Provision of Integrated Primary Healthcare and Reproductive Healthcare Services to the Conflict-Affected Individuals (IDPs, Host Communities, Returnees) in Numan and Shelleng LGAs of Adamawa state. In continuation of the sector support to humanitarian responses in the northeast following the UN-led coordinated response plan in BAY States, LESGO Is proposing a 8 months project to address life-threatening gaps and needs of the conflict-affected population and underserved communities in primary health care services in Numan (i) Nzumosu settlement, Bolki Ward (ii) Tunga ladan settlement, Gamadio ward (iii) Salti settlement, Vulpi ward and (i)Jimbo, bakta ward, (ii) Gogma, Gwapopolok ward (iii) Gondong, ketembere ward in Shelleng Local Government Areas (LGAs), Adamawa state. The design of this project is to strengthen the provision of health care services that is currently available in the selected locations, provide mobile healthcare services via teams to locations without services but accessible, and make sure the underserved are reached with adequate integrated PHC services and reproductive health services. The project will also empower local communities and service providers by working through existing structures where available, adhering to Nigerian guidelines and protocols, and empowering community stakeholders and other project’s beneficiaries in direct service delivery. Women and children will be focused on because they contributed to a huge percentage of the People in Need from the HNO/HRP 2022. LESGO will target communities where Primary Health Care services are hampered and not fully running and with a focus on inpatient, outpatient, reproductive health, and community public health. The location where providers of health services are not currently available in terms of numbers to cater to the overwhelming needs of target beneficiaries will be given much attention. 
In locations with functional health facilities but operating at limited capacity, LESGO will train staff, equip and supervise them to provide quality lifesaving integrated PHC and reproductive health care services. LESGO will work through mobile teams by targeting areas where there is no - or limited - access to health facilities or areas hosting new arrivals. The mobile medical outreach team will comprise of CHEW, JCHEWs, and CHV supervised by a clinical supervisor (Nurse), auxiliary staff, and CHVs for community mobilization, hygiene, and health promotion, providing care for active patient findings and referrals to outreach sites for SRH cases (ANC and PNC clients).

Activities will focus on both the IDP camp and host communities, temporary health facilities, and mobile teams serving available sites. Four mobile outreach teams will be set up composed of six community volunteers (CHVs) and TBAs. LESGO will provide services to areas not targeted by Ministry of Health and UNICEF activities as well as WHO hard-to-Reach teams.

As part of a community-based and integrated approach, LESGO through the Community Health committee will train community health volunteers to strengthen referral networks, monitor health and nutrition, and conduct awareness raising on available services. Before actual implementation, key and critical stakeholders would be advocated to and these will include relevant government as ministries and agencies, target LGAs as well as the traditional/community leaders of the concerned communities to ensure ownership and buy-in.
Also, separate training/orientation packages for different health workers of different categories (Nurse, CHEWs, JCHEWs, and TBAs) on surveillance and outbreak response, minimum service packages for mobile outreach, and inpatient and outpatient services in their various posts of responses. The training will also include BEmONC, which ensures quality delivery of integrated management of childhood illness, and antenatal and post-natal care. Community sensitization on the prevention of communicable diseases (e.g., diarrhea, measles, cholera, and Malaria) and GBV. These teams will work on a weekly basis with an option for follow-up on patients with acute cases. These services will encompass first-line care and refer