Scale up in provision of primary emergency health care services, including Maternal Child and Neonatal Care, to conflict-affected and vulnerable population in Magumeri, Ngala and Dikwa LGAs, Borno State In support to the UN-led coordinated humanitarian response in Borno State, INTERSOS is proposing a 6 months’ project that will address critical gaps in primary health services for a highly vulnerable population in accessible communities in Magumeri, Dikwa and Ngala Local Government Areas (LGA), Borno State, Nigeria. The project has been designed to meet the affected population’s most urgent needs in a way that empowers local communities and service providers by working through existing structures where available, adhering to Nigerian guidelines and protocols, and empowering community stakeholders and other project’s beneficiaries in direct service delivery. Focusing on the particular needs of women and children, INTERSOS will target communities where Reproductive Health Service providers are currently unavailable or unable to cope with the overwhelming needs of returnees, IDPs and host community.

In areas where the Ministry of Health (MoH) facilities are functional but operating at limited capacity, INTERSOS will train staff, equip and supervise them to provide quality lifesaving reproductive health care services. In Magumeri and Dikwa LGAs  INTERSOS will work through outreach health teams by targeting areas where there is no - or limited - access to health facilities (HF) or areas hosting new arrivals, The outreach team is composed by 2 clinicians (one midwife/nurse and one community health extension worker (CHEW) , ancillary staffs and CHVs for community mobilization, hygiene and health promotion,  providing care for active patients findings and referrals to outreach sites for SRH cases (ANC and PNC clients). This intervention will complement the ongoing health activities currently being implemented in the 2 LGAs which have a focus on strengthening services at PHC level. In Magumeri LGA, the proposed activities will complement INTERSOS’ current action of providing nutrition services at various outreach points through its UNICEF-funded project. These outreach points are also supported by one mobile clinic providing skeletal services once a week through the reserve allocation of the NHF. The proposed action will function to strengthen the SRH component of these services and ensure improved access and quality of services at this level of care. 
In Ngala, INTERSOS will be taking over the management of the OPD currently supported by MSF inside the ISS Camp, the same team carrying out in a regular basis (minimum 3 days per week)  outreach/mobile health clinics in the Mercy Corps newly constructed shelters for new arrivals planned to host more than 4000 individuals. The OPD services will cover under and above 5 for communicable and non-communicable diseases, minor injuries, EPI, SRH
A double-checking system will also be put in place both at community and HF level. As part of a community-based and integrated approach, INTERSOS through community Health committee will train community health volunteers (50% female) to strengthen referral networks, monitor health and nutrition, and conduct awareness raising on available services.