Provision of Integrated Emergency Lifesaving Healthcare Services for Most Vulnerable populations of Pibor and Tonj North Counties. UNH is an HRP partners for 2019, a dual mandated organization that provides development amp emergency response. Based on our experience in emergency respond, developed this project following consultative meetings with the SMOH, CHDs, local authority and affected persons, titled “Provision of Integrated Emergency Lifesaving Healthcare Services for Most Vulnerable populations of Pibor and Tonj North Counties”
According to the South Sudan health cluster report (2019 HNO), 70,489(35.5%) people of Pibor amp 59,647(23.9%) of Tonj North need humanitarian healthcare services in 2019, persons targeted for 2019 humanitarian healthcare services was 39,474 (56%) for Pibor and 33,403 (56%) for Tonj North. Under this second allocation the total targets for Pibor is 22,994 amp 33,403 for Tonj North (no respond in first allocation). UNH response in Pibor targets 8,677 and 4,673 in Tonj North most vulnerable people.  
Only 15 health facilities in Pibor out of the 36 are supported under current World Bank Grants through UNICEF while in Tonj North 13 out of 18 are being supported under HPF3 leaving most of the health facilities non-functional, most vulnerable population in the remote areas have no access to lifesaving healthcare services. 
Public Health Situation Analysis conducted in Pibor in March 2019 shows, only 2 health facilities provide inpatient services in whole county, no CEmONC, limited BEmONC services, EPI coverage low (12% WHO 2018 report). EPI services only available at MSF-B clinics, Boma Hospital and UNH mobile clinics in Gumuruk/Lekuangole.   
There is an active transmission of Measles in Pibor following the declaration of the outbreak in February 2019, reactive campaign conducted in March 2019 with coverage of 30%- children age 6 months – 15 years vaccinated. IDSR (July 2019) 1,068 measles cases have been line listed with the most affected payams being Verteth, Gumuruk, Lekuangole amp Pibor. In Tonj North Measles outbreak was declared in February 2019 and reactive campaign conducted in June 2019, coverage was 91% however scale up routine EPI services in the hard to reach areas recommended through mobile services.
May 2019 IPC result released by FSL Cluster puts Tonj North in IPC 4 amp Pibor in IPC 3, this may deteriorate further worsening the malnutrition situation as well the vulnerability of the affected population. 
UNH has strong networks in Pibor responding in Gumuruk/Lekuangole through mobile clinics, will work together with the CHDs, health/nutrition/FSL/Protection/WASH partners to ensure synergies. Main objective of this project is to provide lifesaving emergency healthcare services to the most vulnerable populations of Pibor/Tonj North, improve quality of life and reduce morbidity and mortality through provision of holistic healthcare services through strengthening primary healthcare services at the community. Will strengthen the existing 2 mobile units to provide services in Gumuruk and Lekuangole and will constitute one in Tonj North. Will provide selected healthcare services including EPI through the mobile. Will participate in any Rapid Respond Mission that will be conducted in Pibor/Tonj North. The project targets the most vulnerable groups in the population- IDPs/vulnerable host commodities. Directly a total of 13,350 (2,670 IDPs and 10,680 host communities) will be reached with essential healthcare services. In Pibor 1,735 IDPs- 175 men, 172 women, 700 boys, 688 girls vulnerable host communities 6,942 700 men, 689 women, 2,799 boys and 2,754 girls in Tonj Noth, 935 IDPs- 94 men, 93 women, 377 boys, 371 girls vulnerable host communities 3,738 377 men, 371 women, 1,507 boys and 1,483 girls will benefit from this project directly. Generally the whole community in the catchment areas will benefit from the response. For successful respond, UNH requires $126,531.03 to facilitate the response in the period of 6 months thereafter the development partners will continue with the services to ensure sustainability.