Improved access and scaling up PHC integrated emergency lifesaving health care services through 1 mobile unit and 1 PHCC in Nyirol County SCI will deliver a six months’ emergency lifesaving health project in one priority hot spot county of Nyirol where the health situation is critical and protection services wanting. The project directly contributes to cluster specific objectives through the    implementation of critical lifesaving frontline activities to populations facing greatest needs, compound effects of armed conflict, displacement, hunger, disease and natural disasters such as floods with a focus on populations with the greatest protection risk. The critical lifesaving activities will reduce morbidity and mortality among internally displaced children and adults and those from the host community. 
The project’s thematic sector focus is health, and it will be effective 1 March 2019 to 31st. / August 2019. Nyirol county has a projected population of 169,493 of which the direct beneficiaries are (51,442) include IDPs, returnees and host communities. The proposed activities are continuation of previous emergency lifesaving health project supported activities (SSD-18/H/121248) implemented in complementarity with other SCI existing Education, nutrition services (mobile outreach) and child protection projects in Nyirol. The health professional staff and trained nutrition community health works (NCHW) will be supported to conduct community mobilization and referrals of the seriously sick patients including SGBV for PEP, STI treatment and psychosocial support.
The project budget is $ 442,402.00 The funds will be used to strengthen overloaded exiting Keath PHCC, Kamnak PHCU and two mobile units. The 2 mobile units will provide services to 8 sites Dengdor, Nyamboir, Kweu and Wunbil and four additional will be identified in Payams with high need where SCI is providing (child protection, Nutrition and Education services. The Kaeth PHCC was partially rehabilitated to provide integrated nutrition and WASH services in the current allocation. Additional rooms need for Reproductive health family planning and delivery room. The Kamnak PHCUis an old dilapidated Tukuls which compromise patient privacy and treatment with dignity. Resources need to upgrade the HF with adequate rooms a cording to the cluster objectives and BPHSS guidelines.  SC will support Health workers and Community health workers to conduct GVB awareness and referral in community.   GVB survivors referred to HF will get treatment for PEP and STI alongside psychosocial support. The Lifesaving health services will be delivered through 
1) Increased access to PHC services by supporting 2 mobile outreach units, 1 PHCU and 1 PHCC. The PHCC will respond to SAM with medical complications, GBV, CRM BEMoNC and MHPSS and 1 PHCU, and two mobile outreach services. 
2) Integrated response to provide components of WASH, FSL and Nutrition in the PHCC to address famine mitigation of nutrition and food security. 
3. Establishment of cold chain to provide EPI services to unserved children and women of child bearing ages.
SCI will collaborate with WHO, WFP, UNFPA, UNICEF, PSI and other implementing organization in the integrated response. Food security and livelihood (FSL) will address morbidity and mortality related to acute hunger and food vitamin deficiency common among children and women in the proposed project area (SMART survey 2018). SCI will work with UNICF to supply Vitamin A supplements for children 6-59 months. Pregnant and lactating women will receive iron and folic acid tablets. The health facilities will be supported with the following: aqua tabs, handwashing equipment’s (soap) and improved waste management (incinerator/rubbish pit, toilet/pit latrine).
SCI will support human resource by providing equal employment opportunity to male amp female (50% each) where possible, monthly paying salary and conduct skills improvement (training) quality health service provision Community health workers will conduct health awareness on EPI, ANC and prevention of endemic diseasestating women will receive iron and folic