Provision of emergency lifesaving health and nutrition services among drought affected communities in Bal'ad district in Middle Shabelle region FSNAU forecasts worsening food security and nutrition situation in the (2nd -3rd quarters) of 2019 in middle Shabelle region. Poor nutrition may deteriorate further with delayed rain and the impending drought. The FSNAU projects the GAM in Balcad district at 16% and SAM at 3.1%. The Nutrition Cluster estimates about 2,900 SAM cases annually in Balcad district with an estimated population of about 210,000 (including 21,000 IDPs). Zamzam in partnership with UNICEF has been providing integrated health and nutrition services in Bal'ad district since 2007 and this call for proposals (Reserve drought 2019) will serve to ensure the continuation of project activities to mitigate drought impact and cover the nutrition/health needs of children , women and men at target locations. The proposed project, which will be implemented from July 2019-July 2020 will provide a package of life-saving integrated interventions for vulnerable populations, including women and children, affected by drought conditions in targeted areas in Bal'ad district. Under this project, Zamzam will scale up its intervention through two integrated health/nutrition sites and 2 mobile outreach services targeting 35000 drought-affected people of 55% are women and girls. Zamzam proposes the following health/nutrition interventions: 

1. Deliver integrated Health, Nutrition services through two fixed health facilities and 2 mobile teams : The services to be provided include vitamin A supplementation (VAS) for children 6-59 months, immunization for children less than one year and referrals. (at least 4300 children under-5 are given two VAS ,and deworming tablets and immunized(disaggregated by sex). In addition, an estimated 2800 Pregnant women in their 2nd and 3rd trimesters are dewormed. 
2. Outpatient consultations, management of common child illness like Pneumonia , diarrhea , antenatal care services, sexual reproductive health and MISP in emergency. 
3. Screen children for malnutrition and malnourished children (6-59) referred by CNW to appropriate programme (TSFP/OTP, SC) for treatment. The two fixed nutrition/health sites and 2 mobile teams will provide at least 5 out of 9 BNSP components. This will allow us to treat 7000 children with MAM and 2,900 children (6-59 months) with SAM, including 290 with medical complication are treated by August 2020. UNICEF/WFP will provide all the supplies needed for treatment in-kind. 
4. Promote, enable and sustain behaviour change related to improve infant and young child feeding (IYCF-E). Zamzam will implement mother-led MUAC approach and train community health workers on IYCF promotion to allow them to support 5 Pregnant and lactating women receive individual/group counselling for IYCF and increased service uptake at community level.
5. Capacity building: The capacity of staff will be improved IMCI , IMAM ,Early warning/early response, IYCF -E while the community members will have participate community health education and awareness session on AWD prevention and response. 
6. Improve reporting, monitoring and maintain Integrated Disease Surveillance and action. at least the health/nutrition sites report monthly DHIS/ONA to the government , health and nutrition cluster