mid-level water supply systems with solar pumps, to benefit an estimated 17,000 people. • Ten water points equipped by the International Fund for Agricultural Development (IFAD) with necessary elements to support households to conduct small micro-irrigation activities to diversify diet and support income-generating activities. • Coordination with partners (IFAD, FAO and Ministry of Livestock) to introduce more microirrigation and livestock support activities in the zones targeted for water system construction or rehabilitation. • UNICEF supported the decentralized structures of the Ministry of Water to initiate a water trucking operation to provide affordable water to villages, health centers and schools without water systems. • IFAD provided 3,800 families with children suffering from SAM with a ceramic water filter (with 100 community health worked trained on how to use them), handwashing device and soap. FOOD SECURITY AND LIVELIHOODS • Since April 2016, a total of 150,000 beneficiaries have received food assistance, of which 52,800 vulnerable people received food assistance from the Adventist Development and Relief Agency (ADRA) through the development program ASOTRY, funded by Food For Peace (FFP). • Up to June 2016, through cash for work activities, 11,218 households will be assisted by the Development Intervention Funds (FID) through World Bank funding and 435,095 beneficiaries will receive food assistance (WFP, Catholic Relief Services (CRS)). • Up to June 2016, a total of 37,500 households was assisted inagriculture and livestock inputs by CRS and 4,000 additional households received agriculture input by ADRA through Office of U.S. Foreign Disaster Assistance (OFDA) funding. • Planned activities from June to October 2016: 491,185 people will receive food assistance; 16,200 households will receive seeds, other agricultural inputs and small agricultural tools through Central Emergency Response Fund (CERF) funding, $8 million from USAID could serve 300,000 affected people with food assistance for 50 days from 48 September to December 2016. NUTRITION • The cluster ensured coordination and establishment of a SAM surveillance system. • 300,000 children have been covered in three rounds of SAM screening (National Office for Nutrition, Ministry of Health, UNICEF). • 110 tons of supplementary foods have been prurchased locally for the treatment MAM in children under age 5. • 294 tons of cereals and 44 tons of pulses for family rations have been purchased and distributed. • Capacity building of 500 community workers for the management of MAM treatment have been undertaken. • Counseling to 20,000 caretakers on supplementary feeding and infant and young child feeding practices. • 12,000 cases of SAM treated (80 per cent of expected cases) by cluster members. • 165 treatment centers supported in 8 districts • Capacity building of health staff and community workers in the detection and treatment of SAM in eight regions. • Delivery of 12,000 boxes of ready-to-use therapeutic food, therapeutic milk and essential drugs to health and nutrition centers in affected districts (UNICEF). HEALTH • Purchase of health, medical and reproductive health kits engaged. • Recruitment of field staff underway. • Contract with NGO (Malagasy Red Cross) engaged to support community health being finalized. • Rapid training of health centre staff on early warning system prepared. EDUCATION • Implementing and ensuring continuity of the school feeding programme targeting school-going children in most food insecure districts in southern

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