Integrated lifesaving treatment and prevention of acute malnutrition among children under five and pregnant and lactating women for; Galkacyo IDPs in Nugal regions, and Zaylac, Lugahaye and Baki in Awdal region, Gibeley of Waqooyi Galbeed region and Digaale and Jimaale IDPs in Hargeisa .The 2018 Deyr rainy season (October-December) was poor, with parts of Somaliland and Puntland receiving only 25-50% of average rainfall. Areas of particular concern include Northern Awdal and Woqooyi Galbeed, and Galkacayo IDP which are experiencing emergency (IPC Phase 4) conditions. GAM rates of 10-14.9% are present in Awdal, Woqooyi Galbeed and Togdheer. Similarly, the nutrition situation in Galkacayo IDPs is at a critical level and may deteriorate further without humanitarian assistance. According to the nutrition cluster nutrition burden estimate that was released in February 2019, in Galkayo IDPs, the nutrition situation was at a critical level with a GAM rate of 20.2% which is above the emergency threshold of GAMgt15%. Despite the high (estimated to be 61,092 by the health cluster) caseload of children with acute malnutrition in these regions, access to live saving nutrition services remains limited. In order to address these gaps, the proposed project will improve access and provide nutrition services to children aged 0 to 59 months and Pregnant and Lactating Women (PLW) with acute malnutrition through detection and treatment in the targeted nutrition sites. Particular attention will be on the following activities: Training of Community Volunteers in the identification and referral of malnutrition cases to Save the Children   supported   nutrition centers, and mothers trained in mother-led MUAC to enlarge coverage with close monitoring from Save the Children to prevent wrong referrals and ensure quality of the screening and understanding of the community Provision of Outpatient Therapeutic Feeding (OTP) services for children aged 6-59 months with Severe Acute Malnutrition (SAM) and Targeted Supplementary Feeding Program (TSFP) for Moderately Acute Malnourished children (MAM) and PLW through mobile outreach teams. Referring children aged 0-59 months identified with SAM coupled with medical complication, and SAM infants aged under 6 months with or without medical complications to the nearest stabilization center. The proposed nutrition project is mainly targeting Galkacayo IDPs (27), Awdal (30) and Woqooyi Galbeed (21) and Digaale and Jimaale HFs in Hargeisa IDPs locations, that are most affected by the current drought in Somalia. The project also promotes and supports optimal Infant and Young Child Feeding practices through the screening of breastfeeding difficulties amongst mothers of children under two years of age, provision of one to one counselling for mothers and caretakers with difficulties with regards to Infant and Young Child Feeding (IYCF) practices and raising awareness of caregivers and relatives on the importance of appropriate IYCF. The project is targeting 59,971 direct beneficiaries, 27,830 will be from the IDPs while 32,141 beneficiaries will be from the Host Communities. In addition, a total of  96,904 beneficiaries will be reached with key IYCF messages in the targeted areas. The proposed project will incorporate learnings from previous projects on how women and girls can participate meaningfully in nutrition interventions.One of the learnings is that mothers in the IDP settlements a lead role in championing for IYCF interventions once they receive sufficient training, this is because they gained a deeper understanding of the importance of breastmilk to children and were willing to breastfeed exclusively if they had a source of livelihood.Another learning is that women can be powerful agents of change when it comes to hygiene promotion once they understand the benefits of good hygiene practices and this has a positive impact on the whole community particularly as women tend to be the sole custodians of household and child rearing chores.