Provision of lifesaving health and nutrition services to affected populations through IERT and fixed sites in Qansaxdhera district in Bay region In Bay Region, the assessment in pastoral livelihoods indicates GAM of 25.4% and SAM of 5.0% while urban livelihoods indicate GAM of 14.4% and SAM of 5.5%. The Nutrition cluster further estimates that 73,714 under-five children in Southwest State are in need for treatment of severe acute malnutrition in 2022. Bay region has the highest caseloads of malnutrition in Somalia due to weak health/nutrition systems and natural disasters impacting food security and their health and nutrition status. In Qansaxdhera district, the acute malnutrition burden was estimated 12,110 children with acute malnutrition of whom 3,850 children are suffering from severe acute malnutrition and require provision of integrated prevention and curative nutrition services between now and December 2022 to prevent the risk of hunger, disease outbreaks and famine. The proposed project also focuses on providing equitable access to emergency essential healthcare that are integrated with nutrition services through two health /nutrition sites and two mobile IERT teams targeting a total of 25,000 in under-served IDPs and vulnerable host communities (30% girls, 30% boys , 25% women and 15% men ) in Qansaxdhera district in Bay region. SAMA will carry out the proposed activities in an integrated manner with other sectors such as Health, Food Security, WASH and Child Protection to promote synergy, and to address the underlying and root causes of acute malnutrition. Effects will be made to prevent occurrence of Gender-Based Violence (GBV) by collaborating with available mechanisms in the target locations. Gender mainstreaming will be fully ensured in the community mobilization events, service provision and for the training of staff and other project stakeholders. Data for the beneficiaries will be disaggregated by age and sex and will be reported in ONA/DHIS2.  SAMA will promote full participation of women, girls and boys, in the project planning, monitoring and implementation to promote their voices are heard and are taken into account including communication preferences
 Health interventions :
Health interventions aim to provide primary and essential lifesaving services inclusively. All the beneficiaries within the proposed catchment will benefit from free medical consultations, all under 1 children will have access to routine immunization services and all pregnant women having access to Focused Antenatal Care as well as safe deliveries and postnatal services. Complicated cases will be referred to nearest hospital for further care and treatment. At the end of the project, a total of 25,000 affected populations in under-served IDPs and vulnerable host communities (30% girls, 30% boys, 25% women and 15% men ) will access to emergency integrated lifesaving services  in Qansaxdhera district  using IERT teams and facility based interventions. Sexual and reproductive health services and behavior change communication will be also provided by qualified midwives/nurses and doctors. The project will provide referral services for mothers, girls needed emergency obstetric care and those who and GBV survivors needing medical and psychosocial support. SAMA will deliberately engage women, persons with disability and minority groups in project design and implementation
Nutrition interventions 
Children under five, and PLWs, as well as other vulnerable groups, will be screened in the community. Those found to be malnourished will be referred to OTP/TSFP centers for nutritional and medical assessment. The TSFP component of this action is currently implemented through WVI thus will be complimentary to this action and ensure synergy. UNICEF will provide nutrition supplies for the treatment of 1700 SAM. Awareness campaigns on topics including IYCF and hygiene promotion will be provided to the community.