Provision of emergency Integrated response to life threatening malnutrition for Conflict affected populations in Duk County, Jonglei state, South Sudan The aim of the project is to save lives and alleviate suffering through safe access to services and resources with dignity by targeting delivering quality lifesaving management of acute malnutrition to children of 0-59 months of age with SAM and MAM respectively including PLW with MAM with improved emergency referral services for communities in Duk County. The goal of the project is to contribute to the reduction in malnutrition related mortality and morbidity, and improve access to high quality lifesaving emergency nutrition interventions for the most vulnerable populations notably U5 children and pregnant and lactating women. Therefore, treatment of SAM and MAM for children below five years as well as PLW continues to be one of key need for saving lives of most at risk in Duk County.
The target groups for this project will be 22,830(Boys= 11,643 amp Girls=11,187) children of 6-59 month of age and 3,997 PLW out of which 2019 SA1 SSHF SAM target is 364 SAM (M=175 amp F=189 which is 23% of 1583 total SAM target) while MAM U5 target at 3647 which is 20% of 18,235 total MAM target).
This SA1 will compliment to funding from UNICEF/WFP/OFDA to allow JDF expand services in Duk and fill gaps not supported by UNICEF/WFP/OFDA funding.  This integrated (CMAM) project will provide support to host communities in undeserved areas affected by the recent violence in Duk County. The intervention will also target new arrivals fleeing recent insecurity in the neighboring Counties of Uror and Ayod. The proposed lifesaving interventions will target delivering quality life-saving management of acute malnutrition for the most at risk. It will also ensure enhanced needs analysis of nutrition situation and robust monitoring and coordination of emergency nutrition responses while increasing access to safe and integrated health and WASH responses due to recent cholera outbreaks with support from Home Health Promoters (HHPs) who will work with CNVs in Duk County. 
The  SA1 will enable JDF fill the existing gaps by covering the entire county to address the deteriorating nutrition situation through strengthening 4 stabilization Centres, 8 TSFP sites, 8 fixed OTP sites, 2 Mobile OTP sites. Program approaches will include community education, active case detection and treatment (TSFP, OTP and SC), MIYCF in emergencies, deworming campaigns, and mass screening targeting IDPs and host communities. This intervention will expand the coverage of nutrition sites, therefore, the entire county including island will be supported by 8 Fixed OTP sites, 2 Mobile OTP sites and 4 SC as well as reducing cholera transmission in the county. 
The community outreach component, which entails the recruitment of Community Nutrition Volunteers (CNVs), will be implemented on a large scale within the county in order to identify children with acute malnutrition on time and refer them to the nutrition OTP and TSFP centres. The CNVs will be trained on identification of acute malnutrition within the community through use of MUAC tapes and referral forms. This is the active case finding in which CNVs will work closely with the community mobilisers in the centres. They will also do home follow up for those in the program to include defaulter tracing and gather information on reasons for absenteeism and defaulting as well as education on key hygiene messages to improve linkages between WASH and nutrition for better health outcomes
Additionally, JDF will provide technical support to Duk County CHD through capacity building of staff and supportive supervision of OTP/TSFP/SC staffs will be directly managed by the County Health Department of Duk in an integrative programming.
JDF Added values are Integration with Nutrition and WASH program Long-standing partnership with CHDs for health system strengthening contributing to improved health and Nutrition service delivery for local communities