This report explores the dynamics of South Sudanese NGO and local government responses to the Covid-19 pandemic in South Sudan. It considers how these actors – as significant public authorities – responded to the pandemic, and how these responses shaped and were shaped by wider social and political dynamics. A significant theme throughout our findings relates to the trust and mistrust felt in relation to the Covid-19 response, and how the global pandemic took precedence…
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The world’s second largest Ebola outbreak occurred in the Democratic Republic of Congo from 2018 to 2020. At the time, risk of cross-border spread into South Sudan was very high. Thus, the South Sudan Ministry of Health scaled up Ebola preparedness activities in August 2018, including implementation of a 24-h, toll-free Ebola virus disease (EVD) hotline. The primary purpose of the hotline was to receive EVD alerts and the secondary goal was to provide evidence-based…
South Sudanese people have extensive knowledge of infectious diseases and experience of organizing responses to epidemics during wars and other crises. There are multiple, locally-specific methods used by communities for interrupting infection transmission and managing epidemics. This report documents these community infectious disease management strategies, based on sustained investigative research in the Yei, Juba, Wau, Malakal, Aweil West and Rubkona areas in 2020. The research encourages collaborative engagement with local knowledge and community healthcare leadership….
This analysis piece is a viewpoint from Chapter 2 of the Foresight Africa 2021 report, which explores top priorities for the region in the coming year. This year’s issue focuses on strategies for Africa to confront the twin health and economic crises created by the COVID-19 pandemic and emerge stronger than ever. Read the full chapter on support for public health. Read more
One after the other, high-level speakers at the 2020 United Nations General Assembly (UNGASS) on COVID-19 pointed to growing inequalities and stresses to health, social, economic and democratic systems caused by the pandemic, calling for comprehensive, collective interest driven responses. They called for a sustainable recovery to include: debt relief and international financing; ensuring food security; universal access to vaccines, diagnostics and medicines for COVID-19 as global public goods; military ceasefires to reach populations in conflict…
Successful vaccination against the SARS-CoV-2 virus is a decisive development in the international response to the pandemic. It also has substantial implications for how governments and international bodies deploy their resources, as major decisions will need to be made in a fast-moving and uncertain environment. Current trends in vaccine development have stimulated much commentary on how vaccines deemed to be the safest and most effective should be allocated, both at the global level (to ensure…
The COVID-19 pandemic has impaired capacity and efforts to address other health needs that are as urgent as the virus itself, especially in low- and middle-income countries (LMICs). Pressure on governments to act on COVID-19 and save “lives infected first” rather than “lives statistically at risk” 1 had and will continue to have serious short- and long-term consequences in other areas of health.a This document reviews the effects of vertical responses to COVID-19 on health…
Introduction: the coronavirus disease 2019 (COVID-19) was declared a pandemic on March 11, 2020. South Sudan, a low-income and humanitarian response setting, reported its first case of COVID-19 on April 5, 2020. We describe the socio-demographic and epidemiologic characteristics of COVID-19 cases in this setting. Methods: we conducted a cross-sectional descriptive analysis of data for 1,330 confirmed COVID-19 cases from the first 60 days of the outbreak. Results: among the 1,330 confirmed cases, the mean…
This report provides a comprehensive summary of global progress on improving water, sanitation, hygiene, waste management and environmental cleaning (WASH) in health care facilities and is intended to stimulate solution-driven country and partner actions to further address major gaps. It illustrates how stakeholders in the WASH and health sectors are increasingly working together in specific countries, with the ultimate aim of delivering safe, quality essential health services. Download
The COVID-19 pandemic’s immediate costs, measured in lives lost and damaged, have been appalling and continue to rise. In addition, its effects on individuals’ livelihoods and economies around the world have been deep and are likely to be long lasting. While saving lives was the near-exclusive focus during the first phase of the crisis, governments are now trying to strike a delicate balance between preventing further economic damage by reopening parts of their economies, while…
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