Emergency integrated  response to primary health care and life threatening malnutrition in remote areas of Duk and Twic East counties of Jonglei States, South Sudan The objective of the project is to deliver and sustain the existing low cost, high impact essential emergency health services to the remaining catchment population of 28,548 and 16,903 (HRP 2019)living in both Duk and Twic East Counties respectively who are not reached by SSHF SA1 with a focus to women, children amp returnees.

The project target group is composed of U5 (at least 80% of the beneficiaries, boys and girls equally targeted) and PampLW women (at least 40% of the beneficiaries) from host and returnees communities with curative and preventive services since JDF is the long health and nutrition partner in Duk and Twic East implementing Provision of Essential Health Services Project (PEHSP) and ICCM project with support from WB/UNICEF/WFP/OFDA. 
With funding from UNICEF/WB/UKAID, JDF in partnership with CHD is supporting only 10 health facilities (1Hospital, 1PHCC and 8PHCU) out of 16 health facilities in Duk County while in Twic East 7 health facilities out of 10 health facilities are supported. This project will allow JDF to expand services in both Duk and Twic East counties filling health services gaps not supported by WB/UNICEF funding. 

The project will implement 1 PHCU (Gadiang in payuel payam, 1 PHCC (Pajut in Panyang payam) in Duk with one mobile unit in Dhiam-Dhiam Island in Twic East supporting all the preventive and curative packages to the most vulnerable group of the rural communities. 
The package of services to be supported includes Child health services, Maternal and neonatal health services ,Basic and comprehensive emergency obstetric and newborn care, Sexual and gender-based violence services, Distribution of essential medicines and supplies , Emergency preparedness and response, Disease surveillance and outbreak response and quality improvement and supervision

This programme is relevant in addressing problems identified by strengthening Provision of Essential Health Services with particular focus on maternal and child health care both preventive and curative services to the most vulnerable group of the rural communities supported by pre-positioning of essential drugs, medical equipment amp supplies to all the targeted health facilities as well as strengthening health facilities and capacity of health staffs to respond to quality health services in the two counties.

The main strategy is to support an agile mix of static essential health services that is complemented by regular outreach to increase and expand equitable coverage and access, especially for mobile or hard to reach populations with intermittent periods of stability and weather-constrained access. These front-line interventions will be supported in specific areas with the roll-out of community-based health services (BHI) to bolster community resilience and basic services provision, even while communities are exposed to shocks and cannot be accessed. This combined with emergency preparedness and response will ensure service continuity. 

The added value of the project is integration with Protection, Education, Nutrition and WASH program long-standing partnership with CHD, MDM, SMOH, UNICEF, WHO and other partners for health system strengthening and improved health service delivery for local communities and IDPs/returnees in Duk and Twic East counties.

This project intends to contribute to the reduction of excess morbidity and mortality by scaling up the provision of high quality essential and lifesaving emergency primary health services with fully integrated WASH, Nutrition, psychosocial support services for mental health and disease outbreak preparedness and response for the most vulnerable populations notably U5 children and pregnant and lactating women.