Provision of Emergency, Integrated, Life-saving and preventive nutrition services among children U5s, PLWs and old persons with acute malnutrition and enhance nutrition surveillance for the most vulnerable  people in Leer county in Unity State and Fangak County in Jonglei State. Leer and Fangak counties continue to experience shocks due to violence, morbidity and fragmented humanitarian operations due to insecurity. The IPC results released in February 2018, Both Leer and Fangak were projected to be at phase 4 between May and July and with a likelihood of tipping over into Phase 5 if Humanitarian response is not enhanced. Through this project, Nile Hope will provide SAM and MAM management services to U5 children and manage acute malnutrition among PLWs. There will be a strong component on behavior change communication mainly focusing on MIYCN practices. A comprehensive CMAM program that encompasses community mobilization, active case finding and referrals, management of cases in the outpatient facilities and follow up in the community will be adopted.  The project will also enhance surveillance by conducting 2 mass MUAC screenings Fangak and Leer, 1 IYCF KAP survey in Fangak and enhanced community screening in the Fangak catchment areas.  Work is already going on in the targeted locations so the SSHF R2 activities wil mainly seek to bridge gaps and ensure continuity in service delivery. There will be a deliberate attempt to ensure adequate integration by implementing the agreed minimum package. Through this, WASH services such as provision of handwashing facilities, provision of soaps to the mothers served in the nutrition centers, hygiene and sanitation messaging and establishment of latrines in the OTPs will be done. There will also be a strong linkage between the health program and nutrition by ensuring that PHCUs and PHCCs are in agreement to screen children and PLWs visiting them for malnutrition and making the necessary referrals. Beneficiaries in the nutrition program requiring health interventions such as immunization, supplementation or treatment of other prevailing ailments will be referred appropriately. In order to support livelihoods of families with malnourished PLWs and U5s, there will be a linkage of nutrition program to the livelihood support programs. Mothers with such children will be targeted by FSL programs from the beginning to boost household food security and prevent relapse. There will also be a GBV/child protection mainstreaming by setting up help desks in the nutrition centers where cases of GBV can be reported. There will also be close working relationship with GBV actors on ground to provide awareness to the beneficiaries. The project will rely fully on log cluster to deliver supplies to the project locations. There is are existing agreements with WFP for supply support in managing MAM cases and with UNICEF to support SAM cases in both counties. Both WFP and UNICEF agreements support Nile Hope with supplies. WFP also supports some CNVs. The recruited staff will be trained on the revised CMAM guidelines, MIYCN, Community mobilization strategy and basic monitoring and evaluation paying attention to data collection, reporting and supply chain management.