Provision of Emergency Primary Healthcare services to Food insecure and Flood Affected Populations of Rubkona, Guit and Leer Counties in Unity state targeting a total beneficiaries 61,600 supported with SSHF reserve allocation 1, 2021 According to the IRNA assessment in July 2021 identified high health needs and affected population of 61,600 in Rubknona, Guit and Leer are impacted by floods across it surrounded. There has been big impact on population and destruction of existing health facilities, households and high level of water cutting off access of community to health services in the counties. The assessments have highlighted the rise in displacements, open defecation, destruction households which will result in the upsurge of epidemic prone/communicable diseases. 

This South Sudan Humanitarian Fund Reserve allocation 1-2021 project under HFO will support 6 Mobile Clinics in Rubkona, Guit and Leer  (2 in Rupkona-Rotreah and Rubkona center payams, 2 in Guit-Kuach, and Guit center payams and other 2 in Leer-Payak and Gandor payams) to improve access of health services to community in need. HFO will provide emergency healthcare services to 61,600 vulnerable individuals in 6 payams. There will be deployment of health workers (6 Clinical officers, 6 Midwives, 6 Nurses, 24 Community Health workers, 30 Home health promoters, 6 Data clerks, 6 Laboratory assistants, 6 Dispensers, 6 Security Guards and 6 Cleaners. HFO will mobilize Inter-Agency Emergency Health Kits (IEHK), Reproductive health kits, Malaria Commodities, Vaccines, from core Pipeline partners (WHO, PSI UNFPA) and these will be transported on air chartered flight in the second week of Nov 2021 to counties, transportation using the vehicles and canoes. Using the fund from SSHF, HFO will support purchase of plastic chairs, tables, locally made mats for each mobile clinic to facilitate service delivery. The mats and chairs will be used by patients and health care workers to sit on, tables will help in placing on the supplies and drugs during daily work. 6 temporary WASH facilities latrines and hand washing stations will be constructed to support Infection Prevention and Control (IPC) with each mobile clinic (Rupkona Center, Rotraah, Guit Center, Kuach, Payak and Kulier/Gandor MCs). The mobile clinics will operate five days a week (Monday –Friday) from 8:00 am -5:00 pm CAT. There will biweekly outreaches to hard to reach areas. Outpatient Department (OPD) consultations, dis-aggregated by age and gender, for treatment common diseases will be conducted from the mobile clinics to reach at least 61,600 internal displaced 
Person (IDPs), host and PLWDs 9,240 Men, 15,400 women, 16,632 boys and 20,328 girls). Malaria Rapid Diagnostic test (mRDT) and referral services will also be provided. Medical referral forms and health cards will be printed out and used during consultations and treatment of common illnesses as well request OPD registers from Ministry of health at the state and counties. Accountability to affected population will be taken into consideration particular involvement of local leaders, PLWDs, Elderly, youth, women and persons with mental illnesses be supported and provided with special psychological first aid. WHO IDSR team will assist HFO to open account for New Mobile clinic to enable data reporting. All data will be collected submit to EWARS flat form and 5Ws will be submitted to health cluster in monthly basis. HFO MEAL team will do evaluation on the project sites at the last mmonth of the project implementation to establsh impact of the response and report will be shared to all stakeholders.