Envelop 3 - Scale up of emergency integrated response to combat AWD/cholera among the affected communities in Abyan and Aden. Through this project CSSW will continue to take part in an integrated response along with other humanitarian actors to respond to the second wave of outbreak of acute watery diarrhea (AWD) and cholera in Yemen. The overall objective of this project is to reduce incidences and minimize case fatality. The project strategy in line with the overall cholera response strategic plan which developed by health and WASH cluster. It includes Health, WASH, coordination and communication activities 
CSSW plans to implement integrated response activities in TWO governorates as follows Abyan and Aden .These two governorates were chosen to implement the integrated health, WASH activities as per health and WASH SOPs that indicated in the strategic response plan and clusters guidelines.

The targeted districts will be : 
Abyan : ( Modiah, Almahfad, Alwadee')
Aden : (Dar Sa'ad , Crieter).
The project entails two- approaches focusing on control and prevention. . Both approaches include early/rapid response, integrated response activities and integrated prevention activities that will continue until no new cases are reported.

 Early/rapid response activities enable a quick response as soon as suspected cases are reported in an area.
 Integrated response activities are based on the epidemiological analysis of the course of the outbreak, including contact tracing, incidence, case fatality rate, attack rate and mapping areas with contaminated water sources.
 Integrated prevention activities are characterized mainly by WASH, Health and Communication for Development (C4D) activities to protect people who live in unaffected but at high-risk areas from AWD/cholera.

Under the above intervention areas, the project activities will include:
1st: Early detection activities 

2nd: Case management :
1- Establish and operate a diarrhea treatment center DTC in each targeted district within the selected governorates for management of severe cases.
2- Establish 5 ORS corners, diarrhea treatment units (DTUs) at community and primary health care level in each targeted district within the selected governorates for management of mild and moderate cases.
3- Establish referral system to higher health care levels.
4- Train the new recruited health workers in the targeted heath facilities on case definition, diagnosis and management protocols . 
5- Train laboratory staff on proper handling and testing of different types of cholera samples. 
6- Provide household chlorination tablets (aquatabs) and IEC materials and awareness messages for recovered patients and their families, which will be provided to them by DTC staff upon release of the patient.

3rd: Integrated prevention activities 
1- Distribution of chlorine tablets for water treatment at household level with proper instructions on use of the tablets, targeting households in affected locations. 
3- the already trained 20 CHVs in each district within the targeted governorates will continue hygiene promotion activities
4- Hygiene promotion at household and community level, community mobilization and cholera awareness messages by adopting C4D strategy.