Provision of integrated essential health and nutrition services for vulnerable communities in newly accessible areas in East Jabal Mara, South Darfur ( Envelope 1) The project focuses on ensuring and maintaining access to essential life-saving health and nutrition services and vital public health interventions for communities affected by conflict and displacement living in very high/high risk villages in East Jabal Mara from the side of South Darfur State. Direct health service delivery through operationalization of 7 clinics to cover around 242,000 IDPs and conflict affected communities after access has opened in areas that were not accessible for several years. The fund will be mainly focusing to address the pressing needs for high rates of malnutrition, lack of basic services delivery and a collapse of basic infrastructure due to impact of the conflict for several years. The project activities have been discussed and planned in consultation with health and nutrition federal and state ministry of health and in accordance with the sector priorities. The SHF will be sub-granted to NNGOs and state MOH in areas with critical needs for essential health and nutrition service provision with no alternative partners (international or national NGOs) currently with minimum presence on the ground. The Deribat village will be targeted only by nutrition Sever Acute Malnutrition (SAM) inpatient care as part of the essential primary health care delivery already covered by CERF Rapid Response up to June 2018 and the functionality of seven clinics will be continued with the provision of medical supplies. Through SHF the provision of free-of charge health services and medicines is aiming to ensure access to essential emergency health care for targeted population mainly composed of IDPs, returnees and host communities. The expansion and management of emergency health information system and public health early warning alert response systems (EWARS)in emergency will be established facilitating the  prompt identification and timely response to emergencies that are critical for preventing the avoidable mortality and morbidity amongst affected communities as well as health and well-being of targeted humanitarian case-load in these areas. The SHF will complement the ongoing CERF funded health interventions in Deribat and Bellie Seraif which is currently underway directly through implementation of WHO, NGOs and state MOH the training and functioning of states’ and locality Rapid Response Teams (RRT) in charge of assessment and initial response to acute events such as outbreaks alert investigation and initial response will be implemented by WHO with the broader scale up of the response interventions as the most cost-effective way for the protection of the lives. Affected communities will be involved in planning and implementation of the project by recruiting paramedics and training of CHWs from the same communities for sustainability and self-resilience and minor rehabilitation using semi-permanent materials will be considered for the key health facilities affected by long conflict in the newly accessible areas of East Jabel Mara. 
The nutrition activities will be mainly focused on lifesaving in-patient services for SAM through establishing the first ever stabilization center in Deribat area of East Jebel Mara locality in South Darfur state. The activities will be implemented by WHO with the support from SMOH focusing on in patient management of the severe acute malnutrition, while the current SAM children with complications are being referred to the far reachable health facilities.  The capacity building of health and nutrition staff of the stabilization center on lifesaving In-Patient SAM services and will provide opportunity to the staff from other health facilities in the East Jebel Merra locality. The expected inpatient case load from the initial calculation has revealed that the estimated number of in patient SAM cases will be around 320  patients during 2018 (HRP 2018). WHO will provide the required medicines and medical equipment to the stabilization center .