Provision of multi-sector lifesaving response for the conflict affected populations of Kutum and Alwaha localities, North Darfur In Sudan, especially North Darfur, the humanitarian situation remains critical and complex. The 2018 HNO identified 1.76 million IDPs in Darfur alone, and the economic situation in 2018 has made needs even more dire. IPC analysis in late 2018 projected over 17% of North Darfur residents would face Crisis or Emergency levels of food security in 2019. Kutum and Alwaha localities remain fragile with unresolved conflict, chronic poverty, malnutrition burden, and weak government structures that lack capacity to provide services, especially in rural areas. Sudan’s political situation threatens to re-open the causes of conflict in Darfur, and the humanitarian community must be in position to react as the situation evolves. 
GOAL proposes to improve the health and livelihoods of conflict-affected people in Kutum and Alwaha through targeted primary healthcare and health promotion activities, integrated with nutrition, WASH, and FSL interventions to increase self-reliance, reaching a total of 181,671 beneficiaries with service provision. GOAL is the only INGO implementing integrated health, nutrition, WASH, and FSL programs Kutum and Alwaha, with strong trust and access in remote rural areas. Continued mistrust between government and rural communities means that sustainable service provision is still out of reach. Kutum locality is prioritized as an HNO severity rating of 4.2. The large IDP population and ongoing humanitarian needs in rural, camp, and urban settings, combined with GOAL’s strong relationships and trust with communities, ministries, and other stakeholders, is a strong justification for continued humanitarian assistance. 
GOAL aims to continue assistance to highly vulnerable IDPs and host communities, as well as returnees, providing services in 17 health facilities with integrated OTP sites for nutrition. Given the inter-related nature of humanitarian needs, an integrated multi-sectoral approach, combining service provision with community outreach and behavior change, is crucial. GOAL will continue to promote positive behaviors in health, hygiene, and nutrition through Care Groups, School Health Clubs, Nutrition Impact and Positive Practice (NIPP), Community-Led Total Sanitation (CLTS), and Village Savings and Loan Associations (VSLAs), which will increase information and access to opportunities for women to promote empowerment. Special emphasis is put on maternal and child health outcomes, reproductive health, managing malnutrition, access to safe and adequate water via construction of two Solar-powered Mini-Water Yards, and restoring livelihoods an integrated manner. In addition, GOAL supports the strategy of increasing capacity and reach of National NGOs, and this project includes three sub-grants totaling over $116,000 for NIPP and CLTS. 
GOAL is also expanding its efforts to address FSL needs in North Darfur through increased support for agriculture, rebuilding household livestock assets, and expanding income-earning opportunities, across vulnerable residents. As families seek to rebuild and diversify livelihoods, ongoing instability plus the 2018 economic crisis have severely constrained the ability of vulnerable families to invest. GOAL has experience conducting seed fairs, goat restocking, and forming VSLAs and providing small grants to women, together with a basic business planning integrated with protection modules, to diversify income streams for women and increase empowerment. 
In addition to service provision, the project will also prepare for transition to a longer-term strategy in line with the Nexus approach and Collective Outcomes. GOAL will continue ongoing systems strengthening efforts with the Kutum Locality Health Department, and the state District Health Information System (DHIS) in 13 localities to improve the capacity at all levels for planning, performance monitoring, and accountability, which will further prepare authorities to progressively take over management of health services.