Integrated Multi-sectorial  Response in Guradhamole, Lega Hida, Rayitu, Dawe Kachana and Sewena woredas, Bale zone, Oromia Region SCI is seeking to deliver a 12-month programme in five Hotspot Priority 1 Woredas of Bale Zone - Guradhamole, Lega Hida, Rayitu, Dawe Kachana and Sewena – in Ethiopia’s Oromia Region, as part of its rapidly up-scaling drought response. The programme seeks to use an integrated approach to provide the most vulnerable households with critical support. The thematic areas of focus will be: Guradhamole, Rayitu and Dawe Kachana – Nutrition and Health interventions from 1 April 2016 for 12 months to continue and build upon an ECHO Resilience programme ending on 31 March 2016. Lega Hida and Sewena – Nutrition, Health and WASH interventions from 1 May 2016 for 11 months to continue and build upon an HRF programme ending on 30 April 2016 and FSL interventions from 1 April or 12 months.
SCIs programme interventions will include:

 Health program: will build on the existing ECHO and HRF projects whilst significant progress has been made to date, there is a critical need to sustain the interventions to cover the needs of the affected population. SCI will provide and preposition drugs and medical supplies for the management of SAM with medical complications and anticipated disease outbreaks of Acute Watery Diarrhoea (AWD), Measles, Scabies and Malaria provide logistical support to prevent and control AWD, conduct measles vaccination campaigns whenever needed enhance the capacity of zonal and woreda health office on PHEM strengthen outreach campaigns, disease surveillance and the community volunteer network. Girls and boys aged under five and pregnant and lactating women (PLW) will be the core target groups 

Nutrition program will include:
Early detection and management of acute malnutrition
Management of Moderate Acute Malnutrition (MAM) in PLW and children will take place via SCI implementing TSFP in Hotspot 1 Woredas in collaboration with WFP and Woreda Health and DPPO through the provision of energy and nutrient supplements. Besides, SCI will be actively engaged in supporting routine CHD screening and maintain smooth referral linkages among TSFP, OTP, SC and community mobilization. 
Specific support to address difficulties with breastfeeding as a result of the emergency
Enhancing the capacity of health facilities and Woredas to manage nutrition emergencies through coordination support, provision of regular program supervision, formal training on CMAM and IYCF–E and on-the-job training and mentoring (to be jointly undertaken with officials from the RHB)

WASH program: (taking place in Lega Hida and Sewena only) will concentrate on the immediate need for target households to access clean and safe water, for both drinking and hygiene practices. SCI will achieve this through establishing rain-water harvesting systems in 10 institutions (health centres and schools) rehabilitating/upgrading 10 water schemes providing training to hygiene volunteers, Health Extension Workers (HEW) and WASH committees and primary school teachers ,on key hygiene practices (hand washing, safe house hold water treatment and storage, and safe excreta disposal) and  producing IEC/BCC materials for distribution and establish/strengthen 10 WASH committees in 10 intervention Kebeles (seven members in each). \

FSL program: has been designed to prevent further deterioration of food security and livelihoods. Accordingly, Livestock feeding will be given for most affected households in order to protect their livelihoods and increase access to milk and income generation.