Sudan

Situation Report

Highlights

  • On 8 September, HAC reported that more than 557,000 people were affected by floods in 17 out of Sudan’s 18 states.
  • The states most affected by floods are Khartoum, North Darfur and Sennar, which account for 43 per cent of all people affected.
  • On 7 September, the Sudan Ministry of Health reported 19 confirmed cases of vaccine-derived poliovirus in 10 states.
  • The Government is planning to vaccinate 8.6 million children under five years against polio from 4 October 2020.
  • COVID-19 transmissions continue and 13,535 people had contracted the virus in the country, as of 13 September 2020.
COVID-19 cases map
COVID-19 cases by state, as of 13 September 2020 (Source: FMoH).

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Sudan

Situation Report

Key Figures

9.6M
severely food-insecure people
6.1M
people targeted for assistance in 2020
1.1M
refugees
1.87M
internal displaced people
13,535
total people who contracted COVID-19
836
COVID-19-related deaths

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Sudan

Situation Report

Funding

$1.6B
Required
$724.8M
Received
44%
Progress
FTS

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Contacts

Paola Emerson

Head of Office for OCHA Sudan

James Steel

Head, Communications and Information Management

Alimbek Tashtankulov

Head of Reporting

Sudan

Situation Report
Emergency Response
Polio vaccination in Sudan UNICEF
Polio vaccination in Sudan UNICEF

Health ministry confirms 19 vaccine-derived polio cases in Sudan

The Federal Ministry of Health (FMoH) on 7 September 2020, reported 19 confirmed cases of vaccine-derived poliovirus (cVDPV2) in 10 states (Blue Nile, East Darfur, Gedaref, Gezira, Kassala, Red Sea, River Nile, South Darfur, West Darfur, White Nile). The first case was reported in South Darfur on 7 March and notified on 12 March 2020. A total of 320 cases of Acute Flaccid Paralysis (AFP) have been reported, of which 247 cases (77 per cent) were discarded as non-polio AFP cases, 54 cases (17 per cent) are pending classification and 19 cases (7 per cent) were cVDPV2 positive.

On 9 August 2020, FMoH notified the World Health Organisation (WHO) of the detection of a vaccine-derived polio (cVDPV2) in the country and announced an outbreak. According to the notification, the virus is genetically linked with Chad. The initial investigation of the two first cases indicated these cases were linked to cVDPV2s from the CHA-NDJ-1 emergence group, which was first detected in October 2019 and is currently circulating in Chad and Cameroon, WHO said last week.

As the poliovirus types detected in Sudan and Chad are genetically linked indicating cross-border spread, Sudan and Chad are working together to synchronize activities to contain the outbreaks, the UN Children’s Agency (UNICEF) and WHO said.

AFP is a neurological condition characterized by weakness or paralysis and reduced muscle tone. The term acute flaccid paralysis (AFP) is often used to describe an instance with a sudden onset, as might be found with polio. AFP is the most common sign of acute polio and used for surveillance during polio outbreaks.

Routine vaccination coverage during 2020 has declined compared with 2019 because of programmatic issues and the impact of COVID-19 containment measures, according to FMoH. The immunization trend started to improve in June 2020 and accelerated routine vaccination started on 26 August 2020. The government is planning two rounds of national vaccination campaigns targeting 8.6 million children under five years of age to ensure they are protected against polio. The first round will start on 4 October and the second round will take place during the first week of November.

UNICEF and WHO will support the government’s response to the polio outbreak. 

Sudan’s last reported wild poliovirus case was in March 2009 and the country was announced polio-free in 2015 by WHO. However, the country has been considered at high risk for importation of polioviruses for several years due to a decline in population immunity resulting from insecurity and conflict in certain areas.

According to WHO, polio is a highly infectious viral disease that largely affects children under 5 years of age. The virus is transmitted person-to-person mainly through the faecal-oral route or, less frequently, by a common vehicle (e.g. contaminated water or food) and multiplies in the intestine, from where it can invade the nervous system and cause paralysis.

As for the vaccine-derived poliovirus, it can occur in the following situations, WHO explains. Oral polio vaccine (OPV) contains an attenuated (weakened) vaccine-virus, activating an immune response in the body. When a child is immunized with OPV, the weakened vaccine-virus replicates in the intestine for a limited period, with the body developing immunity by building up antibodies. During this time, the vaccine-virus is also excreted. In areas of inadequate sanitation, this excreted vaccine-virus can spread in the immediate community (and this can offer protection to other children through ‘passive’ immunization), before eventually dying out.

On rare occasions, if a population is seriously under-immunised, an excreted vaccine-virus can continue to circulate for an extended period. The longer it is allowed to survive, the more genetic changes it undergoes. In very rare instances, the vaccine-virus can genetically change into a form that can paralyse – this is what is known as a circulating vaccine-derived poliovirus (cVDPV), according to WHO.

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Sudan

Situation Report
Visual

Sudan COVID-19 Situation Overview (8 September 2020)

DSR-10Sept20 SUDAN COVID-19 Situation Overview 08Sep20 v10

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Sudan

Situation Report
Visual

Sudan Floods Map (8 September 2020)

Sudan Floods Map (8 September 2020)

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Situation Report
Visual

Sudan Pooled Fund Dashboard (January - June 2020)

DSR-10Sept20 Sudan-Pooled-Funds-dashboard-(January---June-2020)

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Sudan

Situation Report
Sudan — Trends
COVID-19 cases and deaths in Sudan

The country continues to face the health and humanitarian consequences of COVID-19

  • First case: 14 March 2020

  • Total cases:  13,535 (as of 13 September 2020)

  • Total deaths: 836

  • States affected:  All 18 states

  • Schools: Closed (8,375,193 learners affected).

  • Borders/flights: The Khartoum airport is partially opened since 20 July, and is gradually resuming international and national flights.

  • Containment measures: On 7 July, the High Committee for Health Emergencies announced the ease of lockdown restrictions in Khartoum State. The curfew is still in place, with movements now restricted from 6:00 p.m to 5:00 a.m. Bridges connecting Khartoum with Omdurman and North Khartoum are opened out of the curfew hours and transportation is allowed during this period. Movements in and out of Khartoum are not allowed. Some states in Darfur Region have closed borders and have imposed curfews to limit the movement of people. Government institutions resumed work on 12 July, with reduced scheduled and number of employees, to reduce congestion in the workplace. All staff must wear face masks and workplaces are to be sanitized regularly.

Situation

Since the start of the COVID-19 pandemic in Sudan in mid-March, the Government confirmed that 13,535 people contracted the virus, including 836 who died from the disease, as of 13 September. The increasing number of transmissions continues to pose pressure on the country’s fragile health system, according to humanitarian partners. All 18 states have reported cases, with Khartoum, El Gezira, and Gedaref amongst the hardest-hit. Although Khartoum State accounts for about 70 per cent of all reported cases in the country, over 60 per cent of all COVID-19-related deaths have been reported from outside the capital. Some states have extremely high case fatality rates if compared with global trends, including North Darfur (30 per cent of people with COVID-19 died), Central Darfur (33 per cent), Red Sea (nearly 20 per cent), El Gezira (15 per cent). This could imply that a number of infections are not being diagnosed.

Sudan’s health system was under extreme stress prior to the pandemic and has been further stretched to prevent, contain and treat COVID-19. Approximately 81 per cent of the population do not have access to a functional health centre within two hours of their home and the situation is getting worse, as many clinics are closing during the pandemic. In Khartoum State alone, nearly half of the health centres closed during the pandemic, and Darfur had already closed a quarter of their facilities in 2018 due to lack of funds and staff. Sudan has only 184 beds in intensive care units (ICU) and approximately 160 of them have ventilators, according to WHO. Only four ICU doctors—three in Khartoum and one and Gezira State—, are prepared to deal with patients infected with the virus, according to WHO.

Across Sudan, clinics and hospitals lack critical medicines, as they can no longer afford to stock them due to the economic crisis and also due to disruption in the supply chains. The situation makes it extremely challenging for the Government and aid organizations to respond to the pandemic and maintain essential services. Women and children have been especially affected. Maternal health clinics have closed, reproductive health services have been interrupted and over 110,000 children are missing out essential vaccines. Prevention to COVID-19 is also a challenge in Sudan, as 63 per cent of the population do not have access to basic sanitation, 23 percent do not have access to a hand-washing facility with soap and water and 40 per cent do not have access to basic drinking water services. The risk of transmissions and increased humanitarian needs are especially high amongst the nearly 2 million internally displaced people (IDP) and 1.1 million refugees living in collective sites or host communities across the country and the population living in urban slums.

COVID-19 is having direct and indirect impacts on food access in Sudan, according to the latest food security alert report from FEWS NET. Some families lost their incomes at a time where they also face higher living costs, including due to increasing medical costs related to the pandemic, as well as the ongoing economic crisis. The necessary COVID-19-related containment measures have also indirect negative impacts, limiting many poor households’ physical access to areas where they typically earn income from daily labour.

Before COVID-19, about 9.3 million people were already in need of humanitarian support across Sudan. Years of conflict, recurrent climatic shocks and disease outbreaks continue to affect the lives and livelihoods of many Sudanese. The situation is worsening and now over 9.6 million people are facing severe hunger, in a country with already high malnutrition rates. Because of the fragile economy, more and more people are unable to meet their basic needs, as high inflation continues to erode families’ purchasing power. An average local food basket takes up at least 75 per cent of household income.

Response

  • The Federal Government, the United Nations and humanitarian partners have jointed efforts to prevent and respond to the COVID-19 pandemic in Sudan. A COVID-19 Country Preparedness and Response Plan (CPRP), organized around nine pillars, is currently being implemented by UN agencies, NGOs and other partners in support to the Sudanese Government-led response.

  • Aid actors are establishing quarantine or isolation spaces and shelters, providing the country with COVID-19 testing kits and setting up water points and handwashing stations in IDP and refugee camps and in host communities. Over 1,600 health workers and rapid response teams in at least 277 localities across Sudan have been trained, hygiene kits distributed to nearly 500,000 people and protective equipment to attend the needs of 6,000 health centres in the country. Over 25 million people have been reached with campaigns to raise awareness to prevent transmissions and at least 2.8 million people were reached with food assistance in May.

  • The Transitional Government initiated the Family Support Programme, with support of the World Food Programme (WFP), to mitigate the impact of the COVID-19-related restrictions on vulnerable families. The programme will provide 600,000 families—about 3.6 million people, nearly 80 per cent of the population—with US$5 per person per month.

  • An estimated $582 million was pledged by donors for this programme during the Sudan Partnerships Conference that took place in Berlin on 25 June.

  • The UN and its partners launched on 19 July the COVID-19 addendum to the Humanitarian Response plan, a US$283 million appeal to address the most immediate and critical needs of millions of Sudanese people affected by the health and humanitarian consequences of COVID-19.

  • On 22 August, the Government of Turkey sent medical supplies and equipment to Sudan to assist Government response to COVID-19. The supplies included 50 respirators, 50,000 masks and 50,000 face shields, and 100,000 surgical masks.

  • On 16 August, the Government of the United Arab Emirates (UAE) sent 24 tons of medical and food aid to assist in COVID-19 and floods response. Since the start of the COVID-19 pandemic in Sudan in mid-March, the UAE has donated nearly 90 tons of medical supplies and equipment. In addition, the Abu Dhabi Fund for Development donated 136 tons of medicines to the National Fund for Medical Supplies in Sudan. On 6 June, the UAE-based Al Maktoum Foundation sent 37 tons of medical supplies including protective clothing, masks, sterilizers, glucose, and other supplies to help Sudan fight COVID-19.

Official sources:

Sudan Federal Ministry of Health

WHO Sudan Twitter

Other sources:

COVID-19 Educational Disruption and Response, by UNESCO

COVID-19 World Travel Restrictions, by the Emergency Division of the World Food Programme (WFP)

Global COVID-19 Airport Status, by the International Civil Aviation Organization (ICAO)

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Sudan

Situation Report
Emergency Response
Floods Al-Assal Jebel-Aulya-locality Khartoum-State 2Sept20
Flood-affected neighbourhood in Al Assal area, Jebel Aulya locality, Khartoum State (OCHA, 3 September 2020)

Nearly 500,000 people affected by floods in Sudan so far in 2020

Over 496,000 people in 16 of the 18 states in Sudan have been affected by torrential rains and riverine floods, according to the Government’s Humanitarian Aid Commission (HAC). Over 49,000 homes have been destroyed and over 50,00 have been damaged. People whose homes have been affected are living out in the open, exposing them to harsh climatic conditions, insecurity and other vulnerabilities associated with lack of shelter. The Sudan Minister of Irrigation and Water Resources, reported that the Nile River reached 17.43 metres, the highest level in 100 years. The situation is expected to get worse over the coming weeks, as above-average rains are forecast until the end of September. Flash floods have submerged villages in all states and caused immense damage to infrastructure, including dams, roads, bridges and highways. Drainage systems are unreliable as there is stagnant water in different locations, posing a risk to health outbreaks as pools of water become breeding grounds for water-borne and vector-borne diseases such as cholera, dengue fever, rift valley fever, and chikungunya. Hygiene and sanitary levels have plummeted due to flooded latrines and contaminated water supplies, preventing people from exercising necessary COVID-19 prevention measures.

Khartoum State is the worst affected state, with about 102,000 people reportedly affected, according to HAC. On 2 September humanitarian partners carried out inter-agency assessments in Omdurman and Jebel Aulya localities of Khartoum State.

Omdurman locality

Government and local communities report that to date 762 homes have been destroyed and 1,273 homes damaged in southern Omdurman mainly in Al Salha area (Al Qaia’a, Al Oshara, Al Sirew), and the villages of Um Owaina, Al Zurgan, Braka Alshat and Al Sulimaniya. The main needs identified include emergency shelter and household supplies, access to clean water, sanitation and health services, and drainage of water.

There is no access to clean water in all the affected areas and a large number of latrines have collapsed. Mosquito nets, vector control, anti/drugs for scorpion and snake bites, malaria and diarrhea treatment are all needed. Tents are needed for those who lost their homes and about 90 per cent of affected household have lost household items such as mattresses, blankets, water storage containers and kitchen utensils. Neighbourhood and main roads are inundated and need to be drained.

Jebel Aulya locality

Five villages (El Assal, Um Rabah, Gamar, Wed Mukhtar and Um Garageer) situated along the White Nile at Jebel Aulya locality have been affected by riverine flooding on 27 August affecting nearly 46,000 people. About 1,500 homes have been destroyed and 570 homes and over 2,000 latrines have been damaged. People affected are being hosted by relatives and friends in the area.

There are two primary health care facilities nearby. No outbreak of diseases has been reported but the health situation may soon deteriorate due to the contamination of water sources and stagnant pools of water. A referral system needs to be set up to support community-based surveillance (CBS) to detect and respond to possible disease outbreaks. The two health facilities also need medicines and medical supplies.

Torrential rains and flash floods in 2019 affected more than 426,000 people across the country, according to HAC and partners. This is almost twice the number of people affected by floods in 2018. Over 32,000 of the people affected were in Khartoum State.

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Situation Report
Emergency Response
Sudan: Humanitarian Assistance Monitoring (January - June 2020)

Nearly 7.5 million people reached with humanitarian assistance in Sudan in the first six months of 2020

Humanitarian organizations in Sudan provided life-saving assistance to nearly 7.5 million people in 179 of the country’s 189 localities during the first six months of the year. Despite the challenges posed by the COVID-19-related restrictions, the number of people reached with humanitarian assistance increased from 2.3 million in the first quarter of 2020 (January to March) to 5.4 million assisted between April and June.

The scale up of the response was especially visible on the Food Security and Livelihoods Sector, with partners reaching over 4.6 million people between April and June, up from 1.7 million in the first quarter of the year. The water, hygiene and sanitation (WASH) response has also increased, reaching around 1.1 million in the second quarter of the year, over 1 million more than January to March. The WASH activities have, however, been implemented in only 55 out of the 120 targeted localities.

The humanitarian response increased in the eastern and central regions of the country. In eastern Sudan, aid workers assisted nearly 360,000 people (4.8 per cent of the total reached across the country), while over 1.6 million people received assistance in central Sudan (22 per cent of the total response). In the first quarter of 2020, these regions had represented 3 and 2 per cent of the humanitarian response, respectively. In Darfur, over 4.3 million people received assistance and more than 1.6 million were assisted in Blue Nile and Kordofan regions.

The increased assistance was crucial to address the immediate needs of the most vulnerable people in Sudan, at a moment where the humanitarian situation further deteriorated. The devastating combination of recurrent climate shocks, conflict, economic downturn, disease outbreaks, exacerbated by the consequences of the COVID-19 pandemic, has driven rising hunger across the country. More than 9.6 million people, almost a quarter of the entire population of Sudan, are expected to be severely food insecure during the lean season (June to September), according to the latest Integrated Food Security Phase Classification (IPC) report.

For more details, check the Sudan Humanitarian Response Plan Monitoring.

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Situation Report
Emergency Response
Blue Nile Floods, Sudan - 2020
The collapse of the Bout Earth Dam, Blue Nile State, after it exceeded its full capacity on 29 July, left at least 12 neighbourhoods in Bout Town flooded, and nearly 800 houses damaged or destroyed. The incident risks compromising access to water for over 84,000 people living in its vicinity. Photo: HAC

Government and humanitarians continue to assist people affected by ongoing floods in Sudan

Ongoing heavy rains and floods in Sudan since mid-July had affected over 380,000 in 17 of the country’s 18 states as of 25 August, according to preliminary data from the Government’s Humanitarian Aid Commission (HAC).

The continued storms and flooding are causing loss of lives, damage to houses, schools, water points and other key infrastructure, with North Darfur, Sennar, and West Kordofan states amongst the hardest-hit.

More than 37,000 houses have been completely destroyed and we have reports of more 39,000 houses damaged. Dozens of schools are damaged and several roads impassable.

Access to clean water, in the middle of the COVID-19 pandemic, has been compromised. Around 2,000 water sources are now contaminated or non-functional and the collapse of the Bout Earth Dam in Blue Nile State, on 29 July, risks compromising access to water for over 100,000 people, including IDPs and refugees, who rely on it as their primary source of water.

The Government and aid organizations are closely monitoring the situation and providing life-saving assistance to people affected. The quick response has been possible because UN agencies and partners prepositioned supplies to respond to the needs of 250,000 people before the rains started.

But the stock is being depleted rapidly and more support, including from donors, is urgently needed. The Sudan Humanitarian Response Plan for 2020, which seeks US$1.6 billion, is less than 44 per cent funded.

Read more about the floods and ongoing response on our Flash Updates:

Floods Flash Update #1 – 3 August 2020

Floods Flash Update #2 – 5 August 2020

Floods Flash Update #3 – 14 August 2020

Floods Flash Update #4 – 27 August 2020

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Sudan

Situation Report
Background
Desert locust presence in summer breeding areas in Sudan
Desert locust presence in summer breeding areas in Sudan - PPD

Government and partners continue locust operations across Sudan

The Sudan’s Plant Protection Directorate (PPD), linked to the Ministry of Agriculture and Natural Resources, intensified its operations to control and prevent the any escalation of the ongoing desert locust upsurge affecting the country.

In total, more than 155,000 hectares were surveyed during July at summer breeding areas in the River Nile, White Nile, Kassala, Red Sea, Gedaref, Blue Nile, North Kordofan, South Kordofan, Sennar and Darfur states. At the least 235 hectares were treated with pesticides in the River Nile, where some hopper bands were identified. This is the current situation, according to the July 2020 Desert Locust Bulletin from PPD:

-         The desert locust situation in Sudan remained at the caution risk level at summer breeding zones during July 2020.

-         Ground control operations were conducted against mature and immature adults’ groups, hopper bands and hopper groups from different stages at the River Nile State.

-         Low number of adults were observed in River Nile, Northern, Khartoum, White Nile, Kassala, Red Sea and Kordofan states, but no swarms have formed during July.

-         As the current rainy season creates conducive conditions for breeding, the number of solitarious locust might increase in the coming weeks, especially in green areas of the Nile Valley, threatening the cropping in the region.

For more details, see the Desert Locust Bulletin at this link.

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Situation Report

Sector Status

COVID-19 Response Pillar 1: Country Level Coordination

15
states with coordination mechanisms
$1.3M
required

Needs

Immediate priorities are to strengthen state-level coordination mechanisms.

Response

The COVID-19 Working Group was activated with UN agencies designating staff for each pillar of the response. In May, UN partners updated the Corona Virus - COVID-19 Country Preparedness and Response Plan (CPRP) developed to support the Government of Sudan and national preparedness for COVID-19. The plan, which requires USD$87 million to implement, focuses on public health measures. The plan will be updated monthly or if the situation changes. The Federal Emergency Operation Centre has been activated with support from the World Health Organization (WHO) and is meeting daily.

At state level, WHO will take the lead where they have presence, and in states with limited WHO presence another partner organization will take the lead. National pillar focal points will work closely with state focal points, providing the necessary technical guidance. In the states where there is an Area Humanitarian Country Team (A/HCT) or an established humanitarian coordination structure, COVID-19 focal points will work under these mechanisms. The aim is to work through existing coordination mechanisms to the best extent possible.

The Refugee Consultation Forum (RCF), led by the UN Refugee Agency (UNHCR) and Sudan's Commissioner for Refugees (COR), is coordinating the response effort for refugees. The RCF has revised a COVID-19 prevention and response plan with different scenarios in case of a COVID-19 outbreak in a refugee camp or settlement. Under the leadership of the Refugee Working Groups refugee partners contributed to the local development plans in each state. UNHCR and COR have adopted preventive measures to prevent the spread of COVID-19 cases during the registration of refugees. This includes physical distancing, reduction of intake capacity to reduce overcrowding, hygiene measures such as washing hands, etc.

A COVID-19 IDP Camp Coordination Task Force was established for the specific purpose of COVID-19 prevention, preparedness and response in IDP camps and camp like settings. It is co-led by the International Organization for Migration (IOM) and UNHCR and reports to the COVID-19 Working Group. It will build upon the work of the Area/Humanitarian Country Team (A/HCT). At the state level, inter-agency coordination responsibility has been divided as follows: IOM (West Darfur, Central Darfur, South Kordofan), and UNHCR (North Darfur, South Darfur, East Darfur, as well as Blue Nile in cooperation with an NGO partner tbc). To ensure a harmonized and predictable approach to COVID-19, the Task Force will use camp coordination and camp management principles to coordinate the COVID-19 prevention, preparedness and response across pillars and sectors in camps and settlements and the Interim Guidance on Scaling-up COVID-19 Outbreak in Readiness and Response Operations in Camps and Camp-like Settings. Initial coordination efforts have focused on camp-lead agencies and completing a survey on current gaps within the IDP camps.

Gaps

There are no state level focal points identified in El Gezira, Northern and Sennar states. Most of the information is shared in the form of reports, but it does not include aggregated data. This hampers timely analysis and relevant interventions.

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Situation Report

Sector Status

COVID-19 Response Pillar 2: Risk communication and community engagement

74%
pop. reached by COVID-19 messaging
$8.8M
required

Needs

Although risk communication campaigns and messages have reached a large percentage of the population, this has not yet resulted in widespread compliance with COVID-19 prevention measures and practices. Further engagement with existing community-based networks, media, local NGOs, schools, local governments and other sectors, including the private companies and business, using a consistent mechanism of communication, it needed to increase the impact of communication campaigns.

Response

The Kuwait Patient Help Fund Society’s (KPHF) COVID-19 response is focusing its response on Gezira, Kassala, North Darfur, and South Darfur states. The following COVID-19 response activities by KPHF started on 9 August in these states: TV and radio awareness sessions, dissemination of COVID-19 posters and social media messages. 

Gaps

Needs assessments of places of worship, including churches, in Khartoum State to start their engagement in RCCE activities ahead of opening to worshippers after the ease of lockdown measures.

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Sector Status

COVID-19 Response Pillar 3: Surveillance, Rapid Response Teams, and Case Investigation

17
states with trained RRTs (out of 18)
$3.5M
required

Needs

Improvement in contact tracing and scaling up the Rapid Response Teams (RRTs).

  • Production and distribution of guidelines, contact tracing, and case definition formats.

  • Enhance existing surveillance system to enable monitoring and reporting of COVID-19 transmission.

  • Contact tracing through health promotion and Rapid Response Teams (RRTs) and training of surveillance officers on case definition and contact tracing.

  • Support RRTs through operational costs, subsidies, material and supplies and capacity building in order to strengthen surveillance, case detection and early action.

Response

According to the Federal Ministry of Health (FMoH), 71 per cent of all COVID-19 confirmed cases are reported in Khartoum State, followed by 9.1 per cent in Gezira State. The rest of the country accounts for 19.9 per cent of the cases.

The highest reported case fatality rate (CFR) in Sudan remains at 50 per cent from Central Darfur State, whereas the lowest CFR is reported from South Darfur – 2.6 per cent.

During the weeks of 31 and 32, about 53 per cent of confirmed cases were from Khartoum, 32 per cent from Northern State and 10 per cent from Red Sea. The remaining 6 per cent were reported from Gezira, River Nile, Kassala, Gedaref and North Darfur states.

The last confirmed COVID-19 case in Darfur was reported on 11 July, in North Darfur. Meanwhile, Blue Nile and South Kordofan states reported their last confirmed cases during the week 28 (4-10 July).

During weeks 31-32, Khartoum State Rapid Response Teams (RRTs) operations were affected by the fuel crisis and therefore not all teams were operational.

The implementation of WHO-FMoH community-based surveillance (CBS) expansion plan is completed in North, Central and South Darfur, in addition to Northern and Sennar states.

IOM Rapid Response Fund (RRF) is revising submitted proposals for surveillance support.

Save the Children started on 9 August its CBS activities and will coordinate its surveillance activities with KPHF in Al-Managil locality in Gezira State.

Gaps

Lack of timely updates on COVID-19 epidemiological situation, including detailed data sharing and reporting (line lists) on the status of patients, makes analysis and planning difficult.

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Situation Report

Sector Status

COVID-19 Response Pillar 4: Points of Entry (PoE)

$4.5M
required

Needs

Immediate priorities include strengthening the screening and quarantine facilities at points of entry (PoEs).

Response

The 14th Mobility Restriction Dashboard was published on 6 August 2020.  For more information and infographics on the current movement restrictions, see the IOM report.  

Needs assessment was conducted at the Red Sea points of entry (PoEs), highlighting the need for medical equipment and supplies at the proposed isolation centre in Sawakin Port (which will be renovated under IOM funding). WHO has the full list of requirements. A joint WHO/FMOH/IOM needs assessment mission is planned to Northern State.

Gaps

Further information is required on needs and gaps at PoEs on the border between Sudan and Egypt, as well as a regular and accurate reporting on passenger flows of stranded Sudanese migrants through these borders. Work on infection prevention control and passenger-flow management is required at the departure area in Khartoum International Airport to complement the measures already in place for arrivals. Renovation of Khartoum International Airport isolation area under process – equipment and medical supplies required – list of needs circulated but needs a response.

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Situation Report

Sector Status

COVID-19 Response Pillar 5: National Laboratories

100%
daily testing goal reached
$2.4M
required

Needs

Immediate priorities include streamlining processes to prevent delays, including case identification, sample collection, and transportation of samples to laboratories. Currently, Sudan has some of the lowest testing capacity in the region.

Response

Currently laboratories have the capacity to test 800 samples per day—exceeding the original goal of 600 tests per day. Samples are processed between 24-48 hours, and transportation does not take more than six hours on average.

The COVID-19 laboratory network has four functioning laboratories: the National Public Health Laboratory (NPHL) in Khartoum, the Red Sea Central Laboratory, the Blue Nile Institute in El Gezira and the Darfur Centre for Communicable and Non-communicable Diseases in Nyala (South Darfur)—which is the first laboratory with the capacity to test COVID-19 in Darfur.

Gaps

Testing capacity has increased significantly since the first case was declared in March—however, overall capacity remains low. This limits the ability of health sector partners to estimate the extent of latent and asymptomatic cases.

Although the capacity of the labs has increased, the collection of samples and transportation to the lab for processing is causing delays in confirming cases.

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Situation Report

Sector Status

COVID-19 Response Pillar 6: Infection, Prevention and Control (IPC)

$35.9M
required

Needs

  • Personal protective equipment (PPEs), masks, oxygen generators, testing kits, lab equipment, etc.

  • Soap, hand washing facilities, chlorine and increasing of water supply in crowded settings

  • Other Infection, Prevention and Control (IPC) supplies to maintain hygiene in the institution

  • Furniture and equipment in planned isolation centres throughout the country (example – Red Sea as reported by the state focal point)

  • Equipping key health facilities with COVID-19 IPC measures.

  • Additional funding.

Response

The Kuwait Patient Help Fund Society (KPHF) started on 9 August COVID-19 workshops focusing on infection prevention control, case definition, case management and triage scoring in Gezira, Kassala, North Darfur and South Darfur states.

Gaps

  • There is a gap of US$30 million for the procurement of PPEs for the remaining part of the year.

  • There is a need to consolidate the list of COVID-19 supplies procured by different agencies to understand the availability and the gaps. Pillar 8 will provide the information on this shortly.

  • Waste management tools and equipment: there is a lack of appropriate waste management tools and equipment (inadequate number and quality of waste containers, safety boxes and bags). WHO has procured some items, but still more of these items will be needed to cover state health facilities/ isolation centres.

  • IPC pillar meeting was held on 20 July with UNFPA, IOM, UNICEF, WV, CIS, HDPO, WHO/Health Sector, OCHA participating to discuss the issues mentioned above and improve reporting.

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Sudan

Situation Report

Sector Status

COVID-19 Response Pillar 7: Case Management

$26.2M
required

Needs

Immediate priorities include the improvement and scaling up of isolation centres at the state level.

Response

UNFPA, in coordination with Khartoum State Ministry of Health, continues to support the implementing of 24/7 active referral service for obstetric complications emergencies. Services are also being provided for survivors of sexual gender-based violence (SGBV) in need for clinical attention, as an initiative to address the barriers to access essential sexual and reproductive health services. During the reporting period, 24 women with obstetric emergencies were referred to receive proper care in Khartoum State.

Gaps

  • Personal protective equipment for medical staff.

  • Low levels of stock of medicines and medical supplies in the country amidst rapidly increasing prices.

  • Human resource capacity to support ICUs and ventilators.

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Sudan

Situation Report

Sector Status

COVID-19 Response Pillar 8: Operational Support and Logistics

$4.7M
required

Needs

  • Review supply chain control and management system (stockpiling, storage, security, transportation and distribution arrangements) for medical and other essential supplies.

  • Review procurement processes (including importation and customs) for medical and other essential supplies and encourage local sourcing to ensure sustainability.

  • Support FMoH with equipment and consumables.

  • Air freight from the UN regional hub to Khartoum.

Response

Training on the WFP supplies tracker begun on 13 July and will end on 19 July. Twenty-three focal points from national NGOs, international NGOs and UN registered for the training. Some supplies requested through the WHO procurement portal are still pending verification. The issue has been raised with WHO headquarters.

The pillar partners are reviewing request to support the repair of State Ministry of Health (SMoH) ambulances in 11 localities in West Kordofan.

An official request from the National Medical Supplies Fund (NMSF) has been received on the support to transport COVID-19 supplies and regular medicines.

Gaps

  • Several agencies, particularly NGOs have not shared the information on procurement of supplies.

  • In order to have visibility on supplies coming into the country and distribution, it is paramount to have this information captured.

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