Support Scale up of integrated health and nutrition interventions in rural villages of Baidoa district through mobile IERT teams and fixed sites. The nutrition situation remains of critical concern. A review of the IPC analysis released in September 2022 highlighted that the acute food insecurity in Somalia has drastically worsened since the beginning of 2022, with about 6.2 million people estimated to be in Crisis or worse (IPC Phase 3+) outcomes between October -December 2022.  The situation in Bay region is particularly concerning as the acute malnutrition threshold for Famine (IPC Phase 5) has been breached in Baidoa district. Insecurity, food insecurity, poverty, communicable diseases, and poor practices are the drivers of acute malnutrition. Analysis of the SAMA supported program in Baidoa indicates that 60% of the beneficiaries in Bay area are from villages putting pressure on limited services. (SAMA report, august 2022). To mitigate further deterioration and additional caseload coming from rural areas, there is an urgency need to scale up integrated health nutrition services in rural areas, as well as strengthening multi-sectoral prevention actions. 
The main aim of proposed project is to scale up integrated life-saving health and nutrition services to affected population in rural areas of Baidoa through 2 fixed health/nutrition sites and 3 integrated IERT mobile teams covering 7 locations targeting a total of 20,000 persons with equal access to (girls, boys, women and men in Baidoa district. A particular focus will be given to ensure participation of people with special needs or with disabilities by targeting 10% of the total target populations. SAMA has active PCA with UNICEF and will have access to nutrition and health supplies which will complement to the project resources.  

Nutrition:  
SAMA will recruit 40 Community Health Workers (CHW) to strength community structures/ system for health and nutrition promotion. APP/GBV will also be mainstreamed. 
Screening of 5,000 children for acute malnutrition  
Provision of outpatient therapeutic Programme in 2fixed health facilities and 3 IERT outreach for the treatment of children with severe acute malnutrition.  
Improve referral system for the treatment of severe acute malnutrition with medication complications.  
Promotion of maternal, infant and young child nutrition through preventive services (MIYCAN, Vitamin A supplementation, deworming, MNPs) at health facility and community based. 
Capacity building of nutrition staff on IMAM/IYCF services, infants young child feeding best practices (IYCF), as well as conduct caregivers’ infant and young child feeding practices 
 Nutrition interventions will be integrated alongside primary health service provision such as immunization, ANC/PNC and skilled services., IYCF promotion session for better information dissemination to the caregivers in the project area.

Health: SAMA will ensure  
Provision of lifesaving primary health care services through 2 fixed health facilities and 3 outreach including OPD services, ANC, PNC, Immunization services and treatment of common illness targeting 20,000 affected population with equal access to boys, girls, women and men  
Provision of sexual and reproductive health services such as maternal health targeting 3,000 pregnant and lactating women  
Provision of essential medicines and supplies in 2 fixed heath centers and 3 outreach services.  
Provision of emergency Referral services for complicated cases 
Provision of health promotion and health sensitization through CHWs. 
Provision of basic mental health/psychosocial services and referral  
Capacity building of frontline staff on BemOC / IMCI inline with Somali guideline.

Target sites include fixed sites (Barhanyo site , Ceelcade site) and three IERT teams covering  rural villages (sagargali,nibkusar,yaaqle,kulmiye,Munawur,Geldheri,Barhanoy,Bulokulan)