WASH Integrated Malnutrition prevention and treatment in crisis affected communities of Michika, Nanagere and Tarmua LGAs of Adamawa and Yobe States through CMAM and using Tom Brown local solution. In response to the dire situation in North-eastern Nigeria as a result of protracted crisis which has put millions (especially children and women) at risk of morbidity and mortality CAID and its implementing partner CDHI are planning a WASH integrated Nutrition intervention. Both organizations have proven capacity and experience as they have implemented multi-sector projects and have presence in Yobe and Adamawa states which are target locations for this expression. 
In this call CAID and CDHI are planning to implement a 12-month wash integrated Nutrition lifesaving emergency response in crisis affected communities of Michika, Nangere and Tarmuwa LGAs of Adamawa and Yobe state respectively. This action will provide life-saving nutrition services while also preventing malnutrition and addressing its root causes. The planned activities will leverage the existing gains made by CAID and CDHI in addressing malnutrition and water access issues. CAID and CDHI will provide comprehensive CMAM package and wash interventions both at facility and community levels. 
The project will use existing government system - PHCs at community level to deliver treatment services to nutritional vulnerable groups identified with uncomplicated severe acute malnutrition SAM through outpatient therapeutic feeding programme. In locations that are hardly accessible due to insecurity and infrastructural deficit, Identified SAM children will receive treatment through the outreach approach. MAM pregnant and Lactating Women - PLWs and children 6-59 months identified using MUAC screening, will receive treatment using Tom Brown at the community level. The MAM management using Tom Brown model will be implemented in close collaboration with the OTP programme and appropriately linked with other health and nutrition services such as MNP supplementation, routine immunizations, and medications and with appropriate complementary referral mechanism between both programmes in place. Both organizations will strengthen the referral of SAM children with complications to stabilization center through the facilitation of transportation for timely access to services to prevent mortality. 
Community based promotion of maternal, infant, and young child feeding - MIYCF will be integrated into the nutrition service package both at community and facility level, to ensure that malnutrition prevention is an integral component of service delivery. Similarly, children 6-23 months will receive micro-nutrient supplementation The SBCC activities will focus on improving behaviors on MIYCF and increased demand for consumption of nutrient dense locally available food and integrated with WaSH and hygiene promotion.
As part of integration with WASH, water points will be rehabilitated to improve access to portable water and soaps provided in addition to hygiene promotion.  
This project will adapt innovative ideas to facilitate disability inclusion, localization, accountability and sustainability. During the implementation of the project consortium will sure that people with disability appropriately participate in the project as they will be given priority in households targeted for nutrition intervention, selection in management committees and meaningful involvement in all project activities.  
 To promote the localization agenda, CA will use previously developed institutional capacity building strategy to strengthen the reach and impact of CDHI by contributing to their organizational and institutional capacity needs that will assist them to deliver not just on this project but across other actions.  
To further ensure sustainability, this action will involve key stakeholders and both local and state level to ensure buy in and participation. Capacity of select locals will be built to facilitate continuous step-down of key messages even after this action for continuous impact.