Health, Nutrition and WASH response for new IDPs in Kadugli OPS codes: (Health: SUD-17/H/111282,  Nutrition: SUD-17/H/111305, and WASH: SUD-17/WS111318)

Through this project newly arrived and longer term IDPs as well as host community members in and around the three settlements of Murta, Kurba, Alshaeer and Tillo in Kadugli locality will receive critically needed WASH, Health and Nutrition assistance directly. These beneficiaries were identified thorough the inter Agency assessment conducted in May 2017 and CARE’s own rapid assessment in the targeted areas. The beneficiaries will be further prioritized during implementation based on their degree of vulnerability and need, especially those who are targeted to receive WASH NFIs. Targeted vulnerable groups include pregnant and lactating mothers, female-headed households, large families with many small children, elderly and disabled individuals.
CARE will provide WASH services through: 1) Construction of 1 mini water yard and 3 new hand pumps, upgrading of 1 hand pump to mini water yards with 2 distribution points and rehabilitation of 4 hand pumps along with 8 laundry sites near water sources 2) Establishing and training Water User Committees (WUC) to manage water sources as well as training hand pump mechanic teams and supporting them to ensure the availability of technical capacity and tools for repairing hand pumps within the community 3) Construction of shared household latrines, including communal latrines for the 2 Child-friendly spaces and 3 Health clinics (Murta, Alshaeer and Tillo) in the targeted settlements and 4) Conducting integrated hygiene promotion campaigns and provision of family hygiene and dignity kits to women in order to improve personal hygiene practices among the new IDPs, especially women and children. All WUCs and hygiene promoter teams will aim for at least 30% women membership.
CARE will focus on nutrition to reduce nutrition related mortality and morbidity in the targeted areas. CARE will provide immediate lifesaving nutrition services mainly targeting children, women, disabled, elderly, pregnant and lactating mothers. Treatment for SAM cases, prevention of moderate and acute malnutrition (among children lt5years, pregnant amp lactating mothers) by providing support to 2 SFPs and 2 OTPs. these are an integrated service provided by Murta and Tillo PHCs - both centers will target through mobile services all four settlements - therefore targeting the same number of IDPs and host communities as PHCs, as mentioned below for health services - and organizing mass MUAC screening and referral of MAM cases to the nearest OTP. CARE will also provide IYCF training for health staff and community health volunteers (CHVs) to then establish and run mother support group sessions that will attempt to include men and boys in discussions.  
CARE will also provide core, yet comprehensive, primary and reproductive health services, which includes both curative and preventive care. Services provided in the 3 Health Posts (Murta, Alshaeer and Tillo with mobile support to Kulba - targeting IDPs (4,213, 2,753, 5,126 and 3,212 people respectively) and host communities (1,079, 1,254, 4,287 and 1,108 respectively) includes 1) General clinical services 2) Maternal and new-born health 3) Child health: routine EPI vaccines by trained cadre, IMCI trained cadre, screening of malnutrition and referral 4) Communicable diseases control 5) Environmental health. These activities will be complemented by community-based outreach and health promotion activities to multiply impact. CARE will aim for at least 30% women as Community Health Volunteers (CHVs).