Integrated Emergency Nutrition Response in Aweil East , Aweil South and Paniyijar ; provision of essential lifesaving integrated primary health services to the vulnerable population through support to 2 PHCC in Aweil East County and 1 PHCC in Koch County;
Scaling up livelihoods protection support to food insecure households (classified in IPC Phase 3 and 4) in Rumbek Center (RC) in Lakes State; and 
Strengthening GBV prevention and response through life-saving services for women and girls affected by conflict in in Panyijiar( Nyal) County This project will focus on addressing the nutritional needs of the most vulnerable groups of the population in Aweil East, Aweil South and Panyijiar especially U5s and PLWs.
IRC will implement the proposed emergency response for six months through strengthening the 48 existing static nutrition sites (45 OTPs and three Stabilization Centers), and by deploying three mobile teams in hard-to-reach areas (two in Aweil East and one in Aweil South) to improve the nutrition response coverage though rapid response mechanism. Community Nutrition Volunteers (CNVs) will conduct regular active case finding, rapid assessments, and continue surveillance of the nutrition situation to ensure the targeted population has access to timely, appropriate care and treatment on a needs basis. The IRC-supported CNVs will also conduct community mobilization and mass screening, using Middle Upper Arms Circumference (MUAC) approach for early identification and referral of Severe Acute malnutrition (SAM) and Moderate Acute malnutrition (MAM) cases among under-five children and pregnant and lactating women (PLWs). The IRC will also train 45 Community Nutrition Workers (CNW’s) on Community-based management of Acute malnutrition (CMAM) and Maternal Infant and Young Child Nutrition (MIYCN) as a refresher, whilst also orienting them on GBV and child protection. The IRC will deploy additional 45 nutrition workers to ensure timely and appropriate management of acute malnutrition service is provided at all sites and five days a week. To improve the quality of services and ensure sustainability of the program, the IRC will provide refresher training for 60 Nutrition staff (including CHD) on CMAM and Infant and Young Child Feeding (IYCF).

Recognizing the low service coverage as a result of inaccessibility for people living in hard-to-reach areas, three mobile teams will be established to provide lifesaving nutritional services in the identified hard to reach areas of Aweil east and south. Beside provision of acute malnutrition treatments and care, the mobile teams will provide gender-sensitive IYCF counselling sessions for mothers and fathers, with a focus on breastfeeding nutritious complementary foods for infants and young children care and feeding of malnourished children referral to health services and information on safe storage and treatment of water, proper hand washing, and sanitation. 
IRC will use Mother to Mother Support Group (MtMSG) approach for promotion of optimal IYCF practice. The IRC will focus on dissemination of key nutrition promotion and prevention messages to the targeted community. To ensure that the nutrition services are provided in accordance with national and international standards, the IRC will print and distribute to health workers guidelines, reference tables, and look up tables with relevant key health and nutrition messages, while also providing regular supportive supervision. The IRC will rely on UNICEF and WFP to provide nutrition supplies for treatment of SAM and MAM beneficiaries respectively, whilst ensuring timely request, receipt and prepositioning of all nutrition supplies to the nutrition sites.

All children with MUAC lt11.5 cm or WFH z-score lt-3 and/or edema will be classified as having SAM. Those SAM cases with no medical complication will be admitted to OTPs and provided with appropriate treatment and care in adherence with the national CMAM guidelines. Under-five children suffering from SAM with medical complications or failed appetite will be referred to SC and provided with inpatient treatment, in accordance with SC guidelines. Children with MUAC ≥ 11.5cm - lt12.5 cm or WFH z-score ≥-3 - lt-2 will be classified as MAM and enrolled to Target Supplementary Feeding Program (TSFP). Similarly, all PLWs with MUAC of lt23cm will be classified as MAM and will be linked to TSFP to receive supplementary feeding to enhance and promote the optimal practice of IYCF.

FSL, PROTECTION AND HEALTH PROJECT SUMMARIES ATTACHED