SHF El Nino Flood Health Response Project in North Galkacyo, Puntland, Somalia ltpgtltbrgtThe project will respond to ElNino flash floods that have caused widespread damage in Somalia. About 34 districts  2M people are affected, 4700 houses damaged, 746000 displaced, 125600 relocated and 96 died (UNOCHA,29 Nov 2023). The ElNino Flood Health Response project is proposed in N Galkayo for 6 months in 12 IDPS and host communities (HCs) to support 67455 flood affected individuals providing access to quality essential?life-saving health services  information to prevent  treat water and vector-borne diseases for IDPS and HCs and improve equitable access to quality emergency  essential lifesaving health services support for the flood affected population.  The project will provide primary healthcare services in 7 HFs  2 mobile teams to reach 12 IDPS  host communities incentivize 25 qual nurses, 11 aux nurses, 7 qual midwives, 17 CHWs to provide comprehensive maternal and child health care services including ANC, HF delivery, post-natal consultation,  child spacing services. 3589?pregnant women will attend at least 4 ANC visits while 3258?deliveries conducted in HFs with assistance of qualified midwives. 1726?children vaccinated?against infectious?diseases 16863 children supported in OPD on basic curatives.?Promote?a male partner involvement as a strategy to improve utilization of ANC services.  Preposition emergency medical supplies for HFs provide ICCM refresher training for 25 health staff conduct indoor residual spraying in Garsoor  Israac villages distribute 2500 mosquito nets to 2500 hhs facilitate institutional based hygiene promotion  facilitate sewage removal activities in Galkio Gen Hospital to control vector infestation  reduce malaria cases conduct minor rehabilitation in Galkio new OPD center.  17 trained CHWs will conduct chlorination in Israac  Garsor villages  Salam IDP with stagnant and contaminated water to mitigate water borne diseases conduct community mobilization in HFs  IDPs providing health promotion messages on water  vector-borne diseases to 15678 individuals.  Also work with MOH  existing structures, Community Nutrition Workers and HF staff to increase awareness on GBV, prevention, mitigation, available response mechanisms  services towards GBV survivors. Work with MOH  UNFPA to avail SGBV management kits in HFs. Integrate clinical management of sexual assault in midwives’ trainings.  Midwives will support CMR cases through referral pathways to courts, police if need be, following policy of Ministry of Women Development and Family Affairs.ltbrgtThe project will reduce maternal and child mortality through MHPSS providing basic SRH services including SGBV and IMHPSS by HWs to 1087 individuals counselling on prevention of psychiatric disorders like depression, anxiety, and post-traumatic stress disorder (PTSD) conduct?refresher training on infection, prevention, and control (IPC) for 25 health staff in targeted HFs.  6,847 women (deliveries) through skilled birth attendants  provided with counselling during ANC on the importance of delivery by SBAs. ltbrgtImproved early detection  reporting of water and vector-borne disease outbreaks through surveillance and awareness raising. Establish HFs and community-based digital surveillance system to promptly detect outbreaks of water and vector-borne diseases in the mapped target communities together with MoH, community members  leaders.  Train 8 surveillance teams on the system, case finding  definition for effective case identification, referral  treatment. ltbrgtEstablish project monitoring, evaluation, accountability and learning system Conduct joint field monitoring Conduct awareness  establish Community Response  Feedback Mechanism. Provide suggestion boxes in HFs help desk  toll-free (364) line to beneficiaries  communities for feedback  accountability. DME team will conduct beneficiary/patient satisfaction surveys at HFs  treatment sites in IDPs. Received feedback documented, analyzed and feedback by focal person.ltbrgtlt/pgt