Malnutrition and cholera response through WASH interventions in Hajjah, Aden and Lahj governorates The aggravating effects of collapsed WASH system, unsafe behaviors on malnutrition morbidity and cholera spread for much of the population in Yemen is attributed to lack of access to basic WASH activities including those on cholera response, health and nutrition services. With the overall goal of contributing to reduction in WASH and cholera related morbidity and mortality among vulnerable conflict affected communities, ZOA seeks to implement WASH interventions and provide support in mitigating and preventing cholera outbreaks in the high risk and most vulnerable districts of Wadhrah and Bani Al Awam in Hajjah, Attawahi in Aden, and Radfan in Lahj. The main objective of the project aligns with YHF’s overall objective as well as overall priorities of the 1st standard allocation 2018.The planned activities will meet the needs of the most vulnerable women, men, girls and boys in the 4 target  districts. 
Needs and gaps assessments in the target districts, discussions with cluster leads, local authorities and peer agencies indicate the key needs and gaps as: increasing cholera and malnutrition cases lack of HH incomes for food and basic needs lack of clean water poor roads thereby no access for water trucks (which are unaffordable for most HH) open defecation and broken sewers food shortage and high prevalence of SAM/MAM especially among children and women. Taking the above issues into account, ZOA proposes Emergency WASH interventions with the below outputs:
Output 1.1: Improved access to clean water and sanitation to 4,580 HH (32,061 people) to reduce excess morbidity and mortality.
All targeted locations in the districts of Wadhrah, Bani Al Awam, Radfan and Attawahi, In all four districts where ZOA rehabilitates a water scheme/system it will benefit 32,061 beneficiaries, including 6,857 IDPs. In Hajjah, ZOA will distribute water filters and assist HH in constructing their own latrine (where they have not been targeted by previous ZOA activities). In Habil Jabr ZOA will carry out small repairs of a storage reservoir, as well as repairs to a distribution pipeline. In Al Shula, ZOA will extend a pipeline to ensure more people have access to safe water. A detailed technical assessment will be carried out in each location.
Output 1.2: Improved awareness on how to maintain good hygiene and sanitation practices to 3,500 HH (24,500 people) to help prevent various negative health outcomes such as cholera in the communities.
Cholera priority areas in the targeted districts will have cholera kits and chlorine tablets distributed at a HH level. HHPs will be trained on house-to-house with HHP messaging and carry out hygiene campaigns in each of the districts
ZOA will use hybrid model hardware will be implemented directly by ZOA directly, while the software, will be implemented through NNGO partners-Social Solidarity Foundation for Development (SSFD) in Hajjah, Mayar Foundation for Development in Lahj, and Enjaz Foundation For Development in Aden. ZOA is an active member of the cluster and maintains good coordination and collaboration with other INGOs. ZOA upholds strong values of accountability to affected population and from  the design stage until the exit phase of the project, ZOA will work in a transparent and accountable manner (to both beneficiaries and the donors) using monitoring tools and feedback mechanisms to ensure appropriate service delivery and protection of beneficiaries.
Beneficiary selection is will be in line with the clusters selection criteria prioritizing HH with cholera cases HHs with U5 children with SAM/MAM HHs with IDPs, HHs without a stable main source of income child and Women headed HHs, and ensuring gender demographics such as the elderly, women, men, girls and boys as per needs. The project will target 32,061 direct beneficiaries-women, men girls and boys in Radfan, Wadhrah, Bani Al Awam and Attawahi districts, the project will be implemented in twelve months.