IYCY Integrated emergency life-saving interventions with Nutrition, Health , WASH under the parameter 1 for most vulnerable affected populations group with high risk of famine and with high SAM prevalence in Maqbanah, and Mawza districts in Taizz IYCY is planning to complement its intervention under the parameter 1 and expand high impact programs and respond to the health, Wash and Nutrition needs to most affected populations group in areas with high risk of famine and high SAM prevalence and will ensure that CMAM beneficiaries have access to basic lifesaving services of Nutrition, Health and WASH. This integrated proposed project will cover the most unmet needs for the vulnerable population groups 34,616 individuals ( 5,972 men, 9,050 women, 9,456 boys, 10,138 girls ) focusing on child U5 years and PLWs and elder in areas of IPC 5 in 2 districts of Maqbanah, and Mawza in Taizz governorate. 

-Key nutrition interventions will be recruitment of 2 HWs per HF (to roll out the lacking CMAM components) amp 10 CHVs in each target district, CMAM and IYCF trainings for HWs amp CHVs, provision of routine medicines, provision of preventative services. Both HWs amp CHVs will be responsible for providing all CMAM services for children 6-59 months with SAM at HFs and at community and household levels i.e. nutrition screening, admission into TSFP amp OTP, Vitamin A supplementation, Fe/Fo supplementation to PLWs, deworming, Zinc supplementation for diarrhea cases, hygiene promotion amp other key primary health services. To strengthen community sensitization on malnutrition, active amp passive screening, referral systems amp defaulter tracing mechanisms, the CHVs in target locations who will also disseminate key IYCF/Hygiene key messages during nutrition awareness sessions at community and household level. The total target beneficiaries with nutrition services are 3,183 individuals (1,991 children aged 0-59 month ( 969 boys and 1,022 girls ) and 1,192 PLW). 

-Key health interventions: This project response to ensure provision of critical lifesaving and sustaining health care to highly vulnerable people and those affected by disease outbreaks and conflicts in the 2 target districts in Taiz. Health program will improve access to essential lifesaving primary health services, including maternal, reproductive, neonatal, child health care and immunization services. Additionally, the health program will treat communicable diseases and improve surveillance and control mechanisms by emergency training, operational support and incentives for health staff. The CHVs will raise awareness around common childhood diseases, maternal and reproductive health concerns and distribution of safe delivery kits . These health promotion activities will be linked with hygiene promotion and improved nutrition promotion activities which will specifically target households with malnourished children. The total target beneficiaries with health services are 24,274 individuals (4,612 men, 6,069 women, 6,554 boys and 7,039 girls).

-Key WASH interventions will comprise of provision safe water, support to safe sanitation and hygiene promotion in 2 target districts. the project will reach with WASH services over 7,159 individuals (1,360 men, 1,790 women, 1,933 boys and 2,076 girls). The Wash program will improve access to essential lifesaving of Wash services through water quality surveillance, provide water filters for household level water treatment to SAM HHs. The project will Support to safe Sanitation by conducting cleaning campaigns focusing on open sewage, provide support for solid waste collection and disposal in areas with high SAM prevalence. In addition the project will improve the Hygiene practices through provision of consumable hygiene kits to SAM HHs, training of Community WASH Volunteers (CWVs) /WPs on hygiene messages conducting hygiene promotion / community mobilization. Hygiene promotion activities will complement the nutrition and health awareness raising activities in the community.

There will be clear synergy between the activities across the integrated response. Households with at least one malnourished child will be prioritized for household nutrition, health, and hygiene promotion activities.