Scale up for Provision of Integrated lifesaving health and nutrition services e to drought affected communities through IERT in Burhakaba district of Bay region. Responding to the urgent humanitarian need of the drought-affected people, SOS CV Somalia proposes to scale up and complement the ongoing SHF- 3rd reserve: famine prevention emergency health and nutrition interventions in the Burhakaba district of the Bay region. With the support of the 4th SHF 2022 reserve allocation, the proposed scale-up project aims to strengthen and expand lifesaving multi-sectoral IERT health and nutrition response packages for newly drought-displaced persons and vulnerable host populations by supporting additional facilities from 2 to 4 static health centres and 3 to 5 mobile outreach sites in Burhakaba district. Likewise, considering the rise of severe acute malnutrition case admissions among children under age five and the lack of a stabilization centre in the district, through the scale-up support, SOS CV Somalia will establish a stabilization center in Burhakaba district hospital and provide regular SAM treatment services for 2000 severely malnourished children with medical complications. The SAM children with medical complications will be treated with specialized therapeutic diets alongside diagnosing and managing complications during the in-patient care at the centre. The SAM children will be treated on a 24-hour basis with full medical surveillance and treatment of complications. 
In addition, considering the increased displacement populations in Burhakaba, SOS CV will scale up Community sensitization and mobilization sessions for health and nutrition promotion at community and household levels by strengthening the Community Workers (CHW) system and Area-Based Coordination with other partners. Additional Community Workers will be identified and trained who will work alongside a network of community volunteers/committees that have been already established. Under the supervision of qualified nurses and supervisors, the trained CHWS(10 female and 5 male)  will continuously conduct community sensitization, identification, and nutritional screening of 4,000(2,000 boys and 2,000 girls) malnourished children using MUAC tape and oedema checking to enhance the prevention of acute malnutrition and early treatment of SAM children with complications.  
Furthermore, the project will support the provision of life-saving primary health services to 10,000 IDPs and vulnerable host communities through fixed and mobile outreach services. For the fixed services, SOS CV will support and strengthen the capacity of the district hospital to provide quality and integrated primary health care services through the provision of essential medicines and supplies and additional qualified staff for the treatment of drought-affected children and mothers from and around the Burhakaba district. SOS CV will source medical supplies through a competitive bid process from trusted sources in Nairobi. More so, with the projected increase in IDP influx that will likely spike further around October, SOS CV plans to increase the mobile services outreach services from 3 to 5 and ensure a continuous offer of systematic preventative and curative services including medical care and nutrition services. The upscale support for health will primarily focus on clinical diagnosis and treatment for communicable diseases, treatment of common ailments, Antenatal and Post-natal care visits (ANC/PNC), immunizations, skilled birth attendants specialized obstetric and newborn care and as well provision of the ambulance for referral services. The proposed intervention will Integrate MHPSS services into primary healthcare facilities to improve the physical and mental well-being of draught-impacted boys, girls, women and men in Burhakaba and its catchment areas. In addition, SOS CV will provide Clinical Management of Rape (CMR) services to SGBV survivors and referral mechanisms will be enhanced as well as collaboration with GBV Cluster AoA will be strengthened to train the health workers.