Increase access to basic lifesaving services through integrated primary health care service, treatment and management of Acute malnutrition to under5 children, Pregnant  Lactating Women and provision of Water, Sanitation and Hygiene needs to host, IDPs and returnees in Panyijiar, Pariang, Cueibet, Yirol West and Jur river counties. This project is aiming at increasing access and strengthening the provision of emergency lifesaving health care services through 1PHCC, 1 PHCU and 1 mobile clinic response, scale up provision of safe water, sanitation and Hygiene to meet the critical needs of IDPs, vulnerable hosts and returnees and live saving support in treatment and management of malnutrition to the affected and most vulnerable population, with a keen focus to the children age 6- 59 months, Pregnant and lactating mothers in former Lakes, Unity and Western Bhar Algazal states.
South Sudan has been devastated by the conflict for the pass 5years and over half of the population depends entirely on humanitarian aids. The IPC projection May-July 2019 estimated 7.68 million people (67% of the population) will face Crisis (IPC Phase 3) acute food insecurity or worse, an increase of 8% from the 7.08 million people (63% of the population) from the same period in 2018. In May to July 2019, an estimated 260,000 people will be in Catastrophe (IPC Phase 5). A SMART survey conducted by UNICEF in Dec 2017 in Jur River county with a GAM rate of 10.1% and SAM rate of 2.4%. A SMART survey conducted by IMC in December 2018 in Panyijar county cited GAM of 15.6% with SAM 2.1 % which indicates deterioration of nutrition status compared to the 2017 SMART SURVEY cited GAM of 13.2% and SAM rate 2.5%.7. FNSMS round 23 placed Panyijar at GAM (WHZ) 15.6%. Jur River, Cueibet, Panyiijiar and Yirol West are among the 6counties categorized as critical locations by second half of 2019. Communicable diseases remain a major public health problem and are the leading causes of deaths. Malaria, diarrhea and pneumonia constitute about 77% of the total OPD diagnoses for children under five, nutrition situation in the country remains at grips of serious humanitarian crisis through the first half of 2019 attributed to combination of factors such as poor harvest, past conflicts, displacement and lack of basic services and inadequate access to safe drinking water coupled with poor hygiene in most part of the country aggravate humanitarian suffering.
This project will therefore aimed at providing timely, equitable access to safe and sufficient water to 18000 (3350 Men, 5100 Women, 4300 Boys and 5250 Girls) vulnerable and affected populations with inclusion of people with disabilities and other marginalized groups by rehabilitating 30 (15 in Panyijiar and 15 in Pariang) water points at and near the OTP/TSFP sites in Pariang County to facilitate appetite tests as well as water points in Panyijar community where UNIDOR currently has ongoing nutrition project. The project will enhance access to primary health care service through OPD curative consultations and IPD services at a PHCC in Rocrocdong payam of Jur River county, 1 PHCU and 1 mobile clinic in Pandiet payam of Cueibet county. Also psycho social and basic mental health services through case identification, first aid counseling and referral of the clients to nearby health county or state hospitals. Access to curative services in treatment of children U5 years SAM amp MAM both boys amp girls with and without complications and PLWs in the already existing OTP/TSFP sites and new mobile sites to prevent malnutrition related deaths and reduce the prevalence of malnutrition with inclusion of mass MUAC screening to inform cluster and other stakeholders on nutrition situation and trends in Panyijar and Yirol west.