Improve access to primary health and nutrition care services to drought and conflict affected communities in Somali and Oromia regions through health system support, Mobile Health and Nutrition Teams (MHNT) and static temporary clinics. The IRC proposes to support local health system and deploy Mobile Health and Nutrition Team (MHNT) in the Somali region in response to the current emergency situation and needs. This will consist of capacity building of the target health facilities in the areas of emergency primary health care and extending health and nutrition care services directly to areas with poor access to health and nutrition care services within the targeted woredas through establishing and continuation of presence of MHNTs. In Oromia, the project will support the deployment of one additional MHNT in Gelana woreda to respond to the increased influx if IDPs following the recent conflict between Guji and Gedeo communities. The project will also strengthen the capacity of target woredas in the areas of outbreak preparedness and timely response in both regions. 

The IRC will apply the following approaches under this grant 

1. In places with functional health facilities, the IRC will provide health system support to enhance capacity to provide emergency PHC services in terms of logistic, epidemic investigation support, improve disease surveillance, 
2. In places with IDPs where there is a functional health facility, the IRC will support the health facility to meet the increased health services demand by providing supplies and assigning additional health workers in collaboration with Woreda Health Offices, Zonal Health Department and RHB.
3. In places with IDP in kebeles with no functional health facility, the IRC will deploy Mobile Health and Nutrition Teams (MHNTs) to provide direct PHC and nutrition services.
4. In locations with large concentration of IDPs, the IRC will run temporary emergency clinic to meet the PHC and nutrition service demands of the IDPs.

Under mobile teams, the IRC will create access to emergency PHC services (general acute illness for adults, child health serves (treatment of common childhood illnesses using IMNCI protocol, routine immunization, vitamin A supplementation, deworming), reproductive/maternal health (ANC, PNC, newborn care, Iron supplementation, provision of TT vaccine, identification of high risk mothers and referral, family planning and counselling for breast feeding), immunization, and hygiene and sanitation) and nutrition services (screening for under 5, pregnant and lactating women, infant and young child feeding (IYCF), treatment of SAM without medical complications and Targeted Supplementary Feeding Program for MAM cases). Provision of referral services for those requiring referral is also a key element of the MHNT.

The IRC will provide health systems support to the WoHOs to make health facilities functional, logistics support (fort transportation of supplies to health facilities), HMIS, public health emergency management, epidemic disease surveillance, and preparedness for rapid response for acute onset health emergencies. Under this project, the IRC will target six priority 1 woredas (selected based on recent hot spot woreda prioritization and in collaboration with Somali RHB). These include Gunegado, Degamedo, Garbo, Sagag, Horishaga and Danbel woredas of Somali region and Gelana woreda of  West Guji zone of Oromia region.