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From April to May 2024, Jowhar district, located in the Middle Shabelle region of Hirshabelle state, experienced the Gu rains. These rains have had a significant impact on the local population, affecting approximately 7,000 people and displacing 6,900 individuals. The main causes of displacement were flash floods and river breakages, which occurred in several villages and internally displaced persons (IDP) settlements within the district. Additionally, the floods have caused extensive damage to agricultural resources, hindered access to healthcare and nutrition services, and worsened the sanitary conditions for both the vulnerable host community and IDPs. According to the 2023 Post-Deyr FSNAU seasonal assessment, the food security and nutrition situation in the district remains critical, designated as Phase 4. The global acute malnutrition (GAM) rate stands at 17.5%, with an estimated acute malnutrition burden of 39,680 individuals, surpassing the IPC acute malnutrition emergency threshold. Although the recent rainfall during the Gu season is expected to improve the overall livelihood conditions in the district, the unsanitary conditions pose a significant risk of a severe cholera outbreak and a subsequent increase in child wasting.