Integrated Health and Nutrition for the most in-need population in Mazhar and Kusmah districts in Raymah Governorate (RA8) ltpgtRelief International (RI), through this project, will contribute to the objectives outlined for Health and Nutrition sectors as prioritized in the Strategic Response Plan. This project will take a complementary approach to address the immediate and underlying causes of malnutrition by ensuring the prevention and curing of malnutrition through CMAM approach for nutrition, in addition to health and integrated WASH services, with protection mainstreaming across two districts in Raymah governorate (Mazhar and Kusmah). Under the health sector, RI will support 3 fixed health centers (HCs), including 2 HFs in the district of Mazhar (Kosea and Al Reem HC) and 1 HFs in Kusmah (Ali Bin Yamin). 1 of these HFs will be supported to provide Primary Health Care (PHC) and minimum service Package (MSP) to the targeted population. The Kasea HC in Mazhar districts will be supported to provide BEmONCs services. Under the nutrition sector, it was found the Abs Development organization (ADO) provides Targeted Supplementary Feeding Program (TSFP) to all the HFs in these two districts. Due to that, they will cover the gap by providing outpatient therapeutic program OTP, in 1 HC, in the district of Mazhar. RI will maintain coordination with ADO to see refer cured severely acute malnutrition children to the TSFP. RI adopt a referral system for SAM children with complications or with poor appetite to the nearest therapeutic feeding center. RI will also establish a therapeutic feeding center (TFC) in Al Ali Yamen HC in the district of Kusmah to provide inpatient services to beneficiaries from Kusmah and nearby districts. ltbrgtRI will provide hazard allowances for health workers (HWs), HW capacity building, essential medicines and medical supplies, WASH supplies and rehabilitation, operational costs, and referral of complicated cases. As these are newly targeted HFs, RI will support HFs with medical equipment and rehabilitation, including minor infrastructure repairs, water systems, and waste management facilities. In Raymah, RI will integrate health and nutrition services by supporting OTP in the  1 of the targeted HCs and establishing a TFC. All of the selected locations are remote and hard to reach. Moreover, RI will support the activities of the infant and young feeding (IYCF) corners at the HFs as a preventative measure of malnutrition. established BEmONC services and will refer more complicated cases to the nearest CEmONC HF Sharq city hospital, the referral cost will be covered by the referral services in this project.ltbrgtUnder this project and under the sector of health, RI will scale up mental health services through the support of incentivized trained health worker (HW) to provide mental health services as well as psychosocial support to the catchment population of 4 of the targeted HFs,ltbrgtThe catchment population of the 3 targeted fixed HFs, is 27,650  and RI will target a total of 20,738 affected people, constituting 75% of the total catchment population. The targeted beneficiaries include 18,250 host community members and 2,488 IDPs (88% and 12%, respectively). Each member of the community who will benefit from at least one health, nutrition or WASH service within RI’s targeted HFs will be counted as one beneficiary. lt/pgtltpgtIn response to the cholera outbreak , RI will support one dehydration treatment center (DTC) in Mazhar hospital (Mazhar District) to provide emergency treatment to severely dehydrated cases. RI will also provide medical equipment, supplies, and commodities required to appropriately and safely manage the DTC which will be run by a dedicated team of nurses, general practitioners, and cleaners.  ltbrgtRI will ensure protection mainstreaming across the sectors, mitigating protection risks, and ensuring accessible infrastructure in the facilities and services to women, men, and children, including people with disability, IDPs, marginalized, and capacity strengthening by ensuring access to information/services for who are at risk of violence and harm.  ltbrgtlt/pgt