Envelope (1): Providing integrative lifesaving preventive and curative nutrition services for vulnerable population groups with attention to children and women with special needs in NW Syria / Idlib Governorate. This project is designed under the Envelope (1) aiming to provide and integrate the basic Nutrition services with Shelter and CCCM partners to reach the IDPs camps and sites through the provision of quality lifesaving preventive and curative nutrition services and respond to the demonstrated needs and gaps in Nutrition service provision for the conflict- affected population in response to the demonstrated nutrition needs on the ground, Human Appeal Turkey (HAT) proposes to operate 16 nutrition rapid response teams (RRTs) across NWS within Dana and Maaret Tamsrin sub-Districts, targeting the children under 5 (CU5) and pregnant and lactating women (PLWs) among others of the most vulnerable groups within the areas of priority (As per the nutrition cluster and this allocation paper) with essential life-saving curative and preventative nutrition services through the operation of 16 RRTs for a duration of 12 months (Locations are coordinated with the nutrition cluster). This project intervention is also aiming to integrate the nutrition services with other Partners implementing Shelter projects in the same area to deliver integrated services to the IDPs in coordination with the relevant clusters and local administrations. 

The project will be implemented in 18 communities across 2 sub- districts (Dana,and Maaret Tamisrin) provide nutrition services for 321,619 beneficiaries including (77,400 Pregnant and lactating women 232,200 children under five years and 12,019 other caregivers (men and women)) (225,134 IDPs and 96,485 HCs) (16082 PWDs).

HAT with consideration of its previous experience and available resources will promote the ultimate utilization of the pre-existing resources and expertise relevant to the intervention including the use of the trained staff at the organization and the usage of the assembly points, warehouses, OTPs to effectively and smoothly support the project implementation. The proposed 16 RRTs will operate and function according to the TORs and SOPs adopted by the nutrition cluster, and they will be providing the following nutrition services:

 Screening 232,200 CU5 months, and 77,400 PLWs, referral and follow up who are malnourished.
 Provide emergency IYCF counseling for 14,250 caregivers including PLWs.
 Disseminating messages on IYCF-E recommended feeding practices, for 25,500 caregivers including PLWs.
 Screen, referral CU5 and PLWs with dangers signs and Medical problems.
 Support hygiene promotion and rising WASH awareness to 73,200 beneficiaries by providing Key messages to prevent the risk of COVID 19 transmission and other infections.
 Identify visual signs of abuse/violence against childU5/PLWs during Nutrition screening.
 Capacity building of 87 frontline nutrition services providers on IYCF-E and CMAM programs in the context of COVID-19 and provide continuous technical support for human appeal teams to build their capacity and strengthen their experience in nutrition field work.

HAT is going to apply adjustments of the nutrition activities to be in line with COVID-19 prevention measurements and mitigate the risk of infection while ensuring continuity of life-saving nutrition service. 

HAT will train the caregivers of MAM and SAM cases on MUAC and edema screening, referral, recognize signs of deterioration, and give them a mobile or WhatsApp number of the CHW to contact in case the child’s condition deteriorates.

As per the initial assessment the cost per beneficiaries will be 2.16 USD, where beneficiaries will receive a comprehensive nutrition preventive and curative services including referral of SAM cases and the treatment of MAM cases through the provision of medicines and nutrition supplies, and follow up until the full recovery, in addition to the awareness sessions and hygiene promotion sessions which will be provided to the families and covering different topics related to the PLWs and Children under 5 care and wellbeing.