IRD BSF-IA Proposal - Basic Services Fund SOUTH SUDAN

Format BSF-IA Project Proposal - Call for Proposals 

Application Form 

IMPORTANT: 

• Fill out the form below and answer each question separately in this format. 

• Use margins of 2.5 cm (1 inch) and arial font size 11 point. The maximum allocated 

space per section is based on this margin and font size. 

• Where reference is made to population data, applicants must use the figures from the 

“5 th Sudan housing and population census 2008” 

Overall BSF Objective: 

The overall objective of the Basic Services Fund of the Government of Southern Sudan (BSF) 

is to increase the coverage of, access to and use by the population of Southern Sudan – in 

particular vulnerable groups of female members of the households, IDPs and refugees – of 

basic services in Primary Education, Primary Health, and Water & Sanitation, in a sustainable 

way. It therefore aims to strengthen the capacity of communities and the GoSS (central, state 

and county level) to plan, monitor and co-ordinate this service delivery through non-state 

actors. This purpose is consistent with BSF’s overall goal, namely GoSS’s poverty reduction 

agenda within the six year interim period of the CPA (January 2005 – July 2011). 

BSF’s main expected results are the establishment of operational primary schools, primary 

health clinics, drinking water points and latrines in parallel to capacity building, including 

training of teachers and health professionals and management training of local beneficiary 

groups, county authorities and the Steering Committee. 

1. Project Name: 

Community Health and WASH services for Duk County, Jonglei State 

2. Project Location: 

State (s) County (ies) Payam (s) 

2.1 Jonglei Duk Mareng (County seat), 

Dongchak, Payuel, 

Panyang, Pagaak, 

Pagaleng, Ageer, 

Padiet 

3. BSF Grant amount requested in GBP Maximum 5 pts 

Total Project Budget Amount Requested Amount requested as 

percentage of Total Budget 

(%) 

GBP 1,469,982 GBP 1,469,982 100% 

3.1 When the requested BSF Grant is 100% of the Project Budget please justify this 

request. 

Project activities will be 100 percent funded by BSF. International Relief and Development, 

US has recently received funding from the U.S. Department of State’s Bureau of Population, 

Refugees and Migration (BPRM) to implement an agriculture project in Duk and Twic 

Counties. The duration of this project is from May 2010 to May 2011. Some of the BPRM 

project staff will be co-located at the current IRD accommodation/office in Duk Payuel and will 

International Relief and Development US Basic Services Fund and Mott MacDonald 1

share some office costs, thus reducing overhead costs to the BSF funded programming in 

Duk county. For more information, please see Annex 1 for the Budget. 

3.4 When the project proposal includes more than one sector please give indicative 

amount per sector including all training for that sector. 

Health: GBP 277,771 Training and Capacity Building Health: GBP 338,434 

Water/Sanitation: GBP 143,820 Training and Capacity Building Wat/San: GBP 53,635 

Maximum 0.25 page 

4. Project Summary: 

Maximum 0.5 pages. 

Include information on where, what and how, with targets, including training targets 

and emphasis on working with government and/or civil society and sustainability. 

The overall goal of the project is to improve the health status of residents of Duk County. IRD 

believes it can best contribute to this goal by improving the availability of, access to, and 

quality of primary health care and water and sanitation services over an 18 month period. To 

achieve this, IRD and its partner the John Dau Foundation (JDF) will continue to work closely 

with the payam, county and state health and water representatives and local authorities 

building on lessons learned during the current BSF-funded project, Community Health and 

Education Services for Southern Sudan (CHESS). The team will bring the Duk Lost Boys’ 

Clinic (DLBC) in Duk Payuel up to the Basic Emergency Obstetric and Neonatal Care 

Primary Health Care Center (BEmONCPHCC) level through rehabilitation, construction and 

equipment as outlined in the BPHS. As part of this, IRD will work with DLBC to improve the 

cold chain for vaccinations and outreach capabilities to improve vaccination and Vitamin A 

coverage to 40 percent. The project will equip three Primary Health Care Units (PHCU) in 

Mareng, Pakam and Pajut and construct one PHCU in Pagaak to meet the BPHS standard. 

36 people or 40 percent of county health workers (CHW) and Traditional Birth Attendants 

(TBA) will be trained and certified by the Ministry of Health (MoH) trainers. The team will work 

with the four Boma Health Committees (BHCs) formed under CHESS and train an additional 

13 BHCs linked to other county PHCUs. IRD will improve awareness of common health 

issues and increase demand for services through 16 health and hygiene campaigns (two per 

payam) while training 16 Alternative Education Systems (AES) instructors on health and 

hygiene issues. Throughout the project, IRD will strengthen the capacity of the County Health 

Department (CHD) and local authorities in health service delivery. The CHD take part in 

assessments, monitoring and planning for health service delivery; and linking the CHD to 

local authorities and communities through quarterly payam-based meetings. At the payam, 

county and state levels, IRD will improve associated water and sanitation services by working 

with 15 Village Water Committees (VWC) formed under CHESS and form an additional 15 

linked to the boreholes rehabilitated near PHCUs. The VWCs will each elect one person to be 

trained as a pump mechanic. In collaboration with the state level water authorities and parts 

distributors, the project will establish a supply chain and stock of spare parts. 

5. Project Objective: 

Maximum 0.25 pages. 

Objective must be Specific, Measurable, Attainable, Realistic and Time-bound (SMART) 

The objective of the project is to improve the availability of, access to, and quality of primary 

health care and associated water and sanitation services in Duk County during an 18- month 

period. Specifically, IRD will continue to develop relationships formed under CHESS at the 

state, county, and payam levels to improve primary health care service delivery and 

strengthen health personnel capacity, while improving infrastructure necessary for service 

provision and increasing community awareness on basic health issues. The project will 

support the CHD in carrying out its function in ensuring the above are carried out according to 

the BPHS. At the payam, county and state levels, the project will improve associated water 

and sanitation services through borehole rehabilitation and training of VWCs and pump 

mechanics with a focus on water quality and appropriate supervision. 


6. Justification: Maximum 40 pts 

Maximum 2 pages, Category 2: 

6.1 Relevance of the project to BSF’s overall objectives. 

IRD will support BSF’s objective through the improved coverage of, access to and use of 

basic primary health and associated water and sanitation services in Duk County, Jonglei 

State. This is an essential part of the county’s rebuilding of community and basic support 

services. The project will engage local authorities, and, through project design, 

implementation, monitoring and evaluation, build their capacity to deliver sustainable services. 

With a focus on sustainability, the project will continue to support the function of the county, 

CHD and communities in providing the continuation of basic services currently supported by 

BSF in Duk to the most vulnerable groups. The project will link these sectors and services 

through community and local authority involvement to improve overall health status. 

6.2 What GoSS sector priorities as described in the application guidelines will the 

project address? 

In designing the proposed project, IRD collaborated with representatives from the Duk County 

Commissioner’s Office, the CHD, Jonglei State MoH office in Bor, Ministry of Water 

Resources and Irrigation, and other local stakeholders. Project activities in health and water 

and sanitation were designed to meet both community and GoSS priorities, while building on 

lessons from implementation of the CHESS project. Of the targets identified as supported by 

the BSF-IA and GoSS in the health sector, this project will address the continued provision of 

the BPHS within Duk County, supported by BSF under CHESS, including support for inservice 

and formal trainings of health care workers, and support for the MoH in strengthening 

the CHD and community capacities to supervise and manage health services. The project will 

raise community awareness of basic health issues through hygiene campaigns and increase 

demand for health services, while strengthening the performance and involvement of BHCs, 

the CHD, and other traditional governance structures including chiefs and local leaders. As 

Jonglei state is one of the four states with a Lead Agent under the Umbrella Program for 

Health Systems Development (UPHSD), IRD will continue to support the provision of health 

services in Duk with UPHSD support and cooperation. All health related activities have been 

designed to cover 10 of the 13 MoH-identified high-level impact indicators. Planned health 

activities will align with the Health Policy for the Government of Southern Sudan 2006-2011 

and policy statements on community participation, primary healthcare and implementation of 

basic service package, facility infrastructure development, pharmaceuticals and medical 

supplies, institutional and human resource development, and coordination. 

The associated water and sanitation activities, while linked to health facility improvements, 

are also designed to meet priorities of the GoSS Infrastructure sector. IRD’s project will 

provide clean water to the PHCUs and surrounding communities through the rehabilitation of 

15 boreholes. IRD, in close coordination with the MWRI and the Jonglei State Directorate, will 

plan and report on water quality testing for these sites. IRD will provide training consistent 

with GoSS policy on rural hygiene and sanitation, and water management to 30 VWCs (15 

already organized under CHESS project). IRD will train 30 pump mechanics with a target of 

30 percent female. As Duk does not currently have a county water department, IRD will work 

closely with the local authorities to establish systems and procedures and create a supply of 

county spare parts. IRD will construct one PHCU (Pagaak) and one institutional latrine block. 

6.3 What underserved / priority counties as identified by GoSS and described in the 

application guidelines are targeted? 

IRD will continue to support health and water and sanitation services in underserved Duk 

County. The county continues to experience population growth from returning war-displaced 

populations and from neighboring counties. Due to the uncertainty surrounding the April 

elections, the movement of people, the reduction of services, and possibly IRD’s current BSFfunded 

CHESS project, even more individuals have been accessing services in Duk, 

particularly at the DLBC whose monthly average consultations jumped from 1,210 in January 

to 2,457 in March 2010. IRD is one of the only INGOs operating in Duk County; while Catholic 


Relief Services has provided funds through local NGO Sudan Medical Care (SMC) to cover 

the salaries of health personnel, but is not providing direct support in Duk at present. 

6.4 The different target groups and beneficiaries of the project and the specific needs 

and constraints of these groups. 

Project activities will target all eight payams including Mareng, the Duk County headquarters. 

Direct beneficiaries of trainings and direct outreach services are estimated to be 7,500. Under 

the program approximately 10,000 children under 5 and 31,000 women of reproductive age 

will benefit directly from improved health care services. Additional targeted beneficiaries will 

include the elderly, returnees, IDPs, health care service providers, county health teams, local 

government authorities, and community workers. Through the project interventions all 65,588 1 

Duk County residents will benefit indirectly from improved services and health education and 

hygiene campaigns, as well as EPI interventions which will be conducted in all eight payams. 

According to the JDF, the MoH, and the County Commissioner, communicable diseases such 

as malaria, acute upper respiratory infections, acute watery diarrhea, anemia, malnutrition, 

measles and mumps, cases of guinea worm, and imported cases of Kala-zar (leshmaniasis) 

remain a threat to children and families. There are also many cases of pelvic inflammatory 

disease and urinary tract infections, indicating that sexually transmitted infections (STIs) are 

common. HIV/AIDS has made an appearance among returnees and outbreaks of cholera and 

polio were identified at the DLBC. Duk County has a high level of war-displaced returns, and 

is vulnerable due to its lack of health, water and sanitation services, and infrastructure. State 

and County government understand the needs, and are motivated to progress. The County 

Commissioner and State level MoH officials cite training for BHCs, EPI coverage, and 

rehabilitation of boreholes and trained mechanics as the most pressing needs in the county. 

Regular support of the PHCCs and PHCUs has been intermittent over the last several 

decades however some health care workers have continued on a voluntary basis. SMC 

supports 5 PHCUs and 1 PHCC through CRS support, however, this is primarily for salaries 

and we are not aware of any trainings taking place. SMC has begun rehabilitation of the nonfunctioning 

PHCC in Poktab in March of this year. In the county there is at present no 

functional PHCC as per BPSH standards, only the aforementioned non-functional PHCC in 

Poktab and the JDF DLBC that currently surpasses the BPSH criteria for a PHCU, but falls 

short of meeting the standards specified for PHCCs. ASCOM also runs a hospital in Padiet, 

which is the next level of referral for the DLBC. There are 15 PHCUs; and outside of the three 

constructed by IRD under CHESS, all facilities are little more than tukuls and face severe 

shortages of health supplies, and an unreliable supply chain of medicines with no cold chain. 

6.5 The extent to which women and girls are specifically targeted. 

IRD and JDF are committed to ensuring the inclusion of women and girls in all project 

activities. The project’s health component will address general health problems and include 

curative, preventive and promotional services which will target children under 5 and women of 

reproductive age. The project will specifically focus on child immunization, reproductive 

health, ANC, nutrition, and HIV/AIDS awareness and prevention. Services will be brought 

closer to women and children through the increased number of trained health providers, 

community health campaigns, vaccination, Vitamin A and de-worming campaigns, and 

provision of medicines and health supplies, as well as the construction of a PHCU. Also, JDF 

under CHESS, has begun a youth theatre group to raise HIV awareness and has trained 10 

girl participants who will continue activity under the proposed project. Further, IRD has trained 

16 AES teachers (2 female) who will provide health and hygiene education to adult students, 

whose enrolment rate is 62 percent female under CHESS. IRD will work to include women in 

the BHCs and VWCs and achieve a target of 30 percent female trained pump mechanics. 

This project will continue to include women and girls in community meetings with community 

member, local leaders, and paramount chiefs as it has under CHESS. 

1 The 5 th Sudan Housing and Population Census 2008 


7. Description of activities per result and sector: Maximum 5 pts 

Maximum 3 pages 

7.1 Include detailed description of each project output and the corresponding activities 

Under the proposed project IRD will focus on the health and water and sanitation sectors. 

Results in primary health care will include structural, equipment and material outputs. IRD will 

emphasize bringing health facilities up to the BPHS standard with close involvement of the 

CHD. IRD will work with JDF to bring the DLBC in Duk Payuel up to the BEmONCPHCC level 

through rehabilitation, construction, staffing and equipment needs. As the DLBC has 

undergone several improvements under CHESS, IRD will only need to provide an inpatient/observation 

area with 10 beds, separate maternity ward, minor surgical theatre area, 

climate controlled pharmacy area, improved 24 hr electrical supply and expanded staff 

housing. IRD will provide water harvesting and storage for the 3 PHCUs constructed under 

CHESS and construct one PHCU in Pagaak including an institutional latrine block. 

Equipment for the 4 PHCUs will be provided by the project and in collaboration with UNICEF. 

As part of this, IRD will work with JDF to expand and improve the cold chain to increase 

vaccination and Vitamin A coverage to 40 percent. The JDF has procured the necessary 

equipment including solar panels, medicine and lab test refrigeration equipment at the DLBC. 

The project will assist in maintaining the cold chain though training of staff and local 

authorities, while collaborating with UNICEF and GoSS for a sustained supply of medicines. 

The strengthened relationship between the local CHD, State and Juba level MoH, and 

UNICEF will work to avoid stock outages and generally increase the availability of MMR, 

BCG, DPT, Tetanus, OPV (polio) and other vaccines. To improve transportation, the project 

will also provide JDF with more cold boxes and motor bikes. Essential pharmaceuticals and 

IEC materials will be provided for the CHD, DLBC and 4 PHCUs. JDF will receive monthly 

funding to cover the cost of additional required pharmaceuticals not provided by the MoH. 

Results in primary health care training will include outputs involving the healthcare staff at the 

DLBC, CHWs, VCWs, AES instructors, the CHD and local authorities, as well as local 

communities. Training for health care service providers will include refresher/on-the-job 

training for the 9 staff at the DLBC covering topic areas for a BEmONCPHCC level facility. 

The project will support the DLBC with provision of salaries for all staff. As part of the EPI 

services mentioned above, IRD will support the DLBC in expanding the three person 

inoculators’ team and emphasize the use of child health cards. IRD will support the CHD in 

providing MoH CHW certification training for 40 percent (approx 27) of untrained CHWs and 

TBAs. The training will take place in Duk and participants will be provided with a stipend, 

living arrangements and food. Through an arrangement with the MoH in Bor instructors will be 

seconded for the 9-month training in Duk. The CHWs trained under the project will return to 

their PHCU post and receive top up of salary if not receiving this through the MoH. Selection 

criteria for training will be based on a community assessment, and take into account the 

amount of training to date, the recommendation of community members, and the motivation to 

work. IRD will also emphasize training of BHCs and continue to work with the four BHCs 

formed under CHESS in Payuel, Mareng, Pajut and Pakam. IRD will re-establish and train an 

additional 13 BHCs linked to other county PHCUs. Member selection will be conducted in 

coordination with the CHD, local authorities and community leaders and seek to be a 

representative of the community and maintain a gender balance. Initial trainings will focus on 

basic health topics (per MoH curriculum) and relationship to project and PHCU activities. 

Members will be motivated to have ownership and involvement in community health activities. 

Their key functions will include health promotion, community mobilization for health education 

campaign activities, and active case finding and referral, as well as morbidity and mortality 

surveillance. 

BHCs will also be closely linked to the health and education campaigns conducted in each 

payam. IRD and the CHD will work to improve awareness of common health issues and 

increase demand for services through 16 health and hygiene campaigns (2 per payam 

conducted) and the training of 16 Adult Education System (AES) instructors on health and 


hygiene issues for classroom discussion. AES instructors who were trained and currently 

working under CHESS will continue to receive stipends under the proposed project and 

receive trainings on health and hygiene similar to the training of the BHCs. AES instructors 

will be motivated to include these topics in classroom lessons and discussions. Throughout all 

of the above activities, IRD will strengthen capacity of the CHD and local authorities in health 

service delivery by involving personnel at every step. This will be accomplished by improving 

the capacity of the CHD through close supervision and training to assess, monitor and plan 

for health service delivery; and linking the CHD to local authorities and communities through 

quarterly and activity driven payam based meetings. IRD will more activiely involve the CHD 

in meetings with chiefs and community leaders as supported under CHESS, to ensure project 

ownership and sustainability. These meetings also serve as forums to discuss equitable 

distribution of basic services across the county particularly in the more marginalized 

communities. 

Results in drinking water and sanitation will include the outputs of borehole rehabilitation and 

water quality testing. Under the current CHESS project in Duk, IRD has worked closely with 

the local authorities to identify and prioritize boreholes which need general maintenance and 

rehabilitation. IRD has identified 15 additional boreholes which are linked to or adjacent to the 

11 PHCUs and the PHCC which have not been part of CHESS rehabilitation. IRD will work 

with a local contracting group to assess the required needs at each site and produce a report 

for the MWRI. Water quality testing will be performed at each site and findings will be shared 

with the MWRI at state and Juba levels. 

Similarly, results in training water point committees will coincide with the above outputs and 

include training of VWCs, pump mechanics and local authorities. IRD will continue to work 

with the 15 VWCs formed under CHESS and form and train an additional 15 which will be 

linked to the 15 boreholes rehabilitated near PHCUs and PHCCs. VCWs will be trained in 

rural hygiene and sanitation issues, water management and community participation and 

ownership concepts. VWCs will nominate one member to be trained in basic maintenance 

and handling of the boreholes, for a total of 30. These mechanics will work in tandem with 

IRD capacity building at the PHCUs/PHCCs and they are the custodians of spare parts and 

equipment for borehole maintenance. IRD has a container which held medical supplies and 

shoes which can now be handed over to the county and for use as a warehouse for spare 

parts for quick response on boreholes to reduce community migration to other villages and 

stress on singular boreholes that leads to failure. IRD will work with County, payam and the 

WPC to ensure that refresher training and M&E is carried out regularly. IRD will also work 

closely with the state level water authorities, parts distributors, and UNICEF to establish a 

supply chain and stock of spare parts. 

Further, results in training in sanitation and provision of institutional latrines will be IRD 

outputs for the project. IRD will construct one institutional latrine in Pagaak when constructing 

the PHCU. The latrine block will have one male and one female latrine, one patient washing 

area and one staff latrine. IRD will provide training in rural health and hygiene to the VWS, 

VWCs, and AES instructors. The health and hygiene campaigns in each payam will also 

involve these groups in disseminating messages. For more information please see Annex 4 

for the Training Table. 

7.2 Specify the role of each partner per output, if applicable, and describe the added 

value of each member of the proposed consortium. 

IRD’s role is to lead and ensure the successful implementation of project activities. IRD will 

work closely with the CHD, local authorities and community groups to achieve all project 

outputs. IRD has been operating in Duk County since 2009 and in South Sudan since 2004. 

IRD has projects in Upper Nile, Warrap and states with funding from UNCHR, NDI, BPRM 

and SRF. IRD will provide a sub-grant to JDF to ensure continuation of health services at the 

DLBC and the improvement of EPI services as in January 2010, DLBC was designated as 

County focal point for EPI by the MoH. JDF is committed to supporting the DLBC until it can 


e 100 percent supported by the MoH. IRD is committed to working with the JDF to help the 

DLBC to become a fully functional BEmONPHCC. As it has been one of the only functioning 

health facilities in the area – even receiving hundreds of patients each month from 

neighboring counties – IRD believes it can help JDF to better support the DLBC in delivering 

its services at the full BPHS level, and strengthen its link to the MoH at the county and state 

levels. JDF has been operating in Duk since 2005 and continues to receive financial and 

technical assistance from a Syracuse, New York based Committee and Board of Directors 

consisting of US doctors. Also, they receive several visits a year from visiting international 

medical professionals and students, which enhances in-service training and best practices. 

8. Methodology: Maximum 35 pts 

Maximum 3 pages 

8.1 Method of implementation, reasons for proposed methodology and whether the 

project is building on previous interventions and lessons learned (BSF and other). 

IRD has been implementing CHESS under BSF funding since January 2009. IRD presents 

the proposed methodology through evaluation of lessons learned, collaborations with local 

government officials, meetings with other relevant stakeholders and Mott MacDonald 

Monitoring visits. IRD will focus primarily on the health sector and contribute to associated 

water and sanitation service needs. IRD believes that limiting its focus to these two sectors 

will strengthen its impact in the relatively short term of the BSF-IA timeline of 18 months. 

The team will work closely with the CHD and local authorities to provide continued support to 

the CHD. IRD constructed three PHCUs under CHESS which cannot be handed over to 

county MoH until the County is able to support them. The proposed project will continue to 

support the CHD in managing these PHCUs through close supervision, equipment provision 

and water storage areas. IRD will construct one PHCU under the proposed project in Pagaak. 

The Pagaak PHCU was deemed a priority location in March 2009 but due to insecurity in the 

area in the fall of 2009, the Commissioner, CHD and local authorities decided this could not 

be completed under the timeframe of CHESS. In meetings for project design for the BSF-IA 

project, all stakeholders have once again made this PHCU a priority. Further, IRD will provide 

increased oversight while working with JDF to assist the DLBC to achieve the BEPHCC 

standard according to the BPHS guidelines. The DLBC is classified as a PHCC but has not 

quite reached the BPHS definition of a PHCC. Investment in the clinic is important to the 

health status of the entire county and accordingly, further investment in its staff and facility are 

key to improving the quality of care available in the county. JDF will continue to implement 

EPI activities and the project will work closely with them to increase their capacity in delivering 

this much-needed service for the entire county. IRD will continue to focus refresher trainings 

for DLBC staff and oversight on specific areas identified by a BSF health consultant including: 

out-patient and consultations related to the PHCC appropriate package of services; nutrition 

counseling; use of child health cards; in-patient observation areas and maternity rooms; 

proper medicines storage; EPI oversight and proper planning; referral strengthening; general 

hygiene of staff and facility; medical waste management; TB patient handling; and HIV/AIDS. 

The lack of training of basic health personnel continues to be an issue in Duk County. IRD 

has determined that a solid investment in long-term training of individuals appointed as CHWs 

and community TBAs to become MoH certified CHWs will go a long way in providing quality 

and sustainable basic health service delivery in the county. IRD will also continue to work with 

BHCs started under CHESS, and re-establish and train an additional 13 groups so that every 

PHCU in the county has a linked, active and trained BHC. IRD has also decided to continue 

to provide stipends to CHESS trained AES instructors as they have become an important 

communication channel within their respective communities. IRD established 8 AES centers 

under CHESS, and believes that providing this relatively small stipend to the 16 instructors 

would allow them to continue classes, providing a cost effective way to reach the community 

with concentrated basic health and hygiene messages. The enrollment rate increased to an 

average of 70 percent at each center in the first quarter of 2010, and as a result, a total of 940 


(62 percent female) adults are attending class. Further, as IRD has established itself under 

CHESS as a partner for education activities in Duk, continuing with this activity will be 

important in preserving IRD’s reputation and trust with local authorities and the communities 

at large. By training these instructors, IRD can also ensure further dissemination of health and 

hygiene messages to adults and school activities, as well as raising awareness of important 

health issues and county health services available, thus allowing for further community 

participation in health activities, particularly in more rural areas. 

Through all health component activities, IRD will provide increased support to the CHD. IRD 

believes that providing staff to work in close coordination with the current CHD representative, 

and currently the WHO representative, will help fill the gap in regular CHD presence in the 

county. An emphasis will be placed on drug management and links to Bor. IRD will also 

provide office materials to ensure administrative functioning of the office. The IRD project staff 

will assist that CHD representative in better assessing current health facility and staffing 

situation needs and provide improved planning to meet these needs. The project will ensure 

the CHD has proper human resources, equipment, etc., required to run the CHD properly. 

IRD has been an active water and sanitation partner in Duk since January 2009. Under 

CHESS, IRD has worked closely with the local authorities to identify and prioritize boreholes 

which need general maintenance and rehabilitation. IRD has identified 15 boreholes which 

are linked to the PHCUs which have not been part of CHESS rehabilitation. Through VWC 

training, IRD noticed communities are motivated to be a part of water activities. Similarly, IRD 

will continue to work with the 15 VWCs formed under CHESS and form and train an additional 

15 which will be linked to the 15 boreholes rehabilitated near PHCUs and PHCCs. VCWs will 

be trained in rural hygiene and sanitation issues, water management and community 

participation and ownership concepts. These VWCs are an important step in ensuring 

sustainability of water provision and community ownership, and this is strengthened with the 

added activities of training pump mechanics and providing a county spare parts warehouse. 

8.2 How will the proposed consortium function as a cohesive unit; describe lines of 

responsibility, supervision and management. 

IRD will be responsible for overall project management. The IRD project manager will be 

responsible for monitoring all project activities, while ensuring adherence to the work plan, 

timeline and budget. The IRD team in Duk will be supported by IRD staff in Juba and Health 

Technical staff at IRD headquarters. The project will provide a subgrant to JDF for the 

operation of the DLBC and EPI activities. JDF is committed to supporting the DLBC until it 

can be 100 percent supported by the MoH. JDF will employ a project manager to serve as 

coordinator for DLBC activities. The JDF PM will be responsible for report writing and financial 

management of BSF funds received to support the DLBC. JDF will employ the full staff for a 

BEmONCPHCC standard in close coordination with IRD and the CHD. IRD will report to and 

work closely with the CHD to build their capacity to deliver services as defined by the BPHS. 

8.3 Team proposed for implementation. Present the full team and describe who will 

fulfill which position, where appropriate per project location. For each team 

member specify his/her responsibilities in this project and duration of input. Also 

specify whether the position will be filled by a national or international expert. 

(Attach the CV of the proposed BSF Grant Project Manager to this application). 

In Duk County IRD will have a solid team over the 18 months of the project. IRD will provide a 

dedicated Project manager (PM) to oversee all financial and technical elements of the project. 

The proposed PM (please see attached CV in Annex 3), an international expert, has over 10 

years of health project coordination and management experience. The PM will manage 

project staff, follow work plans and direct technical aspects of the project and report to the 

Country Director. The PM will oversee the work of the Sudanese Admin/Finance Officer 

(AFO) who is responsible for day to day accounting, collection of receipts and documentation, 

and financial reporting. The AFO will also report to the Finance Manager in Juba. The PM will 

also work closely with the PHC Supervisor (international) who will coordinate activities of 

health workers, such as the CHWs at the PHCUs and clinical officers at PHCCs, and works 


with the CHD staff to improve Disease Surveillance, M&E, County Nursing, and Pharmacy 

Technician functions. The MCH Supervisor combines responsibilities of Maternal Health 

Coordinator of payam level and Nutrition Officer of the CHD, and does the same as PHC 

Supervisor, but specific towards TBAs and midwives. The MCH Superviser (Internationa) will 

work closely with JDF staff on nutrition project, ANC and Maternity Ward. The PM will also 

oversee the international Construction Manager/Water Sanitation Manager (CM/WSM) who 

will lead construction and rehabilitation activities, coordinate labor for activities, and be 

responsible for overall design per MoH guidelines. The CM/WSM will also work closely with 

the MWRI and local authorities to direct trainings for VWCs and pump mechanics and handle 

the water quality testing. The GoSS and Community Training Liaison (Sudanese) is 

responsible for community and local GoSS communication and mobilization in Duk County, 

and MoH and MWRI Directorate in Bor, and plans and coordinates meetings. A Sudanese 

Logistics Officer will work with the PM and CM/WSM for delivery of supplies and materials for 

distribution. The international JDF Project Manager (15 months) will also report to the PM and 

work closely with the PHC and MCH Supervisors and is responsible for coordination of project 

activities with the DLBC. All staff in Duk will report to and be supported by the team in Juba: 

the IRD Country Director, Finance Manager, Logistics Officer and Security Officer. The 

project will also receive technical assistance from an HQ based Technical Officer and an 

international Technical Consultant, to lead the assessments and base and end line surveys. 

8.4 Describe the partnership arrangements with government and other possible 

implementation partners (e.g. civil society) for effective project implementation. 

Since January 2009, IRD has worked closely with local government and traditional leaders 

throughout Duk’s eight payams. IRD has nurtured a strong relationship with the County 

Commissioner’s Office, the CHD and local authorities. These local stakeholders trust and 

recognize the results achieved under CHESS, while understanding that further BSF funding is 

an interdependent means for improved and sustainable service delivery. In planning for this 

project and future sustainability, project activities have been designed and prioritized in close 

coordination with the County Commissioner, local authorities, and state level MoH and MWRI 

representatives for Jonglei, and IRD has their commitment to support and maintain project 

investments. Under the proposed project, these established relationships will be enhanced 

through an increased mentoring approach in which IRD staff will provide close guidance for 

sector planning, implementation and monitoring. Project staff will be dedicated to providing 

service delivery actors with training and support to achieve even more tangible results, thus 

building community and local leader trust in service delivery maintenance and ownership. 

8.5 Describe the NGOs exit strategy (and therefore a government/civil society entrystrategy): 

Specify a training and capacity building plan to ensure that project 

activities be continued by government or civil society partners in a sustainable 

manner after project closure? 

IRD has attempted to realistically assess the complexity of the current situation of the health 

and water and sanitation systems of South Sudan, and particularly in Duk County, and 

understands that full sustainability can not be achieved within the life span of this project. 

Therefore, IRD will adhere to a strategy of step-by-step transition from fully dependant to a 

sustainable and functioning basic service delivery system from a long-term perspective. This 

project is still primarily focused on initial steps of the rebuilding of the health and water and 

sanitation system. IRD will invest in quality healthcare infrastructure, professional capacity of 

health and water and sanitation personnel, and introduction of managerial tools and systems. 

At the same time, local government, civil society and communities will gradually become more 

involved in management of these systems and accept more ownership. The next stage of the 

exit strategy in the long-term will be to hand over all managerial responsibilities to the CHD 

and persons in charge of health facilities, but with strong coordination, supervision and advice 

from IRD. However, the full exit cannot be possible until the government is able to finance the 

health system in full. Thus, IRD will use a mixed approach in its exit strategy based on 

gradual transition from a humanitarian aid project to one more focused on the provision of 

technical assistance. To ensure that the proposed initial stage of this exit strategy is 


successful, IRD has developed a plan for capacity building of health workers and health 

administration of the county, which includes: 1) the development and introduction of job 

descriptions and standard operating procedures; 2) the introduction of treatment protocols 

through formal and in-service trainings; 3) the introduction of managerial tools, such as a drug 

management system; 4) training on the MoH health information system; and 5) trainings in 

basic logistic and financial accounting for the CHD team. Also key is the introduction of a 

strong monitoring system on overall activities and IRD will work closely with the CHD team 

and health care personnel to develop this system. IRD believes by the end of the project the 

basis for a comprehensive, properly functioning health system for the county will be formed. 

9. Logical Framework: Maximum 5 pts 

9.1 Complete the logical framework for the proposed project. Use the format attached 

to this document in annex 2 to this application form 

Please see the logical framework in Annex 2. 

9.2 Related to this logical framework; describe how the indicators will be measured to 

monitor project success. (Maximum 0.5 page) 

Achievement of project results will be measured through a number of data collection methods 

from several data sources. IRD plans to monitor the project through a combination of output 

and outcome indicators using routine monitoring, site visit, health facility assessments and 

KAP surveys. Project field staff will routinely collect monitoring data and conduct sites visits of 

activity and beneficiaries (ie. health facilities, CHWs, TBAs, AES instructors, BHCs, and 

VWCs), which serves as the basis of all reporting needs. Indicators related to WASH activities 

will also be measured through routine monitoring and site visits. Project manager will process 

the data and track project progress against the logframe targets on an indicator tracking table 

to be developed after the award. To assess the health facility, IRD will conduct a health facility 

assessment at the start and end of the project to measure indicators related to primary health 

care. The assessment instrument will include BPHS standards for BEmONCPHCC and 

PHCUs. These assessments will be conducted by IRD staff at the 5 facilities 

constructed/rehabilitated by IRD (4 PHCUs and 1 PHCC). For outcome indicators, IRD plans 

to conduct a baseline and final survey of knowledge, attitudes and practices (KAP) related to 

primary health care in the communities surrounding the IRD-supported facilities. These 

surveys will provide insight on the use of facilities, results of the awareness raising activities in 

the community and results of community training activities. IRD will also verify project data 

against the South Sudan Second Household Health Survey planned for completion in 2010 

and the HMIS. In addition the project will support some of the Ministry of Health priority 

indicators by including them in the project logframe. 

10. Efficiency: Maximum 5 pts 

Maximum 0.5 page. 

Efficiency in this context is a measure of how economically resources and inputs, 

funds, expertise, and time etc. are converted into results or deliverables. 

10.1 Relationship between direct and indirect costs 

IRD has charged 7 percent administrative costs on direct project costs. The program and 

administrative costs are 60 percent and 40 percent, respectively, of the total program budget. 

10.2 Include unit costs of main deliverables – e.g. per classroom, borehole, PHCU, 

latrine, teacher trained, village health committee member trained, etc. 

IRD calculates the following unit costs of the main deliverables: 

Per Village Water Committee Member trained: GBP 81.36 

Per VWC member receiving refresher training: GBP 61 


Per Boma Health Committee Member trained: GBP 146.50 

Per CHW Trained: GBP 1,674 (includes 9 month room and board) 

Per Pump Mechanic Trained: GBP 173 

Per PHCU constructed: GBP 48,818 

Per Institutional Latrine Constructed: 4,882 

Per Borehole Rehabilitated: GBP 4,882 

All project costs are in line with the current CHESS Program funding and with averages 

observed elsewhere in Southern Sudan. 

11. Potential Impact: Maximum 5 pts 

Maximum 0.5 page. 

Describe short-term and long-term effects of the BSF intervention. Define both positive 

and negative, both direct and indirect, and both intended and unintended effects. 

Include environmental, gender and conflict prevention aspects. 

In the short-term, the proposed project will increase the number of fully functioning PHCUs 

and PHCCs and the number of trained health personnel, and thereby increase availability of 

PHC services in the county. Cold chain infrastructure and equipment will be improved, and 

will allow for greater vaccination and vitamin A coverage for children. Essential medicines will 

also be made available through inputs and drug management strengthening. Through the 

proposed health and hygiene awareness activities, residents of Duk county will be better 

informed about general health issues and the health services available to them. In addition, 

the project will increase the number of operational boreholes and thereby increase availability 

of water for the health services and the communities they serve. The project will also train 

VWCs and pump mechanics and provide a spare parts supply to work towards sustainable 

and long lasting water supply. Through all training activities with CHWs, BHCs, VWCs and 

pump mechanics, IRD will work to include women. 

The proposed project includes activities that will produce long-term results beyond its 

duration. IRD will work to develop capacity at the county level to manage, monitor and 

evaluate health services, leaving tools and systems in place that can be used by future 

generations of county health personnel. These systems and tools will contribute to ensure 

transparency, accountability, rationality and cost-effectiveness in the management of financial 

resources; establish a routine monitoring and evaluation system and guide the development 

of short and medium term plans which will contribute to a long term strategy. Ultimately, these 

tools and systems will ensure that the short-term effects of the project are sustained. 

12. The Lead Agent or BSF Grant Applicant: 

12.1 Identity 

Legal or business name International Relief and Development US 

Acronym 

IRD 

Legal status 

Registered with Ministry of Legal Affairs of South Sudan 

Official address HQ: 1621 North Kent Street, Arlington, VA 22209 

Juba: Kololo Rd, 1km north of US Consulate, Tongping, Juba, 

Sudan 

Postal address HQ: 1621 North Kent Street, Arlington, VA 22209 

Juba: Kololo Rd, 1km north of US Consulate, Tongping, Juba, 

Sudan 

Chairman of the Board 

(if applicable) 

Name: Dan Florea 

Email: board@ird-dc.org 


Chief Executive Officer 

(if applicable) 

Contact person for the BSF 

grant 

Name: Dr. Arthur Keys 

Name: Francois de la Roche 

(IRD South Sudan); Maria 

Miralles (IRD HQ) 

Email: akeys@ird-dc.org 

Email: fdelaroche@ird-dc.org; 

mmiralles@ird-dc.org 

Telephone numbers 703-248-0161 

Fax numbers 

Website address 

www.ird-dc.org 

MoLACD and/or SSRRC (Please see copy of the registration in Annex 5) 

registration 

12.2 Bank Details 

Account name 

International Relief and Development US 

Account number 5303551021 

SWIFT 

PNCCUS33 

Bank name 

PNC Bank 

Bank address 800 Connecticut Ave. NW, Washington, DC 20006 

Name and position of Dr. Arthur B. Keys, CEO and President 

signatory (ies) 

Beverly Armstrong, Chief Financial Officer 

Elsie Tama, Director of Program Resources 

Ingrid Fitzgerald, Chief Administrative Officer 

13. Members of the Consortium (other than the Lead Agency): 

This section must be completed by each member of the Consortium. 

Fill in one table per consortium member – make as many copies of this table as needed. 

Legal or business name 

The John Dau Foundation 

Acronym 

JDF 

Legal status 

501(c)3 non-profit, OFAC licensed 

Nationality 

Sudan based with US support from Board of Directors 

Official address 97 East Genesee St/Skaneateles, NY 13152 

Contact person Name: Tom Dannan Email: 

tdannan@johndaufoundation.org 

Chief Executive Officer or 

Director and duty station 

Name: John Dau, CEO 

and President 

Email: 

dengakol@johndaufoundation.org 

Chairman of the Board of 

Trustees/Governors 

Name: Jack Howard 

Email: rljwh@aol.com 

Telephone numbers (315) 685 – 5048, 1-800-759-4443 

Fax numbers (315) 685-3848 

Website address 

www.johndaufoundation.org 


1 Project Budget 






2 Logical Framework 



3 BSF Grant Project Manager CV 

JUDITH BAMUTURAKI 

Permanent Address: P. O. Box 338 Fort Portal, UGANDA 

Email: jumfotl@yahoo.co.uk Tel: +256 772 493 465 

EDUCATIONAL BACKGROUND/TRAINING 

2008- London School of Hygiene & Tropical Medicine. Masters in Public Health (continuing) 

2007 Swiss Tropical Institute, Certificate: Health District Management 

(I) Programme Design and Planning 

(II) Priority setting and Resource Allocation at District Level 

2007 Swiss Tropical Institute, Post Graduate Diploma (Core course for Masters in 

International Health) 

Health Care and Management in Tropical Countries (HCMTC) 

2006 Training in Guidelines for HIV/AIDS interventions in emergency settings 

2005 USAID/Monitoring & Evaluation Management Services (MEMS) 

Certificate: Programme Performance Monitoring 

2005 Population Services International, Certificate: HIV Basic Care Package Trainer 

2005 AIDS Information Centre Certificate: HIV/AIDS Counselor 

2004 Uganda Management Institute Certificate: Training of Trainers 

2004-2005 Uganda Management Institute Post Graduate Diploma: Management Studies 

2003 PSI Washington Certificate: Building Capacity in Social Marketing 

1999 Makerere University, Kampala Certificate: Introduction to Gender & Development 

1996 College of Professional Management Diploma: Personnel Management & Industrial Relations 

1993-1996 Makerere University, Kampala Degree: BA Honors. in Social Sciences 

PROFESSIONAL EXPERIENCE 

12/08 – to 11/09 mothers2mothers (m2m), Cape Town, South Africa 

Programme Development Manager for Malawi 

Provided oversight for management, operations and further expansion of 

mothers2mothers’ branch organization in Malawi, 

Engaged in dialogue with Ministry of Health and partners to ensure transition and 

national integration of the program into Malawi’s health system 

Built capacity of the in-country management team to manage all aspects of the 

programme including human resources, training, monitoring and evaluation and 

Finance 

Acted as key liaison between country office and headquarters, including facilitating 

interactions with supporting services e.g. Human Resource, Finance, M & E, IT and 

Program. 

Supervised the in-country Manager 

Ensured prudent use of program funds and management of key donor requirements 

and relationships 

03/08 – 11/08 William J. Clinton Foundation HIV and AIDS Initiative, Liberia, West Africa 

Yale University-Clinton Foundation Fellow in International Health Management: 


Strengthened health systems at local level in support of the government of Liberia’s decentralization policy 

Supported implementation of the National and County annual Health Plans and Basic Package of Health 

Services 

Built management capacity within the health services department at County level 

Provided administrative and planning assistance to the County Health Team (CHT) 

Improved coordination between central Ministry of Health and County leadership 

Promoted coordination structures at County level between the CHT and other health partners 

Provided support in HIV program implementation as required by the CHT 

02/08 -03/08 United High Commissioner for Refugees Representation in Uganda (UNHCR), East Africa 

HIV Technical Consultant 

Worked as HIV Technical Consultant for an HIV risk and vulnerability among internally displaced persons 

in Northern Uganda. 

August 2007 

Consultant 

Prepared a background note on socio-economic and demographic issues, challenges and programs related 

to HIV/AIDS among IDPs in Northern Uganda 

10/05 – 03/07 United High Commissioner for Refugees Representation in Uganda (UNHCR) 

National UNV HIV/AIDS Officer: 

Conducted programme planning, implementation, monitoring and co-ordinating HIV/AIDS objectives and 

activities for diverse refugee populations, internally displaced persons and other persons of concern to 

UNHCR 

Analysis and commentary on reports presented by UNHCR partners and finalization of all HIV/AIDS 

related implementation instruments 

Regularly updated the office on HIV/AIDS and reproductive health related policies, standards and practices 

Supporting local HIV/AIDS activities in order to appropriately compensate for the added burden of 

services for refugees 

Organizing the collection, analysis and distribution of study findings and possible epidemiological 

information on HIV/AIDS related reproductive health aspects among refugees 

Served as focal point with regards to collaboration with Ministry of Health and Uganda AIDS Commission 

Provided guidance, supervision and co-ordination of activities of UNHCR partners in HIV/AIDS 

programming 

Represented UNHCR in the UNAIDS Theme Group and technical committee meetings as required 

Advised UNHCR and implemented an active AIDS in the Workplace policy for staff 

Drafted proposals for funding as required. 

10/04 – 09/05 Population Services International (PSI) Uganda 

National Co-ordinator, HIV Services Program: 

Developed and co-ordinated a national HIV Services (VCT, PMTCT) communication program aimed at 

increasing awareness and use of HIV services in IDP camps and among the general population 

Prepared annual communication strategy, work plans and budgets and monitored adherence in designated 

sites 

Designed and developed communication tools for the campaign 

Identified and implemented BCC interventions required to achieve project objectives; 

Coordinated HIV counseling and testing (HCT) and information services in IDP camps 

Maintained information on all attributes and served as the technical expert on all aspects the services 

Worked with stakeholders at district and NGO level to maximize collaboration 

Generated quarterly national HIV Services progress reports to Senior Management 


Supervised procurement and co-ordination of logistics for the program 

Conducted budget monitoring and expenditure control and accountability for the program 

09/03 – 09/04 Population Services International (PSI) Uganda 

HIV Services Manager 

Developed, implemented and managed a regional HIV Services Program in Central and Western Uganda 

Developed a real-life testimonial campaign through mass media and Interpersonal communication 

Launched a promotional campaign in national sites to increase awareness and create demand for HIV testing 

and PMTCT 

Liaised with external partners in development and implementation of the program to maximize collaboration 

Promoted a support system for the services through local influencers 

Formalized referral network with existing partners to popularize care and support links 

Served as technical expert on all aspect of VCT and PMTCT 

Participated in development and of an impact evaluation and best practices studies 

Prepared annual budgets and conduct budget monitoring and expenditure control and accountability for the 

program 

2001 – 2003 Commercial Market Strategies (CMS) Project/PSI, Kampala, Uganda 

Product Co-ordinator; Voluntary Counseling & Testing (VCT) for HIV/AIDS: 

Developed and implemented a pilot communications campaign in partnership with AIDS Information Centre 

(AIC) to encourage increased use of VCT services in Mbarara and Kasese districts 

Popularized HIV testing as a positive and normal thing to do at important life stages of one’s life 

Developed communication campaign to promote VCT among couples 

Conducted budget monitoring and expenditure control and accountability for the program 

2000 – 2002 Product Co-ordinator; New Mama Kit (NMK): 

Developed and distributed a Clean Delivery Kit with basic items required for clean and safe delivery of 

babies in partnership with CARE International’s Community Reproductive Health Project (CREHP) in 

South-Western Uganda. 

Developed concept of pre-packed items for clean delivery 

Launched and popularized a NMK brand awareness campaign 

Developed a distribution strategy through rural and urban infrastructure 

Promoted a behavior change communication strategy 

Participated in development of an impact evaluation study 

Prepared and monitored annual budgets, expenditure and accountability for programme activities. 

09/99- 06/00 Kabarole Research Centre (KRC) Fort-Portal, Uganda 

Project Co-ordinator; Gender & Human Rights Abuse Program 

Awareness creation, lobbying and advocacy for rights of women and children 

Trained local/community leaders on women and children’s rights 

Promoted a support system between victims of abuse and legal entities 

Created Information Education and Communication (IEC) interventions through puppet theatre 

3.1.1 

3.1.2 TRAINING EXPERIENCE 

07 – 09/1999 Facilitated Gender & Women in Development training workshops for Community-based Organizations 

(CBOs) and local leaders in rural and urban communities 

• Empowered women with business skills to promote economic independence 

• Build capacity of leaders to include gender into mainstream activities 


RESEARCH EXPERIENCE 

2006 Participated in tool design, training and data collection for Great Lakes Initiative against AIDS (GLIA) 

program in Refugee Settlements hosting Rwandan and Congolese Refugees 

2000 –2005 Developed research materials with PSI research department 

1998 – 1999 Carried out Public Awareness Survey for MTN-Uganda 

Carried out Radio Listener-ship Survey for MTN-Uganda 

Carried out Customer Satisfaction Survey for Shell Uganda LTD shops 

Carried out market research for Shell Uganda LTD shops 

1998 –2000 Monitoring and Appraisal of HIVOS funded projects in Kabarole and Kasese Districts 

1997 Carried out research on School Dropouts in Uganda using Kabarole District as a case study 

ACCOMPLISHMENTS 

• Initiated PSI HIV in the Workplace Policy 

• Initiated a Corporate Social Responsibility project at PSI 

• Socially marketed a VCT pilot project in 2003 and increased uptake by 25% in Western Uganda 

• Successfully piloted Clean Delivery Kits in Southwestern Uganda resulting in extension of the project 

on a national level 

• Initiated leaders’ advocacy meetings in community outreach to promote social support for HIV testing 

• Streamlined procedures for community HIV Services events thus improving reporting and 

accountability systems and performance tracking 

• Product Co-ordinator of the Year 2001, CMS Project. 

Language Proficiency: 

Computer Literacy: 

English (excellent), French (Learning) 

Ms Office 

Referees: 

1. Ntuthu Sonjica 

Technical Advisor SA 

mothers2mothers 

78 Darling Street 

Cape Town, 8001, South Africa 

Work: +27 (0)21 466 9160 

Fax: +27 (0)21 466 9162 

Cell: +27 (0)82 499 7774 

ntuthu@m2m.org 

2. Dr. Dorothy E. Onyango | Health Coordinator 

International Rescue Committee - Liberia 

Mobile: +231 77 893568 | +231 6 620940 | skype: nyauholo 

Dorothy.Onyango@theIRC.org 

3. Tina Ghelli 

Snr. Regional External Relations Officer 

UNHCR Representation for Southern Africa 

Office phone +27(0) 12 354 8360 

Cell phone +27 (0)82 770 4189 

ghelli@unhcr.org 


4 Project Training Table 


5 Project Team Registration 

5.1 IRD Registration Letter 




5.2 JDF Registration Letters 



6 References from GoSS Representatives 



7 Signed Statement of Single Funding Source 


8 Statement of BSF Grant Consortium Partnership 


9 Acronym List 

AES 

ARI 

BSF 

BEmONCPHCC 

BHC 

BPHS 

CHESS 

CHD 

CHW 

CPA 

DLBC 

EPI 

GoSS 

HMIS 

INGO 

IRD 

JDF 

MoH 

MWRI 

PHCC 

PHCU 

TBA 

UNICEF 

UPHSD 

VWC 

WASH 

Alternative Education Systems 

Acute Respiratory Infection 

Basic Services Fund 

Basic Emergency Obstetric and Neonatal Care Primary Health 

Care Center 

Boma Health Committee 

Basic Package of Health Services 

Community Health and Sanitation Services for Southern 

Sudan 

County Health Department 

Community Health Worker 

Comprehensive Peace Agreement 

Duk Lost Boys Clinic 

Expanded Program on Immunisation 

Government of South Sudan 

Health Management Information System 

International Non governmental Organization 

International Relief and Development US 

John Dau Foundation 

Ministry of Health 

Ministry of Water Resources and Irrigation 

Primary Health Care Center 

Primary health Care Unit 

Traditional Birth Attendants 

United Nations Children’s Fund 

Umbrella Program for Health Systems Development 

Village Water Committee 

Water Sanitation and Hygiene

IRD BSF-IA Proposal - Basic Services Fund SOUTH SUDAN

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