Improve access to and utilization of essential Primary health care services focusing on major causes of morbidity and mortality and prevent, detect and respond to epidemic prone diseases through mobile services and referral in flood affected Twic and Tonj North Counties of Warrap States Save the Children (SCI) is seeking to deliver a six-month emergency lifesaving health project in Twic and Tonj North Counties,  These are priority counties for flood response. 

Twic has a population of 249,350 (SS MOH) and Tonj North a population of 206,337 of which the direct beneficiaries for this allocation is 35,000 (Twic=15000 and TN= 20000) include IDPs from the neighboring Northern Liech and Gogrial, returnees from Sudan and host communities. The activities will complement existing PHC and nutrition services (mobile outreach) currently implemented by SCI in the nearby Abyei County. Trained community health workers (NCHW) will conduct hygiene promotion, community based surveillance, reporting of notifiable diseases and referrals PHCU/C for clinical care.

The funds will be used to support  mobile teams to provide basic health services to the affected communities in Twic and Tonj North. In Twic the project will support Pagai Anyoun PHCC for referral as is currently being supported by SSHF 2nd allocation and other complications will be referred to Turalei Hospital currently managed by CCM with support from HPF. Meanwhile Marial Guot PHCU and Ayuel PHCU will be mobile sites for this project. 
In Tonj North, this project will establish 2 outreach/mobile clinic sites in the floods affected Payam of Akop. Athieng-Pool PHCU in Akop Payam and Akurbiok PHCU in Man-loor Payam. Akop PHCC currently managed by world vision with support from HPF will be a referral facilities as well as Warap PHCC. 

PHCC to be supported by the project in Twic is Pagai Anyoun PHCC and Akop PHCC in Tonj North. 


Health services will focus on:
OPD management of key communicable diseases with a focus on children under five. 
Provision of safe delivery kits and support for intrapartum care providing skilled birth attendance on site and supporting referrals for delivery care. 
Antenatal, postnatal and family planning services. 
SGBV services. 
Dressing and minor wound management.
Vaccination with all EPI antigens
MHPSS support through PFA, management of common disorders and referral.Support to management of common chronic diseases, hypertension, chronic heart disease subject to availability of drugs within IEHK.  
 SCI will screen all children under five and pregnant and lactating women for malnutrition and refer to World Vision who are providing CMAM services in the targeted communities in the two counties of Twic and Tonj north. SC will refer and support referrals of children with SAM with complications to Marial lou and Toralei hospital for further care. 


SCI will coordinate with all relevant  UN agencies namely, WHO, WFP, UNFPA, UNICEF and PSI. SCI will coordinate with all implementing organizations for the integrated response, particularly World Vision Goal as health pooled fund and UNICEF World Bank implementing partners for health services and nutrition service providers. SCI will pay salaries of staff (clinical officers, nurses amp midwife) in the facilities and within the community (volunteers) as well as training and on site coaching and supportive supervision. The staff will be employed to support two mobile clinics. Each mobile clinic will consist of 
Clinical officer x 2, 
Vaccinators x 2, 
Nurse x 2, 
Midwife x 1, 
Dispenser x 1
Health promoter x 4
Data clerk x 1
Cleaners and guards to support the management of the location of the mobile clinic.
. 
The mobile outreach services will be provided 6 days per week for month 1, scaling back to 5 days per week from month 2. The mobile teams will be supported with HIS and IDSR reporting and logistics from our field office in Abyei