Support Emergency provision of basic lifesaving health services majoring on maternal and child health services in Jalalaqsi and Beletweyne district of Hiran region Flooding caused by heavy rains in Somalia and the Ethiopian highlands has affected just over half a million people in Somalia since 21 October, of whom 370,000 (approxinately 74,000 women ) have been displaced from their homes. At least 17 people have died, including 2 children.Belet Weyne district in Hiraan region is worst affected with 231,000 people displaced from their homes. Another 55,000 people have been displaced in Jubaland while heavy rains have affected 30,000 people, many of them women and children. Farmland and infrastructure have been destroyed and livelihoods disrupted in some of the worst-hit areas. The floods have worsened an already complex and prolonged humanitarian situation created by cyclic natural disasters ranging from floods, drought and floods and conflict.
The proposed project plans to provide immediate lifesaving health services to populations in Jalalaqsi and B/weyne who have batling with floods that have lead to death, displacement and destruction. Four health centres one per District and four mobile health units attached to the health centers will be scaled up by RRP to deliver basic healthcare more so to mothers and children who have been disproportionately affected by the floods. The project will target 8,500 beneficiaries (5,000 in Beletweyne and 3,500 in Jalalaqsi). It will increase the availability of emergency obstetric care services and increase access to these services for vulnerable populations. Mobile health teams will be utilised to expand coverage and link hard to reach villages affected by the floods to mainstream healthcare services.
The project will deliver lifesaving emergency health services including maternal, neonatal and child health through 4 maternal homes/static and 4 outreaches mobile health facilities in flood affected districts of Beletweyne and Jalalaqsi of Hiran Region. Trained staff will provide maternal health services to 5000 and 3500 affected mothers in Beletweyne and Jalalaqsi districts respectively emphasis will be focused on provision of quality services. Emphasis will be laid on Maternal and Child Health, including Basic Emergency Obstetric and Newborn Care (BEmONC) and referral services for Comprehensive Emergency Obstetric and Newborn Care (CEmONC) to the most vulnerable flood affected communities in these two districts. Attention will be paid on application of maternal service delivery guidelines as per EPHS at the PHC. Qualified trained health workers will offer ANC and BEmONC. This service delivery will be offered by a cadre of competent staff consisting of 1 doctor based in Beletweyne, 3 mid wives(2 in beletweyne and 1 in Jalalaqsi), 4 assistant mid-wives (2 in beletweyne and 2 in Jalalaqsi), 23 social mobilizers (12 in beletweyne and 11 in Jalalaqsi), a pharmacist and a lab technician. 
Social mobilizers who will be in beletweyne will cover Hawa tako, Kooshin  to the eastern side of the river and Buundo weyne, Howl Wadaag to the Western side of the river Shabelle. Social mobilizers in Jalalaqsi will as well transverse the western and the eastern sides of river Shabelle forming a two mobile teams.
This response will offer emergency action to deliver basic with referral of comprehensive reproductive health care to women of reproductive age among the target beneficiaries and promotion of health seeking behaviour including adoption of safe deliveries in an health facility by a qualified health personnel including the pre and postnatal care, RRP will ensure this intervention is embraced by practices through campaigns, health and door to door, radio, public announcements to offer education and sensitization. Out reaches will be undertaken by 23 social mobilizers and campaigners who are well trained. Referral system for cases seeking secondary and comprehensive services will be done to Beletweyne referral and Jalalaqsi referral hospital, this will be strengthened focusing on pregnant women requiring emergency services and comprehensive services among other