Emergency Nutrition response to people affected by conflict and climate change in South  Gonder Zone, Amhara Region The proposed project is planned to respond to the Nutrition needs of communities in south Gonder zone that have been affected by recent conflict, food insecurity and subsequent under nutrition.  Drought, shortage of clean water and occurrence of other emergencies such as conflict, and flood has led to the emergence of multiple public health concerns such as disruption of primary health care, outbreak of human disease epidemics, undernutrition and other health problems. The proposed woredas recently been reported that health facilities and other public assets has been looted by TPLF forces making the primary health care weaker. According to the report from south Gonder zone health office, one hospital, 4 health center, and 9 health posts were looted and primary care service is temporarily interrupted in lay gaynet and Guna wworedas. In addition, the proposed areas of intervention have become among the areas in Ethiopia indicating increasing trend of under nutrition while the existing primary health care services are downing because of the recent conflict in between TPLF and Government of Ethiopia and inadequate capacity of the local health system. These situation has been raising the need for humanitarian response intervention primarily Nutrition and Health response among others. It is also reported that TPLF forces who had controlled the proposed woredas for the past couple of days looted HHs assets and public institutions end exacerbated the already deteriorated food insecurity and may contribute to increment in under nutrition.

CARE proposes Emergency Nutrition Project to support communities affected by acute under nutrition, children and women in particular, in Lay gaint  and Guna  woredas with a particular focus on conflict affected kebeles. This project identified supper specific activities that are proved to be beyond the capacity of local government and provide direct support to specific health facilities while planning to strengthen the nutrition service delivery system to most health facilities through coaching and mentoring. The action emphasizes kebeles and health facilities looted by PLF forces and inaccessible sites and strengthen the nutrition service delivery through providing need based kits and supplies, conducting regular visit and providing consistent coaching and mentoring. CARE will also focus on building local capacity to consistently deliver Nutrition services in line with local priorities and the recommendation from the nutrition cluster. 
This response mainly supports the identification and enrollment to treatment of cases with acute malnutrition and the SBCC/IYSF-E. While the focus is on nutrition, this response will also support the provision of primary health care immunization, and other maternal and child health services such FP, antenatal consultation and referral through coordination with woreda health offices and integration of resources. Above all, the project mainstream protection principles to the nutrition response by integrating PSAE, and protection of GBV trainings and facilitating the reporting to low enforcement body of any SAE and GBV incidents in the project operation area.

With this action, CARE plans to reach the following beneficiaries: 

1036 children under 5 suffering from severe acute malnutrition (through OTP/SC)
7632 Children under five suffering from moderate acute malnutrition (MAM)
2126 pregnant and lactating mothers suffering from MAM 

10,794 individuals with IYCF-E and COVID-19 prevention and control messages