Expanding primary health care services in underserved/hard-to-reach areas including referral services, provision of medicines and medical supplies, ltpgtltspan style="font-size: 14px"gtThe project is intended to ensure access to life saving
health care services in line with key priority activities of the Health Cluster
reflected in the “Inter-Sector Winter Prioritization for 2023” document as well
as revised HRP 2023. The project will provide effective response to the serious
negative impact of harsh winter weather on the health of vulnerable populations
living in hard-to-reach areas of Aybak and Dara-e- Soof Payen districts of
Samangan province. BDN will avail its presence in Samangan province where has
established a well-staffed and well-equipped provincial office in Aybak city
which has enabled BDN to have an optimal access to target villages and target
population. BDN conducted an assessment of the target districts through
obtaining official permission letter from central MoPH and coordinated with the
Provincial Public Health Directorate (PPHD). All interventions designed in the
project are based on need assessment carried out by BDN’s team. To ensure
accountability to affected people becomes a natural and inseparable part of
programming, the assessment included community members, beneficiaries, persons
with disability and female head of households, their ideas and points of views
were obtained and incorporated in this design to the best possible extent.
Community engagement will be continued through two-way communication between
BDN, project’s participants and beneficiaries in the entire project duration. Focus
Group Discussion conducted with persons with disability where their concerns in
accessing to health care services considered in the proposal. The project is
designed based on principles of do no harm, dignity, transparency and
accountability, Cultural Sensitivity and Prevention of Sexual Exploitation and
Abuse. The project will deliver services to all genders as per their needs, a
greater focus has been done to mainstream gender in provision of services
without any discrimination. As per the assessment, 4 locations were identified
and jointly agreed with PPHD and local community to establish Health Sub
Centers (HSCs) as follows: In Aybak district 2 HSCs will be established {1 HSC
innbspHassan Khil village andnbsp1 HSC in Qala-e- Mohammad Rasool Village and
in Dara-e- Soof Payeen district 2 HSC will be established {1 HSC in Kata Qaq andnbsp1
HSC in Koch Areq villages. The services will include maternal and newborn Care,
child health and immunization, assessment of malnutrition and refer,
communicable disease treatment and control, mental health and psychosocial
counseling, disability awareness, prevention, education, Case identification,
referral and follow-up, regular supply of essential drugs, supply of medical
and non-medical equipment and medical expendables. The project will particularly
respond to several winter period health risks associated with snow, sleet,
freezing rain, high winds, blizzards, avalanches and landslides i.e.,
hypothermia, frostbite, carbon monoxide poisoning, severe pneumonia, chronic
respiratory diseases such as asthma, measles, pertussis and COVID-19 as well as
physical injuries and trauma cases. The project will save lives and decrease
morbidities and mortalities caused by the harsh winter weather which have a
serious negative impact on the health of population. The project will target 9598 women, 6399 men, 11267 girls and 7512 boys out of whichnbsparound 5217 people
with disability and 70 internal displaced people who are living in underserved
areas beyond normal reach of existing health facilities. It has been ensured by
the assessment that the HSCs will be established in white areas where there is
no any HF, hence the project is augmenting the existing health service delivery
within the prioritized districts without creating any duplication and the
project will have a synergetic role in enhancement of access to health
services, given this, the project is complementarity of ongoing efforts to
provide lifesaving health services to vulnerable population.lt/spangtlt/pgt