Integrated Health, Nutrition and WASH emergency intervention to prevent deaths due to severe acute malnutrition, epidemics and 
waterborne diseases through IERT in drought affected districts of Barawe and Qoryoley in Lower Shabelle Region The project is a response to the needs assessment carried out by New ways to target the under-served stratum of the population in Barawe and Qoryoley districts to provide an integrated health, nutrition, WASH, food security and education services through the 7 IERTs.(4 IERTs inrBarawe district and3 IERTs in Qoryoley district). IERT under many circumstances provide this crucial contact with the underserved stratum of the population (IDPs, vulnerable host communities, minorities, etc) Their role is partly in improving access to available resources, but it is also important in fostering behavior change and, more generally, in supporting caring practices. Such programs may also play a part in mobilizing social demand for services and in generating pressure for policy change. New ways intend to Implement and improve an integrated health, nutrition, wash, food security and education interventions, especially in poor communities, which require a combination of community and facility-based activities, with support from central levels of organization. IERT may also play a part in mobilizing social demand for services and in generating pressure for policy change, targeting specific areas with low accessibility and specific biological groups—generally women and children— within those areas, followed a bottle neck analysis exercise of our programs (health, nutrition and Wash) in a workshop organized by UNICEF, concerning “the Integrated Management of Acute Malnutrition Bottleneck Analysis Solutions and Action Planning Workshop on 9 - 13 April 2017, Central and Southern Regions” that was held in SKA at Mogadishu International Airport. The IERT will promote infant and young child feeding promotion through home visits and campaign, targeting pregnant and lactating women as well as men. The IERT will be composed of Nurses, CHWs, that will Screen, register, and promote IYCF,and hygiene, all under the supervision of IERT supervisor. The IERT supervisor will monitor team performance and report on metrics, motivate team members, discover training needs and provide coaching 
They will screen lt5 children and pregnant and lactating women for malnutrition, admitting them or discharging when it’s appropriate, following the IMAM guidelines, keep accurate records of all admissions, discharges, transfers, defaults, and death in the program, using OTP registers. New ways will ensure that most vulnerable displaced and disaster affected women. Girls, boys and men have increased and equal access to safe and appropriate water, sanitation and hygiene promotion services. chlorinating water sources and disinfecting water containers – for safe transportation of water.

IERT will liaise with the education sector to conduct screening exercises at schools. Nutrition and health teams working with the program will conduct screening at school level. lt5 children identified to be malnourished will be referred for admission to the prom. The health teams will also screen pupils for illnesses such as AWD/cholera, measles and provide appropriate treatment for those diagnosed for various illnesses. The project will target 11 primary schools (6 in Barawe and 5 in Qorioley) with a total of 2640 pupils. 
IERT program will also implement food security component which will be part of the integrated program. 500 most vulnerable drought affected households with severely and moderately malnourished lt5 boys and girls will receive monthly food through food voucher valued at US$64. This will be 50% of the household’s food needs .The program aims at improving households’ food security. It is realized that some of the acute and moderately malnutrition cases are linked with the households’ food security status.