Emergency Nutrition and WASH in Nutrition provision in Leer ltpgtThe project objective is to contribute to increased equitable access and utilization of quality lifesaving nutrition services by reducing the level of acute malnutrition among children under 5 years and pregnant and lactating women as well as improved access to water and hygiene services in Leer County with high malnutrition rates. This project is to support both preventative and curative services for acute malnutrition via the Community-based Management of Acute Malnutrition Model (CMAM) Through 11 sites, being Adok, Bow, Dindin, Gandor, Guat, Joung, Leer town, Padeah, Payak and Rubchai nutrition facilities and Juong stabilization centre (SC). It aims to reduce mortality and morbidity from acute malnutrition by providing timely diagnosis and effective treatment and through building local capacity (health system and community) in the prevention, identification and management of acute malnutrition. The intervention is a decentralized community-based approach. Treatment is matched to the nutritional and clinical needs of the child, with the majority of children receiving treatment at home using ready-to-use foods. In-patient care is provided only for complicated cases of acute malnutrition. ltspangtThe other core component of this intervention involves community mobilization. This includes building the community's understanding of the causes of acute malnutrition, its signs and symptoms, and effective treatment. Thereby working to overcome harmful traditional beliefs and practices through MIYCN-E and Behaviour Change Communication (BCC) through Care Groups and CNVs—community nutrition volunteers. In addition, the proposed intervention empowers caregivers to do Family MUAC and provide home-based care. Medair will support the existing nutrition sites and will explore outreach sites in the course of the project. lt/spangtltspangtMedair will ensure provision of safe drinking water at the nutrition sites and, where appropriate, improve access to drinking water through the installation of four (4) rainwater harvesting systems and/or on-site water storage. lt/spangtltspangtProvision of the WASH Cluster standard WASH kits to 891 mothers/caretakers of children admitted into Outpatient Therapeutic Program (OTP) with SAM will also be accompanied by appropriate and targeted hygiene promotion and training in the correct use of water treatment kits and safe water management. Medair will follow up with the caregivers at the household level to monitor how the NFIs are being used, conduct water quality tests to determine if the people in the household are actually drinking safe water, and will provide further training and BCC as required.?lt/spangtltspangt lt/spangtlt/pgtltdivgtltpgtltspangtltspangtltbrgtIn the catchment areas of the nutrition facilities, lt/spangtltspangtMedairlt/spangtltspangt will improve access to safe water to meet basic needs for consumption and hygiene, through continued construction of 6 new boreholes using a manual rig (up to 35m) and repair or rehabilitation 13 of existing, non-functional boreholes and handpumps. Because of the low yield of the aquifer, all water points will be fitted with India Mark II handpumps. The communities' resilience will be improved through the establishment and training of Water User Committees and Hand pump mechanics and on-going WASH lt/spangtltspangtbehaviourlt/spangtltspangt sensitization activities.lt/spangtlt/spangtlt/pgtltpgtBorehole locations are: ltbrgtKaigai (Pilieny) ltbrgtJuong (Juong Kang) ltbrgtYang (Yang) ltbrgtRupchai (Guat) ltbrgtJuong Block III (Juong Kang) ltbrgtPayak (Payak) ltbrgtltbrgtlt/pgtltpgtIn all the sites Medair will provide management of co-existing illnesses such as malaria, and pneumonia, WASH kits, kitchen gardens, and cooking demonstrations, and build staff capacity on GBV and child protection to ensure a multi-sector approach for tackling malnutrition. Medair will collaborate with the county health department and other existing partners and engage in capacity building and experience sharing. In this proposed project Medair will reach in total 7519 beneficiaries, including under fives (4900 2475B/2425G), PLWs (2553) and, train 66 staff. Hence, with this proposed project Medair will support 10 OTP/TSFP sites and 1 SC.lt/pgtlt/divgt

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