Provision of life-saving Nutrition services to the PiN in NWS (Envelope 2) ltpgtThis project proposal in Northwestern Syria addresses the urgent Nutrition needs of vulnerable populations in the region, the initiative aims to mitigate the impact of the recent devastating earthquake on the communities by contributing to facing chronic Malnutrition and support breastfeeding through:ltbrgtlt/pgtltpgtltbgta) 12 RRTslt/bgt to fill the gaps in 4 subdistricts  in Idleb (Sarmada 1, Bab El Hawa 1, Babisqa 1, Deir Hassan 2, Mashhad Ruhin 1, Tal Elkarameh 1, Jisr-Ash-Shugur 1, Ariha 1),  in addition to covering 51 communities  49 camps in Aleppo (Ar-Ra'ee 3).ltbrgtlt/pgtltpgtIn CMAM and IYCF, each RRTs works as two work separate teams in the same location each team consists of (2 CNW, 2 Nutritionist, 1 data entry).lt/pgtltpgtRRTs activities:ltbrgt▪ Screening and referral of CU5 and PLW.ltbrgt▪ Providing IYCF-E counselling and messages.ltbrgt▪ Treatment of MAM  SAM uncomplications.ltbrgt▪ Distributing micronutrients to prevent anemia and malnutrition in CU5  PLW.ltbrgt▪ Registering and reporting.ltbrgt▪ Awareness about the IYCF, COVID-19, Cholera and IPCs.ltbrgt▪ Identifying the abuse cases among CU5  PLW to be referred to relevant services.ltbrgt▪ Support breastfeeding (IYCF-E) sessions and messages.ltbrgtlt/pgtltpgtltbgtb) One OTPlt/bgt in Sarmada at Sham Children's Hospital, the OTP will be fully supported and will provide services for 8 hours daily with one pediatrician, one nurse, one nutritionist, one CNW, one cleaner, and one data entry.lt/pgtltpgtOTP activities:ltbrgt▪ Assessment  Treatment of MAM  SAM with / without complications.ltbrgt▪ Screen and referral of cases with medical problems, complication, or dangerous signs.ltbrgtlt/pgtltpgtltbgtc) One SC lt/bgtin Sarmada at Sham Children's Hospital will be partially supported with three nurses covering 24/7 with three 8-hours shifts, in addition to one nutritionist, one CNW, and one cleaner with daily 8-hours shift, the SC will provide admissions for Assessment  Treatment of SAM with complications cases.lt/pgtltpgtltbgtd) CVA for Nutrition activities:lt/bgtltbrgtThe CVA team (One CVA team leader  one CVA assistants) will target 244 PLWs and caregivers of children under two will receive a monthly CVA for muliple rounds to improve access to nutritionally balanced diets and social behavior change activities.ltbrgtlt/pgtltpgtIn this project, we will target the PLWs, and children aged 6-23 months which they have a malnutrition case to maximize and enhance their nutrition health status by providing cash and voucher assistance. Depending on the global overview of the use of CVA in achieving the nutrition outcomes for instance increasing the expenditure and access on health and care practices, increasing the time, skills resources for caring, increasing(quality) food expenditure enhancing the nutrition responsive livelihoods investments with fostering the women's empowerment in decision making. Our services will be on a complementarity approach as on a long side with screening, referral, treatment of malnutrition cases and focusing on social behavior changing while distributing the CVA. Depending on the target group preferences and analyzing the pros and cons our modality will be distributing cash assistance addressing the needs for the Pregnant women for the first trimester, lactating women with children under two and children from 6 to 23 months, mother’s caregivers under 5 suffering from moderate and severe wasting with no medical complications and children under who suffer from severe malnutrition case with medical complications.ltbrgt 244 PLWs and caregivers of children under two will receive a monthly CVA for multiple rounds "as per the nutrition cluster CVA operational guide’ to improve access to nutritionally balanced diets and social behavior change activities through cash support.  This monthly cash assistance will increase access of the PLW and caregivers to purchase and consume adequate and nutritionally balanced diets, which is expected to have a positive impact on maternal and child nutrition, the amount of the cash assistance will be given through four approaches and different amount of cash assistance according to each criteria.ltbrgtltspangtCVA will be provided in all locations.lt/spangtlt/pgt