South Sudan

Months of violence in South Sudan have led to cholera outbreaks, food shortages, and innumerable orphaned children. This dispatch from IntraHealth’s in-country team describes the state of health care in the midst of war.

When the gunshots started in Lanyi town last December, Wilma Avowa was grinding corn in preparation for dinner. She grabbed a few clothes and some food, and packed them in her bag. As she fled her home in this rural community five hours from South Sudan’s capital of Juba, she feared for her two pregnant neighbors, both of whom were due to deliver soon.

(Geneva, May 16, 2014) – Hundreds of attacks on health workers have occurred in dozens of countries around the world since 2012, Human Rights Watch and the Safeguarding Health in Conflict Coalition said in a joint report released today. The report, released in advance of a meeting on May 19 to 24, 2014, of health ministers from around the world, called on governments to do more to protect patients, health workers and facilities from attack in countries undergoing conflict and civil unrest. The 28-page report, “Under Attack: Violence against health workers, patients and facilities,” highlights recent attacks in countries around the world.

In 2009, while a fellow at the Center for Khmer Studies in Cambodia, I interviewed a pediatric nurse based at the Angkor Hospital for Children in Siem Reap. Our conversation was short, but what I remember most about the encounter was my colleague’s answer to my question about why she had come to Cambodia in the first place. “Yes, I’m from Sri Lanka. But I’m in Cambodia now because I know what it’s like to live in conflict. Good health is important, especially for women and children. So I’m here because I understand the context and have the skills to help.”

The killing had begun. Bullets were flying, armed rebels were advancing and the terrified hospital staff had fled to the bush. Inside the abandoned hospital, three Canadian doctors refused to leave. Even as the fighting raged toward them, they performed an emergency cesarean section to save a pregnant woman’s life. Then they ran and hid as bullets began thwacking into the hospital in the town of Bor, South Sudan.