Somalia_DRA Flood Joint Response The recent El Nino floods have impacted 2.48 million people, destroyed 20.963 shelters and 4.141 latrines, displaced 1.1 million people and resulted in 118 reported deaths in Somalia. Mudug (Galkayo) and Lower Jubba (Kismayo) are 2 of the most severely affected areas. The flooding severely damaged water & sanitation facilities in Galkayo and Kismayo, increasing the risk of waterborne diseases due to flooded pit latrines, sewage overflow and stagnant water. According to the joint need assessment  conducted by UNOCHA, SC and others, the current floods led to the inundation of 9.783 latrines and 691 water sources, damaged 488 shelters and displaced more than 30.000 HHs in Galkayo town and IDP sites. In Kismayo, 691 water resources and 17.900 latrines were damaged/destroyed due to floods, resulting in over 4.754 displaced families in newly designated evacuation sites Luglow and Qaam qaam having urgent need of latrines and proper sanitation. This poses significant health and protection risks.  The floods severely damaged and disrupted most of the health facilities, particularly in Galkayo, incl. the public hospital (MRCH) & Galkayo TB Centre, resulting in increased need for health care services and medical supplies. There is serious indications of Acute Watery Diarrhoea (AWD), Cholera and dengue fever cases in IPD site in Galkayo. In Kismayo, the limited access to healthcare services was already a challenge for 200.724 people, but the additional influx of IDPs adds further strain to the limited available resources. Galkayo and Kismayo face similar challenges as multiple other affected areas but their limited capacity and enormous gaps in Health and WASH support set them apart as particularly vulnerable districts. SADO/SC thus propose an integrated WASH/Health response, complementing the protection & nutrition response in both areas, working closely with other humanitarian actors on the ground and coordinating through cluster fora, incl. the Health and WASH cluster. This JR will be aligned with SC’s El Niño preparedness and response plan developed Aug 2023. Together with SADO, SC will respond to the urgent WASH and health needs of 40.708 most vulnerable people in Kismayo and Galkayo. SC/SADO will scale up the ongoing water trucking to meet immediate life-threatening needs, while DRC repairs the Wadajir borehole in Galkayo. 3.000 IDPs will receive 7.5L PPPD for 90 days and 2.000 people in 5 health care facilities & 1 child friendly space will receive 5L PPPD for 6 months, as per cluster guidelines. While CARE is doing water provision, SADO/SC will construct 129 latrines in flood-affected IPD in Kismayo as per SPHERE standards. 1.500 hygiene kits in both districts to HHs most at risk of diseases. As per WASH Cluster Guidelines and Sphere Standards the kits contain jerry cans, soap, aqua tabs and sanitary pads. 125 dignity kits will be provided to vulnerable girls in Luglow IDP camp. Partners will conduct waste management campaigns in both districts and will reach 13.000 people with hygiene awareness raising. SC will complement & continue its current health response in Galkayo & Kismayo. SC will rehabilitate 3 flood-affected health facilities and provide outpatient consultation services to 19.800 people. SC will offer MHPSS consultation incl. identification and clinical management of priority mental, neurological and substance use for 1.008 people and provide service to SGBV within 72 hours. Prenatal, postnatal & newborne care, emergency obstetric will be provided to 1.350 mothers. The project will offer to 5.544 people community case management for childhood illnesses, focusing on malaria, AWD and acute respiratory infections. Project staff will be trained in protection, safeguarding and PFA, PSEA and GBV messages will be disseminated during hygiene promotion. SC/SADO works closely with CARE/WASDA and HaC to ensure strong targeting, avoid duplication and build thematic complementarity with DRA, MoH, WHO, UNICEF, SOS, IRC. Most vulnerable and food insecure households, such as women, youth, elderly, IDPs, higher risk, marginalized people and PWD.