Integrated Multi-sectorial  Response in Halaba, Gibe, Mareko and Alle Woredas,  SNNPR Nutrition:

In Halaba and Mareko (priority one woredas), SCI will continue providing full CMAM support for 12 months, starting April 2016. In Alle and Gibe (priority 3 Woredas), the nutrition program with provide minimum support, mainly transporting RUTF and on-job training to health professionals. 

	Establishing or re-establishing Outpatient Therapeutic Program (OTP) and Stabilization Center (SC) services in health facilities for Severe Acute Malnutrition (SAM) cases in under-five children. SAM cases with complications will be managed in the Therapeutic Feeding Unit (TFU), whilst those severely malnourished without complications will be managed in OTP. Community mobilization and sensitization will raise awareness on the OTP services and implementation modalities. A Therapeutic Feeding Program (TFP) data reporting system will be strengthened and monthly collection, collation, analysis and dissemination will be facilitated. 
	Supporting targeted supplementary feeding for moderately malnourished under-five children and PLW through the Woreda Health and Disaster Prevention and Preparedness Office, through the provision of energy and nutrient supplements. In Hotspot three woredas (Alle and Gibe), SCI will be actively engaged in supporting routine Child Health Day (CHD) screening maintaining smooth referral linkages among TSP and TFP, OTP, SC and community mobilization and purchasing Corn Soya Blend (CSB) for OTP discharges.
	Training and capacity building of health facility staff and woredas on CMAM and Infant and Young Child Feeding (IYCF) 
	Addressing the underlying causes of malnutrition via educational activities including: promotion of optimal IYCF practices hygiene and sanitation through integrated health and nutrition education capacity building of community volunteers to enhance uptake of preventive health and nutrition services and improved knowledge on key IYCF and nutrition practices.
	All mothers of children under the age of 24 months enrolled in outpatient programs will receive a one-to-one assessment in a private area and advice on IYCF. Mothers experiencing problems with breastfeeding will receive dedicated support to overcome these issues. 

	For facility-based OTPs and for inpatient care, an IYCF-E officer will provide supportive supervision to health facility staff alongside the  CMAM nurses. Save the Children will ensure that all nutrition staff are trained on the operational guidance for infant feeding in emergencies and will participate in documenting any violation of the operational guidance in its program areas

Water, Sanitation and Hygiene (WASH)
	Improving water access for both communities and health facilities through the construction of new water schemes, rehabilitation of functional and expansion of the existing water schemes. SCI will seek to ensure adherence to minimum standards in terms of quality and volume of water provision for the communities and health facilities.

Health
	Procuring and providing emergency drugs and medical supplies for the management of SAM with medical complications and anticipated disease outbreaks. 
	Logistical support to conduct measles vaccination campaigns whenever needed, outreach campaigns, strengthening capacity on disease surveillance and strengthening the community volunteer network.