Multi-Sector Response Programme in Hadramaut Mercy Corps will implement an integrated program to address critically poor nutrition outcomes in vulnerable populations through targeting severely and moderately acutely malnourished children under five years old (U5) and pregnant and lactating women (PLW), severely food insecure households, and health facilities in need of rehabilitation of water and sanitation infrastructure. Through a triple-pronged approach, the program directly supports the priorities outlined in the First Standard Allocation Strategy Paper as well as the 2017 Yemen Humanitarian Response Plan (YHRP), focusing squarely on improving nutrition outcomes, while addressing underlying causes of malnutrition and meeting urgent needs that, if not met, can contribute to malnutrition or worsened acute malnutrition. Mercy Corps will contribute to improved nutrition outcomes of vulnerable households in target areas of Hadramaut through life-saving nutrition services, provision of food baskets, and restoration of essential WASH facilities in health facilities – all complemented by health, nutrition, and hygiene education aimed at behavior change. The proposed activities will also constitute ti the nutrition cluster objective, objective 1: Scale up equitable, high-quality life-saving services for acutely malnourished children and mothers, objective 2: Prevent under-nutrition among children and mothers in priority governorates and   Objective 3: Strengthen capacity of relevant authorities and local partners to ensure effective nutrition response. This program will reach 48,033 children, women, and men in two priority districts across Hadramaut.  

The health facilities to be targeted in Al-Mukala include Almasani HU, Edimah HU, Khalef ben Yaslem HU, Alhotah HU and Almudyneb HU. In Ghayl Bawazeer, Mercy Corps will be targeting Mother and childhood centre, Mother and Childhood center Shaheer, Mother and Childhood center Alqarah, Mother and Childhood center Asea'aa', Mother and Childhood center Alnaq'ah and Ghayel Alhalekah health unit. 
Nutrition activities are designed in line with Ministry of Public Health and Population protocols and guidelines for the treatment of malnutrition. These activities will support life-saving needs of children under five. Mercy Corps will support health facilities and outreach teams to serve hard-to-reach areas in Hadramaut. The program’s overall approach to nutrition is Community-Based Management of Acute Malnutrition (CMAM).

Support for food insecure households will include provision of supplementary food for children U5 and PLW, and food baskets. Food baskets will be provided to food insecure households with severe acute malnutrition (SAM) cases. The dual approach of meeting immediate nutrition and food needs will help alleviate the pressures of underlying causes of malnutrition.

WASH support will be provided at health facilities, restoring basic and essential water and sanitation services through system rehabilitation, incorporating use of solar pumps. Hygiene promotion through community health volunteers and community volunteers will encompass all WASH interventions. Furthermore, given the program’s targeting of the most vulnerable households, hygiene kits and bars of soap will be provided to households with severe acute malnutrition (SAM).