Provision of Primary Health Care (PHC) services for the Returnees affected by Sudan crisis in Malakal, Upper Nile State. ltpgtltspan style="font-size: 8pt font-family: Arial, sans-serif color: windowtext"gt291,224
individuals have been recorded at border crossings into South Sudan (SSD) since
the fighting in Sudan erupted on 15 April 2023. The influx of returnees is
projected to continue with Joda border asnbspthe main point of entry lt/spangtltspan style="font-size: 8pt font-family: Arial, sans-serif color: windowtext"gt(lt/spangtltb style="font-size: 14px"gtltigtltspan style="font-size:8.0ptfont-family:"gtSudan
Crisis SitRepnbspNo.13-29 Sept 2023).ltbrgt


lt/spangtlt/igtlt/bgtlt/pgtltp style="" class=""gtltspan style="font-size: 14px"gtltspan style="font-size: 8pt font-family: Arial, sans-serif color: rgb(74, 74, 74) letter-spacing: 0.4pt"gtltspan style="font-size: 8pt font-family: Arial, sans-serif"gtThe continued flow of returnees to SSD particularly in Malakal,
Upper Nile State has significantly increased the need of basic life-saving
humanitarian services. Currently, in our IMC health facility at Bulukat, there is
high caseloads in OPD, Nutrition, and Women Girls Safe Spaces in IMC operated Bulukat.ltspan style="font-weight: bold font-style: italic"gtnbsplt/spangtlt/spangtlt/spangtlt/spangtltspan style="font-size: 14px"gtIMC UK, with complimentary funding from SSHF will seek to continue providing static PHCnbspservices (OPD consultations, SRH, MHPSS and EPI) in Bulukat by operating the current IMC supported health facility. IMC propose to PHCnbspcare services to the returnees affected by the Sudan crisis in Southern Malakal. IMC will reach 8,160 returnees with health (including MHPSS) lifesaving services over the project period by operating a mobile outreach team. In order to ensure quality of services amid high number of patients in IMC supported static site in Bulukat, IMC will add more staff in all cadres for 6 months. To ensure continuity of services after the current grants elapse in December 2023, IMC will extend contracts of the existing staffs in fire brigade for 3 months. The mobile medical team will have 1 clinical officer, 1 nurse, 1 midwife, 1 vaccinator, 1 CHW, 1 drug dispenser, 1 data clerk, 1 MHPSS officer, 1 psychosocial Counsellor, 1 guard and 1 cleaner, 2 canvas tents, furniture, 1 hired vehicle and various basic medical equipment. IMC will factor in the cost of setting up and shifting the mobile outreach tents and furniture’s under this funding opportunity. Additional staffs to support IMC static site in Bulukat for the next 6 months will be 1 Clinical officer, 1 nurse, 1 midwife, 1 vaccinator, 1 CHW, 1 drug dispenser, 1 data clerk and 1 vaccinator.lt/spangtlt/pgtltp class="" style=""gtRecently, South Sudan has witnessed increased incidence of immunization preventable diseases like measles. IMC will implement EPI within all its locations to ensure majority of the children are up to date with the South Sudan EPI schedule. IMC will procure medical equipment to cater for the ever-raising medical needs in anticipation of more returnee's influx seeking PHC services at the mobile medical outreach site. IMC will hire a vehicle to ensure seamless referral of patients to static health facilities like Malakal Teaching Hospital or MSF children. IMC will ensure proper waste management in Bulukat and within the outreach sites as per the IPC protocols by ensuring availability of color-coded bins with linings, protective gears for staffs handling patients, ensuring cleaners don the required PPE, adequate hand washing facilities and sufficient cleaning supplies. To ensure adequate and proper storage of pharmaceuticals, IMC will procure more pallets and shelves. For quality service provision within the IMC supported health facilities in Bulukat, IMC will conduct classroom trainings for the new staff such as IPC training, BEmONC, IMNCI and PFA. To further build capacity and ensure available reference resources, IMC will print various protocols like IMNCI, South Sudan treatment guidelines, drugs formulary and job aids to support the clinical team in their quest to offer quality clinical care. IMC alongside donors' field focal persons in Malakal will purpose to conduct scheduled effective supportive supervision in the static sites within Bulukat and the mobile outreach sites. To enhance risk communication and community engagement, IMC will support the already existing network of BHWs with PPE and basic medical assessment equipment and handheld megaphones. IMC will operate with accountability to the community. The feedback from the community during the implementation through IMC's Community Based feedback and Response Mechanism (CBFRM) will be used to adjust programing to better suit the affected population's need.ltbrgtlt/pgtltp class="sceditor-nlf"gtltbrgtlt/pgt