A/HRC/40/CRP.1 and as a result, mental health is not fully integrated into the health system.” 855 Nonetheless, a number of international and non-governmental organisations have programmes addressing children’s mental health. For example, MSF provides mental health and psychosocial services in the Malakal PoC site as does IOM, which also provides services in Bentiu and Wau PoC sites.856 UNICEF reports having reached 14,135 children (6,242 girls, 7,893 boys) with psychosocial support activities in child-friendly spaces, schools and other communitybased interventions in seven states.857 For refugee children in Uganda, War Child Canada and Transcultural Psychosocial Organisation Uganda provide programming aiming to help 7,000 refugee children recover from psychological stress. 858 Furthermore, the conflict coupled with a lack of adequate health care has resulted in higher levels of children with disabilities. 859 These disabilities include physical, visual, and hearing impairments, as well as intellectual impairments and mental illness. Such children face significant barriers, partly as a result of lack of services including a lack of specialised services, difficulty accessing mainstream health and education services, the lack of specific legislation relating to people with disabilities, and cultural perceptions. In many communities in South Sudan children born with disabilities are thought to be a sign that the family is being punished by God. Families regard children born with disabilities are as source of shame and hide them from public view while some fathers abandon families when children are born with disabilities. There are even some reports that in some ethnic groups, babies born with visual impairments are killed.860 As in most other areas of life in South Sudan, girls with disabilities are more disadvantaged than boys with disabilities. 861 D. Redrawing of Administrative Boundaries 1. Introduction With over 60 ethnic groups, each with widely varying land-use practices, but all with an interest in benefiting from the country’s resources and a desire to have their voices heard in decision-making processes, South Sudan’s governance structures must find a difficult balance in managing and addressing divergent and competing interests. While these competing interests play out at the national level, they often manifest themselves directly at the local and state level between neighbouring communities sharing the same land and resources. Indeed, boundary disputes have a long history in South Sudan which have sometimes been manifested in and triggered by conflictual land-use practices, principally between pastoralists and agriculturalists, and often pitted ethnic communities against the central state, challenging its legitimacy to define internal boundaries. In light of these multifarious demands and interests, one of the most fraught and fundamental issues facing South Sudan relates to how it divides its government and administration in a way that is seen to benefit and be inclusive of all its citizens and to reflect the identities of ethnic communities. In the last three years, the questions of administrative boundaries and the relationship of communities to the central state have been framed around the questions of the number and boundaries of the states and whether federalism will be introduced in the permanent constitution. The Commission has taken note of this issue of the redrawing of administrative boundaries as it has been one of the drivers of the conflict since the creation of the 28, then 855 Republic of South Sudan, Ministry of Gender, Child, Social Welfare, Humanitarian Affairs and Disaster Management, South Sudan National Disability and Inclusion Policy, 2013. 856 MSF, “A mental health legacy that haunts the Malakal Protection of Civilians site”, 19 April 2018; IOM, Psychosocial Support, https://southsudan.iom.int/programmes/psychosocial (see also SVN 2018/06 (P) - Programme Manager (MHPSS) (P3) - Juba, South Sudan); IOM, “2018 Quarter 3 Report, July to September: Mental Health & Psychosocial Support”. 857 UNICEF, South Sudan Humanitarian Situation Report, 30 November 2018. 858 War Child's I Deal Supports South Sudanese Refugee Children, https://www.warchildholland.org/support-south-sudan-childrefugees-ideals. 859 Brigitte Rohwerder, “Disability in South Sudan”, K4D, 16 March 2018; Republic of South Sudan, Ministry of Gender, Child, Social Welfare, Humanitarian Affairs and Disaster Management, South Sudan National Disability and Inclusion Policy 2013. 860 Republic of South Sudan, Ministry of Gender, Child, Social Welfare, Humanitarian Affairs and Disaster Management, South Sudan National Disability and Inclusion Policy 2013. 861 Brigitte Rohwerder, “Disability in South Sudan”, K4D, 16 March 2018; Republic of South Sudan, Ministry of Gender, Child, Social Welfare, Humanitarian Affairs and Disaster Management, South Sudan National Disability and Inclusion Policy 2013. 113