Integrated emergency lifesaving health/wash/nutrition services to vulnerable and most AWD/cholera affected communities in hard to reach area of Banadir (km 9-13 and beyond) and wadajir district The project responds to the gender and age specific needs such as through  integrated  lifesaving health/wash/nutrition services to vulnerable and most AWD/cholera affected communities in hard to reach area of Banadir and compliments ongoing activities in Lafoole, Jamacadda Beeraha in Afgooye District and the Cholera treatment Center (CTC) at Banadir hospital The project establishes 6 integrated emergency response team(IERT)  in Banadir IDPs ,   Three  IERT will be based in (Hawa abdi, Arbis and Wadajir-silica ) another Three IERT will be based in Kahda IDPs camps (Tabeelaha,Garasbaaley and Weydow, Km13  ,Kalkaal and Albiri ).HIJRA will focus on ensuring access to  integrated health,nutrition and WASH  services for the women, men, boys and girls along with the most vulnerable among these groups such as the youth, elderly, persons with disabilities and pregnant and lactating women. HIJRA engages the community in a sustainable and accountable manner to determine context and culturally appropriate need¬ based responses. The project shall recruit Integrated Emergency response teams (IERT0). HIJRA will perform mass hygiene promotion campaigns targeting people CTC Banadir hospital, outreach team and market centers in the IDPs of Wadajir and Kahada and KM13 and beyond. Door to door visit, public meetings, hygiene promotion training will be carried out as well. Hygiene kits will be distributed at Cholera treatment center (CTC) for caretaker. Water sources will be protected, in the short term chlorination at sources and household level will be emphasized. HIJRA will repair/construct safe water sources at water in Cholera treatment center (CTC) in Banadir hospital to improve hygiene and practices and access to safe and clean water. Latrine and hand washing facilities will be construct/repair at Cholera treatment center CTC in Banadir hospital for boys, girls, men and women. Distribution of IEC materials will complement the participatory hygiene promotion sessions. Cholera treatment center (CTC) will be mostly targeted as ambassadors of change. The provision of chlorine and aqua tabs whose use will be extensively explained during the training sessions is critical. HIJRA staff will apply the hygiene promotion guidelines and other essential materials to train the community on hygiene promotion best practices and community mobilization. It will also conduct campaign targeting IDPs settlements to sensitize the community and form community support groups to carry out weekly clean up campaigns and community sensitizations.
Through outreach team will provide of case management includes measles and acute watery diarrhea, capacity building of staff on proper diarrhea case management and referral of very sick patient after giving first aid to Banadir hospital and Afgoye hospital .Community health workers will detect active case of acute malnutrition and refer to IERT if without medical complication and to stabilization center if with medical complication .they will follow up progress of case. IERT will be trained on infancy young child feeding practice and Integrated management acute malnutrition (IMAM). IYF Promoter will perform breast feeding promotion and infancy young child feeding support through consulting one to one and workshop season, IERT will treat acute malnutrition case and referral with medical complication to stabilization center in Banadir hospital. Nutrition supply (plumbnut/RUTF) WASH (Hygiene kit, chlorine) and health (Drugs) will be received from UNICEF and WHO. Discussion with UNICEF for nutrition supply already started and good progress made and assured to provide us the supply.
HIJRA shall collaborate and coordinate with minister of health (MoH), UNICEF and WHO to ensure that supplies are available to outreach team. The project aims to reach 24500 beneficiaries comprising of boys (4500), girls (4,500), men (5,875), and women (9,625).