Provision of essential Health and Nutrition life-saving services for communities at high risk of famine in Hobyo District of Mudug region. The proposed intervention will deliver integrated lifesaving emergency health and nut services including maternal, neonatal and child health together with an integrated basic nutrition service package (OTP,SC,community mobilization) through 3 static Health facilities (Wargalo, Galbarwaako,Elgula, 5659 HHs) and 3 mobile health clinics serving 15 far flung villages hosting a total of 5265 HHs (Xerodhagaxley, Xaaro, Afgaduudle, Garday, Lulubsho, Toore, Qarsoni, Dabaqalooc , Hadiile, Hogcadaadley , Eldibir, Garowale, Dhidhin, Cadale, Dhaga Xiskula) without static health facilities in close proximity in Hobyo District. This action will complement and strengthen CESVI's health care, WASH,FSL activities in the same areas with funds from AICS, FCDO and SHF. On top of the health services, the mobile clinics will also provide nutrition treatment and prevention services through OTP, Micronutrients and IYCF services using the standard Somalia IMAM guidelines. The 3 health facilities will be equipped with essential medicines and equipment to provide quality services. Emphasis will be laid on Maternal and Child Health, including BEmONC, and EPI to IDPs and most vulnerable communities. This project will focus on provision of both curative and preventive health services at primary level integrated. Emphasis will be laid on application of standard treatment guidelines as per EPHS at PHC. On top of the health services, the static HF will also provide nutrition treatment services both inpatient (SC) and outpatient (OTP) treatment services for severely acute malnourished children. The facilities will provide malnutrition preventive services including MIYCN services with special focus on promotion of breastfeeding, community mobilization on promotion of nutrition seeking behavior and provision of micronutrient supplementation to prevent Micronutrient Deficiencies. This action will deliver comprehensive reproductive health care to women of reproductive age among the target beneficiaries and promotion of health seeking behavior including adoption of preventive practices through campaigns, health and hygiene education sessions. Referral system for patients seeking secondary healthcare services will be done to Galkayo hospital and will be strengthened with focus on pregnant women requiring emergency services, victims of gun shots, casualties from accidents, trauma cases among others using Cesvi owned ambulance vehicle. Children between 6-59 months of age will be screened from acute malnutrition and those with SAM without complications will be treated through OTP at both static and mobile clinics using the RUTF plumpynut supplies from UNICEF and medical treatments. Furthermore, the severely malnourished children with complications will be treated at the facility level through the stabilization center (SC) in Elgula, Wargalo, Galbarwaqo using F100 and F75 supplies from UNICEF and medical treatments. Children with MAM will be treated through combined protocol therapy, using RUTF since there are no functional TSFP facility nearby. This s aimed at treating thse children and preventing a relapse to SAM. Cesvi will provide all of the four components of CMAM (OTP, SC, TSFP and community mobilization). Cesvi interventions focus on people as they are at the heart of humanitarian action: Cesvi actions and procedure are aligned with the essential element of the CHS and the commitment to improve the quality and effectiveness of the assistance with the aim to bring better quality and greater accountability to all aspects of the intervention. The health program is designed to protect and provide services to vulnerable groups, especially PLW and U5. The project will focus on prioritize safety and dignity avoid causing harm, ensure meaningful access and participation and empowerment of the most vulnerable groups. In the entire project life, CESVI will carefully consider gender and age issues.