Provision of therapeutic supplies (RUTF, F-75, F-100 and ReSoMal) for severely acute malnourished children age 0-59 months in 45 hard to reach districts of Faryab, Takhar, Kunduz, Helmand, Kandahar, Zabul, Urozgan, Nangarhar, Kunar, Paktika and Ghazni provinces. As part of the strategic response plan, the Afghanistan Nutrition Cluster has identified the needs for provision of life saving activities in underserved and hard to reach areas where severe needs existed through the Integrated Management of Acute Malnutrition (IMAM) approach in 45 districts of 11 high priority provinces of Faryab, Takhar, Kunduz, Helmand, Kandahar, Zabul, Urozgan, Nangarhar, Kunar, Paktika and Ghazni as a priority intervention. In addition to that, the cluster has also identified the need of RUTF, formula milk F-75 and F-100 (F-75 and F-100 only for 15% completed total SAM cases) for IMAM programme implementation by different partners. Since Outpatient Department and Inpatient Department for treatment of Severe Acute Malnutrition (OPD-SAM and IPD-SAM) are an integral component of IMAM, hence provision of both services will be implemented simultaneously with the OPD -MAM services, where applicable in some areas as an integrated manner through CHF funding from this proposal. 
Hence the current CHF proposal aims to address nutrition supplies need mentioned above for IMAM/ SAM implementation by both BPHS and CHF partners for portion of SAM under five children in 45 hard to reach districts of Faryab, Takhar, Kunduz, Helmand, Kandahar, Zabul, Urozgan, Nangarhar, Kunar, Paktika and Ghazni provinces where currently there is no IMAM services. The estimated RUTF supply is around 34,743 cartons, 842 cartons of F-75, 1,954 cartons of F-100 and 270 cartons of ReSoMal (for complicated cases) in the mentioned provinces. 
As part of the nutrition response UNICEF is seeking USD 2,023,749.97 from CHF to provide live saving therapeutic supplies of RUTF, F-75, F-100 and ReSoMaL to partners for treatment of 45,082 (24,344 girls and 20,738 boys) Severely Acute Malnourished under five children in targeted districts provinces. 
UNICEF will procure the nutrition supplies through it is own mechanism. These supplies will be stored at national and regional UNICEF warehouses. This project is meant to cover the therapeutic supply needs of CHF funded projects 12 months long in 45 critical priority districts. If the duration is limited for six month, procurement and delivery of supply will not be possible given the limited storage capacity of partners/ provinces. Based on agreement between UNICEF and Public Nutrition Directorate (PND) of Ministry of Public Health (MoPH), PND is responsible to receive, review and forward the supply requests to UNICEF on quarterly basis. Afterwards, UNICEF review the requests and process the delivery of requested supplies to implementing partners (IPs) until provincial level. The implementing CHF and BPHS partners (ACF, AHDS, HNI-TPO, NCA, ORCD, PU-AMI, YHDO, and BRAC-AYSO) will be fully responsible to make sure that RUTF, F-75, F-100 and ReSoMal are used in the OPD-SAM and IPD-SAM sites and report to PND, nutrition cluster, UNICEF and OCHA as per agency requirement. The activities will be implemented through the health facilities and mobile nutrition teams in the targeted provinces. The overall objective of the intervention is to contribute to the reduction of morbidity and mortality amongst under five year children. UNICEF will closely coordinate with PND and implementing CHF partners for nutrition supply (RUTF, F-75, F-100 and ReSoMal) management including distribution and monitoring. This coordination includes the co- management of supply release through PND request with great involvement of all Provincial Nutrition Officers at provincial level.