Integrated Emergency Health Nutrition WASH Project for Hard to reach districts in Sool Region The project aims to address the humanitarian challenges of a hard to reach populations in Lascanood district, the regional capital of Sool region. The district of Las-Anod has this year been dramatically affected by the recent conflict at Tukaraq village causing massive displacement of the locals, increasing illnesses such as AWD/Cholera amp measles as well as malnutrition-related complications. The project aims will be achieved through the establishment of 4 integrated emergency response outreach teams (IERTs) that consist of Medical Doctors who will act as team leaders, qualified Nurses, midwives, CHW, and WASH officer, Screener/IYCF promoter with the necessary skills to provide integrated lifesaving Nutrition/health/WASH outreach services to vulnerable groups mainly women in particular pregnant and lactating women, children, and elderly people. It will also provide services to youth, and men in the rural areas and persons with disabilities. The project will complement the ongoing services in the project target locations. In the nutrition component, the IERTs will be recruited and trained on IMAM approach in order to equip them with  IMAM skills to implement activities such as early detection and treatment of U5 boys and girls with moderate and severe acute malnutrition. The purpose is to enable the IERTs to screen, identify, and treat children with moderate and severe acute malnutrition and refer complicated cases to the nearest TSFP service center. The PLW will receive multiple micro-nutrient supplementation, while Infant Young Child Feeding (IYCF) will benefit from counselling services. Breastfeeding promotion will be provided throughout the course of the project. In the health services, outreach teams will provide a lifesaving health services to villagers in the remote areas. Such health services include safe motherhood services amp treating people with common health problems. Those with AWD/Cholera, measles, pneumonia will be treated through case management, serious cases will be referred to the nearest HF for further treatment. In the WASH component of the project, The public Health Officer in collaboration with WASH officer (ERT) will organise 3 days training for 42 WASH promoters in 38 Villages + 4 IDP camps. The purpose of the training will be to provide skills to improve the overall village hygiene amp sanitation conditions. The training sessions will focus on  hygiene and sanitation promotion awareness, demonstrate House hold water treatment, mobilise villagers to carry out cleaning campaigns, undertake house-to-house visits and improve sanitation and optimal hygiene practices.
 Furthermore, they will conduct rapid assessment on hygiene and sanitation conditions of each village, through house-to-house visit, a transit walk, to inspect village drinking water sources for possibility of water contamination, prevalence of Open Defecation (OD) practice, excreta and solid waste disposal practices in each village. Based on the findings, they will organise an extensive sanitation amp hygiene awareness promotion sessions by highlighting the relationship between acute water diarrhea and poor hygiene practices. Also, the Public Health Officer in collaboration WASH Officer, and village-based WASH promoters will organise household-based water treatment sessions and the use of aqua tabs, which will be clearly explained with special focus on links between unsafe drinking water and water-borne diseases, particularly AWD/Cholera. This will be enriched with culturally appropriate and effective IEC materials. The teams will also provide sanitation  kits to caretakers in community MCHs, health centers/CTCs and district hospitals. Furthermore,  UNICEF, one of the HEAL main partners has committed to provide relevant project supplies mainly nutrition amp EPI. HEAL will work with all relevant project Clusters and Line-Ministries particularly MOH to ensure effective coordination and efficient project service