Integrated Emergency Nutrition Services for Malnourished Children Under Five Years of Age in Mayom and Rubkona counties The overall objective of this project is to increase access to lifesaving treatment and preventive services for children under five and pregnant/Lactating women in Rubkona and Mayom counties 

This project is complementary to the UNICEF PCA and WFP FLA which are currently funding OTP and TSFP activities at 13 static sites in Rubkona (6) and Mayom (7). The project is designed to contribute to the famine response, especially to serve the displaced populations from Southern Unity settling within host communities in Mayom and especially Rukona. SMART surveys conducted by CARE in Rubkona and Mayom during the post-harvest period in December 2016 shows high malnutrition rates with GAM rates of 20.2% (17.1- 23.8 C. I) in Rubkona, and SAM rates of 2.8% (1.5-5.1 CI) while in Mayom, GAM was 21.0% (17.8-24.6%C. I) and SAM 2.7% (1.7-4.4 C.I). A network of 100 community volunteers from 12 mobile sites will screen 50% of children under five years 20,709 (10,928 girls) as well as 5700 pregnant and lactating women for malnutrition in Mayom and Rubkona. Screened children will be treated at outreach sites using RUTF for SAM and RUSF for MAM. The remaining 50% of the children will be managed at mobile sites using UNICEF/WFP funding. 

Objective 1: of this project will focus Delivering treatment of Severe and moderate acute malnutrition to underserved locations by scaling up mobile outreaches in Rubkona and Mayom. In addition, the project will increase CARE’s participation in ongoing RRMs to Jazeera and Dorbor which are affected by insecurity. The commodities for management of MAM in this project is donated by WFP while UNICEF through the ongoing PCA and FLAs. The proposed interventions will consolidate the gains already made through ongoing projects to improve quality. 

Objective 2: This project will integrate IYCF promotion as part of health and nutrition education at feeding sites. This will target primarily caregivers of children on the CMAM program but will be complementary to a more rigorous IYCF promotion by Mother to Mother Support groups with funding from UNICEF

Objective 3. Strengthen surveillance and Accountability to affected populations. This project will conduct monthly exhaustive mass MUAC screening to provide surveillance data to monitor the nutrition situation. Community feedback, review and planning meetings and suggestion boxes will be adopted as models for accountability to affected populations. Regular SMART surveys in Rubkona, Mayom will be reserved for funding from UNICEF PCA to strengthen information management for the proposed locations. This intervention will focus on life saving interventions. Community engagement meetings, office visits

Objective 4 The project will promote integration of lifesaving nutrition sensitive health interventions including hygiene/handwashing facilities at OTP/TSFP sites, testing and treatment of malaria micronutrient supplementation and health/nutrition education for PLWs to reduce the incidence of acute malnutrition. This objective will target caregivers of children of the CMAM program to deliver timely messages at feeding sites and will be complementary to IYCF messaging promoted through UNICEF funding