Provision of Emergency Nutrition Project in Twic County,Warrap State Through the proposed project, World Vision South Sudan (WVSS) will reach 16,246 (11,907 children under five- boys: 5,834 girl:6,073 and 4,339 females) beneficiaries, specifically women and children in Twic. This proposed project will be implemented by World VIsion South Sudan with the support of World Vision Taiwan. The project will provide frontline lifesaving nutrition services which will focus on the most vulnerable, especially women and children under five. The nutrition activities will be integrated with the WASH and health activities for a more holistic approach and greater impact. CMAM nutrition programming will be implemented across 24 OTPs, 2 SCs and 12 TSFP.The proposed project is expected to reduce morbidity and mortality through the affected communities in Twic county. The proposed intervention will work to balance the urgent need to improve critical nutrition outcomes with longer-term approaches that are expected to strengthen the capacity of local health systems and actors to develop basic nutrition and health services. This support, through trainings and supportive supervision, will help the community and health facilities to confidently manage this nutrition and health systems. The proposed project will contribute to the Humanitarian Respond Plan (HRP) 2018 objective of saving lives and alleviate the suffering of those most in need of help and protection, protect the rights and uphold the dignity of the most vulnerable, and support at-risk communities to sustain their capacity to cope with significant threats. In Twic County, WVSS will provide nutrition services to 30% of the 2018 nutrition cluster HNO targets of SAM and MAM in the under 5 children and MAM in PLW which includes 4,467 children under five with SAM, 7,440 children under five with MAM and 4,339 pregnant and lactating women. WVSS proposes to implement the following activities: 

Improved identification of malnutrition cases, and referrals of 4,467 SAM, 7,440 MAM in children under five, and 4,339 PLW with MAM cases. 
 Continuous screening of children 6-59 months and PLW in the community and health facilities by both Community health workers and CNVs. 
 Provide treatment for SAM and MAM of CU5 and PLWs as per the CMAM guidelines and refer SAM cases with medical complications to SC (100) 
 Continuous follow up of defaulter cases and home visits for non-respondent cases. 
 Train 60 CNVs on techniques of screening, defaulter tracing and home visits 
 Improved coverage of service delivery points for treatment of acute malnutrition for (4,467 SAM and 7,440 MAM Children under 5, and 4,339 PLW. 
 Train 60 CHD and WV staff on CMAM 
 Conduct bi-weekly community nutrition outreaches where nutrition messages will be integrated with health and WASH promotions messages 
 Conduct two mass community mobilization, sensitization, and screening campaign

Increased provision of IYCF messages and counseling in nutrition centers and health facilities for all vulnerable groups 
 Conduct bi-weekly community sensitization campaigns on IYCF-E, targeting men and community leaders
 Increased coverage of Vitamin A supplementation among children below the age of five 
 Conduct Vitamin A supplementation campaign for National Immunization Days (NID)

Improved coordination among nutrition actors 
 Twic County nutrition quarterly review meetings 
 Twic County Monthly coordination meetings between local leadership, CHD and nutrition actors 
 Twic County Monthly reports sharing