Provision of Emergency Health Services for 26,000 [7429 men, 7689 women, 5466 boys, 5416 girls] conflict affected people of Tambura and Yambio Counties, Western Equatoria State. The recent conflict in Tambura County of Western Equatoria displaced an estimated 80,000 people. Reports indicate that several civilians were wounded and others killed. About 45,000 persons fled to Ezo county,  8,500  to Yambio, and  a sizable population  moved to Nagero, Mutina, and Nzara counties (OCHA 2021). The age and gender distribution of the population in these areas include  700 (men 145, women 240, boys 150 and girls 165 ) at Hayat construction camp, 6 kilometers along Nagero Road, 3,733 ( men 940, women 1,045, boys 864 and girls 884 ) within UNIMISS, and 5,012 (( men 1197, women 1403, boys 1200 and girls 1300) people at Saint Mary Catholic church compound. Another 1,880 ((men 470, women 600, boys 400 and girls 410 ) people live at the Ministerial Complex and 9,760 (men 2245, women 2733, boys 2452 and girls 2330) sheltering at Nbanga and many other locations totaling 19,476 IDPs. A recent verification by UNOCHA revised that figure to 6000 (men 1,380, women 1660, boys 1,400 and girls 1560) individuals. This project targets 26,000 people Men: 7429, Women:7689, Boys: 5466 and girls 5416.


This project will address the most critical health service gaps/needs in Tambura and Yambio Counties by providing lifesaving essential primary health care services. It will increase access to services through 6 mobile teams (3 in Yambio-Gagara Dupo, Akorogbodi, Suk Siro and 3 in Tambura-Hayat, Nabanga amp Tambura Center). The mobile response strategy is appropriate in a conflict emergency where static facilities are prone to attacks and occupation. The organization will hire two cars to support referral from the mobile site to a secondary health facility through this funding.


The integration encompasses referral pathways for better management and staff capacity building on infection prevention and control, mobile site waste management, case management, disease surveillance and psychosocial support, clinical management of rape, etc.  All indicators will be gender-sensitive to monitor equal access to health services across gender. The activities align with the United Nations life serving criteria and the cluster RA1 strategy to ensure they address the community's most critical needs
.
.
The project will use  IDSR, EWARS, Quantified Supervisory Checks (QSC), EPI tally sheets, and 5Ws  for data collection and reporting. The project will use BPHNS, MISP, CMAM, and clinical guidelines as national reference materials for all clinical activities. 

The main activities selected for this response and aligned with the specific objectives for this call include  out-patient consultation at all mobile sites, supply of essential medicines, disease surveillance and response, risk communication and community engagement, conflict-sensitive messaging,  clinical management of survivors of rape, facilitating access to care for people with disability (Physical and mental) through Mental Health and psychosocial support services, measles and Penta 3 vaccination, skilled delivery and training of health workers to effectively manage common illnesses (Malaria, diarrhea, ARI + COVID-19) and IDSR reporting.

The Rescue initiative-South Sudan has demonstrated capacity to implement emergency health response interventions in similar settings and currently works with IDPs and the host community in Yambio for an integrated WASH project.