Strengthening of Health and Nutrition Intervention in Bilel Locality (Kalma IDPs Camp) - Envelop 2
Health –SUD-18/118604 and Nutrition –SUD-18/118652. The proposed 12-month project will focus on provision of integrated preventive and curative health and nutrition interventions to reduce morbidity and mortality among the protracted IDPs in Kalma IDP camp, Bilel locality, South Darfur State. Under this grant, ARC will focus on, increasing availability of, and access to, life-saving primary health services and supporting referrals for complicated cases to secondary care, increasing availability and access to maternal and child health services, strengthening the emergency preparedness and response capacity and, coordinating with WASH and nutrition teams to respond to communicable disease outbreaks in an efficient, coordinated, and timely manner. In addition, ARC will also strengthen community-based approaches to promote positive health behaviors, recognition of illnesses, and care-seeking practices. The proposed health interventions will be implemented in three health facilities Kalma sector 1, 6 and 8 PHCCs. To address the high rate of malnutrition and low coverage of treatment of malnutrition, ARC will focus on Community-based Management of Acute Malnutrition (CMAM) program. Nutrition interventions will include supporting two OTPs/ TSFPs (Kalma sector 6 and 8 PHCCs) and one stabilization center (SC) in Kalma sector 6 PHCC. Identified nutrition cases in Kalma sector 1 PHCC will be referred to sector 6 PHCC accordingly. ARC intervention will target 85,166 protracted IDPs in Kalma camp in sectors 1, 6 and 8. Among the population, 14, 478 are children under five (17%) and 3407 (4%) pregnant and lactating women.  

ARC intends to adopt a more focused inter-sectoral approach that supports integration between the health, nutrition and WASH services. To encourage integration, while maintaining flexibility in their respective fields, ARC will help train and structure/ restructure existing committees (WASH, Health) into the Community Relief and Development (CRD) committee with a broader scope of work that leverages the synergy between sector specific activities. The CRD committee will take a lead role in health promotion activities, as well as assist with disease surveillance, offer support to communities, and encourage community interaction thereby strengthen referral processes and linkages between community and health systems..

At the facility level, ARC is already working to bolster existing IMCI practices by introducing digital decision support in IMCI to ensure quality in provision of IMCI services for providers. Beneficiaries served under this proposed project will benefit. In line with the inter-sectoral approach, ARC health, nutrition and WASH teams will collaborate to tabulate facility level data to map cases of communicable diseases via oral-fecal route and via vectors to identify locales where WASH interventions and hygiene promotion messages should be prioritized. At the community level, ARC will introduce Timed and Targeted Counseling (ttC), an innovative evidence-based approach developed by World Vision. ttC adopts a family centered approach that engages pregnant women and mothers alongside key family decision makers, including husbands, fathers, mothers-in-law in home visits. Counseling is focused on preventive practices and negotiating better health, nutrition, and hygiene behaviors in pregnant women and during the first 1,000 days of the child’s life (conception to age 2) to address the primary causes of maternal and child morbidity and mortality.

Through a well-structured Health Information System (HIS), ARC will capture data and submit weekly epidemiology reports to the SMoH including key health indicators on a monthly basis. 

ARC will partner with JMCO- Jebel Mara Charitable Organization (National NGO) to implement community health and nutrition component conduct health and nutrition campaigns,community MUAC screening, conduct quarterly review meetings and discuss the challenges and successes encountered during implementation.