East Jabal Marra is mountainous area bordering North Darfur and Central Darfur, the area is classified as hard to reach area with scanty humanitarian services, and the area is currently hosting a huge number of New IDPs who arrived to the area recently due to the ongoing sudan conflict. On 17th December As soon as NIDO received update from MSF, NIDO formed Emergency response team composed of one medical doctor, one vaccinator and one Nutritionist. The team moved to the villages surrounding sunny where the cases were reported to verify, and 8 suspected cases were founded and treated. On 18th December NIDO Received 2 cases in Dirbat clinic. NIDO established Isolation Center in Dirbat with full staff led by Medical doctor and all necessary medication including Vit. A for treatment Severe cases that needs admission two cases admitted up to now. NIDO facilitated a mission for SMoH/ EHA department from Nyala to East Jabal Marra for verification and vaccination. The team arrived 20/12/2024. NIDO engaged in a field coordination Meeting with MSF team and MoH EHA team in Jawa and discussed a coordinated efforts to respond. In 21st December, NIDO and MSF started community awareness campaign through community outreach intervention in all NIDO catchment areas in Sunny, jawa, Dirbat, Dera, Kurny and will reach Sorro and surrounding villages. NIDO is conducting on-job training to the all PHC medical staff on measles prevention and case management in all NIDO PHCs. NIDO established a triage system in all entry points of PHCs to identify the cases to be isolated then treated, then more than 200 cases were identified and treated in NIDO clinics. NIDO reported to UNICEF, WHO and MoH appealing for more response Challenges: Availability of Measles vaccine in the state NIDO, MSF and MoH team During coordinated response to Measles in Jawa EJM 20/12/2024 NIDO isolation Center for treatment of Measles cases in Dirbat EJM 19/12/2024 NIDO Outreach teams to search and respond to Measles cases 20/12/2024. Triaging and Identification of measles cases to be Isolated in Jawa PHC, 20/12/2024 NIDO medical team During treatment of Measles cases without complications in Sunny clinic 22/12/2024. Measles prevention awareness session Taiba clinic 21/12/2024