Integrated Emergency Health and Nutrition Response in Sana'a and Amran Governorates (Parameter 2) This project will ensure and improve access to life-saving health and nutrition services for the most vulnerable boys, girls, women, and men in 11 districts across two governorates in Yemen: Sana’a (Manakhah, Sa’fan, Al Haymah Al Kharijiyah, Nihm and Khawlan) and Amran (Amran, Huth, Kharif, Harf Sufyan, As Sudah and Al Ashah). Of the targeted districts, 7 are prioritized by the Health Cluster (Amran, Huth, Harf Sufyan, Kharif Manakhah, Sa’fan, Nihm) while 10 are prioritized by the Nutrition Cluster (Nihm, Khawlan, Manakhah, Al Haymah Al Kharijiyah Amran, Huth, Kharif, Al Ashah, As Sudah, Harf Sufyan). RI will provide operational support to 32 health facilities (HFs), 29 fixed and 3 Mobile Medical Teams (MMTs), to provide health services at the relevant level of the healthcare system. Support includes health hazard allowances and training for HF staff essential medicine and medical supplies operational costs other support based on identified needs. With specific focus on new HFs not supported in the current project, RI will support HFs with equipment and rehabilitation, including minor infrastructure repairs water system rehabilitation latrine rehabilitation and setup of medical incinerators. RI will support referral system to ensure patients have access to required higher-level care, including emergency care. RI will include health-related capacity building for 66 health workers (HWs) across all 32 supported HFs. RI will support the Expanded Program of Immunization (EPI).

RI will complement health services with integrated first-line nutrition services in 18 of the 21 HFs (5 in Sana’a,13 in Amran) - 5 hospitals, 4 health centers (HC), 6 health units (HU), 3 MMTs. Services will include integrated community-based management of acute malnutrition (CMAM), with screening and referral, management of Severe Acute Malnutrition (SAM) and Moderate Acute Malnutrition (MAM) in children under 5 (CU5), and MAM in pregnant and lactating women (PLWs), including provision of de-worming, amoxicillin, Vitamin A, and micro-nutrient powder. Curative services will be complemented by preventive services which cover the establishment and maintenance of Infant and Young Child Feeding (IYCF) corners targeting caregivers with child health and nutrition education. 3 HFs (2 in Harf Sufyan, 1 in Sa’fan) will be supported only for health services provision – as support for nutrition is provided by other actors and/or district is not considered under this allocation by the Nutrition Cluster. In 11 additional HFs, RI will only support nutrition services, where health services are supported by other actors (World Bank/UNICEF), including 1 Therapeutic Feeding Center (TFC) in Almadeed hospital. A total of 29 nutrition-targeted HFs (26 fixed and 3 MMTs) will be supported. RI will include nutrition-related capacity building for 70 HWs across all 29 nutrition-supported HFs, where integrated interventions will be reinforced by a network of 207 Community Health Volunteers (CHVs) mobilized under this project.

Selection of the HFs has been coordinated with and approved by the Governorate Health Offices (GHOs) (1a to 1d) and the Health and Nutrition Clusters (13a to 14d). The intervention is also coordinated with Ministry of Public Health and Population (MoPHP) (13c, 13f). The nutrition cluster will further coordinate with WFP for MAM coverage and supplies (16). The catchment population of the 21 health-targeted HFs, including 18 HFs with integrated health and nutrition interventions, is 119,654. RI will target a total of 89,740 affected people, constituting 75% of the total catchment population with 78,971 host community members and 10,769 IDPs (88% and 12%, respectively). RI will target an additional 6,795 individuals (4,652 CU5 2,143 PLWs) in the 11 HFs targeted only under the nutrition component. Each member of the community who will benefit from at least one health or nutrition service within RI’s targeted HFs will be counted as one beneficiary.