Integrated Emergency Nutrition Services for Malnourished Children under Five Years and pregnant and lactating women in Greater Bagari, Wau Western Bahr el Ghazal The goal of this intervention is to provide quality lifesaving CMAM interventions to children 6-59 months and Pregnant and Lactating Women in 14 Bomas of Greater Bagari (Baggari, Bazia and Besselia).
Johanniter will screen over 90% of children under five years 9,564 (4,878 girls and boys 4,686) and also over 90% of pregnant and lactating women 1,910 for malnutrition in the 14 Bomas of Greater Bagari. Additionally a total of 4,027 women and 425 men will directly be reached through MIYCN messaging and counseling at community level. The project will reach at least 80% of SAM and MAM in girls and boys 6-59 months 80% of PLW. The estimated number of SAM cases is 628, MAM in children under five years 1,913 and MAM in PLW 523. Indirect beneficiaries will include 790 males who are caretakers of children under five, County health department staff, health workers and Community nutrition volunteers. This project will be a continuation of the current emergency nutrition response in Greater Bagari by Johanniter under the SSHF 2018 and will consolidate on the gains made. It will be complemented by on-going UNICEF and WFP projects and a privately funded protection (GBV) project under Johanniter. 
To contribute to cluster Objective 1, the project will focus on increasing the coverage of existing CMAM by strengthening community mobilization, increased mobile sites, improving staffing levels and capacity through trainings, re-opening 6 of the 14 OTP and TSFP sites affected by the conflict, , micronutrient and deworming, strengthening linkage and referral to the existing Stabilization Centers (SC) in Wau POC run by Johanniter, Wau Teaching Hospital and a planned SC in Bagari, routine joint support supervision. Management of SAM and MAM supplies will be provided by UNICEF and WFP respectively through the current PCA and FLA. 
To contribute to cluster Objective 2, there will be capacity building of the MIYCN counselors and formation of mother to mother support groups who will be doing house to house visits and sensitizing the community on MIYCN approaches. To mainstream inclusivity, women living with HIV or disability and men will be included in these groups. Mother to mother Support groups will be integrated with OTPs and TSFPs to support mothers of children 0-24 months with breastfeeding complications such as those with small babies, not enough milk, emotional problems among others to re-lactate and successfully breastfeed their infants. 
To contribute to cluster objective 3, Johanniter will endure nutrition is integrated in all health facilities, malaria screening at nutrition site and ensure drinking water equipment like buckets and cups and jerrycans are available for appetite testing and hand washing. To contribute to cluster objective 4, Johanniter will conduct regular submit monthly NIS reports and analysis, participate in weekly and monthly nutrition cluster coordination meetings and share reports, and participate in the FSNMS.
The planned project duration of 12 months being requested for is based on Johanniter’s experience implementing the SSHF 2018 project in Greater Bagari. Several security incidents and displacements due to the continued conflict despite the recent signing of the peace agreement in Khartoum and also delays in receiving the access letter to Bagari from the government resulted in interruptions of service delivery leading eventually to a request for a 2 month no cost extension (NCE) to cover most planned activities. The 12 months will allow more time for delivery of service and patient follow up.