Covid-19 worsens the already distressed state of ‘Persons with Disability’ in South Sudan

By Woja Emmanuel Wani and Viola Elias – AFF Cohort 3 fellows

South Sudan like other countries is battling to contain the spread of Covid-19 since the world youngest nation registered its first coronavirus case on April 5 2019 through a foreign national that travelled from the Netherlands via Ethiopia capital Addiss-Ababa and later to Juba.

For a country with 12 million people and with the poorest health infrastructure according to UN health reports, the situation of people living with disabilities could be way far devastating. 

According to the South Sudan Union of People with Disabilities, close to 11% of the population of South Sudan are probably or in fact affected by disabilities, representing over one million PwDs. Within camps for internally displaced persons (IDPs) alone, it is estimated that there are up to 250,000 PwDs.

According to members of civil society, since Covid-19 emergence, the status quo of PWDs has changed drastically, ranging from their socialization, rights, freedoms, among others. Many activists say the disease increased fear, stigmatization and has worsened the health conditions of people with disability. 

A 2013 UN report stated that out of the 15% of PWDs in South Sudan, 5.8% need to be provided with services. But this has not been the case for Sarah Andrua – a physically impaired orphan who lost both parents in early 2000s when she was 1.

The 20 year old University of Juba student says she finds it difficult to transport herself from home to school due to lack of mobility. 

“Before I came to Juba to live with my uncle, I had spent most of my childhood at the orphanage home in Nimule. Growing without my parents and with parental love was not something easy at all. At some point in my life, I moved from one relative’s house to another”

Sarah narrated her ideal to 211 Check. 

Sarah stressed that as a person with physical disability, she endured stigma from her own family and community members.

“We people with physical disabilities have our own challenges which include rejection by our families and communities but when covid-19 came, it became more difficult for us. As for my case, transportation has been my main challenge to extend I at some point, I was about to quit my studies. Imagine, I commute from Gudele Jebel Yausu residential area everyday to the campus in Hai Soura”

Sarah added.

The Bachelor Degree ‘Community Studies’ student added that she almost quit due to financial constraints caused by Covid-19.  

‘I wanted to quit my studies so that I could just stay home, but I then initiated a talk with the former manager of the orphanage center, who later encouraged me. He also continues to aid me with finances, so I can further my education. As we speak”

Sarah revealed.

Andrua who appeals for mobility assistance went on to encourage people with disability to never give up during hard pandemic season. 

Constitution on disability 

The World Health Organization in a 2013 report stated that Persons with Disabilities (PWDs) are approximately estimated to be 15% of the Population across South Sudan, with most disabilities acquired during the liberation period. 

The right to education for all citizens of South Sudan, regardless of disability or gender, is enshrined in article 29 of the Transitional Constitution. However PWDs have not been able to realise this human right, according to South Sudanese civil society activists. 

Despite the “Education for All” campaigns, access to education by PWDs is still limited in South Sudan and particularly children with disabilities are the most disadvantaged. 

Misinformation Vs Disability

According to health experts, COVID-19 has created unprecedented challenges to safety and security worldwide but most adversely on persons with disabilities.

In Juba, these challenges have been registered on the basis of Covid-19 information dissemination to the communities carried out by numerous national and international organizations, UN agencies and health authorities.

Distributing accurate and timely messages and countering the spread of misinformation is critical in the context of the COVID-19 pandemic but this has not been the case with the visually impaired persons in South Sudan, according to Mr. Ambrose Lobijo.

The 46 year old Gudele resident who is a virtually impaired stressed that his environment has been and continues to be flooded with Covid-19 misinformation and fake news. 

The father of three states that Covid-19 myths have even made him deny coronavirus vaccination, stressing that he was advised by his family members to never take the jab because it might worsen his already existing illness.

“For the last three years, I have been suffering from a disease that makes me fall down at least once or twice a month. My family thinks if I take the jab, it will affect my well-being further”

said Ambrose

But the World Health Organization (WHO) says people with underlying conditions such as cancer, asthma, and heart disease, among others can also be vaccinated.

However, Ambrose says his health complication has been examined severally but doctors failed to identify what exactly contributes to his unpredicted collapse occurrence that often happen.

“At first, I wanted to be vaccinated but my brother told me he heard on the radio that the vaccine is not for people who have mental problems. I consider myself mentally ill because sometimes fall on the road, in the markets or even in public taxi”

Ambrose added

When contacted for comment on the vaccine myths, Dr. John Romunu – Director for Preventive Health Services at the Ministry of Health disputes the claims, adding that the vaccine does not have any negative impact on the mental health of a person.

Dr. John, instead said only persons with internal heath disorders such as respiratory infections are advised to be examined before taking the jab.

“There has never been medical proof that people suffering from internal mental disabilities shouldn’t take the jabs. The instructions from WHO are clear, only persons with respiratory conditions may be the ones at risk if they get vaccinated. My message to people is that, any information out there regarding the vaccine without scientific defense is a lie and should be considered fake”

Said Romunu

Disability is a complex, diverse, and growing global concern. Doctors believe every person with a disability has unique features and requirements in their lives.

Article 25 of the UN Convention on the Rights of Persons with Disabilities reinforces the right of PwDs to achieve the highest possible standard of health and well-being without any form of discrimination based on disabilities.

The convention states that PwDs’ needs should not be ignored during an emergency lockdown – a provision which entitles them to safe and accessible formats for information on COVID-19, including the use of sign languages.

The convention also advocates for creation of an enabling environment for caregivers/peers/community members who can assist disabled persons by providing essential services.

It also calls for promotion of awareness and sensitization to health-care providers to provide equal opportunities, maintaining dignity and respect whenever a person with disability requires care in hospital.  

End..

COVID-19: Low vaccine uptake coupled with minimal adherence to preventive measures exposes South Sudan to second virus wave

As some countries around the globe fight to contain the outbreak of Covid-19 various waves, South Sudan remains vulnerable to more infections from the expected third wave of the coronavirus pandemic, according to health experts.

Recently, the Ministry of Health confirmed the presence of the Delta Covid-19 variant in South Sudan.

As part of the campaign to minimise the virus spread, the ministry says it has so far administered 56, 587 doses of the AstraZeneca vaccine from both the first and second consignments that the country received from the UK based COVAX facility.  

The health institution, however, stressed that at least 4 percent of the 60,000 AstraZeneca vaccines that the country received from the Covax Facility in April this year were wasted. 

According to the World Health Organization (WHO), South Sudan is expecting to get its third batch of the vaccine in early August – this is after the second AstraZeneca vaccine consignment expired on July 18. The health ministry recently said it has stopped administering the remainder of the expired AstraZeneca vaccines.

In various interviews with 211 Check last week, health experts revealed that there has been low uptake of the vaccine, attributing the occurrence to expiration concerns, logistical challenges and vaccine misinformation.

The tendency, according to health authorities, constitutes a danger to the population especially, since there has been an upsurge in the cases of the Delta variant across the region.

Dr. John Romunu – Director General for Preventive Health Services at the Ministry of Health encourages South Sudanese to participate collectively in the reduction of the virus spread, in order to mitigate the third wave and new variant.

“The vaccines are the safer preventive measure for Covid-19 but the low number of doses South Sudan receives from the world in terms of donation, coupled with the public reluctance of citizens to take the vaccine creates more danger for the population.

“Humbly, we [Ministry] encourage people to continue following all the recommended Covid-19 preventive measures, to avoid more transmissions of the virus,” said Romunu.

Dr. Romunu went on to appeal to members of the public to adhere to all preventive measures.

Threats associated with the Delta Variant

In Mid-July, South Sudan confirmed its first case of the highly contagious Delta Variant.  

According to the US Center for Disease Control and Prevention, the Delta is the name for the B.1.617.2 Variant, a SARS-CoV-2 mutation that originally surfaced in India.

The first Delta case was identified in December 2020, and the strain spread rapidly, soon becoming the dominant strain of the virus in India and then Great Britain.

As per health experts, the symptoms are similar to those seen with the original coronavirus strain and other variants, including a persistent cough, headache, fever, and sore throat.

The late July confirmation of two more cases of Delta Variants in South Sudan means the country so far has three cases of the new coronavirus variant. 

Dr Joseph Francis Wamala, a senior epidemiologist at the WHO South Sudan office says countries across the world still continue to report an upsurge on Covid-19 related deaths despite massive vaccination actions, which so far have translated to 3.4 billion administered doses globally.

“What is significant for this period is the fact that even after having effective vaccines, we continue to get very high numbers of deaths that continue to be reported among vulnerable groups”. 

Dr. Wamala warns that there are no indications for the pandemic coming to an end, as more cases continue to be reported at the global level.

He added that the global shortage of vaccines poses another serious threat to countries in dire need to vaccinate their most vulnerable populations. 

The UN health expert stressed that the new worry is the effectiveness of the current vaccine which has been reduced by the new variant.

“Some of the gaps that are really worrying include the global shortage of vaccines. Only a quarter of the global population is being vaccinated and most of the vaccinated are in a few high- and upper-income countries.

“And the reason to worry is that the new variant has actually minimised the effectiveness of the vaccines that we have,” Wamala said.

Dr. Wamala encourages governments to do readiness assessments and ensure that they have enough contingency measures such as adequate oxygen in their health facilities.

As of July 30, South Sudan had recorded 11,049 cumulative cases of Covid-19, with 118 deaths and 10, 099 recoveries.

The good news for South Sudan is that according to the Ministry of Health, the COVAX facility is said to have approved 732, 000 AstraZeneca doses for the world’s youngest nation. This development might propel South Sudan’s efforts in its fight against the Coronavirus. 

Author: Woja Emmanuel Wani – AFF Fellow – Cohort 3, edited by Garang Abraham and Eleanor Macheso. 

NOTE: This article was produced as a result of partnership between DefyHateNow and Medaan, with support from Article19. 

END…

Province of The Episcopal Church of South Sudan, Office of The Archbishop & Primate, Press Release, 20th May 2020

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