There were 120 integrated health outreaches conducted during the reporting period, during which, no disease outbreak was experienced. This is an indication that the surveillance team is working effectively and preventive measures are getting stronger.
Health facility utilization is progressing, and the health status of the population is improving, as indicated by the decreased number of consultations during the reporting period. From July to September 2018, RMF carried out 63,558 medical consultations in Bidibidi Refugee Settlement.
Food supplements were procured to support the nutrition program, that is steadily growing and saving lives. Thanks to support from LDS Charities and Convoy of Hope, pregnant and lactating women (PLW) have been especially helped. RMF conducted follow-ups on nutrition cases in the community to monitor patient’s progress after discharge and avoid relapse.
We held a health and nutrition coordination meeting at the main OPM office on July 19, 2018. The purpose of this meeting was to monitor the nutrition progress in the settlement and share good practices about timely and adequate reporting on nutrition.
RMF and Nutrition Implementing Partners came together to celebrate World Breastfeeding Week at the Bidibidi Reception Centre in Bidibidi Refugee Settlement. During this event, RMF’s nutrition team facilitated activities such as cooking demonstrations and sensitization of the community—especially mothers—on demonstration gardens and engaging in positive, affordable nutrition practices to improve food availability.
Participated in the Child Days Plus (CDP) activities for the mass vaccination of children and young adults within the refugee settlement and of nationals from the host community as they visited the settlement.
MF continued to facilitate and manage routine immunization exercises in zones 1, 3, and 4 of Bidibidi Refugee Settlement. All the under-5 children arriving at the settlement are also immunized. This is a strategy to secure the future of these children, which is threatened by deadly diseases. The program was carried out at both outreach and static points.
RMF’s Bidibidi Refugee Settlement program received an in-kind donation of a 40-foot container full of fruit juices from Agros on the recommendation of World Food Programme. Through RMF staff and other implementing partners, it was distributed to refugees and nationals within the settlement. Fruit juice is a good source of vitamins A and C, and the donation helped boost refugees’ nutrition.
RMF also received an in-kind donation of midwife kits from Direct Relief International (DRI) during the reporting period. These kits supplemented the equipment sets at Bidibidi Refugee Settlement health centers and helped ensure that each midwife has sufficient tools to perform his or her job at an optimal level.
All RMF-managed health facilities continued to provide antenatal, maternity, and family planning services, thus promoting institutional deliveries and safe motherhood, as opposed to village-based deliveries.
We have been able to achieve safe motherhood targets, thanks in part to the dignity kits provided by UNHCR and distributed by RMF at the health facilities during delivery.
We successfully conducted 417 deliveries during the reporting period, with the proportion of deliveries attended by a skilled health worker at 91%.
Since 2009, RMF has been working to help the people of South Sudan recover from decades of civil war, which destroyed much of the country’s infrastructure and healthcare system. RMF initiated, co-founded, and continues to support the Juba College of Nursing and Midwifery, supports the Juba Teaching Hospital, and in December 2014, became the UNICEF implementing partner for malnutrition treatment and prevention in Jonglei State and the greater Pibor Administrative Area. Even after renewed fighting broke out in July 2016, RMF’s in-country teams have continued these programs. RMF has also been providing health services, school support for children, and vocational training to South Sudanese refugees in Uganda’s Kiryandongo Refugee Settlement since 2008, and was appointed UNHCR Health Implementing Partner in 2014.
To accommodate the large numbers of South Sudanese refugees fleeing to Uganda (between July 1, 2016 and September 21, 2016, there were 163,540 new arrivals), the Ugandan Office of the Prime Minister (OPM) and the UNHCR, in partnership with RMF and other organizations, opened the new Bidibidi Refugee Settlement on August 5, 2016. Bidibidi is located near the South Sudanese border in the Yumbe district of West Nile, Uganda, and has the capacity to support 180,000 refugees. Bidibidi is being built from the ground up, and during August 2016, 31,902 refugees were relocated to the settlement. Real Medicine Foundation is the main UNHCR Health Implementing Partner for Bidibidi Refugee Settlement, and between August 5, 2016 and August 31, 2016, 5,331 patients were treated at RMF’s health clinic.