Integrated Primary health care emergency  response to drought affected communities in Baidoa rural Bay region ltp style="" class=""gtltspan style="font-size: 8pt font-family: Arial, sans-serif color: black"gtAccording
to the 2023 HRP, less than one third of the people in drought-affected areas
are estimated to have access to essential health care. Reported cholera cases
continue to rise compared to recent years. lt/spangtltspan style="font-size: 8pt font-family: Arial, sans-serif"gtFor example, in
2022, confirmed AWD/Cholera cases have increased by two-and half fold compared
to 2021. The situation is bad in 2023 where from January to March 2023, an
estimated 3,428 cumulative cases with 14 cumulative death (CFR 0.4%) have been
reported. In 2022, measles cases have increased by three-fold. Since the start
of 2023 and by end of March, more than 2,078 cases of measles have been
reported by WHO, with 78% affecting children under-five, which indicates uninterrupted
outbreak. Bay region is the worst affected for measles. Between January-March,
it reported 742, the highest for any region in Somalia while more 206 cases of
AWD/Cholera have been reported from Bay for the durationltspan style="color:
red"gt.lt/spangtltspan style="color:black"gt Due to multiple risk factors and highly
compromised nutritional status of children under 5, malnourished children are
nine times more susceptible to morbidity. Since the start of 2021, Bakool
region has accounted for more 38% of all measles cases reported from the
combined five regions in South Somalia (MOH-WHO Week-19 Somalia Weekly EPI/POL
Update). IDPs, both long-standing andlt/spangtlt/spangtltbrgtlt/pgtltp class="" style=""gtltfont face="Arial, sans-serif" color="#000000"gtltspan style="font-size: 8pt"gt
newly displaced, as well as civilians in conflict-affected areas are among the most
vulnerable, with many lacking access to essential basic services such as clean
water, sanitation and primary health. Similarly, According to data obtained
from the Somalia Health Cluster and WHO, there has also been a 63 percent
decrease in reported measles cases across Somalia compared to the January-April
average for 2016-2020, however Bay  region was among the region with
largest number of measles cases (≥99/100 cases) were reported in Bay (198
cases, while decline of AWD/cholera was reported by health cluster and WHO
between January and April 2022,with indicative of  89% decline in
AWD/cholera cases across Somalia compared to the January-April average for 2021
the largest number of AWD/cholera cases (≥100 cases) were reported in Bay with
256 cases, Baidoa district hosts high number of  IDPs displaced from
inaccessible areas of lt/spangtneighboringltspan style="font-size: 8pt"gt lt/spangtlt/fontgtltfont face="Arial, sans-serif" color="#000000"gtltspan style="font-size: 8pt"gt regions that have
since increase the demands for enhanced primary healthcare services, this was
also evident in HIDIG health facilities at  ADC I in Baidoa  town
that recorded high number of  children with suspected measles and AWD
cases (HIDIG monthly reports: March, 2023), also, what contributes to the high morbidity
in the area are recurrent shock, drought
impact and conflict coupled with inaccessibility due to militia groups in
 Bay region resulting in IDPs, increased health care gaps specially child
immunization and vitamin A supplementation, this coupled with limited number of
free health services available are the main causes of the high number of consultations
seen in our facility. High morbidity was particularly recorded among IDPs due
to over-crowded shelter conditions which increase the risk of communicable and infectious
diseases. In   Baidoa district the situation continues to deteriorate
due to the impact of the drought situation lt/spangtlt/fontgtltfont face="Arial, sans-serif" color="#000000"gtltspan style="font-size: 8pt"gt that has
uprooted communities and destroyed their livelihoods. lt/spangtlt/fontgtlt/pgtltp style="" class=""gt

ltspan style="font-family: Arial, sans-serif color: black"gtIn response to the situation and needs elaborated
above HIDIG is proposing provision of basic emergency health service delivery
in Baidoa rural in one fixed health facilities and eight mobile team targeting
drought and conflict affected population living in the target areas. HIDIG’s
intervention means the provision of quality healthcare services including the
provision of PHC supplies, BEmOC and CEmOC services, provision of routine immunization services to 0-12
months  old infants including undertaking
Measles and Polio vaccination campaigns to U5 children, ANC/PNC services for
pregnant  and lactating women,  health education of expected women on
danger signs during pregnancy and health education sessions on prevention lt/spangtltbrgtlt/pgt