Provision of integrated water sanitation and hygiene services out of camps aiming  at preventing covid - 19 and mitigating negative health outcomes for most vulnerable populations Overall, based on coordinated and principled approach, the humanitarian action aims to target vulnerable population both in camp and out of camp, whose needs have been exacerbated by the recent COVID19 pandemic crises. 
More specifically, as per HRP and strategy planning, the water supply intervention through water trucking and rehabilitations, plus related water quality testing, resulted to be a priority in secondary displacement and hard to reach area, for instance in Sinjar and Mosul District, especially following the recent high influx of returnees linked to camp closures. The recent displacement triggered also the need of improvement access to sanitation facilities in Informal settlements in Anbar (Ramadi Falluja), SAD (Shirqat) and Mosul, with installation of facilities and water tanks.
In conclusion, in regards to Wash in Health activities, registration at the MoH will allow partners to implement in all the targeted governorates with the provision of water supply rehabilitation, sanitation facilities and distribution of PPE and Hygiene items.
The proposed activities under the initial project can be complemented by a cost extension, which will potentially contribute to prevent spread of Covid-19 and to mitigate potential risks related to Health and Hygiene, by allowing a prompt response to emergency needs following sudden camp closure. SI will lead a consortium of 6 NGOs: 4 international: SI, COOPI, AN, and FRC and 2 nationals: SEDO and SSORD. As lead, SI, thanks to the CMU, will continue to provide comprehensive support, coordination and capacity building planning within the Consortium.
SI will continue its currently planned activity with additional settlements covered in west Mosul to cover the needs of 45,581 individuals. The upgrading of the WASH facilities and enhancing good practices in the two already targeted hospitals in Mosul, Batol and Jamhory hospital (200 and 650 patient daily, respectively) will be extended for one month under the cost extension. An additional hospital will be supported, either Mosul General hospital or Al Salam hospital (both 200 patients) depending on the needs.
COOPI will continue to provide emergency support to mitigate COVID-19 related risks for 24,440 returnees and IDPs out of camps in 16 informal settlements in Al-Shirqat (9,449 individuals), Baiji (5,251 individuals), and Al-Hatra (9,740 Individuals). Wash in Health activities will be completed in the selected and prioritized facilities of the SAD Governorate
FRC will provide WASH support with IRCS in Sinjar mountain (2,876 individuals), in Sinuni, Sinjar, and Qairawan sub-district (7,140 individuals), and Qathaniya sub-district in Ba’aj District (7,719 individuals), and will support WASH facilities in 4 health centers.
AN targets 12,212 individuals living in IDP camps in Sulaimaniyah governorate, to support the beneficiaries with sufficient and clean water, maintain camp sewage and sanitation, foster a dignified and healthy living environment as well as promote and support good hygiene practices. 

SEDO will continue to cover Kirkuk (30,000 individuals in Kirkuk and 12,000 in Hawija) and Baghdad city (20,000 individuals). In addition, SEDO support will focus on Al Forat General Hospital in Baghdad, as well as in 8 health centers in Hawija Zaab district. A total number of 15,000 individuals will be targeted in Al-Qaim general hospital as a recently identified health facility in need of COVID19 emergency support in Anbar governorate.
SSORD continue to target 2,425 displaced families out of camps (Informal settlements) mainly in Fallujah (13 locations) and Ramadi (3 locations). The targeted number of families increased due to the IDPs' movement from formal camps to informal settlements after the camp's closure. SSORD implementation focused also in WASH in Health activities, (having an average of 1606 and 2640 patients/month, respectively) as part of the COVID19 response.