Provision of Primary health care through Enhancing preparatory measures to respond to the anticipated rainy season by strengthening the existing CTC and establishing Facilities in Afgoye district. ltpgtAccording to ELNINO Affects last year 2023, a multi-sectoral gap existed in Afgoye district, despite the fact that there are few NGOs working in the area providing some interventions, which are already going on in Afgoye under SHF supported Fund. However, there are still high malnutrition cases, and a lack of access to nutrition services has led to a rapid increase in cases of AWD/cholera.lt/pgtltpgtltbrgtIn Reference of  Lower Shabelle Cluster data assessment at 9th March 2024 indicates A total of 42/667 suspected cholera stool samples were sent NPHRL of which 33 (79%), were confirmed positive for V. cholera (01,139 Ogawa) by Culture since Epi Week 1 2024, up to date, 382/667 cases, (57%) were Under 5yrs aged admitted in the Afgoi, Merca and Golweyn CTCs since Epi Week 1 2024, up to date, 349/667 cases, (52%) were male Group were the most and highest affected by Cholera since Epi Week 1 2024, up to date, 5/667 cases was death, the case fatality rate (0.7) since Epi Week 1 2024, up to date, Most cases come from the Districts of Merca 107/667 (16%), Afgoi 493/667 (73%),  Golweyn 46/667 (7%) and Qoryoley 21/667 (3%).lt/pgtltpgtltbrgtWeak health system capacity  limited partners’ presence on the ground with Limited health response under the current growing AWD Cholers, Measles and Shortage of health facilities in Lower Shabelle compounded by a general poor awareness on health best practices  hygiene promotion has also compromised the quality of community case management hence complementing the planning  implementation of appropriate Health, Nutrition, Education WASH interventions in the target locations.lt/pgtltpgtltbrgtThis project aims enhancing preparatory measures to respond to the anticipated rainy season through the Health Care Provision of Early Warning Approach and response, AYUUB will  Establish one fixed health Facility, one Mobile Integrated team in 7 Villages in Afgoye in additional to this AYUUB will strengthen the existing CTC in the Main Hospital of the district by providing services packages to enable improve the Health  WASH status of the vulnerable boys, girls  PLWs in the targeted district targeting 40,000 people including (10440 girls and 11360 boys, 9000 Men and 9200 Women) and 2600 lt1gt,  Increase access to essential primary health care services for hard-to-reach floods displaced populations and evacuation sites through supporting one outreach health team in Afgoye districts with Emergency medical supplies ,The outreach will be functional 6 days in the week and will be covered at the 7 villages in Afgoye as well as the fixed HF, Provide Health education awareness to the community Members , Social Mobilization of communicable and non-communicable diseases including pneumonia, malaria, diarrhea, measles, skin conditions, injury care in children and urinary tract infections among others, delivery services,  Distribution of dignity and GBV Supplies to 300 Girls,Chlorination activities through integrating WASH response, Dissemination of early warning messages, referral of emergency patients  treatment of cholera cases, Deployment of RRTs and Community Health Workers through working with WHO cholera Management team in the targeted areas. This will however, provide coordinated response to the affected population in afgoye district in  Lower Shabelle regionltbrgtlt/pgt