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Otuho (also known as Lotuko) are from Eastern Equatoria, an area in South Sudan. The Otuho-speaking people are bordered by the Lokoro in the North, Bari on the West, the Acholi and the Madi in the South, the Didinga and the Boya in the East. TheOtuho-Speaking region is characterized by ranges and mountains spurs such as the Imatong Mountain which is the highest with an altitude of 10,453 ft above sea level. It is also the highest mountain in the whole of South Sudan. The region is divided into 5 major regions namely: Imatong, Valley, Dongotolo, Lopit, and the Great Plains regions.
 
The Otuho South Sudanese residing in North America (United States and Canada) immigrated during the twenty two (22) years of civil war between the now Sudan government and the southern rebels called the Sudan People Liberation Movement/Army (SPLM/A). The civil war ended in 2005 with the Comprehensive Peace Agreement (CPA) which paved the way for the independence of South Sudan as a country in July 2011. Many of the families who came to North America did not come directly from Sudan or Southern Sudan but from neighboring countries including Uganda, Kenya, Ethiopia and Egypt where they flee for refuge during the war. A great number of families began arriving in the early 2000’s in North America. The number of Otuhospeaking families has since steadily grown.
 
After realizing that the number of Otuho families are growing, several of the community elders met and decided during the summer of 2005 to establish a community organization. And thus, the Otuho-Speaking Community of North America (NACO) was born. It was officially established during the Christmas celebration of 2005 after the constitution was ratified and passed in Erie, Pennsylvania. Shortly after its establishment, the organization was incorporated in 2006 and obtained its non-profit taxexempt status (501) (C) 3 in 2007. In mid-2013, it also obtained its non-profit tax-exempt status in Canada.