Improved access to lifesaving Integrated Health, Nutrition, WASH and  Food Security interventions to vulnerable IDPs, host community and returnees in Afgoye. The project propose integrated interventions in Food security, Nutrition, WASH and Health targets 24,000 HHS in Afgoye comprising of Internally Displaced Persons, host communities, and returnees translating to estimated 144,000 population. The proposed interventions seek to reach to 115,201 direct beneficiaries, translating to 80% of target population,  in some cases benefeciaries being reached by more than one intervention. The targeted beneficiaries, are spread in Afgoye township and rural, Arbis, Lafoole, and K13. The project will target IDPs and the vulnerable host and returnees HHs. Under five children, Pregnant and Lactating, women headed households will be given priority in the project interventions. 

QRC is currently undertaking health interventions using two mobile teams delivering emergency and lifesaving health care servcies in Afgoye reaching 22,569 beneficiaries. This project seeks to increase beneficiaries accessing life-saving servicies due to the anticipated influx of IDPs and disease burden, ovestretching of the current mobile teams, by an additional 3 mobile teams, who will also serve as IERT offering Integrated health, nutrition and WASH through strengthened mobile teams for six days per week. The current two mobile health teams have been overstreched, have not been able to reach intended population and handle emergencies including AWD/Cholera outbreak and case management. The increase three fold in the targeted population demands an equivalent increase in mobile teams to ensure quality delivery of servicies, but within the proposed budget.

The interventions will include, twenty five days per month offering integrated Health,WASH and Nutrition care services, health and hygiene promotion targeting selected settlements of 115,201 residents. To buttress this, the mobile team in concert with Community Health Workers to deliver compressive servicies through outreach supporting static facilities run by Swiss Kalmo (Health centre and Nutrition centre in Wanjelle), ZAMZAM (TB centre in Hawa Taako), SHADCO/Concern (Sigaale+Dhagjalaq) and Somali Red Crescent (MCH+nutrition in Dhagahtur).  In order to effectively deliver these services, Qatar Red Crescent will capacity build Mobile Health Teams, Community Health Workerss, village committees and project staff. Health team will work closely with nutrition team, sharing the same facilities to treat Severe and Moderately malnourished children and pregnant and lactating build and build the capacity of staff of nutrition actors in order to strengthen effective delivery of emergency integrated programmes and also encourage inter and or cross-referrals.

With support from the CHWs, WASH team will seek to undertake increased access to adequate safe water, appropriate sanitation facilities, safe environment and appropriate hygiene practices for 29,091 vulnerable among them newly arrived IDPs. This will be through hygiene promotion campaigns, capacity building Mother to Mother support groups, household water treatment campaign, AWD/Cholera campaign, distribution of hygiene and water treatment kits,10 gender responsive latrines and 10 shallow wells will be rehabilitated and 5 gender responsive latrines and 5 shallow wells constructed and equipped with water pumps and handwashing facilities installed.

On Food Security, QRCS will provide 800 vulnerable IDPs and most vulnerable host community and returness HHs with unconditional cash transfer with minimum 50% targeting HHs with Severe Acute Malnutrition and Moderate Acute Malnutrition screened cases  for three months targeting the lean season. This will translate to 5600 beneficiaries able to access Minimum Basket of Expenditure.