Provision of integrated lifesaving Heath  Nutrition Care Services in Jowhar district of Middle Shabelle Region, Somalia Aid Vision planned intervention is designed to deliver joint integrated health and nutrition services to crises affected women, boys, girls, vulnerable IDPs, people with disabilities and host communities affected by the impact of floods and drought in Jowhar District, Middle Shabelle Region. The proposed project will run for 12 months and will support 30,000 individuals. The direct beneficiaries of the project are 5400 pregnant and lactating women, 6000(3060 girls and 2940boys) under five children, 1600(SAM case treatment) and 21300 (11502 males and 9798 females). Through this initiative, Aid Vision will operationalize two health facilities that include (Waab Yare MCH and Fanole MCH) and one mobile team that will cover 5 villages in the hard to reach area that have little or no access of health and nutrition services. The proposed project will provide life-saving primary health and nutrition care services that include but not to limited free Antenatal and Postnatal care services, provision of emergency reproductive health services, free 24 hours skilled deliveries, free consultation and treatment of both under and over fives for common illnesses, immunization services, routine screening, early detection and treatment of severe acute malnutrition both at the community and facility level. In addition, children fives and Pregnant and lactating mothers will as well be targeted for micronutrient supplementation. Similarly, GBV intervention will be mainstreamed with the proposed health facilities to provide clinical management of rape and refer cases to safe house centres managed by IMCI. The project has also component of community health workers who will do active case finding, defaulter tracing, health/hygiene/nutrition promotion messages including IYCF counselling services to the target groups at the community level. PPEs will be provided to the frontline health care workers to limit human to human transmission of covid19 virus 
Additionally, 10 project health care staff including community health workers will be trained on IMAM guideline and IMCI to improve quality of health and nutrition care services provided to the affected pollutions in Jowhar District  
For purpose of the sustainability of the project, Aid Vision will employ community based participatory approach through strengthen community capacity by capacity building own staff, local Authority staff, MoH staff and training of CHWs. The proposed project will compliment along with other projects in the target area. This includes: Health/Protection /Food Security/WASH/Education. Further, Aid Vision will closely work with other agencies including ARD, IMC, Somali Red Crescent Society (SRCS), and SAACID in the region to better coordinate humanitarian interventions and avoid duplication.
The project is also designed to be gender sensitive as specific needs of men and women will be catered for. For instance, toilet facilities will be segregated for men and women, use of female health worker (FHWs) for MUAC screening and to promote Family MUAC approach, equally the project will directly target special groups including persons with disability, pregnant and lactating women, children under-fives who are affected by the impact of drought and floods in Jowhar Districts of Middle Shabelle Region.
Finally, the proposed project design is anchored on Somalia humanitarian Response plan (HRP 2021) by decreasing the prevalence of hunger, acute malnutrition, public health threats and outbreaks, and abuse and violence by the end of 2021.