Integrated Health and Nutrition for the most in-need population in Amran and Hajjah Governorates (Priority 1) Relief International (RI), through this project, will contribute to the objectives outlined for Nutrition, Health, and Protection as prioritized in the Strategic Response Plan. This project will take an integrated approach to address the immediate causes of malnutrition by ensuring adequate access to food, nutrition, health, and WASH services, with a protection mainstream across 3 districts/ two governorates: Amran (Harf Sufyan and As Sudah) and Hajjah (Al Miftah). RI will provide operational support to 11 health facilities (HFs), 10 fixed (6 In Amran and 4 in Hajjah) and 1 Emergency Medical Mobile Team (EMMT) in Amran, to provide health and nutrition services at the relevant level of the healthcare system. In Harf Sufyan of Amran, RI will support Harf Sufyan hospital and Al-Sawad/Alghalah health center (HC) under the health component of this project while Magran and Al-Mudeer health units (HUs) will be supported under the health and nutrition (HampN) components of this project. In As Sudah district, RI will support Bani Mawhab HC and Bait Abo Ahmed HU under the HampN components. In Al Miftah district of Hajjah, RI will support the health and nutrition components in Al-Masajid HC, Al-Amashah, Al-Qaza’ah and Al Miftah HUs.

Support includes health hazard allowances and capacity building activities for HF staff essential medicine and medical supplies WASH supplies operational costs other support based on identified needs. With specific focus on newly targeted HFs under this project, RI will support HFs with equipment and rehabilitation, including minor infrastructure repairs water systems, and latrine rehabilitation. RI will support a referral system to required higher-level and emergency care.

RI will complement health services with integrated first-line nutrition services in 9 of the 11 HFs (3 in Harf Sufyan, 1 in As Sudah, 4 in Al Miftah and 1 EMMT) - 2 HCs, 6 HUs, 1 EMMT. Services will include CMAM, with screening and referral, management of SAM and MAM in CU5, and MAM among PLWs. Curative services will be complemented by preventive services which cover the establishment and maintenance of IYCF corners targeting caregivers with child health and nutrition education. 2 HFs (1 in Harf Sufyan, 1 in As Sudah) will be supported only for primary or secondary health services provision – as support for nutrition and/or primary health services are provided by other actors. Selection of districts and HFs has been coordinated with and approved by Amran and Hajjah GHOs (1a,1b) and endorsed by the Health and Nutrition Clusters (2). The intervention is also coordinated with the MoPHP (3). Additionally, NFDHR will cover Al-Muftah district with FSAC and WASH interventions while MOZN will be implementing FSAC activities in As Sudah district. RI will coordinate and engage with the agencies to complement the IFRR approach. 

RI will ensure protection mainstreaming across the sectors, mitigating protection risks and ensuring accessible infrastructure in the facilities and services to women, men, and children, including people with disability, IDPs, Muhamasheen and capacity strengthening by ensuring access to information/services for who are at risk of violence and harm. 

The catchment population of the 10 health-targeted fixed HFs, including 8 fixed HFs with integrated health and nutrition interventions, is 79,128. RI will target a total of 59,346 affected people, constituting 75% of the total catchment population with 52,224 host community members and 7,122 IDPs (88% and 12%, respectively). Each member of the community who will benefit from at least one health or nutrition service within RI’s targeted HFs will be counted as one beneficiary.