Multi-sectoral Life-saving Response to Populations Affected by Sub-national Violence in Tambura, Nagero, and Ezo counties, Western Equatoria The proposed action is multi-sectoral life-saving support to populations affected by the sub-national violence in Tambura, Ezo, Nzara, and Nagero counties in Western Equatoria. The response is planned to take place from August 2022 to August 2023 focusing on the provision of Health, Protection (GBV) as well as Shelter and Non-food Items. Overall, 114,051 individuals (43,059 men, 41,045 women, 14,656 boys, and 15,291 girls)  will be supported by the action in all three sectors, across the three counties. Up to 17,108 people with special needs (5,499 men, 5,553 women, 2,991 boys, 3,065 girls) will be supported by the project. 

The main project activities will include:
Health: Support 6 PHCUs, Bandala PHCU, ECS Masumbu, Manzizi PHCU, Mariagba PHCU, Nangbabe PHCU, Napere PHCU in Ezo county and 12 mobile clinics established at 4 IDP camps in Tambura (Ministerial complex, UNMISS camp, St Mary’s), 5 in Ezo Nakofo, Nambia, Regina Mundi, Degere, Bagidi) and  4 in Nagero ( Duma, Bandala, Nagero Centre and Namutina). At both static and outreach sites, WV will provide lifesaving health interventions that include: outpatient curative services (OPD) for diagnosis and management of common illnesses, normal deliveries, family planning, routine immunizations, and health awareness campaigns. World Vision will obtain essential kits from WHO core pipeline and also procure buffer stock of drugs to ensure availability of adequate stock of drugs throughout the implementation period. The RH commodities including family planning items shall be obtained from UNFPA. Being an implementing partner for the HPF funded project, World Vision will liaise with the regular HPF project to ensure timely referral of cases that may require further management to the PHCCs and hospitals in Ezo. To ensure high quality services, WV will train 45 health workers on IMNCI, IPC/WASH, CemONC/BemONC,Cholera case management and as well provide weekly supervision, on job coaching and mentorship to health workers. Quarterly joint support supervision and quarterly review meetings with the state ministry of health shall be conducted. In the community, WV will undertake treatment of children for common illnesses such as malaria, pneumonia and diarrhea through the 240 Boma Health Workers who will be provided a refresher training on the management of common illnesses in the community. The BHWs will also undertake continuous screening of children for dangers signs, malnutrition and refer them to the health facility for further management. Constant surveillance of epidemic prone diseases shall be done in the community through the Boma Health Workers, health workers and reported weekly through the MoH IDSR system. All the data shall be reported through the DHIS2. The project is complementing HPF, targeting facilities which have been reduced by HPF. The project will receive kits from WHO and has budgeted a modest buffer stock in order to operate these sites within the $400,000 ceiling.

S/NFI: needs assessment, provision of emergency shelter and NFI materials, establishing feedback mechanisms, and post-distribution monitoring

Protection: The main focus will be on GBV prevention and response to women, men, boys, and girls including people with disabilities. These include community awareness to 5,714 people in Tambura including the use of radio. 2 WGFS will benefit 300 women and girls where group/focused psychosocial activities  and referral to other services will be conducted. 400 dignity kits will be procured and distributed RWDSS will conduct capacity building training to 30 frontline service providers. RWDSS will give one-time cash assistance to 100 survivors who were referred for case management. 

The response will be implemented by World Vision as the lead and sub-implemented by Rural Women for Development South Sudan (RWDSS).