南苏丹上尼罗州公共卫生状况分析

SUMMARY OF CRISIS AND KEY FINDINGSrenewed conflict and political upheaval.3risks to humanitarian operations.5in parts of Western Equatoria, Central Equatoria and Unity states.malnourished.10Nile State, which are set to worsen during the rainy season.Crisis in Upper NileState,South SudanPublic Health Situation Analysis (PHSA)TypologiesofemergencyMain health threatsConflictFood securityMigrationEpidemicsFloodingCholeraMalariaMalnutritionNon-communicableDiseases(NCD)Trauma and InjuriesMaternal and Neo-natal HealthRisksMeasles 811WHO gradeProtractedHumanitariancrisis (G3)FoodInsecurityandMalnutrition(G3)Sudan Crisis(G3)Flood (NotGraded)Cholera (G3)Mpox (G2)risk is 2The conflict in Sudan has deepened a complex, protracted humanitarian crisis in South Sudancharacterized by food insecurity, malnutrition, displacement, and the erosion of livelihood systems. InFebruary,armed clashes in counties along the Sobat-River corridor caused widespread civiliandisplacement threatening to disrupt humanitarian access.13More recently, changes in the humanitarian funding environment since January risks disrupting theprovision of basic services for vulnerable population groups entering the country from Sudan, as wellas for communities across the state. A total of 9.3 million people need humanitarian assistance thisyear.14The sheer volume of arrivals is overwhelming South Sudan’s limited infrastructure, particularly in borderareas where congestion in transit centres heightens protection.15South Sudan hosts over 500 000refugees and asylum seekers with Sudan as the primary country of origin accounting for 94% ofrefugees, followed by DRC (3%), and Ethiopia (1%).16Since the onset of the Sudan crisis, over onemillion people have arrived in South Sudan seeking safety.17Figure1-Upper Nile StateConflict and Displacement(OCHA, 2025)18 HUMANITARIAN PROFILEHEALTH NEEDS202520PiN:5.7 millionTarget:3.1 millionHumanitarian Needs andResponse Plan (HNRP)The 2025 HNRP will focus on people in greatest need, based on rigorous and impartial evidence. With9.3 million people in South Sudan requiring humanitarian assistance, the HNRP for 2025 requires US$1.7 billion to target 5.4million people.23Since 2015, the estimated number of people to need some formof humanitarian assistance has increased from 6.4 million to 9.3 million in 2025–nearly three-quartersof South Sudan’s population of 13.4 million.24A severe funding shortfall has left the 2025 HNRP only 10% funded, leading to cuts in essential services,including maternal health, sexual and reproductive health, and gender-based violence prevention andresponse. The suspension of U.S. aid, alongside broader donor reductions, is further compoundingvulnerabilities and escalating both humanitarian and security risks.A report by CGD found in February 2025 that South Sudan is one of eight of the poorest countries inthe world which relies on the US for more than one fifth of their assistance.26The economies of theseeight low-income countries are so small that aid makes up an average of 11%of their total income(based on available GNI data for seven countries). With USAID providing 30% of that support, the freezecouldcreate a shortfall equivalent to over 3% of GNI—a potentially major economic shock for countries27The HNRP for 2024, was severely underfunded.28From January to December 2024, an estimated 4.6million people, were reached with humanitarian assistance. This represents nearly 78% of the 5.9million people targeted as only 68% of the requested $1.8 billion in funding was received.Over 2 million people remain internally displaced in South Sudan due to years of subnational violenceand the impact of climate change, including floods and dry spells.30Since February 10, 2025, more than 84 000 people have been displaced internallyandto neighbouringcountries. The continuous conflict has caused numerous deaths, and has severely impacted JubaCounty, exacerbating existing challenges and creating new ones. In addition to hosting urban refugees,the new influx of internally displaced persons in Juba is putting a strain on the City’s resources andinfrastructure with some of them facing dire humanitarian situations including inadequate food andAn initial estimate, based on an emergency assessment in Nasir, Ulang and Longochuk countiesreported dozens of civilians killed and over 80 000 people displaced by armed clashes and airstrikes,including some 35 000 people who fled to Gambella region in Ethiopia. Clashes were also reported inparts of Western Equatoria, Central Equatoria and Unity states.32In Central Equatoria, increased tension in Yei, Kajo-keji, Lainya and Morobo counties forced anunconfirmed number of people to flee for safety, while others fled towards the border with Uganda.Humanitarian agencies reported that some 4 000 people moved into Juba IDP camps in March as aprecaution while tensions and fears of intercommunal violence are high.33An unconfirmed number of PEOPLEIN NEED 202519PiN:9.3 millionTarget:5.4 milli