Integrated Humanitarian Assistance
to Northeast Nigeria (IHANN)

The humanitarian situation remains critical in northeast Nigeria, with an estimated seven million people in need of humanitarian assistance and more than 1.9 million internally displaced persons (IDPs) from nearly 365,00 households. Borno State alone hosts more than 70% of the total number of IDPs in the northeast. Additionally, Nigerian refugees from neighboring countries are returning in masse, especially to border areas including Banki, Ngala, and Damasak. The displacement and lack of access by humanitarian responders to areas controlled by Insurgents have resulted in critically low levels of essential, lifesaving services.

In 2017, FHI 360 commenced its flagship multisectoral Humanitarian Response project – the Integrated Humanitarian Assistance to Northeast Nigeria (IHANN). The IHANN I ran from January 13, 2017, through March 31, 2019.

Funded by the U.S. Agency for International Development (USAID) Office of U.S Foreign Disaster Assistance (OFDA), IHANN contributed to reducing morbidity and mortality and improving the wellbeing of conflict-affected and displaced Nigerians in Borno state.

FHI 360 commenced activities in Banki-Bama, Dikwa, and Ngala LGAs in all sectors and significantly scaled up and expanded to Damasak-Mobbar LGA with fully integrated services.

The project delivered a fully integrated primary and reproductive health care; gender-based violence (GBV) and child protection; Nutrition; and water, sanitation, and hygiene (WASH) interventions to meet the most immediate needs of the affected population.

IHANN Core Objectives:

• To improve access to critical PHC, reproductive health, and health outreach services in
  Conflict-affected and displaced communities.
• To improve the well-being of vulnerable individuals through increased access to psychosocial
  support services (PSS) and integrated gender-based violence (GBV) and child protection support.
• To improve the well-being of IDPs and host communities through access to clean and safe water, improved sanitation facilities, and improved hygiene practices.
• To improve the nutritional status of the most vulnerable groups, including pregnant and lactating women (PLW) and children under five, in the IDP and the host community populations.

Key Achievements in IHANN I:

• Establishment and rehabilitation of five PHC clinics (two in Ngala and one each in Banki, Dikwa, and Damasak) to provide a spectrum of primary health care services, including outpatient consultations for communicable/non-communicable disease, sexual reproductive health (SRH), laboratory services, pharmacy services, and health education in the four field locations.
• Provision of healthcare services to 347,554beneficiaries through facility-based clinical outpatient consultations and community-level CHEW outreach across the field locations.
• Prevention and response to Cholera and Hepatitis E outbreaks in Dikwa and Ngala with the establishment of two Cholera Treatment Centers in both locations and WASH and
  Health sectors coordination to intensify community outreach.
• Conducted crucial referrals of the cholera cases and emergency and trauma cases from Banki, Dikwa, and Ngala to Maiduguri through government-supported ambulances.
• Increased level of GBV awareness, and as a result, community volunteers, leaders, and family members referred cases to FHI 360 for support.
• Preposition and supply of medical drugs and commodities to ensure comprehensive quality service delivery and prevent stockouts.

See IHANN  factsheet achievements.