Category: South Sudan

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The November 2019 issue of the South Sudan Medical Journal has been published by our partners at The Juba Link.

You can view and download the journal as a PDF below. To view the articles on the web, click the links below.

Editorials

Bringing diabetes mellitus into focus on World Diabetes Day

News, Reports and Policy

South Sudanese Recipients of Grants from the Gordon Memorial College Trust Fund (GMCTF) in 2019

Continuum of care for acute malnutrition

Clinical Guidance

Misusing and overusing…

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The August 2019 issue of the South Sudan Medical Journal has been published by our partners at The Juba Link.

You can view and download the journal as a PDF below. To view the articles on the web, click the links below.

Editorials

Ebola outbreak: a public health emergency of international concern

Poster: flu or ebola?

News, Reports and Policy

Gunshot injuries remain high despite peace deal

Research

Prevalence, clinical pattern and immediate outcomes of HIV-infected children admitted to Al Sabah…

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The May 2019 issue of the South Sudan Medical Journal has been published by our partners at The Juba Link.

You can view and download the journal as a PDF below. To view the articles on the web, click the links below.

Editorials

Forty years of primary health care programming and its future in South Sudan

News, Reports and Policy

Martha Primary Health Care Centre: how resilience and international collaboration is transforming a community

Point Of Care Ultrasound (POCUS) is saving lives

Juba…

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Article Investigating Near-Miss Events

International Journal of Women’s Health

Co-authored by RMF Founder and CEO Dr. Martina Fuchs, along with Fekadu Mazengia Alemu, Dr. Taban Martin Vitale, and Dr. Mergani Abdalla Mohamed Salih, "Severe Maternal Morbidity (near-miss) and its correlates in the world’s newest nation: South Sudan" was recently published in the _International Journal of Women’s Health. The paper analyzes the frequency and causes of near-miss events at RMF-supported Juba Teaching Hospital, recorded through a cross-sectional study conducted from from March 20 to June 12, 2016.

This original research and peer-reviewed article…

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The November 2018 issue of the South Sudan Medical Journal has been published by our partners at The Juba Link.

You can view and download the journal as a PDF below. To view the articles on the web, click the links below.

Editorials

Keeping an eye on Ebola Virus Disease in South Sudan

News, Reports and Policy

Obituaries

Call for Submissions

Neonatal resuscitation chart

Clinical Guidance

How to repair a vesico-vaginal fistula

Research

Knowledge of…

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The August 2018 issue of the South Sudan Medical Journal has been published by our partners at The Juba Link.

You can view and download the journal as a PDF below. To view the articles on the web, click the links below.

Editorials

Mental health in South Sudan: a ticking time bomb

News, Reports and Policy

My experience as an international student at the Southern Medical University in China

Proceedings of the Bentiu International Health Symposium

ELSSA = Essential Life Saving Skills for…

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For over a year, South Sudan has been in a constant state of conflict, and thousands of South Sudanese are fleeing the country. This article outlines the factors surrounding such a large population group migrating from one place to another. Below is a small sample of the article. The entire article can be read by clicking on the images below.

"A persistent state of conflict has engulfed South Sudan since July 2016. Civil war has expanded across the country, and significant human rights violations have been perpetrated by all parties involved."

Key Facts:

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Photo: WHO Regional Office for Africa

In a media release, the World Health Organization Regional Office for Africa has indicated that undernutrition is still very prevalent in areas of Africa, and the numbers of stunted children is growing.

Read a small excerpt below.

"According to the WHO Regional Director for Africa Dr Matshidiso Moeti,“The numbers and trends highlighted in the report show that we need to work harder to avoid the long-term consequences of malnutrition and poor health on our children’s future prosperity, including the increased risk of dietrelated noncommunicable diseases such as diabetes…

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The UNHCR published their weekly response to the refugees and asylum seekers within Uganda. Here are some of the alarming statistics.

1,338,887 Total refugees and asylum-seekers in country (as of 15 August 2017) 1,006,779 Total S.Sudan refugees and asylum-seekers in country (as of 15 August 2017) 61% Of population are children under 18 82% of the Population are women and children <18
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2,022 Average daily arrival of refugees (from July 7, 2016)

950,562 Total South Sudan refugees and asylum seekers in the country

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The May 2017 issue of South Sudan Medical Journal has been published from our partners at The Juba Link.

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You can view and download the journal as a PDF below. To view the articles on the web, click the links below.

Sustainable Development Goals implementation in the context of South Sudan

Quiz on liver function tests

Funding for South Sudanese

Hello and goodbye

Small Baby Series

Care Groups in Emergencies in Unity State, South Sudan

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AmazonSmile Dan Kitwood/Getty Images

Bidibidi: The Largest Refugee Settlement in the World

The Guardian on Bidibidi

In an article on the South Sudanese refugee crisis in Uganda, Uganda at breaking point as Bidi Bidi becomes world’s largest refugee camp, The Guardian notes,

"The stream of arrivals, who averaged 2,800 each day in March, has begun to take a toll on the country’s southern neighbour Uganda, host to roughly half of the 1.6 million people forced to flee their homes.

Uganda is feeling the neglect. The country has one of the world’s most compassionate…

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Arrival Numbers Continue to Increase

In its latest update, the UNHCR reports that 12,889 South Sudanese refugees arrived in Uganda in just one week: January 18, 2017 to January 24, 2017. The report explains, "The arrival rate has continued to increase, with a daily average of 1,841 new arrivals, compared to 1,689 in the previous week." New arrivals are being sent to Palorinya Settlement in Moyo district, which has received 56,947 refugees since December 9, 2016. Continued progress is reported in Bidibidi Refugee Settlement (where RMF is UNHCR/OPM Health Implementing Partner) and other locations.

Bidibidi…

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646,115 South Sudan refugees and asylum-seekers in country

407,343 South Sudan new arrivals since July 2016

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Nowhere to run for the children of South Sudan By Kate Hold on December 15, 2016

"Children are the biggest victims of the conflict: 17, 000 of them are reported to have been recruited by armed forces and armed groups looking for child soldiers to fuel the conflict which has been going on since 2013; another 14,000 are registered as unaccompanied or missing; and more than 2,000 have been killed or maimed during this time."

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Uganda: South Sudan Refugee Situation Infographic

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Juba Link, one of RMF’s partner organizations, funds the South Sudan Medical Journal. The November 2016 issue is now posted on the journal’s website, with topics such as child immunization, managing an incomplete abortion, interpreting CT brain scans, performing lumbar punctures, running a nurse led diabetic clinic, and more. The South Sudan Medical Journal is also now a member of African Journals Online.

Update from South Sudan Medical Journal

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In its latest emergency update, the UNHCR reports that the number of South Sudanese refugees fleeing to Uganda has significantly increased in the past 7 days: "24,814 people arrived in the last week, compared to 18,703 and 17,133 in the previous two weeks." The report further explains:

15,562 South Sudanese have fled to Uganda from September 9, 2016 to September 13, 2016. Due to the threat of armed groups, more South Sudanese refugees have been entering Uganda at informal border crossings. 72,000 refugees have now been transferred to Bidibidi Refugee Settlement. (Bidibidi was opened in early August 2016.) "262…
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The number of South Sudanese refugees fleeing to Uganda rose even higher over the past 2 days, September 5, 2016 and September 6, 2016. News from the latest UNHCR emergency report includes:

8,825 South Sudanese refugees have fled to Uganda during September 5, 2016 and September 6, 2016. 18,703 refugees arrived in Uganda during the past 7 days, compared to 12,400 during the previous 7-day period. 119,636 South Sudanese refugees have arrived in Uganda since July 1, 2016, according to field reports. New arrivals reported fleeing from intimidation, looting, torture, killing, and youth being recruited by armed groups. 4,380…
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In the course of 2 days, September 1, 2016 and September 2, 2016, the UNHCR’s emergency update reports that 3,838 new South Sudanese refugees arrived in Uganda. The update explains further:

13,878 refugees arrived in Uganda during the past 7 days, compared to 7,174 during the previous 7-day period. 104,771 South Sudanese refugees have arrived in Uganda since July 1, 2016, according to field reports. New arrivals in Adjumani described looting, kidnapping, sexual assaults, and general violence in Eastern Equatoria. The Kiryandongo Refugee Settlement is now completely full, and refugees arriving there will be transferred to the new Bidibidi…
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The South Sudanese refugee crisis continues, with 4,854 people fleeing to Uganda in the course of 3 days. The UNHCR emergency update reports that from August 27, 2016 to Autust 29, 2016:

New arrivals from various regions of South Sudan reported fighting, looting, and killing. The UN High Commissioner for Refugees, Filippo Grandi, visited Adjumani to assess the emergency response to refugees. 1,362 refugees were transported to the new Bidibidi Refugee Settlement, bringing the total number relocated there to 31,902. The new Bidibidi Refugee Settlement received 10 wheelchairs. 137 people at Bidibidi Refugee Settlement participated in a gender-based violence…
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Since the fighting began again in Juba, South Sudan in early July 2016, thousands of South Sudanese have been fleeing the country. By July 28, 2016, the time of this report, 45,891 of these refugees had arrived in Uganda. Hundreds and thousands of new arrivals enter Uganda each day, filling transit centers, reception centers, and refugee camps to overflowing. On July 28, 2016, UNHCR’s emergency update reports:

2,806 South Sudanese refugees arrived in Uganda on July 27, 2016. 90% of new arrivals in the West Nile region were women and children. Work began on the new Bidibidi Refugee Settlement…
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"The ramifications of the latest outbreak of fighting for South Sudan’s already-traumatized population have been significant. Bingo speaks of markets and shops being looted and of only two weeks’ worth of food being left in the capital. Countries including India and Uganda have begun mass evacuations of their citizens from Juba, with the latter bringing some 38,000 people back to the country in Ugandan military convoys. On the other hand, the United States has sent troops to South Sudan to protect its interests and assist with the removal of its staff from the country." – Conor Gaffey.

Read…

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"A Cholera outbreak has been confirmed in Juba after 10 (77) of the samples tested positive for Vibrio Cholera Inaba in the National Public Health Laboratory. The IHR focal person has been informed to contact relevant partners. Jubek state as of 23rd July 2016, recorded a total of 199 cholera cases including 3 deaths (CFR 1.71) have been reported in Juba county."

PDF contents include:

Outbreak Update Outbreak Locations Graphs & Trends
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To view the article on its original source, click here

"Nairobi, 15 July 2016 (UNHCR) – The population of South Sudanese refugees in the region could pass the 1 million mark this year if cross-border displacement trends continue, according to Ann Encontre, Regional Refugee Coordinator for the South Sudan situation.

Launching the revised appeal of USD 701 million in Nairobi today, Encontre expressed concerns about the likelihood of fresh outflows of refugees in the wake of the recent military crisis in Juba and the dearth of funding for South Sudanese refugees.

“We…

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The response system continues to transport new arrivals to reception centres from where they are allocated plots in settlements. Of yesterday’s arrivals in Elegu, by yesterday evening some 550 were transferred to reception centres. Capacity is being strengthened at Elegu to ensure that life-saving services, including medical screening and distribution of high energy biscuits, is able to meet the needs of new arrivals while they await their transfer.

Pagirinya settlement in Adjumani, capable of hosting 12,500 individuals, will have reached its maximum absorption capacity within two days. Agojo (Adjumani district, with an anticipated capacity of around 20,000) and…

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In light of more armed conflict in South Sudan, UNHCR’s inter-agency report states that "Uganda has so far not received a significant increase in refugee influxes from South Sudan." This could be because, "according to refugees, despite the ceasefire between government troops and armed groups, the road from Juba to Uganda continues to have a number of road blocks and checkpoints, hindering people’s abilities to move freely." However, "Uganda continues to make preparations for a significant increase in new arrivals once passage is possible at main border points. NFIs and food for at least 10,000 individuals are being transported…

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Article by Tom Murphy.

To view the article on its original source, click here

"A ceasefire appears to be holding after four days of intense fighting in South Sudan. As the country approached its fifth anniversary of independence, a tentative unity deal broke down last week, forcing tens of thousands of people to flee their homes, and many were forced to shelter in place.

“There is a lot going downhill,” said Martina Fuchs, founder and CEO of the Real Medicine Foundation in an interview with Humanosphere. “We have told our staff working…

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On behalf of the UNHCR Representative to Uganda, please find attached the latest UNHCR Uganda updates on the South Sudan emergency response.

 

Highlights

South Sudan
The trend of South Sudanese new arrivals crossing into Uganda saw a decrease this week. A total of 2254 individuals arrived, an average of 161 people every day, down from 3729 new arrivals reported previously (266 individuals daily). However, this is still lower than the rate of new arrivals we have typically been receiving since the start of 2016. The total number of South Sudanese registered and active in Uganda…
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South Sudan is the world’s newest country coming into existence on 9th July 2011 after a 20-year protracted civil war that left all infrastructure destroyed and populations displaced. It is also now one of the poorest war ravaged countries in East Africa with the worst development indices.

Although no population studies have been conducted, the prevalence of blindness was estimated in 2007 to be in excess of 1.5% representing about 120,000 people and may even be as much as 3% according to estimates by the Taskforce for prevention of blindness. A further 6% of the…

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Since the outbreak of violence in December 2013, 172,411 (as of 24 November 2015) South Sudanese refugees have arrived in Uganda and there continues to be a steady influx of new arrivals. More than 45,000 South Sudanese refugees arrived in 2015 alone, despite the Peace Accord signed in August. This trend is expected to continue into 2016, albeit in lower numbers than those seen in 2015. The majority of refugees are hosted on communal in northern Uganda, where they share the limited resources available with the host community. The emergency response is focused on meeting the needs of this…

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Health eVillages and Real Medicine Foundation expand joint initiative to reduce world’s highest maternal mortality rate in South Sudan

South Sudan program extension enhances quality and timeliness of patient care for expectant mothers

READING, MA – (August 31, 2015) – Health eVillages, a program of Physicians Interactive (PI) and the not-for-profit Robert F. Kennedy Human Rights, and Real Medicine Foundation (RMF) announced that they are launching the next phase of their partnership in South Sudan, aimed at reducing the world’s highest maternal mortality rate.

Building upon the success of their initial collaboration…

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click here to read the article on The Huffington Post

by Charlotte Alfred

KUAJOK, South Sudan — After 48 hours of agonizing labor pains, Nyibol Garang’s family still refused to bring her to the hospital.

So the 23-year-old woman set off by herself — mid-labor — to walk four hours to the only major hospital in the state of Warrap in South Sudan.

The hospital is a small cluster of one-story buildings in the state capital of Kuajok, crammed with rickety beds and mattresses lining the floors. It treats more than 100 patients a…

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FOR IMMEDIATE RELEASE

Real Medicine Foundation Joins Forces with Future Doctors for South Sudan to Improve the Health of the World’s Newest Country

These two organizations, with the Ministry of Health, are working toward building a sustainable and self-sufficient health system in South Sudan

Los Angeles, Calif. — June 30, 2015 – Real Medicine Foundation (RMF), a non-profit organization that provides humanitarian support and development to people in disaster and poverty-stricken areas worldwide, has teamed up with Future Doctors for South Sudan (FDSS) to continue its work building a strong foundation for a successful medical…

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Dear SSMJ reader,

We are pleased to announce that the May 2015 issue of the South Sudan Medical Journal is now available on our website – http://www.southsudanmedicaljournal.com. You can download it as a PDF or view the individual articles which are listed below. We thank everyone who contributed to or reviewed this issue. Hard copies are being funded by a generous grant from CordAid.

If you know anyone that may like to receive this newsletter then please forward this email onto them and they can be added to this mailing list by clicking…

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See below for the introduction from UNHCR’s report, 2015 Regional Response Plan South Sudan Situation. A PDF of the report can be found at the bottom of the post.

"Since fighting broke out in South Sudan in December 2013, civilians have borne the brunt of the conflict. Despite the signature of a cessation of hostilities under the auspices of the Intergovernmental Authority on Development (IGAD) in January 2014, the situation on the ground remains dire. Violations of the agreement continue to be reported, active hostilities have continued in Upper Nile, Jonglei, and Unity States, and there are ominous…

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For information and planning for the South Sudan refugees in Kiryandongo.

South Sudan Regional Refugee Response Plan PDF

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Dear SSMJ reader,

We are pleased to announce that the February 2015 issue of the South Sudan Medical Journal is now available on our website – http://www.southsudanmedicaljournal.com. You can download it as a PDF or view the individual articles which are listed below. We thank everyone who contributed to or reviewed this issue. Hard copies are being funded by a generous grant from CordAid.

We are looking for items for future issues. So please send us articles on your research, case reports, clinical guidance, and news of projects. We can help you…

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Press Release

January 29, 2015

Real Medicine Foundation South Sudan and UNICEF South Sudan Partnership

Malnutrition Treatment, Education and Outreach in Jonglei State, South Sudan

Real Medicine Foundation (RMF) is proud to announce a new partnership with UNICEF and the South Sudan Ministry of Health to bring our expertise in Malnutrition Treatment, Education and Outreach to one of the hardest hit areas of South Sudan, Jonglei State. The partnership agreement between RMF and UNICEF was signed in December 2014 with RMF preparing for launch in January and rolling out the activities in February,…

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Health eVillages launches its newest program by teaming up with the Real Medicine Foundation in South Sudan to reduce top maternal mortality rate in the world

November 04, 2014 by Marrison Worthington

Humanitarian organizations deploy mobile resources immediately to save babies’ lives

READING, MA – (November 4, 2014) – No mother should have to die giving life to a child. But in South Sudan a woman has a 1 in 7 chance of dying in pregnancy and childbirth in her lifetime – the highest official maternal mortality rate in the world with 2,054 deaths per…

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Dear SSMJ reader,

We are pleased to announce that the November 2014 issue of the South Sudan Medical Journal is now available on our website – http://www.southsudanmedicaljournal.com. You can download it as a PDF or view the individual articles which are listed below.

This is a special issue for World AIDS Day, and we are proud that all the articles are by South Sudanese authors. We thank them for their contribution and also all the other people who reviewed or helped produce this issue – particularly Prof. James Hakim, who also penned the…

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from SSMJ:

We are pleased to announce, a little late due to problems with the website, that the August 2014 issue of the South Sudan Medical Journal is now available on our website – http://www.southsudanmedicaljournal.com. You can download it as a PDF or view the individual articles which are listed below.

All previous issues of the journal are on the website in the Archive section, and you can ‘search’ for particular items. We thank everyone who contributed to this issue, and would like to remind you that we welcome articles, case reports, questions, news items and…

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Full PDF Report

Excerpt below

Operational Context The South Sudan’s conflict entered its ninth month with opposition and government troops continuing to engage in battles in Bentiu (Unity State) and Ayod Counties (Jonglei States). The security situation in Bentiu deteriorated sharply, with clashes breaking out in areas surrounding the city. Humanitarian flights were suspended but have now resumed. Tensions remained high within the Protection of Civilians (PoCs) site over poor living conditions and fears of attack. Humanitarian organizations were working closely with community leaders to mitigate tension. In Malakal, Upper Nile State, troop movements were…

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Link to article

Now that I see it on paper, I realize how ridiculous it sounds that I commute for work from Hawaii to South Sudan but the truth is, aside from the 30+ hour journey, I am grateful for the time I get to spend there. Living in Hawaii has its obvious perks, and so many people assume I am sacrificing a lot when I leave to spend time in an underdeveloped and unstable country-and don’t get me started on how many people imply I’m a bad mother for going somewhere dangerous or even that I…

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Grant funds more than 13,000 pounds of medical supplies

January 21, 2014 – Los Angeles, CA – Today Real Medicine Foundation (RMF) announced that it has successfully delivered more than 13,000 pounds of urgently needed medicines, medical supplies and equipment to Juba Teaching Hospital. Because of the generous support of Humanity United, Pam and Pierre Omidyar, Michael Wilson, and The Maya Foundation, RMF was able to initiate the procurement of critically needed supplies in Kampala to be shipped to Juba Teaching Hospital in the course of late December/early January. 856 boxes of medicines, medical supplies and…

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New Fundraising Event Offers Los Angeles Residents the Opportunity to “Show Beauty from the Inside Out&rdquo;

February 6, 2013 – Los Angeles, CA – The Los Angeles-based international humanitarian aid organization Real Medicine Foundationwill be the beneficiary of Beauty for Real&trade;, a fundraising event taking place on Saturday, February 16, 2013 from 3-6pm.  The event, to be hosted by Great Earth Compounding Pharmacy in West Hollywood, will feature renowned LA dermatologist Dr. Tanya Kormeili(as seen on The Doctors) offering the beauty treatments, including injections and chemical peels, at a one-time discount, with…

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Press Contact: Lilly Ghahremani and Fred Ascher

lilly@realmedicinefoundation.org

(310) 663-6756

INTERNATIONAL AID ORGANIZATION CELEBRATES SOUTH SUDAN&rsquo;S FIRST INDEPENDENCE DAY WITH HISTORIC STUDENT CLASS

July 9, 2012 – LOS ANGELES, CA – Today internationally acclaimed humanitarian relief and&nbsp;development organization Real Medicine Foundation joins in celebrating South Sudan&rsquo;s first&nbsp;anniversary of its independence day. The organization has a close history with the new nation, where its CEO and Founder Dr. Martina Fuchs has just returned from visiting with the students, faculty, and staff of Juba College of Nursing and Midwifery…

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Click on link below to go to the August edition of the South Sudan Medical Journal

http://www.southsudanmedicaljournal.com/archive/august-2011/a-note-on-the-real-medicine-foundation.html

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Article about the midwifery training program in South Sudan that the Juba College of Nursing and Midwifery is a part of:

Article here: http://www.unfpa.org/public/home/news/pid/7972

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Editorial: Juba Teaching Hospital College of Nursing and Midwifery

Health statistics for Southern Sudan indicate the enormous need for more qualified health staff. For example, the country has the highest maternal mortality rate in the world – 2030 deaths per 100,000 births; 135 out of every 1000 Southern Sudanese children die before their 5th birthday, and there is 1 doctor for every 100,000 people1. The Government is well aware of the situation and the need for more trained staff, particularly nurses and midwives.

In March 2008 a team from the St Mary&rsquo;s…

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The Directorate of Nursing, Midwifery and Human Resources (MOH GOSS) in collaboration with UNFPA and a consortium of Donors that includes Real Medicine Foundation of USA are happy to announce the recruitment of Nursing and midwifery students for the October 2009 intake of 40 students for a three years training course that will lead to a Diploma in Nursing and Midwifery.

Related Files: Government of Southern Sudan Advertisement 12/09/2009

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