Access to life-saving health services and response to, and prevention of cholera outbreak  for the communities affected by floods and other vulnerabilities in 17 states of Sudan. The project aims to fill in the immediate gaps of access to life- saving health and environmental health services for the communities affected by acute crisis with a focus on floods and cholera outbreak in 114 prioritized localities in 17 states of Sudan through a multi-sectorial approach. In 2019, the rainy falls had been particularly severe resulting in wide spread floods. So far, all 18 states of Sudan had been affected and the cholera outbreak have been confirmed (and declared in 6 localities of Blue Nile with 99 cases confirmed). Alerts of cholera are reported every day from different states, not confirmed so far. The situation continues to aggravate with more areas flooded every day as the rains continues and the Nile River level increases, especially in White Nile and Red Sea. The impact of degrading living conditions, access to safe water and sanitation damages create imminent health risks of rapid spread of cholera outbreak following the pattern of the previous epidemic. Cross border movements with Ethiopia where an outbreak re-emerged and South Sudan where is endemic along with  internal displacement are important contributing factors. Without immediate intervention for improving the access to essential health curative services as well as preventive measures (early warning and immediate containment health and WASH) measures, all states affected by flood would be confronted with the rapid expansion of cholera and other water and vector borne diseases. 
Targeted (indirect) beneficiaries who will have access curative care and essential preventive public health interventions living in 112 localities in 17 states affected by the flood and at high risk of cholera spread. The selection of the localities  took into account the previous outbreaks (cholera) pattern.
The project has two main objectives :
1. Improved access to essential, affordable health services for the communities affected by floods. Addressing the time-critical gaps of medicines and medical supplies availability, support the functioning of temporary health facilities that deliver an integrated package, included most common diseases, medicines free-of charge, Maternal and reproductive services, child health (IMCI and routine vaccination) health education and referral for men, women, boys and girls. 
2. Response, mitigation, prevention and control of imminent health threats posed by communicable diseases outbreaks with a focus on already on-going cholera epidemic. Time-critical, intensive and large scale intervention are needed from EWARS, investigation, confirmation, immediate response and community mobilization to adequate treatment of cases as measures for limiting the community spread of cholera. The contingency stock for response to acute diarrheal diseases and cholera will be completed to match the projected number of cases over the next 6 month as the present stock is sufficient for the  treatment of only 1900 cases, The potential rapid spread to large number of people triggered by existing vulnerability need immediate, coordinated and comprehensive actions if to avoid excess morbidity and mortality and expansion to all the states. The project also addresses the early warning and rapid response mechanism for immediate identification and control of alerts with community involvement, capacity for adequate treatment of cases thus reducing the community transmission and the community mobilization as the first responders. 

3. The proposed activities are coordinated and complemented by WASH/environmental health interventions essential for the timely control of massive spread of water and vector borne diseases. The focus is on access to safe water and sanitation at HF/CTC level, water quality testing as an essential warning mechanisms, and vector surveillance and response.  The coordination and chain of command ensured through cluster and inter-cluster meetings, Task Forces, Technical Committees and Emergency Operating Center under FMOH/SMOH leadershi