Emergency  WASH support to Internally Displaced People (IDPs) and host communities in three key priority districts at risk of AWD/Cholera outbreak  in Ibb district (Ibb Governorate), Ma'ain district ( Amanat Al Asimah Governorate) and Al Haymah Al Kharijiyah district (Sanaa Governorate), Yemen International Medical Corps propose to implement an emergency WASH response to cholera outbreak targeting the IDPs and host communities residing in key priority districts at risk of AWD/Cholera outbreak. International Medical Corp’s WASH interventions will focus on increasing the access to safe water, sanitation facilities, hygiene promotion, safe disposal of solid waste, provision of Cholera WASH kit. Each household will receive 1 pack (50 tablets) of 33 mg chlorine tablet (NaDCC), 2 x jerry-cans or buckets made of food plastic (10-20 liters),15 bars of bathing soap (branded, non- perfumed, non-allergic, 75g) and 2kg bag concentrated washing powder.

According to the latest report from the Ministry of Public Health and Population (MoPHP) and World Health Organization (March, 2019), Yemen is facing a complex cholera outbreak, exacerbated by poor sanitation and water supply infrastructure and unsafe hygiene behavior. A total of 108,889 suspected cholera cases have been reported, with 190 associated deaths (CFR 0.17%) in 261 affected districts. Nearly 26% of suspected cases are children under five-years-old. 47,853 rapid diagnostic tests (RDT) were performed, with 23,536 testing positive. The proportion of severe cases is 14%. While 1,086 were confirmed through lab analysis and high number of suspected (108,889) have been reported mainly in Amanat Al Asimah, Al Hudaydah, Hajjah, Dhamar, Sanaa, Amran and Taiz governorates over the last 3 months. 

International Medical Corps will target at risk areas requiring urgent humanitarian support to mitigate potential cholera outbreak. International Medical Corps will strengthen protection mainstreaming through training of gender inclusive WASH committees. These committees will be trained on specific themes around knowledge regarding the WASH service provision, community mobilization around health and hygiene, safe sanitation facilities, operation and maintenance, repair and management of the WASH facilities. Men, boys and youth will be involved in order to mitigate conflict around WASH facilities, reduce Gender Based Violence (SGBV) and ensure rations are respected in coordination with other protection actors. All WASH facilities will be designed taking into account the following key considerations:
 separate toilet facilities for males and females, with entrances on different sides that are clearly demarcated 
 cater for the disposal of personal hygiene materials, in particular sanitary pads and nappies
 Provide secondary enclosures around facilities and put locks on the doors to latrines and bathing houses. 
 Ensure that hygiene promotion services are respectful and inclusive of cultural and religious practice and there is a proportionate number of female hygiene promoters.
 Ensure that facilities are well-lit especially at night to reduce gathering of youth and men at WASH facility sites. 
Project staff, WASH committees, Community Health Volunteers (CHVs) and the general community will be trained on SGBV and informed about available referral pathways for confidential handling of SGBV cases in coordination with the GBV sub cluster and other actors. These priority districts have shown to be unstable and require International Medical Corps to maintain flexibility to be able to support the most vulnerable population. For now, the priority is to ensure assistance to 60,660 individuals in Maain (19,431), Al Haymah Al Kharijiyah (21,040) and Ibb (20,189). As the situation in these priority districts remain fluid and may change rapidly. The project will remain flexible to reach the most vulnerable populations with WASH assistance.