A decade of
results.
Every figure on this page comes from AFAA's own reports, verified against external data from WHO, UNICEF, and OCHA.
53,003
pEOPLE REACHED
PER YEAR
March 2023 - March 2024
31%
drop in maternal mortality
in nyal since 2023
2023 - June 2025
21,827
consultaTions in
7 months (2024-25)
Panyijar County Dec 2024 - June 2025
23%
BETTER UNDER-5 SURVIVAL
THAN NATIONAL AVERAGE
Great Nyal: 76 vs 98.7 per 1,000
Health Outcomes
The figures below are drawn from AFAA's most recent health report, compared against the national baseline.
Source: AFAA Integrated Health Model Report, Dec 2024–June 2025, AFAA Annual Reports 2022-23 & 2023-24, WHO/UNICEF.
REACH: YEAR ON YEAR GROWTH
MATERNAL MORTALITY: NYAL
28,986
PEOPLE REACHED 2022–23
53,003
PEOPLE REACHED 2023–24
1,136
PER 100,000 END OF 2023
784
PER 100,000 JUNE 2025
→
→
AFAA's reach nearly doubled between 2022–23 and 2023–24, without a proportional increase in core staff.
A 31% reduction in maternal mortality in Nyal in under two years — driven by reopening the CEmONC centre and referral pathways. The national rate is world's highest.
Source: AFAA Annual Reports 2022–23 and 2023–24
Source: AFAA Integrated Health Model Report, Dec 2024–June 2025
UNDER-5 MORTALITY: GREATER NYAL
98.7
PER 1,000 NATIONAL AVERAGE
Under-five mortality in Greater Nyal is now below the national average, in a county absorbing thousands of displaced people each year. This is due to consistent health workers and case management.
Source: AFAA Integrated Health Model Report, Dec 2024–June 2025
76
PER 1,000 GREATER NYAL 2025
→
CHOLERA CASE FATALITY: PANYIJIAR VS NATIONAL
1,581
DEATHS NATIONALLY (55 COUNTIES)
In flood-prone Panyijiar, AFAA managed 257 cases at its Treatment Unit with zero deaths recorded as of June 2025. Cholera has killed 1,581 nationwide across 55 counties.
Sources: AFAA health report 2025; OCHA October 2025
0
DEATHS IN PANYIJIAR
→
- CHOLERA RESPONSE
How AFAA contained the outbreak
South Sudan's cholera outbreak, ongoing since September 2024, has spread across 55 of 78 counties. Panyijiar is one of the most at-risk counties in the country. It is annually flooded, hosting large numbers of displaced people, with contaminated water sources and limited sanitation infrastructure.
AFAA's response combined a functioning Cholera Treatment Unit at Nyal PHCC, Boma Health Workers reaching 6,600 people with prevention messaging at markets and boreholes and an Oral Cholera Vaccine campaign that simultaneously promoted routine immunisation.
1,581
CHOLERA DEATHS NATIONALLY
South Sudan, Sept 2024–Oct 2025 (OCHA)
95,423
CASES NATIONALLY
Across 55 counties (OCHA)
0
CHOLERA DEATHS IN PANYIJIAR
Under AFAA management, as of June 2025
257
CASES MANAGED IN PANYIJIAR
All treated. All survived.
Panyijiar County
December 2024 - June 2025
The figures below cover a single seven-month period during which there were: a cholera epidemic, active flooding displacing over 40,000 people in Ganyiel alone, an ongoing security crisis and USAID funding cuts affecting the broader health system. AFAA's staff continued to deliver.
21,827
Outpatient consultations : 5,590 at Majak PHCU, 4,813 through mobile outreach, 11,424 at Nyal PHCC
342
Safe deliveries at facility and mobile outreach sites
423
Safe deliveries at facility and mobile outreach sites
150
Emergency surgical procedures: including 64 caesarean sections and 27 gunshot patient referrals
13,153
Malaria cases treated: 60% of all OPD consultations. Malaria is leading cause of death in the county.
1,141
Pregnant women who received antenatal care: 618 at PHCU/mobile, 523 at Nyal PHCC
6,600
People reached with cholera prevention messaging at markets, boreholes, and community centres
1,209
Children screened for malnutrition: 113 malnourished children referred to stabilisation centres
2,675
Inpatient admissions: 52% children under five. Pneumonia and malaria the leading causes.
4,332
Childhood illness cases managed at community level by Boma Health Workers
828
Household visits by Boma Health Workers reaching 4,200+ mothers and adults with health messaging
28
Survivors of sexual violence who received clinical care at PHCU and mobile sites
Documentation & Transparency
AFAA reports to its funders, the Ministry of Health, WHO, and the wider humanitarian community. The following documents are available on request or for download.
DECEMBER 2024 – JUNE 2025
Integrated Health Model Report
Full operational report covering Nyal PHCC, Majak PHCU, mobile outreach, and Boma Health Initiative. Includes mortality outcome data, service delivery figures, and cholera response results.
Available on request: allianceforactionaid@gmail.com
MARCH 2023 – MARCH 2024
Annual Health Report 2023–24
Full-year operational data covering AFAA's PHCU and mobile health services. Includes 53,003 people reached figure, service delivery breakdown,and programme development update.
Available on request: allianceforactionaid@gmail.com
Health Sector Transformation Proposal
Strategic proposal for expansion of AFAA's integrated health model across Panyijiar County, including Nyal PHCC takeover, Palual PHCU, CEmONC restoration and CHW network expansion.
Available on request: allianceforactionaid@gmail.com