Improving access and scaling-up responsiveness to essential health-care needs of the vulnerable populations of Kajo-Keji County by focusing on the major causes of morbidity and mortality The project intends to improve access and scale up responsiveness to essential health care needs of vulnerable populations through PHCU and Mobile team packages in Kajo-Keji County.

This project focus is in line with the SA1 cluster objectives to
1) Improve access and scale-up responsiveness to essential health-care needs of the vulnerable populations by focusing on the major causes of morbidity and mortality

2) Prevent, detect and respond to epidemic-prone disease outbreaks and promote WASH in health facilities for conflict-affected and vulnerable populations 

The main project activities include
OPD consultations, emergency measles vaccination for children 6 months-15 years, response to epidemic prone disease alerts within 48 hours, provision of SGBV/CMR services, conduct skilled deliveries at the facility and at home, training of health staff on infection prevention and control (Wash in health facilities) and on disease surveillance and outbreak response, management of children under5 with SAM and medical complications, Social mobilization and health education/promotion for behavioral change.

The project beneficiaries include 20,000 direct beneficiaries, 60% (12,000) IDPS and 10% (2,000) people in the host community. 4% (800) PLW and 26% (5,200) Children lt5 years. By sex, the beneficiaries include 34% (6800) Men, 40% (8,000) Women, 10% (2,000) Boys and 16% (3,200) Girls

This project’s approach is designed to bridge the existing response gaps by increasing population coverage through PHCU and Mobile Teams. 2 PHCUs and 2 Mobile outreach teams will continue to offer services to the needy populations in Kajo Keji. TRI-SS will use the existing MoH reporting tools such as IDSR, EWARS, RRM and Quantified Supervisory check list and the EPI tally sheets and the Health Cluster 5Ws for data collection and reporting. Additionally, The project will use the basic package for health and nutrition services of the Ministry of health (BPHNS), Minimum Initial Service package for Reproductive health services (MISP) and the community management of acute malnutrition (CMAM) package and mhGAP, Humanitarian intervention guide (mhGAP-HIG WHO 2015) as working guidelines 

To ensure accountability to affected population, 1 inception meeting and 2 community dialogue meetings will be conducted to introduce the community to the project and to provide feedback.

The current coordination mechanisms established with existing partners such as, CHD, RRC and ARC will continue through regular meetings to create conducive working environment and promote corporation. 

The already established coordination with Ugandan authorities for security clearance at the border will be strengthened and through its offices in Moyo and Yumbe, TRI-SS will obtain a letter of no objection from the Resident District Commissioner (RDC) to facilitate the movement of supplies including drugs. 

Essential drugs will be procured from Uganda Joint Medical store to fill a gap of drug shortages due to restrictions that currently exist in transporting  core-pipeline supplies from Juba to Kajo-Keji