Provision integrated health and WASH services for Out of camp refugees and host communities in Adila and Abujabra Localities, East Darfur (Envelop 3) ARC is supporting 3 primary health care centers (PHCCs) in Adila locality. These exclude Al Gora, which is one of the hard to reach areas in Adila locality, and has no International Non-Governmental Organization (INGO) or government health workers, but one nurse volunteer is running the health unit. Only a few South Sudanese refugees report at these health facilities. There is a need to provide outreach medical, preventive health and health promotion activities in these localities to cater for needs of refugees. 
Through proposed project, ARC will establish 02 mobile teams in Adila locality, which will provide complete Primary Health care package including diagnostic amp curative services, provision of essential drugs, reproductive health services (ANC, PNC and FP)  services along with immunization support and outreach health education. This team consists of one Medical Assistant, 01 Nurse, 01 midwife, 02 Health Educators and 01 Vaccinator. These mobile clinics will be rotated among the target population. A functional referral system will be established between refugee communities and existing PHCC to provide diagnostic and inpatient support including management of complicated cases. ARC will also provide psychosocial counseling support through 01 Psychosocial counselors in these localities. These counselors will be rotated in the target communities to identify vulnerable women and children, provide counseling and refer them to ARC's medical services or UNHCR (for protection and legal issues) if required. ARC will procure essential drugs, laboratory reagents, medical equipment and furniture to fill in the gaps and ensure provision of quality if services.

All activities will be implemented observing the ministry of health national guidelines, UNHCR and COR standards.

In WASH, The activities planned for implemented include one borehole drilled in Abujabra, to serve 14439 people. ARC will cover costs of operating and maintaining two water systems- one in Abujabra and one in Adilla, Rehabilitation of 5 borehole 2 in Abujabra and 3 in Adilla  In all cases there will be regular water quality testing at different points of water-chain usage/ storage and corrective measures taken to improve the quality of water. 

300 household latrines will be constructed  100 latrines in Abu Jabra and 200 in Adila localities in East Darfur. This will be from local available materials for the most vulnerable members of the refugee and host community.

The proposed interventions will promote proper hygiene practices and better understanding of the key public health/ nutrition risks associated with inadequate WASH, through integrated WASH, Health and Nutrition messaging conducive to reducing these risks. To ensure this integration and complementarity between WASH, health and nutrition services, ARC will transform its previous village health committees and WASH management committees into the integrated Community Relief and Development Committees. Although, ARC will focus on hygiene promotion efforts under this SHF WASH project, in order to achieve combined effects of reduced morbidity and mortality from communicable diseases transmitted via the oral-fecal route and via vectors, with the compounded negative effects associated with malnutrition, ARC’s  implementation will be through a common effort with the ARC Health and Nutrition teams (funded separately from ARC’s other sources).