MSF has opened a new project in the east of South Sudan’s in the Greater Pibor Administrative Area
(GPAA)– a vast area near the border with Ethiopia, where people live scattered over long distances and
where there are few health facilities. Many people are semi-nomadic, moving from place to place with
their herds; others stay in their villages where they grow crops.
MSF teams are constructing a health centre in Maruwa and will use mobile clinics to provide medical
care to people in remote villages and people on the move. Teams will also be ready to respond to any
Recent years saw the eruption of tensions and violence between the various ethnic groups in the region.
MSF was forced to close its hospital in Pibor town in December 2020 after violent attacks and looting
followed by severe flooding.
Earlier this year, an MSF team travelled to villages in the Boma, Maruwa, Labarab and Kasangor areas to
run temporary mobile clinics and assess people’s health needs. On 8 June, the team ran their first
regular clinic in the Maruwa area, for people returning to their villages from ‘cattle camps’ where they
had gone to find pasture for their herds during the rainy season.
On the first day, medical staff provided 122 consultations, 51 of these for children. The most common
conditions were respiratory tract infections and urinary tract infections for adults, and respiratory tract
infections and malaria for children. MSF is currently the only organisation providing healthcare to people
in the Maruwa area.
MSF’s new clinic in Maruwa has a triage area, two tents for consultations and a third tent equipped with
four observation beds. In time the tents will be replaced by more permanent buildings. Plans are also
underway to construct a maternity area where women will receive antenatal and postnatal check-ups
and where MSF staff will support traditional births attendants in ensuring safe deliveries. The team also
plans to build a sterilisation unit, a laboratory and a dispensary.
In the coming months, when the dry season starts, MSF will focus on setting up community models of
care, which will allow the semi-nomadic population to have access to healthcare, including when they
are on the move, while fixed healthcare will be available to those remaining in their villages or in need of
further medical attention.
MSF will work and support the ministry of health. By offering technical, logistical and staff trainings, the
joint MSF and MoH teams will ensure that the Boma Primary Health Care Centre (PHCC) is well equipped
to respond to the medical needs of the population.
MSF teams have been providing medical care in South Sudan’s the Pibor region since 2011. MSF currently
has 13 projects across South Sudan.