Integrated Lean Season Health and WASH Assistance in Bama Local Government Area, Borno State. ltpgtltbrgtltbgtHealth Component:lt/bgtltbrgtFHI 360 will support referred cases by providing transportation and ensuring access to quality secondary healthcare in recognized government hospitals. To address the increased caseload during the lean season, FHI 360 will support the government Primary Health Care (PHC) facility in Banki and expand services at the GSSS camp health post to include Sexual and Reproductive Health (SRH) services. Additionally, FHI 360 will expand SRH services at the GSSS Camp health post and support another PHC in Banki. Integrated Community Case Management (ICCM) services will be expanded among new arrivals to reduce overcrowding at existing facilities, with trained Community Health Workers (CHWs) delivering behavior change interventions using national guidelines.ltbrgtIn collaboration with Albarka Health Spring Foundation (AHSF), a national NGO, FHI 360 will support the currently non-functional PHC in Nguro Soye ward. AHSF will conduct community health education, case identification, and referrals to nearby facilities, lead the case management team at the Cholera Treatment Unit (CTU) at Bama General Hospital, and improve access to pharmaceuticals and medical commodities at the CTU and Nguro Soye PHC.ltbrgtltbrgtltbgtWASH Component:lt/bgtltbrgtAccess to clean water and sanitation remains a critical challenge in Bama and Banki. The project will implement piped water network extensions, upgrade existing hand pumps to solar-powered boreholes, and train Water, Sanitation, and Hygiene Committees (WASHCOMs) to improve access to safe drinking water and prevent waterborne infections for several thousands of SAM admitted in Nutrition program with critical WASH supplies in support of the Lean Season Food Security and Nutrition Crisis Multi-Sector Plan. Daily chlorination and periodic water quality testing will be conducted.ltbrgtTo provide safe sanitation facilities, the project will install 40 household latrines in Banki and rehabilitate 15 blocks of shared latrines including water proofing and superelevation of sanitation facilities to mitigate effects of flash flooding in Bama, targeting households with children under five. Four communal latrines will be installed at healthcare facilities managing Severe Acute Malnutrition (SAM) and Acute Watery Diarrhea (AWD) cases. Latrine desludging will be conducted, particularly at healthcare facilities and AWD hotspots.ltbrgtImproved environmental health and solid waste management will be prioritized, including regular canal cleaning to prevent blockages and stagnation. Community members will be equipped with tools and incentives for participation, supporting livelihoods while improving environmental health.ltbrgtHygiene promotion will focus on mitigating AWD and cholera risks, with hygiene messages and 2800 NFI kit distribution at Outpatient Therapeutic Program (OTP) and Stabilization Centers (SCs) using supplies procured by FHI360 and sourced through the WASH sector  Core pipeline supplies. Regular follow-ups with SAM patient households will ensure the utilization of hygiene kits and good practices.  SAM children are targeted for support using supplies from the WASH core pipeline and FHI360 procurement.ltbrgtInfection Prevention and Control (IPC) training will be provided to health staff, and essential IPC materials will be supplied to health and cholera facilities, ensuring a safer environment for patients and providers.ltbrgtlt/pgt