Improvement the access to lifesaving  health, nutrition, and WASH services for the most affected population  in Raymah Gov-Aljabin, Mazhar and Kusmah Dists, Alhodaydah -alzaydiah dist , ltpgtltbrgtThis project will enhance access to lifesaving Health, Nutrition and WASH in Az Zaydiah and Al Jabin districts and WASH only in Mazhar and Kusmah districts, through a package of integrated Health Nutrition and WASH activities for  88,037  of the most  affected vulnerable people(women especially PLW, men, children especially under five years, elderly, persons with disability, IDPs and other vulnerable groups) where evidence of High WASH severity, GAM prevalence and cholera hotspots (or active AWD/Cholera transmission and  newly accessible and underserved areaslt/pgtltpgtThe main objectives of this project are:lt/pgtltpgt1)Ensure access to adequate, humanitarian lifesaving and life-sustaining health services for 68,840 of the most vulnerable groups through a quality MSP focusing on primary and secondary healthcareltbrgt2) enhance the access to WASH services at HH and community levels through comprehensive response by resorting the water systems and providing WASH assistance  for 12,719  of most vulnerable groups in areas of acute needs and high risk of disease outbreak and malnutrition concern in Raymah Gov-Aljabin dist, Alhodaydah Gov -alzaydiah distltbrgt3) provide treatment of all acute malnutrition ( SAM and MAM ) for 10,689 person among under-fives and PLWs, Capacity building of on CMAM and support the referral process, Awareness sessionlt/pgtltpgtTo achieve these objectives main activities will be conducted under health ,nutrition  and WASH as integrated approach:ltbrgtThe main activities under the health sector:ltbrgt1)supporting 8  health facilities,((  In Alzydiah dist ( Al-Zaydiah hospital AlHashaberah HU Dir Al-Wali HU Mahl Alrahma HU) , in Aljubin district ( Al-Thulaia Hospital Awlh HC, Qatw HC, Bani Abu Aldhif HU)  by running costs, Capacity building , Cholera response through supporting of ORC and medication, financial hazard allowances for the HWs, medications, medical supplies, and laboratory supplies.ltbrgt2)Support the referral system by covering the transportation cost of emergency cases to the different levels of care within the catchment area of the supported HFsltbrgt3)Outreach services twice a week to the nearby IDPs locations through IEC materials distribution and hygiene awareness promotion including Cholera prevention, family planning, breastfeeding, vaccination, hygiene promotion, personal hygiene,and community mobilization, ltbrgt4) support of CEMONC, BEMONC services and Mental health ltbrgtThe Main Activities for Nutrition:ltbrgt-Conduct screening and referral of SAM and MAM under five by CHNVs from level 2 and 3 levelsltbrgt-Conduct CHV review meetings and take corrective actions at the district level.ltbrgt Capacity building of health workers (HWs) in OTP/TSFP and IYCF cornersltbrgt Establish IYCF corners in each of the nutrition sites.ltbrgtThe main activities for WASH sector:ltbrgt Repair/rehabilitate, and maintain water supply systems.ltbrgt Provision of renewable energy systems (solar power)for water supply systems.ltbrgt Construction of water harvesting tanksltbrgt Provision of communal water points (tanks/taps)ltbrgt Capacity building for operation and maintenance of water supply and sanitation systems.ltbrgt Water quality surveillance ltbrgt Provision of household water filters.ltbrgt Latrine constructionltbrgt Community-led cleaning campaigns to contribute to community preparedness in case of any potential disease outbreak.ltbrgt Training of community volunteers in Hygiene promotion and community engagement.ltbrgt Distribution of Consumables for basic hygiene kits / Cholera WASH kits.ltbrgtQC has full access to the targeted areas, this proposal was developed through close coordination with WASH, Heath, Nutrition cluster, MOPIC  MOPHP, GHO, DHO, GARWASP, and all local authorities, QC will keep close and interactive coordination with all stakeholders to facilitate the implementation and avoid any duplication in additional to close coordination with  RI for health and Nutrition in the same locations WHO, UNICEF and QRCS for the referral of emergency cases.ltbrgtQC will contribute by 230K directly to program activities.ltbrgtlt/pgt