Improving access to life saving services in nutrition, health and WASH in Hodeidh (Alluhyah, Qanawis), Hajjah (Abs) under Priority 23. TThe proposed integrated health, nutrition, and WASH project aims to reach approximately 43,715 individuals (including 32,753 host communities, and 10,962 IDPs) with lifesaving services in Alluhyah, Qanawis districts in Al Hodeidah governorate, and Abs in Hajjah governorate under Priority 2amp3 of standard allocation 2021. The project will contribute to the reduction of morbidity and mortality due to malnutrition and childhood illnesses, particularly among children under the age of 5 years (CU5) and Pregnant and Lactating Women (PLW). ACF will target high priority districts in both governorates and support the provision of Minimum Service Package (MSP). 13 in Al Hodeidah governorate : Alkhubah HC, Alnashriah HU, Moor HU, Alzaila'aiah HU, Alhetiriah HC, AL Zain UN, Deir Kazbah HU, Deir Abdullah HU, Al Gilaniah HU, Bani Awaidan HU, Bashibesh HU, Alnjari HU, Al Qaham Al Sharqi and 3 in Hajjah governorates: Bani Othabi HU, TC1 Alhijah TC and TC2 Al Habil TC, through the provision of an integrated package of primary health care and outpatient treatment for severe acute malnutrition (SAM) with total population catchment 152 657 people. . ACF works closely with GHO to ensure no duplication of activities. 
Lifesaving services provided as part of an integrated package of services will include Integrated Management of Childhood Illness (IMCI), Antenatal care (ANC) and Postnatal Care (PNC), OPD consultations, immunization, CMAM and Infant and Young Child Feeding care practices (IYCF). The Nutrition intervention will also include screening for malnutrition and referral SAM cases to OTP, MAM cases to TSFP for MAM and TFC for SAM children with medical complication to TFC. ACF will work together with GHO to ensure the nutrition supplies are sufficiently provided to all health facilities and temporary clinics.  ACF has designated health and nutrition officers who can provide intensive support for health care providers at the health facilities targeted by the project.

In addition, minor repair and maintenance will also be conducted based on assessment results of the health facilities. ACF will support health facilities through the provision of essential drugs, medical consumables, equipment, and payment of health worker hazard allowance, strengthening qualitative health care services such as IMCI, OPD consultation, immunization and reproductive health (ANC, PNC and referral for delivery). ACF will also reinforce the technical capacity of the health facilities staff through formal/refresher training, on-the-job coaching and continuously supportive supervision visits, including joint supervision visit with GHO/DHO. ACF will have continuous presence inside the HFs during the implementation of the project to about the quality of the services provided.
Moreover, ACF has strong experience of coordination and collaboration with UN agencies like UNICEF, WFP as well with GHO/DHO (please see annexes) that allows to avoid as much as possible any shortage of medical supplies for the planned health facilities.
 
ACF will provide complementary water, sanitation, and hygiene activities both at health facilities level and in communities in Alluhayah district. The project will provide or restore sustainable access to safe WASH services in areas of acute need and high risk of disease and protection concerns. The project will target internally displaced persons (IDPs) and vulnerable communities in Alluhyah district, Al Hodeidah governorate with a complete package of water services provision, improvement/provision of sanitation facilities, and hygiene promotion including COVID-19 awareness. The project will deliver an integrated minimum package of health, nutrition and WASH services and messaging, and strengthen the capacity and resourcing of service delivery platforms and frontline workers. In the context of COVID-19, the project will align with the COVID-19 recommendations and protocols issued by the MoH, and from the Health and Nutrition clusters.