Provision of an integrated response through IFRR to contribute to the reduction of food insecurity and malnutrition in Yemen (1st Standard Allocation Priority 1) The purpose of this project is to maintain the continuity of lifesaving nutrition and health services in 6 therapeutic feeding centers (TFCs) in IFRR priority districts. 
As per the HeRAMs reports, only 50% of health facilities are fully functional, meaning limited number of hospitals are available to established TFCs services. Therefore, the nutrition cluster partners undertook a grouping exercise assuring that 3 to 5 districts based on their proximity could be deserved by a TFC. The available 148 TFCs are covering all 333 districts in Yemen among which 100 are supported by WHO being the responsible agency in the nutrition cluster for inpatient care in Yemen. 6 TFCs are proposed in this project to cover all the 6 priority 1 districts either directly by being in the districts themselves or indirectly by being in the neighboring districts as follows. 
First: those being in the same priority districts: 
1. Al Hodeidah: (Bait Alfaqih hospital TFC in Bait Alfaqih)
2. Hajja: (Kuadenah Hospital TFC in Kuaedenah)
3. Al Hodeidah: (Hais hospital TFC in Hais)
4. Al Mahwit: (Bani Saad hospital TFC in Bani Saad)
5. Amran: (Harf Sufian hospital TFC in Harf Sufian)
6. Amran: (As Sudah hospital TFC in As Sudah). It also covers caseload from Habur Zulaymah.
In the coverage areas of the 6 TFCs, the caseload estimated by nutrition cluster is 3,441, out of which the cluster target is 2,409, which is the target for this project for children in addition to their caregivers who will be targeted by counselling and the admission kits. 
TFCs service is a donor driven emergency project under WHO mandate as the last resort. WHO with generous support from its donors, support the provision of lifesaving supplies, payment of operation costs to run TFCs under WHO standard conditions (support WASH/ hygiene materials, water supply, oxygen refilling cost). To decrease the financial burden of families in the TFCs, WHO ensure free of charge services during the child hospital stay (10 days in average for each case) by paying for lab/ clinical tests, provide all caregivers with three meals per day per hospital stay to decrease defaulted rate and payment of 2 ways transportation cost from/to the TFC. With the cessation of government salaries to health workers since 2016, WHO as the provider of the last resort and in line with the cluster priorities and action plans, has to ensure the continuum of care in TFCs by paying health workers incentives based on cluster rate and their duty hours and performance reports. As per the nutrition cluster estimation, the unit cost for treatment of each child in TFCs is 300 USD, while the average running cost for each TFC per month is around 13,000 usd (based on caseload). 
With support from this allocation, WHO plans to secure operation cost payment to the 6 proposed in this allocation and service delivery cost payment for 12 months for 137 workers in these TFCs. 
Health workers payment calculated following the previously agreed upon incentives' rates by health worker profile shared by health cluster. WHO pays the rate based on the number of working days of each health worker verified by WHO hub/ MampE officers and GHO/ Central MOPHP officers and disbursed to all beneficiaries (HWs) through kuraimi money transfer. 


This 12-months project has been designed to sustain the functionality of WHO-supported TFCs as part of the IFRR package in priority districts for host communities and IDPs.