Provision of integrated lifesaving emrgency Health and Nutrition Intervention  to the most vulnerable communities (IDPs, Returnees and  host community)  in Akobo and Pigi counties of  former Jonglei state Weak health systems and a high attrition of qualified health workforce coupled with increased level of insecurity in Akobo had increased the disease burden and morbidity of mothers and children in Akobo county. A heavy flooding had exposed community in Akobo West had left community with almost nothing where they have to seek for a dry/High-land shelter within the county leaving their belongings. Routine Health Facility data showed that a spike in the number of Kala azar with a terminal case which usually results from poor access to essential health care and support. Access to essential drugs and services is one of the challenges where by mothers and children has to walk for hours to reach to the nearest health unit. In Akobo with the new EPHSP project there are only three facilities in Akobo East that where four of the facilities that were serving Mer, Kony, Dilule and Old Akobo are closed and this indeed forces community from those payams to walk for hours to reach to the nearest facilities Akobo County Hospital and Tukliel PHCC. Continued attacks from Murules and local inter-clan conflicts had severely affected movement mothers and children from accessing health institutions within their areas.
Hence SSHF-2 will seek to enhance the essential health care delivery that includes provision of curative care to mothers and children, provision of preventive health care including enhanced surveillance and disease prevention to the flood displaced community. Hence Nile Hope through this project will support One PHCC in Akobo West Walgak Payam Walgak Boma, one PHCU in Yidit Payam Kony Boma, and One Mobile Clinic will be established in Drror payam Padoi Boma of Akobo West.
In Akobo West Walgak PHCC will be the center of integrated response and a facility where SAM cases with medical complications will be managed and the integrated response will be put in with a focus on Walgak PHCC. These units will be responsible to conduct and integrated case disease surveillance and response activities to timely identify, and treat potential Measles, Cholera, epidemics in the locality, The team will also be trained on emergency response and to be able to timely manage cases and take appropriate epidemic response measures Through these service mobile clinics targeted service will be provided to highly vulnerable people including SGBVs, EPampR, CMR, TB/HIV tracing and management, psycho social support to traumatized affected women and Men. Vigilance and close monitoring will be ensured and in events where there will be need for resources to be increased for the county. The PHCUs will ensure that under five children and pregnant and lactating women are screened for malnutrition, rapid test for malaria for under five and pregnant women, screening for Tetanus vaccination, screen vaccination needs for all under 5 children, TB screening, ensure MAM cases are referred to OTP for treatment and follow-up, referral of SAM cases to SC in Walgak, consultation for common diseases, MCH service, EPI and uncomplicated delivery will be handled.