Provision of integrated emergency lifesaving primary health care and nutrition response to drought and conflict affected IDPs (women, men, girls and boys) displaced to Marka, Lower shabelle regions The main aim of this project is to provide integrated life-saving emergency primary health care and nutrition needs of drought-affected women, men, boys and girls of proposed project targets of Marka of Lower Shebelle region. The project is in line with Somalia Humanitarian Fund 2019 reserve allocation strategy. The project will aim at providing a curative and preventive basic lifesaving health and nutrition services among the communities in the target District. An estimated beneficiary of 13,.950 persons including 3650 women, 2100 Men, 4000 boys and 4200 girls. SOYDA will establish one fixed and three integrated health and nutrition outreach teams and also will support the stabilization center of Marka general hospital with close collaboration with New Ways Organization after their completion of current SHF project in December 2019. SOYDA intends to achieve the following,

Health: SOYDA will ensure provision of reproductive health services and routine immunization services targeting children under five years and women of reproductive age in one fixed health center and 3 outreaches, also hosts a basic emergency obstetric care (BEmOC) center.  Women will be counselled on the importance of delivering at a health facility or with a skilled birth attendant, family planning methods, exclusive breastfeeding and IYCF practices. During these visits, the nutrition and health teams will work together to ensure that newborns and children seen with mothers during RH service provision are referred for appropriate nutritional services, including screening, the IYCF program, and stabilization center, as appropriate. SOYDA will implement integrated health and nutrition services to identify missed opportunities and defaulters especially in immunization and increase coverage for SAM and MAM for children under five years and pregnant and lactating women. At community level, to ensure that vulnerable populations, including children and women are informed about and can able to access life-saving MCH services, SOYDA will engage more community-based health approaches to promote healthy behaviors and care-seeking practices. 

Nutrition: The project will also offer essential nutrition services for one fixed and 3 outreaches service delivery through a comprehensive CMAM package that includes OTP, TSFP, SC or referral support to SC and MUAC screening with the key objective of reducing morbidity and mortality associated with malnutrition, especially among children under five and pregnant and lactating women (PLW). Nutrition interventions will be integrated alongside primary health service provision.  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, IYCF promotion session for better information dissemination to the caregivers in the project area. Project will also scale up Referral of malnourished children with complicated cases to Marka Hospital SC through SOYDA outreach teams in Marka district. In addition, it will coordinate with UNICEF and WFP for ready to use therapeutic food (RUTF), SC supplies, micronutrients and supplementary food commodities for treatment of MAM children and PLW admitted in TSFP. 

Finally, SOYDA will coordinate with Health and Nutrition clusters to coordinate response activities for maximum impact to beneficiaries. SOYDA shall in closely work with other partners for strengthening the referral mechanisms and coordination’s to void duplications of the service . We will ensure to share on monthly reports to all relevant clusters and attend cluster meetings for information sharing and coordination mechanisms. SOYDA also will ensure for community involvement in the programme design and implementation as well as in local capacity building that willl support resilience in the community and will contribute to a better health and nutrition conditions in the target areas of lower shabelle region.