MUAC <11.5cm 1 12 13 0.6%
MUAC >11.5 - <12.5cm 25 25 50 2.3%
MUAC >12.5 1,070 1,020 2,090 97%
Total 1,096 1,057 2,153 100%
i) 1,118 male and 1,035 female children 6-59 months age (total 2,153) were supplemented with
Vitamin A. 900 male and 852 female children 12-59 months (total 1,752) received deworming tablets.
ii) Findings indicate low malnutrition rates in Kadet payam. The findings do not appear consistent
with the high malnutrition findings of the rapid assessment done by Care early October. It is not
yet clear what could cause the significant discrepancy in the findings given that the
assessment were done at the same point in time as well as being areas that are geographically
close and topographically and demographically quite similar. Based on the variations in
findings, a further assessment of the nutritional status of the population would be needed,
preferably in the form of a SMART survey. With regards to the screening done by the UNICEF
RRM team, some caution needs to be made in the interpretation of the screening results as
flooding prevented population from bringing all family members to registration/screening sites
as well as populations from certain areas to arrive at the registration/screening site at all.
iii) All children identified with SAM and MAM were provided with two weeks’ treatment of ready-to-
use therapeutic food or ready-to-use supplementary food (RUTF/RUSF). Following capacity
building of local health staff and provision of nutrition supplies, treatment of these children will
be followed up through the Kadet PHCU until completion of treatment. Health staff were also
trained in reporting of activities and provided with essential reporting tools. Kadet PHCU will
report on the admitted SAM and MAM cases to Guilt PHCC. The remaining supplies were
handed over to the County Health Department (CHD) for provision to Guit
PHCC where CARE is present and scheduled to establish
outpatient therapeutic programme (OTP) activities.
i) IYCF Key messages were conveyed using local language to 885 pregnant and breastfeeding mothers and mothers with children under 5 years.
ii) As part of the assessment of the nutritional situation in
Kadet, a total of 192 pregnant and 639 breastfeeding
mothers were screened using MUAC.
Screening results PLWs Pregnant women Breastfeeding women Total (%)
MUAC <21.0cm 0 0 0 0
MUAC >21.0cm - <23.0cm 11 5 16 2.0%
MUAC >23.0cm 181 634 815 98%
Total 192 639 831 100%
UNICEF Nutrition staff attends to malnourished twins mother
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Rapid Response Team Report
i) The findings do not indicate an alarming nutritional situation of pregnant and lactating women.
However, sub-optimal IYCF practices indicates a need for strengthened IYCF sensitization of
the community
Challenges:
Flooding in the area prevented part of the population from reaching the registration site. Some
households left members of their households at home. Typically, smaller children not being
breastfed were left at home. In addition, some households were reportedly not able to reach
the registration site all due to flooding. These factors might bias the MUAC screening results.
Due to late arrival of IYCF counselling volunteers, this activity did not commence until day two
of the registration.
There is currently no established nutrition services in Guit County.
There is currently no plans for inpatient treatment centre in Guit county
Kadet PHCU is located a three hour walk (during rainy season) from the registration site and
the site could not be physically assessed by the RRM team.
Provide data against the following indicators and mention the source of information in the end Male Female Total
1,118 1,035 2,153
# of children 6-59 months screened for acute malnutrition via the RRM
1 12 13 # of SAM cases detected
25 25 50 # of MAM cases detected
1 12 13 # of children 6-59 months admitted to a SAM management programme
25 25 50 # of MAM cases 6-59 months referred for treatment
885 885 # of PLW access IYCF messaging (119 P and 686 L)
1,118 1,035 2,153 # of children reached 6-59 months reached with Vitamin A
900 852 1,752 # of children 12-59 months reached with deworming medication
Source of information: Tally sheets
Follow up Actions required:
What key actions are required and by whom?
Care International to ensure rapid deployment of trained staff to run OTP in Guit PHCC and Nemene PHCU.
Care International to ensure that SAM and MAM treatment reports from Kadet PHCU are received and registered
Care to ensure that IYCF, Health and Nutrition education is continued in the Kadet health facility
UNICEF to lobby for further nutrition assessment (SMART survey) to provide more accurate information on the nutritional situation in Guit County.
Ensure referral system for inpatient treatment of SAM.
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Health
Situation Overview and Humanitarian needs:
Provide a brief situation analysis and list down the critical humanitarian needs related to Health
i) Kadet is a Payam of Guit county in Unity State. Health services were provided on the airstrip along with WFP registration, The nearest PHCU to this location is a three hour walk (around 15
km). The location is highly populated with both host and IDP community. Measles cases were reported during the RRM.
ii) The health situation is generally poor. There is no health centre around this area and no access for immunization since December 2013 when conflict started. Some case of
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Rapid Response Team Report
gynaecological and obstetric complications included : a) Two cases of miscarriages, spontaneous abortion b) Five cases of severe Anaemia during pregnancy c) Three cases of normal spontaneous vaginal deliveries at home in good health
condition, unassisted during delivery d) Two cases of stillbirth /neonatal death reported.
iii) CARE is the health implementing agency supported by Health Pooled Fund in the process of
planning to recruit health staff to reopen the PHCU of Kadet at a three hour walk from the airstrip. Most of the vulnerable including mothers with young children and pregnant mothers cannot reach the clinic. The distance between Kadet Payam and the landing site is full of flood water and bush.
iv) There was no trained community traditional Birth Attendant. Women delivered alone in their
house without antenatal or postnatal care.
Immediate Response/Results:
Summary of key interventions and results including challenges and how they were overcome
i) Community advocacy polio and measles vaccination was done successfully during the general
meeting with local authority.
ii) Selection of health volunteers (EPI vaccinators) was done, together with the head of clinic and
the CHD officer with support on supervision of the vaccinators.
iii) A three-hour refresher training for the vaccinators on immunization supplies use including use
of 0.5ML Syringes for measles and the proper use of polio dropper,
use of tally sheet for recording immunized children
and the role of crowd controllers and social
mobilizers for immunization of all targeted
children.
iv) Management of medical waste
disposal.
v) The targeted children for vaccination was 0 to 15
years old for OPV, and from 6 months to 15 years old for
measles.
vi) Donation of ONE set of PHCU kit received by the CHD for Kadet PHCU.
vii) Distribution of Insecticide treated net (ITN)
Some challenges were faced and managed :
The Kadet PHCU was very far from the registration and immunization site/location, at a
distance of 3 hours walk through deep water, some medical emergency cases that include the
cases mentioned above were managed at the registration site by the head of clinic using the
PHCU Kit/drug donated to the Kadet PHCU under a tree.
An under 5 child being given polio vaccine by local health worker
An under 5 child receives polio vaccine from Health Volunteer
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The community has many cases of Malaria, Diarrhoea diseases, wounds, eye infections and
skin infections. Kala-azar patients have been sent to UNMISS Protection of Civilian (PoC) site
in Bentiu and tested resulted positive from the same area. Bentiu PoC clinic is an estimated
two day walk, however is the nearest referral health centre for the host community and IDPs
living in Kadet.
At the table below see the breakdown of EPI and number of few treated mosquito net (ITN)
Provide data against the following indicators and mention the source of information in the end
Vaccine Male Female Total (please disaggregate by gender where possible)
Measles < yrs >5ys
< 5 yrs
>5 yr # of children 6m-15 years vaccinated against measles
701 997 1074 1073 3,845
OPV <5yrs >5yrs < 5yrs
>5yrs
# of children under 15 vaccinated against polio
549 857 927 1768 4,101
50
# of households reached with at least 1 ITN
5
# of consultations for children under 5
*source of information: UNICEF RRM/County Health team
Follow up Actions
required:
What key actions are required and by whom?
Establishment of a PHCU at Kuerchuor Village –Air strip site for Kadet Payam – By CARE
Train reproductive health Home Health Promoters by UNICEF-CARE
Provision of Minimum Initial Services Package for Reproductive Health in Crisis (MISP)-UNICEF-UNIFPA
Kala-azar needs assessment – urgent by MSF or MEDAIR
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WASH
Situation Overview and Humanitarian needs:
Provide a brief situation analysis and list down the critical humanitarian needs related to WAHS
Safe Water Supply i) Kadet Payam has a total of six existing water points (five Imk2 hand pumps and one solar
powered mini-water yard); ii) Only two Imk2 existing hand pumps both yield brackish water, were reported operational at
the time of RRM; the other four water sources, one solar powered mini-water yard and three IMK2 hand pumps were out of use;
iii) No spare parts and tool kits (fast moving kits, GI pipes, lifting rods and fishing , etc.) in stock at both the Payam and county level;
iv) There are three locally trained pump mechanics but do not have basic maintenance tools and hand pump spare parts;
v) All existing water points do not have formed / trained water management committees; vi) 100% of Kadet population relies on unsafe water sources, e.g. rain/seasonal flood, swamp
water, etc. due to in adequate safe water sources and breakdown of few existing water sources (mini-water yard and hand pumps);
Sanitation and Hygiene promotion
i) Sanitation situation in Kadet and its surrounding villages is very poor, the entire population practice open defecation (OD) with no knowledge on hygiene and sanitation good practices;
ii) There is only one pit latrine constructed near the airstrip and currently in use by Payam Administration and occasionally by humanitarian agencies/NGOs that are delivering humanitarian services in the area;
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iii) The host community and IDPs are currently using shared very old-plastic jerry cans for collecting/storing drinking water;
Humanitarian Needs: i) Re-establish access to safe water to both IDPs and host community through rehabilitation of
an existing solar powered mini-water yard and provision of hand pump spare parts and maintenance tool kits to for fixing the three broken down water sources in Kadet Payam;
ii) Hygiene awareness campaigns in order to curve any water related disease outbreak like AWD/Cholera;
Immediate Response/Results:
Summary of key interventions and results including challenges and how they were overcome 1. Summary of key interventions and results:
i) Provision of spare parts (40 IMK2 hand pump fast moving kits), enough to fix / maintain over 50 existing hand pumps until end of year 2014.
ii) Training of 8 hygiene promoters (7 males and 1 female) on key hygiene practices (use of safe water for drinking, use of pit latrine/safe excreta disposal, proper hand washing with soap, etc. and cholera prevention messages, including household water treatment by PUR/water treatment products, hygienic management of exiting water point surroundings and water storage containers at points of collection, transportation/storage and use.
iii) Provision of emergency treated water for 3,600 most
vulnerable beneficiaries (pregnant and lactating mothers, elderly, disabled etc. during the registrations as the entire population relies on flood waters.
iv) Distribution of WASH supplies (500 boxes PUR/240
sachets, water purifiers, 103 cartons/25 bar soap, 410 plastic buckets with lids, 50 plastic buckets with lid & taps) to both
host community and IDPs, targeted only the most vulnerable groups (pregnant and lactating mothers with under 5 malnourished children, un accompanied children, elderly, disabled etc.).
v) With use of mega phone, disseminated key hygiene (use of safe water for drinking, use pit
latrine/safe excreta disposal, proper hand washing with soap) and cholera prevention messages, reached over 7,000 people mainly women and children during the registration at Kadet registration centre.
2. Challenges:
Lack of IMK2 spare parts and maintenance tool kits;
No trained water management committees for all the existing water points, resulting very poor management of water point, in-hygienic surroundings etc.;
No WASH implanting partner on the ground to address WASH related gaps.
3. How the challenges were overcome:
UNICEF delivered 40 IMK2 hand spare parts/fast moving kits but there were no maintenance tools to fix the broken down hand pumps;
Demonstrated how to treat raw/unsafe water and distributed buckets, PUR and water purifies to the most vulnerable households for household water treatment.
Provide data against the following indicators and mention the source of information in the end
Male Female Total (please disaggregate by gender where possible)
Local hygiene promoter disseminates messages during registration
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N/A N/A 6,800 # of people reached with hygiene promotion messages to be shared with their community
N/A N/A 3,600 # of people provided with sustained access to safe water supply (at least agreed emergency standards of 7.5L)
N/A N/A 3,600 # of people provided with WASH supplies
source of information: UNICEF & and County WASH Team
Follow up Actions required
What key actions are required and by whom?
Provision of IMK2 hand pump maintenance tool kits by UNICEF;
Rehabilitation of solar powered min-water yard by UNICEF.
7 Child Protection
Situation Overview and Humanitarian needs:
Provide a brief situation analysis and list down the critical humanitarian needs related to CP Being one of the Payams to Guit, Kadet is sparsely settled with many villages scattered across the
swamps. The local authority reported 32 villages out of 40 completely taken over by the flood. Many
civilians escaped to high grounds. During the RRM integrated activities to Kadet, the level of water
crossed by children and women who came for the services indicated how deep the water have taken
over the area.
With the ongoing fighting in Bentiu, Kadet remained calmed and quite. The distance from Bentiu to
Kadet determined the security level. There is no child protection agency at the County and Payam
levels. During a focus group discussion with girls, it was loudly echoed that given the closure of schools,
most girls are forced to get married even at the age of 15 years. Young girls who are supposed to go to
school and learn have nothing to do. This accelerates the early/forced marriages in town.
Immediate Response/Results:
Summary of key interventions and results including challenges and how they were overcome
Psychosocial support messages
After the completion of the training for the community volunteers, two people were trained on how to
deliver the psychosocial support messages through the megaphone. One of them aired out the
messages while the other one was cross-checking from the people registered if they understood the
messages correctly. The four messages were constantly aired out for the six days of the WFP
registration. Many understood the messages and given their feedback accordingly. During the
psychosocial support messaging, one of the megaphone was broken and it has been returned back to
Juba by RRM team (Nutrition Officer) when the rest of the team were relocated to Pagak.
The feedback received from the community is that there is need to pass this psychosocial support
messages constantly throughout all the stages of services offered, so that those who did not have a
chance will also benefit. Further, messages were too long and there is need to shorten them for larger
crowds, and some people did not get all the messages due to the movement of people going through
different services offered. Finally, there is need for a workshop so that people should have a say during
discussion on these messages.
At child protection site where registration and documentation of the unaccompanied, separated and
missing took place, containers filled with clean drinking water were also organized for children to drink..
Community volunteers help in organizing children to drink from there, given that there was no clean
water source in the area.
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Rapid Response Team Report
A total of 9,308 (4,101 were children below 18 years and 2,303 were children under 5 years) people
reached with psychosocial support messages including children. The registration was conducted for the
period of six days, and this is because of distance and constant arrival of beneficiaries at different time
intervals.
Registration of unaccompanied, separated and missing children
Documentation of unaccompanied, separated and missing children was conducted by the oriented
community mobilizers. It was not easy to find a social worker from the ministry of social development to
assist in the registration of all these vulnerable children. A separate
training and orientation was conducted to five people selected in the
community (three males and two females). After orientation, they
documented children.
After documenting the separated and missing children, all separated
children were given buckets, soaps and water purification tablets and
vaccination for measles and polio.
What came out as a learning point was that most caretakers or
guardians influence the decision of the children by telling them in case
their parents were found, they should demand them to come to Kadet
rather than taking them to the dwelling places of their parents. In
addition, most of these children are under the care of grandparents who are not capable to provide a
complete care to the children.
Below is the breakdown of the children
Children Sex Registered Total
Separated Males 50 95
Females 45
Missing Males 21 25
Females 4
UAC Males 0 0
Females 0
120 children
Landmines and Unexploded Ordinance –UXO
At different sites of the county, there were reports from the local authority that UXOs and landmines
have been planted. According to the SSRRA of Kadet, Marial and Dadok Bomas have been littered with
UXOs and landmines. The mines were reported to have been planted near the destroyed vehicles along
the roads or sites where fighting took place early this year.
The SSRRA could not provide the coordinates but willing to guide the de-mining team in case those
dealing with mines are available. Further to their reports, civilians have stopped using some of the
routes where UXOs and mines have been planted.
The other worries is that since the dry season is approaching, fear is high that when grass will be burnt,
Separated children with their aunt in Kadet
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UXOs will explode and people may be injured. Though some mines and UXOs have been buried under
the water, may take several years to discover. The consequences of the planted mines and UXOs is
feared by the local authority and is seen to be worse than the actual fighting at the battlefield – for the
long term effect. At the outskirt of Bentiu and Rubkona, the same scenario of UXOs and landmines were
reported to be of a high presence.
Supplies
The community volunteers were oriented on the ECD kits and how to use it with children. A school that
was available in the area was identified to be used as a child friendly space, and community volunteers
will use it for children to play in it.
Challenges
The distances where beneficiaries comes from
were very far. This exhausted children a lot and
created blisters on children’s feet.
The local authority empowered to deliver the
message on the provision of integrated services
in Kadet did not do their job as expected.
Locations which were not supposed to be covered
by this RRM came to benefit.
There are so many child protection concerns, and
there was no child protection agency in the area
(County and Payams).
Most guardians/caretakers for unaccompanied
and separated children demands for reunification
of the children with their parents only in Kadet
alone. Children have no say on reunification to where their parents are.
Recommendations
A child protection agency should be operating in Guit County, given the gravity of all protection
issues in the county.
A system needs to be developed for all the messengers who will be assigned by local authority
and RRM team to pass information to reach locations where beneficiaries will come.
Provide data against the following indicators and mention the source of information in the end
Male Female Total (please disaggregate by gender where possible)
N/A N/A 9,308 # of people reached with lifesaving information/awareness sessions
71 49 120 # of registered UASC receiving FTR services and family-based care/appropriate alternative care services
180 0 180 # of children reached with critical child protection services
source of information:
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Follow up Actions
required:
What key actions are required and by whom?
UNICEF should advocate for a child protection agency to be based in Guit County to oversee
child rights violation happening in the area.
CP should provide guidelines on how to support those who need protection services because
they think they are in risk of being killed due to their ethnicity, religion and beliefs.
8
:
Education
Situation Overview and Humanitarian needs:
Provide a brief situation analysis and list down the critical humanitarian needs related to Education i) Kadet Payam has two
existing primary schools built with permanent and semi-structures, both schools have not been operational since the start of crisis in December 2013 due to various factors which includes lack of school materials, remunerations for teachers etc. It was also reported that both schools are being occupied by some households who were displaced by floods during period between September and October 2014. RRM team was able to reach one of the schools, Luotjop Primary School which is about one and halve hours one way walk across seasonal streams/rivers/swamps (see picture of school with semi structure above).
ii) The team did not observe any school related activities though the visit took place during the working day and / or school hours, no school children going about or teachers seen during the visit, but presence of some vulnerable families mainly women, children and elderly who occupied the school was seen.
iii) The County RRA secretary also mentioned that there is no single school operational in Guit
County as a whole since the crisis started. iv) The County RRA secretary, Payam Chiefs and Administrators requested UNICEF to consider
provision of school materials to at least some selected and accessible primary schools built with permanent structures in the County so that the school age children who were disrupted from schools by ongoing conflict could resume their classes. They also mentioned that volunteer teachers in the county are more than willing to teach in the selected primary schools without remuneration.
Additional Information collected from the mission
9 Limitations of the
mission The RRM team could not meet the target caseload due to increased flooding which hampered the
most vulnerable groups, mostly women and under 5 children to catch up for registration.
The RRM team could not make it to some existing facilities i.e. Kadet PHCU, Solar powered mini-water yard, 2 functional hand pumps etc. due to accessibility.
No implementing partners on the ground to provide support to WASH, Health and Child Protection.
1 Recommendations Health, CP and WASH sections to mobilize potential implementing partners to provide support for
Luotjop Primary School in Kadet Payam occupied by flood displaced households
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0 (specific) programme.
Supplies distributed:
Total # MT supplied by air:
Total # MT supplied by air:
Item Description Quantity Consignee/Beneficiary Remarks
NUTRITION
Plumpy nuts 90 RRM Team
Weighing trousers 02 RRM Team
Scale infant spring 01 RRM Team
Amoxicillin syrup 200 RRM Team
Height board 02 RRM Team
HEALTH
Measles /Polio Vaccine 1,350 RRM Team
Vaccines Diluent/Droppers 900 RRM Team
Cold Boxes with frozen Icepacks
16 RRM Team
Vaccine Carriers 6 RRM Team
Cotton Wool 15 RRM Team Consumed during RRM
Safety Boxes 4 RRM Team Consumed during RRM
Syringes 0.5ml 140 RRM Team Consumed during RRM
Syringes 5ml 75 RRM Team Consumed during RRM
WASH
Buckets with lids (20L capacity) 420 RRM Team All distributed to beneficiaries
Buckets with lid + tap 50 RRM Team All distributed to beneficiaries
IMK2 spare parts, fast moving kit
40 RRM Team Handed over to Payam WASH Team
Soap, 25 bar/carton 103 RRM Team 98 out of which were distributed to the beneficiaries
CHILD PROTECTION
Early Child Development kit, kit 2 RRM Team Handed over to community volunteers
EDUCATION
N/A
Remarks on the quality, package, visibility, and any other comment
Distributed by:
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Acknowledged by Section Chiefs
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Supporting Documents (signed waybills)