Provision of Multi-Sectoral Multi-Years of Integrated lifesaving health,nutrition services for vulnerable resident in Kassala state especially in Telkok and Hameshkoraib localities .(Envelope 4). Kuwaiti patients Helping Fund (KPHF) and Talawet organization development (TOD) proposes to assist vulnerable population affected by malnutrition by supporting 20 BHU, 20 OTPs,20 TSFP and 2 SCs in 10 villages at Telkok and  10 villages at Hameshkoraib localities in Kassala State. The project proposed to support 73,816 direct beneficiaries including (men 7181, women 32, 698, boys 15,550 and girls 18,387) comprising of vulnerable resident experiencing malnutrition and sever poverty issues. Malnutrition remains a critical problem affecting the Kassala State. The Simple Spatial Surveying Method (S3M) 2013 showed the following:
-  Findings for GAM and SAM rates for Kassala State especially in Hameshkoraib amp Telkok localities are 16.7 and 7.7 percents, respectively in Hameshkoraib locality and 16.2 and 4.8 percents, respectively in Telkok locality.
 - Kassala State has included poor access to health and nutrition services.
-  Numbers of children with SAM cases in Kassala State were 33,375.
- Severe acute malnutrition measured by weight for height z-score and MUAC is present in every state with a particular concentration as large pockets in Kassala.
- The number of children with SAM depends on the population number, highly populated states with a lower prevalence still carry a very high burden of children with SAM. Most of the children with SAM are found in Kassala and other States these States carry 51% of the total SAM burden in Sudan.
Both KPHF/TOD will provide health and nutrition services with KPHF in 10 BHU,10 OTP/SFP, and 1 SC in Hameshkoraib and TOD in 10 BHU,10 OTP/SFP, and 1 SC in Telkok. Nutrition services to cover SAM and MAM cases for U5 and PLW which include screening at admission, medical treatment of severely acutely malnourished (SAM) children with and without medical complication, dietary management and individual child follow up, among others. It will also cover the administrative (support) cost of case management of moderate acute malnourished (MAM) girls and boys of 6-59months and pregnant and lactating women (PLW). It is proposed to enhance vitamin A supplementation in targeted areas through supporting clinic based services. Furthermore, nutrition education and counseling will be provided for mothers/caregivers in Infant and Young Child feeding (IYCF) practices and hygiene promotion. Selected trainings will be provided on SC case management, identification of medical complications at OTP level, community screening and follow up. While health services to provide basic package of PHC with special attention to maternal and child health which include the following services outpatient consultations OPD services, provide essential medications and equipment, referrals of severe cases to secondary care level, improve access to maternal health care services and strengthened child health services which will be achieved by providing routine EPI and IMCI services as well as provide comprehensive reproductive health services such as ANC,PNC, family planning, clean delivery and EmOC. Also strengthen the capacity of project and SMoH staff through medley and intensive trainings and on-the-job trainings related to management and delivery of primary health care services, contribute in early detection, preparedness and response to emergencies and public health threats as well as conduct intensive community awareness campaigns on different topic such as AWD, STIs, RH and others to promote good health and hygiene practices and to reduce the risk of outbreaks of communicable diseases.