While some are Sudanese refugees, approximately 91% of the new arrivals are South Sudanese returnees, making them ineligible for international refugee programs. Nonprofits like Action Against Hunger are helping the government screen and treat these returnees at transit stations designed for temporary stays. However, without an adequate road or rail system, most destinations can only be reached by airlift or river transport, which is slow and costly. Funds are running out: in a July 26 press release, the United Nations warned that without an immediate $26 million, thousands of people will be stuck at temporary transit stations ill-equipped to care for them. 

"Most people in transit are single mothers with children. When the sun rises, they don't know how to start their day or how they will meet simple needs of food, water, and lodging. We are trying to help, but while people are arriving, funding isn't," said Sulaiman Ken Sesay, Action Against Hunger's Country Director for South Sudan. "Many are in shock since they never expected to find themselves in South Sudan. Some left as children and can name their home state, but not their village. They have no relatives where they are going, and they are worried about husbands and fathers left behind." 

People who have been resettled across South Sudan are increasing the need for local water, sanitation, and health services. In most markets, imported food is available but unaffordable amid rampant inflation. Both host communities and new arrivals look to groups like Action Against Hunger for emergency cash assistance and livelihood supports like seeds and tools for farming. Yet, climate change is putting this basic option out of reach, as changing weather patterns mean plants struggle to grow. The conflict also has stalled exports of South Sudanese oil through the port of Khartoum, weakening South Sudan's fragile economy and straining government coffers. Recent U.N. appeals have received less than one-third the funds needed.  

A looming health crisis 

Action Against Hunger is reporting a recent outbreak of measles on the border, and is transporting medicines from Juba and has set up an isolation tent to try to stop the spread. Measles can be deadly for malnourished children, a medical condition facing nearly 5,000 children in South Sudan. Water-borne diseases also are a concern as people drink from the river and the rainy season makes sanitation particularly difficult in crowded transit stations.  

"The already-strained healthcare system is breaking under the load. In the state of Warrap, for example, the only hospital for a population of approximately 2.6 million people is barely functioning as its main funding source, the Health Pool Fund, has ended its support. This situation has considerably constrained the ability to provide healthcare services, including doctors and essential drugs, to those in need," Sesay said. "Action Against Hunger is working to fill the gap, but it is incredibly difficult when humanitarian support is spread so thin." 

# # # 

About Action Against Hunger 

Action Against Hunger is a nonprofit leading a global movement to end hunger in our lifetimes. It innovates solutions, advocates for change, and reaches 28 million people every year with proven hunger prevention and treatment programs. As a nonprofit that works across 55 countries, its 8,990 dedicated staff members partner with communities to address the root causes of hunger, including climate change, conflict, inequity, and emergencies. It strives to create a world free from hunger, for everyone, for good.