Improving the health status and a reduction of morbidity and mortality among children, PLWs, adults and elderly by supporting the implementation of Minimum Service Package (MSP) in Hodeidah and Abyan governorates Action Contre la Faim’s health program is geared towards improving the existing service delivery at all levels through the provision of the Minimum Service Package to IDPs and host communities in three districts: Bajil and Al-Khokha in Hodeidah governorate and Khanfir in Abyan governorate. This encompasses curative, preventive and promotive health care. Action Contre la Faim will intervene according to the Health Cluster objectives and the priorities under the Humanitarian Response Plan (HRP, 2018). 

More than half of the Yemeni population lacks access to health care. Health facility per population ratios are at approximately 10,000 people per health centre and 5,000 per health unit (according to Action Contre la Faim statistics). Accessibility and availability of essential PHC services are very limited due to the lack of reachable provider facilities (WHO). Experience of working in Yemen has shown low number of trained and qualified health professionals a lack of infrastructure shortage drugs, supplies and equipment in the health facilities poor means of transportation to deliver and supervise community oriented services. The other relevant factor that affects accessibility is the inability of the economically depleted population to pay for health care.

At present, Action Contre la Faim is supporting 6 PHCC and 55 PHCU, 3 Mobile Teams, 1 DTC and 38 ORTCs in Hodeidah, Abyan, Hajjah and Lahj governorates despite the critical security situation, logistical difficulty and the collapsing health system with preventive and curative health interventions. Action Contre la Faim’s support includes maintenance of all facilities in both governorates drugs provision, equipment and supplies payment of a salary/incentives to health workers training of health workers and provision of vehicle to transport referred cases to secondary health care.

Action Contre La Faim proposes to scale up community and facility-based preventive and curative emergency life-saving health interventions  including preventing communicable diseases in Bajil district and Al-Khokha districts of Hodeidah and Khanfir district of Abyan governorate. The range of health services proposed in this project includes: OPD consultations, ANC/PNC services to PLWs, establishing patient referral systems in locations where this is not available and strengthening existing referral structures, support for vaccination services for vulnerable groups,provision of a minimum WASH package to targeted health facilities (HFs), and training and incentives for Ministry of Public Health and Population (MoPHP) health workers (HWs). A comprehensive capacity-building and supervision package for MoPHP staff will be in place to ensure delivery of services at the health facilities and temporary clinics.  

Planned activities will directly benefit both genders and all ages (children lt5, children 5-18, adults and elderly), including more specifically pregnant and lactating women (PLWs) and caregivers in 10 selected health facilities and through 3 temporary clinics. Activities will in-turn relieve suffering and save lives through a first phase, preventive and curative approach.
This project will be implemented in 14 locations in 3 district, 2 govern orate as indicated in the below table.

	
Governorate	District	                        HF name


Al-Hudaydah	 Bajil	                        Albari HU   Almuhadebah  HU Deer Quml and  HU Aljurizi HU

		        AlKhwakah	                3 Temporary clinic( location to be selected)

Abyan	        Khanfir	                        Jol  Yaramis HF, Altariah HF  Almakhzan HF Alharour HF, Almusaimer Almeyoh HF and 1 Mobile team