Integrated Emergency Health, Nutrition and WASH Assistance for most vulnerable population in Mawiyah and As silw districts of Taizz  Governorate. The proposed project aims to increase access to integrated Emergency Health, Nutrition (focusing on SAM and IYCF) and WASH Assistance for most vulnerable affected Population. The project is within the first line response of the health, nutrition amp WASH clusters. The project activities have been designed in close coordination with Government Health Offices (GHO) and Districts Health Offices (DHO) in Mawiyah amp As silw districts of Taizz  Governorate (Coordination letters with GHOs and DHOs are attached in the document section).

The Global Acute Malnutrition (GAM) threshold in Mawiyah district is 27.9 % and As Silw district is 18.1%. While according to the health cluster’s vulnerability level is 6 and 5 in Mawiyah and As Silw districts respectively. For the WASH cluster, Mawiyah is a Cholera Priority as well as Famine Prevention Priority Districts. (Reference: WASH,Health and Nutrition Technical guidelines).
Therefore, Mawiyah and As Silw districts have been ranked by Health and nutrition as ones of the highest priorities that need urgent health and nutrition intervention, while As Silw will be excluded from the WASH intervention since it is not a priority for the WASH cluster.

The project will target 42,916 individuals, this number is dis-aggregated as (13,952 men, 14,388 women, 7,063 boys, 7,513 girls).The priority will be given to children U5 and PLW through supporting the following 6 HFs, :
- Alqoda HF in Issrar sub-district, Mawiyah 
- Alkuryabah HF in Mawmaj amp Sharqi Sawaraq sub-districts, Mawiyah
- Baher HF in Baher sub district, Mawiyah
- Alodor HF in Alodor Sub-district, As Silw
- Qaradhah HF in Qaradhah Sub-district, As Silw
- Aljamnoon HF in Almashjab Sub-district, As Silw
to provide nutrition focusing on SAM and IYCF, health and WASH services to the most vulnerable people in the targeted districts excluding As Silw district as well as deliver life-saving interventions for acutely malnourished girls and boys and Pregnant Lactating Women (PLW).

The project is integrated of three components “ Nutrition, Health and WASH” to maximize the efficiency of delivering integrated WASH assistance as well as health and nutrition services in Mawiyah district while in As Silw district only integrated health and nutrition intervention will be provided to the most vulnerable population. TYF will support 6 health facilities to provide Health, nutrition and WASH services jointly targeting the same beneficiaries. In addition, the WASH intervention will benefit a wider group of beneficiaries to include catchment population around the health facilities.

The health component is comprised of the following main activities, each one of these activities has sub activities illustrated in details in log frame section:
-	Support health workers in 6 HFs with incentives and operational cost medicines, supplies, solar systems to facilitate the provision of free health services for most affected people.
-	Provision of general services and Trauma care 
-	Provision of free communicable diseases control and management
-	Provision of minimum initial service package
-	Routine immunization
-	Reproductive health services package according to minimum initial service package
-	Awareness sessions on outbreak diseases (AWD, diphtheria, Malaria)

The Nutrition component will focus on SAM and IYCF include the following activities supported by sub activities detailed in the log frame of the proposal:
-	Community based Management of Acute Malnutrition (CMAM) for children under 5 and PLW 
-	Infant and Young child feeding (IYCF)
MAM treatment will be complemented by YFCA/WFP. The CHVs in Mawiyah district will be supported by YFCA while 24 CHVs in As Silw district are needed to conduct MUAC screen of acute malnutrition among CU5 and PLW, nutrition promotion.

The WASH component include the following activities detailed in the log frame of the proposal:
-	WASH Cholera Response in Mawiyah district, Taiz Governorate