ENVELOPE 1: 

Provision of integrated emergency life-saving health care to acute food insecurity IPC 4, and 5, IDPs, Returnees, and Host communities, in Duk County, Dongchak Payam,(Bongjiok PHCU, and  Padiet Payam ( Ayueldit  Mobile Clinic), and Bor South County, Makuach Payam, (Makuach PHCU, and Kolnyang (Cuei-Ker Mobile Clinic) Jonglei State, Health service delivery is key to improving the livelihood of vulnerable and affected populations. In South Sudan, this has not been possible due to the weak health systems, poor health infrastructure, and lack of essential medical commodities. Conflict, natural disasters like flooding, disease outbreaks have been major contributing factors to the weak health systems in South Sudan.
COVID 19 pandemic has not been kind to the health service delivery, partial lockdown in the country has hindered service delivery to the vulnerable and affected populations. South Sudan is one of the leading countries with the highest maternal and infant mortality rates which stands at 789/100000 live births and 62/1000 live births respectively (UNICEF 2020)
According to SARA report 2020, only 44% of the total population in South Sudan are able to access health services within a distance of 5 kilometers with populations having to walk long distances to access health services.
Duk and Bor South Counties are prone to severe flooding with the counties having had severe flooding in the year 2020 affecting more than 50,000 populations (flood snapshot issue 4 December 2020). This has caused the displacement of populations and increased vulnerability to diseases especially water-borne diseases and malaria.

This project will address these health challenges in Duk and Bor South Counties by offering integrated emergency health services to the vulnerable and acute food insecure affected populations. This will be done by Provision of OPD consultations both in the static and mobile health centers, ANC and PNC services, Reproductive health services, Skilled deliveries, Trauma management, Mental health services, GBV services including case management of rape and referrals, Management of Malaria, Pneumonia, and AWD with Zinc and ORS, immunization services, Nutrition screening, capacity building of health workers and health education and county health department staff. This will include COVID 19 key messaging on prevention and training of health workers on case management, creating awareness on the importance of immunization, and surveillance activities to ensure that COVID 19 disease is contained.
This project will be done in coordination with health partners (SMC, and MdM) plus other partners to ensure that the populations have maximum benefit through the integration of services in the two counties thus ensuring that the vulnerable communities are served with lifesaving quality healthcare services integrated with WASH, Nutrition, and GBV services.

The project will target 39,808 vulnerable and affected populations in Duk, and Bor South Counties (13,535 men, 14,331 women, 3,185 boys, 7,165 girls, and 1, 592 PLW). Therefore, the target population for Bor South (8392 men, 8885 women,1975 boys, 4442 girls, 987 PLW), and the target population for Duk (5143 men, 5446 women, 1210 Boys, 2723 Girls, 605 PLW) The intervention will be through 2 PHCUs and 2 Mobile units. One PHCU and one Mobile unit in Duk County, and the other One PHCU and one Mobile unit in Bor South County. This will be done in collaboration with the county health departments (CHD) of both two counties and in collaboration with the local authorities, community leaders, and religious leaders. Thus, in Bor South County, Makuach Payam,  and Kolnyang Payam, Medicair will support  Makuach PHCU, and the Cuei-ker Mobile unit, respectively. In Duk County, Dongcak Payam, and Padiet Payams, Medicair will support Bongjiok PHCU and  Ayueldi Mobile Clinic. These gaps have been identified in collaboration with the county health departments of the two counties to avoid duplication of health activities.