Saving Lives.. Protecting Health South Darfur state Emergency Profile 1st Edition 2014 South Darfur ESP 1 South Darfur State Administrative Map 2 South Darfur ESP Table of Contents 1. Executive Summary............................................................................................................... 7 1.a Context................................................................................................................................................................................7 1.b Risk Profile.........................................................................................................................................................................7 1.c Priority Needs..................................................................................................................................................................8 2. Hazard Profile.......................................................................................................................... 9 2.a Major Hazards..................................................................................................................................................................9 2.b Impacts of past disasters:......................................................................................................................................10 2.c Current Situation:.......................................................................................................................................................12 3. Public Health Profile............................................................................................................ 13 3.a Epidemiological Profile: prevalent diseases and their seasonal peak........................................13 3.b Leading causes of morbidity and mortality..............................................................................................13 3.c Health Services and Selected Public Health Indicators......................................................................14 3.d Environmental health.............................................................................................................................................17 3.e Administrative structure of health system & level of care................................................................21 3.f Major Challenges Face Darfur and SD in particular ............................................................................22 4. EPR structure, Policies, and Public Health Guidelines................................................... 23 4.a Operational structure of state disaster management system........................................................23 4.b Policies available........................................................................................................................................................23 4.c Public health guidelines........................................................................................................................................23 4.d Emergency Preparedness and Response plan, program..................................................................23 5. Health Sector Partners Existing in the State................................................................... 24 5.a National Entities..........................................................................................................................................................24 5.b International / UN Agencies...............................................................................................................................24 5.c National and International NGOs.....................................................................................................................24 5.d Private Sector...............................................................................................................................................................24 6. EPR Contacts / Focal Points ................................................................................................ 25 7. References............................................................................................................................. 26 7.a National Links...............................................................................................................................................................26 7.b Other References ......................................................................................................................................................26 Annexes...................................................................................................................................... 27 1.General State Information........................................................................................................................................27 2. Economic Situation.....................................................................................................................................................30 3. Basic Education..............................................................................................................................................................32 4. Demography...................................................................................................................................................................33 South Darfur ESP 3 ABBREVIATIONS AWD CBS CFR ECP EHA EPR ESP FHC FHU FMoH HIV IDPs NGOs PHC SD SHHS SMoH WES YF 4 Acute Watery Diarrhea Central Bureau of Statistics Case fatality Rate Emergency Country Profile Emergency and Humanitarian Action Emergency Preparedness and Response Emergency State Profile Family Health Centre Family Health Unit Federal Ministry of Health Human Immunodeficiency Virus Internally Displaced Persons Non Governmental Organizations Primary health Care South Darfur Sudan Household Health Survey State Ministry of Health Water and Sanitation Project Yellow Fever South Darfur ESP ACKNOWLEDGEMENT This version of the South Darfur-Emergency State Profile (ESP) is the output of participations of several individuals from: the Emergency Department, FMoH Sudan, South Darfur SMoH Emergency personnel, and other health partners such as WHO and Civil Defense. The data has been collected and written by Dr. Mahmoud Ali. The maps have been generated by Mr. Wael Alsir (GIS specialist, EHA). The first draft is reviewed and updated by Dr. Mahmoud Ali (Head of Information Unit, EHA). The final draft is reviewed by Mrs. Somia Okoued (EHA Director, FMoH). South Darfur ESP 5 PROCESS This document has been prepared through the following processes: -The Information section at National EHA Department has compiled the information and data using the original Sudan-ECP template. -The template has then been tailored to state context and the information was verified and completed by a visit to the South Darfur State. -The first draft has been circulated to the SMoH and the FMoH, Sudan to review and correct the data. -The final draft has then been submitted to FMoH for final approval and the endorsement has been done in a workshop attended by Directors General of SMoH and State EHA Coordinators. N.B This document is a living document and the state has to update it regularly (at least annually) and/or as soon as new source of information becomes available and/or the situation evolves in the state. 6 South Darfur ESP 1. Executive Summary 1.a Context Darfur, which means land of the Fur, has faced many years of tensions.The crisis in Darfur began in February 2003, when two rebel groups emerged to challenge the National Congress Party (NCP) government in Darfur. The crisis in western Sudan has led to a major humanitarian disaster with more than 200,000 people is estimated as displaced(1). South Darfur state is witnessing a recurrent and ongoing conflict whether tribal or between government and rebel groups. Therefore, security concerns are hindering the development process. Currently, the state has been divided into South and East Darfur states. 1.b Risk Profile 1- Health risks: According to data of SHHS 2010 for South Darfur, the infant mortality rate is 74 per 1,000 live births and the under-five mortality rate is 95 per 1,000 live births. These high rates are partly attributed to poverty, lack of services, inaccessibility, insecurity and bad hygiene practices such as: open defecation; improper use and maintenance of latrines; lack of hand washing; and unhygienic water collection, water storage, food storage and food preparation(2). 2- Water-related risks There is a concentration of risks relating to lack of access to improved drinking water, according to the 2008 Census, only 52.1% of South Darfur’s population had access to improved drinking water whilst 44.1% had access to improved sanitation. Also find many of these resources are located a way from major population centre, however, or pose other serious access challenge It is also worth noting that among risks relating to shortfalls in basic services (water, health and education). In fact, the main constraint in accessing water often lies in poor technology and lack of awareness of best practices, rather than the scarcity of water as such. Water related risks are the most often cited in the state, which mirrors the high priority afforded water and sanitation by the State Government. 3- Education-related risks In Conflict-affected community, education offer additional promise as a vehicle to instil peacebuilding and reconciliation in younger generation.Give the extensive challenges facing Darfur; millions of Darfurians are currently living new, mostly, urban environments that differ significantly from their areas of origin. And many displaced people are likely to remain in urban areas, and therefore it is critical to improve them with the skills needed to thrive, but there is a concentration of risks relating mainly to lack of education infrastructure (most often no or insufficient school buildings), lack of resources in schools (teachers and materials) and lack of access to education in many areas in the state. (1) HAC and UN work plan handbook, 2014. (2) SHHS, 2010. South Darfur ESP 7 4- Livelihood-related risks Livelihood – the activities by which people make their living – are undergoing a substantial shift in Darfur. The consequence of profound change in demographic and the environment, as well as conflict-related devastation is considerably high. Darfur in broad term is unlikely to be fully emerged outof crisis implications. Strengthening livelihood poses an acute challenge; given Darfur’s rapid population growth, urbanization and environmental degradation, in addition to high unemployment, often as a result of high illiteracy particularly among youth, lack of skills and work experience, ultimately resulting in internal or external migration. 1.c Priority Needs Table (1): State Priorities: Issues Priorities The institutional building Building and Reconstruction health facilities Providing basic equipment to health facilities Capacity building Trained health cadre in state ( doctor, public health officer, nurse, midwife) Promote the use of information technology Providing basic equipment statistic office for health facilities Development of mechanisms of scientific research establishment of the Academy of Health Sciences Establishment of a center of training and continuing professional development Protracted conflicts Continuous influx of IDPs into Camps and especial attention should be given to set up integrated services 8 South Darfur ESP 2. Hazard Profile 2.a Major Hazards Table (2): Hazard Trend and its Potential Scale Hazard trend Vulnerability(Risk\impact) Potential scale Disease outbreak Increase in mortality and morbidity Flood Loss of assets and property damage AWD, 2006 Cases 613, Death 183 YF 2012 Cases 81, deaths 27, CFR33.3 Acute jaundice syndrome, NA 4980 HHs* Agriculture hazard Crop damage, Food shortage, malnutrition NA Tribal conflict Loss of assets, displacement 174,571 IDPs in 2013 52,090 IDPs in 20141 Fire Loss of belongings 50 HHs (2008) Dispute between farmers and pastoralists damage to plantations and over lack of water and land access , NA Unexploded ordinance Block access to vital roads, water resources, farming and pasture. Increase mortality, morbidity as well as disability The lack of integrating infrastructure NA Social integration is physically impossible All over the state * Rainy Season Report, EHA, FMoH, 2013 Figure (1): Seasonality of major past events – South Darfur J F M A M J J A S O N D J F M A M J J A S O N D J F M A M J J A S O N D Meningitis Cholera Flood South Darfur ESP 9 2.b Impacts of past disasters: In addition to the number of incidents of inter/intra tribal conflicts in the state and the side effect of this phenomena in term of mass displacement and its consequences, the major disasters the state is facing are floods and disease outbreaks. Figure (2): Impact of Fire and Drowning for 4 consecutive years Figure (3): Impact of Flood for 3 consecutive years 10 South Darfur ESP Figure (4): Settlements Threatened by Flood, 2014 South Darfur ESP 11 2.c Current Situation: South Darfur state is bordering new south Sudan country. This situation might lead to potential conflicts because there are returnees from north to south and has a numerous IDPs’ camps. Furthermore, it is an areaprone to disasters such as pests and diseases’ outbreaks as well as heavy rains which cause flooding. These hazards collectively lead to loss of human lives and damage to health infrastructure. The ongoing conflicts between Government of Sudan and the rebel groups result in mass displacement all over the state in addition to the destructive impacts on social and economic development. On top of that, individual events inside and outside Nyala, such as looting and hijacking of cars are still affecting the security situation. 12 South Darfur ESP 3. Public Health Profile 3.a Epidemiological Profile: prevalent diseases and their seasonal peak South Darfur State is one of the states have been affected by conflictssince 2003 and had a numerous IDPs’ camps in it which enhance the spread of communicable diseases. Additionally, the state is characterized by high temperatures and heavy rainfalls that made the population face the threats of communicable diseases including food and waterborne diseases: bacterial and protozoal diarrhea, Leishmaniasis, Schistosomiasis, and Acute jaundice syndrome type (E) with high prevalence of malaria. Also, there is an existence of AWD and Yellow fever outbreaks. Figure (5): Major Communicable Diseases’ Frequencies at HFs, 2009-2011 3.b Leading causes of morbidity and mortality The main causes of morbidity and mortality in the state are parasitic diseases such as malaria and Schistosomiasis. Also diarrheal diseases, Goitre, , Acute jaundice and other diseases. Also natural disasters represented challenges facing Darfur population. This disaster and population displacement further accentuates the high mortality and morbidity rates. South Darfur ESP 13 3.c Health Services and Selected Public Health Indicators Table (3): Health Facilities by Locality locality FHU FHC RH Mob. Clinic Al salam 14 7 1 0 Alwehda 4 0 0 0 Belil 16 12 0 1 Buram 15 0 1 0 Demsu 7 2 0 0 Ed el Fursan 12 2 1 0 Girayda 11 6 1 2 Kass 19 2 1 2 Katayla 11 1 1 0 Kubbum 11 1 1 0 Mershieng 11 4 0 0 Natiqa 4 1 0 0 Nyala 2 11 0 1 Radum 28 1 0 0 Rahad el Berdi 16 0 1 0 Sharq Gebel Marra 10 2 0 0 Shattai 7 0 0 0 Suntah 19 2 0 0 Tullus 4 1 1 0 Umm Dafog 4 1 0 0 Total 225 56 9 6 Source: Ministry of Health, SD, 2014 14 South Darfur ESP Figure (6): Health Facility Distribution in SD, 2014 South Darfur ESP 15 Table (4): The estimated status of some selected indicators as in 2008 and 2010 Indicator Estimated Status Source Crude Birth Rate 26.45 CBS Analytical Report SD, 2008 Crude death Rate 24.1 CBS Analytical Report SD, 2008 Under-five mortality rate (per 1000live births) 95 Child mortality rate(per 1000 live) 23 SHHS,2010 Infant mortality rate (per 1000 live births) 74 SHHS.2010 Underweight Prevalence (Severe) 10.6% SHHS.2010 36.6% SHHS,2010 14.0% SHHS,2010 2.55% SHHS,2010 Children between the age of 12 and 23 months currently vaccinated against 34.1% childhood diseases (DPT1-3, OPV-1-3, BCG and measles) SHHS,2010 Use of improved source of drinking water 69.4% SHHS,2010 Mean time to source of drinking water inc. return (minutes) 40 SHHS,2010 Use of Improved Sanitation Facilities 5.0% SHHS,2010 Percentage of children of primary school entry age entering grade 1 31.9% SHHS,2010 Primary School Completion Rate 55.1% SHHS,2010 Child births registered 33.0% SHHS,2010 Maternal Mortality (per 100,000) 335 SHHS,2010 Prevalent Diseases Meningitis Measles Diarrheal disease Goitre Schistosomiasis Acute jaundice Syndrome Epidemiology Department (SD, SMoH) AWD 2006 Epidemiology Department (SD, SMoH) Yellow Fever 2012 Final Report of YF, FMoH, 2012 Stunting Prevalence (Moderate and Severe) Wasting Prevalence (Moderate and Severe) Prevalence of Severe Acute Malnutrition Recent Outbreaks 16 South Darfur ESP SHHS, 2010 Health Personnel / Service Table (5): Health Personnel /Service Indicator Rate Population: Specialists 0.5 per 100 000 population Population: Hospital Bed 1097 Bed Number of Registered Medical Doctors 3.0 per 100 000 population Number of Registered Nurses 10.3 per 100 000 population Number of Registered mid wives 29.6 per 100 000 population Source: Annual Health Statistics Report, FMOH-2011 3.d Environmental health Water and Sanitation Water and sanitation systems in the country as whole is poor (less than 50% of population has access to piped water and chlorination remains inconsistent due to resource constraints), high burden and outbreaks of water borne diseases are expected and do continue to occur. Water is an essential need both for people’s direct survival and associated benefits in sanitation, health and other critical area. Humanitarian agencies and government partners have made considerable strides in ensuring access in recent years – including WASH sector effort that facilitated access to an improved water supply for over 800,000 people in 2009. Despite these gains, Darfur remains behind many northern states in the proportion of people who use an improve water supply – a figure that improved to 69.4 percent in the South Darfur (SHHS, 2010). Durable access is a key component of the environmental challenge facing Darfur, and expanding access without sacrificing sustainability is critical. The data from the 2006 SHHS, the 2008 Census and the 2010 SHHS clearly show the impact of the Darfur emergency and humanitarian response (positive for SD). Access to improved water has improved to 69.4%, whilst access to improved sanitation has dramatically declined to be the least state in Sudan (only 5%. SHHS, 2010). When combining the 2 indicators as drinking water and sanitation ladder, the SD also remains the second least state in Sudan (only 5.3%. SHHS, 2010) An old data (before state being divided into South and East) revealed that, there were 2,237 hand pumps and 463 motorized pumps in South Darfur. The available functioning water sources are producing - after deducting animal consumption and water losses - about 55,831 m3 of water per day (rural 42,781 m3, urban: 13,050 m3), 2010. South Darfur ESP 17 Figure (7): Water Coverage by Litre per Person per Day, 2010 and 2011(1) Table (6): Safe Water Supply Situation in SD, 2010 Total Area Population Functioning Daily Production (m3/d) Functioning Daily Production (m3/d) Losses rural % Water available for human consumption (m3/d) Total Produ. HPs & Wys (m3/d) Average per capital consumption (l/cld) Rural 3,496,256 2,772 2,137 10,074 423 48,665 7 32,707 42,781 12.2 Urban 812,972 323 100 664 40 19,055 35 12,386 13,050 16 Total 4,309,228 3,095 2,237 10,738 463 67,720 45,092 55,831 12,9 HPs WYs/MWYs Remark: For Wys in rural 26% (average for the state) is the animal consumption (1) The table shows data before state is divided into South and East Darfur 18 South Darfur ESP Figure (8): Water Sources Distribution and Sanitation in SD, 2014 South Darfur ESP 19 Table (7): Sanitation Situation in SD, 2010 Area No. of HH No. of latrines HH Latrines coverage % No. of Schools No. of Sch with Latrines. Sch. Late. Coverage% Rural 582,709 137,437 24 1,204 254 21 Urban 135,497 93,050 69 342 108 32 Total 718,206 230,487 32 1,546 362 23 Sources: Ministry of Water Resources & Environment, 2010 Table (8): Percentage of Households Classified by Type of Toilet Facility Mode of living Pit latrine private Pit latrine shared Flush toilet Flush toilet privet shared Bucket toilet No toilet facility Not reported Tatal 25.8 13.7 1.1 0.6 0.2 58.3 0.5 Urban 51.3 31.6 4.1 2.7 0.0 9.9 0.4 Rural 27.6 12.8 0.3 0.0 0.1 58.9 0.2 Nomade 1.3 1.0 0.1 0.0 0.4 96.0 1.1 Source: CBS Analytical Report of South Darfur, 2008 Figure (9): Households’ without Latrines in IDPs’ Camps, SD, 2014 Source: State Water Corporation, Water Environmental Sanitation Project WES – and UNICEF- Nyala, 2014 20 South Darfur ESP Figure (10): Water and Sanitation Coverage in IDPs’ Camps, SD, 2014 Source: State Water Corporation Water Environmental Sanitation Project WES – and UNICEF- Nyala, 2014 3.e Administrative structure of health system & level of care The two-layer health system is comprised of State Ministry of Health (SMoH) and Locality Health Management Authorities. However, this system is not fully functional. SMoH is responsible for adopting and implementing policy, strategic and detailed health planning, and programming and project formulation. This level also has direct responsibility to organize and supervise the health services in the state and support local health authorities. A local health authority is based on locality/county health system approach, which emphasizes the primary health care. However, there is a dichotomy in the administration of health services at locality level. The lower level health facilities, i.e. Family Health Units (dressing stations, dispensaries) and Family Health Centers are the management responsibility of the locality, while technically being under SMoH. The rural hospitals, on the other hand, are the responsibility of the SMoH(1). Table (11): Levels of care vs. Population Standard Level of Care Administrative Unit Health Facility Tertiary Level State Secondary Level State / Locality State Hospital / Specialized Hospital State/Rural hospital Primary / First Level Locality First Contact Administrative unit Urban FHC and rural FHC FHU Population Coverage in 1000 State’s Population 250 for SH 100 for RH - 50 for UFHC - 20 for RFHC 5 kilometres radius (1) ECP Sudan Document, 2010. South Darfur ESP 21 3.f Major Challenges Face Darfur and SD in particular • • • • • 22 Insecurity situation (lack of access, staff kidnapping & car hijacking). Insufficient progress in sanitation services compared with water supply services. Ground Water depletion & high fluoride concentration. Advocacy for grass root peace building & gender consideration. Sanitation (IDPs: lack of space and management/ Rural: awareness, community participation) South Darfur ESP 4. Emergency Preparedness & Response (EPR) Structure, Policies, and Public Health Guidelines 4.a Operational Structure of Disaster Management system At state level, the higher emergency committee, which is chaired by the governor (Wali) and membered by the Civil Defense (as secretariat) and state line ministries including SMoH, is responsible for coordinating disaster management efforts and mobilizing resources for response activities. On the other hand, the health emergency technical committee, which is chaired by the Director General of SMoH and membered by EHA department (Secretariat) and other SMoH’s departments, is responsible for coordinating health activities during emergencies. Similarly, the health emergency coordination committee is chaired by the Director General of SMoH, EHA as secretariat, and membership of health sector partners. This committee is effectively coordinating the fund raising and intersectorial activities among different health partners to guarantee efficiency and avoidance of duplication. 4.b Policies Available • Public Health Act, 2008 • IHR, 2005 • National Emergency Policy • National Health Sector Strategic Plan (2012-2016) • EHA Policy, 2014 • Health Emergency and Disaster Risk Management Strategy for Sudan (2013- 2016) 4.c Public Health Guidelines • National Guidelines for Rainy Season Emergency Preparedness & Response Planning • Emergency Information Management Guidelines and SOPs • Environmental Health Guidelines During Emergency • Nutrition Guidelines During Emergency • Others: - WHO Emergency Guidelines - Sphere Standards 4.d Emergency Preparedness and Response Plan, Program • Federal & States’ Annual EHA Plan • Federal & States’ Rainy Season Preparedness Plan • National Health Emergency Response Plan, 2014 • Hospital Disaster Plans • Health Partners Related-EPR Plans, WHO, UNICEF… • Community Preparedness Program, SRCS South Darfur ESP 23 5. Health Sector Partners Existing in the State 5.a National Entities Civil defence, HAC, Ministry of Infrastructure, Public Water Corporation, WES, Local authority (commission), CBS, Meteorological Authority, Ministry of Agri. and Irrigation. 5.b International / UN Agencies UNICEF, WHO, UNFPA, UNDP, WFP 5.c National and International NGOs SCRC, GOAL, Mubadiroon, World Vision, HEAR 5.d Private Sector Private sector has a limited role at state level. 24 South Darfur ESP 6. EPR Contacts / Focal Points Name Function Institution Phone (mobile) Email Khalid Mohammed EHA Coordinator SMOH Southern Darfur WHO, Nyala (+249) 123390460 [email protected] (+249) 9 121 74692 [email protected] Mohammed Salim Health Cluster Khan Coordinator Badereldeen Elsharif Officer WHO, Nyala (+249) 91 2179635 [email protected] Osman Mohammed Health Coordinator (+249) 912471641 osmanmohammed133@ gmail.com Elsadig Health Coordinator (+249) 9 11618592 - Mohammed abdelnbi Emergency Coordinator (+249) 9 12894800 msfocb-khartoum-med@ brussels.msf.org Fuad Yusuf - ARC Southern Darfur WVI Southern Darfur MSF-B Southern Darfur CIS Southern Darfur (+249) 9 12270169 - EzzanSaeed Kuna Health Coordinator (+249) 9 12177941 [email protected] Ali Margani Epidemiology Department UNICEF Southern Darfur SMoH Southern Darfur SMoH Southern Darfur Southern Darfur (+249) 123390021 [email protected] (+249) 9 12958639 - (+249) 12855703 - Mohammed Omer PHC Department Mustafa Mohammed WES Ashraf Ahmed Medical coordinator Southern Darfur (+249) 9 18239701 [email protected] Mohamed Elnoor Doctor UNFPA Southern Darfur (249)918292000 [email protected] South Darfur ESP 25 7. References 7.a National Links FMoH, SMoH, HAC, MoAgri, Civil defence, Meteorology Authority, CBS 7.b Other References • State Water Corporation, Water Environmental Sanitation Project WES – Nyala • FAO south Darfur • Beyond emergency relief (longer – term trend and proprietary for UN agencies in Darfur) hand book. • www.unicef.org/infobycountry/sudan_darfuroverview.html • glpinc.org/Web.../An%20Overview%20of%20the%20Darfur%20Crisis.pdf 26 South Darfur ESP Annexes 1.General State Information 1.1 Geography: location, borders, capital, area South Darfur State is located in the far southwest of Sudan, Nyala is the capital of the state . It lies between 9.30 – 13 latitude North and 27,15 and 28,0 longitude East. It is one of the three Greater Darfur states. South Darfur State is delimited by North Darfur State in the north, Western Bahr Al-Gazal State in the south, South Kordofan State and West Kordofan State in the east, in the west West Darfur State in North-west the Central Darfur State and the Republic of Chad and the Republic of Central Africa in the southwest. Area: 27,300 kilometers square. Most important towns: Reheid Al-Berdi, Al-Daein, Ed Al-Fursan, Tulus and Nyala which is the capital of the State. The total area is 139.842 km2. 1.2 Administration: administrative divisions, governance Table (1): Localities and No. of Administrative units, 2012 Locality No. of Administrative Units Shiairyya 5 Niyala 4 Jabal-Marra East 1 Kass 2 Id-Alfursaan 6 Alssalam 3 Adeela 3 Tolus 3 Rihaid-Albirdi 4 Booram 8 Bahr-Alarab 3 Total 42 South Darfur ESP 27 1.3 Hydrology Water recourses in Darfur derive from rainfall or other surface resources and include two underground reserves: aquifers mostly in sandstones and the central “basement complex” which contain water trapped in rock formation. Resources from latter are more difficult to access. Water consumption was estimate at 500 million cubic meters per year in 2007well within projected availability. Many of these resources are located a way from major population center, however, or pose other serious access challenge. In fact, the main constraint in accessing water often lies in poor technology and lack of awareness of best practices, rather than the scarcity of water as such. In just one-two month period, for example, UNICEF estimate that several billion litres of water wear lost across Darfur due the absence of adequate harvesting technology. 1.4 Climate The environment in Darfur is facing a double assault from climate change and human impact. Climate change is the most visible in erratic rain level and associated increase in drought. Deforestation also constitutes as substantial threat, as darfuris have cleared forests as an alternative or supplementary livelihood strategy. state Located in the tropical region where there is semi-desert climate in the north, poor savannah in the middle, and rich savannah in the south and the Mediterranean climate in the highlands of the Jebel Marra 28 South Darfur ESP Figure (1): Average Rainfall by Locality in SD South Darfur ESP 29 2. Economic Situation Participation in economic activity helps an individual to improve his/her well-being. The economically active person comprise of all person who either wear working or actively looking for employment. The proportion looking for work would provide the unemployment rate but the census does not provide enough details that are required for the computation of unemployment rate. It requires probing question to establish whether those people who were looking for work during the census period had neither a job nor an enterprise. The state is characterized` by large numbers of livestock, primarily cattle, sheep, goats, camels and horses. The total number of livestock is estimated at 15 million and expected to reach 17.28 million by 2015. Armed conflict caused significant population displacement and hence more than 200,000 (HAC) internally displaced persons (IDPs) are living in camps and/or with other rural/urban hosting communities. This situation has resulted in serious deterioration of basic services Figure (2): Household Classification by Main Source of Livelihoods Source: CBS, Analytical Report SD, 2008 30 South Darfur ESP Figure (3): SD Infrastructure Map South Darfur ESP 31 3. Basic Education Education represents a profound investment in the future of any society, enabling student to realize their ambitions and confront adversity. In conflict-affective community, education offer additional promise as a vehicle to instil peacebuliding and reconciliation in younger generation. Give the extensive challenges facing Darfur, education is a key strategy for bolstering the human capital required to move the region out of crisis and toward longer term sustainability. In addition to support learning, school play a critical role in safeguarding child protection by offering safe, friendly space that promote young people holistic development with proper resources and management, school can also provided a minimum package of critical services – in water, sanitation, health and nutrition also arise awareness of environmental degradation and how to address it. Finally, education represents a major priority for state government. Under current condition, Sudan will not achieve the millennium development goal of universal primary education before 2015. In Darfur, the situation is even more concerning, as the region demonstrate serious deficits in education access and quality, despite some gain in primary enrolment in tow Darfur state, the primary gross enrolment ratio remain significantly below the northern Sudan of 72 percent: 67 percent in north Darfur today and, according to an earlier survey, 59.4 percent in southern Darfur west Darfur currently estimate 88 percent GER however which may be more result of counting irregularities than genuine enrolment increase. These figures can be taken as barometers of the current education situation in Darfur and clearly indicate that availability of primary education is insufficient. As a result an unacceptable number of children are left out of primary school on primary school. to be most effective education must respond to the needs of an evolving society – one where people livelihood opportunities are undergoing considerable change. Secondary schooling and vocational training are important strategy for managing such change; in addition, education efforts should also promote easier access to alternative learning – especially in basic literacy and numeracy – for people of any age who are unable to attend school(1). Table (2): Percentage of Population by Educational Attainment Education Attainment Without education attainment Below primary Primary Intermediate Secondary Post secondary diploma University first degree Post graduate diploma Master degree PHD Khalwa Not stated Source: CBS, Analytical Report SD, 2008 (1) Ministry of Education, South Darfur. 32 South Darfur ESP Both Sex 5.05 51.72 11.02 3.54 7.57 0.48 2.05 0.16 0.11 0.07 12.07 6.15 Males 2.94 29.28 6.64 2.30 4.51 0.28 1.30 0.09 0.08 0.06 8.82 3.51 Females 2.11 22.44 4.38 1.24 3.06 0.20 0.75 0.07 0.02 0.02 3.25 2.64 Table (3): Number of Primary Students: Mode of School Governmental School Special School Boys 243647 45250 Girls 180957 42650 Total 424604 87.900 Source: CBS, Analytical Report SD, 2008 Table (4): Number of Secondary Students by Sex: Mode of School Governmental School Special School Boys 35221 6700 Girls 21240 3446 Total 56461 10146 Source: CBS, Analytical Report SD, 2008 4. Demography Without great attention to population issue the challenges facing Darfur are likely to become even more serious as growing number of people complete for dwindling resources in the context of failing environment and ineffective governance in many ways the recent conflict represent the outcome of such scenario and Darfur must act quickly to adapt to demographic change if it ever hopes to emerge the current crisis without such adaptation Darfur runs substantial risk of facing chronic challenge that will jeopardize its sustainability will planning for the longer term all actors should fully consider the impact demographic shifts in the area and seek to identify activities that will encourage positive adaptation to recent change these change are principally visible in three area population growth the youth bulge and urbanization(1). The total population is 4.31 million (in 2010 before division) that is expected to reach 4.90 million by 2015 (using 2.6% official growth rate). Of the total state population, 56% of people are rural, 22% are urban and 22% are nomadic. Most of the population is agro-pastoralists Table (5): Population by Locality (2008)(2) Localities All Ages Shiairyya Niyala Jabal-Marra East Kass Id-Alfursaan Alssalam Aldiain Adeela Tolus Rihaid-Albirdi Booram Bahr-Alarab Total 266826 629971 11953 252563 522649 181192 400264 344080 412979 266023 497383 307711 4093594 Sex Female 126467 310441 5502 120631 253273 89094 181078 158784 171107 129099 240267 144316 1936059 Male 140359 319530 6451 131932 269376 92098 219186 185296 235872 136924 257116 163395 2157535 (1) Beyond emergency relief (longer – term trend and proprietary for UN agencies in Darfur). (2) Includes East Darfur Population South Darfur ESP 33 Figure (4): Population Distribution by Age Group, SD 34 South Darfur ESP Figure (5): SD Land Use Map, 2014 South Darfur ESP 35
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