Provide integrated health and nutrition services for vulnerable children and PLWs  - in northwest Syria - Idleb -Maaret Tamsrin This project aims to increase access to life-saving and essential assistance to vulnerable people and will focus on supporting the creation of safe and more secure environments for children by supporting them and their mothers with vital health and nutrition services at 14 IDPs camps and 8 communities in Maaret Tamsrin.

This project will cover 35,153 people, disaggregated as following : 

- 12,867 PLW ( 8,739 Host community – 4,128 IDPs) 
- ( 22,286 CU 5) Children under 5 (11,046 girl /6,090 Host community – 4,956 IDPs/ 11,240boys / 6,331 Host community – 4,909 IDPs/ ) 
The target communities and camps:
1- Kafraya - Kafr tanor - Kafr Nabi – Murin – Taltuneh- Shekh Bahr –Kafar Jales -Ma'aret Misren- Beeret Kaftin –in addition to uncovered Kelly camps (Atta alkhair- Ayadi- Bilal- Ehsan – Farhan – Karnaz – Khair – Maghara – Muzun - Rafe'en- Taiba- Tawhid – Tuqan

Secure one available health facility in the area (Kelly - ID G0700008) with one pediatrician or trained integrated management of childhood illnesses (IMCI) GP doctor, covering 11,246 children
in addition to, 4 rapid response teams that will be established and will work alongside this health facility to enhance and optimize the services.

Each Rapid response team (RRT) will work in specific communities and will cover approximately 9,000 (pregnant and lactatıng women in addition to children under 5 )

The facility will also provide Psychosocial support for parents who will be referred from the outreach workers

These Rapid response teams will work in parallel and in coordination with the available health facilities in the target areas

The RRTs will provide integrated health, nutrition, child protection, and hygiene promotion through: 

Nurses: 
will screen the children under 5, and refer the ones with dangers signs and medical problems to the available health facilities. 

Community Health workers (CHWs): 
- They will assess and screen nutritional status among the children under 5 and distribute nutritional supplies to them where needed.
- Also, the infant and young child feeding practices in emergencies (IYCF-E) services will be provided to prevent any case of malnutrition by:
o Counseling the mothers and providing messages on IYCF-E recommended practices to mothers who have malnourished children. 
o Distribute micronutrients and nutrition supplies for the PLWs and children. 
o Reporting to the cluster any distribution of breast milk substitute. 
o Referring cases of any visual signs of abuse /violence among children and PLWs.

Midwives: 
They will screen pregnant and lactating women and refer the ones with any dangers signs or medical problems to the nearest facilities (eclampsia - preeclampsia ........)
Mercy-USA in coordination with Shelter/NFI cluster received funding during the last reserve allocation to provide fuel and stoves for IDPs in the above mentioned camps during this winter season 
Also, a pre and rapid coordination combined with referrals will be in place if the team notices or identifies any sign of abuse or violence among children under 5 and or mothers.

All cases of violence against women will be referred to Shafak organization center in Maaret Tamsrin

All cases of violence or child abuse will be referred to Syria relief organization in Maaret Tamsrin

The mentioned camps are receiving WASH services from the following organizations: Saed/Maram/Balad/Ataa/Syria Relief 

Therefore, the hygiene promotion activities and messages on good practices and the importance of hand washing will be done in coordination with the above mentioned organizations. 

These integrations between services will help create and provide safe and more secure environments for children and their families.