Provision of Integrated Health, Nutrition and WASH Services by Establishing Integrated Emergency Response Teams (IERTs) supported by a network of Community Volunteers (CVs) in the IDPs and the underserved population of Bay Region (Berdale, Dinsoor), South West State, Somalia The humanitarian situation in Somalia remains precarious. Contributing factors include high acute malnutrition, high disease burden, severe food consumption gaps, and protracted displacement, loss of livelihood, and ongoing conflict and insecurity. The project aims at reducing morbidity and mortality of undeserved communities of Bay Region (Berdare, Dinsoor) IDPs in with focus on children under 5 years and pregnant and lactating women through the provision of life saving emergency health, nutrition and WASH services by establishing Integrated Emergency Response Teams (IERTs) supported by a network of Community Volunteers (CVs). According to CCCM Somalia Cluster population movement report – July 2018, a total of 274,870 IDPs are hosted in Bay region most of them hosted in Baidoa district. The project builds on INTERSOS’ on-going IERT project in Baidoa district, although in this project INTERSOS will mainly focus in Berdare and Dinsor Districts as recommended by health cluster. 
The proposal follows on the priorities set by the Humanitarian Technical Clusters and Somalia Humanitarian Fund (SHF) for emergency integrated interventions: integrated health, nutrition and WASH services provided by supporting 1 fixed health facility per district and mobile team with a network of CVs (1 fixed and 1 IERTs in Berdhere, 1 fixed facility and 1 IERT in Dinsor). The fixed facilities will act as referral point for cases requiring observation and further referral for secondary health services. More so INTERSOS will engage 24 CVs in the two districts of implementation. Through this project, a total 87958 individuals in Berdare and Dinsoor will have access to a package of Emergency Primary Health Care (EPHC) integrated with nutrition and WASH services in a one-year period. The Integrated Health, Nutrition Package includes Reproductive Health/Maternal, Neonatal, Child Health (RH/MNCH), including antenatal, and postnatal care for mothers new-born care, immunization (for both routine and supplementary vaccines), deworming, vitamin A supplementation, screening for malnutrition, treatment for Severe Acute Malnutrition (SAM) and Moderate Acute Malnutrition (MAM) cases, health education, sanitation and hygiene promotion, distribution of hygiene kits, distribution of Chlorination tablets, Outpatient Consultation and treatment for common aliments for both adults and children. INTERSOS will integrate components of Infant young Child Feeding (IYCF) in nutrition treatment and prevention. UNICEF and WFP would provide nutrition supplies for both SAM and MAM management.
In addition, INTERSOS will construct/rehabilitate latrines with complete hand washing facilities in health facilities Berdare and Dinsoor in order to minimize the prevalence of sanitation and water borne diseases. Hygiene kits will be distributed to cases of Acute Watery Diarhoea (AWD)/Cholera and SAM cases and will also be prepositioned at health and nutrition centres for distribution to beneficiaries.
Adding basic ambulance equipment to the 2 IERTs vehicles converts it to a Basic Life Support (BLS) ambulance. The BLS ambulance will provide referral services from Berdare and Dinsoor to the fixed facilities and those requiring secondary health care will be referred to Bay Regional Hospital ensuring rapid transportation of critical cases (priority will be given to under 5 children and pregnant women). It is estimated to provide BLS services to over 500 critical/emergency medical cases. The project will establish an efficient outreach and referral mechanism from community level to primary health services and for primary to secondary health services, through a network of CVs and through the BLS capacity of the IERTs vehicles for the transport/stabilization of critical patient.