South Sudan: “If you are strong, nothing will shake you”

05 Mar 2025

When Nyasebit Chan moved to Old Fangak in Jonglei State, South Sudan, a hepatitis E outbreak was well underway. The virus affects people of all ages but is particularly risky for pregnant women and girls. A mother to two sons, Nyasebit had left her immediate family in New Fangak to support her stepbrothers at a difficult time. 

Nyasebit's story is part of our coverage on how vaccine access impacts women this International Women's Day.

“I came here in May [2024], working in the market. My stepbrothers, their mother has passed on. So the only person who has remained as their mother is me. That’s what brought me from New Fangak to Old Fangak,” says Nyasebit.  

Hepatitis E outbreaks are unusually long compared to other epidemics. Unlike measles, for example, which might race through an unvaccinated community in six weeks, hepatitis E’s long incubation period means transmission is slower, and outbreaks can last for months.  

In Old Fangak, Nyasebit heard about the vaccination campaign for women and girls of child-bearing age. “When I came in May, I found that people have been vaccinated. I wanted to be vaccinated as well,” she says.  

Launched by MSF in December 2023, the campaign consisted of multiple rounds of vaccination to reach as many women as possible in Old Fangak and the isolated communities of the flooded marshlands spread across Fangak County.

Nyasebit was not able to escape hepatitis E but had received two doses of the three-dose schedule, which helped reduce the severity of her infection. At first, though, it wasn’t clear she had it, as the symptoms are often confused with the more common malaria.

Nyasebit Chan Khor

Nyasebit Chan Khor, 28 years old, moved to Old Fangak in 2024 during the ongoing hepatitis E outbreak in Fangak County. Nyasebit received two doses in the MSF-led vaccination campaign, which helped reduce the severity of her infection.  ©  Paula Casado Aguirregabiria/MSF

“It was on the 20th of November that this disease called hepatitis E infected me,” says Nyasebit. “When I went to hospital for a blood test [the first time], they told me it was malaria.” Treated for malaria, she spent two fever-stricken weeks at home, her body stiff all over, before revisiting the hospital where a blood sample confirmed that she had hepatitis E instead.

Now, Nyasebit has put some distance between herself and the struggles of recent years. “In 2023 life was so hard, up to year 2024. This year, 2025 […] the situation is much better, and now I live a happy life, even though my previous life has been heartbreaking.“  

Nyasebit has a short message for other women. “I would just encourage them to be strong. Because if they don’t get strong, what affects them will not go away easily.  And if you are strong, nothing will shake you.” 

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