Start of program: 2017


  • 10.8 million inhabitants 1
  • 1.8 million internally displaced persons 2
  • 6.35 million people facing severe acute food insecurity
1 World Bank


  • 129,430 outpatient consultations
  • 19,974 mothers trained to use the MUAC bracelet
  • 1,730 hospitalizations
* Data from 2019

Areas of intervention

Maternal Health
Outbreak response

Country context

After more than five years of civil war, the world’s youngest state (independent from Sudan since 2011) is still in search of stability. Despite the signing of a peace agreement in September 2018, the effects of years of conflict and unrest have driven more than four million people (according to UNHCR) from their homes since the insurgency began in December 2013. In 2018, nearly two million people remained displaced within the country. The prolonged fighting has led to the closure or destruction of medical facilities, increasing the already-high medical and nutritional needs. 

According to OCHA, the number of people in need of humanitarian assistance in 2018 will be 7 million, or about two-thirds of the population. UNICEF estimates that some 250,000 children are suffering from severe acute malnutrition within the country, and malaria remains one of the leading causes of childhood death. In September 2019, some 6.4 million people (more than half the population) were facing crisis levels of food insecurity, according to the  Integrated Phase Classification (IPC) report

In the worst affected areas, very few humanitarian actors are present. Despite the fact that most parts of former Northern Bahr El Ghazal are generally peaceful, there are still gaps as many rural communities lack access to basic healthcare. Some established health facilities either lack qualified personnel or frequently run out of essential medicines. Families struggle to afford care and medication in the few places that remain operational.

© Patrick Meinhardt / ALIMA

ALIMA’s Impact – Our fieldwork

Present in South Sudan since May 2017, ALIMA currently provides medical and nutritional care in Raja Western Bahr El Ghazal (Raja) and Northern Bahr El Ghazal (Aweil), and is helping build preparedness capacity against a potential outbreak of Ebola in the capital city, Juba.

Establishment of mobile clinics and support of local health structures

In Raja, our teams have to deal with an isolated population that is very difficult to reach for approximately six months a year during the rainy season (May to October). In order to ensure the coherence of the health system, ALIMA supports primary health structures through the establishment of mobile clinics, as well as secondary health care at  Raja State Hospital, for children under the age of 15. Also, to guarantee the sustainability of patient care, ALIMA is also building the capacities of Ministry of Health workers through the organization of training courses, as well as support for the referral system.

© Patrick Meinhardt / ALIMA

Malaria care in Aweil

In Aweil, ALIMA’s intervention started during the malaria peak season in July 2017. In 2018, the project continued to cover both inpatient and outpatient services. For example, at Panthou Primary Health Care Center, ALIMA medical staff treated 987 inpatients for severe malaria and other diseases, among whom 197 were referred to Aweil Hospital (MSFF) for further care. Eight malaria test-and-treat outpatient care facilities, and mobile clinics, were also put in place.

Emergency intervention in Baggari

In Bagarri (Wau County), where around 40,000 people were  in need of humanitarian assistance in 2018,ALIMA began an emergency intervention with the support of UNICEF. In January 2018, ALIMA delivered primary nutrition care to children under 5 years old suffering from Severe Acute Malnutrition in six different outpatient sites.

Focus on 2019

In 2019, ALIMA’s staff carried out 129,430 outpatient consultations in South Sudan and 1,730 hospitalizations. Our teams also trained 19,974 mothers in the use of the MUAC bracelet.

* Cover picture © Patrick Meinhardt / ALIMA

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France office
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+33 (0)1 40 33 95 19
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