Integrated Health and WASH support to IDPs, host communities and returnees to provide emergency life saving healthcare services in Twic East county through the provision of 1 mobile unit and 1 PHCU (Baping PHCU) and mitigate malnutrition amongst U5s in Twic East and Duk counties and WASH related GBV in Duk County, Jonglei State. CMD plans a 6 months integrated health and WASH project in Twic East and Duk for a WASH only component through a WASH Nut and WASH GBV response, targeting mainly women and girls, and communities with high levels of malnutrition and GBV. 

Severe health needs are prevalent in Twic East, despite presence of static partners due to settlement modalities of communities that tend to congregate in remote swampy locations. The vastness of the county in view further requires a combination of both static and mobile modalities to reach multiply displaced and pastoral communities. IDP figures in both counties exceed 20,000 Children, women and girls continue to experience challenges in access to primary health care services, hence the high rates of child and infant mortality. Twic East has spates of disease outbreaks mainly attributed to poor WASH standards, food insecurity, malnutrition, lack of essential supplies and drugs. 

This project also aims at reducing morbidity and mortality resulting from waterborne diseases directly attributed to malnutrition, reducing the impact of GBV by increasing access to safe water, sanitation and better hygiene practices among the affected population. Main targets will be areas with highest malnutrition rates in GAM including GBV risk areas. CMD will provide an integrated WASH response to vulnerable communities with a focus on the specific needs, concerns and priorities of women and girls, men and boys of different ages and disparities such as disabilities incorporating protection principles during implementation. 

For the health component in Twic East, CMD will reach a total of 11,268 persons, 3,380 girls, 2,254 women, 2,254 men and 3,380 boys. The project aims at providing essential primary healthcare services focusing on major causes of morbidity and mortality (CPH, ICCM, Mobile, Baping PHCU, RRM) in line with the health cluster strategy. The project will seek to increase essential primary health care services through mobile units, rapid response missions, primary health care services at one unit. 

The integrated WASH related activities will be implemented by CMD in Twic East and Duk targeting 15,306 beneficiaries 2,143 men, 3,827 women, 3,520 boys and 5,816 girls with 60% implementation in Duk covering payams of Ageer, Padiet, Dongchak, Payuel, panyang and Pagak, 40 percent in Twic East covering Kongor, Nyuak, Lith, Pakeer and Ajuang.. 50% of the targeted population will be IDPs, 30% host population. CMD has established presence in the targeted locations and will strengthen existing community structures to implement this project.

CMD will further prevent, detect and respond to epidemic prone disease outbreaks, by strengthening the existing surveillance systems. CMD will leverage on existing WASH, nutrition, FSL and education projects in Twic East to provide a cross cutting approach, as well as psychosocial and referral support.  In Twic East, CMD will support Baping PHCU and 1 mobile team. The project will seek to foster capacity building in infection prevention control, waste management, WASH in health facilities and provision of the full PHCU package as recommended by the cluster.

Budget Split

Total: 407,053 USD 


Per Activity

Activity 1:  PHC Support in Twic East: $107,053 (26%)
Activity 2:  WASH’Nutrition in Twic East and Duk: $120,000 (30%)
Activity 3:  WASH’GBV in Duk : $180,000 ( 44%)


Per Location

Duk County: 44%
Twic East: 56%