Access to quality essential lifesaving health assistance for conflict and flood-affected IDP and vulnerable host communities in Kismayo districts ltpgtSFH will work through 1 fixed health center-Bula bartire,1 PHU in Bulagaduud and 1 mobile health team that will cover 3 locations (Bulagarasey,      Hajiweyn IDP and Ceeljaale 2 IDPs) in Kismayo district to ensure successful implementation of the project. The project target 27900 (4,300 men, 4,980 women, 7,270 boys and 11,350 girls) beneficiaries benefiting from curative and preventing primary health care services.ltbrgtlt/pgtltpgtThe project will be headed by a Project manager supported by health officer who is an experience clinician and trained in clinical medicine and surgery. He will be responsible for the coordination and implementation of the project in addition to handling complicated cases at facility level. The teams will have qualified health professionals that will include qualified nurses, qualified midwives, auxiliary nurses, pharmacist, laboratory technicians, facility supervisors and health promoters. They will have a support team consisting of storekeeper and HMIS/data clerk. Each of the static/mobile teams will have a static/mobile tent and furniture (tables and chairs) that are collapsible and suitable for outreach services with an outreach van that will be hired and ensure the van hired have the capacity to carry both staffs and medical supplies. SFH will further ensure that a standby referral vehicle/ambulance is in place to enhance the referral cases. The static/mobile clinics will address the long distances to health facilities currently being traveled by women, men, boys and girls in IDP camps. Antepartum hemorrhage/postpartum hemorrhage remains the leading cause of maternal deaths—deaths that could be prevented through skilled midwifery services and the appropriate usage of drugs and medical commodities. ltbrgtlt/pgtltpgtChild deaths from conditions that should be preventable and manageable, such as measles, acute respiratory infections, are common especially in the IDP/ returnees’ camps and distant villages lacking access to health care services. SFH will equip the fixed facilities with basic essential commodities and equipment to provide quality primary health care service including vaccination, reproductive health care services, basic essential obstetric care including active management of third stage of labor and newborn and child health care services. ltbrgtlt/pgtltpgtAccess to skilled health care services remains problematic in remote villages. In most instances, the mobile teams within the community unit is the first service delivery point for beneficiaries. ltbrgtlt/pgtltpgtThese facilities are managed by CHWs/auxiliary nurses who are not fully fledged qualified health personnel, and who have not received much training, despite their direct and immediate contribution to life-saving health and nutrition interventions. ltbrgtImproved knowledge and skills on IMCI will enhance access to life-saving treatment at the community level and facilitate timely referral and linkage with the skilled health service delivery points.  SFH will recruit 4 CHWs. HWs will be on the ground to provide much needed information and linkages with the advanced care. SFH will train Health staff on IMCI, BeMOnC PSEA/MHPSS to contribute towards a reduction in the mortality and morbidity caused by common ailments such as malaria, diarrhea diseases, pneumonia, and severe acute malnutrition among children 2-5 years. Urgent safe motherhood interventions can mean the difference between life and death for pregnant women and their newborns, and for other children and relatives under their care.ltbrgtlt/pgtltpgtChildren under 5 and PLW, who are at higher risk of contracting malaria, especially in the riverine villages, will be targeted with distribution of routine LLINs to be provided by MOH/UNICEF. The distribution of LLINs will align with the Ministry of Health (MoH) guidelines: pregnant mothers in their second trimester who attend antenatal care (ANC) and mothers who deliver at the Health facility will be provided with LLIN to protect mothers, their unborn children and their newborns from getting malaria.ltbrgtlt/pgt