Increasing access and strengthening capacities of PHC to provide emergency lifesaving health care services in Leer, Mayendit, Koch and Panyijar counties through the provision of 7 mobile units, 6 PHCUs, 2 RRMs and 2 PHCCs for Integrated response. This project is aiming at increasing access and strengthening capacity of PHC to provide emergency lifesaving health care in Leer, Mayendit, Koch and Panyijiar Counties through the provision of mobile response, PHCUs, RRMs and PHCCs with integrated responses. Central /southern unity state, especially Leer, Mayendit and Koch Counties have been severely affected by the ongoing conflict since its eruption in Dec 2013 up to date. Massive displacement of the local population, destruction of health facilities/livelihood, raping of young girls and women, looting of properties, killings of innocent civilians among many other crimes have taken a deep root in the three counties. The project is targeting 15,946 in Mayendit, 16,940 in Leer, 9,356 in Koch and 4,331 in Panyinjiar Counties. This project will benefit all gender groups including, 10,251 men, 10,450 women, 12,5611 girls and 10,962 boys across all the project catchment Counties. Since Leer and Mayendit Counties are implementing more clinical packages compare to Koch and Panyjiar Counties, the budget breakdown for Leer is $ 131,454 (36.4%), Mayendit $ 123,741 (34.3%), Koch is $ 72,199 (20.0%) and Panyijiar with $ 33,609 (9.3%).
HNO released in Nov 2017 reported that nearly 1.1 million children under age 5 estimated to be acutely malnourished and in need of life-saving services. Although localized famine was stopped in 2017, severe food insecurity continued to increase for the fifth consecutive year and a record-high 6 million people were severely food insecure in September 2017 across the Country. The IPC report shared in Sept 2017 to March 2018 indicated that 6 million people (56% of the total population) estimated to be severely food insecure, out of which 40,000 are in humanitarian catastrophe at a household level (IPC phase 5) in Unity among other states and 2 million are facing emergency (IPC phase 4) for insecurity Country wide. 
A SMART Survey conducted by UNIDO in Nov 2017 reported GAM rate at 17.9% and SAM at 3.5% in Mayendit county, while in a reference made to SCF SMART Survey conduct in April 2017 shows a prevalence of malnutrition rates among children in Leer county is high – estimated GAM prevalence of 20.1% (15.6-25.5 95% C.I.) and SAM of prevalence of 5.0% (3.2- 7.7 95% C.I.) based on weight-for-height/WFH z-score this is alarming and classified as ‘Critical’. IDSR report of week 30 in Aug 2018 indicated a proportional morbidity at 67.9% for malaria, AWD, 9.3% and ARI with 8.8% while the same diseases are also leading in mortality rate, malaria with 55.6%, AWD 14.0% and ARI with 12.8% across the Country. UNIDO report on EWARS in the IDP site at Leer TPA has always shown a 100% in health cluster weekly IDSR report. The routine EPI services in Koch, Nyal and Leer TPA is progressing well with Penta3 coverage of 57 in Koch PHCC in the last 3 months. Although due to insecurity, the entire County of Mayendit, most payams in Leer and Koch County are not benefiting yet from both routine and outreach EPI services. The provision of this primary health care service shall include OPD curative consultation in 7 mobile sites, 6 PHCUs, 2 RRMs and 2 PHCCs with integrated responses. The Seven mobile sites are Meer island, Tuochriak island, Tuochnhialchang island (in Leer County) Dhorleak and Dongol island (in Mayndit County), Gany and Gony (in Koch County) while the static sites are Bow, Dindin and Pillieny, (in Leer County) Pabuong and Dablual, (in Mayendit County) Duong and Majak (in greater Nyal of Panyijiar County). The project will support one stabilization center at Mayendit PHCC to treat SAM cases with medical complications. We will also support the psycho social and basic mental health services through updating/on-job training targeting nurses, midwives and clinicians on clinical management of sexual violence using SGBV treatment protocol and to offer the first aid such as protection and care for the survivors.