Community Based Surveillance

In the year 2021, for Community Based surveillance (CBS) project. Children Aid South Sudan covered seven (7) Counties in three states, namely Upper Nile (Panyikang, Fashoda and Panyikang Counties), Jonglei (Duk, Pibor and Jebel Boma Counties) and Unity state (Mayendit County).

County based surveillance activities have been fully supported by continues support supervision conducted on quarterly bases. This has been strengthened further by monthly IPs cluster meeting and Coordination meeting. During the 12 months period, the seven Counties under CASS as an implementing partner (IP) reported,

72 suspect AFP cases across the seven Counties.
54 validated as true suspect AFP cases across the seven Counties.
03 Stool samples not Collected.
51- AFP suspect cases reported had their stool collected
03 -Stool samples got lost during transportation.
48 Collected, sent and received in Juba.

S/No.	Counties	#AFP suspect case reported	#True suspect case reported	#Sample sent and reached Juba
1	Jebel Boma	7	2	2
2	Pibor	14	10	8
3	Duk	2	2	2
4	Panyikang	14	8	8
5	Fashoda	8	8	7
6	Manyo	9	8	7
7	Mayendit	18	16	14
Total		72	54	48

Unity state (Mayendit County) reported more Suspect AFP cases than other Counties. Besides, Duk County emerged as the least County that reported less cases.

AFP Suspect Cases reported by Key Informants

S/No	Counties	Reported by KI		Valid %
S/No	Counties	Yes	No	Yes	No
1	Jebel Boma	6	1
2	Pibor	14	0
3	Duk	2	0
4	Panyikang	12	2
5	Fashoda	8	0
6	Manyo	9	0
7	Mayendit	17	1
Total		68	4	94%	6%

Most of the cases reported were actually reported by the selected Key Informants who were well oriented and trained on AFP suspect case definition, who networked the surveillance activities in the various Boma. However, communities have been actively oriented through opportunity meetings besides the informative awareness messages from KIs.

cbs in pictures

Cases captured in WHO Line List

S/No	Counties	AFP cases captured in WHO Line List		Valid %
		Yes	No	Yes	No
1	Jebel Boma	2	0
2	Pibor	8	0
3	Duk	2	0
4	Panyikang	8	8
5	Fashoda	7	0
6	Manyo	7	1
7	Mayendit	14	2
Total		48	3	94%	6%

Major Challenges

Flooding. Continuous flooding in all the five (5) Counties and partly Pibor County during rain seasons caused continuous displacement. This drew attention of communities as they engaged much in resettlement activities, giving no or limited time for surveillance. This contributed to mainly no/late reporting of cases as witnessed in some Counties. There was also high cost of operation during support supervision as most of the movement is by speedboat.

Insecurity. The reported cases of insecurity mainly from Pibor and Manyo. This also interfered with active surveillance as free movement is limited.
Delayed transportation. Fewer Counties (Mayendit) registered delayed transportation of stool samples. This contributed to lose of two (2) stool samples.

However, in conclusion, despite of the above challenges, there were more suspected AFP cases (72) reported and of the (72), 54 True AFP Cases reported in 2021, compared to 2020. 48 (94%) of those cases reported in 2021 were captured in WHO line-list which is a great and progressive improvement.