Provision of emergency health and nutrition services to South Sudanese Refugees in Al-Nimir, East Darfur HEALTH
In collaboration with the State Ministry of Health (SMoH), ARC will construct and equip a Primary Health Care Center in Al Nimir through which health services will be provided. ARC will ensure the provision of the minimum basic package of health services in Al Nimir Refugee Camp through out-patient consultations and the provision of essential drugs, basic reproductive health services, health promotion/ education, Expanded Program on Immunization (EPI), support of the SMoH during accelerated vaccination campaigns and referral of complicated medical cases to Ed Daein Hospital for specialized care. Vaccinations that will be provided by ARC will include measles, DPT, polio, rotavirus, BCG and pneumococcal. ARC will also provide vitamin A supplementation. While currently there is no baseline morbidity data for Al Nimir South Sudanese refugees who, at the moment are temporarily settled in Khor Omer, outcomes of an inter-agency rapid assessment led by UN-OCHA on 8th October 2016 revealed that common diseases among these refugees included skin and eye infections (hygiene related), watery diarrhea with vomiting, respiratory infections and fever, measles (3 suspected cases reported) and malaria. 20 elderly and 26 children lt 5 years had died, most common causes of death were malaria and watery diarrhea with vomiting.  

Through a well-structured Health Information System (HIS), ARC will be able to capture data and report to the SMoH on key health indicators on a monthly basis. ARC will conduct quarterly joint monitoring and supervision visits with the SMoH and where possible with UNHCR and SHF provide technical and programmatic oversight to the project, identify gaps/challenges and develop effective remedial measures to address them. Through health education campaigns and World AIDs Dayworld AIDS day celebration activities, ARC will be able to disseminate key health messages to refugees in Al Nimir through Village Health Committees (VHCs) and Community Health and Nutrition Promoters (CHNPs). ARC will also train key technical staff in Integrated Management of Childhood Illnesses (IMCI) and supply management and rational use of drugs.

NUTRITION
This project is designed with the objective of providing quality, high impact and life-saving emergency nutrition interventions to an estimated 10,000 South Sudanese refugees in Al Nimir Refugee Camp as complementary interventions to Primary Health Care (PHC) services that will also be provided by ARC. In a quest to ensure levels of malnutrition among children under five years (CU5) as well as Pregnant and Lactating Women (PLW) remain within SPHERE recommended levels i.e. Global Acute Malnutrition (GAM) levels of lt5%, ARC will provide Community based Management of Acute Malnutrition (CMAM) services covering the entire Al Nimir Refugee Camp with focus on Outpatient Therapeutic Program (OTP) and Targeted Supplementary Feeding Program (TSFP). CU5 with Severe Acute Malnutrition (SAM) without medical complications will be treated in the OTP using Ready to Use Therapeutic Food (RUTF) and routine medications while both CU5 and PLW with Moderate Acute Malnutrition (MAM) will be treated in TSFP using Ready to Use Supplementary Food (RUSF). Infant and Young Child Feeding (IYCF) and health/ nutrition education promotion through Community Health and Nutrition Promoters (CHNPs) will also form a core component of ARC’s nutrition interventions in Al Nimir Refugee Camp. Through an effective referral system, ARC will refer severely malnourished children with medical complications to Ed Daein Hospital Stabilization Center (SC) in Ed Daein Town which is supported by the State Ministry of Health (SMoH) and WHO. ARC will provide transportation and upkeep of caretakers of children admitted in the SC