Strengthening Local Mechanisms for Rapid and Effective Response to Outbreaks and Management of Communicable Diseases Via Provision of Integrated Life-Saving Emergency Interventions in Guyuk and Shelleng LGAs of Adamawa State, NE Nigeria. Statistics available shows that over 2 million individuals have been displaced in Northeast Nigeria due to insurgency. Over ten years impact of insurgency in the BAY states have further destabilize the fragile gains with resultant displacements to camps, camp like settlements, host communities and neighboring countries as refugees. Adamawa State continue to struggle with the triple burden of insurgency, farmer-Herder’s clash, and flooding over the years. Covid-19, cholera and Monkey pox outbreaks have further compounded the impact of the triple burden on the state thereby eroding the gains that have been made in the time past.
About 8.4 million people in the BAY states are needing humanitarian aid in 2022, only slightly less than a year ago. Of these, 2.2 million are internally displaced 1.5 million are returnees who lack essential services and livelihoods and 3.9 million are members of communities affected by their hosting of internally displaced people. This figure also includes the majority (an estimated 733,000) of the 1 million people in areas currently inaccessible to international humanitarian actors. 
Access to health services is hindered by the high cost of medical care/services – as reported by 75% of IDPs, 61% of returnees, and 80% of non-displaced households (HRP). This project will ensure detection and responding rapidly and effectively to outbreaks amongst conflict affected and displaced communities and population, while strengthening the provision of basic life-saving health. Mobilizing sectorial and multi-sectorial efforts and actions to effectively create uptake and sustainable access to treatment and preventive services amongst affected IDPs, returnees, inaccessible and host population will be done. 
AGUF will be working in close collaboration with the State Ministry of Health (SMOH), the Adamawa State Primary Health Care Development Agency (ADPHCDA) as well as other relevant stakeholders, to strengthen the local epidemic and communicable disease surveillance and response systems in the states, Local Government Areas (LGAs) and communities. Integrated package of health services that focuses on the emergency control and response to the recurrent upsurge of epidemics (cholera, Monkey pox, covid-19 etc.), the treatments and prevention of widespread common and communicable diseases (Hepatitis, TB, RTI, Malaria),  as well as the immediate and sustainable access to life saving  immunizations and vaccinations (HBV, Measles, PENTA,  Yellow Fever, Rota, OPV) will be done. Under-served communities will be reached by teams of dedicated Hard to Reach Mobile Teams (HTR MTs) through out the period of the project with life-saving interventions, provide Risk Communication and Community Engagements (RCCE), support Active Case Search (ACS) for priority diseases and support case management during outbreak situations. The HTR MTs will also provide sanitary kits and aqua tabs where necessary.
AGUF will work with the Adamawa State MOH, and SPHCDA to address the critical gaps hindering access to emergency health care services including addressing emerging challenges and critical needs. These needs include inadequate number and distribution of health care workers, weak Infection Prevention and Control (IPC) at health facility and community levels, lack of emergency drugs and supplies to cater for vaccinations, immunizations, and treatment of communicable and common diseases especially to under serve communities, and absence of referral systems due to lack of ambulance and security. AGUF will ensure that basic supplies and commodities required for effective response are available and prepositioned to reduce mortalities associated with outbreaks, and communicable diseases spread.