Using the principles of reputational case selection sampling procedure and thematic search of electronic databases and websites, we implemented a regional synthesis of evidence on the health vulnerabilities of migrant and mobile populations in urban areas of East and Southern Africa. The review identified key health challenges relating to various diseases, including the increasing challenge of non-communicable diseases, such diabetes among migrants by 2030.
While figures are difficult to obtain, our review suggested high levels of urban migrants, including refugees, internally displaced persons (IDPs) and asylum seekers in urban areas of the region, which for undocumented migrants poses particular logistics challenges in terms of administering targeted interventions, more so in contexts where poor socio-economic situations of countries do not provide them with opportunities to become self-reliant and less dependent on humanitarian assistance. This calls for policies, program interventions and research investments targeting vulnerable migrant and mobile groups in the region.
![On 13 August, Nyalyauk Nyok, holding 3-year-old Gatluak Wiyual, stands outside a thatch-roof hut in the town of Kiech Kon in Upper Nile State where UNICEF, the World Food Programme (WFP) and NGO partners have deployed a multi-sector rapid response team to assist displaced people in remote and hard-to-reach areas affected by the conflict. The children here are sick, always sick, with headaches, tummy aches, coughs, diarrhoea, fevers, Ms. Nyok says. Since the war came, there is nothing in the health centre, no supplies, no medicines. That means our families are suffering, and as a mother there is nothing that I can do to make it easier for them. We are eating only sorghum sometimes, maybe two weeks of each month, maybe less. In fact the main thing that we eat is grass and leaves, things we pick from the floor [sic] or the trees. There have been hard times here before, but not like this. This is the worst I have seen. Even the old women, who have lived for a long time, they say this is as bad as they have known it.
In mid-August 2014 in South Sudan, 1.1 million people have been displaced since resurgent conflict erupted in mid-December 2013. An estimated 588,222 of the displaced are children. Some 440,000 people have also sought refuge in neighbouring countries. UNICEF has appealed for US $151.7 million to cover emergency responses across the vital areas of nutrition; health; water, sanitation and hygiene (WASH); protection; education; multi-sector refugee response; and cholera response. By 12 August, 52 per cent remained unfunded. UNICEF/UNI169069/Pflanz](https://www.socialscienceinaction.org/wp-content/uploads/2017/01/UNI169069_Med-Res-1024x683.jpg)