Emergency Integrated Nutrition response to life threatening malnutrition for Conflict affected IDPs and Host populations in Duk County, Jonglei state, South Sudan The primary aim of this project is to increase access and use of nutrition services in Duk County to reduce mortality and morbidity among children under 5 (U5) and pregnant and lactating women (PLW) through nutrition specific intervention. Efforts will be made to include WASH messages, sexual and gender-based violence education into the nutrition activities in order to improve equity and universal access to health care, nutrition which in turn will improve living condition of the beneficiaries. The nutrition points will offer screening for and treatment of uncomplicated malaria and referral of severe cases for impatient management in the stabilization center. 
This project will support the call for scale up of nutrition activities in Duk Pagaak, Jongolei and respond to nutrition needs by targeting host communities in Duk County. The project is designed to continue provide both preventive and curative services. Treatment of severe acute malnutrition (SAM) is provided to prevent children under five from death. Treatment of moderate acute malnutrition (MAM) aims to improve the health of children under five and pregnant and lactating women (PLWs), thereby reducing the prevalence of severe acute malnutrition. Awareness campaigns on topics including MIYCF and hygiene promotion will be provided to the community. 
MAGNA works closely with the Duk County Health Department (Duk CHD) to ensure that the community of Duk Pagaak receives the needed services. The nutrition project will continue to be integrated into the existing health facilities being supported by MAGNA in Duk County. Children under five, and PLWs, as well as other vulnerable groups, will be screened in the community. Those found to be malnourished will be referred to OTP/TSFP for nutritional and medical assessment. Beneficiaries enrolled in the OTP or TSFP programs will be given bracelets to keep regardless of whether they are transferred to different components of the nutrition intervention or not. These bracelets will support in easier tracking of beneficiaries and avoiding duplication at multiple centers. Once the patients are discharged, the bracelets will be recovered. The bracelets will be color coded for each nutrition site.
MAGNA is the primary contributor of humanitarian assistance in Duk Pagaak in the fight to reduce malnutrition among vulnerable community. The proposed actions are intended to be an emergency interventions building upon already existing health and nutrition activities provided by MAGNA in Duk County. This project will support 4 OTPs, 4 TSFPs, 1 SC and 2 mobile nutrition teams. Community mobilization activities will also be enhanced with provision of health and nutrition education and screening services for acute malnutrition with referral of cases to the nutrition centers within Duk County. Project design involves/considers representation of both men and women community members and leaders. Integration of the nutrition program with nutrition-sensitive WaSH and health activities brings greater synergy and cohesion to sustainably tackle the underlying causes of malnutrition.


The project is designed to provide both preventive and curative services. To 9,147 children 6-59 months(equivalent to 25% of Duk Population 36,591)  of which 4,573 (2.218 M and 2.355 F) are targeted for Nutrition screening, 369 children 6-59 months (151 M, 218 F) targeted for SAM treatment, 369 children 6-59 (241 M, 262 F) with SAM targeted for malaria screening at 4 OTP sites, 54 children 6-59(15% of SAM) of which  (22 M, 32 F) with SAM and medical complications targeted inpatient care at Duk Pagaak SC, 914 children 6-59 months(15% GAM) (425 M, 489 F) targeted for MAM treatment aimed at improving the health of children under five thereby reducing the prevalence of severe acute malnutrition. 25 participants will be trained on MIYCF to create awareness campaigns on topics including MIYCF.