Integrated Basic Health and Nutrition Services to malnutrition affected population by addressing high morbidity by providing access to treatment of common childhood diseases for U5 children and Health care support to PLW in 9 targeted site (Baidoa outskirts) in Baidoa district. As indicated by the FSNAU technical report, April 2019 Bay Agro-pastoral livelihood where the nutrition situation was Serious (GAM 10-14.9 percent) in January 2019, malnutrition is likely to have deteriorated to Critical (GAM 15-29.9 percent) between February and April 2019, due to reduced access to food on account of the below-average 2018 Deyr harvest, declining humanitarian assistance, and increasing morbidity levels related to water shortages. 

The proposed interventions therefore seek to provide basic health services and to support recovery among malnourished (GAMgt15%) Critical and prevent deterioration in U5 children(1620 Boys and 1980 Girls) and PLW(3,435) in malnutrition affected population by providing access to treatment of common childhood diseases and Health care support to PLW by addressing high morbidity, low immunization, Vitamin A supplementation for U5 children(1620 Boys and 1980 Girls)  and Health care support to PLW(3,435)  in Baidoa district outskirt villages (Lowile, Lanbule, Geldhere, Munaawur, Busley, Qaahira, Aragaduud, Awdinle Villages and The New IDPs relocation site). 

This will be provided through Treatment of common childhood illnesses, Provision of immunization services, Provision of maternal healthcare (ANC and PNC to PLW), Mass screening of children under the age of five (1620 Boys and 1980 Girls) and PLWs (3,435), Integrated treatment of acute malnutrition (both moderate and severe acute malnutrition), Micronutrient support for vulnerable groups (children U5 amp PLW) with Vitamin A amp MMN, Blanket supplementary feeding in prevention of acute malnutrition for children under two and PLW, Integrated multi-sectorial nutrition, health, hygiene preventative, food security and promotional support including IYCF support for caregivers (20-30% HH targeted by FS) and MAM/BSFP assistance delivered through the SCOPE platform consists in all beneficiaries’ registration, assistance top- up, redemption, health and nutrition behavior change promotion aligned to basic nutrition service package, strengthening referral and linkages with other Health and Nutrition , food security and livelihood interventions in the area  for holistic support .

The proposed project will  be linked to the SHF supported FSL interventions that  also  seek to address the food gaps while at the same time creating productive assets for the community which are anticipated to improve their resilience to shocks and disasters. While this proposed nutrition and Health interventions will address immediate nutrition treatment needs, the proposed FS activities mainly to protect and restore livelihood-related food and income sources, this will go a long way in contributing to a resilient community thus contributing to improved food security at the household level.

Engagement of CHWs (5 female and 4 male) as change agents during IYCF Promotion, nutrition screening, Health and nutrition education on groups (Mother-led groups, father-mother led groups) coupled with other aspects of nutrition sensitive interventions will go a long way in mitigating malnutrition within the affected communities in Baidoa district outskirt villages (Lowile, Lanbule, Geldhere, Munaawur, Busley, Qaahira, Aragaduud, Awdinle Villages and the New IDPs relocation site) which makes it 9 targeted sites.

The proposed intervention would have one fix and 4 mobile teams ( Each team is made up of Clinical officer, Qualified Nurse,Qualified Midwife, Vaccinator, IYCF/NHHP Promoter, Nutrition screener, Nutrition Registers,Scope staff, CHWs) that would be covering 8 villages in the outskirts of Baidoa and the New IDPs relocation sites that was provided by the governments for IDPs at risk of evictions to be relocated to the site.