Integrated emergency response to nutrition needs of Yirol East host and displaced population The project aims to provide an integrated response to host and displaced population nutrition needs in Yirol East County, where recent IDPs influx have not been backed up by a proportional upgrade of all services and resources directly related to or impacting on people nutrition status. 22.6% GAM rate (June 2018 SMART Survey) demonstrates the currently Health Facility based TSFP and OTP are not sufficient and calls for their expansion, through the implementation of alternative strategies. Existing static system, sustained by already available resources, will be integrated by mobile services and additional community nutrition volunteers, targeting critical sites, to ensure access to standard CMAM package to both IDPs and resident and facilitate follow up and adherence, especially for vulnerable groups, as women and disabled, whose mobility is limited by social/cultural and physical barriers. Existing referral mechanisms will be upgraded, to guarantee County wide continuum of care, including the SC level. Besides identifying and treating acute malnutrition, the action will focus on its prevention, spreading MYINC and IYCF key messages through both individual and collective counselling, preferring for this latest participatory approach as that of mothers to mothers groups. A wider perspective will be adopted, targeting some of its key drivers through effective integration with Wash and Health components. The already existing synergies with the PHC facilities will be strengthen, ensuring MUAC screening and Growth Monitoring to be part of the standard protocol applied at ANC/EPI/OPD, limiting missed opportunities for acute malnutrition identification and referral, and constant access to most common diseases (malaria, diarrhea, RTIs) diagnosis and treatment for both general population and malnourished patients. Key nutrition education messages will be combined with those related to hygiene promotion and sanitation and focused actions will cover main infrastructural WASH related needs at HF level. The project will directly target U5 children and pregnant/lactating women belonging to Yirol East County resident and displaced population, in particular in the  Payams reporting higher IDPs presence. These are those expected to access the provided services. In addition to them, County health/nutrition staff and CNVs participating to training activities for their knowledge and skills in acute malnutrition prevention and management improvement. Direct beneficiaries input on services responsiveness and acceptability will be collected to inform further development of the program by piloting “patient satisfaction” questionnaire. Indirect beneficiaries will be Yirol East County entire population, counting on enhanced nutrition services availability and effective integration of them with other key basic services, which should manage and prevent continuous deterioration of current situation. Further, the constant involvement of local authorities and communities in planning, realizing and monitoring the project will promote local ownership on the new/enhanced services and create the local capacities to maintain and strengthen them, increasing County resilience towards similar crises. A gender sensitive lens will be applied when designing and implementing the proposed activities, to ensure all obstacles compromising girls and women access to and utilization of services as well as all elements contributing to their higher health and nutrition related vulnerability to be taken into account and adequately addressed. Further, nutrition services will be considered as potential entry point for GBV victims looking for assistance, with nutrition staff to be trained on GBV cases management and referral pathway.