Provision of Integrated Emergency Lifesaving Healthcare Services for flood affected people of Pibor County of Jonglei State and Maban County of Uppper Nile State. UNH a dual mandated organization that provides development amp emergency response. Based on our experience in emergency response, developed this project in response to the devastating impact of recent floods where the President of South Sudan on October 30, 2019 declared state of emergency in 30 affected counties. UNH conducted rapid consultative meetings with the respective state MOH, CHDs, local authority, flood affected persons including elderly/persons with disability in Pibor/Maban that informed our strategies for the response.
According to November OCHA Second Reserve Allocation Strategy Paper, about 908,000 people as of October 25, 2019 were affected by the floods of whom 420,000(46.26%) in need of immediate humanitarian assistance. Out of 908,000 affected, 277,775 (30.59%) amp 200,000(22.03%) are in Pibor and Maban respectively. UNH will response in Pibor in Gumuruk/Lekuangole and Maban at community level in non-refugee setting. 
Health needs of Pibor and Maban before the flooding were enormous, complicated with contracted economy, conflicts, inaccessibility, lack of water quality control, infection prevention/control measures, expansive malnutrition and threat of disease outbreaks.
41% HFs in Pibor supported by UNICEF (Pibor CHD July2019 Report), only 1 (2.7%) selected each for Gumuruk amp Lekuangole however not yet operationalized leaving flood affected persons with no access to lifesaving healthcare services. From PHSA conducted in Pibor in March 2019, no CEmONC/BEmONC services in Lekuangole/Gumuruk, no referral centers, 12% EPI coverage, measles transmission continued, outbreak declared in February 2019, reactive campaign conducted in March coverage 30%, mopped up done in September 2019 not completed in Gumuruk Payam due to floods.  IDSR report (week47, 2019) 2,054 measles cases line listed, 9 deaths, most of the cases from Lekuangole/Gumuruk. Floods has worsened the humanitarian situation, 2 MSF PHCUs amp 2 UNH mobile clinics submerged. Facilities relocated to high ground, mobile clinics relocated to the IDP camps providing services at low capacity, unable to conduct outreaches. Cold chains submerged and routine vaccination interrupted, measles cases continue complicating the response.  
Maban, Relief International under UNICEF supports 9 HFs out of the 15.  5 out of 9 HFs submerged, nonfunctional, supplies/equipment damaged. (Maban CHD November report). Surveillance system in the county very weak, persistently below 10% completeness/timelessness, standing at 0% (IDSR week 43). The flood affected persons (IDPs) have no access to the 4 functional facilities leaving them more vulnerable. UNHCR/MSF-B response only target the refugees leaving the host communities who have become more vulnerable due to flood with no lifesaving healthcare services.  
September 2019 IPC report puts Pibor amp Maban at IPC 4 and 3 for August, both in IPC 3 September- December, Pibor in IPC 4, Maban IPC 3 January- April 2020. Couple with floods amp poor health indicators, food insecurity in these counties will drive malnutrition rate, morbidity/mortality if emergency health not supported.
UNH has strong networks in Lekuangole/Gumuruk and Maban, will work with CHDs, health/nutrition/FSL/Protection/WASH partners to ensure synergies. Main objective of this project is to save lives by providing timely, an integrated healthcare services to reduce acute needs of the vulnerable people which is in line with health cluster objectives (Improve access and scale up responsiveness to integrated essential healthcare, Prevent, detect and response to epidemic prone disease outbreaks, increase access to mental health, psychosocial and services for disabled. To achieve this UNH will establish/support 2 mobile units in Maban, 2 facilities (1 each in Gumuruk and Lekuangole) targeting 33,015 people (female 18,158, male 14,857) Men 5,200, Women 6,355, boys 9,657, Girls 11,803 Pibor 18,158, Maban 14,857 For successful response UNH requires 190,000.01 USD.