Between the March and May 2024, the country experienced severe flooding resulting in significant structural damage to houses and displacement of animals and residents. The Internally Displaced Persons (IDPs) were relocated to several camps, where they faced challenges such as overcrowding, inadequate sanitation facilities, overwhelmed healthcare facilities, and limited access to clean water. The leading county among those significantly affected was Nairobi County. In response to the crisis, a rapid impact assessment was conducted in Nairobi County to evaluate the public health implications and identify key areas for intervention. The Ministry of Health deployed a multidisciplinary team consisting of staff from the the Ministry of Health (MOH), Kenya Field Epidemiology and Laboratory Training Program (FELTP), Kenya Public Health Emergency Operation Centre (KPHEOC), and the Kenya Red Cross to conduct the assessment.

The assessment was conducted over two days, from May 4th to 5th, 2024. The multidisciplinary team visited several camps for IDPs in Nairobi County. Some of the IDP camps visited include:

• Soko, Heidemari Primary School, Drive inn primary School, Mathare North Primary school in Ruaraka sub-county
• Gitathuru hall, Ngei, Mathare vocational centre, Gitathuru, Valley Bridge Primary School, Centre of Hope, ODM IDP CAMP in Mathare sub-county

The team conducted interviews, observations, and assessments of the living conditions, sanitation facilities, and healthcare services available in the camps.

The assessment highlighted the urgent need for public health interventions to address the challenges faced by internally displaced persons in Nairobi County following the floods. By implementing the recommended interventions and fostering collaboration among stakeholders, the county can mitigate the impact of the crisis and improve the health and well-being of affected communities.