Madaya, once a popular holiday resort for Syrians, has been blockaded by government troops and their allies.
Food and medicine is also on its way to the villages of Foua and Kfarya in Idlib province, under siege by rebels seeking to oust President Bashar al Assad.
Vehicles carrying the much-needed aid from the International Committee of the Red Cross are on their way from Damascus, the organisation’s Twitter account said.
Thousands of people are facing starvation because of major shortages in the areas.
Many have said they have no food, water or electricity.
The Syrian Observatory for Human Rights said the aid was expected to reach the areas some time on Monday.
The move was approved last week after the Syrian government said it would now allow aid into the affected areas.
A picture posted on a Facebook page last week detailing the suffering in the town showed a picture of of someone seemingly preparing to slit the throat of a cat.
Alongside the caption read: "Because it's just what's left for us."
An unnamed aid worker in the town confirmed that some residents were eating cats and dogs to survive, while others ate leaves.
"Humanity has fallen with the fall of the first man from hunger in Madaya," he said.
Families were also said to have been forced to eat grass and drink water flavoured with jam or spices.
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