World Vison Ethiopia is proposing a top up emergency nutrition response to save lives and reduce the morbidity and mortality of under five children, pregnant and lactating women (PLW) due to deterioration of the nutritional status among severely drought-affected, high number of IDP hosting, and influxes of IDPs in Dilla Zuria woreda, Gedeo zone, and SNNP region. With this top up funding, World Vision Ethiopia will fill the gaps occurred after the 1st round EHF allocation on TSFP and SAM Management due to rising of the IDP number and being stretched the health system on nutrition staff in Dilla Zuria. Accordingly World Vision have proposed selective activities which could be tailored to the existing emergency nutrition project and responded the needs of the system. World Vision will implement the intervention focusing on the Community-based Management of Acute Malnutrition (CMAM) for the detection and rehabilitation of Severe and Moderate Acute Malnutrition (SAM) and (MAM) cases among under five children and PLW of both IDPs and hosting community. Under the context of IDPs and existing under optimal child feeding and care practices among host communities and IDPs, the project will incorporate IYCF interventions (Establishing Breast feeding corner) targeting PLW and mothers with SAM amp MAM children. Some of the identified and planned nutritional interventions include further strengthening of the community mobilization using the capacity of the local community mobilizer and measures as an additional potential for quality screening, coverage, and linkage through appropriate mapping and targeting of eligible children monthly strengthening the implementation capacity of the health facilities and the community for quality SAM amp MAM management through hiring of additional nutrition staffs (for TSFP amp IYCF) and community mobilizers and measurers, provision of gap filling training, coaching/mentoring, supplementary food distribution, top up supplies for TFP sites, and ensuring the linkage among CMAM components and quality documentation amp reporting. The program will also boost the implementation of IYCF-E activities including women nutrition, breast feeding, complementary feeding, and hygiene practices support in TFP (SC) and FD sites, in which mothers from hosting and IDPs with SAM amp MAM children and PLW are targeted. WVE will implement TSFP activities based on the revised WFP approach/model “Facility based” and “Integrative TSFP where IDPs mixed with Host community” to manage TSFP at Dilla Zuria and strengthen the SAM amp MAM case management and referral quality by assigning new nutrition professionals (TSFP amp IYCF) who have proven experience on emergency nutrition programs on similar settings and closing gaps on supplies and materials of the TFP amp TSFP and in collaboration with other relevant Government organizations and UN agencies as per the requirement. Generally, the project will directly benefits children of 2,406 with SAM and 4,285 with MAM and PLW of 4,860 with acute malnutrition for quality CMAM services in both Hosting (4,866) and IDPs (6,685) concurrently about 438 and 1,968 Mothers from Host and IDPs will get IYCF counseling support while they are attending the TFP service for their children.