Integrated Emergency WASH, Shelter, Health and Nutrition response to conflict and drought affected communities in East and West Hararghe zones of Oromia region. The 2019 HRP midyear review document indicated that the humanitarian situation for the second half of the year 2019 is expected to see increase in aid requirement largely due to the first quarter mass internal displacements in various parts of the country, and related humanitarian and protection needs. Considering the updated severity of needs analysis presented in the document this project aspire to bridge the health and nutrition WASH, and shelter need of drought and conflict affected population in West and East Hararghe zones of Oromia region. Accordingly the nutrition aspect of this project will prioritize activities which ensure timely access to lifesaving quality treatment of acute malnutrition and access to prevention of micronutrient deficiencies among children less than five years of age and pregnant and lactating women residing five woreda of East Hararghe zones. The proposed action will also contribute to health system strengthening within the National Health Extension Program and support early warning system to ensure effective emergency nutrition response. On the other aspect the project with its health component will work to contribute to the reduction of morbidity and mortality through improved access to basic PHC and referral services for vulnerable drought and conflict affected communities (IDPs/Returnees and host communities) in Babile, Meyu Muluke, Mieso, Kersa, Hawi Gudina and Daro Labu, woredas of East and West Hararghe zone, Oromia region. This will be realized by establishing 4 MHNT at inaccessible area with high burden of IDPs and returnees at 4 woredas. For the remaining 2 woredas deploying 2 skilled health officers to cover one health facility per woreda where there is high shortage of health workers with presence of measles and other priority diseases outbreaks to support consultation and other PHC services to cover the targeted 6 woredas providing basic free of charge primary health care services for affected IDPs, returnees and close host communities. The WASH component will target IDPs Cholera affected woredas currently residing in Fedis, Gursum, Meta, Jarso, and Midegatolla woredas through the rehabilitation and maintenance of water systems, provision of HH WTC, construction of gender and disability appropriate sanitation facilities (latrines), installation of hand washing facilities, distribution of hygiene kits along with IEC materials, and capacity building the communities over the operation and maintenance of water systems in IDPs and secondary displacement areas. Regarding the emergency shelter activities IMC plans to response for the most vulnerable households in the conflict affected community groups in Kumbi and Meyu woredas, which are categorized under the priority one areas for the emergency shelter NFI response in East Harerghe zone, being categorized by National Shelter cluster gap analysis report. The intervention will improve the shelters for the most vulnerable IDPs, SD, or returnees through provision of Shelter repair kits, and Shelter NFS for 750 HH in the two woredas Meyu muluke and Kumbi woredas targeting the most vulnerable women headed HH, disabled people, and elderly people.