Provision of lifesaving primary health care services for communities affected by climatic shocks in Kismayu and Galkacyo (North) ltpgtDespite modest gain in food security situation, the 2024 Somalia HNRP indicates that 6.6 million people in Somalia need provision of emergency health interventions. According to the Somalia Federal MOH, significant rise has been reported in cases of AWD since January 2024 with major gap in accessing of health services. The proposed project is designed to increase access to inclusive primary health services, with the goal of preventing, responding to, and managing disease outbreaks, while also addressing key root causes. In this project, Save the Children proposes to deploy or support six health centers, one primary health unit and one mobile team. These resources will provide essential, life-saving health services to communities affected by crises in two districts - Kismayo and Galkacayo (North) - of the ten districts targeted by the allocation strategy. SC targets Gaalkacyo and Kismayo districts among the five districts with the highest numbers of people in need (PIN), including internally displaced persons (IDP), returnees and in hard-to-reach rural areas, with ‘severe’ and ‘extreme’ intersectoral could worsen without humanitarian support. In Kismayo district, SC proposes to operationalize one mobile health team, one health center and one primary health unit for the IDP camps and rural communities affected by crisis like flooding, armed conflict, and drought.  In Gaalkacayo (North) district, Save the Children is proposing the support of 5 health centers for the people with the greatest needs among the crisis affected communities. Provision of life-saving primary health care services through fixed and mobile outreach services through the essential package of health services (EPHS) such as clinical care, child health care, immunization, communicable disease treatment, and emergency treatment, cholera/AWD treatment. The project will prioritize provision of life-saving primary healthcare services based on essential package of health services (EPHS)  such as clinical care, child health care, routine immunization, communicable disease treatment, mental health and psychosocial support, emergency treatment, cholera/AWD treatment ,and sexual and reproductive health services (ANC, PNC, safe deliveries, newborn care dignity kits for pregnant mothers)  to the most vulnerable among the affected communities with a focus on children and pregnant women in newly established sites for displaced people, newly recovered areas, and residents in rural and hard to reach areas in Kismayo and Galkacyo. The project will support provision of emergency reproductive health services such as MISP for underserved populations and will establish referral pathways for Gender Based violence (GBV), malnourished children, pregnant women with complication, and Mental Health and Psychosocial Support (MHPSS) linkages. The Prevention and response to outbreaks of diseases will be achieved by continuous social mobilization, education and advocacy using integrated community-based volunteers, early detection, and early treatment of infected patients. The project is designed to tackle gender-related challenges by gathering data segregated by sex and age. This data will be scrutinized to pinpoint disparities, implement interventions sensitive to gender issues, and guarantee the involvement and empowerment of women. The project will specifically focus on People Living with Disabilities, women, and minority groups to guarantee their access to services. The effectiveness of this focus will be evaluated through the collection of data disaggregated by disability, gender, and age at all stages. Measures will be put in place to protect beneficiaries during the access and use of services, with the aim of minimizing additional risks. Through trained and qualified staff, the project is estimated to directly reach 104,436 (21,332 male, 31702 female, 25743 boys, 25659 girls) vulnerable people with lifesaving primary health care services.ltbrgtlt/pgt