Integrated lifesaving Nutrition response in Nyirol and Kapoeta east  counties of the former Jongel and Eastern Equatorial State This project appeal is intended to provide lifesaving nutrition service in two IPC 4 counties where the nutrition situation is critical now. The project will run for the next six months. The response will be implemented in Nyirol (former Jonglei State) and Kapoeta East (former EES). In response to first quartile allocation and considering phasing out of the current SSHF funding project which is ongoing in Nyirol and Kapoeta, SCI is proposing to continue the emergency response and scale up the nutrition service to address the underserved and affected people of the two counties through attaining the most vulnerable groups of the population (children under five, PLW and disabled people). Due to volatile security situation of the area, nutrition situation has deteriorated and some areas were remain unaccusable for humanitarian assistance, and as a result of security threats  and following cattle graze people movement is common and scaling up of service to address and access the CMAMA service is demanding.  . The proposed response will be implemented through strengthening the existing static nutrition sites, scale up outreach sites, deploying mobile team to scalp the nutrition response coverage though Rapid Response Mechanism. Rapid assessment and continues surveillance of the nutrition situation will be done to ensure the intended population have timely appropriate care and treatment and need base services.
 
The overall Objectives of the project is to contributes to reduction of morbidity and mortality of Under five children and PLW due to acute malnutrition in Nyirol and Kapoeta east county through provision of timely and quality management of acute malnutrition, promotion of maternal, infant and young child nutrition (MIYCN) in emergency.

This project will focuses and address the planned response through three main emergency nutrition program intervention strategies: 1. Increase accessibility and Provision of quality nutrition treatment services, 2.Capacity building of the response team including CHD nutrition service providers. 3. Promote Protect and support of safe and appropriate feeding for infants and young children affected by the crises or emergency. The emergency nutrition repose will be for six month from April 2018 to September 2018 .The project will reach a total of 77,778 direct beneficiaries (Under five children and PLW) through management of acute malnutrition and MIYCN interventions which includes hygiene and sanitation promotion .The response will be focusing to achieve the following three results R.1. Children and PLW screed end detected and referred to appropriate nutrition centers. This will be done through active case finding using CNV/HHP a total of 56,109 under five children and 19,817 PLW will be screened for malnutrition using MUAC. 34CNV/HHP will be trained on screening, detecting and referring of acute malnourished beneficiaries along with community mobilization strategies and approaches.R.2. SAM and MAM children and PLW receive adequate and timely nutritional treatment and care. 

SCI will provide this service through existing 17 static OTP/TSFP, 1 SC (Kapoeta East) 4 outreach and through scaling up of new 4 Outreach’s sites as well as establishing of 2 new Mobile team. All 17 static OTP sites and 1 SC center in Kapoeta east  are existing  and currently all sites are operational so in this project only 4 new outreach sites will be established and two mobile/RRM team one for each state will be organized and deployed. To provide quality and effective nutrition service, a total of 36 OTP nurse and CNW of SCI and 10 health service providers of the CHD staffs will be trained on the management of acute malnutrition including the stabilization center staffs on management of SAM with medical complication .regular supportive supervision and on the job training will be provided to ensure the quality and effeteness of the response by the technical staffs of filed and national level. Prior communication an