Improving access to integrated Health and Nutrition services in targeted health facilities in Al-Khawkha district of Al-Hodeida governorate and Ahwer and Khanfar district of Abyan governorate FMF has been active in all targeted districts and has intervened in Ahwar and Khanfar districts in Abyan governorate since 2013. Currently, FMF supports BEmOC services in Ahwer hospital through the support of UNFPA and Supplementary Feeding Program (SFP) through the support of WFP in Ahwer and Khanfar. In Al-Khawkha, FMF is implementing protection activities under the UNHCR Fund since 2020. Therefore, the proposed health and nutrition project will be integrated with other projects implemented in the same districts by FMF and other partners. This project is directed toward improving access to health and nutrition services in Al- Khawkha district of Al-Hodeida governorate and Ahwer and Khanfar districts in Abyan governorate and targets the population in the catchment zones of 6 targeted 6 Health facilities (HFs), as well as the internally displaced persons (IDP). The project will target 15247 beneficiaries (men, women, boys and girls), of whom 4533 are in Al-Khawkha, 9940 are in Ahwar and 6999 are in Khanfar district. The proposed health and nutrition interventions will target six HFs and one MMC, two HFs in Al-Khawkha district (Haet Al-Kanzel HU and Al-Gadeed HC), 1 HF in Ahwer district (Ahwer hospital) and 3 HFs in Khanfar district (Jaar HU, Al-Kood HC and Al-Haroor HU) and one MMC will mainly cover the nutrition services, in addition to the Basic health services in 2nd and 3rd catchment zones of the targeted HFs in Khanfar district, in Ahwer and Al-Khawkha districts, there are no  MMCs, however, there will be outreach activities for the HCWs of the targeted HFs, who will conduct 8 outreach visits per month to the 2nd and 3rd zones of the targeted HFs, in Ahwer, the outreach team will provide an integrated health and nutrition services, while, in Al-Khawkha, there will be coordination with the outreach team of BFD who will provide the nutrition services and FMF team will cover the health services.
 MSP package will be provided in Al Khawkha and Ahwar targeted HFs which will include general consultation, basic trauma care, RH, IMCI, referral services, EPI,...etc., and the staff of the targeted HFs will conduct an outreach activity to the 2nd and 3rd zone to increase the access for those who are unable to reach to the HFs such as PWDs, IDP sites (Hanad, Masb, Al-Resras and Joal Mahdi) and Muhamasheen. In addition, secondary health care services will be established in Ahwar hospital by upgrading the current BEmOC into a CEmOC facility type by establishment of an operating room and blood bank and providing all the required medical equipment, furniture, and staff that enable the center to provide CEmOC services. 
While the two HFs in Al Khawkha, one (Haet Al-Kanzel HU) is currently partially functional with limited, staff, medication and equipment, the other one is Al-Gadeed HC is functional with limited support and this HC will be mainly supported to provide BEmOC services in addition the other PHC services, the project will make a minor rehabilitation for those two HFs to restore their full functionality to be able to provide MSP services. 
In Khanfar and Ahwar districts, the nutrition interventions will be through supporting the OTP activities and establishment of IYCF corners within the targeted HFs, in addition to one MMC in Khanfar district and the outreach activities for staff of Ahwer hospital twice per week targeting under children (boys and girls) and PLW with acute malnutrition in zone 2 and 3 of the targeted HFs and will be integrated with the SFP program implemented by the FMF and other implementing partner in the same districts to complement the IFRR approach and improve the linkages of malnourished children and PLW to the humanitarian services,. More, capacity building for 40 CHNVS and 10 HCWs on IYCF training. In Al- Khawkha, a multi-sector need assessment is to identify the refugee and migrant needs for future targeting in multi-sectoral interventions and provision of essential protection services to meet needs.