Integrated Health, Nutrition and Wash Project in worst affected areas in At Tuhayta, Ad Duraihimi and Al Hali districts of Al Hodeidah Gov. (Parameter 1) Through this intervention, BFD will target 8 HFs in 3 out of 45 pre-identified priority districts with comprehensive integrated approach for famine reduction, through supporting emergency health, nutrition and WASH services for approximately 95,940 conflict-affected people in the targeted catchment areas of the supported health facilities in Hodeida governorate.

Through integrated Health, Nutrition, and WASH interventions of this project, BFD aim to reduce mortality, morbidity levels, increase wellbeing, prevention of famine, mitigate hunger among conflict-affected children, and their families in the targeted areas by supporting 8 fixed HFs (1 DH, 4 HC, 3HU) targeted as followed ,22 May HC in Alhali District, Allawiah HC, Alkumbaha HU in Alduraihimi District, Almatinah HC, Altuhaita district hospital, Dawm Alhadi HU, Alswiqe HC and Alshubailiah HU in Atuhaita district). Furthermore, minimum WASH package will be provided to the HF, HH, and individual level. please refer to Annex IV for detailed information on the targeted HFs and Boreholes.

Based on IFRR strategy, BFD will implement activities that aims in the prevention of famine in the 3 recommended levels of interventions (Household, community and system/ HF), the proposed interventions are summarized in the following components:
 
Health component,  
At System/HF Level
- Provision of MISP services (IMCI, RH including BeMOC, EPI and CMAM).
- Provision of medicines, supplies and equipment.
- Capacity building for the (MoPHP) staff.
- Provision of the needed rehabilitation for the targeted HFs.
- Provision of running costs, covering staff gaps, and health workers’ Incentives. 
- Establishing 8 ORCs (oral rehydration corner) in the targeted HFs (Cholera/watery diarrhea Management). 
- Support the referral services from the PHC facilities to advance care facilities such as Zabid district hospital.
At Community level
- Activation of outreach services within the 2nd, 3rd catchment zones by HWs of the targeted HFs.
- Training of 48 CHVs on Health promotion.
At House Hold level
- Through coordination with DHO RRTs, cholera suspected cases will be investigated and treated as per the cluster guidelines.
- Promote Health education awareness messages to 69123 individuals (28907 women, 11109 men, 14678 girls, 14429 boys)

Nutrition Component
At System/HF Level
- Supporting the targeted 8 HFs with OTP services.
- Establishing of 8 IYCF corners.
At Community level
- Screening and referral of  identified malnutrition cases for treatment as well as follow up of SAM defaulter’s cases. 
- CMAM training to 14 HWs. 
- Refresh training for the 48 CHVs.
At HH level
- Provision of deworming medicines and micronutrients to 12128 U5 (6185 girls, 5943 boys).
- IYCF awareness and counselling conducted by 48 CHVs.

WASH Component
On System Level
- Rehabilitation and provision of solar powered pumping units for two water schemes 
- Water Quality monitoring
- Support WASH in 8 targeted HFs (rehabilitation, cleaning material, water supply).

At Community level:
- Training of the 48 CHVs on Hygiene and sanitation promotion awareness.
At House Hold level
- Provision of BHKs for SAM and AWD cases
- Coordination with DHO RRTs for any suspected cholera cases.

Regarding BFD presence in the targeted HFs, BFD is supporting 3 out of the 8 targeted HFs (Altuhaita district Hospital, Allawiah HC, and Alshubailiah HU through ongoing UNFPA fund that only covers BeMOC services ends in April 2019). Through this project, BFD will ensure that the targeted 8 HFs will continue to provide an integrated health, Nutrition and WASH services as indicated in the above paragraphs. 

To prevent any duplication in Health, Nutrition and WASH interventions, BFD coordinated with Clusters, GHO, DHO, and GARWSP members. For further information, please, refer to the coordination’s letters and emails within the attached file Annex.