Provision of improved access to emergency and lifesaving nutrition and healthcare services to vulnerable and under-served population of Cadale district. This project is designed to provide life-saving humanitarian response to 48174 vulnerable persons in hard-to-reach and underserved areas of middle shabelle region. Woccas nutrition and health sectors will employ an integrated strategy to support recovery of severely malnourished persons, prevent deterioration while boosting access to essential healthcare services. We will target pregnant and lactating women (PLW) and children below 5 years (CU5) in the host community, IDPs and returnees  in Adale where we are the secondary rationalized partner. In Adale we will operate 1 static outpatient therapeutic feeding center (fixed OTP) and 2 mobile outpatients therapeutic feeding programme teams (mobile OTPs) targeting 8 locations chosen on the basis of vulnerability and absence of nutrition interventions in the district. The static facility will be established in Cadale town area while the 2 outreach teams will serve 8 locations namely Ceel Xarar, Ceel Yaag, Boos Hareri, Buro Sheikh, Garas Dhagey, Janab, Gudgudud and Gacal Nur. We will engage UNICEF/WFP for backstopping during training of the project staff, community health workers (CHWs) and mothers for the “mothers MUAC approach”, on nutrition screening and case identification, Integrated management of acute malnutrition(IMAM),Infant and young child feeding education (IYCF-E) and Nutrition, health and hygiene promotion (NHHP).The trained staff will be deployed to the targeted locations, mobile/static OTPs where together with the trained mothers will screen CU5 and PLWs. CU5 with severe acute malnutrition (SAM) conditions will be enrolled in the static/mobile OTPs for nutrition and medical rehabilitation. CU5 and PLW with MAM conditions will be referred to TSFP centers. We will open 2 fixed TSFP/BSFP centers, one in Adale town and the other in Haji Cali to be integrated with a fixed nutrition centers operated by WOCCA. Hygiene promoters will be trained on Nutrition, Health and Hygiene Promotion (NHHP), they will disseminate hygiene promotion messages to prevent outbreak and spread of communicable diseases like AWD/cholera. Mothers will be counseled by trained nutrition staff and CHWs on appropriate maternal infant and young child feeding as part of efforts to prevent malnutrition. We will also provide micronutrient support by distributing multiple micronutrients (MMNs) and Vitamin A supplements to PLW and CU5 through the static/mobile facilities. A referral system will be put in place to transfer patients from one component to the next (when the patient condition worsens), or to return to the previous one if the evolution of treatment is satisfactory. In order to boost access to essential healthcare services, we will borrow from the successes of our ended IERT project We will upgrade, equip and properly staff the fixed nutrition centers to provide basic health services to malnutrition affected population by providing access to treatment of common childhood diseases and Health care support to PLW (including ANC and PNC), and EPI. Efforts to improve vaccination in drought-affected and marginalized populations will be integrated into fixed and mobile service delivery mechanisms.  doctors and nurses will be hired for the nutrition centers. emphasis will also be given to social mobilization campaigns to educate communities on common health issues and support implementation of community hygiene Promotion for epidemic outbreak Prevention. UNICEF and WFP have been supporting WOCCA with nutrition supplies and technical guidance on previous nutrition projects, in this project WOCCA will still engage UNICEF and WFP to provide nutrition supplies and technical support for management of SAM and MAM cases.