Support the provision of basic health, nutrition, livelihoods and WASH services to communities affected by conflict and disasters in Bielel locality, South Darfur state. This proposed one-year project will support preventive and curative health and nutrition interventions with integrated WASH and livelihood services to contribute to reducing disease morbidity and mortality and strengthening resilience among the protracted IDPs in Kalma IDP camp, Bielel locality, South Darfur state. In close coordination with other actors in Kalma, ARC will focus on increasing the availability of, and access to, life-saving primary health care services and supporting referrals of medically complicated cases to secondary care, increasing availability and access to maternal and child health services, strengthening the emergency preparedness and response mechanisms, and providing quality WASH and livelihood services. Livelihoods activities will focus on providing emergency and lifesaving services to increase productivity of farmers, increase market supply of affordable nutrient rich foods, create new livelihoods opportunities, and increase access to emergency livelihoods to reduce food insecurity and build self-reliance.
The proposed health component will be implemented in three health facilities Kalma Sectors 1, 6 and 8. Nutrition interventions will include supporting two OTPs/TSFPs (Kalma sector 6 and 8 PHCCs) and one Stabilization Center in Kalma sector 6. Identified malnourished cases in Kalma sector 1 will be referred to the International Medical Corps (IMC) nutrition center or ARC sector 6 PHCC. ARC’s intervention will target 85,166 protracted IDPs, which includes 14,478 (17%) children under five and 3,407 (4%) pregnant and lactating women. Through ARC’s well-structured Health Information System (HIS), morbidity and mortality data will be collated and submitted to key partners including SMoH, UNICEF, WHO, and WFP. In each facility, ARC has introduced digital IMCI software to provide quality consultation and treatments services with reliable results. Using this data, ARC will be able to target areas with high incidence of diarrheal diseases and malnutrition with hygiene promotion activities and IYCF counseling respectively. To promote diet diversity and strengthen households’ food security, ARC will purchase and distribute vegetable seeds to caregivers of severely malnourished children without medical complications.
Food security and livelihoods components will support increased productivity of farmers with access to rented land outside of Kalma camp. Agricultural inputs and training will contribute to improved food security and income. ARC will also provide emergency livelihoods support to vulnerable populations through multi-purpose cash transfers and new livelihoods development through skills training and business start-up kits.
The WASH sector intervention will focus on access to safe and dignified water and sanitation services, and promote proper hygiene and sanitation practices and disease risk prevention. People will directly participate in design and implementation of project activities. ARC will launch Wash’EM and Sanitation Social Marketing approaches that empower people as actors that actively seek improvement of their practices and living conditions. We will mobilize communities for public clean up events and hygiene campaigns. Through the WASH committees supported though this program and the ongoing communal structure of the Community Relief and Development Committees (CRDCs), ARC’s WASH intervention will be informed by the service demand and preferences of the customers. ARC will pursue gender-balanced approaches in participation and community management activities and mainstream GBV prevention in design of its infrastructure and awareness activities in accordance with the IASC protection guidelines for WASH. ARC will also consult the Handicap International Guidelines to make services accessible to people with disability.
ARC plans to implement this project directly in partnership with JMCO and ASSIST (national NGOs), whose activities are further detailed later in this proposal.