Anticipatory and post Gu health response for communities likely to be affected by flooding in Luuq District ltpgtThe project seeks to ensure effective, timely and dignified health service provision in the wake of the projected above average Gu rains that will consequently lead to flooding in Luuq. In alignment to the cluster objective of ‘reducing excess morbidity and mortality, preparing, preventing, detecting and timely response to epidemic-prone  endemic diseases, driven by climatic shocks’, as well as the HRP objective of preventing loss of life by decreasing the prevalence of public health threats and impact of natural disasters (floods), this intervention will improve access and timeliness of health service delivery. The anticipated risks include vulnerable populations’ susceptibility to outbreaks including cholera and AWD therefore an anticipatory action is expedient to mitigate adverse health risks associated with the outbreak. Quality case management and prevention of disease outbreaks will be prioritized at facility and community level, and awareness and coping capacities of communities and stakeholders in response to crisis will be enhanced. One outreach team will be supported to provide health services in key evacuation sites, and two static facilities will offer essential health services. To improve the response, CHWs will be trained to effectively undertake community mobilization, health education, and surveillance and infection prevention measures, while frontline workers will be capacitated on emergency preparedness and outbreak response. Outreach team will provide ANC services while CHW will undertake community sensitization, linking Pregnant mother to static facilities for specialized obstetric care at Akara (BeMONC) and Luuq (BeMONC / CeMONC). CHWs, CHC and health workers will be trained on RCCE to effectively disseminate key early warning messages, ensuring the communities are well prepared.ltbrgtMedical and non-medical supplies including sexual/reproductive health kits will be procured and prepositioned in preparation for the anticipated flooding. Outreach and facility-based services will be provided including out-patient consultations, postnatal care, comprehensive case management for the GBV survivors (including the survivors of sexual violence (SGBV) and other GBV survivors) through first line care, CMR services, and PFA. A temporary CTU will be established in an evacuation/IDP site, based on a rapid needs assessment to provide timely and quality curative services, and cope with the likely outbreak.ltbrgtAccountability to Affected Populations is embedded in the design through community dialogue sessions which will bring different stakeholders together (including women, youth, elders, community leaders, IDP camp leaders, religious leaders, service providers and local authorities), to ensure that Trocaire is being held to account, taking account, and giving account to targeted communities during the lifecycle of this action. Joint supervision visits with the MoH and District Health Board (DHBs) will be conducted with a view to strengthen response and encourage preparedness. Potential project risks have been identified at the design phase of the and a risk register (including mitigation measures) populated. The risk register is a live document and a learning source for the organization to ensure improved programming. The action will optimize synergies with ongoing efforts by the Health and WASH partners, and the MOH, in the project location as well as build on the gains made, by Trocaire through the SHF funded Cholera (CBPF-SOM-23-R-INGO-25209) and El Nino (CBPF-SOM-23-R-INGO-26596) projects. The project will work with the anticipatory action partners i.e. ACTED (MPCA) and ASEP (WASH), ensuring integration through convergence. This will include joint targeting (ensuring same beneficiary are targeted), joint community mobilization and joint beneficiaries’ registration to foster coordination. The intervention will set out to reach 40,000 individuals from communities most at risk of flooding in Luuq district.ltbrgtlt/pgt