South Sudan: Acute Malnutrition Situation January - April 2020 and Projection for May - August 2020
01.01.2020 > 31.08.2020
January - April 2020 
May - August 2020 



& next steps


DISCLAIMER: please note that this IPC Acute Malnutrition analysis was integrated with an IPC Acute Food Insecurity analysis referring to the same period. Please click here.

How Severe, How Many and When – A total of 1.3 million children under five years are expected to suffer from acute malnutrition in 2020 based on the results of the food security and nutrition monitoring system, SMART nutrition surveys and admission trends for 2019. The estimation of the caseload was based on the peak lean season data that provide higher caseload for better informed response planning. Furthermore, new incidence factor of 2.9 and total malnutrition (both MUAC and WHZ) were used as opposed to incidence factor of 2.6 and prevalence based on WHZ only.

Where – In January 2020, 48 counties are classified as Serious (IPC Acute Malnutrition Phase 3 and above): Uror, Nyirol, Duk, Akobo, Fangak, Canal Pigi, Bor South, and Ayod (Jonglei State), Longochuk, Luakpiny/Nasir, Melut, Ulang, Melut (Upper Nile State), Leer, Panyijiar, (Unity State), Gogrial East, Gogrial West, Twic (Warrap State). Budi, Kapoeta North (Eastern Equatoria state) and Aweil South (Northern Bahr el Ghazal state) are classified as Critical (IPC Acute Malnutrition Phase 4). There are 20 more counties classified as Critical (IPC Acute Malnutrition Phase 4) in the 2020 post-harvest season, as compared to 12 in the same period in 2019. Improvements in the nutrition situation within the country were varied. While counties in most states, particularly Western Bahr el Ghazal and Western Equatoria, have shown substantial seasonal improvement in malnutrition, high malnutrition levels have remained Jonglei and Upper Nile states.

Why – The major factors contributing to acute malnutrition include very poor quality and diversity of food (Minimum Acceptable Diet: 5%, Minimum dietary diversity: 17%) and an unexpectedly high prevalence of diseases (above 50%). The high morbidity rate is attributed to flooding that has worsened the spread of malaria and unsafe drinking water. Over 50% of the counties affected by flooding, show critical levels of acute malnutrition (IPC Acute Malnutrition Phase 4). Elevated levels of acute food insecurity (IPC Acute Malnutrition Phase 3 and above) also contributed to acute malnutrition in some counties. Outbreaks of measles in some counties, such as Budi and Aweil South, also had an impact on the nutrition situation in these counties.

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