A/HRC/40/CRP.1
family member disappear, being imprisoned, witnessing war-related fighting, witnessing a
friend or family member killed, having a close family member killed, threatened with death,
being seriously injured, raped, having a family member raped, witnessing a rape, being
tortured, having their house or property destroyed and getting ill with no access to medicine.
A number of witnesses, particularly women, told the Commission of their emotional
distress, including experiencing suicidal thoughts. One woman told the Commission of her
psychological distress after her brothers were killed and she was gang raped:
I am not sleeping more than two hours a night. I am thinking a lot about what happened. It is
affecting my ability to work, like selling tea because I cannot concentrate. I would like to
leave South Sudan but I cannot because I don’t have any way to leave. My husband and my
brothers have died. I am a dead body but I am talking. […] I would like to see a doctor, I
would like to kill myself. I would like some help with my children, I cannot cope with them.
If you could find someone to look after my children, to take them away it would be better. 270
Despite the significant need for mental health and psychosocial support, South Sudan
has a critical shortage of mental health workers and facilities. As of 2016, less than one
percent of people with common and severe mental disorders were receiving the services they
need.271 There are reportedly only three practicing psychiatrists, 20 community workers, one
psychiatric nurse, 29 psychologists and one hospital ward with eight beds catering to mental
health. This means that there is only one mental health professional for every 220,000
people.272
c)
Disability
The conflict has created more hurdles for people with disabilities to receive adequate
care. It is estimated that people with disabilities in South Sudan range from 10 to 15 percent
of the population.273 Disabled persons are often marginalized and are also prone to becoming
victims of violence and abuse.274 Men disabled by illness or injury may become unable to
care economically for their family, leading, in some cases, to their wife obtaining a divorce.
Girls and women with disabilities have even fewer opportunities to access education or
vocational training or another activity allowing them to provide for themselves. 275
To date, South Sudan has not become a party to the Convention on the Rights of
Persons with Disabilities. However, the Transitional Constitution (2011) and other national
laws include a number of provisions relating to the rights of people with disabilities. 276 The
Government has put in place a National Disability and Inclusion Policy, but a lack of funding
and enforcement of legal provisions promoting and protecting the rights of people with
disabilities are obstacles to the realisation of the objectives of this policy. 277
Women with disabilities are especially vulnerable and face obstacles in accessing
education and health services, in participating in the community and providing for their
270
Witness 142, ERN 100025-100030.
WHO, “WHO scales up mental health and psychosocial support in South Sudan”, November 2016.
272 WHO, “WHO scales up mental health and psychosocial support in South Sudan”, November 2016; Al Jazeera, “In South Sudan,
stigma and underfunding plague mental health care”, 18 January 2019; Mednick, S., “South Sudan: ‘The whole country is
traumatised’”, IRIN, 21 January 2019.
273 Forcier & Handicap International, “Situation Analysis of Mine/ERW survivors and other people with disabilities. Juba, Central
Equatoria, South Sudan”, September 2016; B. Rohwerder, “Disability in South Sudan”, K4D, 16 March 2018. The estimate of
5.1 percent in the 2008 census is considered to be an underestimate.
274 Forcier & Handicap International, “Situation Analysis of Mine/ERW survivors and other people with disabilities”, Juba,
September 2016; B. Rohwerder, “Disability in South Sudan”, K4D, 16 March 2018.
275 Forcier & Handicap International, “Situation Analysis of Mine/ERW survivors and other people with disabilities”, Juba,
September 2016; B. Rohwerder, “Disability in South Sudan”, K4D, 16 March 2018.
276 See Transitional Constitution (2011), Article 29; Child Act (2008), sections 26(2) and 27.
277 Government of South Sudan, South Sudan National Disability and Inclusion Policy, 2013; Ministry of Gender, Child and Social
Welfare, Strategic Plan 2013-2018, June 2013.
271
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