Scaling up nutrition service in Pibor, Gumruk, Lekuangule and Vertheth  payms of Pibor County for children 6-59 months and PLWs This six-month project will be implemented in Pibor county four Payams (Lekuangule, Pibor, The malnutrition situation in Pibor County is consistently very high as shown by the frequent SMART surveys (1. By JAM international in October 2017,survey revealed a Global Acute Malnutrition (GAM prevalence was 26.8% (22.8↔31.2 95% CI) and a Severe Acute Malnutrition prevalence (SAM) of 8.0 % (6.0↔ 10.6 95% CI) indicating a critical nutrition situation in the area 2. By IMC, May 2018, a SMART Survey was carried out during the post-harvest season. The survey found a high GAM rate of 20.7% [17.6- 25.0, 95% C.I.], of which the prevalence of Severe Acute Malnutrition (SAM) was 4.9% [3.1 - 7.4, 95% C.I.] based on weight for height z scores and/or oedema.), FSNMS reports and IPC analysis reports and the nutrition service coverage is not satisfactory. According to an IPC acute food insecurity and acute malnutrition analysis for South Sudan, conducted from October 26th to November 16th 2020, Pibor was among the 6 counties with populations estimated to be in IPC Phase 5 (‘Catastrophe’). Hence, scaling up humanitarian assistance to address the food security, health, nutrition and water services needs of populations throughout South Sudan was one of the key issues. In addition to high rates of malnutrition and low coverage, the flooding and frequent communal conflict has damaged the existing nutrition infrastructure, displaced communities and people were not accessing services for longer period which pose the community at increased risk of malnutrition and communicable diseases and diminished household food insecurity.
This project will enhance the coverage and quality of the existing community management of acute malnutrition (CMAM) program (Targeted supplementary feeding program i.e. TSFP and  Blanket supplementary feeding program i.e. BSFP), increase human resources and build capacity for nutrition sites, and enhance beneficiaries’ awareness on  Maternal infant young child nutrition (MIYCN) and  water sanitation and hygiene (WaSH) so as to reduce mortality and morbidity of those at risk i.e. under five and pregnant and lactating women (PLW). This project targets children 6-59 months with moderate acute malnutrition (MAM), PLW with acute malnutrition and also enable the same target groups to receive nutritious food (BSFP) directly. Additionally, MIYCN activity benefits the population in general with main focus on mothers with children under two years. For this project, existing mother support groups (MSG), community nutrition volunteers (CNV) and some nutrition staffs that will be recruited, trained and mentored regularly to run the project effectively. The national guidelines on Community based Management of Acute Malnutrition (CMAM) and MIYCN will be used in implementation of this project. Furthermore, there will be strong collaboration and integration with local government bodies, communities and other partners working in the humanitarian response. A total of 14642 population groups will directly benefit from this project on TSFP and BSFP. These are children 6-59 months, PLWs and mothers/care takers (boys: 4027, Girls:3718, Mothers/care takers:1958 and PLWs:4939)