Provision of integrated health, nutrition and livelihood services for South Sudanese refugees and host communities in Adilla, El Ferdous and Assalaya in East Darfur state. ARC will provide integrated lifesaving and immediate health, nutrition and livelihood services to the South Sudanese Refugees (SSRs) and host communities in Adila, East Darfur, including in Al Gora, Assalaya and El Ferdous localities. Due to the influx of SSRs in Sudan, as South Sudan's civil war entered its fourth year, resources and basic services remain in short supply for the most vulnerable populations. According to the 2019-2020 RRP for South Sudanese refugees and Refugee Response Chapter, in 2018, about 33,000 individuals arrived, bringing the total number of refugees to 852,080, of which only 380,000 are registered with UNHCR/COR. SSRs account for approximately 78% of all reported refugees in Sudan, with new arrivals continuing each month. In East Darfur alone, there were 9,353 SSRs arrivals in 2018. ARC proposes an integrated approach of core services in health, nutrition, WASH and livelihoods to focus on promoting sustainability and to build resilience among refugees and host communities. The program includes delivery of the basic primary health and nutrition services: general medical consultations and minor ailment treatment maternal and child health care (antenatal care, delivery, postnatal care, family planning and complication referral) Community Management of Acute Malnutrition (CMAM) and IYCF counseling in 2 Outpatient Therapeutic Program (OTP)/ Targeted Supplementary Feeding Program (TSFP) sites. Integrated services will be offered in 2 PHC facilities: one each in El Ferdous and Assalaya. In the community, the ARC will work with established support structures to reinforce protection mainstreaming, health promotion and outreach activities in selected locations and strengthen the referral system between refugee communities and PHCCs. ARC will also provide psychosocial counselling through the services of one psychosocial counsellor per locality. These counsellors will rotate in the target communities to identify vulnerable women and children and refer them to ARC's medical services or UNHCR (for protection and legal issues) if required. A number of selected community activities like training of community volunteers, supporting mother support groups and health education campaigns will be driven by Al Manar, a national NGO present in East Darfur. ARC will support Al Manar where necessary to build their capacity and ensure timely implementation. The South Sudanese refugee population in Sudan have an exceptionally heightened vulnerability with over 60% of new arrivals being children, and women and children comprising 82% of the population. ARC will ensure maternal and child health services are offered in the health centers and through mobile clinics to reach the most vulnerable. IMCI protocols to improve diagnosis will be enhanced through a new application that the ARC has implored, it will contribute to a reduction in caseloads of malnutrition. Recent Standardized Expanded Nutrition Surveys (SENS) indicated critical (gt15%) Global Acute Malnutrition (GAM) rate and Severe Acute Malnutrition (SAM) (gt3%) among children 6 to 59 months of age. The SENS also indicates high rates of anemia (gt40%) among children and women (aged 15-49 years), and low antenatal service and measles immunization coverage. To address these, the ARC will work together with MoH to conduct routine and accelerated campaigns and MUAC screenings to identify children with malnutrition and those at risk. Regular monitoring of data, disease trends and imminent emergencies will continue through data collection tools and maintenance of existing reporting channels. 
Food security and livelihoods components will support increased productivity of farmers with access to land. 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 k