title: Food security and development in South Sudan: a call to action.
abstract: OBJECTIVE
  To examine household food insecurity and coping mechanisms in two relatively politically stable states of South Sudan.
  
  
  METHODS
  Cross-sectional assessment including structured interviews and focus group discussions with food aid programme beneficiaries and staff. Structured interview findings were analysed with descriptive statistics using the statistical software package STATA version 11.
  
  
  METHODS
  Rural households in four payams (sub-county administrative districts) benefiting from a multi-year assistance programme funded by the US Agency for International Development. The study was conducted in January 2012, six months after independence.
  
  
  METHODS
  Study subjects included eighty mothers of children aged 6–23 months in structured interviews and eight focus groups, each with six to ten participants, of mothers of children aged 6–23 months.
  
  
  RESULTS
  Ninety-three per cent of households surveyed in Warrap and 100% of households in Northern Bahr el Ghazal states were severely food access insecure. Nearly all households (97?5%) surveyed in both states reported there were months in 2011 without enough food to eat. The majority of households (88%) reported sometimes or often going to bed hungry in the month preceding the study. A number of coping mechanisms were used when households did not have enough food, including reduced meal size, skipping meals, selling assets and engaging in some kind business in order to generate money to buy food.
  
  
  CONCLUSIONS
  Given the highly volatile political, economic and humanitarian situation in South Sudan, the priorities of the international community are understandably focused on securing greater stability in South Sudan and preventing humanitarian needs from escalating significantly. There is a need, however, for simultaneous emphasis on food assistance and longer-term development strategies throughout South Sudan, particularly in areas of agriculture, livelihoods and food security.
authors.affiliation: Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe Street, Suite E8132, Baltimore, MD 21230, USA.
authors.forename: Hannah
authors.initials: H
authors.lastname: Tappis
authors.forename: Shannon
authors.initials: S
authors.lastname: Doocy
authors.forename: Amy
authors.initials: A
authors.lastname: Paul
authors.forename: Sonya
authors.initials: S
authors.lastname: Funna
mesh_terms: D000328:Adult; D002675:Child, Preschool; D003430:Cross-Sectional Studies; D003625:Data Collection; D003906:Developing Countries; D004032:Diet / Q000191:economics; D005191:Family Characteristics; D005260:Female; D017144:Focus Groups; D063105:Food Assistance; D005523:Food Supply / Q000191:economics / Q000706:statistics & numerical data; D006801:Humans; D006815:Hunger; D007182:Income; D007223:Infant; D007407:Interviews as Topic; D008297:Male; D044342:Malnutrition / Q000191:economics; D062407:Meals; D009035:Mothers; D011203:Poverty; D012424:Rural Population; D013397:Sudan; D014481:United States