Emergency Response to MBororo returnees  refugees in Maramosa  Karkada / Dimso ‐ South Darfur The proposed project will focus  on integrated lifesaving health, nutrition, WASH and essential shelter and distributions of non food items (NFIs) interventions among 3,784 returnees, 1,678 refugees and 1,750 host community members (total 7,212) in Maramosa and Karkada in Dimso locality with a focus of meeting their basic needs and well-being while increasing their self-reliance. South Darfur. To address the health and high rate of malnutrition needs among, who were forced to flee Central African Republic because of inter-communal fighting, and arrived in Maramosa and Karkada sites, ARC will establish two mobile health teams one for Maramosa and the other for Karkada... The two mobile teams will be based in Eltomat and provide the services 3 times a week. ARC will hire 21 health and nutrition staff, compromising of 2 medical assistants, 5 nurses, 4 midwives, 2 pharmacy assistants, 2 vaccinator, 2 registrars, one Nutrition Supervisor, 3 nutrition assistants, There will also be 2 cleaners and 4 guards attached to the mobile teams. ARC Health and Nutrition program manager will oversee the implementation of the project ARC will provide basic primary health care package, which includes diagnostic amp curative services, provision of essential drugs through support of WHO, reproductive health services (ANC, PNC and FP), including clinical management of rape services, immunization support and outreach health education. ARC will provide outpatient therapeutic and targeted supplementary feeding programs to children under five and pregnant and lactating women respectively. A functional referral system for complicated cases will be established between the mobile clinics and existing PHCC (Eltomat) to provide further diagnostic and inpatient support.

In WASH sector, in order to augment water supplies in underserved areas settled by returnees, refugees and the host community, one borehole will be drilled in Karkada to serve 4,157 people. ARC will provide technical support and cover costs of operation and maintenance of two water systems in total - one in Maramosa and one in Karkada once drilled. In all cases there will be regular water quality testing at different points of the water-safety chain and corrective measures taken to improve quality of water.  ARC will implement waste management and disposal, including conducting clean-up campaigns and increasing community awareness on general hygiene promotion. Household garbage collection pits will be encouraged where feasible. Storm water drains and channels will be opened to prevent flooding and stagnant pools of water, which create breeding sites and habitats for vectors. UNHCR has distributed NFIs to all households. Further NFIs to be distributed on need basis..ARC will budget for the transportation of the NFIs.

In ES/NFI ARC will sub grantee UPO partner to construct Basic emergency shelter for 1000 most vulnerable household with special needs while the roof of tarpaulin will be provided by UNHCR . Beneficiaries will be screened following an agreed criteria,will request for tarpaulin sheets for the roof from UNHCR.. A total of 6 persons will be trained on basic shelter construction. ARC’s WASH and Construction engineer will supervise them. 

ARC will focus on an inter-sectoral approach that supports integration between the health, nutrition, WASH and ES/NFIs services. Service delivery of all health and nutrition services will be integrated at the mobile clinics. The health and nutrition team will also closely collaborate with the WASH team on health education/outreach activities to promote proper hygiene practices and better understanding of the key public health/ nutrition risks associate with inadequate WASH. ARC will establish Community Relief and Development (CRD) committee(s), who will take a lead role in health, nutrition, and WASH promotion activities, assist with disease surveillance, and encourage community referral processes