South Sudan: Research Terms of Reference - Integrated Public Health Rapid Assessment (IPHRA) in Akobo East, Akobo County SSD2406 (June 2025, v1)

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Countries: South Sudan, Ethiopia, Sudan Source: REACH Initiative Please refer to the attached file. 2. Rationale2.1 BackgroundAkobo County is in the northeastern corner of Jonglei State. It shares borders with Nyirol, Uror, Pibor, and Pochalla counties within Jonglei; Ulang County in Upper Nile State to the north; and Ethiopia to the east.Since the outbreak of conflict in Nasir and Ulang, Akobo has received a significant number of internally displaced persons (IDPs), particularly in the eastern payams of Bilkey, Dengjok, and Gakdong. An initial assessment conducted in April 2025 reported the arrival of 3,897 individuals, amid worsening food shortages. Many IDPs were found to be relying on wild foods and limited support from local communities. Health teams also reported a high number of admissions at the Outpatient Therapeutic Programme (OTP) and the Targeted Supplementary Feeding Programme (TSFP) nutrition sites. At the time, essential nutrition supplies, including Plumpy nut, CB+, and CB++, were unavailable. According to the May report from the Relief and Rehabilitation Commission (RRC), approximately 5,612 people have settled within host communities in different settlements in Akobo East. Markath, a village in Bilkey Payam, is reported to host the majority number of IDPs as of May. As of writing, population movement dynamics in the region remain highly fluid and are expected to continue changing over the next 6 months at least.