Scale up integrated life-saving emergency health care and nutrition interventions aimed at reducing morbidity and mortality among drought affected children and women in Berdale district of Bay region The situation in the Bay region is particularly concerning as the acute malnutrition threshold for Famine (IPC Phase 5) has been breached in the Baidoa district (including Berdale). The shortfall in funding is of urgent concern to prevent deterioration of the health and nutrition indicators during lean season and support continuation of existing services is needed in order to avoid Crisis (IPC Phase 5) or worse outcomes in Q3/Q4 2022 and Q12023. This call for proposal is for the continuation of the existing health and nutrition program with the main focus on rural areas and hard-to-reach areas in order to reach affected women, girls, and boys including minority/marginalized groups within the catchment areas. The project will provide integrated life-saving primary health care and nutrition services to drought-affected populations through fixed health/nutrition sites and IERT mobile teams targeting a total of 20,000 persons with equal access to 5,600 girls, 5,600 boys, 6,000 women, and 2,800 men in Berdaale district. A particular focus will be given to ensuring the participation of people with special needs or with disabilities by targeting 10% of the total target population. MARDO has active PCA  and FLA with UNICEF/WFP and will have access to nutrition and health supplies which will complement the project resources. 

Nutrition: The project will offer emergency lifesaving nutrition services to affected children under five, PLW through an integrated approach. Nutrition interventions will be integrated alongside primary health services such as immunization, ANC/PNC, and skilled services. 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.

Health: MARDO will ensure the provision of lifesaving emergency primary health care and reproductive health services targeting children under five years and women of reproductive age through fixed health center and integrated IERT mobile teams covering new IDP arrivals in Berdale. Women will be counseled 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. MARDO 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 the end of the project 
1. A total of 20,000 affected populations will benefit from integrated health/nutrition services such as OPD outpatient services, immunization services, and basic nutrition services including screening of acute malnutrition. 
2. Provide support to strengthen integrated fixed health center and integrated IERT mobile teams.
3. Screening of 5000 children (6-59 months) of whom 2500 girls, 2500boys for acute malnutrition
4. Treatment of 180 children SAM with medical complications.
5. Identification and systematic treatment of 1800 ( 900 girls, 900 boys ) children U5(SAM) 06-59months without medical complications through two IERT and four HC/OTP fixed sites. All nutrition sites will adopt the Somalia Integrated Management of Acute Malnutrition (IMAM) guideline
6. Treatment of 3000 moderately malnourished children 6 to 59 months (Boys, 1500 and Girls 1,500)
7. Provide IYCF counseling and promotion messages for PLW/caregivers.
8. Provide immunization services to 2,500 children 
9. Provision of reproductive health services (ANC/PNC) skilled deliveries