Support the nutrition surveillance data system in north west of Syria This project will support and  improve the nutrition surveillance system in north west Syria through shifting to the combined approach at both health facility and community levels
Health facility based  Nutrition surveillance will include 100 facilities distributed in 50 sub-districts  in 11 districts, facilities will be distributed According to the following :
	Idlib 50 health facilities 
	Aleppo 47 health facilities
	Hama 3 health facilities
This distribution was based on the administrative boundaries and population census in each governorate and sub-district
The nutrition surveillance will been leaded ,managed and monitored by PAC administrative and technical staff
 Nutrition cluster lead , members , and assessment working group will participate actively in the surveillance  in order to engage all  nutrition partners.
  The facility screening  activities will cover 200,000 children under the age of 5 years and 50,000 pregnant and lactating mothers through:
	Full Screening children under the age of 5 years, pregnant and lactating women
	Referral of identified malnourished children and mothers for treatment or treated at the same facility
	Analysis of data and generating nutrition trends at sub-district and facility levels  
	Present the data to nutrition cluster and publishing the nutrition surveillance bulletin for effective use of data to advise emergency nutrition response 
	Data collected also include Diarrhea and Measles and surveillance rounds
	includes distribution of micronutrient supplementation to both under five years children, pregnant and lactating mothers

on the other hand , the community approach surveillance  will cover 600 communities
This distribution again is based on the administrative boundaries
selection of targeted communities is as follow :
all 11 districts of north east will be included
all 50 sub-districts within these 11 districts will be included
12 communities within each sub-district will be selected by simple random sampling and screened monthly 
Minimum of 20 households in each community will be selected by simple random sampling and screened for surveillance purposes 

The project activities will cover total of 36000 households
 54000 children 6 to 59 months ,  and 27000 pregnant and lactating mothers 
Screening activities will cover :
	children from 6 to 59 months / MUAC, Oedema Screening
Pregnant  and lactating women / MUAC screening
IYCF , Family planning , poverty indicators will be included 
	Activities will include distribution of micronutrient supplementation to both under five years children, pregnant and lactating mothers Referral of identified malnourished children and mothers for treatment
	Analysis of data and generating nutrition trends at sub-district and community levels 
Report will include correlation of nutrition trend with other tested indicators : Poverty , lack of proper family planning practices , IYCF , measles and diarrhea 
Also, data from both facility based and community based activities will be compared and analyzed regularly  
  2 exhaustive  
Surveys will be conducted in two selected communities with worse indicators