Feet in Aweil

Feet are the main mode of transport in South Sudan. Taxis are scarce, personal vehicles rare, and motorbikes (boda bodas) costly. So, people walk. With or without shoes, they walk. The pathways are rough and the earth hard but the South Sudanese walk. If feet could talk, the stories they would tell, could fill hundreds of books. Each tells a tale; a tale of survival and struggle, a tale of toil and triumph, a tale of perseverance and power. These feet are tough! They do not give up. They are resilient and reliable; just like the people who own them. Dirty, cracked, and chipped, these feet carry on carrying on and keep South Sudan moving.



I stepped off the plane and scrunched my eyes to adjust to the glaring sun. The men on the plane had pushed themselves passed the women to disembark first and now stood waiting at the bottom of the stairs for their bags. The wind was hot. Even in this season, the cool season, the temperature is regularly in the mid-thirties. Partnered with the warm wind, it certainly felt like at least 35`C. Several 4×4 vehicles were randomly parked around the airstrip; a dusty and bumpy landing zone. We spotted the Medair truck and made our way over to it with our backpacks hanging off our shoulders. Aida, the programme support manager (PSM) from Uganda, was there to welcome us to Renk. This was my first field visit.

Renk Market

I travelled to Renk, a county in the far north of South Sudan near the border with Sudan, with communications officer Diana, and two videographers, Andres and Ninja. We are filming and conducting interviews to create several videos for Medair’s internal and external use. This was Diana’s last field trip and my first and it was a privilege and a relief to travel with her.

Renk is a broken town displaying signs of a once busy and bustling centre and an extroverted market. Between the war with Sudan and the civil war in South Sudan, Renk has been battered and hosts both South Sudanese internally displaced people (IDPs) and Sudanese refugees. There are few government services available, including health care, and many military checkpoints. The community is visibly poor and yet striving for peace and stability.

Medair provides health and nutrition, and water, sanitation, and hygiene (WASH) services to the people of Renk county. We operate several clinics and manage mobile nutrition and health teams around the area who visit the remote villages sprinkled around the Nile River. A Medair clinic, located in the Abayok IDP camp, serves thousands of people. Abayok clinic has a 24-hour stabilization centre for children and a 24-hour reproductive facility for women. Other services include treatment for malaria, cholera, diarrhea, wounds, and respiratory and skin infections. The nurses and medical assistants are from South Sudan and graciously care for their own people.

A nurse weighing a new admission to Abayok clinic | Medair doctor, Jimmy

The stabilization centre at Abayok clinic hosts 14 beds in three different areas. There is no electricity and no running water. You would be forgiven for not identifying it as a medical facility. The walls are constructed of mud and straw and the roof tin. The beds are surrounded by essential mosquito nets. The stabilization centre is designed for children and for the mothers who bring them and stay with them. The days are long and the silence only punctuated by the cries of hurting babies. In these difficult circumstances, the Medair team provides genuine compassion and vital care.

The children in the stabilization centre are there for a variety of sad and preventable reasons. Most have some form of malnutrition and then illnesses associated with the condition. The children are weighed daily and are required to gain an additional 20g per day for several days to be released. Some of the children were looking stronger and preparing for departure but others looked dreadfully unwell.

One little boy captured my attention. He was maybe 18 months old and had a severe skin infection. Much of his skin had naturally peeled from his little body revealing excruciatingly raw skin below. He lay naked next to his mother and slept most of the time. His breathing was heavy as if he was trying to control the pain. I stared at this child and internally wept for his suffering and felt the anger rise within me as I mulled over the fact that his illness was entirely caused by powerful men playing games with their people. The food insecurity in South Sudan is a result of the conflict and not the weather. The men managing the violence are to blame for the state of these children.

Next week I travel to Aweil where Medair is responding to a severe nutrition crisis. My heart is sore and my disdain for injustice acute but I will endevour to connect with the people and share their stories.

Ten Days in Juba

I am the new Communications Officer for Medair in South Sudan. I arrived in the capital city of Juba on Sunday, 18 June. These are my impressions so far.

  1. Coffee

As a coffee-lover, I was relieved to see an array of coffee making equipment prominently displayed on a shelf in the kitchen, AeroPress, Bialetti, French Press, and an equally impressive selection of coffee. Morning coffee routines are important in Juba and that first cup is usually savoured with a fresh bread roll.

Tip: The corner shop next to the compound is owned and operated by a man from Eritrea who will roast and grind coffee as required.

  1. Weather

It’s hot, incredibly hot, even in the “cool” season. Fortunately the offices and bedrooms are equipped with air conditioners but when the generator is turned off the mandatory three times a day, be ready to sweat! This is the rainy season so when the rains do roll in the clouds are majestic, the lightening powerful, and the cool breeze welcome.

Tip: Drink lots of water. Enjoy the cold showers.

  1. Phonetic Alphabet

Mingled with relief work protocols comes a need to know and memorise the NATO Phonetic Alphabet: alpha, bravo, charlie, etc. Each team member is assigned a call sign which is referred to using this system and phone calls often require this knowledge.

Tip: Write it down somewhere accessible and memorise it if possible.

  1. Names, Faces, and Roles

The South Sudan team is large and there are so many names, faces, and roles to remember. Trying to keep it all straight is overwhelming. There is also a lot of people movement on base so there is constant in and out between Juba, the field locations, and Nairobi.

Tip: Keep your contact list with you. Don’t shy away from asking someone’s name more than once, or twice, or even three times!

  1. Information

An immense amount of information is provided by Medair at the headquarters in Switzerland and the team in South Sudan. Documents, articles, briefings, books – there is so much to take in and so much to remember. I am new to relief work so this has been somewhat daunting.

Tip: Take it one day at a time. It is impossible to know everything at once and no one expects you to. But keep asking questions and learning.

  1. Acronyms

Humanitarian work and workers deeply rely on acronyms. Everything from a position, a location, a project, an illness, and an intervention boasts a shorthand code. It can be daunting but Google can help most of the time. But beware; for a few days I thought GAM represented Global Asset Management before realising it actually means Global Acute Malnutrition.

Tip: Keep a list of common acronyms. Don’t be afraid to ask if you don’t know what the acronym stands for.

  1. Food

It is lovely to have two meals prepared and served every day and even though the menu repeats itself weekly it is better than having to source and cook food oneself. The Medair cooks are diligent and the food consistent. Be ready to enjoy cold food and practice using just a fork.

Tip: Try everything. Make sure you get to meals on time or you may miss out. Keep a stash of your favourite snacks available.

  1. Team Life

At any given time, approximately 32 people are living in the Medair base in Juba. That’s a lot of people to have in the same building living and working together. Despite the potential for irritation and frustration, the team life is dynamic and easy-going. People are kind and considerate and have made me feel welcome.

Tip: Make an effort to get to know everyone. Individual stories are fascinating and people have so much to share.

  1. Juba

Juba is an intriguing city; a combination of incomplete buildings, shipping container offices, dirt roads, random restaurants, NGO vehicles, and reckless bodo bodo motorbike taxis. The city is not as chaotic as other African cities I have experienced but nevertheless has a definite African feel to it.

Tip: Make the most of trips outside the base to take in the surroundings and soak up the city buzz.

  1. Medair

I arrived the week of the Quarterly Management Meetings (QMMs) which provided an invaluable opportunity to learn about Medair’s programmes in depth and, just as importantly, the incredible successes the teams have accomplished in the last three months. This organisation is really saving lives in South Sudan.

Tip: Ask questions and take advantage of staff visiting from the field. They have inspiring stories to share and experience to dispense.