Increasing access to lifesaving emergency healthcare services to vulnerable populations in Fangak focusing on the major causes of morbidity and mortality. The main aim of this project is to stem the rising rate of mortality and morbidity attributed to limited access to PHC services, weak capacity to deliver essential clinical and emergency lifesaving health services in the targeted locations within Fangak County. Main diseases are malaria, AWD, pneumonia, SAM with medical complications and measles, cholera and kala-azar and epidemic prone and vaccine preventable diseases. Since the targeted areas are prone to frequent episodes of volatility resulting in displacement, the project will focus on improving resilience among vulnerable populations by increasing access to essential and specialized interventions which are associated with human conflicts such as SGBV and MHPSS through mental health and psychosocial support services. Within then targeted county, health issues have been compounded by hunger and malnutrition which have escalated with conflict continuing to disrupt the cereal markets. The project will also focus on interventions which seek to improve access and scale-up responsiveness to integrated essential healthcare needs of vulnerable populations in sectors such as WASH, FSL, Nutrition and Protection.

This project will be implemented in Fangak county which is situated in former Jonglei State with total populations of 181,158 (UNOCHA Projections 2019). According to the Health cluster guideline for SSHF SA1 2019, in Fangak the HRP PIN is estimated at 82,791 while the HRP target is 46,363. However, as per this specific funding request and guided by the per beneficiary cost, the project directly targets a total of 16,963 beneficiaries (Men –3,094 ≥ 18 years, Women – 3,220 ≥ 18 years, Boys – 5,218 lt 18 years, Girls – 5,431 lt 18 years). The total children U5 direct beneficiaries will be 5,845 (Boys - 2,864 and girls - 2,981).

In Fangak, the project will utilize 2 clinical packages namely 1 PHCC and 2 PHCUs. The project will target Keew PHCC in Paguir payam, Choatbora and Kuerphone PHCUs in Old Fangak and Paguir payams respectively.. In Fangak, Keew PHCC will be used as the center to provide services such as SAM with MC, BEmONC, MPHSS and CMR for victims of SGBV, MH, and NCDs on outpatient and inpatient basis and deliver an integrated response with nutrition, WASH and FSL. The most vulnerable and at-risk populations within these target areas have been identified through the Health Cluster analysis reports and CMA’s monitoring surveys. The primary target beneficiaries of the project will be the IDPs and their hosts.

The project will address cross-cutting themes specifically: mainstreaming gender equality ensuring there is AAP and protection of vulnerable populations so they can access health services. The economic and political crisis remains the most significant risk to service disruption. CMA will manage this risk by: (1) ensuring mobile units are equipped to provide services when insecurity limits access for re-supply and support (2) maintain a one month inventory of essential medicines and supplies (3) maintain good relationships with local authorities best placed to provide security of personnel and supplies in an emergency. Integration will be achieved by collaborating with other humanitarian actors delivering FSL and WASH. CMA has funding support from UNICEF for health and nutrition programming. The integration of health services with nutrition programming allows maximum impact from available funding as both programs target same locations, and use common facility, transportation and human resources.