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Medium term• As part of the effort to tackle the staggering level of acute and chronic malnutrition,there is a need for an integrated strategy to short term, medium term and longer termprogrammes addressing both the acute and chronic malnutrition. Therefore, anintegrated health and nutrition package (Immunization, Micronutrient supplementation,IYCF, CMAM) complimented with programmes aimed at improving household foodsecurity, water and sanitation need to be implemented in Lahj governorate in acoordinated way to bring down malnutrition, particularly in the remote villages withlittle access to facilities and high levels of malnutrition,• Closely monitor the food security situation and develop a contingency plan to provideprompt emergency relief as appropriate.• Establish a nutrition surveillance system to monitor the situation to act as an earlywarning system and as a referral mechanism for malnourished children.• Promote salt iodization programmes.• Improve vaccination coverage by enhancing the governorate’s mobile health serviceinitiative and implement SPHERE standards with special focus to vitamin Asupplementation as well.• Improve management of ARI and Diarrhea in the communities with focus on preventivemeasures and possible curative responses.• WASH campaign to promote safe hygiene and caring practices• Improve already ‘satisfactory’ sanitation facilities and practices through healtheducation and disciplined camp management.• Implement programmes that will promote self-sufficiency and household food security.Food-for-training activities, food-for-work programmes, and agricultural rehabilitationare recommended as means of increasing employment opportunities and providing amechanism by which households can increase their immediate access to food.• A follow-up survey should be done after 6 months to assess the change in status of thepopulations and effect of health and nutrition interventions on malnutrition prevalence,morbidity and mortality• Develop the capacity of a multi disciplinary team in Lahj governorate to execute futuresurveys, analyse and interpret nutrition, food security and health information and toplan appropriate timely emergency response for the districts in the governorate.Longer term• Scale up WASH projects to improve access to safe water and sanitary latrines• Develop strategies and test innovative initiatives to diversify income generation55