Integrated Health/ Nutrition and WASH Service in Garrowe District Nugaal Region, Puntland World Vision Somalia (WV Som) in collaboration with MOH plans to implement the project in Garowe District. The proposed action aims at contributing towards the reduction of mortality and morbidity among under-five children and pregnant and lactating women by providing preventive and curative nutrition services and enhancing accessibility in Nugaal region of Puntland. The proposed project is geared towards reducing the vulnerability of the drought affected communities and address the underlying root causes of maternal, newborn and childhood illness. Malnutrition and disease outbreaks such as AWD/ Cholera in Nugaal region through provision of life-saving basic and standard Health Nutrition and WASH services at community level, health facilities and IDP camps in urban areas. WVSOM through the proposed action plans to strengthen preventive and curative health services targeted to prioritize under 5 illnesses (pneumonia, diarrhoea, malaria, malnutrition and newborn causes) as well as to improve referral pathways for obstetrical care services at health facility level. WVSOM will also focus on immunization among Under-five and pregnant women against preventable diseases while supporting the cold chain equipment management, operational support, training and social mobilization for improved up-take of immunization services. Continued community mobilization and sensitization will be crucial for awareness creation on the available services thus leading to increased up-take of Health, Nutrition and WASH services at community level. Water, sanitation and hygiene (WASH) is a priority area under the Social and Human Capital Development pillar of the Government’s National Development Plan (NDP) - 2017-2019, yet the needs in WASH is still significant in Puntland state of Somalia, despite much effort from humanitarian agencies. WVSOM therefore will work towards filling in the gap in accessing to clean and safe water and promote proper hygiene and sanitation practices in the region. Community engagement and participation will be crucial throughout the project cycle to ensure ownership and sustainability of the project activities. WVSOM will work with community health workers at community level to support in the implementation of the project. To enhance effective implementation, WVSOM will actively participate in coordination mechanisms such as disease taskforces with linkages with other critical sectors such as WASH, nutrition, protection and education within the target region to ensure a more integrated approach. The proposed action plans to support early warning mechanisms, alert and response systems/surveillance with close linkages to the respective sectors to ensure early response to prevent the situation from worsening. WV Som will also work towards building the capacity of MOH to spearhead quality service provision to the target communities through support health care workers, trainings, supportive supervisions and through provision of essential drugs, emergency health and WASH kits and essential supplies to the target health care facilities. The proposed action will complement the already existing WV Som supported projects. This will be achieved through enhanced integrations and strengthened linkages between different sectors interventions thus increasing resilience. WVSOM will implement the project in collaboration with other stakeholders, such as UNICEF and WFP.