Prevention and Management of Acute Malnutrition in Vulnerable IDPs and Host Communities in Ayod County, Jonglei State. A 9-months Nutrition intervention in Ayod county (Jonglei state) targeting 6 Payams- Kuachdeng, Mogok, Wau, Pajiek (IPC Phase 5 populations) and Ayod and Pagil Payams (IPC 4 populations), through the implementation of Minimum package of Out-Patient Therapeutic Program (OTP) in 8 sites (Buot, Mhaar, Kuachdeng center, Wan-Machar, Haat, Gaar, Normanyang and Ayod center) by providing routine treatment using the simple medical protocol to SAM without medical complications. 
This project links Health, WASH (Now COVID-19 preventive steps-messaging on social distancing, hand washing, and more) and FSL activities into Nutrition within the static 8 OTP sites within Northern and Southern Ayod. Children with medical complications will be referred to the nearest CMD's existing health facilities. 415 SAM (6-59 months) children will be admitted in OTP’s, 2,606 MAM (6-59 months) children treated in TSFP, 1,303 MAM pregnant, and lactating women. 42 people with disabilities are targeted through the intervention. Overall, 4,500 children will be targeted for screening at the facility (Consideration for mass screening at the community level will follow COVID-19 trends and MOH guidelines). CMD will collaborate with MoH/CHD, partners, and local authorities through supporting initiatives for the decentralization of OTP and TSFP Sites, increasing awareness through on IYCF/MIYCN Practices for prevention of Malnutrition, Socio-mobilization for vitamin A supplementation, deworming and advocacy for the proper use of LLITN. With UNICEF and WFP collaboration, they will enable CMD to provide targeted emergency nutrition supplies and services to a SAM, MAM, and PLW cases. Community Nutrition Volunteers (CNVs) and Mother-to-Mother groups (MtMSGs) from the host community will be trained on Integrated Management of SAM and Maternal Infant and young child feeding practices to capacitive them to provide quality nutrition services. They will train caregivers to screen within their households, observed by the lead others. Family MUAC will be encouraged at HH level with each caregiver given a MUAC tape. Health staff and Nutrition staff will be capacitated for the integration of SAM and MAM management into health programs especially on malaria screening and referral of severe cases to OTP and Stabilization centers.
 CNV’s and mother groups will be trained on Screening and identification of children and PLW with SAM/MAM, counseling on Nutrition, Health, and WASH especially related to COVID-19 prevention. Growth Monitoring Promotion at the community level will be done through CNV’s and Early Childhood Development (ECD) at the Nutrition sites through Nutrition staff. Targeted beneficiaries and communities will be sensitized on COVID-19 transmission and prevention measures using mixed multiple channels including posting information, like posters and flyers) that remind patients, visitors, and service providers to practice good respiratory and hand hygiene. Nutrition workers and eligible users will be provided with appropriate Personal Protective Equipment (PPEs) to minimize transmission or spread of COVID-19 through contact. Training will be limited to priority need-basis for reasons of social distancing. Essential COVID IEC materials amp messages (from the RCCE TWG) will be provided at every facility including a checklist for mitigation of COVID transmission during serving patients, screening, and more following guidelines for hand-washing amp social distancing.