Overcoming trachoma amidst conflict and climate challenges

The intertwined challenges of climate change and conflict have profoundly impacted health services in Unity State, South Sudan. When roads are washed away by floods or rendered impassable by conflict, delivering medicines and conducting health education becomes near-impossible. Yet, amidst these challenges, CBM supported communities in pushing back against NTDs.

Trachoma has long been a major health challenge in Unity State. This painful eye condition, caused by repeated bacterial infections, may lead to blindness if left untreated. It thrives in areas with poor access to clean water and sanitation, making it particularly prevalent in the hard-to-reach communities of Unity State. Climate change and conflict have only worsened the situation, creating an environment where the disease can easily spread.

What does it take?

Mobile health teams often travel by foot or boat when roads are inaccessible to directly bring essential medicines and health education to those in need. These teams administer medicines and educate communities on the importance of facial cleanliness and environmental improvements to prevent the spread of trachoma.

Every day starts early for me – usually before the sun is up. Before heading out, I prepare my supplies – antibiotics, educational materials, and everything else I’ll need for the day. My work takes me deep into the community, where I visit households, schools, and clinics. I talk to families about the importance of washing their faces and keeping their surroundings clean, checking for signs of trachoma, and providing medicine where needed. I ensure those affected receive the necessary surgical services in more advanced cases. I also visit schools to teach children about hygiene, knowing they’ll take these messages home, which helps reinforce the practices within their families.

But the conditions are harsh—sometimes, the roads are flooded, or the security situation is not favourable, which means we must change our plans. We find ways to make it work. When I see a child’s eyes clear up or hear that someone no longer struggles with trachoma, I feel it is worth it.

My biggest motivation is seeing the real difference our efforts make. Since the trachoma intervention began, I have seen a real change in my community. People are more aware and more proactive. Children are healthier, and there is a sense of hope that was not there before.