Improve access to equitable and quality integrated lifesaving Health and WASH intervention for the flood-affected vulnerable populations in Balcad district, Middle Shabelle Region ltpgtltbrgtThe proposed action is a 7-month integrated WASH and Health project for Balcad district as funded by the allocation will utilise an approach that aims to mitigate the effects of flood in the Balcad district and prepare for the anticipated El Nino. The action will benefit 57447 people (21,510 women,16,139 Men, 10,692 Girls, and 9, 106 Boys) by providing  ltspangtthem with essential health services, community education, and infection prevention and control. Alight will support two health facilities (Garasbintow and Xaawo Tako health facilities) and one mobile team, as well as preposition emergency medical supplies and kits. Alight integrated action will operationalize One cholera treatment centre and coordinate with other clusters and authorities. The proposed integrated action will use sustainable approaches and evidence-based cross-sectoral collaboration to enhance the impact and efficiency of the response.lt/spangtlt/pgtltpgtTo improve the health and hygiene of communities affected by outbreaks of cholera, measles, and other diseases, Alight will implement the following activities:ltbrgt Strengthen infection prevention and control measures in cholera treatment centers (CTC) and outbreak management centers, and provide quality case management and control services.ltbrgt	Establish integrated mobile outreach services and temporary fixed health facilities to deliver emergency essential health care services, such as OPD consultation, MPHSS, CMR and immunization.ltbrgt	 Strengthen referral services and linkage to secondary health services for patients who need further care.ltbrgt	 conduct emergency water trucking for 1000 households for two months providing 7.5 liters per person per day.ltbrgt	Distribute 2000 families with 20 liters jerycans ( 2 per HH)ltbrgt	 Rehabilitate and equip two strategic boreholes ( Durdur and Wadajirow borehole)ltbrgt	Construction of 3 water kiosks and piped water extentions from Durdur boreholeltbrgt	Fencing of Durdur borehole with chain link fences and concrete poles.ltbrgt	Conduct routine chlorination of 5 water sourcesltbrgt	Construct 100 communal latrines,  17 PLWD friendly latrines , one twin sex-segregated health facility latrines,  support 8 sanitation groups with  sanitation tools, facilitate 48 clean up campaigns  and distribute  2,000 hygiene kits to meet the sanitation and hygiene needs of the affected communities.ltbrgt	Conduct mass hygiene messaging in communities and institutional facilities through house-to-house visits, IEC materials and community meetings to promote handwashing and other outbreak prevention and control practices.ltbrgtAlight's WASH technical designs follow SPHERE standards/Somalia WASH cluster guidelines and incorporate protection, disability, gender and environmental considerations as per relevant IASC and Handicap International guidelines. The designs also ensure accessibility for the elderly and those with special needs. ltbrgtAlight values meaningful, inclusive community engagement and accountability for the sustainability of the action. The interventions are community-driven and coordinated with both communities and local authorities. Community volunteers and committees are involved in the management and maintenance of the rehabilitated or constructed WASH structures.ltbrgtlt/pgt