The humanitarian situation in South Sudan remains dire with nearly 70 percent of the population in need of humanitarian assistance. The country is among the worst globally on key health performance indicators as it faces a catastrophic food crisis. Around 75 percent of all child deaths are due to preventable diseases, such as diarrhea, malaria and pneumonia. Neglected tropical diseases (NTDs) are endemic in the country. Devastating flooding, political instability and COVID-19 have exacerbated the crises and threatened lives and livelihoods across South Sudan. Over 2 million people remain displaced.
IMA World Health (IMA) has a major role in the development of the health care system in South Sudan. Since 2008, IMA has been working with South Sudan’s nascent government ministries, international and national partners, and other health organizations to strengthen the health system’s capacity to deliver high-quality essential health care services, implement community-based HIV/AIDS prevention interventions, and improve maternal, neonatal and child health outcomes. Even after the violent conflicts that began in 2013, IMA continued working with the local government and primary health care providers state-wide in Upper Nile and Jonglei to facilitate service delivery and emergency response. Despite ongoing and ever-changing challenges, IMA and our local partners have continued to support hundreds of thousands of people across South Sudan.
Project Highlights
IMA World Health leads the five-year, USAID-funded MOMENTUM Integrated Health Resilience program, which is part of a suite of innovative MOMENTUM awards designed to holistically strengthen quality voluntary family planning, reproductive health, and maternal, newborn, and child health in host countries around the world including South Sudan, DRC, Burkina Faso, Mali, Niger, Sudan, Tanzania and Yemen. Working alongside local organizations, governments, and humanitarian and development partners in fragile settings, the project helps accelerate reductions in maternal, newborn, and child illness and death by increasing the capacity of host country institutions and local organizations—including new and underutilized partners—to introduce, deliver, scale up, and sustain the use of evidence-based, quality care.
With USAID/BHA support, IMA is delivering integrated health, nutrition and WASH services that target vulnerable internally displaced people (IDPs) and host communities in four counties in Jonglei State (Ayod, Nyirol, Fangak, and Canal/Pigi). Basic health care, clean water and household items are priority needs for the IDP and host communities where ongoing conflict, coupled with extreme flooding and drought, is exacerbating needs among these risk-prone populations. Such populations have faced severe adverse effects due to income insecurity, inadequate sanitation practices, and limited access to protection, water and health services. These challenges have resulted in devastating outcomes such as death, diseases (such as malaria, acute respiratory tract infections and diarrhea), and psychological distress. Women, children and youth are disproportionately impacted. IMA is reaching populations where they settle, establishing mobile health clinics to 1) improve access to essential health services; 2) improve the nutritional status of pregnant and lactating women (PLWs) and children; and 3) provide target populations with access to safe drinking water, sanitation and hygiene services.
In August 2020, severe flooding in South Sudan’s Ayod County displaced families, disrupted lives and livelihoods and severed access to markets and humanitarian services. Many affected were vulnerable IDPs already facing acute food insecurity and malnutrition. IMA has implemented emergency nutrition interventions targeting IDPs and host communities in Ayod County since 2017. Now, as a permanent partner of Lutheran World Relief (LWR) under the Corus International family of organizations, IMA combines its expertise in nutrition programming with LWR’s proven ability to strengthen rural livelihoods in South Sudan. The LOSIH project takes this integrated approach to provide the resources and skills needed to both reduce severe and moderate acute malnutrition in children under five as well as to expand income-generating opportunities for households through nutrition-sensitive agriculture interventions focusing on kitchen gardening, fishing, and post-harvest handling.
By partnering with the END Fund, IMA strengthens local health systems to support VL prevention, treatment and control in South Sudan. VL, also known as kala-azar, is a debilitating, and if left untreated, fatal neglected tropical disease (NTD) that over two million people are at risk of contracting across South Sudan. IMA advances local leadership by supporting 25 health facilities in the four disease-prevalent states through the provision of medication and diagnostics, training health care workers on VL identification and treatment, and deploying community health volunteers to promote awareness and local engagement. In support of the government’s national VL strategy, IMA is bolstering local capacity for health facility management, improving integration of VL services into the primary health care system, facilitating national and state joint planning for VL control, establishing lab-based surveillance and data-sharing strategies, and improving case detection through rapid testing.
Funded by UNFPA, the Emergency Reproductive Health Services for IDP and Host Communities project aims to improve access to sexual and reproductive health (SRH) services and address gender-based violence (GBV) among populations affected by crises in Jonglei State and the Mingkaman IDP camp. IMA ensures the Minimum Initial Services Package (MISP), facilitates access to GBV care, and provides adolescent SRH services in Bor, Akobo, and Mingkaman. Additionally, IMA operates the Bor One-Stop Centre (OSC), which offers comprehensive GBV case management services and coordinates with key stakeholders. It also offers SRH and HIV services targeted at adolescents and youth at the health facility and within the community. Furthermore, IMA establishes women and girl-friendly spaces that not only provide service referrals but also empower participants through training on income-generating activities. In 2023 to date, the project has provided services through mobile clinics and health outreach activities that enabled delivery of GBV support in emergencies to over 1,350 people as well as integrated SRH in emergency services to over 6,039 people in target locations.
Funded by USAID's Bureau for Humanitarian Assistance (BHA) and led by Tearfund, the ESIR II project implemented a multisectoral, integrated response to improve access to essential health and nutrition services, food security, protection of women and children, WASH and agriculture food security services among returnees, IDPs and host populations in Central Equatoria State. In partnership with local actors, IMA World Health operationalized non-functional county health facilities and established mobile outreach teams, providing emergency and essential services through 6 fixed health facilities and 3 mobile health facilities to reach both settled and highly mobile populations. In addition to training staff on COVID-19 prevention and response, outreach work through community health workers raised awareness of health provision, health promotion, social and behavior change, and how to sustainably manage key health infrastructure. Furthermore, IMA World Health facilitated a referral network to improve access to specialized care through the provision of transportation to hospitals in South Sudan and Uganda. ESIR II services targeted 43,273 individuals, including 38,178 IDPs, residing in Morobo, Kajo-Keji and Lainya Counties.
In partnership with South Sudan’s Ministry of Health and with funding from the World Bank, IMA led the Rapid Results Health Project from 2013 to 2018 to increase access to comprehensive family planning and reproductive health services to over 3 million people living in the Greater Upper Nile and Greater Jonglei regions. Interventions focused on high impact health care services including HIV/AIDS prevention and gender-based violence response as well as improving service coverage to children under five and pregnant women through assisted delivery and basic emergency obstetric and neonatal services.
The Corus Effect
Founded in 1960, IMA World Health is part of Corus International, an ensemble of long-serving, global leaders in international development and humanitarian assistance committed to ending poverty and building healthy communities across Asia, Latin America and the Caribbean, the Middle East, and Africa.
In addition to IMA World Health, the Corus family includes global aid and development organization Lutheran World Relief, U.K.-based technology for development company CGA Technologies, impact investing firm Ground Up Investing, and direct trade company Farmers Market Brands.
Alongside communities and local partners in fragile settings, our dedicated experts across our organizations integrate disciplines, approaches and resources to overcome global health challenges, develop productive and stable economies, improve resilience in the face of climate change, and respond to natural disasters and humanitarian crises. We invest in solutions that are innovative, scalable, holistic and move the needle towards transformational change.