A child’s example demonstrates the need for integrating educational services for refugees and host communities in western Ethiopia.

By Amanda Westfall

On 21 December 2017, eight-year-old Ethiopian Sefadin Yisak speaks about his friend on the hill, Adam, a nine-year-old, South Sudanese refugee boy. When boundaries, legal restrictions and cultural differences can divide communities, it is the children who remind us of the great importance of social integration.

Children truly know no borders. To Sefadin Yisak, an Ethiopian student at Tsore Arumela Ethiopian Primary School, Adam, a South Sudanese refugee who attends primary school within the neighbouring refugee settlement, is just his good friend. Sefadin doesn’t see the differences in history, culture or in the quality of educational services. He only sees the South Sudanese refugee boy as his good friend that he met at the river over the summer. They meet and play in the water with other neighbourhood kids when they don’t have school or other chores to do.

“To Sefadin, Adam (a South Sudanese refugee) is just his good friend. He doesn’t see the differences in history, culture or educational services.”

But from an adult’s perspective, it is evident that educational services have not been equal between refugees and their host-Ethiopian communities. With the host primary school only a 15-minute walk from the refugee settlement, one can truly notice the differences.

In addition to their struggle to survive and flee from conflict, the South Sudanese refugees experience lack of quality education due to unskilled teachers, overcrowded class sizes and exclusion from the national educational system and the services it provides. On the other hand, some refugee settlements have in some cases benefited from other services, including better-constructed classrooms, play equipment and materials for teaching, while the host communities often experience a lack of funding to improve classroom infrastructure and educational materials.

Thus, these inequalities in educational provisions can create social barriers that could potentially build unnecessary tension between communities. In reality, there are more similarities between the communities than differences, such as language, food, family customs, and a passion for education.

When South Sudanese people residing in Ethiopia for multiple years (some over 20 years, some less than one year), and children from both communities – like Sefadin and Adam – show us the importance of integration, it is crucial to support this clear demand.

Sefadin says that his favourite school subject is mathematics because his 2nd grade teacher, Ahmed Mustefa, is very helpful. Ahmed explains the importance of integration with the refugee communities. He noted that the communities never lived in conflict, but that the lack of integrated services has limited the amount of authentic social interaction with the refugee community who live just a short walk away. He adds, “We are all human beings and when we live together it is better for socialization.”

“We are all human beings and when we live together it is better for socialization”

Education for Refugee and Host Community Children Benishangu-Gumuz, Ethiopia
Children at Sefadin’s host-community primary school play on equipment provided with the support of UNICEF. The refugee settlement is visible in the top left corner, where schools also enjoy the same play equipment provided with UNICEF’s support. © UNICEF Ethiopia/2017/Martha Tadesse

Institutions recognize the need

Institutions have started recognizing the need, and in response have begun providing services that support integration. With the support of the United States Government (US-BPRM), UNICEF has been working with partners – the Ministry of Education, the Administration for Refugee and Returnee Affairs, UNHCR, and Save the Children – to bring equitable and efficient educational services that spark social cohesion for both communities.

Refugee and Ethiopian teachers join the same training programme

Ahmed’s teacher training programme is a prime example.  In his region of Benishangul-Gumuz, 149 refugee teachers and 225 host-community teachers have all taken part in the new UNICEF-developed teacher training flagship programme, Assessment for Learning. This new approach shows teachers how to implement continuous assessment techniques to better understand the learning gaps of children and respond accordingly.

It is the first of its kind – where refugee and national teachers learn the same skills at the same time. Ahmed and other teachers from both communities stayed in the same dorms for the 10-day course, learned from each other, and now feel more part of each other’s communities. Before this training, refugee and national teachers never interacted professionally. They were trained with different programmes, and in most cases, it was the refugee teachers who missed out on professional development and teacher enhancement opportunities. Now, with more equality in refugee and host-community teachers’ knowledge and skills, Ethiopian students, like Sefadin, and refugee students, like Adam, both benefit from teachers who were trained in the same teacher training programme.

Integration through sport and play

What’s most exciting about the integrated response is the development of sport and play activities. Both communities now enjoy new play equipment and learning and play materials such as balls, toys, puzzles, counting blocks, and others. Teachers are trained on the “Connect, Reflect, Apply” approach, to develop useful life skills in children. Both Sefadin and Adam now have new equipment to play and are learning the same life skills, in addition to enjoying the benefits of new solar-powered TV’s that display educational programmes.

More efforts are necessary for sustained integration

Education for Refugee and Host Community Children Benishangu-Gumuz, Ethiopia
Sefadin and his 2nd Grade teacher, Mr. Ahmed Mustefa © UNICEF Ethiopia/2017/Martha Tadesse

While some refugee settlements in Ethiopia have experienced integration, in terms of students attending the same school, teacher training integration, or social cohesion through extra-curricular activities, many communities still lack support for equitable integration.

Communities have started to integrate, whether it be working for each other during harvesting season, inter-marriage, or making friendships while playing in the river. Even Sefadin’s family is now supporting Adam’s family with food provisions, like sorghum, maize and mango.

It is time to truly respond to the needs on the ground. Ahmed insisted that “we need more programmes like these for integration,” as he reflected on his new friendships he developed with refugee teachers from the training programme.  And young Sefadin adds that it would be “cool if Adam were in my class.”

When boundaries, cultural differences, and varying educational services can divide communities, it is the children – like Ethiopian Sefadin and South Sudanese Adam – who remind us of the great importance of social integration.

UNICEF continues to work with partners to implement programmes that spark integration of refugees and host communities in all five refugee-hosting regions of Ethiopia so that cross-cultural friendships, like that of Sefadin and Adam, can be supported with an equality in educational services.

Return, recovery and reunification of the abducted children in Gambella

By Wossen Mulatu

Nyatayin Both, 25, Kuanyluaalthoan kebele, Lare woreda, Gambella Region.
25-year-old Nyatayin with her one year old daughter Nyakoch Gatdet at a temporary shelter for returned children in Gambella. ©UNICEF Ethiopia/2016/Mersha

GAMBELLA, Ethiopia, 25 May 2016 – When the attack on the village came, 25-year-old Nyatayin Both held tightly to two of her children, but the raiders still managed to kidnap the two others amidst the panic and commotion.

“I wish I’d had four hands to hold them and save all of my four children,” she recalled, describing the horrific day in mid-April in Ethiopia’s Gambella region when she lost her 9-year-old daughter and 4-year-old son.

In a raid of unprecedented scale, some 200 people were killed and 146 children were taken by raiders from neighboring South Sudan, widely described as Murle tribesmen. The Ethiopian military and the local Gambella Government have been negotiating for their slow release ever since.

For Nyatayin, it meant a miracle to see the return of her 9-year-old daughter Nyamuoch.

“At first it was just rumors that some of the children had returned, but later we were told by local officials to come and identify our children,” she said. “I was hoping to see mine, when I spotted my daughter among the many children standing in a circle, I was thrilled and praised the Lord and thanked the government for taking action.”

It was a joy tempered by the fact that her other son was still out there and of course the death of so many relatives that day, including her husband. So far 91 children have been recovered.

UNICEF is working closely with the Government of Ethiopia and partners on a response plan which includes reintegration, psychological support, basic health care and nutrition services as well as providing tents and clothing for each child.

Currently, the children are being cared for at a two-storey guest house of the Gambella Regional Government, where Sarah Nyauony Deng is supervising their care.

“When they arrive here, most of them were so silent and isolated themselves, but after some time, they start to socialize with others, play together and become cheerful,” she said. “Most of them also have injuries on their legs from the long walks.”

Nyamuoch Gatdet, 9 years, 1st grade student, Kuanyluaalthoan kebele, Lare woreda, Gambella region.
Nyamuoch Gatdet, 9 years, was one of the 146 children who were abducted from their communities in the Gambella Region ©UNICEF Ethiopia/2016/Mersha

Flashbacks from the forest
Nyamuoch recalls that terrible day she was taken from her village that began at dawn with the sound of shots.

“I was still asleep and suddenly I heard gunfire and ran out of the house. I was filled with fear and anxiety,” she said. “I started running along with many other children and adults but they caught most of us and took us to a forest. Where I was, most of the abducted children were strangers except a boy I recognized from my village.”

Nyamuoch said they were constantly talking to them but none of the children understood a word. “I think they were trying to teach us their language,” she said. “I am so happy to be back to my family. My mother and I cried for a long time with happiness and now she is with me again, I am not scared anymore.”

Reintegration

Working with the president’s office and the Bureau of Women and Children Affairs, UNICEF has drawn upon a detailed action plan for child protection, including identification, documentation, psycho-social first aid and family assessments to facilitate appropriate rehabilitation services during reunification of the children.

Children in Gambella at the Presidential Guest House
Children in Gambella Presidential Guest House after their recovery from abduction ©UNICEF Ethiopia/2016/Tesfaye

“Currently, we are doing a needs assessment to mobilize resources for the abducted children and their families. Some of the children have lost one or both parents, some their cattle and some their huts as it was burned by the Murle,” said Ocher Ocher Obang of the Bureau of Women and Children’s Affairs in Gambella.

In addition, many in the affected communities are afraid to return to their remote villages for fear of renewed attacks by the Murle.

With the return of the rains, the displaced families need land to till, shelter to live in, as well as additional clothing and health care.

As the Ethiopian and South Sudanese governments strengthen their efforts to recover the remaining abducted children, UNICEF calls for the children’s swift and unconditional return to their families.

“I thought they would lock us in the forest forever,” said Nyamuoch. “When I grow up, I only want to do good things for humanity by becoming a teacher or a doctor – I will never forget this incident.”

 

Children need peace for education, and education for peace

By Wossen Mulatu

Nyamat Oactoct from Pagak village in Gambella.
“We need peace. If there is conflict, I cannot follow my education properly and there will be no development,” Nyamat. Her five year old younger sister and brother are abducted to a neighbouring South Sudan by the Murle tribe. © UNICEF Ethiopia/2016/Mersha

GAMBELLA, Ethiopia,  25 May 2016 – On April 15, hundreds of heavily armed men stormed through Nyamat Oactot’s village of Pagak in Ethiopia’s Gambella Region, stealing cattle, shooting people and kidnapping children.

The 16-year-old girl’s younger brother and sister were taken by raiders believed to be from the Murle tribe from neighbouring South Sudan, and have yet to be recovered. In the aftermath, parents across this part of Gambella have kept their children out of school in fear of further attacks.

“We need peace, if there is conflict, I cannot follow my education properly and there will be no development,” Nyamat said.

Ruey Tut Rue,15, lost his mother and brother and wishes he could bury himself in his studies to keep from thinking about them, but instead he has been frustrated by three weeks of school closure.

“I feel upset and my mind is not focused,” he said. “Reading complicated subjects like biology and chemistry is now helping me to divert my attention from thinking about my mother.”

The attacks have also destroyed school materials making reopening the schools even harder, said Paul Puok Tang, the head of the Lare Woreda (district) education office.

“The dropout rates have also increased,” he said. “Through UNICEF and government  support, we are now trying to rehabilitate the schools and purchase school supplies for the communities that are affected.”

Gambella Region is one of the states in Ethiopia that is part of UNICEF’s Peacebuilding, Education and Advocacy Programme (PBEA), along with Afar, Benishangul-Gumuz and Somali regions.

These four regions suffer from neglect and frequent exposure to man-made and natural disasters such as drought and floods and because of their close proximity to conflict zones. Since 2014, annual disaster and risk response plans have been put in place to help them cope with major disasters.

Ruey Tut Rue, 15, and 7th grade student, Pagak village in Gambella.
Ruey Tut Rue, 15, and 7th grade student did not go to school for three weeks due to the recent abduction of large numbers of children in the Gambella Region of Ethiopia by Murle pastoralists from South Sudan ©UNICEF Ethiopia/2016/Mersha

UNICEF has enlisted the support of the African Centre for Disaster Risk Management to come up with disaster and risk response plans at 31 schools in Gambella and 13 schools in Benishangul-Gumuz to develop the capacity of schools and communities to respond to disasters.

In the case of an attack like the recent cattle raid, villagers are taught to know when the raids come and what to do with their children during that period, said Omod Abela, Process Owner of Planning and Resource Mobilisation in Gog Woreda, Punido Kebele (sub-district),.

“We know that it is a seasonal occurrence – they come between March and May following their cattle and we teach communities not to send their children to herd cattle during this season, but to keep them at home and study,” he said. “Also, we teach parents that children should not play in isolation but surrounded by adult members of the community.”

PBEA seeks to strengthen resilience, social cohesion and peacebuilding in the four regions through strengthened policies and practices in education.

In Gambella, over 1,200 educational officials have been trained to promote peace and social cohesion within the region through disaster planning, peacebuilding, combatting school-related gender-based violence and promote child-friendly schooling.

“Parents and children need to understand the value of education,” explained Tok Bel from Lare Woreda Education Office. “Out of school children are more prone to be involved in conflict situations. Even during the recent Murle attack, most lives that were saved were those of children who were attending classes when the incident happened. Education saves lives.”

Ethiopia started the implementation of the PBEA in October 2012 with the Federal Ministry of Education and the four regional education bureaus.

The programme, which ends in 2016, is integrated across UNICEF’s US$60 million Learning and Development Programme and is a global initiative funded by the Government of the Netherlands.

“Where there is peace, education will go well. Without knowledge and education, there are no doctors and without doctors, many people will die,” said Gatiat Wal Rik, 15, a student from Bulimkum Primary School.

ECHO’s support realises a safe space for South Sudan refugee children to be children

By Charlene Thompson

Children in one of the child friendly spaces in the Kule Refugee Camp
Children in one of the child friendly spaces in the Kule Refugee Camp ©UNICEF Ethiopia/2014/Thompson

Gambella, Ethiopia 31 October, 2014 – There’s an exciting game of volleyball being played and both the participants and spectators are intently focused on the next move. A young boy serves and the ball hits the net; he doesn’t quite get it over but the children are laughing.

It’s a scene that could have taken place on any playground, with any group of children but this game is being played in the Kule Refugee Camp in Gambella, Ethiopia and all of the children here fled the war in South Sudan. This volleyball game is being played in one of the child friendly spaces (CFS) developed by UNICEF and Plan International with the financial support of ECHO and in partnership with Ethiopia’s Administration for Refugee and Returnee Affairs (ARRA) and the UN Refugee Agency (UNHCR) who manage the camp.

“This child friendly space is providing a safe area for children in this camp where they can play and learn and be themselves,” said Chuol Yar, a 27 year old refugee who is one of the camp’s community child protection workers. “This is a place where they can come and feel protected and love themselves. If they cannot do this here, then we are not doing things well,” he added.

According to UNICEF, child friendly spaces are designed to support the resilience and well‐being of children and young people through community organised, structured activities conducted in a safe, child friendly, and stimulating environment. Through the partnership between UNICEF and Plan International, 31 community child protection workers (14 female and 17 male) were trained in June and are currently providing support to children in two permanent and three temporary child friendly spaces in the Kule Camp.

They received training in principles of child friendly spaces, management of child friendly spaces, developing activities for children and monitoring and response to the needs of children.

The child friendly spaces in the Kule Refugee Camp cater to children from 3-18 years of age and they provide play areas for football, volleyball, jump rope and other outdoor activities. In addition, there are traditional storytelling sessions, dramas that are performed by the children, singing, reading materials and spaces where adolescents can engage in peer discussions.

South Sudan refugee children play in child friendly centre in Gambella Ethiopia
South Sudan refugee children play in child friendly centre in Gambella Ethiopia ©UNICEF Ethiopia/2015/Sewunet

The community child protection workers also visit homes in the Kule Camp to encourage parents to send their children to the child friendly spaces.

“I let the parents know all of the activities that we have in the child friendly spaces and tell them that it is a protected space where the children can play safely,” said David Riang, another community child protection worker at the refugee camp. “The parents usually agree and send the children to the child friendly spaces,” he said as his colleague Chuol quickly added “I tell them without play children cannot learn. Play is important for a child’s mental development.”

In addition to the Kule Camp, UNICEF, with the support of ECHO, is supporting child friendly spaces at the Tierkidi Camp and at the Akobo border entry point. “The children in these camps have already experienced very difficult and tragic circumstances in their short lives. The aim of these child friendly spaces is to provide a safe space where a child can come and be a child,” said Tezra Masini, Chief of the UNICEF Field Office in Gambella.

For many of the community child protection workers this experience has also provided them with the opportunity to develop skills and actively participate in supporting their community. Many are from the same regions in South Sudan and having fled war also share similar experiences with the children. They communicate with the children in their local language and tell traditional stories and social teachings of their clan.

“My dream if God is willing is to become a medical doctor and support my community,” Chuol said and it is a sentiment expressed by other community child protection workers as well. “My dream is for our children to have a better future and hopefully return home one day to a peaceful South Sudan,” noted Bigoa Kuong, a 24 year old social worker who then quickly added with a broad smile, “and also a basketball court for the children to play.”

Foster care and reunification efforts for separated children in Gambella refugee camps

by Monica Martinez and Nadine Tatge

Nyadiet and four foster children together with neighbors and friends in Kule refugee camp Gambella
Nyadiet and four foster children together with neighbors and friends in Kule refugee camp Gambella, Ethiopia ©UNICEF Ethiopia/2015/Martinez

Gambella, Ethiopia, 22 April 2015 – Nyadiet is a 50 year old South Sudanese woman who came to Kule refugee camp two years ago when her life was at risk due to the fighting in her country.

She came on her own and the whereabouts of the rest of her family are unknown. Because Nyadiet is on her own, she volunteered to become part of the foster family scheme in Kule camp, implemented by Plan International with support from UNICEF.

For five months now, Nyadiet has been fostering four siblings that also came from South Sudan. The oldest of the four siblings is a 13 year old girl called Nygua who found the bravery to bring her three younger brothers (8, 7 and 5 years old) across the border from South Sudan to Ethiopia.

During the fighting in South Sudan, Nygua and her siblings were separated from their parents and she has not heard anything from them since they left their home. The four children are thankful for Nyadiet’s care and support and they see her as their grandmother.

Nygua and her siblings are four of over 18,000 separated and unaccompanied children currently living in Gambella refugee camps. UNICEF is supporting UNHCR and other implementing partners to identify and document cases of children entering the camps and restoring family links that shall eventually lead to reunification. As an interim solution for children affected by family separation, alternative care through foster families and kinship care is being provided.

Social workers provide psychosocial support to reunification efforts

Kule refugee camp: Nyadiet’s house is on the left where she lives with he four foster childrenSocial workers attending to the children have been trained in psychosocial support. After the training, Simon, one of the social workers, says he now feels confident on how to identify children that might need further specialized services.

He analyses the interaction of children in the child-friendly spaces and especially looks out for children who seem to be isolated from the group of peers. Simon is from South Sudan himself, and he tries to keep the cultural roots and traditions of the South Sudanese refugees alive by performing traditional folklore, singing songs and telling stories in the child-friendly spaces (CFS).

These activities are crucial for the implementation of a holistic, and culturally adjusted psychosocial intervention. Psychsocial interventions provided in the CFS are tailored to the specific needs of children. Factors such as age, sex, and the different wellbeing concerns that an individual might have, are taken into account in order to provide the appropriate response.

Family tracing and reunification efforts

Nygua is attending school in the camp and sometimes she goes to the activities in the child-friendly space. In collaboration with the social workers, Nyadiet is supporting efforts to find Nygua’s parents. Plan International has already initiated the family tracing process and is working closely with the Ethiopia Red Cross Society and the International Committee of the Red Cross.

Nyadiet said that she is happy with the support she is receiving from the social workers, who visit her regularly in her house in Kule. The family has basic commodities, but some items like mosquito nets and soap are always scarce and she worries that there is never enough food in the house to properly feed the four fostered siblings. Nyadiet adds, “I try my best to provide clothes for the four children but also these are scarce sometimes.”

Ethiopia and neighbouring countries are hosting the South Sudanese refugees who have fled their country, since the conflict started in December 2013. Heavy fighting continues in South Sudan and therefore it is not known, when the over 200,000 South Sudanese refugees currently living in Gambella refugee camps can return home.

When asked about her future, Nyagua says: “I wish to find our parents or at least to hear that they are fine and safe.”

Strengthening lives through strengthened partnerships in Gambella.

Charlene Thompson

Refugee children from South Sudan learn at a makeshift school at Kule Camp in Gambella region of Ethiopia
Refugee children from South Sudan learn at a makeshift school at Kule Camp in Gambella region of Ethiopia 12 August 2014. USF Board members visits Ethiopia ©UNICEF Ethiopia/2014/Ose

Gambella, Ethiopia – 14 November, 2014: Visitors to the grade one classes in the Kule Refugee Camp are often welcomed with a joyful song by the children in their native Nuer language. The song is about their right to an education and the students enthusiastically sing and clap along. In one of these classrooms there is one voice that rises over all of the other voices and immediately draws attention in its direction. It’s the voice of 13 year old Nyabol Lual. A slim, shy adolescent girl with a bright smile.

Holding a pencil and a ruler in her hands, Nyabol explains that she started school in the Kule Refugee Camp in July, one month after she arrived in Gambella, Ethiopia with her mother and her four siblings. After her father was killed in the conflict in South Sudan, her mother led the family on foot from the Upper Nile Region in South Sudan to Ethiopia. Nyabol was enrolled in school in South Sudan but her classes were interrupted by the fighting and she had to stop her education.

Nyabol Lual, 13 – a grade one student in the Kule Refugee Camp. ©UNICEF Ethiopia/2014/Thompson

“I like school very much and English is my favourite subject,” she says. Nyabol is one of 24,991 refugee children (10,996 girls; 13,995 boys) now enrolled in school in grades 1-4. A recent ‘Back to School’ campaign in September for the academic year 2014-2015 registered over 18,000 students in Kule and Tierkidi refugee camps. The opening of schools and the campaign to register children in the camps is the result of strong partnerships between Ethiopia’s Administration for Refugee and Returnee Affairs (ARRA), UNHCR, UNICEF and NGOs such as Plan International, Save the Children International and World Vision. “In addition to the life-saving services provided in the camps such as nutrition and clean water, it is important that we also give children the opportunity to go school,” says Mr. Daniel Ayele Bezabih, Head of Programme Implementation and Coordination, ARRA. “The partnership between ARRA, UNHCR, UNICEF and other NGOs has ensured that children in the camps can access education and continue to learn,” he adds.

To ensure children could go to school, ARRA; UNHCR and partners such as UNICEF had to allocate land in the camps for the schools; construct classrooms; identify and train teachers from the refugee community; develop a curriculum; and provide learning materials for teachers and students. Once all of this was in place, a door to door campaign was conducted to register children in school. “In an environment such as this where so many basic requirements need to be met and services provided to so many people so quickly; strong partnerships are key to the overall success,” explains Mr. Shadrack Omol, Chief of Field Operations, UNICEF Ethiopia. “The partnership between UNICEF, ARRA and UNHCR in education highlights such strength” he adds. UNICEF leads the cluster coordination for education in Gambella.

Mr. Daniel also acknowledges the importance of effective partnerships which he says was demonstrated when the Leitchuor and Nip Nip refugee camps and the Matar border entry point were flooded from June to October, displacing thousands of refugees. When the rainy season arrived and flooded the camps, thousands of refugees had to be accommodated within host communities. The regional government in Gambella opened its health facilities to the refugees and ARRA, UNHCR, UNICEF and other partners came together to ensure refugees and the host communities were able to access clean water, proper sanitation, health, nutrition, education and protection services.

Since the conflict started in South Sudan in December 2013, more than 190,900 refugees have crossed into Gambella, Ethiopia. Approximately 90 percent of the refugees are women and children. The Ethiopian Government maintains an ‘open-door’ policy towards refugees in keeping with international commitments. This has required robust coordination and effective and efficient partnerships to meet the needs not only of the refugees but also the host communities in Gambella which has also been greatly affected by the very rapid increase in population size. “The Government’s policy is when a refugee camp is established, the host community must also benefit from the services provided,” says Mr. Daniel.

Students in class in the Tierkidi Refugee Camp.
Students in class in the Tierkidi Refugee Camp. ©UNICEF Ethiopia/2014/Thompson

In Akula, refugees are settled together with the host community. Humanitarian partners and regional government have scaled up the provision of services to be used by the host community and refugees.   Refugee children attend school with children from the host community. UNICEF is support the humanitarian partners to build a new school in Akula and will provide teaching and learning material for all the children that will be attending the school. “The host communities are incorporated into the planning and implementation of our activities in response to the refugee situation in Gambella and it’s through good working relations with all partners that this is being done,” explains Mr. Daniel.

Back at school in the Kule Refugee Camp, Nyabol says she loves to come to school because she is learning many subjects. She dreams of becoming a doctor in the future so she can help other refugees like herself. For Mr. Daniel, Nyabol’s story represents the overall goal of ARRA, UNHCR and its partners. “Supporting refugees so they can not only sustain their lives but also thrive is success for ARRA,” he says.

A UNICEF immunisation campaign helps combat deadly outbreaks of measles and polio

By Elissa Jobson

Chou San Kote watches as her son Oratine Rase as he receives polio vaccination from Lemmi Kebede, supervisor of supplementary immunisation
Chou San Kote watches as her son Oratine Rase as he receives polio vaccination from Lemmi Kebede, supervisor of supplementary immunisation 24, June 2014 Pagak South Sudanese refugee reception centre, Gambela Ethiopia. ©UNICEF Ethiopia/2014/Ayene

GAMBELA, ETHIOPIA, 24 JUNE 2014 – At Pagak entry point, on the border between Ethiopia and South Sudan, a long line of parents and their children wait patiently in the intense heat of the refugee registration tent. They anxiously watch as four health workers swiftly administer life-saving vaccinations to the children ahead of them.

UNICEF, in conjunction with the Gambela Region Health Bureau, has rolled out a programme of vaccination for South Sudanese children seeking asylum in Ethiopia as a result of the deadly civil conflict currently raging in their home country. Since fighting began in December last year and the first refugees crossed into Ethiopia at the beginning of January 2014, UNICEF has helped vaccinate 91,785 children against measles and 74,309 against polio. A further 41,333 children have been given vitamin A supplements to help combat malnutrition.

“Registration and screening is done by ARRA (the Ethiopian Administration for Refugee and Returnee Affairs) and UNHCR,” says Lemmi Kebede, supervisor of supplementary immunisation at Pagak entry point and Kule refugee camp. Priority, he adds, is given to pregnant women and lactating women with children less than six months old. “After registration, the children come to the vaccination point. Because levels of immunisation are low in South Sudan, eligible children are given vaccinations irrespective of whether they have had them in South Sudan or not. They are given an immunisation card which they take with them when they are transferred to the refugee camps,” Lemmi explains.

Health and nutrition
Meaza, a health professional gives a measles jab to a South Sudanese refugee baby being comforted by his mother in Pagak South Sudanese refugee reception centre. Gambela Ethiopia. ©UNICEF Ethiopia/2014/Ayene

Tesluoch Guak, just two and a half weeks old, is one of the beneficiaries of this programme. He cries as the health assistant gives him his measles injection. Despite her baby’s discomfort, his mother, Chuol Gadet, is pleased that Tesluoch is receiving his vaccination. “I understand that this is important for the health of my child,” she says.

So far, all the refugees have been willing to have their children immunised. “There is no resistance from the parents,” Lemmi confirms. “They are informed before they register as asylum seekers that their children will be vaccinated and why this is needed. There have been no refusals even though the parents haven’t previously received much health education. They have faced many challenges on the way to Ethiopia and they are open to our help.”

Chuol was heavily pregnant when she left her home in Malou county. She travelled on foot for days with her three children, aged 10, 7 and 4, to reach safety in Pagak where she delivered Tesluoch. Her husband, a solider in the government army, doesn’t even know that he has a new-born son. “The journey was hard for me. It wasn’t easy to find food and water. I don’t have words to express how difficult it was.”

The health situation of the newly arrived refugees is very poor. “In general, most of the asylum seekers are malnourished when they come from South Sudan. They have walked long distances without much food. Many have malaria and respiratory tract infections. They are really in a stressed condition,” says Bisrat Abiy Asfaw, a health consultant for UNICEF Ethiopia. This makes them highly susceptible to communicable diseases like measles and polio, he continues.

In February and March there was an outbreak of measles in Pagak – at the time more than 14,000 refugees were waiting to be registered and transferred to refugee camps within Ethiopia. UNICEF quickly rolled out a vaccination programme and helped ensure that children with signs of infection were quickly diagnosed, quarantined and treated.

“We were detecting new cases every day,” says Bisrat. “We tried to vaccinate all the children. We did a campaign on measles to increase and develop immunity within the refugee community.

The focus of the vaccination programme has been on the registration sites, although immunisation also takes place at the refugee camps. “Our strategy is to vaccinate the children as soon as possible after they enter the country, and that means working seven days a week. We are aiming for 100% coverage,” Bisrat says. And the strategy appear to be working. “The cases of measles has significantly decreased and we have had no reports of measles during the last 6 weeks,” Bisrat affirms.

One year on – South Sudan refugee children still in need of life saving support

Refugee girls, Nya Panom Makal, Nya Choul Makal and Nayakhor Gatluack pumps water at Burbie Refugees Reception Centre
Refugee girls, Nya Panom Makal, Nya Choul Makal and Nayakhor Gatluack pumps water at Burbie Refugees Reception Centre ©UNICEF Ethiopia/2014/Ayene 

GAMBELLA, Ethiopia – 15 December, 2014: While recognising the 1st year anniversary of the onset of the emergency response for South Sudan refugees in Gambella today, UNICEF appreciated the commitment and dedication of its partners and the generous contribution of donors who have played a key role in providing lifesaving assistance to refugee women and children at the border crossing points, in the refugee camps, and to vulnerable host communities.

Since the conflict started in South Sudan a year ago, more than 190,900 refugees have crossed the border into Gambella Region in Ethiopia. Over 90 percent of the new arrivals are women and children. From the onset of the emergency, UNICEF, in partnership with the Gambella Regional Government, Administration of Refugees and Returnees Affairs (ARRA) and UNHCR, have developed a multi-sectoral emergency response strategy to address the humanitarian needs of vulnerable host communities and refugees at the border crossing point and refugee camps.

“Despite tremendous challenges faced by women and children in the refugee camps and border crossing points, we would not have made a difference in the lives of women and children if it has not been for the profound support of our donors and partners,” said Ms. Anupama Rao Singh, Acting Representative of UNICEF. “UNICEF is appreciative of their continued support to critical humanitarian action including: the provision of immunisation, primary health care, nutrition surveillance and prevention and treatment of malnutrition, provision of safe water and improved sanitation, hygiene promotion, psychosocial support for children, family tracing, reunification and care of separated children, and providing a protective environment for learning,” she added.

A mother walks back to her temporary shelter after visiting a clinic
A mother walks back to her temporary shelter with her children after visiting a clinic ©UNICEF Ethiopia/2014/Ayene

UNICEF wishes to recognise the continued support of the Government of Ethiopia and partners including, ARRA, the Gambella Regional Health, Water and Education Bureaus, Bureau of Women and Children Affairs, Bureau of Labour and Social Affairs and the Gambella Institute of Teacher Training. UN partners including IOM, UNHCR, WFP, and Non-Governmental Organisations including: Action Contre La Faim, Adventist Development and Relief Agency, CONCERN Ethiopia, Danish Refugee Council, Ethiopian Red Cross Society GOAL, International Medical Corps, International Red Cross, Lutheran World Federation, Médecins Sans Frontières, Norwegian Refugee Council, OXFAM, Plan International Ethiopia, Save the Children International, ZOA and others.

Some of the key donors that supported UNICEF in the emergency response include, but are not limited to: the Governments of, the United Kingdom, the USA and Finland as well as European Commission’s Humanitarian Aid and Civil Protection Department (ECHO), Central Emergency Response Fund (CERF), Humanitarian Response Fund (HRF) and the UNICEF National Committees of the United Kingdom and US Fund for UNICEF.

UNICEF Ethiopia appeals for US$ 13.7 million to continue its life-saving emergency response for South Sudanese refugees in the Gambella region in 2015. With this funding, UNICEF and its partners will continue vaccinating children at the border crossing points and refugee camps, provide safe drinking water, basic hygiene and sanitation facilities, child protection and nutrition services, building learning spaces and provide teaching and learning material.

The scale of the crisis in the world’s youngest country is staggering. Since the violence erupted on 15 December 2013, almost 750,000 children have been internally displaced and more than 320,000 are living as refugees. An estimated 400,000 children have been forced out of school and 12,000 are reported as being used by armed forces and groups in the conflict. With traditional social structures damaged, children are also increasingly vulnerable to violence and to sexual abuse and exploitation.

 

UNICEF provides much needed clean water to new refugees from South Sudan and the local communities hosting them

By Elissa Jobson

Refugees cross the Baro river
South Sudan refugees cross the Baro river, which is the border between South Sudan and Ethiopia. Crossing the river means that they have reached Burebiey entry point in Gambella, Ethiopia . ©UNICEF Ethiopia/2014/Sewunet

GAMBELA, ETHIOPIA, 27 JUNE 2014 – The swollen Baro river marks the border between Ethiopia and it western neighbour, South Sudan. It’s fast-flowing waters are all that stand between those fleeing the brutal civil war in their home country and safety in Gambella. Dotted along the banks on the South Sudanese side are men, women and children, clutching their meagre possessions, waiting to be transported across the muddy-brown waterway in white plastic canoes. With battered suitcases and woven baskets on their head, those refugees – dusty, exhausted and in need of food and water – who have successfully made the river-crossing trudge towards Burebiey and the UNHCR registration tent, half a kilometre away.

Deng Gatek spent three days waiting to cross the Baro as he tried to scrape together the 30 birr (USD$1.5) fee he needed to secure passage for himself, his wife and his four children. He silently fills his yellow plastic jerry can with crystal clear water from UNICEF’s EM-Wat (emergency water) facility.

“We walked through the bush with hyenas and snakes. Many bad things happened,” Mr Gatek recalls, weariness and relief etched on his face. He can’t remember how many days the journey took from his home in Walang, in Jonglei State, to the border. “It was difficult to find water on the way. When we arrived at the border we were able to drink the river water. The water from the tap is much better than the river water – there is no dirt in it. I can take clean water to my wife and children now. They are at the registration centre,” he adds, pointing to a clutch of tents in the distance.

WASH Gambella region South Sudanese refugees  reception centre
David Luk Both, himself a refugee from South Sudan, is in charge of the EM-Wat treatment plant. Here he tests quality of the water pumped out of the river before going through the process making it ready for drinking. 26, June 2014 Burbiey South Sudanese Refugees Reception Centre in Gambella, Ethiopia. ©UNICEF Ethiopia/2014/Ayene

David Luk Both, himself a refugee from South Sudan, is in charge of the EM-Wat treatment plant. Before the fighting broke out he had worked as a technician for MSF Holland for seven years. “The water is pumped from the river Baro into two 12,000 litre sedimentation tanks,” Mr Both explains. “The water sits in the tank until all the debris and mud has sunk to the bottom; aluminium sulphate is added to help the process. The pH of the water is tested to check the levels of acidity before it is pumped into a chlorination tank that kills all the bugs and germs in the water. It is then ready to drink.”

If needed, Mr Both and his team can provide up to 36,000 litres of clear water a day. “The refugees come all day to the taps. If I don’t treat the water they can’t drink it. I’m very happy because I’m helping my people,” he says.

Conflict prevention

More than 147,000 South Sudanese asylum seekers have arrived in Gambella since fighting erupted in Juba in December last year. This has placed a tremendous burden on local authorities which were already stretched – Gambella is one of the poorest regions in one of the most food insecure countries in the world, and was host to around 76,000 refugees from South Sudan before the current influx began.

Pel Puoch is head of the Water, Energy and Resources Office in Mokoey woreda (district). Nyien Nyang town, close to Leitchor refugee camp, is under his responsibility. “Before the provision of shallow wells in Leitchor camp, the refugees had started to use the water pumps in Nyien Nyang. This created a burden for the community,” Mr Puoch says. “UNICEF immediately understood the problem and increased its support to the wordea and the burden has been greatly reduced.”

This year UNICEF has installed 9 pumps in Nyien Nyang. There are 35 in total, serving a population of around 18,000, nearly half of which were constructed by UNICEF, including two at the local the hospital.

“The focus of all the NGOs and UN agencies has been on the refugees. At UNICEF, our focus is always on both the host community and the asylum seekers,” says Basazin Minda, WASH officer. “We identified the burden on the local services at an early stage and decided to increase the number of shallow wells in the area in order to create a balance between the host community and refugees.” He believes that the creation of the additional shallow wells and pumps has prevented potential conflicts over this precious resource between the indigenous community and the refugees they have provided sanctuary too.

A new lease of life

Mr Puoch has seen many benefits from the construction of water pumps in the heart of the community. “Having the pumps close to their homes means that the women will save time collecting water. Previously, when they had to go to a faraway pump they would not use the water for hygiene. But because they can access water in the local area at any time, sanitation has improved,” he insists.

“When the pumps were some distance away they would break often. Now they are close to the homes the community takes better care of them.

At Dobrar village, Nyarout Jok, a mother of four, uses the UNICEF water pump twice a day.
At Dobrar village, Nyarout Jok, a mother of four, uses the UNICEF water pump twice a day. It’s just 300m away from her home and fetching water now takes less than 20 minutes a day. ©UNICEF Ethiopia/2014/Ayene

At Dobrar village, Nyarout Jok, a mother of four, uses the UNICEF water pump twice a day. It’s just 300m away from her home and fetching water now takes less than 20 minutes a day. Before the tap was installed she had to walk over a kilometre each way to the nearest water source, which took at least an hour. “I use the extra time to grind flour and take care of my children,” she says. “I have also returned to education. I’m a grade 5 student.”

So why did she decide to go back to school? “I need to do my own job,” she says. “I will be able to earn my own income and I will become more confident. I want to be either a doctor or an engineer.”

Click here for latest update on South Sudan refugees status in Ethiopia.

Education in adversity: South Sudanese refugee children insist on their right to attend school

By Elissa Jobson

Child protection Kule Refugee camp  1 and 2
Crowd of around 100 children, some as young as 6 or 7 years of age, who have gathered outside the chicken-wire fence of the school compound in Kule refugee camp demand to be allowed onto the school’s premise 23, June 2014 Kule South Sudanese refugee camp Gambella Ethiopia. ©UNICEF Ethiopia/2014/Ayene

GAMBELLA, ETHIOPIA, 25 JUNE 2014 – “School is good for the boy and the girl,” sings ten-year old Nyanget Tohok, her voice, cutting through the midday humidity, rings out clean and clear. “SCHOOL IS GOOD FOR THE BOY AND THE GIRL,” chorus the crowd of around 100 children, some as young as 6 or 7 years of age, who have gathered outside the chicken-wire fence of the school compound in Kule refugee camp.

They have not come for lessons. They are not there to collect their schoolbooks. They are there to demand their right to an education. “We are singing for school,” says Nyanget. “We need to learn but there is no space.” The school only has room for 1,200 children but more than 6,000 students registered and are waiting to enrol when the space allows. The exiting places were allocated on a first come, first served basis.

“When we don’t come to school we cannot be happy. We have seen our friends coming to school but we are not given a chance to learn,” laments Majiok Yien, aged 9. This young boy wants to be an English teacher but his dream has been violently interrupted by the civil war raging in South Sudan, which forced him and his family to seek refuge in Ethiopia.

On land provided by UNHCR and the Ethiopian Administration for Refugees and Returnees Affairs (ARRA), four 6m x 4m classrooms have been built by Save the Children with vital support from UNICEF. The school operates two shifts: one in the morning from 8am to 12pm and a second from 1.30pm-5.30pm. The class sizes are huge – 150 children each – and the whole curriculum is being taught by just 10 teachers, all recruited from the refugee community.

Returning to normality

Education
South Sudan Refugee Students attend a class in a makeshift classroom 25, June 2014 Kule South Sudanese refugee camp Gambella Ethiopia. ©UNICEF Ethiopia/2014/Ayene

“School is important for the children. When they are in school they forget what they have seen in the war. School is the first priority to help remind them of normal life,” explains School Director Lam Chuoth Gach, himself an exile from South Sudan’s bloody conflict. The students have been through a terrible ordeal, he adds. They have seen people – for some their parents and siblings – killed directly in front of them. They remember the sounds of the bullets and the long, arduous journey to safety in Gambella. “When we started classes it was difficult to bring their attention to the teaching but now they are listening,” Mr Gach continues. “That is why are worried about the children who are not yet in school.”

Jael Shisanya, Education Adviser for Save the Children feels that the teachers are doing a good job under extremely difficult circumstances. “They are lesson planning and they have written a timetable but the challenge we have is that the numbers of students are overwhelming. We don’t have adequate space,” she says pointing to the four tents made of wooden poles and plastic sheeting that serve as classrooms. Early childhood education is taking place under a tree which doubles as a church on Sundays, Ms Shisanya says, but if classes are to continue during the imminent rainy season a more suitable location will have to be found. “Funding is an issue. We could do much more. We could build better structures. But we need more money for education,” she insists.

“The children are eager to learn and the community itself is yearning for school. ‘We can look for food but we can’t easily get education for our children,’ the parents tell me. They don’t want their children to forget what they have learnt,” Ms Shisanya says.

Adolescents not catered for

Education
14 year old Buya Gatbel. He is one of the lucky few who have secured a coveted place in a makeshift classroom in Kule South Sudanese refugee camp Gambella Ethiopia, 25 June 2014 . ©UNICEF Ethiopia/2014/Ayene

For the children themselves, education is a lifestyle, an essential part of their weekly routine. “I need to go to school. On Sunday I must go to church and on Monday I must go to school,” asserts 14 year old Buya Gatbel. He is one of the lucky few who have secured a coveted place. Buya is happy to be in school but he wishes that the situation was better. “There are no desks. The classroom is very small. We need pens, uniforms, bags and umbrellas for when it rains. There are no exercise books or text books and many children are outside. You need to build more schools, and build a library,” he says.

Currently the school is only teaching grades one to four. “I’m studying grade four but it is not really my grade,” Buya explains – in South Sudan he was in grade eight. His best friend, Changkuoth Chot, aged 18, is in the same boat. “I want to go to grade eight but it is better to be in grade four than to not be in school,” he says.

Ms Shisanya is particularly concerned about those adolescents that are not currently in education: “Teenagers are saying they are so depressed. There is no work.” There is no school.” Tezra Masini, Chief of the UNICEF Field Office in Gambella, is also worried. “Donors are more interested in providing education for younger children but it is protection issue for the older ones. If we don’t provide them with school they may go back to South Sudan to fight.”

Dech Khoat, age 19, bears these fears out. He joined the rebel White Army when the conflict began in December last year. “I’ve come for a rest from the fighting,” he says. In the future I will go back but if I can continue my education I will stay in the camp.”

Click here for latest update on South Sudan refugees status in Ethiopia.