Life saving health assistance to support conflict/ drought affected population in Oromia Region (Envelope 3 – Oromia Region) According to the Inter-Agency Multi-sectoral humanitarian needs’ assessment of East Wollega zone it was reported that a total of 199,908 individuals (46.4% are females) were displaced due to inter-ethnic conflict in 15 woredas of the zone since the year 2020. Currently, there are 155,832 IDPs (46.4% are females) residing in this zone. Kiremu and Gida Ayana woreda are one of the IDP hosting woredas constituting high number of case loads and echoing wide response gaps amp needs in education, shelter, WASH, health, nutrition and protection. The assessment shows that access to shelter and basic household items is a top priority for the IDPs. Most IDPs in these woredas are living dispersed within the host community living in a rented house ranging from 300-2000 birr while others are living in collective centers. Some IDPs are forced to leave their rented houses because they can’t afford to pay for rent.  Consequently, they are residing outside under verandas in which they are exposed to different physical and psycho-social problems.
The overcrowded living condition has increased the risk of SGBV. Children are forced to be out of school and there is a high rate of child labor and child marriage. Negative coping mechanisms such as begging, prostitution, child marriage, and child labor are being reported due to difficulties to afford food, shelter, and health care. There are 1043 UASC in Kiremu woreda and 228 in Gida Ayana Woreda. Additionally, there are 82 reported GBV cases in Gida Ayana and 65 cases in Kiremu. The major protection needs mentioned in the report are general Protection and Emergency CP, GBV assistance services.
Schools are reported to be closed, school items destroyed, and majority of teachers fled from the conflict-affected areas. The report showed that 11 schools were totally damaged and 61 schools were partially damaged. Of which,17 schools are in Gida Ayana and 29 in Kiremu. Consequently, 207,878 students are negatively impacted. Schools that are engaged in a teaching learning process are overcrowded and the student to class ratio is more than 100 in the assessed woredas. There is no scholastic material support for the IDPs children, and families could not afford the cost which contributed for the drop out of the IDPs children from school and and children engaged in work to support their family, which made them vulnerable to child labor and SGBV.
As indicated in the report access to health services remains a challenge, delivery of medical supplies and functionality of most of the health posts is under difficult condition. Over 35,965 under five years needs measles vaccination, and 8,320 mothers need deliveries attended by skilled health personnel. Common diseases Identified among IDPs are diarrhea, skin infection, malaria, typhoid and respiratory diseases. There is a need for life-saving measures to prevent increased morbidity and mortality. Furthermore, the capacity to promptly investigate outbreak rumors and initiate response at the Woreda level needs to be strengthened. There are also gaps when it comes to capacity of HEW amp HW on MAM and SAM management, IYCF-E and Supplies chain management as well as Lack of linkage to TSFP program. 
The findings also show that there is a lack of adequate water and IDPs are forced to use the river as they cannot afford to pay for water and lack water containers to store it. To verify this report and identify priority WASH needs, FIDO’s team communicated with the zonal and woreda government office and received concrete information. The assessed non-functional spring and hand dug well are totally damaged. The water office estimated that households accessing with 1 jerry can of water per day, which means 1.5 – 2 liters per person, which is far below the minimum standard of SPHERE. The limited water resource has led to tensions between IDPs and host communities, resulting in protection concerns as girls are traveling 2-3 km to fetch water, increasing the prices of water.