Increasing access and responsive capacity to provide emergency lifesaving health care services to IDPs and vulnerable community of Uror and Fangak counties through the provision of outbreak and integrated response. The project is planned to be implemented in Uror and Fangak counties of the formed Jonglei state,
A total of 41,925 beneficiaries will be reached through the integrated response, this project intends to provide mobile unit, Support of PHCUs and strengthening PHCC to provide integrated response in Uror and Fangak Counties, 
In Uror Nile Hope will set up three mobile units in three localities names (Guiy, Paluony and Partet localities), two PHCU (Modit and Karam) will be supported, and Puluchol PHCC will be equipped and strengthened to provide integrated response ( Management of SAM cases with Medical complications, BeMONC and CMR  services)
In Fangak, two mobile clinics will be supported to ensure access to life-saving Health Care to IDPs in Kuernyang and Puom areas. A W30 Epidemiological Update Jul23-Jul29/ 2018, showed that 7 suspect pertussis cases have been reported by in two PHCUs from Jiath of Fangak county. The same report showed that there are of the 129 suspected cases, a total of 16 cases have been PCR confirmed as HEV of which one of them is from Fangak County. 
SMART survey conducted by Tearfund showed in Uror the GAM rate to be 16 which is higher that the emergency threshold 15. Similarly IPC Jan-July grading for Uror County also showed that the county is in level-4 /Emergency level/ with a possibility of sliding to famine/catastrophe if integrated response is not initiated. An active case search surveillance and case investigation and response capacity will be setup.
A SMART survey by ACF showed that GAM rate to be 16.1 which is higher that the WHO emergency threshold, in addition the top cause of morbidity among under five are malaria/Fever (23.4%), Diarhoea (14.3%) and cough (11.2%) this shows that 49%. The same survey showed that LLIN distribution and utilization remains to be 38%. A study by REACH showed that Fangak is among the counties with high risk of cholera out-break given the inadequate WASH conditions. EPI activities and surveillance and response to epidemic prone diseases will be strengthened in the mobile units.
Targeted Population:-
The total population of Uror county is estimated to be of this a total of these 12,544(Men = 3,618 Women = 6,671 Boys = 1128 Girls = 1,128) will be reached in Uror county. IDPs. Fangak County has a total population of 156,868 of this a total of 6,754 are targeted (Men = 1,948 Women = 3,592  Boys = 608 and Girls = 608 )
Integrated response will be provided in Puluchol PHCC including treatment of SAM cases with Medical complications. The PHCC will be equipped with Medical supplies to provide quality BEmONC, Health workers from the PHCC and adjacent PHCC will be trained on CMR-Survivors, Puluchol PHCC will be equipped with modules and training will be provided to health workers on CMR amp MHPSS.
Community level integrated disease surveillance and response will be instituted through the C4D structure in both counties, Health volunteers and health workers will be trained on outbreak investigation, case management and control measures of common outbreak prone diseases especially HepE, Meningitis, Measles, Cholera and Malaria. Investigation forms will be distributed to operation sites. Active and passive surveillance to enhance timely case detection. Emergency drugs and supplies will be propositioned to ensure timely response to common outbreaks.
An integrated response will be instituted in health facilities where Health workers will be trained on IPC/Infection Prevention and Control practice, Health facilities will be equipped with solid and excreta disposal pits/toilet, Hand washing structures etc. Community awareness activities will be enhanced on Water Sanitation and Hygiene on emphasis on common epidemic prone diseases and diseases. Families with malnourished children will be integrated with Nile Hope FSL activities in Fangak County. Malnourished children and mothers will be referred to OTP centers under Nile Hope and tearfund for Fangak and Uror respectiv