Provision of gender sensitive basic emergency primary health care services and response to disease outbreaks in the islands  in  Twic East County, Jonglei state, South Sudan The project target for curative and preventive health intervention is composed of U5 (at least 75% of the beneficiaries, boys and girls equally targeted) and PampLW women (at least 25% of the beneficiaries) from host, IDP and returnees’ communities of Twic East county targeting entire population in the remaining payams of Lith,Ajuong and Pakeer since JDF is currently active in Twic East for health services with an active ICCM proposal with UNICEF.  However, the project only covers one of the three new counties in Twic East. CHF funding will allow JDF to expand services in Twic East and fill health gaps not supported by UNICEF. 
The overall objective is to maintain and sustain the existing safety net of basic essential emergency health services with improved emergency referral services for communities in Twic East County with a focus on women, children amp IDPs/returnees. This project will provide support to host communities in underserved areas affected by the recent violence in Twic East County. The intervention will also target new arrivals fleeing recent insecurity in the neighboring Counties of Uror and Duk. The goal of the project is to contribute to the reduction in health related mortality and morbidity, and improve access to high quality Lifesaving emergency health interventions for the most vulnerable populations notably U5 children and pregnant and lactating women. 

The project will support 2 PHCC, 3 PHCUs EPI outreaches and community health education outreach activities in the 3 Payams of Ajuong, Lith and Pakeer. Program approaches will include inpatient and outpatient consultation, ICCM program, community health education, active case detection and treatment of SAM, deworming and Vitamin A, campaigns and EPI program both static and mobile out reaches targeting IDPs and host communities. Therefore, the activities of this project will focus on ensuring that PHC and RH services are available in all the area integrated capacity building refreshers (WASH, Health and Nutrition) to prevent, detect and respond to epidemic prone disease outbreaks in the main land and islands, guarantee an adequate availability of drugs such as anti-Malarial, anti-diarrheal, cholera medications, sensitize the communities promoting the adoption of good health and hygiene practices ensure measles and OPV vaccinations for under 5 in addition to routine vaccination at the Health facilities.

The project will strengthen provision of emergency primary health care services with particular focus on maternal and child health care both preventive and curative services to the most vulnerable group of the rural communities supported by pre positioning of essential drugs, medical equipment amp supplies to all the targeted health facilities as well as strengthening health facilities and capacity of health staffs to respond to quality emergency health services in Twic East County.
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The added value of the project is integration with Nutrition and WASH program long-standing partnership with CHDs for health system strengthening and improved health service delivery for local communities and IDPs/returnees.