Integrated Health in  floods affected Populations; Canal Pigi and Kapoeta North Counties This project is designed in line with the Central Emergence Response Fund (CERF) to urgently scale up response to Counties with high severities attributed to floods Canal Pigi and Kapoeta North. 
The project is aligned to Health cluster CO1: Provide essential primary health care services focusing on major causes of morbidity and mortality (via the modality of mobile deployment and Referrals with associated Key activities. 
Project target Population is 22,000 disaggregated as Men 6820, Boys 3960, Women 7040, and Girls 4180. The Indirect beneficiaries are additional 10% of the project  target Men 682, Women 704 Boys 396 Girls 418. HAA is not accountable to indirect beneficiaries because the return populations are not certainly  stable but rather on transit. Gross estimated beneficiary Population is 24200. The project will be implemented 60% in Canal Pigi and 40% in Kapoeta guided by assessment, SMART Surveys and PHSA reports. 
Project Monitoring plan: HAA will adopt  the quantitative supervisory check list(QSCL) recommended by MoH to monitor access service by the beneficiaries including persons with disabilities. The data will be extracted from the daily health facility registers and field monitoring and supportive visits on quarterly bases conducted as in line with MoH guidelines. 

Context analysis:
Canal Pigi County 
These populations were already in dire humanitarian needs categorized under IPC 3 amp4 . While multi-hazards including communal and armed violence were the primary triggers, the flash floods have worsened the vulnerability of the already affected Population when armed conflict has just ended in April 2019. These severities are projected to worsen in 2020 with estimated population facing crisis 69,000 and 30,000 face emergency between Jan-April 2019(Aug IPC 2019). The floods have significantly attributed to life threats and destruction of households and community capital assets, loss /closure of health centers, stabilization/nutrition centers, schools, crop lands and road network infrastructures. There is increased morbidity malaria upsurge, Pneumonia, high diarrheal infections both AWD and ADB and high worm load (HAA Public Health Situation analysis Sept 2019). 
Food security is unprecedented the crop lands are submerged in water. The Nutrition and Mortality SMART survey (IMC May 2019) report confirms the projected worsening of the Health, nutrition and protection prior to the flash floods. 47.1% of morbidity in children under five was due to diarrheal disease. A GAM rate of 24.3% and SAM rate of 6.7% among children (6-59) months. This translates to acute levels of malnutrition. 
Kapoeta North: Health and WASH needs remains the most serious concerns in greater Kapoeta (Situation over view REACH Mar 2019). Facilities are reported to be too far or nonexistence among the displaced populations. Protection is centered on women especially SGBV. The Populations have depleted their food stores and results to extreme copying strategies such as selling livestock and consuming seeds. Response Strategy: HAA will scale up two (2) mobile teams’ canal Pigi and 1 PHCC referral. These are Alam Payam mobile health center, Wunulieth Payam Mobile health center and Canal Referral PHCC.
In Kapoeta we will scale up 2 mobile teams and 1 Referral PHCC. These are Karukomuge Mobile health center, Chumakori Mobile center and Riwoto Referral PHCC.
These populations will be served with Integrated health services including assessments (PHSA), flood risk and outbreak: medical consultations, vaccinations (strengthening of routine and provision of preventive immunization campaigns, Nutrition screening (MUAC screening and treatment of SAM with medical complications and Referrals (obstetric emergencies/trauma/CMR/stabilization centers. 
2. Capacity building of health care workers by conducting refresher trainings on case management, surveillance, infection prevention and control. 
3. Surveillance: early warning and notification,