Provision of Effective and Sustainable, Health, Nutrition, FSL and WASH services for conflict affected population in Mellit, Al Malha and Um Keddada localities in North Darfur. (Consortium) This project will ensure the provision of Effective and Sustainable, Health, Nutrition, FSL and WASH services targeting 197,944 people in need living in Mellit, Al Malha and Um Keddada localities in North Darfur.
This action objective will be achieved through an area based multi-sector integrated consortium approach with two INGOs COOPI and Relief International (RI) and the one national NGOs Anahr for Peace, Development and Humanitarian Work Organization (APDHWO).
COOPI is leading the FSL and WASH sectors and RI the Health and Nutrition components, APDHWO will work with the leading agencies in all four sectors of intervention.
By coordinating villages of intervention and operations, COOPI, RI and APDHWO will ensure a comprehensive response/holistic solution to the needs of the most vulnerable population towards more resilient communities.
Complementing three ongoing projects implemented by COOPI and RI in the targeted localities, this project will reach a total of 197,944 direct beneficiaries out of which over 76% are women and children.
Food insecure farmers and pastoralists families (IPC phases 3 and 4), women headed households, PLWs, SAM and MAM children (lt 5 years and 0-59 months) will be targeted in 18 villages of Mellit, Malha and Um Keddada.
Project results will be sustained by a joint targeting of beneficiaries with high rates of food insecurity and malnutrition in areas with extremely poor service delivery in health and lack of functional water sources and sanitation facilities.
While the 2018 seasonal rainfall across Sudan is reported to be above average, increasing prices of seeds and livelihood assets, generalized inflation and dry mid-season spells are leading to an urgent need of humanitarian assistance.
Livelihood means will be protected and self-reliance fostered for 59,400 individuals targeted by FSL activities: seeds and tools will be procured and distributed to 18,000 farmers households in two agricultural seasons 500,000 livestock heads will be targeted by vaccination and treatment services 300 food insecure women headed HHs will receive goats and sheep restocking.
Water availability in Mellit, Malha and Um Keddada is consistently below 15 liters/person/day, with an average of 9.15 liters. Unsafe sanitation practices and open defecation pose a direct risk to the health status of the targeted population. (COOPI WASH KAP surveys).
9,621 individuals will be reached by WASH activities: 1WY and 1MWY will be rehabilitated 1 hafirs will be constructed, 3 VWMC will be trained on OampM 3 new sanitary facilities will be constructed in public institutions (schools/health centers) using CLTS approach and mass hygiene campaign.
Critical, primary curative and preventative health care and nutrition services will be provided to 177,237 women, children under 5, PWD and people with sickness.
There is a lack of clinical staffing and limited space in health facilities to provide primary health care services. Due to low dietary intake, high morbidity of the most vulnerable individuals within the communities and the malnutrition rates are high in the 3 targeted localities. 
This will be address through community based prevention and treatment of acute childhood malnutrition. RI nutrition activities will focus on the treatment of severe cases of children aged 6-59 months with and without medical complication and moderately malnourished cases. This will be combined with strengthening prevention, mainly IYCF, emphasizing behavior change communication, strengthen the health and nutrition system for better integration and referrals.
The consortium will integrate protection and education and will work within the existing health system to strengthen the capacity of the SMoH seconded health staff of 18 clinics. This will be completed through the provision of basic and refresher trainings focused on IMCI, support for safe motherhood, key messages on IYCF behaviors, monitoring and reporting for systems management.