Provision of comprehensive for the prevention and management of  Moderate Acute Malnutrition among Pregnant and Lactating Women (PLW) and children 6-59 months in Kaxda district of Banaadir. ltpgtWe expect 1.7 million children under five in Somalia to suffer from acute malnutrition in 2024, with 330,630 likely to be severely malnourished. Factors include limited healthcare access, food shortages, and high illness rates. Despite improvements in nutrition, GAM rates exceed 15% in some regions. El Nino floods have affected 2.4 million people, causing infrastructure damage and increasing water and vector-borne diseases, especially among malnourished children. Kaxda District has the country's largest internal displaced population, with an estimated 653,057 people crowded into 1115 mini camps (Somalia CCCM). Recurrent droughts, conflicts triggered by political unrest in many parts of the country, floods, and disease outbreaks are the leading causes of displacement across the country. Kaxda is the destination point for most of the displaced people from the Lower Shebelle, Middle Shebelle, and Bay regions. It is important to note that up to 80% of the displaced people in Banaadir are women and children, who live in crowded makeshift camps and face multiple risks and depreciations. Insufficient and poor-quality basic services, such as health and nutrition, plague the district, preventing children and pregnant and lactating women from accessing basic promotion, prevention, and treatment of acute malnutrition. This, in turn, contributes to the high maternal and child mortality rates in the country. The project aims to address these challenges by providing Moderate Acute malnutrition (MAM) prevention and treatment services for 11,820 children aged 6–59 months (5,910 girls and 5,910 boys) and 5,319 pregnant and lactating women (PLW). AADSOM, working closely with Banaadir Regional Authority (BRA) and health and nutrition partners, will operationalize two (2) health facilities to provide screening of children aged 6-59 months and pregnant lactating women for acute malnutrition, admitting and treating MAM cases, while at the same time referring SAM with and without complications for Outpatient Therapeutic care and inpatient care respectively. At the same time, promotion of appropriate maternal, infant, and young child feeding and care practices and capacity building for frontline health and nutrition staff will be undertaken. In instances where there is a gap in routine immunization in target locations, the project will coordinate with BRA to ensure children under 1 are accessing immunization, contributing to the ongoing efforts to reduce the number of the number of zero-dose children across the country. The project will closely coordinate with relevant actors through the Banaadir nutrition sub-national cluster to ensure the project is fully integrated with the existing healthcare services. Important for integration that AADSOM will pursue is the Better Lives program implemented in the district by ACF, including the stabilization center located within the district hospital, which will be a critical referral path for SAM children with medical complications.ltbrgtlt/pgt