Provision of Emergency lifesaving integrated health/nutrition services to drought affected population in Elbur district in Galgadud region The food and nutrition situation remain of concern with recurrent humanitarian crises (drought, conflict/displacement).  The FSNAU post deyr(2021) results indicated chronic level of acute malnutrition with GAM rate remained serious (10-14.9%) and SAM also remained serious (2.5-3.9%) in Elbur district of Galgadud region. The Nutrition Cluster estimates caseloads of about 1,460 SAM children and 7,630 MAM children annually in Elbuur district with an estimated population of about 91,000. The health indicators (e.g disease outbreaks) remain of concern. The number of suspected cases of measles have increased in 2022 compared to the previous years. This surge in cases is linked to the low coverage in measles vaccination of children below five years of age.  The proposed project seeks to provide life-saving health and nutrition interventions for boys and girls under 5, pregnant and lactating women as well as other members of the community in IPC3/4 impacted by severe drought conditions and rapid onset disaster (cholera, displacement), and those at risk of dying from severe acute malnutrition and poor access to health facilities.  The project will provide lifesaving basic primary health services EPHS to 25,000 drought affected people 2,500 men, 6,250 women, 8,125 girls  and 8,125 boys) in need of urgent support including 1200 acutely malnourished under-five  with SAM in the OTPs  , 140 SAM children with medical complications that will also be reached with lifesaving acute malnutrition treatment services through three fixed health/nutrition facilities  ( Dhagaxley HC/OTP/SC , Galqoryale HC/OTP, Ottor HC/OTP ) and 4 IERT teams in Wabxo, Dac, Dabafweyn, Galqoryaale , Qowley , Qalcad, Shawa,Middi dhilig and Sheikh omar. The project will support three integrated Health and Nutrition  centers and 4 IERT teams in Elbur district region.
At the end of the project , KAAH will provide the following health and nutrition intervention for six months 

Nutrition interventions :
1. Screen of 3,000 children under five with acute malnutrition (1650 girls ,1350 boys) using community and facility based screening. 
2. Treatment of 1200 children under five (660 girls, 540 boys) with severe acute malnutrition with out complication 
3. Establish stabilization center that is integrated in Dhagaxley Health centers for inpatient treatment of 140 children with SAM with medical complications in Elbur district. 
4. Provide multiple micronutrients supplementation (e.g iron folate) to 1250 pregnant and lactating women to reduce micronutrient deficiency among Pregnant and lactating women in Elbur district
5.  Conduct IYCF Counseling to  1000 mothers/caregivers visiting the nutrition sites. IYCF-E counselor will organize topics on IYCF-E, maternal nutrition targeting mothers of children 6-59 months served at the nutrition sites

Health Interventions 
1. Provide outpatient consultations of communicable and non-communicable diseases to 25,000 drought affected people 2,500 men, 6,250 women, 8,125 girls  and 8,125 boys)
2. Provide routine immunization at facility level and outreach immunization to  women, 2,300 girls, and 2,300 boys ) at their respective ages by ensuring availability of BCG, Polio, Measles, and Pentavalent to prevent against Vaccine Preventable Diseases (VPD) and other related communicable disease.
3. Provide medical supplies and equipment to  three health center Dhagaxley HC/OTP/SC , Galqoryale HC/OTP) and four  IERT teams
4. provide ANC/PNC and skilled birth attendance to 1200 PLW