Provision of life-saving nutrition and health services to reduce morbidity and mortality attributed to acute malnutrition AAH is proposing to continue the existing mutual collaborations with the State Ministry of Health (SMoH), Health cluster and the nutrition sector by prioritizing i) reestablishment of the Stabilization Center (SC) in Kaga LGA of Borno state for treatment of SAM with medical complications among under five children. AAH will provide SC operational and technical support, as well as the provision of therapeutic formulae milk, drugs, and equipment required for timely and effective management of U5 SAM with complications at the SC hosted within Kaga general hospital ii) scale up of OTP services in Jere/MMC LGA, through this grant, AAH will work in MMC/Jere to Scale up the screening, identification, Prevention and Treatment of severe acute malnutrition (SAM) among children under-five and pregnant and lactating women (PLW). iii) Provide critical lifesaving health service commodities and pharmaceuticals for the treatment of common illness including Malaria and AWD across six HF (2 in Machina, 2 in Fika, 1 in Potiskum of Yobe state, 1 in Konduga of Borno state). 
Within the targeted locations, AAH will expand its community-based management of acute malnutrition (CMAM) to provide treatment for SAM with or without medical complication, identify, select and train skilled community volunteers (community health workers)/CHIPS support group promoters/facilitators) to conduct active case finding for SAM with/without medical complications, MAM among children under-five and PLW through mid-upper arm and promote IYCF in children and PLW circumference screening and refer eligible children and PLW for MAM treatment. Mothers and Caregivers will be trained on family-led MUAC screening to improve coverage and prompt detection. AAH will provide maternal infant and young child feeding (MIYCF) services using social and behavioral change communication (SBCC) strategy and cluster direction to reverse poor suboptimal IYCF practices. We will establish 60 community support groups (CSGs) across the communities led by a lead mother/father comprising of 15 persons each across caregivers categories. Trained community health workers (CHWs) will coordinate CSG activities. In addition, CHWs/Volunteers will provide group and one-on-one counselling in breastfeeding spaces at the health facilities, community IYCF Corners while children 6-59 months will receive vitamin-A and micronutrients powder and be dewormed. Six OTP sites and 1 Stabilization center are planned for this intervention and will be linked to AAH other ongoing projects in the targeted areas. AAH will ensure the availability of adequate quantities of nutrition products and materials. The project will directly benefit 51,088 vulnerable people (63% are boys and girls under the age of 5, 22% women, 15% men, plus at least 105 PLWDs special needs). 
The intervention is designed taking into account specific needs according to gender, which is the specific needs of pregnant and lactating women towards nutrition treatment. The project will provide referral support for beneficiaries with medical complications to respective health facilities. Furthermore, AAH will conduct nutrition education sessions for mothers and caregivers of children admitted in the OTPs to increase awareness on the causes of malnutrition and the use of the Ready To Use Therapeutic Food (RUTF). This will enable PLW to make more informed decisions regarding their own health during pregnancy and their children’s well-being.
The health intervention will strengthen the availability of essential drugs, test kits and medical supplies at the primary healthcare level to strengthen the treatment of common childhood illness across the targeted HF in Borno and Yobe states.