Emergency Integrated Community-Based Nutrition, Health, and WASH for IDPs, returnees, and vulnerable host population affected by conflict to mitigate and prevent malnutrition and gender-based violence in Greater Nasir County, Upper Nile State, South Sudan Relief International (RI) proposes to provide lifesaving, emergency nutrition services to 13,391 beneficiaries to reduce morbidity and mortality of infants, young children and pregnant and lactating women (PLWs) in vulnerable communities in Nasir county. This will be achieved by operating 10 Mobile Nutrition Units (MNUs) and supporting 15 static TSFPs

RI proposes to continue operation of eight MNUs currently funded by SSHF SA1 and initiate operation of two additional MNUs in Wechkuach and Torkech. The ten MNUs (including the 8 existing plus the 2 new MNUs) will provide the complete CMAM package. RI will conduct mass MUAC screenings in the catchment areas of the 10 MNUs. In the 15 static health facilities, RI will strengthen CMAM services, particularly TSFP, by enhancing the role of community nutrition volunteers in screening and referral. RI will also increase quality service delivery by improving health facility infrastructure, provide the required supplies for proper treatment, and build staff capacity. 

Additionally, for health, the proposed program will allow for the operation of two static Primary Health Care Units, expanded services for improved quality of care, and continued integration of essential life-saving health and nutrition services.  Under SSHF SA2, RI proposes to support Keichkuon and Makak PHCU. Keichkuon and Makak PHCUs have a large catchment population, are not included in the facilities under the recent UNICEF PEHS grant. Through the two proposed PHCUs, RI will be able to provide life-saving primary health care services to an estimated 21,998 beneficiaries. 

RI’s primary focus will be to increase access to essential primary health care services prevent, detect and respond to disease outbreask and provide integrated health, nutrition, and WASH services, including MHPSS and protection programming.  RI will prevent, detect, and respond to epidemic-prone diseases through increased EPI coverage and by strengthening the capacity of health workers and communities on disease surveillance and outbreak response preparedness, including for Ebola. RI will review and update comprehensive preparedness and response plans in Nasir County. 

RI’s proposed component of emergency WASH intervention is designed to mitigate and prevent GBV risks and contribute to improved nutritional status of 25,000 IDPs, returnees, and vulnerable host communities affected by conflict in Makak, Jikmir and Mandeng Payams.

RI will add an additional water point with six faucets to RI’s existing motorized water supply scheme and rehabilitate existing damaged, abandoned and limited functionality boreholes at community and nutrition facilities and schools. Training will be provided to water users committees (WUCs) and nutrition facility staff. Solid waste management training will be provided to solid waste/hygiene committees to implement community-driven solid waste collection and disposal campaigns. 

RI will work with household owners to construct 250 household/family shared latrines. RI will also promote hygiene awareness through house-to-house hygiene education sessions, training of hygiene volunteers, and distribution of household packages for famine prevention. 

item Unit Quantity Justification 
20 Lit Bucket with Tap: Pc =1,500 (one Bucket / HH for safe water storage) 
20 Lit Bucket without Tap: Pc = 1,500 (one Bucket / HH for water collection)
PuR Sachets: Box = 1,688 (Calculation made with assumption of 2.5 lit of drinking water / per/day x 6 members x 90 days. One sachet can purify 10 Lit and 240 Sachets in box.)
Filter Cloth: Roll = 84 (2 Pcs/ HH amp 36 Pcs can be cut in one roll)
Soap (800 g): Carton = 675 (250g / Per/Month and calculated for 6 months consumption)

The proposed WASH budget will be used to contribute to improve the nutritional status by timely provision of WASH by 40% and mitigate and prevent gender based violence through provision of timely and secure access to WASH by 60%.