Providing support to the continuation of lifesaving preventive and curative nutrition services in northwest Syria QRCS aims through the proposed project to ensure the continuity and increase the coverage of life-saving preventive and curative nutrition services among children under 5 (boys and girls) and PLWs at health facility levels, running by QRCS and other NGOs, also at the community levels. QRCS has been supporting seven fixed OTPs centers and two mobile rapid response teams reported on monthly 4Ws since 2016 in collaboration with partners and with coordination with health and nutrition clusters, UN agencies, health directorates, and local stakeholders in which targeted areas are ranked as high severity according to the HNO 2020 and nutrition cluster reports, at 12 sites of IDPs camps and 10 communities in Idleb and rural Aleppo.

QRCS and partners will continue provision of curative and preventative nutrition services through running seven OTPs centers, two mobile rapid response teams and deployment of community outreach activities in the targeted areas in Idleb and rural Aleppo, as well as  QRCS, will implement programmatic adjustment in the context of COVID-19 to protect health care providers, mitigate the risk of infection and ensure continuity of life-saving nutrition services as the followings:
1-	Continuity of life-saving nutrition services particularly CMAM, micronutrient supplementation, and IYCF-E under guidance for adaptations in the context of COVID-19.
2-	Facility and community-based nutritional assessment for PLWs and children under 5 by MUAC and Z-scores using innovative application and technology to upload validated and verified data.  
3-	Deployment of two mobile rapid response teams: MUAC screening and referral complicated SAM cases and provision of therapeutic for SAM and MAM cased among children 6-59 months and malnourished PLWs in 12 IDPs camps and 10 communities.
4-	Provision of Maternal nutrition and appropriate IYCF-E counseling and messages for pregnant women and mothers.
5-	34 CHWs and 2 team leaders will conduct community outreach activities promoting on IYCF-E, Maternal nutrition, health, and WASH-related topics and massages based on NWS nutrition cluster and TWG recommendations in the context of COVID-19 using of additional platforms such as mobile text messages, radio, TV, and social media to protect, promote and support IYCF-E.
6-	Distribution of micronutrient supplementary to PLWs and children under 5 based on SoPs and nutrition cluster recommendations.
7-	Conduct training on IYCF-E and CMAM programming in the context of COVID-19 for facilities and community staff. 
8-	Conduct training on MUAC screening and referral and roll-out of a family MUAC approach in which caregivers, PLW, and family members.

During project cycle, QRCS will provide supportive supervision through community health leaders, field project coordinator and project management based in Turkey, as well as QRCS, will provide equitable access and quality of nutrition services the most vulnerable population among children under 5 (boys and girls) and PLWs reaching 127,800 expected beneficiaries including displaced population and overburdened and host communities. All estimated caseload and a number of targeted beneficiaries determined based on the capacity of QRCS and previous project finding, achievement and results which reported to nutrition cluster via monthly 4Ws (for more information and 4Ws reports see Annexes1,2,3,4,5 attached to support document section on GMS).