Integrated Famine Risk Reduction Intervention of Health, Nutrition and WASH in
Al Mukha, Dhubab Districts of Taizz  Governorate  Al Hawak District of  Al Hudaydah Governorates ( Parameter 1) The proposed project aims to scale up access to integrated Nutrition, Health and WASH services for 83,003 individuals from IDPs and HC disaggregated by sex and age (25,933 Men, 27,219, Women, 15305 boys and 14,546 girls),  in Al Hawak district of Al Hudaydah governorate and Al Mukha and Dhubab districts of Taizz governorate. The project is under Parameter 1 response of health, nutrition amp WASH clusters. The project activities have been designed based on gaps and needs reflected in needs assessments, health, nutrition, and WASH clusters output classifications and ranks of severity scores and indicators, proposed districts’ and HFs’ population catchments and in close coordination with (GHO) and (DHO) in Dhubab amp Al Mukha districts of Taizz Governorate. The GAM threshold in Al Mukha in Dhubab districts is 27.9 %. While in Al Hawak district of Al Hudaydah governorate is 27%. according to 2018 IPC findings the three targeted districts are estimated in critical situation where 7.5% of total population in these districts are in phase 5 of IPC classification WASH Cluster identified Al Hawak as high priority for Cholera affection. Accordingly, Al Hawak district and Dhubab and Al Mukha of Taizz are listed in the 45 districts with high risk of famine. 
The project will support the following HFs:
Wahejah HF.
Al Ordhi HF.
Ghareerah HF.
in Al-Mukha District:
Yakhtul HF
Al-Zuhari HF
Al Thawbani HF
This proposed project will provide 1) nutrition services to the total of 8778 children U5 and PLW, (2026 women, 3424 boys, and 3292 girls), focusing on children U5 screening from acute malnutrition, SAM treatment, and IYCF, 2) health services for 24,488(8525 Men, 8246 Women, 3329 Boys, and 3793 Girls ) through providing MHSP to the most vulnerable people in the targeted districts, and WASH services to 49737 individuals (17,408, 16,911, 7958, 7461 Men, Women, Boys and Girls respectively) SAM Children in Al Hawak district. 
The project is integrated of three components “Nutrition, Health and WASH” to maximize the efficiency of delivering integrated services.
Health intervention will: 
-Providing primary health care including and referral service.
-Providing Reproductive health services (Normal deliveries birth, ANC, PNC, FP)
-Conducting immunization and response to the outbreaks
-Cholera prevention and response
-Conduct health education and promotion sessions
-Provide incentives to 34health workers in targeted HFs of Al Mukha and Dhubab districts. 
-Provision of essential Medicines, medical equipment and supplies to health facilities.
-Providing 14 health workers (7 Men and 7 Women) with training 
The nutrition intervention will:
-Conduct CMAM and IYCF training for HWs
-Conduct basic/refresher training for CHVs
-Screening of 4,545 Children (2,318 boys and 2,227 girls) aged from 6 to 59 months for Acute Malnutrition and referring them to treatment programs (OTP or TSFP) if needed
-Treating SAM in OTP
-Providing deworming drugs to children 24-59 months
-Testing and treating of malaria among children with SAM.
-Providing WASH/Hygiene Kit to SAM children
WASH intervention will:
-Provide spare parts and maintenance for sanitation systems
-Family latrine rehabilitation / desludging
-Distribution of / support for consumable hygiene kits
-Conduct community-led cleaning campaigns for IDPs,vulnerable groups and other affected communities
-Training of community volunteers in hygiene promotion and community engagement
-Conduct Hygiene promotion sessions and community engagement
-Develop information, education amp communication products and materials on hygiene practices, cholera prevention.
TYF will implement these activities in partnership with its IP who will implement the WASH activities in AL Hawk district, while it will implement HampN activities in Dhubab and Al Mukha where its operating. 
Prior to the TYF has coordinated with GHO and DHO, health, nutrition, and WASH clusters.