Provision of life-saving nutrition and health assistance for children under 5 and women in Parwan province ltpgtThroughout the implementation of this project, CHA aims to provide integrated nutrition and health services to children and women in two high priority districts of Shinwari and Shekh Ali of Parwan province. The project will cover a total of 23,215 beneficiaries that, includes all age-categories of people such as children, men, and women. 10% of the beneficiaries are planned to be persons with disabilities. The project, at its initial stage, focuses on capacity building of the project staff through conducting 5 days of IMAM, 11 days of IMCI training, and 6 days of MIYCN training that will happen at the provincial level. Provision of nutrition and health services will happen through a series of activities such as establishing 4 new HSCs to cover MAM, SAM and PLWs in areas currently not covered by existing health services, namely white/HTR areas. These sites will be strategically located and staffed with trained professionals to provide comprehensive nutrition services. Each center will be staffed with a physician, midwife, a nutrition nurse, one nutrition counselor, an MHPSS counselor, a vaccinator, and a community mobilizernbspto provide comprehensive nutrition services and community outreach. ltbrgtThe project entails screening over 3,276 children under five to determine their nutritional status in both target districts. Nutrition nurses at each site will conduct screening using various methods, including Mid-Upper Arm Circumference (MUAC) measurements, weight/height (Z-score) assessments, and Oedema methods. Children with SAM and MAM will be registered for treatment at the centers and will be provided with RUTF and RUSF. Regular growth monitoring of children under 2 will be conducted to assess their nutritional well-being and identify any potential issues or deviations for timely intervention.ltbrgtProvision of IYCF counseling to caregivers and parents will continue throughout the project life. A total of 113 children under the age of five who are identified as Severe Acute Malnutrition (SAM) and 353 children who are identified as MAM through screening and measurements using the Mid-Upper Arm Circumference (MUAC) and Weight for Height (WfH) indicators will receive treatment. The treatment for these SAM children will involve the provision of Ready-to-Use Therapeutic Food (RUTF) in accordance with the IMAM protocol. To promote nutritious cooking practices, monthly food demonstration sessions will be carried out by project staff at the community level. During the course of the project, there are plans to conduct a total of 48 food demonstration sessions evenly distributed between Shinwari district and Shekh Ali district. These sessions will provide practical cooking tips.nbspA total of 145 Pregnant and Lactating Women (PLWs) within the target communities will receive Super Cereal to address the challenge of malnutrition. This will happen after PLWs are screened at the Nutrition Center levels.nbsp OPD services will be extended to a total of 14,583 all-age category beneficiaries within the target districts. The project will also provide reproductive healthcare to 1,267 beneficiaries, including labor, delivery care, and postpartum/neonatal care. Strengthening the Referral Mechanism ensures proper patient transfer. Focus areas include antenatal care, skilled birth attendance, newborn care, breastfeeding, and infection prevention. IMCI targets 1,287 children for acute illnesses. Health Sub Centers offer treatment, extending to first aid. Mental health addresses awareness, disorder identification, stigma reduction, and counseling. Immunization in hard-to-reach areas involves dedicated vaccinators, supply, and community outreach. Coordination with EPI subcommittee will enhance smooth implementation.ltbrgtMedicine planned to be purchased under this project will have an extended shelf-life, minimum of one year beyond the life of the project. Any medicine which expiries prior to the AHF supported project completion date will be ineligible expenditure.ltbrgtlt/pgt