Lifesaving Treatment and Prevention of Acute Malnutrition for Children Under 5 and Increasing the Access to WaSH Services of Malnutrition-Affected IDP and Host Communities in Aweil East County of NBeG State Action Against Hunger proposes a 6-month lifesaving, gender-sensitive nutrition and WaSH project, from 1st September 2019 to 28th February 2019, for the second standard allocation of SSHF funding. The present proposal is in line with HRP 2019 for nutrition needs in the high burden county, Aweil East. The overall objective of this project is to reduce mortality and morbidity among children under 5 (U5) and pregnant and lactating women (PLW) through nutrition specific intervention. In line with CMAM protocol, the project’s two main components are:
1. Life-saving component through detection and treatment of children under 5 with severe and moderate acute malnutrition and malnourished PLW from both host and IDP/returnees’ communities. This includes nutrition services at nutrition sites providing Outpatient Therapeutic Program (OTP) for SAM children without complications as well as Targeted Supplementary Feeding Program (TSFP) for MAM children and malnourished PLW and two Stabilisation Centres (SC) to admit and treat SAM children U5 with medical complications. At community level, Community Volunteers (CVs) will conduct active case finding for early detection and timely referral of acutely malnourished U5 and PLW. 
2. Prevention of malnutrition in children under 5 and pregnant and lactating mothers through promotion of MIYCN, health, WASH and proper care practices through sensitization sessions at nutrition site level. 
Integration of the nutrition program with nutrition-sensitive WaSH and FSL activities brings greater synergy and cohesion to sustainably tackle the underlying causes of malnutrition. Action Against Hunger therefore proposes a WaSH component focusing on IDPs, Returnees and Host Communities. Integration with nutrition sector in line with the 1st WASH Cluster Objective (CO1) will be fostered through 7 of the organisation’s existing 16 Nutrition Sites (OTP/TSFP) and Stabilisation Centre in Aweil East. During the project, 5 water sources/handpumps at nutrition sites will be rehabilitated along with 10 community-based handpumps. 2 new boreholes will be drilled and installed with India Mark II handpumps in 2 payam of Aweil County, selected based on recent needs assessment findings. We will support 400 caregiver families of SAM and MAM cases to build household latrines through provision of digging tool kits and materials. 5 sex-segregated latrines will be constructed at Nutrition Sites to improve the functionality of nutrition centers and incorporate protection sensitivity in program activities. A Door to Door hygiene promotion campaign will be launched to promote the knowledge and practice of improved hygiene behaviour. Additionally, 1000 Famine Prevention Kits/Hygiene Kits items will be distributed among the caregiver families of SAM children and 1000 Dignity (MHM) Kits will be distributed among PLWs registered in both areas to promote healthy menstrual hygiene management and SRHR. Hygiene sessions will be organized at Nutrition Site level to increase related awareness among the caregiver families.
Direct nutrition beneficiaries will comprise: 
- Malnourished children U5 and PLW identified according to national CMAM protocol criteria for admission to OTP/TSFP
- Caregiver of children U5 admitted in OTP/TSFP in site level sensitization sessions
- Community Volunteers for screening, referral and HH level sensitization
Direct WaSH beneficiaries will comprise: 
- At nut site:
o U5 for appetite tests
o Caregivers of U5 SAM cases for WASH Famine prevention kit distribution and HH latrines
o Caregivers of U5 MAM cases for hygiene kit distribution, sensitization, and sanitation facilities
o Malnourished PLW registered in TSFP for Dignity Kits, hygiene messages
- Caregivers of U5 in OTP/TSFP will receive sensitization sessions on WaSH
- MtMSG members will receive WaSH messages
- School-going girls will receive Dignity Kits
- CHVs will be trained on screening for nutrition, hygiene promotion campaign home visits