Increasing access and strengthening capacities of PHC to provide emergency lifesaving health care services in Leer, Mayendit, and Koch counties through the provision of 4 mobile units, 3 PHCUs, and 2 PHCCs for Integrated response. This project is aiming at increasing access and strengthening capacity of PHC to provide emergency lifesaving health care in Leer, Mayendit and Koch Counties through the provision of mobile response, PHCUs, and PHCCs with integrated responses. After the cessation of the most deadly attack in Mayendit north and Leer County between April to July 2018, the security situation has been relatively calmed in southern unity, however due to the massive displacement caused by April fighting, the local community lost more times in preparing and planting their farms, hence there was poor or no harvest in 2018, and for this reason, southern unity is expected to face a serious starvation which will lead to malnutrition increasing chances of morbidity and mortality rates in 2019. This project proposal will be targeting beneficiaries of 10, 709 individuals in Leer, 21,420 in Mayendit, and 21,420 in Koch counties. This project will benefit all gender groups including, 20,991 men, 21,848 women, 5,462 girls and 5,248 boys across all the project catchment Counties. Predictions from IPC findings shows that 8 counties which include Leer and Mayendit and Koch may go into catastrophic levels which might further trigger chances of more disease occurrences in the community. A SMART Survey conducted by UNIDOR in Nov 2017 reported GAM rate at 17.9% and SAM at 3.5% in Mayendit county, while in a reference made to SCF SMART Survey conduct in April 2017 shows a prevalence of malnutrition rates among children in Leer county is high – estimated GAM prevalence of 20.1% (15.6-25.5 95% C.I.) and SAM of prevalence of 5.0% (3.2- 7.7 95% C.I.) based on weight-for-height/WFH z-score this is alarming and classified as ‘Critical’. IDSR report of week 30 in Aug 2018 indicated a proportional morbidity at 67.9% for malaria, AWD, 9.3% and ARI with 8.8% while the same diseases are also leading in mortality rate, malaria with 55.6%, AWD 14.0% and ARI with 12.8% across the Country. UNIDOR report on EWARS in the IDP site at Leer TPA has always shown a 100% in health cluster weekly IDSR report. The routine EPI services in Koch, Nyal and Leer TPA is progressing well with Penta3 coverage of 84 in Koch PHCC. Although due to insecurity, the entire County of Mayendit, most payams in Leer and Koch County are not benefiting yet from both routine and outreach EPI services. The provision of this primary health care service shall include OPD curative consultation in 4 mobile sites, 3 PHCUs,and 2 PHCCs with integrated responses. The 4 mobile sites are Dhorleak and Dongol island in Mayendit County, Gany and Gony in Koch County while the static sites are Leer town PHCU in Leer County, Dablual PHCU, in Mayendit County, Mirmir PHCUs in Koch county. The project will support two PHCCs (Leer TPA and Koch) with SCs to treat SAM cases with medical complications in Leer and Koch Counties. We will also support the psycho social and basic mental health services through updating/on-job training which will target nurses, midwives and clinicians on clinical management of sexual violence using SGBV treatment protocol and to offer the first aid such as protection and care for the survivors. A health assessment will be conducted in the three targeted project counties of Leer, Mayendit and Koch in the first quarter of this project implementation.