Emergency Integrated Nutrition response to life threatening malnutrition for Conflict affected IDPs and Host populations in Duk County, Jonglei state, South Sudan MAGNA is proposing a 6 month nutrition project from 1st March 2019 to 31st August 2019 for SSHF first standard allocation in line with 2019 Humanitarian Response Plan for nutrition needs in the high burden state of Jonglei particularly in Duk Pagaak, Duk County. The overall objective of this project is to reduce mortality and morbidity among children 6-59 months through treatment and prevention of SAM and MAM cases.

This project is intended to support the scale up of nutrition activities in Duk County by responding to nutrition needs of both IDPs and host communities in selected areas, the project is designed to provide both preventive and curative services. 10639 children 6-59 months (5107 M and 5532 F) are targeted for Nutrition screening, 568 children 6-59 months (273 M, 295 F) targeted for SAM treatment, 398 children 6-59 (191 M, 207 F) with SAM targeted for malaria screening at 4 OTP sites, 114 children 6-59 (55 M, 59 F) with SAM and medical complications targeted inpatient care at Duk Pagaak SC, 5179 children 6-59 months (2491 M, 2688 F) targeted for MAM treatment aimed at improving the health of children under five thereby reducing the prevalence of severe acute malnutrition. 25 participants will be trained on MIYCF to create awareness campaigns on topics including MIYCF.

MAGNA will work closely with Duk County Health Department (Duk CHD) to ensure that vulnerable conflict affected community in Duk Pagaak receive the required nutrition services. The nutrition project will be will be linked and integrated into the existing MAGNA supported health facilities in Duk County.

Children under five as well as other vulnerable groups will be screened in the community, those found to be malnourished will be referred to OTP/TSFP for nutritional and medical assessment. Beneficiaries enrolled in the OTP or TSFP programs will be given bracelets to keep regardless of whether they are transferred to different components of the nutrition intervention or not. These bracelets will support in easier tracking of beneficiaries and avoiding duplication at multiple centres. Once the patients are discharged, the bracelets will be recovered. The bracelets will be colour coded for each nutrition site. The nutrition points will integrate immunisation services, screening for and treatment of uncomplicated malaria and referral of severe cases for impatient management in the stabilisation centre. The project has measures in place to ensure quality services are provided and accountability to the affected populations with a feedback mechanism to improve quality of the nutrition project.

MAGNA is the primary contributor of humanitarian assistance in Duk Pagaak in the fight to reduce malnutrition among vulnerable community, the proposed actions are intended to be a short-term emergency interventions building upon already existing health and nutrition activities provided by MAGNA in Duk County by responding to prioritised, assessed and unmet needs in Nutrition service delivery with an overarching objective to reach out to vulnerable under-served populations and reduce morbidity and mortality of vulnerable women, men, girls and boys through implementation of the strategic cluster objectives (SOs). This project will support 4 OTPs, 4 TSFPs and 1 SC. Community mobilisation activities will also be enhance with provision of health and nutrition education and screening services for acute malnutrition with referral of cases to the nutrition centres within Duk County.