Yemen Joint Response 2022-2023 Yemen continues to be the world's worst humanitarian crisis, with some 20.7 million people (66% of the population) in need of some form of humanitarian assistance or protection. In 2021, the situation is primarily driven by conflict and economic collapse, and has been exacerbated by COVID-19, heavy rains and flooding, and escalating hostilities. In addition, a fuel crisis has increased needs and restricted response activities, and ongoing access issues hinder the aid operation. As a result, millions of people cannot afford their basic needs and 20.1 million people are in need of health assistance of which 11.6 million are in acute need. Women and children make up 75% of the population in need of health assistance. Women of childbearing age, particularly pregnant and lactating women, have limited or no access to reproductive health services including antenatal care, safe delivery, postnatal care, family planning and emergency obstetric and new-born care. People suffering from chronic and non-communicable diseases (NCDs) face a lack of medicines due to import restrictions resulting from access restriction and bureaucratic delays, rising prices and a growing gap between supply and demand. Fewer than 40 per cent of secondary health facilities provide non-communicable disease and mental health services. Only 20 per cent provide integrated maternal and child healthcare. An alarming increase in food insecurity, acute malnutrition, and limited access to essential health services is forecasted by the year's end and the year's comings. According to a study conducted by FCDF in 2017, there are 5.5 Million people who suffer mental health instability. The number may have been tripled due to the stressors caused by the ongoing conflict. Moreover, unmet psychological needs can widen the cause deterioration in mental health, increase dependency on others for assistance, and decrease quality of life and affect the whole family's well-being. These adverse outcomes can have broad social and psychological implications for individuals, families, and communities. In a country where mental illness is tied with madness, and the highly stigmatized nature of mental health and mental disorders delay access to treatment, individuals dealing with a mental illness might feel ashamed, embarrassed, and afraid to tell someone about what they're going through. Families detain them to hide the "shame," especially if the patient is a female. The community doesn't understand that mental instability is like any other physical illness that can be diagnosed and cured. Humanitarian access in the proposed areas (Houthi controlled) remains challenging. Partners rely on long approvals from SCMCHA, delaying implementation and often deal with severe interference for the selection of areas for implementation. Although the security in the targeted governorates is relatively calm, sporadic violence and air raids do occur. Last year Al Hodeida was included in the YJR but because of interference and insecurity, delaying the implementation, it was decided not to include this governorate in this year’s proposal. - The rehabilitation of HFs is targeting children, women and men of all age groups that are in need of improved access to health services. However, as we target HFs with SRH services, we focus on women of reproductive age and children under 5. Both groups are disproportionately affected by the different crisis and are bearing the brunt of the conflict, high levels of food insecurity and malnutrition. They are also more likely to seek health services and prone to disease. HFs are selected in consultation with SCMCHA and MoH, based on set criteria. - Treatment of people with NCD is targeting people with a non-communicable disease. Because of the years of conflict half of the HFs are not functioning and medication is scarce/ unavailable and for many, also unaffordable. Also, very little funding is made available to address the needs of people with NCD, making them extra vulnerable and in high need. Approx 10% of the people with NCD do have a disability as well as a consequence of their disease. They will be specifically targeted. Patients are selected in consultation with the HFs. Yamaan and HFs will select a number of NCDs, depending on data and recurrence of the NCD. Vulnerability criteria will be maintained for the selection of beneficiaries. 
- MHPSS counselling and treatment: unmet psychological needs can widen the cause deterioration in mental health, increase dependency on others for assistance, and decrease quality of life and affect the whole family's well-being. These adverse outcomes can have broad social and psychological implications for individuals, families, and communities. Especially when it concerns women, as families detain them to hide the shame. The project will therefore focus its MHPSS staff training efforts in HFs where SRH services are being provided, directly targeting women (PLW/women of reproductive age). 
- Persons with disabilities must be able to access humanitarian assistance that provided by Cordaid, Yamaan, and FCDF on the same terms as other members of the population. Cordaid, Yamaan, and FCDF will identify and reduce barriers and risks that face people with disability. Cordaid, Yamaan, and FCDF will use a rights-based inclusive approach to recognize the capacity of persons with disabilities and contribute to the humanitarian response as active participants. IDPs and Host Community Members