Emergency Health and Nutrition response for IDPs, returnees and drought-affected communities in selected 10 woredas in Oromia, SNNPR, Afar and Tigray Regions MCMDO has proposed to implement a live-saving emergency Nutrition and health response in high priority woredas. Considering the high need in the ground, it has proposed to continue the ongoing nutrition projects in Afar (Teru and chifra),Tigray (Tselemti) and Oromia (Boke, Anchar, Kercha and Hambala Wamena). one  in need woreda namely  SNNPR (Gedeb)  will be targeted as new woreda for emergency nutrition. MCMDO is also proposing to extend the ongoing Emergency Health Response in Oromia region (Kercha, Hambala Wamana, Birbirsa Kojowa and Bule Hora) and SNNPR (Gedeb woreda) for five months period. Moreover, MCMDO expand the emergency health response to new woredas for health intervention namely Teru and Chifra woredas in Afar region. Thus, MCMDO will integrate health and nutrition activities in Gedeb, Kercha, Hambala wamana, Teru and Chifra woredas). Considering the high risk and vulnerability of the COVID 19 pandemic,  the health and nutrition project MCMDO has also considered supporting the COVID response in Addis Ababa. Thus, this project will support 11 woredas and  Addis Ababa of which Five woredas will be targeted for Integrated Emergency Health and Nutrition, Emergency nutrition will be implemented in four woredas and Health activities alone will be implemented in two woredas and Addis Ababa.
The Health and Nutrition integrated intervention will address acute malnutrition in children under 5 years of age (CU5) and pregnant and lactating women (PLW) using the Community Based Management of Acute Malnutrition (CMAM) and Infant and Young Child Feeding in Emergencies (IYCF-E) approaches and facilitate access to essential primary health care services, strengthening surveillance system, capacity building through providing standard and on the job training, support the emergency campaign and COVID-19 outbreak prevention and controls response, provide  MHPSS services for most vulnerable IDPs/Returnees communities by the incidence of the conflict and instability of security situation in the areas. A health response (consisting of eight MHNTs / support to existing facilities) will be implemented. Five teams In West Guji zone, Kercha, Hambala Wamana, Bule Hora and Birbirsa Kojowa woredas, one Gedeb Woreda of Gedio zone and two teams in Afar zone 4 amp 5 of Chifra and Teru woredas and COVID-19 outbreak prevention and control support in targeted nine woredas and Addis Ababa city Administration.
The nutrition response targeted moderate and severe acute malnutrition and plan to reach 72,531 beneficiaries (CU5 and PLW) by implementing the full CMAM continuum of care which includes community mobilization Outpatient Therapeutic Program (OTP) Stabilization Center (SC) and Targeted Supplementary Feeding Program (TSFP). The TSFP program will rely on the TSFP commodity availability pipeline from WFP which currently provides for P1 woredas. The direct beneficiaries of the project for health will be 101,173 IDP returnees, drought-affected and Host communities benefited from the consultations and treatment, routine vaccination, MCH service, SAM without complication care and supplementary feeding for MAM. The Team is also responsible to report on regular bases to early warning weekly and DHIS 2  on communicable disease alerts of outbreaks, when needed to undertake together with the Zonal RRTs outbreak investigation for the confirmation of outbreaks and initiation of rapid response supporting for the control of diseases spread in the most remote and underserved communities. Provide capacity building intervention for health system based on identified capacity mapping at the inception of the program using scorecard and on job mentoring will be delivered for improved quality service program in the context of COVID 19.