Emergency Nutrition Response for IDPs in Herat province According to the 2016 Humanitarian Needs Overview, the prevalence of acute and severe malnutrition (especially among under five and pregnant lactating women (PLW) remain at critical levels as a result of several aggravating factors – including the impact of the armed conflicts on the lives and livelihood of civilians. The National Nutrition Survey in 2013 reported that global acute malnutrition rate (GAM) rate among 0-59 children was at 9.5% across the country. The most recent SMART survey in Herat province showed GAM rate at 6.6%. The situation has called on for a serious attention to prevent further deterioration in health among under five children and PLWs due to malnutrition. 
WV proposes to address the acute malnutrition prevalence among IDPs in Herat, particularly under five children and PLWs, who have been living for more than 6 months in either informal or formal settlements and are not currently receiving health and nutrition assistances. 
Main strategy is to provide access for IDPs to IMAM services either through health facilities or mobile clinics that will reach IDPs who live in the areas without health service coverage as per recommendation from Department of Public Health (DoPH). Project’s ultimate goal is to reduce mortality and morbidity among under five children and PLWs suffering from acute malnutrition. The intermediate outcomes will be reduced incidence of acute malnutrition through Integrated Management of Acute Malnutrition (IMAM) among boys, girls, pregnant and lactating women and strengthened prevention of malnutrition through improved IYCF practices at community level through CHWs and Family Health Actions Group (FHAGs) using PD-Hearth approach. PD-Hearth approach highlights the power of positive deviance identified among target population to promote change of behaviors that will allow improvement in nutrition outcomes. 
Project will be implemented in 4 districts (Injil, Guzara, Zindajan and Herat City ) where there are high concentrations of long term IDPs. The proposed activities will be focusing on providing IMAM (SAM and MAM) services for IDPs who have not been reached by similar or comparable assistances. Key activities include 1) provision of support for 5 health facility-based OPD-SAMs that are not currently supported through BPHS and 4 temporary OPD-SAM to provide SAM and MAM services for IDPs, 2) training for health workers on IMAM, 3) community awareness on IYCF and hygiene and sanitation practices and support for referral system. In order to ensure quality service, each of the temporary OPD-SAM will be equipped with IMAM-trained health workers and necessary supplies and materials. The proposed project will also provide support to 5 health facilities in the areas to strengthen their capacity in delivering quality and timely nutrition services for IDPs. Prior to the project implementation, WV will facilitate planning sessions with UNICEF, Department of Public Health (DoPH), BPHS implementing NGOs and targeted health facilities to devise a work plan detailing coverage areas for both health facility-based OPD-SAM and temporary OPD-SAM (mobile clinic ) to avoid duplication or overlap.