Emergency Health and Nutrition in Somali Region,  Shabelle and Fafan Zones Mercy Corps (MC) proposes to immediately address the urgent, critical needs of the most vulnerable communities affected by consecutive droughts compounded by the influx of conflict-induced Internally Displaced Persons (IDPs). The project will target the following 11 woredas in the Somali Region: Aware, Dig, Yo’ale  Degehamedo, Gunagado, Bililbur woredas (Jarar Zone)  Denan, East Imi, Ber’anno and Abakorow woredas (Shabelle Zone) and Tuliguled woreda (Fafan Zone). The project period will be for 6 months in Berano and Tuliguled and five months for the rest of the woredas. 

The overall objective of the project is to support the regional government to reduce morbidity and mortality associated with under-nutrition and increased illnesses of communities affected by drought, conflict and with poor access to primary health care services. Woredas were selected in close consultation with the coordinating bodies at federal and regional levels and based on high caseloads, woreda capacity and prevalence of conflict, disease and IDPs. MC has been present in these woredas since 2016 and the proposed interventions are tailored per woreda based on our deep understanding of the needs, the government capacity to respond 
The project will address both moderate and severe acute malnutrition and reach 66,719 participants (CU5 and PLW) through the full Community based Management of Acute Malnutrition (CMAM) continuum of care which includes community mobilization Outpatient Therapeutic Program (OTP) Stabilization Center (SC) and Targeted Supplementary Feeding Program (TSFP). The TSFP program will rely on the TSFP commodity availability pipeline from WFP which currently provides for P1 woredas only. All participants will receive targeted counseling on Maternal Infant and Young Child Nutrition (MIYCN) emphasizing infant and young child feeding (IYCF) and personal and household level hygiene. Based on lessons from the previous project, MC will give due attention in linking promotional intervention around IYCF with community mobilization interventions. This in turn results in more smoothly linking of mothers and care givers to community based support groups.  Mobile Health Nutrition Teams (MHNTs) will be deployed to reach the IDP camps and other hard to reach areas in 11 woredas by providing primary health care services including vaccinations and antenatal care. MC will reach 64,135 participants through medical consultation, 9819 pregnant mother in ANC and PNC service and 4,664 children will be immunized

The intervention comprises the following outcomes:
Nutrition –CMAM:
Outcome 1: Improved nutrition capacity to manage severe acute malnutrition (SAM), with and without complications, using Community-Based Management of Acute Malnutrition (CMAM)
Outcome 2: Improved capacity to manage moderate malnutrition (MAM) among children 6 – 59 months, pregnant women and lactating mothers with children less than 6 months old
Outcome 3: Increased awareness of community members on the importance of optimal IYCF and caring practices and other nutrition related topics, as well as hygiene-related behaviors 

Health 
Outcome 1: Diagnosis, Consultation and treatment of common diseases with a focus on child illnesses, maternal and reproductive health services. Child health service through integrated management of newborn and childhood illness (IMNCI) to treat common causes of child mortality
Participants who are suffering from common communicable and non-communicable diseases and other illnesses who have no access to health facilities/services will receive free-of-charge treatment and medical consultation at nearby locations. Children will be treated as per the IMNCI guidelines and the MHNTs will support the referral linkages for illness requiring further medical care.

Outcome 2. Improved maternal health including ANC, PNC and FP
All pregnant mothers who have no/insufficient access to maternal health services at facility level will get antenatal and pos