Integrated multi-sector emergancy response for acute malnutrition throguh agriculture, food, health, nutrition and WASH services for drought affected IDPs in Adadle werda, Shabelle zone in Somali region (Envelope 2 - Somali region) Somali Region is the highest number of persons with the most severe drought IDPs protection concern, and Adadle drought IDPs are among the identified sites by Shelter/NFI cluster which demands an integrated response to drought affected IDP, GBV cases and fears to the safety, dignity, and wellbeing of women, children, people with disability and other who have a special vulnerability.
Adventist Development and Relief Agency (ADRA) and Relief and Development for Vulnerable (RDV) is proposing in Adadle IDP site, integrated Agriculture, food, WASH, health and Nutrition emergency response project through implementing in an Integrated approach.

ADRA under Agriculture Cluster 

Through multi-sector approach for multi nutrition reduction ADRA will prioritize a nutrition sensitive agriculture response of the drought impact reduction by provision of Support forage/forage seed production, Distribution of Supplementary Livestock feed, Animal health/ Vaccination treatment , feed amp destocking interventions provision of agricultural inputs to increase crop production, and capacity building. 

ADRA under Health sector 
The shortage of water the risk of water diseases like cholera and others when hygiene is not maintained in times of drought pastoralist crowd in the water point with direct contact with each other. ADRA will intervene by supporting operational cost of public Health emergency responses like drought, Cholera, measles, Covid-19 and any other. Provision of emergency Drugs and emergency responses periphery and community kit and cholera investigation kit, provision of essential Drugs, enhancement of disease surveillance, strengthening for risk communication for disease outbreak revitalization of Zone and Woreda  for rapid response team, deployment of mobile health team for hardly reached places, health workers capacity building. Maintain and expand disease surveillance and reporting system, Adhere to SAM with complications (SAMc) treatment performance standards, Refer all SAM cases and ensure follow-up, Deliver minimum basic package of primary health care services (including maternal and child health) and support referral and in-patient health care including mental health and psychosocial support,  Report, investigate and respond to health emergency events, including AWD.
  

Under Nutrition: RDV in partnership will intervene in provision of access to nutrition services for the treatment of severe and moderate acute malnutrition (SAM and MAM) among children aged 6-59 months and pregnant and breastfeeding women through IYCF-E hygiene promotion integrated with Agriculture, Health, WASH and Food responses. Special focus given to routine nutrition screening (to support health workers/health extension workers [HW/HEWs] at the health facility level as well as in their outreach activities to include mid-upper arm circumference (MUAC) screening at community level) promotion, protection, and support of adequate infant and young child feeding (IYCF) practices (including during cholera and measles outbreaks) with respect to IFE guidance, baby-friendly hospital initiative (BFHI) and breast milk substitute (BMS) code and promotion of adequate practices including nutrition counseling, safe food preparation, WASH and fecal contamination, health-seeking behaviors (Anti-natal care/Post-natal care), caring for a sick child, immunization), growth monitoring and promotion.Food assistance through Cash support will be provided for SAM affected children.

  ADRA will implement Under WASH the followings,

Provision of Safe water trucking of two trips per day for 10,000 people for 60 days ‘delivering of 40 m3 for 2 month, and rehabilitation of 4 HDWs. supply with adequate storage establishment WASHCOs, Rehabilitation and/or construction of 6 semi concrete sex-segregated latrines with 4 Stances, provision of cleaning tools, potties and/or trowel/spade for faces collection amp disposal.