Kamisa and Yumjima’s journey of struggle and resilience

UNICEF continues to provide emergency support to returnees and refugees in transit sites at the border with Sudan

Abraham Daljang Maker
Mother holding her baby girl Kamisa who is suffering from severe acute malnutrition. Renk South Sudan, 2023
UNICEF South Sudan/Abraham Daljang Maker
18 August 2023

Amidst the continuing devasting violence raging across Sudan, waves of South Sudanese return across the borders to their home country. This is the story of Kamisa, a 1-year-old baby, and her mother who faced unimaginable challenges as they joined the almost 200,000 others who have fled the war into South Sudan since mid-April. Her story is one of resilience and strength in the face of deprivation.

Returnees at the Joda border, Renk, Upper Nile, South Sudan
Returnees crossing the border into South Sudan, Renk, 2023.

Her story is one of resilience and strength in the face of deprivation.

Kamisa, with her mother Yumjima, and 3-year-old brother, embarked on the treacherous journey to find safety and a better future. They fled Khartoum, making their way to the South Sudan border. Along the way, they encountered countless obstacles, desperate conditions, and the constant fear of uncertainty with fighting flaring up all around them. They sought refuge in the Halagia border camp still in Sudan, where they remained stranded for two long harrowing months.

Kamisa and mother Yumjima at the UNICEF nutrition site for support, Renk South Sudan.
UNICEF South Sudan/ Abraham Daljang Maker
Kamisa screened for malnutrition at UNICEF transit site, Renk, South Sudan
UNICEF South Sudan/ Abraham Daljang Maker

During their time in the border camp, Kamisa’s fragile health deteriorated rapidly. She became severely malnourished, her weight dropped and she wasted to an alarming level. Her Mid-Upper Arm Circumference (MUAC) malnutrition measurement was just 8 centimeters, showing the severity of her condition. Yumjima, a loving and determined mother, almost lost all hope.

We stayed in Halagia for two months, I thought the situation would improve but it was getting worse every day.

Yumjima - Kamisa's mother

My baby’s situation was deteriorating daily, and I decided to come home (to South Sudan) so that I can at least bury my baby in my home country,” said Yumjima, holding back tears.

She reached the border point and was immediately referred to a UNICEF-supported nutrition site in Renk Hospital where she was admitted.

UNICEF and IOM teams at the transit site where they support returnees, providing health and nutrition services, Renk, South Sudan.
Kamisa and her mother at transit center, Renk, South Sudan supported by UNICEF

Here, Kamisa received urgent medical attention and specialized healthcare she desperately needed.

She was provided with ready-to-use therapeutic food (RUTF), regular health check-ups, and supportive care.

But Yumjima felt she had to leave the hospital to care for her 3-year-old son who was under the care of a neighbour at the congested and overcrowded Renk transit center. After two days out of the hospital, Kamisa’s situation deteriorated again, but was able to be screened and treated at another UNICEF-supported mobile Nutrition/Health facility within the transit center and quickly referred back to the hospital.

Although my baby’s situation is still dire, I am happy that she can  receive the support and  can now eat.

Yumjima - Kamisa's mother

UNICEF and partner GOAL are running the mobile nutrition center at the Renk transit site where hundreds of children are being screened, treated, or referred to the hospital’s stabilization center for the most severe cases like Kamisa.

Renk Hospital, South Sudan a doctor is giving treatment to a mother
UNICEF South Sudan/ Abraham Daljang Maker
mobile clinic for returnees entering South Sudan
UNICEF South Sudan/ Abraham Daljang Maker

Otto Stephen, a nutrition worker in the Hospital explained to Yumjima the importance of remaining at the Hospital’s stabilization center (SC) so that her baby can recover well.

Otto Stephen, a nutrition worker advising Yumjima on nutrition for her child.
UNICEF South Sudan/ Abraham Daljang Maker

Cases of mothers leaving the stabilization center have been happening, but the child has appetite and she would have improved if she had remained here

Otto Stephen, a nutrition worker in the Hospital Stabilization center, Renk, Upper Nile, South Sudan

After such challenging journeys and traumatic experiences, mothers such as Yumjima had to make life-and-death decisions to care for all her children, despite Kamisa’s deteriorating health.

The nutrition sites at the Transit site and in the Hospital have become a  haven for mothers and children like Kamisa. They receive not only physical nourishment but also emotional support through counselling to recover and try and rebuild their lives. 

 

Kamisa’s health deteriorates further

Yumjima was met by UNICEF and partners after she discharged herself and Kamisa for a second time, a few days after the initial ordeal. “I am haunted by the guilt of leaving my three-year-old son behind, alone and uncared for, in the transit centre,” she said.

Kamisa’s health further deteriorated after being away from appropriate care.

UNICEF emergency officer is examining Kamisa and speaking to her mother to see if her health has improved
UNICEF South Sudan/ Abraham Daljang Maker
Doctor at the hospital prescribing medicine to a mother, Renk, South Sudan
UNICEF South Sudan/ Abraham Daljang Maker

Dr. Deng Juac, from Renk Hospital, said that many mothers, like Yumjima, find themselves torn between the bedside of one child and the uncertain fate of others they have to leave elsewhere. “The burden is immense, the choices unbearable, but we strive to do our best to ensure that mothers complete the treatment of their children. Until today, I have witnessed the struggles of countless mothers, parking their things and leaving the hospital despite our plee’s to let them remain in the hospital,” he said.

Truck transporting returnees from transit site to other areas where they can reunite with families, Renk, South Sudan.
Baby Kamisa stands, held by her mother at the transit site, in Renk, South Sudan

Ultimately, Yumjima needs to return to Juba, where she has family.

"In the depths of desperation, I yearn to reunite in Juba and meet with my parents and husband so that my child gets better treatment in Juba. But as the days pass, my hope battles against despair, wondering if I'll ever hold them both in my arms again." Yumjima added.

Kamisa’s story is just one of the thousands being witnessed as the Sudan conflict continues. Hundreds of thousands, mostly women and children, are displaced and fleeing to bordering countries such as South Sudan, Chad, and Egypt. In the Renk transit camp, which serves as a temporary location for displaced families, thousands of people are requiring support in challenging conditions.

families queueing for water at water point in Renk, South Sudan
Children at the water point to get clean water, Renk, South Sudan

Water, sanitation, shelter, and basic commodities are a challenge for humanitarian agencies to provide for the increasing number of arrivals, adding to the prevalence of disease and malnutrition.

Despite continued efforts to scale up the response, partners need further resources to support the arrivals as well as continue to help move people on to their home regions. This is against the backdrop of an existing humanitarian crisis in the northern regions of South Sudan where internal conflict and floods have displaced hundreds of thousands of people.

Through maintained efforts and support of UNICEF, UN Agencies and the many partners children and families affected by the Sudan crisis can cling on to hope and a chance at a better future.