- PROGRAMME 01
Panyijar's only health system
In Panyijiar County there are no hospitals, no other active health providers, and roads that disappear under floodwater for months at a time. AFAA is not supporting a health system. It is the only health system.
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Officially appointed by South Sudan's Ministry of Health as lead organisation for Panyijiar County's primary health services, AFAA serves local communities by operating an integrated model centered around four interdependent components.
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In the seven months between December 2024 and June 2025 alone, AFAA delivered 21,827 outpatient consultations, 150 emergency surgical procedures, 342 safe deliveries, and zero cholera deaths - during an active epidemic that killed 1,581 people nationally.
Four components.
HOW THE healthcare MODEL WORKS
One integrated system.
full package of healthcare services
Everything delivered across
AFAA’s health facilities
- PROGRAMME 02
Food Security &
Livelihoods
Malnutrition contributes to child mortality in Panyijiar. Chronic food insecurity drives repeated health crises. Healthcare alone cannot solve this. AFAA's livelihoods programme builds the economic and agricultural foundations that make lasting health improvement possible.
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Working in partnership with GOAL's SSHARP-THRIVE programme, funded by the UK's FCDO, AFAA supports fishing communities, farming households, women's savings groups, and market infrastructure across Panyijiar and Rubkona counties.
57%
Of South Sudan's population faced Crisis-level food insecurity between April and July 2025, including 2.5 million in Emergency conditions.
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Malnutrition is rising, up 28% from 2024. Annual flooding in Panyijiar destroys crops and farmland, compounding chronic food insecurity across the county.
Sources: IPC / ACAPS 2025
- what afaa delivers
Food Security and Livelihood Interventions
- PROGRAMME 03
WASH:Â
Water, Sanitation and Hygiene
In Panyijiar, annual flooding contaminates water sources, destroys latrines, and creates conditions for cholera, typhoid, and diarrhoeal disease outbreaks. Children under five are disproportionately affected.
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Over 75% of under-five deaths in South Sudan are caused by malaria, diarrhoea, and pneumonia (UNICEF). Diarrhoea and waterborne diseases are directly linked to access to clean water and sanitation. AFAA's WASH programme is an essential component of its health model, delivered in coordination with specialist WASH partners including UGEAFI.
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AFAA's Boma Health Workers conduct hygiene promotion at markets, boreholes, wells, and community gathering points alongside their health outreach work.
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ZERO
Cholera deaths in Panyijiar, during an outbreak that caused 95,423 cases and 1,581 deaths across 55 counties nationally. AFAA managed 257 cases at its treatment unit in Nyal with zero deaths recorded as of June 2025.
Source: OCHA, October 2025
- what afaa delivers
WASH Interventions
- PROGRAMME 04
Protection Mainstreaming & Peacebuilding
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In Panyijiar, health outcomes are inseparable from security. Intercommunal conflict displaces communities, destroys health facilities and prevents people from accessing care. Gender-based violence is a chronic and under-reported crisis. Children in conflict lose access to education and face recruitment risk.
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AFAA's protection mainstreaming and peacebuilding work, delivered through the SSHARP-THRIVE programme across Panyijiar and Rubkona Counties, operates at community, school, and leadership level to build conflict resilience, protect survivors and create the social conditions in which health and livelihoods work can take root.
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Intercommunal conflict in Panyijiar displaces communities, destroys health facilities and prevents people from accessing care. Since January 2025, 322,000 people have been displaced by conflict in South Sudan (OCHA, 2025).
120 PEACE AMBASSADORS TRAINED IN 2025
322,000
People displaced by conflict in South Sudan since January 2025, the context in which AFAA's protection and peace-building work operates.
Sources: OCHA, October 2025
- what afaa delivers