Emergency Primary Health Care Services and COVID  Response for Externally displaced population in khost province After 40 years of war, natural disasters amp persistent poverty, the afghans have to deal with another deadly blow from COVID19. It is almost 09 months since the virus’ emergence, its humanitarian consequences are now affecting every aspect of life amp threatening the survival amp well-being of the most vulnerable by creating new needs amp exacerbating existing ones. People’s living conditions, emotional amp physical reserves, amp their overall resilience in the face of recurrent shocks have been eroded by decades of hardship. Inability to access basic services is a key consequence of the on-going crisis amp is a product of a range of factors including conflict, insecurity amp fear, poverty amp under-investment in critical infrastructure amp human resources. The country is also facing a protection crisis where people’s rights to safety, security amp well-being are threatened by an increase in the conflict amp by the economic implications of COVID-19 also.
Externally displaced population (EDPs) from North Waziristan living in the Gulan Camp(Gurbuz) , Matun, Tani amp Spera Districts (Khost) are highly vulnerable due to poor access to basic facilities including health services amp the pandemic have worsen their situation especially at this time when the current health structure are overburdened amp resource drained. 
To support amp fill the gap in the current health structure of the MoPH, Johanniter International Assistance (JUH) amp its implementing partner- Humanitarian Assistance ampDevelopment Association for Afghanistan (HADAAF) will jointly implement the project in Gulan Camp(Gurbuz), Matun, Tani amp Spira districts, to improve access of EDPs amp nearby living host communities to life saving health services amp contain the spread of COVID 19 in the communities to reduce mortality amp morbidity rate. Following interventions will be implemented 1) Provision of Primary Health Care, Mental Health/ PSS services amp COVID screening in Gulan Camp through the CHC 2) Emergency Mobile Health Services ,COVID screening amp PSC for suspected COVID cases in hard to reach areas in Tani, Spira ampMatun 3) PSC through telephone amp follow up of suspected amp confirmed COVID cases who are quarantined in their homes amp those in isolation/treatment centers 4) Train health shura amp community leaders in RCCE 5) Community outreach amp awareness raising on the prevention of COVID 19 community transmission 6)Provision of PPEs, Chlorine amp Spraying Pumps to HFs staff to disinfect amp prevent infection so they can safely continue providing services to the affected population.
The project interventions are in line with the HC priorities which is to support risk communication intervention to ensure messaging on COVID-19 is widely available to all in Afghanistan, Reduce avoidable morbidity, mortality, amp disability due to emergency health condition among returnees ,migrants amp displaced amp underserved, hard to reach communities through provision of direct healthcare services amp contribute in strengthening public health care systems through operational support of selected health care facilities in coordination with Provincial Public Health Directorate (PPHD) and, improve disease prevention , proper hygiene practices among affected amp vulnerable host communities as well as health care personnel through community-based amp self-help interventions. 
The project will jointly be implemented by the partners, The JUH Country Office will provide technical support to the sub-implementing partner, continuously monitor project activities amp will support procurement of medicine, equipment amp lead capacity building of staff amp community elders during the project implementation. This way the project will be launched and implemented smoothly, where HADAAF with technical support of JUHwill focus on project implementation in a coordinated way at provincial and community level. 
This intervention is planned for 12 months with 1 month inception period. Project reports will regularly be shared with all stakeholders (KBL/KHT)