Provision of  integrated emergency primary healthcare  nutrition services to food insecure, flood, and conflict-affected populations in Pigi Canal County Jonglei state, South Sudan. targeting 23,797 men  women boys and girls. Healthcare Foundation Organization with support from SSHF SA1 will reach and support 21,500 population with essential health services and 2,297 with nutrition services through 1 PHCU+ 3 mobile Clinic and 3 OTPs/TSFPs in Diel, Atar and Kaldak payams at Canal/Pigi County Jonglei state. The target population breakdown: health target (Men 3,225, Women 5,375, Boys 5,805, Girls 7,095). Nutrition target (SAM cases of 471, MAM 1,306, MAM PLWs 520) HFO will support integrated nutrition with health services in Canal/Pigi County and will support 3 outreach services to hard-to-reach areas of Diel, Atar and Kaldak. These areas have health and nutrition posts that were destroyed by ongoing conflict, flooding with limited access to services. HFO will provide OPD Consultations, ANC, PNC, clean deliveries by skilled birth attendants Basic emergency obstetric and newborn care (BEmONC) services, will Provide and support SGVB survivors through (CMR) and referrals, we'll Provide community-based Mental Health (PSS) to PTSD cases and ensure inclusion of persons living with disabilities (PLWDs). Outpatient Department (OPD) consultations, dis-aggregated by age and gender, for treating common diseases will be conducted from the mobile clinics we put efforts to reach beneficiaries, The clinics. HFO will recruit clinical staff (technical team-midwives, Nurses who will support CHD health and nutrition staff to provide quality and improved essential health and nutrition services to beneficiaries. This project will support complementary interventions of health, nutrition, Protection mainstreaming where possible and avoid duplication and promote holistic humanitarian service delivery to create synergy and encourage maintaining value for money. Each strategic objective is carefully aligned with several output indicators and types of activities we are going to implement in order to reduce morbidity, mortality and malnutrition burden within the vulnerable communities. Hygiene and health promoters will carry out health education to promote health and prevent and control diseases in the community. 
The Nutrition workers will work closely with mother support groups to cascade maternal, infant and young child feeding messages as well as individual and group counselling including IYCF-E practices such as exclusive breastfeeding. The Facility/outreach-level care with the following activities  MUAC screening, treatment of SAM, MAM of cases, mRDT amp treatment of malaria cases MIYCN counselling on exclusive breastfeeding amp supplementary feeding. Admission criteria will use the CMAM guidelines where children are admitted using W/H z-score, and referred children with medical complications. Our health and Nutrition teams will be supporting protection services with other partners by identifying referral pathways to ensure beneficiaries access their services without delay, these services have been identified with partners we coordinate within the county (IMC, HAA, and MHA) in Canal/Pigi. 

health data will be collected and submitted through EWARS/IDSR DIHS2, 5Ws. Nutrition data: by nutrition information System (NIS) flat forms, narrative and 5Ws once collected, they will be submitted to the nutrition cluster, CHD/SMoH in a weekly and monthly basis. The interim narrative and finance report will be submitted to HFU-OCHA through GMS. HFO MEAL team will do monitoring and evaluation on the project sites at the first, second and third quarters of project implementation to establish challenges and successes, impacts of the response and report will be shared with all clusters and OCHA. the incident report will be shared with clusters and OCHA-HFU. HFO plans to enhance coordination with CHD, health, protection and WASH partners to ensure effective health and nutrition service delivery in Canal/Pigi to avert the dire situation of humanitarian crisis and avoid human death. Nutrition monitoring will in daily onsite OTPs/TSFPs supervisors, Weekly, monthly by field-based and Juba team