Provision of integrated Emergency Primary Health Care and Nutrition services through quality Primary health care interventions and access to prevention  treatment of emergency nutrition to Drought affected women, children and other vulnerable populations in Galkacyo North, Mudug-Puntland CARE will implement an integrated emergency health and nutrition services responding to vulnerable women and children affected by drought in Galkacyo North District of Mudug region. The project directly, working in with the Ministry of Health, Puntland targeting 10 fixed Health centers and 10 villages for mobile outreach in drought and conflicted affected populations. The proposed intervention will provide services to 30,000 individuals including 8,700 women, 400 Men,10,200 Girls and 10,700 Boys with Health and nutrition interventions. These will include approximately 11,800 host community members affected by drought and 2800 individuals with different forms of disability. The health interventions will be aligned to the health cluster objectives of increasing access to essential primary health care services for the vulnerable drought affected population as well as reducing excess morbidity and mortality for affected population including persons with disabilities and survivors of Gender Based Violence - GBV/intimate partner violence, through patient-centered, targeted, and protective services. CARE will provide outpatient consultations for common illnesses which will include diarrhea, acute respiratory infections, influenza, malaria, measles, and pneumonia in 10 static Facilities and 10 villages through mobile services. Nurse clinicians will use the Somalia treatment guidelines and the integrated management of childhood illness (IMCI) guidelines (translated into the Somali language) to diagnose and treat patients.  CARE supported health facilities will provide Antenatal care, post-natal care and free BEmONC services. Pregnant women requiring comprehensive emergency obstetric and newborn care will be referred to Galkacyo hospital providing CEMONC services (including cesarean sections and blood transfusions) to ensure access to timely life-saving services for mothers and neonatal babies. Community engagement to create awareness and behavior change will be key in the project. Community Health Workers (CHW)-led dialogue-based awareness sessions will complement service provision. Sexual and Gender-based violence (SGBV) survivors will be offered confidential clinical management of rape (CMR) services in line with World Health Organization (WHO) and Ministry of Health (MOH_ guidelines. CARE will procure essential medicine and medical equipment for the static health centers and mobile units. All the medical supplies which will be aligned to Somalia’s Essential Medicines list and purchased with while adhering to UN OCHA and CARE procurement standards to ensure quality is not compromised. CARE will train all health workers on diseases surveillance and health information management for submission of weekly communicable disease surveillance reports to MOH/WHO.CARE will coordinate with other Partners including Save the children and Shabelle Development Organization (SDO) to provide harmonized delivery of essential health, nutrition and protection services.  The proposed intervention will complement and build on CARE’s ongoing humanitarian and long-term programs in addressing the current drought and reach additional beneficiaries. CARE is able to roll out the activities within a short time for effective response soonest the grant is awarded, and documentation is finalized with UNOCHA since it has operational presence in the area. CARE will implement the Nutrition and Health interventions with support from line Ministries of Health and other cluster members. Ministry of Health staff who will be provided with health and nutrition related trainings will implement the health and nutrition interventions to ensure sustainability beyond project period while CARE technical teams will continue to provide technical backstopping. CARE is an active member of the key coordination mechanisms in Puntland and will continue to engage with other Humanitarian agencies while sharing project information.