Integrated Health and Nutrition Project  for the most vulnerable IDPs sites and host communities in Sirwah and Harib Al Qaramish districts of Marib governorate - Priority 1 The project is aligned with the overall objective of the second Standard Allocation 2021 "to increase dignified living conditions for people affected by the conflict and will ensure that people living in IDP sites and nearby community witness an improvement in dignified living conditions through a holistic and integrated response to their needs",  the project of “Integrated Health and Nutrition Project for the most vulnerable IDPs sites and host communities in Sirwah and Harib Al Qaramish districts of Marib governorate aims to contribute to reduced morbidity and mortality due to malnutrition and spread of disease through providing of an integrated package of life-saving, preventative and enhanced quality health and nutrition services for 19839 individuals, this number is dis-aggregated (3887 men, 4047 women, 5830 boys, and 6075 girls)  of vulnerable IDPs in sites and most affected host communities in Sirwah and Harib Al Qaramish districts.

The proposed health interventions are entirely aligned with the 2nd health cluster strategic objective” Increasing access of vulnerable populations including IDPs to the Minimum Service Package, supporting the health system and community resilience at all levels, and prioritizing reproductive health, mental health and psychosocial support, severe malnutrition response and management of noncommunicable diseases”. 

Under the health component, RDP will support 4 health facilities (Al Mahjizah Hospital and Raql health center in Sirwah district of Marib governorate, and Shujaa and Al Lakmah health units in Harib Al Qaramish district of Marib), with health hazard allowances, medicines, medical supplies, and operational running cost. Meanwhile, RDP will support the rehabilitation and provision of medical equipment and furniture for only Al Mahjizah Hospital and Raquel health center in Sirwah district.  

RDP will access to 19839 individuals dis-aggregated as (3887 men, 4047 women, 5830 boys, and 6075 girls) of the most vulnerable people including IDPs and affected host communities with the following health services: 

Medical Consultations.
Regular Vaccination.
Reproductive health (post and antenatal care and deliveries)
Cash for health support for emergency cases referral
Health education

It is worth mentioning that the supported health workers will conduct 128 outreach visits in conjunction with UNICEF mobile teams operating due to the high density of IDPs in the hosting sites and affected population in 2nd amp 3rd catchment areas.

In the nutrition component, the project is lined with both 1st and 2nd cluster objectives, for this purpose, RDP will support the four targeted HFs in Marib governorate (Al Mahjizah Hospital and Raquel HC in Sirwah district and the health facilities of Shujaa and Al Lakmah in Harib Al Qaramish district), where 4 well-skilled nutrition workers in HFs will be supported with hazard allowances and 10 CHVs will be contracted to work at community (level2 and level3), to conduct MUAC screening and awareness sessions. On the other hand, RDP will establish 4 IYCF corners (one corner per HF).

At least 1929 children 6-59 months (984 Boys, 945 girls) from 6 to 59 months and 1428 Pregnant lactating women will be reached with one type or more of nutrition services (Treatment of SAM in OTPs and MAM cases among U5 children and PLWs in TSFP and IYCF counseling to mothers and caregivers).

The HampN interventions will be implemented for a period of 8 months and 3 months coordination to get the sub-agreement and it will be integrated with YGUSSWP who will implement Shelter, CCCM, WaSH, and protection interventions for the same period targeting same the prioritized locations in IDPs collective sites in (Al-Hazm, Al-Naarah, Al-Mogizah, Al-Kolieb, Al-Khaniq, Adwam and Al-Kafi hosting sites) in Sirwah District. In addition, RDP will cover Hawsh Aljamea'a, Al burqa'a, Alrawda sites in Sirwah District and Bani Amr and Bani Sakran sub-districts in Harib Al Qaramis