Provision of Primary Health Care Services in hard to reach and underserved areas in Samangan and Sar-e-Pul Provinces ltpgtThe Medical Management  Research Courses for Afghanistan (MMRCA) has more than 15 years of working experience in Afghanistan and has implemented health-related projects including Sehatmandi Projects, vertical health and nutrition projects and AHF projects. MMRCA is currently present in four provinces of east region, four provinces of southeast region, Balkh, Samangan, Sar-e-Pul, Kunduz and Badghis provinces.ltbrgtThe proposed project will cover catchment population of 58,388 (direct beneficiaries) with limited or no access to primary health care and nutrition services in the targeted districts of Samangan and Sar-e-Pul provinces (Sancharak and Gosfandi in Sar-e-Pul  Aybak, Dara-e-Suf Bala, Dara-e-Suf Payin and Khuram Wa Sarbagh in Samangan province). Difficult terrain, poor infrastructure and the long distance urged people to walk to reach the health facilities with some of the constraints makes it very difficult for people to access basic health and nutrition services. MMRCA through this project, aims to improve access to and utilization of basic primary health care services, nutrition and psychosocial support by the affected population through theltbrgt1.	Establishment, equipping and staffing of five MHNTs and four SHCs/PHCs in the targeted districts of Samangan and Sar-e-Pul provinces ltbrgt2.	Provision of psychological first aid and counseling to patients showing symptoms of psychological trauma and other psychosocial problems ltbrgt3.	Provision of emergency primary health services to the population living in remote  underserved villages  ltbrgt4.	Nutrition screening of acute malnutrition of children, referral of MAM and SAM  orientation of PLWs on breastfeeding  Infant  Young Children Feeding. Screening of PLWs and referral of them for targeted nutrition services in BPHS health facilitiesltbrgtAn estimated of 5,838 people will be indirectly benefited by the project, including people living in inaccessible areas and staff receiving capacity building services and salaries. ltbrgtThe team composition and distribution plan will be as belowltbrgtSar-e-Pul Province: As per the EoI and allocation standard only Sancharak district was considered for the implementation but recently upon the implementation of project in Sar-e-Pul the PPHD proposed to shift one fixed Sub-center to Gosfandi district due to no availability of white areas in Sancharak for two fixed Sub-centers, thus MMRCA proposes change/relocation of one sub-center from Sancharak to Gosfandi district., conclusivelyltbrgt1.	Two MHNTs will be established in Sancharak district of Sar-e-Pul provinceltbrgt2.	Two fixed health centers will be established one in Sancharak district and one in Gosfandi district of Sar-e-Pul provinceltbrgtSamangan Province: Recently there have been some MHNTs ran by Agha Khan, BRAC and RHDO, they have already completed their projects and in order to avoid interruption/gaps in service delivery MMRCA with close coordination of PPHD proposes three MHNTs in Aybak and Khurum Wasarbagh districts and one fixed Sub-center in Dara-e-Suf Bala and one fixed Sub-center in Dara-e-Suf Payin districts as summarized belowltbrgt1.	One MHNT in Ayebak districtltbrgt2.	Two MHNTs in Khurum Wasarbagh districtltbrgt3.	One Sub health-center in Dara-e-Suf Bala Districtltbrgt4.	One Sub-health-center in Dara-e-Suf Payin districtltbrgtThe staff structure of each MHNT and fixed health sub-center in all districts of both provinces will be as belowltbrgt1.	One male or female MD doctorltbrgt2.	One midwife-femaleltbrgt3.	One nutrition nurse-femaleltbrgt4.	One vaccinator (preferable female)ltbrgt5.	One psychosocial counselor-femalelt/pgt