Jonglei State Integrated Essential Services (Health, WASH and Nutrition) for Internally Displaced Persons (IDPs) and Host Communities, Jonglei, South Sudan Annual Narrative Report covering the period from May 1, 2023, to September 30, 2023

The project aims to improve access to quality health and nutrition services, water, sanitation, and hygiene facilities, and practical information and technical resources to enhance individual and community health and resilience. Key achievements for the reporting period include the training of 33 healthcare staff, with 8,972 outpatient consultations rendered, 5,408 consultations for communicable diseases, and 7,584 individuals screened for malnutrition by community outreach workers. Additionally, 1,181 individuals received direct hygiene promotion messages. The project established four mobile tented health facilities and outreach teams in Pigi, Fangak, Ayod, and Nyirol counties. These facilities provide essential emergency healthcare services, including pharmacies, outpatient services, bed observation, expanded program for immunization (EPI), and antenatal care services. IMA hired health and nutrition officers and reproductive health officers to provide direct supervision and coordination with the County Health Department. IMA worked with communities, local stakeholders, and implementing partners to select facility locations and carried out renovations and repairs to fences, pharmacy shelves, and Women and Girl-Friendly Spaces (WGFS). The project also procured BHA-approved pharmaceuticals, medical supplies, and medical equipment through pre-qualified vendors, with expedited delivery facilitated by charter flights. Training and supervision were provided to health facility staff on integrated management of child and neonatal illness, with 9 nurses, 2 midwives, 8 clinical officers, and 6 community health workers trained in Pigi and Fangak counties. Routine on-the-job training and supportive supervision were also provided at each site. In response to emerging health challenges, IMA trained 128 EPI vaccinators to conduct vaccination campaign activities in Ayod county. Health and hygiene promoters, community health workers, and outreach teams conducted behavior change and communication activities, including hygiene promotion messages, to improve health and hygiene practices among IDPs, returnees, and host community members. The project also established a system for reporting and responding to health-related incidents and emergencies. The project's geographic focus is on Jonglei State, specifically in the counties of Fangak, Pigi, Ayod, and Nyirol. The project duration is 12 months, with a project start date of May 1, 2023, and a project end date of April 30, 2024. The total budget for the project is USD 2,100,000.