Treatment and prevention of acute malnutrition and emergency rapid nutrition response for children under 5 and pregnant and lactating women in South Sudan ACF is proposing 9 months CHF funding from April to December 2016 and shall not further apply for 2016 second round standard allocation. Proposed project is the continuation of CHF 2015 first and second round allocation for the high burden as well as conflict affected states. The overall objective of this project is to provide quality integrated CMAM services and strengthen existing nutrition capacity building, surveillance system and rapid nutrition emergency response for the vulnerable population. There are three main components of this project: 

1. Children under 5 (boys and girls) with severe and moderate acute malnutrition and malnourished PLW from both host and IDP/returnees’ communities in the catchment areas are admitted and treated in the program.  This includes nutrition services at 21 points of delivery in Aweil East, Gogrial West and emergency locations of Jonglei state comprising of 21 OTPs, 3 stabilization centers (SC) and 21 TSFPs, where the sites will be integrated to the existing health system. U5 children, boys and girls with SAM or MAM from both host and IDP/returnees’ communities located in the program catchment area in NBeG, Warrap, Jonglei state Counties will be admitted and treated. Project interventions directly target children under 5 years without discrimination between boys and girls. Variations of numbers between the two sex groups will be monitored to ensure immediate actions are taken when large gaps are noticed.

2. Prevention of malnutrition in children under 5 and Pregnant and lactating mothers through BSFP, micro-nutrient supplementation, promotion of IYCF, health, WASH and child care practices and community sensitization and mobilization through Mother to Mother Support Group (MtMSG) or peer group counseling approaches. Prevention activities will take into account the different needs for women, men, boys and girls from the initial stage of the needs assessment design, considering gender balance in the assessment interview and ensuring that questions are tailored according to the group. The project design involves/considers representation of both men and women from the community and community leaders. ACF will also link it’s nutrition specific activities with ongoing nutrition sensitive (i.e. WASH, FSL) activities in Warrap and NBeG to maximize the impact. WASH and FSL activities prioritize and purposively target nutrition beneficiaries to bring greater synergy and cohesion to sustainably tackle the underlying causes of malnutrition.

3. Strengthening Nutrition capacity building, Nutrition information and assessments and emergency rapid nutrition response:
ACF will continue to build the nutrition capacity on CMAM, IYCF, SAM management for MoH and other partners at national, state and county level. ACF will conduct screening in the nutrition centres as well as conduct active case finding in the OTP/TSFP catchment area (10 km radius) in collaboration with community nutrition volunteers (CNV). With Multi-sectoral Emergency Team (MET), ACF will continue to respond to emergency needs of affected populations in the conflict affected states of Jonglei, Upper Nile and Unity through RRMs and/or IRNA in collaboration with other humanitarian actors. The nutrition component in MET has been designed to address acute malnutrition (SAM and MAM) and promote and protect IYCF practices in emergency. ACF in consultation with Nutrition Cluster and OWG members will target priority locations for Initial Rapid Assessments followed by RRM deployments when needed. The interventions will target populations and/or areas with overall high acute malnutrition rates (above 15% GAM, 3% SAM) with aggravating factors including high mortality rates, heightened food insecurity and epidemics associated with under-nutrition.