GABRIEL O AYENI | Texila American University (original) (raw)

Papers by GABRIEL O AYENI

Objectives The objective of this study was to assess if children aged 0-23 months in a conflict-a... more Objectives The objective of this study was to assess if children aged 0-23 months in a conflict-affected state of South Sudan were on track with their immunisation schedule and to identify predisposing factors that affected this study population from being on track with their routine immunisation schedule. Design Community-based cross-sectional study using a semi-structured questionnaire. The binary outcome of interest was defined as being on or off track with routine vaccination schedule. Multivariable logistic regression was used to analyse for the association between the predisposing factors surveyed and being off track with one’s routine immunisation schedule. Setting Rural communities in four counties (Rumbek Centre, Rumbek North, Rumbek East and Wulu) of the Western Lakes state in South Sudan during January 10, 2020 to June 10, 2020.Participants We surveyed 428 children aged 0-23 months and their mothers/caregivers who lived in either of the four counties in the Western Lakes ...

Annals of Medicine and Surgery, 2022

Abstract The COVID-19 pandemic is a public health emergency on a global scale, and vaccination ha... more Abstract
The COVID-19 pandemic is a public health emergency on a global scale, and vaccination has been shown to be effective in containing the pandemic. Social issues surrounding COVID-19 vaccination contribute to the level of skepticism and opposition expressed by a sizable proportion of the global population. The need to address socio-cultural and religious standpoints on COVID-19 immunization and related discussions is becoming more pressing as the pandemic's socioeconomic implications become more concerning. Without a doubt, failing to address social issues jeopardizes countries' ability to achieve the WHO-recommended 70 percent coverage target for all countries, which would halt the pandemic by creating a global herd immunity. In this article, we discussed some of these social issues as well as emerging strategies for addressing these challenges and driving a rapid increase in COVID-19 vaccine uptake.

J Public Health (Berl.), 2020

Aim A populations' perception of health service delivery is critical to the understanding of the ... more Aim A populations' perception of health service delivery is critical to the understanding of the relationship between quality of care and utilization of health services and has been increasingly treated as an outcome of health care delivery. This study aimed to assess the perceived impact of a basic package of health services on health service delivery and mortality in Wulu County, South Sudan.

Ethiopian Journal of Health Sciences, 2020

BACKGROUND: High incidence of malaria disease in South Sudan may be largely due to poor/non-compl... more BACKGROUND: High incidence of malaria disease in South Sudan may be largely due to poor/non-compliance with effective treatment and preventive measures. This study examined factors limiting/enhancing compliance with the utilization of known and effective malaria treatment and preventive measures in Wulu, South Sudan. METHODS: A case-control study involving 396 respondents was conducted. Participants were interviewed using a semi-structured questionnaire to elicit information regarding socio-demographics and factors influencing compliance with using available treatment and preventive measures for malaria. RESULTS: Respondents diagnosed with malaria reported lack of insecticide treated nets (51.5%) and forgetfulness (16.6%) as reasons for not using insecticide treated nets. About 26% of them lacked the knowledge of insecticide treated net's usefulness, while 57.5% of them did not consider it necessary to have door/window barriers. About 44% of all respondents forgot to take prescribed drugs at the right time while 14.5% of them did not complete drug prescriptions because they felt relief of symptoms. There were significant associations between identified factors of compliance to treatment/preventive measures and occurrence of malaria (all at p < 0.001). Having insecticide treated nets (OR: 5.78; CI: 3.46-9.00), awareness of its benefits (OR: 8.76; CI: 3.02-25.37), being taught on its use (OR: 3.35; CI: 2.17-5.18) and understanding of its use (OR: 3.80; CI: 2.01-7.20) were significantly associated with year-round utilization of insecticide treated nets. CONCLUSION: Poor access to and knowledge of malaria treatment, control and preventive measures are leading barriers to their effective utilization in Wulu.

Conflict and Health, 2022

Background: The burden of malaria remains the highest in sub-Saharan Africa and South Sudan is no... more Background: The burden of malaria remains the highest in sub-Saharan Africa and South Sudan is not an exception. The country has borne the brunt of years of chronic warfare and remains endemic of malaria, with increasing mortality and morbidity. Limited data still exists on factors influencing the recurrence of severe malaria, especially in emergency contexts such as South Sudan, affected by various conflicts and humanitarian situations. This study therefore aimed to investigate factors influencing severity of occurrence malaria in selected primary healthcare centres in South Sudan. This would assist and guide in malaria prevention, treatment, and eradication efforts. Methods: We conducted an unmatched case-control study using routinely collected clinic data for individuals aged 1 year and above who received a diagnosis of severe malaria at 3 primary healthcare centres (PHCC); Malual Bab PHCC, Matangai PHCC and Malek PHCC between September 15, 2019 to December 15, 2019 in South Sudan. Patient characteristics were analyzed using simple descriptive statistics. Inferential statistics were also conducted to identify the associated factors influencing recurrence of severe malaria. All analyses were conducted using R Version 3.6.2. Results: A total of 289 recurrent malaria cases were included in this study. More than half of the participants were female. Overall, the prevalence of severe recurrent malaria was 66.1% (191) while 74.4% (215) did not complete malaria treatment. Among those who did not complete malaria treatment, 76.7% (165) had severe recurrent malaria, while among those who completed malaria treatment 35.1% (26) had severe recurrent malaria (p < 0.001). There is a significant association between marital status (OR 0.33, 95% CI 0.19-0.56, p < 0.001), employment status (OR 0.35, 95% CI 0.14-0.87, p = 0.024), the use of preventive measures (OR 3.82, 95% CI 1.81-8.43, p < 0.001) and nutrition status (OR 0.22, 95% CI 0.13-0.37, p < 0.001). When adjusted for employment, marital status, nutritional and prevention measures in turns using Mantel-Haenszel test of association, this effect remained statistically significant. Conclusions: Our study showed that there is a high prevalence of severe recurrent malaria in South Sudan and that a significant relationship exists between severe recurrent malaria and antimalarial treatment dosage completion influenced by certain personal and social factors such as marital status, employment status, the use of preventive measures and nutrition status. Findings from our study would be useful for effective response to control and prevent malaria in endemic areas of South Sudan.

BMC Pediatrics, 2022

Objectives: The objective of this study was to assess if children aged 0-23 months in a conflict-... more Objectives: The objective of this study was to assess if children aged 0-23 months in a conflict-affected state of South Sudan were on track with their immunization schedule and to identify predisposing factors that affected this study population from being on track with their routine immunization schedule. Design: Community-based cross-sectional study using a semi-structured questionnaire. The binary outcome of interest was defined as being on or off track with routine vaccination schedule. Multivariable logistic regression was used to analyze for the association between the predisposing factors surveyed and being off track with one's routine immunization schedule.

Tropical Medicine and Health, 2022

COVID-19 continues to strain, stress, and stretch health systems globally. With the development o... more COVID-19 continues to strain, stress, and stretch health systems globally. With the development of the COVID-19 vaccines, there are many issues still lurking behind the widespread coverage; one of which is COVID-19 vaccine nationalism and African countries are not exempted from these issues. This is evident in that many countries in the African region missed the earlier targets set by World Health Organization (WHO) for COVID-19 vaccination coverage. The WHO further set a target of 70% coverage of the COVID-19 vaccines for all countries by June 2022. In this article, we discuss the possible reasons why many African countries are struggling and may not achieve the COVID-19 vaccination target in 2022. With the fundamental issues facing COVID-19 vaccination ranging from nationalism to hesitancy, it is important that stakeholders continue to work harder to ensure that the continent is not left behind in the race to keep the world free and safe from the sting of the COVID-19 pandemic.

Ethiopian Journal of Health Sciences

Background and aim: Peripartum Diastasis Symphysis Pubis, DSP is a recognized and rare complicati... more Background and aim: Peripartum Diastasis Symphysis Pubis, DSP is a recognized and rare complication of pregnancy. The aim of this report was to present for clinical use findings following the use of TENS in peripartum DSP management.

World Journal of Public Health, 2019

Vaccine Preventable Diseases (VPDs) have been proven to be easily mitigated among the infants/chi... more Vaccine Preventable Diseases (VPDs) have been proven to be easily mitigated among the infants/children if the target population is effectively mobilized to receive the vaccines especially at the appropriate ages. The role played by mothers/guides in ensuring their wards get vaccinated appropriately cannot be overemphasized. Their knowledge and attitude towards immunization can either promote or retard the possibility for missed opportunity and incomplete vaccination of this vulnerable and helpless population. The main objective of this study was to determine the knowledge and attitude of the mothers/guides and to determine the predicting factors contributing to the missed opportunities and incomplete vaccination in Rumbek Centre County Lakes State of South Sudan. The study was carried out at the Rumbek State Hospital and Matangai Primary Health Care Centre, both in Rumbek Centre County of Lakes State in South Sudan. A descriptive cross sectional study of mothers/guides attending immunization clinics of both health units was carried out. Inclusion of participants was done by simple random sampling. Data was obtained through the use of structured, self-administered questionnaire. Summated scores were used to grade respondents' knowledge and attitude towards immunization. Data analysis was done using the Statistical package for Social Science (SPSS) version 21. Data were presented using descriptive statistics of frequencies, percentages, and pie charts. Inferential statistics of Chi-square was used to test for associations between various socio-demographic variables and the knowledge and attitude of mothers/guides towards immunization. A considerably high proportion of mothers/guides (72.1%) have good knowledge on immunization with 27.9% of them having poor knowledge on immunization. Slightly above average (52.9%) of the mothers/guides have good attitude towards immunization while a fairly large proportion (47.1%) of them have poor attitude towards immunization. Marital status, level of education, occupation and number of children were all found to have statistically significantly associated (P<0.05) with the mothers'/guides' knowledge on immunization. This study further revealed that Marital status, religion, level of education and occupation have statistical significant association (P<0.05) with the attitudes of the mothers/guides towards immunization. Vaccination compliance analysis in this study revealed a downward trend along the various vaccines/indicators based on age and vaccines received by each respondent's child. Among the suggested recommendations include improved immunization health education for mothers/guides, training and retraining of vaccinators/health workers, effective tracking of defaulters and concerted efforts towards lasting peace in South Sudan.

International Journal of HIV/AIDS Prevention, Education and Behavioural Science, 2019

There is a general broad knowledge surrounding the possible complications and opportunistic infec... more There is a general broad knowledge surrounding the possible complications and opportunistic infections that patients with HIV can be exposed to, one of which is Tuberculosis, a popular co-morbid disease in HIV patients. Several studies have unraveled the efficacy of ARVs on the CD4 counts in HIV patients, but there exists knowledge gap in establishing the efficacy of ARV therapy among HIV patients with Tuberculosis (TB). The main objective of this study was to compare the efficacy of antiretroviral therapy on HIV positive patients with and without tuberculosis. A quasi-experimental design was employed in this study. Eighty (80) patients were recruited in total from the ARV-TB clinic of general hospital Bida. Forty (40) HIV patients without TB, and HIV patients with TB were recruited consecutively into group A and B respectively. Each group participants' baseline CD4 counts were estimated and recorded, after which both groups were subjected to a six weeks ARV therapy. Data were collected weekly (for six weeks) by conducting laboratory test of CD4 counts for both groups' patients. The data were analyzed using SPSS version 25.0 software. Descriptive statistics of mean, standard deviation and percentages were used to summarize the data, while inferential statistics of t-test, ANOVA, ANCOVA and Bonferoni pairwise comparison were used to test the significant differences as appropriate. Alpha level was set at 0.05. The study revealed that the CD4 count of HIV patients without TB (group A) at baseline was found to be statistically significantly higher than those with TB (group B), and also revealed a statistical significant difference in the CD 4 count across the seven-time-point period of the study (baseline and the six weeks of ARV therapy) in the two groups (P<0.05). The study also revealed that there was no statistically significant difference in the CD4 count of groups A and B comparatively after six weeks of ARV therapy. Recommendations among others include; extension of the study tentacle to increased number of health facilities and longer study period, conducting studies on the impact of the dual therapy (ARV and anti-TB) on the co-infected patients, and the need for all stakeholders involved in the treatment of HIV patients to continuously update their knowledge base on the management of the HIV patients with and without TB, for a more productive and goal-oriented treatment outcome, void of sentiments and discrimination.

Central African Journal of Public Health , 2019

The main objective of this study is to determine the knowledge, attitude and practices (KAP) of t... more The main objective of this study is to determine the knowledge, attitude and practices (KAP) of the geriatrics towards the predictor of healthy living in a tertiary hospital in Abuja, Nigeria. The study was carried out at the University of Abuja Teaching Hospital (UATH), Abuja-Nigeria. A descriptive cross sectional survey of the geriatric patients attending Clinic at the University of Abuja Teaching Hospital, Gwagwalada-Abuja-Nigeria, was carried out. Data was obtained through the use of structured, self-administered questionnaire. Summated scores were used to grade respondents' knowledge attitudes and practices towards predictors of healthy living. Data analysis was done using the Statistical package for Social Science (SPSS) version 21. Data were presented using descriptive statistics of tables, frequencies, percentages, and pie charts. Inferential statistics of Chi-square was used to test for associations between socio-demographic variables and the knowledge, attitude and practice of geriatric patients towards predictors of healthy living. Out of 319 respondents, 50.5% have good knowledge while 49.5% have poor knowledge towards predictors of healthy living. It was also revealed in the study that a greater proportion of the respondents (52%) have poor attitude towards predictors of healthy living while less than half (48%) have good attitude. It was further discovered that 58.6% of the respondents have poor practice, while only 41.4% have good practice towards predictors of healthy living. Inferentially, Chi-square revealed that there was statistical significant association between marital status and knowledge of the respondents towards predictors of healthy living (P<0.05). Furthermore, the level of education and religion of the respondents was found to have statistical significant association with their attitude towards predictors of healthy living (P <0.05) and there was statistical significant association between the educational level and religion of the geriatric patients and their practice towards predictor of healthy living (P <0.05). There is a need for action from all concerned stakeholders to improve the KAP of the geriatric population towards predictors of healthy living. Suggested recommendations among others are; that government should enact enabling laws that will promote geriatrics' healthy living, improve the community awareness on the predictors of healthy living among geriatrics through health promotions and provide qualitative education and training/retraining courses for health workers to improve their knowledge on geriatrics health and to effectively take up their roles in educating the target population.

Central African Journal of Public Health. , 2019

South Sudan was reported as having one of the highest malaria burdens in sub-Saharan Africa. A be... more South Sudan was reported as having one of the highest malaria burdens in sub-Saharan Africa. A better understanding of the pattern and distribution of the infection is considered to have implication on prevention and control. The objective of this study was to investigate the pattern and distribution of reported Malaria infection in Wulu, South Sudan. Secondary data on malaria cases managed between January 2014 and December 2016 across all the eleven health districts of the county were obtained from the Health Management Information System and the District Health Information Software. Descriptive statistics were used to analyze the extracted data. The finding showed similar trend in the pattern and distribution of Malaria disease across the health districts between 2014 and 2016. Also the incidence rates for the overall population were 29.5%, 23.7% and 36.7% for 2014, 2015 and 2016 respectively. However a much higher incident rate was recorded among the under-5 year population for the same period (76.5%, 47.1%, and 64.5%). Malaria cases among under-5 years of age in the area account for 52-59% of Outpatient department consultations between 2014 and 2016. Also the finding showed sharp rise in the number of cases reported for 2016 although the same yearly trend was maintained across the year and districts. The finding showed similar trend in pattern and distribution of Malaria infection over the period of 2014 to 2016 and across the health districts; it did not however suggest a reduction in the trend of occurrence. More attention should be given to the under-5 year population.

The prevalence of Severe Acute Malnutrition (SAM) and Moderate Acute Malnutrition (MAM) of under-... more The prevalence of Severe Acute Malnutrition (SAM) and Moderate Acute Malnutrition (MAM) of under-five children, in south Sudan is reportedly high and is being aggravated by various negatives factors. The situation has attracted the attention of various international organizations like World Food Programme (WFP), United Nations Children Emergency Fund (UNICEF), and other International Non-governmental Organizations (INGOs), for possible interventions. However, there are scarce study reports on the current prevalence pattern of SAM and MAM among under-five children, as it may assist in the implementation of nutrition therapy programme implemented by these humanitarian organizations. A retrospective cohort study was conducted by collecting thirty six (36) month reported data of SAM and MAM of under-five children, from District Health Information Software (DHIS)-the standard source of health information in south Sudan, across three years; 2014, 2015 and 2016 for three counties, and was analysed using SPSS. Findings revealed statistical significant differences in SAM and MAM within each county and among the three counties across the three years. The results further revealed that there was rising median values of SAM and MAM among the counties across the three years. It was suggested that adequate pre-intervention survey should be conducted, reducing local government's sentiments and infiltration during screening exercise for malnutrition among under-five children, ensuring peace in south Sudan, and conduct of post-intervention surveys for feed-backs, may serve as a clue towards implementing an effective and efficient nutrition therapy programme in the war-torn Lakes State of south Sudan.

The food supplement feeding practice and the overall perception of mothers/caregivers about the n... more The food supplement feeding practice and the overall perception of mothers/caregivers about the nutrition therapy programmes in the associated humanitarian interventions, for the under-five children play important role in achieving the maximum success in such laudable programmes. A cross sectional survey study was carried out on the mothers/caregivers in three counties-Cueibet, Yirol West and Rumbek North. Data was collected through structured questionnaire containing questions on the mothers'/caregivers' feeding practice of the supplementary foods, and their perception on the nutrition therapy programme. Data were analyzed using descriptive and inferential statistics. Statistical level of significance was set at P-value <0.05. The results showed that more than 90% of mothers/caregivers in Cueibet and Yirol West counties have varying degrees of poor feeding practices and perceptions about the nutrition therapy programme, while in Rumbek North county, over 50% of the mothers/caregivers have good feeding practices but more than 50% of them also have varying degrees of poor perception about the nutrition therapy programme. Chi-square test revealed significant association between the marital status and feeding practice of the mothers/caregivers in the three counties, and a significant association between their level of education and perception on the nutrition therapy programme. Suggestions for improvement among others include; intensive nutritional health education of mothers/caregivers on good feeding practice of the food supplements, increased community awareness programme on nutrition therapy, and periodical conduct of field monitoring visits to the programme sites.

Incidence of malaria disease is still very high in many areas of South Sudan which perhaps might ... more Incidence of malaria disease is still very high in many areas of South Sudan which perhaps might be as a result of poor /noncompliance to preventive measures. The objective of this study was to investigate the use of LLITN, and factors limiting compliance to its utilization. A case – control study was conducted among population in a typical County of South Sudan. A multistage random sampling technique was used; case-control matching was done. Information relating to access and use of LLITN was gathered and analyzed. Descriptive and inferential data analysis were carried out. A total of 396 samples (cases=198 and control=198) were analyzed. The finding did not show satisfactory utilization of LLITN. Non-use of LLITN was significantly associated to the occurrence of malaria (OR=19.6, CI=11.78-32.54), p=). Poor understanding and not-taught how to use were significantly associated to the malaria occurrence (OR=4.6, 3.0; CI=2.98-7.28, 1.94-4.60; p=0.000) and year-round utilization of LLITN (OR=5.2, 3.9; CI=3.27-8.19, 2.49-6.18; p=000). The finding showed poor LLITN retention and year-round use. There was significant association between factors promoting non-compliance and occurrence of malaria (p= 0.000). Also, finding showed care-giver level education is significantly associated to the use of LLITN (p=0.000). This study showed that the identified LLITN factors had significant association to its year-round regular use the regular use of LLITN and occurrence of malaria. Improving the use of LLITN remains important component especially in developing countries where resources to achieve simultaneous implementation of integrated malaria control programme could not be guaranteed.

South Sudan was reported as having one of the highest malaria burdens in sub-Saharan Africa. A be... more South Sudan was reported as having one of the highest malaria burdens in sub-Saharan Africa. A better understanding of the pattern and distribution of the infection is considered to have implication on prevention and control. The objective of this study was to investigate the pattern and distribution of reported Malaria infection in Wulu, South Sudan Secondary data on malaria cases managed between January 2014 and December 2016 across all the eleven health districts of the county were obtained from the Health Management Information System and the District Health Information Software. Descriptive statistics were used to analyze the extracted data. The finding showed similar trend in the pattern and distribution of Malaria disease across the health districts between 2014 and 2016. Also the incidence rates for the overall population were 29.5%, 23.7% and 36.7% for 2014, 2015 and 2016 respectively. However a much higher incident rate was recorded among the under-5 year population for the same period (76.5%, 47.1%, and 64.5%). Malaria cases among under-5 years of age in the area account for 52-59% of Outpatient department consultations between 2014 and 2016. Also the finding showed sharp rise in the number of cases reported for 2016 although the same yearly trend was maintained across the year and districts. The finding showed similar trend in pattern and distribution of Malaria infection over the period of 2014 to 2016 and across the health districts; it did not however suggest a reduction in the trend of occurrence. More attention should be given to the under-5 year population.

The prevalence of Severe Acute Malnutrition (SAM) and Moderate Acute Malnutrition (MAM) of under-... more The prevalence of Severe Acute Malnutrition (SAM) and Moderate Acute Malnutrition (MAM) of under-five children, in south Sudan is reportedly high and is being aggravated by various negatives factors. The situation has attracted the attention of various international organizations like World Food Programme (WFP), United Nations Children Emergency Fund (UNICEF), and other International Non-governmental Organizations (INGOs), for possible interventions. However, there are scarce study reports on the current prevalence pattern of SAM and MAM among under-five children, as it may assist in the implementation of nutrition therapy programme implemented by these humanitarian organizations. A retrospective cohort study was conducted by collecting thirty six (36) month reported data of SAM and MAM of under-five children, from District Health Information Software (DHIS)-the standard source of health information in south Sudan, across three years; 2014, 2015 and 2016 for three counties, and was analyses using SPSS. Findings revealed statistical significant differences in SAM and MAM within each county and among the three counties across the three years. The results further revealed that there was rising median values of SAM and MAM among the counties across the three years. It was suggested that adequate pre-intervention survey should be conducted, reducing local government's sentiments and infiltration during screening exercise for malnutrition among under-five children, ensuring peace in south Sudan, and conduct of post-intervention surveys for feed-backs, may serve as a clue towards implementing an effective and efficient nutrition therapy programme in the war-torn Lakes State of south Sudan.

Annals of Medicine and Surgery, 2022

J Public Health (Berl.), 2020

Ethiopian Journal of Health Sciences, 2020

Conflict and Health, 2022

BMC Pediatrics, 2022

Tropical Medicine and Health, 2022

Ethiopian Journal of Health Sciences

World Journal of Public Health, 2019

International Journal of HIV/AIDS Prevention, Education and Behavioural Science, 2019

Central African Journal of Public Health , 2019

Central African Journal of Public Health. , 2019

South Sudan was reported as having one of the highest malaria burdens in sub-Saharan Africa. A be... more South Sudan was reported as having one of the highest malaria burdens in sub-Saharan Africa. A better understanding of the pattern and distribution of the infection is considered to have implication on prevention and control. The objective of this study was to investigate the pattern and distribution of reported Malaria infection in Wulu, South Sudan Secondary data on malaria cases managed between January 2014 and December 2016 across all the eleven health districts of the county were obtained from the Health Management Information System and the District Health Information Software. Descriptive statistics were used to analyze the extracted data. The finding showed similar trend in the pattern and distribution of Malaria disease across the health districts between 2014 and 2016. Also the incidence rates for the overall population were 29.5%, 23.7% and 36.7% for 2014, 2015 and 2016 respectively. However a much higher incident rate was recorded among the under-5 year population for the same period (76.5%, 47.1%, and 64.5%). Malaria cases among under-5 years of age in the area account for 52-59% of Outpatient department consultations between 2014 and 2016. Also the finding showed sharp rise in the number of cases reported for 2016 although the same yearly trend was maintained across the year and districts. The finding showed similar trend in pattern and distribution of Malaria infection over the period of 2014 to 2016 and across the health districts; it did not however suggest a reduction in the trend of occurrence. More attention should be given to the under-5 year population.

The prevalence of Severe Acute Malnutrition (SAM) and Moderate Acute Malnutrition (MAM) of under-... more The prevalence of Severe Acute Malnutrition (SAM) and Moderate Acute Malnutrition (MAM) of under-five children, in south Sudan is reportedly high and is being aggravated by various negatives factors. The situation has attracted the attention of various international organizations like World Food Programme (WFP), United Nations Children Emergency Fund (UNICEF), and other International Non-governmental Organizations (INGOs), for possible interventions. However, there are scarce study reports on the current prevalence pattern of SAM and MAM among under-five children, as it may assist in the implementation of nutrition therapy programme implemented by these humanitarian organizations. A retrospective cohort study was conducted by collecting thirty six (36) month reported data of SAM and MAM of under-five children, from District Health Information Software (DHIS)-the standard source of health information in south Sudan, across three years; 2014, 2015 and 2016 for three counties, and was analyses using SPSS. Findings revealed statistical significant differences in SAM and MAM within each county and among the three counties across the three years. The results further revealed that there was rising median values of SAM and MAM among the counties across the three years. It was suggested that adequate pre-intervention survey should be conducted, reducing local government's sentiments and infiltration during screening exercise for malnutrition among under-five children, ensuring peace in south Sudan, and conduct of post-intervention surveys for feed-backs, may serve as a clue towards implementing an effective and efficient nutrition therapy programme in the war-torn Lakes State of south Sudan.