Emergency Health and Nutrition in Oromia Region, Guji Zone, Gumi Eldalo and Liben Woredas Mercy Corps (MC) proposes to urgently address the urgent and immediate needs of the most vulnerable affected by consecutive droughts , and compounded by the influx of conflict-induced Internally Displaced Persons (IDPs in Sept 2017) in Gumi Eldalo and Liben woredas of Guji Zone, Oromia Region. The overall objective of the project is to contribute to the reduction of morbidity and Mortality associated with under-nutrition and increased illnesses due to poor access to primary health care service for the Internally Displaced Persons (IDPs) and host communities in the proposed target woredas. Diarrhea, pneumonia, malaria and malnutrition are the main morbidities affecting mainly children amongst these communities 

The proposed six month project 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, as well as providing Mobile Health Service (MHS) to facilitate access to essential primary health care services. Using a comprehensive package approach,the proposed project will also promote hand-washing at critical moments and environmental sanitation to mitigate potential outbreaks of water borne diseases, including acute watery diarrhea (AWD). 

MC aims to address both moderate and severe acute malnutrition and reach 11,508 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 only. Every admitted beneficiary will receive targeted counseling on Maternal Infant and Young Child Nutrition (MIYCN) emphasizing infant and young child feeding (IYCF) and personal and household level hygiene. Mobile Health Nutrition Teams (MHNTs) will be deployed to reach the IDP camps and other hard to reach areas in both woredas by providing primary health care services including vaccinations and antenatal care.

The intervention comprises three project outcomes:

1. Nutrition – Community Management of Acute Malnutrition (CMAM).

Outcome 1: Improved nutrition capacity to manage severe acute malnutrition (SAM), with and without complications, using Community-Based Management of Acute Malnutrition (CMAM)
Outcome 2: Improved capacity to manage moderate malnutrition (MAM) among children 6 – 59 months, pregnant women and lactating mothers with children less than 6 months old
Outcome 3: Increased awareness of community members on the importance of optimal infant and young child feeding and caring practices and other nutrition related topics, as well as hygiene-related behaviors 

I. Health 
Outcome 1: Diagnosis Consultation and treatment of common diseases with a focus on of child illnesses and maternal and reproductive health services

Beneficiaries who are suffering from common communicable and non – communicable diseases and other illnesses who have no access to health facilities/services will get free of charge treatment  and medical consultation  at their nearby place.

Outcome 2. Maternal health including ANC, PNC and FP

All pregnant mothers who have no/insufficient access to maternal health services at facility level will get antenatal and postnatal care services plus family planning 

Outcome 3. Child health service (IMNCI) to treat common causes of child mortality

Children under 5 who are suffering from common cause of child mortality (most common causes of child mortality (diarrhea, pneumonia, measles, malaria, and malnutrition), illnesses affecting children under 5 and will be treated as per the IMNCI guideline