Emergency Nutrition Project in Gogrial East and Gogrial West This project will contribute to the HRP 2016 objective of saving lives and alleviate suffering through safe access to services and resources with dignity. The proposed lifesaving interventions will target delivering quality lifesaving management of acute malnutrition for at least 70% of SAM and 75% of MAM in girls and boys (0-59 months) 60% of PLWs in Gogrial East and Gogrial West. World Vision is currently implementing nutrition interventions in Gogrial East and Gogrial West and working in 27 OTP/TSFP sites through private funding. The proposed project will compliment nutrition interventions being undertaken by World Vision, SMoH and other partners, through improved enhancing nutrition service delivery for SAM and MAM management among children under 5 and PLWs. The project will support surveillance of cases and referral for further management. The project will continue to increase knowledge among mothers, caregiver and the community on IYCF messages and practices as a way to prevent under nutrition in the long term. The project will deliberately integrate nutrition sensitive interventions with existing World Vision projects in the targeted areas which include WASH, food security and livelihoods, and HIVampAIDS to provide holistic nutrition services and to contribute towards increased recovery and reduction of malnutrition in the 2 counties. Children under five will benefit directly through provision of treatment packages such as therapeutic feeds and medicines, pregnant and lactating women will benefit from micronutrient supplements. Furthermore, the project will be aiming at strengthening the capacity of the CHD across all aspects (nutrition supplies, training on nutrition service delivery, reporting and nutrition surveillance). Improving coordination will strengthen referral systems among nutrition actors in the targeted counties and this will lead to improved nutrition service provision. 
The proposed activities are as follows:
Improved case identification and referrals of 3,257 SAM and 17,353 MAM cases for CMAM
	Continuous screening of children 0-59 months and PLW in the community and health facilities
	Provide treatment for SAM and MAM of CU5 and PLWs as per the CMAM guidelines and refer SAM cases with medical complications to SC
	Continuous follow up of defaulter cases and home visits for non-respondent cases.
	Train CNVs and HHPs on techniques of screening, defaulter tracing and home visits
Improved coverage of service delivery points for treatment of acute malnutrition for 3,257 SAM and 10,962 MAM Children under 5, and 6,391 PLW.
	Procurement, prepositining and provision of MAM and SAM supplies to all OTP and TSFP sites
	Train 30 CHD and WV staff on CMAM
	Community nutrition outreach
	Mass community mobilisation, sensitization, and screening campign

Increased provision of IYCF messages and counselling in nutrition centres and health facilities for all vulnerable groups
	Train 30 CHD and WV staff on IYCF
	Establish 20 new mother to mother support groups and support 6 existing mother to mother support groups
	Identify and train 26 lead mothers IYCF promoters on IYCF
	Support bi-monthly meetings for mother to mother support groups.
	Train 300 members of mother to mother support groups on IYCF
	Provide inputs and training for kitchen gardens for 300 mother to mother support group members
	Conduct 26 cooking demonstrations in mother to mother support groups
	Conduct community sensitization campaigns on IYCF targeting men and community leaders
Increased coverage of Vitamin A supplementation among children below the age of five
	Provide Vit A supplements for National Immunization Days (NID)
	Support NIDs (Training of HHPs, planning, monitoring)
Improved coordination among nutrition actors
	County nutrition quarterly review meetings
	Monthly coordination meetings between local leadership, CHD and nutrition actors
	Monthly reports shared
	Train 20 SMoH and CHD staff on