Nutrition, Health and WASH Rapid Response for conflict affected populations along the Monguno Corridor - Gajigana (Magumeri LGA), Gajiram and Gassarwa (Nganzai LGA) The proposed action aims to reach a total of 37,661 individuals (IDPs, hosts and returnees) to improve the nutrition and health status of these vulnerable and affected peoples and provide WASH services for the communities. These services would be provided in 3 locations across two LGAs: Gajigana (Magumeri LGA), Gajiram and Gasarwa (Nganzai LGA). These LGAs and subsequent response activities have been prioritized based on needs assessments conducted by humanitarian actors, Nutrition and Health Sectors, and Action Against Hunger including direct discussions and feedbacks from the targeted affected communities the LGAs are prioritized in light of recent influx of IDPs along the Monguno corridor in the past few months due to intensive military operations being conducted.  Also, provision of integrated nutrition and health services will be ensured through fixed and mobile approaches (Gajigana: 4 mobile sites, Gajiram: 2 Health Facilities (HF) and 2 mobile sites, Gasarwa: 1 HF and 2 mobile sites). In Gasarwa, AAH proposes to set up a Stabilization Centre (SC) that will be equipped and trained to accept referrals for all cases with medical complications within the catchment area. This SC will offer 24 hours a day of services with trained staffs and specific material for secondary health care dedicated to SAM cases with complications according to Nigeria National Guidelines for Inpatient management of SAM in Infant and Young Children in Nigeria. AAH plans to support minor rehabilitation and essential equipment of Gasarwa PHC by this project to set up the SC. Drugs (SAM Kit) will be provided by WHO while UNICEF will support the project with nutrition products (F75, F100 and Resomal). A referral system will be established to support proper identification and transfer of cases from OTP to SC and return of those beneficiaries to OTP to complete their treatment. Transport of patients and caretakers will be reimbursed by AAH as there is no ambulance available in Gasarwa for now.

Regarding nutrition, AAH will support general under 5 years mass MUAC screening every month and for new arrivals to identify SAM and MAM cases OTP and SFP to ensure proper treatment and follow up of those cases with referral systems to nearest the Stabilization Center for SAM with medical complications promotion of E-IYCF and nutrition and health education in supported sites and in communities through health workers and community volunteers. Under the health sector, the project will support primary health care, immunization, ante and post-natal care including prevention of common diseases and outbreaks (malaria, respiratory infections, yellow fever, cholera, and diarrhea). These activities will ensure access to essential health and nutrition services for the vulnerable populations, thereby helping save lives affected by malnutrition and disease. This integrated multi-sectoral action is going to follow a community-focused approach, to ensure that the beneficiaries are involved in the project implementation from day one. 

Under the WASH sector, AAH will ensure the provision of safe drinking water, construction of emergency latrines, hygiene promotion activities and distribution of hygiene kits.