Provision of trauma care, primary and referral services to people in conflict affected districts in Helmand province. The project will cover over 308,858 population living in the catchment area of the target health facilities (HFs) where FATPs will be integrated in the 9 priority districts in Helmand province. The project will provide trauma care through 02 Trauma centers planned to be established in 02 DHs, 07 FATPs integrated in BPHS HFs and 1 MHT to cover IDPs and people living in undeserved areas.
Establishment of trauma centers is planned in 2 DHs Hazar Joft DH in Garam Ser District and Grishk DH in Nahr-e Siraj district. The Hazarjoft DH will cover wounded patients from Nawa, Khan Nishin and Garam sir districts while Grishk DH will receive patients from Sangin, Grishk and injured people caught in cross-fire along the road joining Kandahar with Lashkargah (center of Helmand). 
The project will target the population living in high priority districts considering the HRP strategic objectives and HC objectives addressing the acute needs of population living in conflict affected districts with need for trauma and primary health services. An estimated population of over 21,932 will be direct beneficiaries of the project (9252 for FATPs, 8900 MHT and 3780 for TCs in DHs). 
Each of the seven planned integrated FATPs will be staffed with 3 Nurses and 2 guards and will provide 24/7 trauma care services to the population of the area. TCs in DHs will be staffed with a Surgeon, 1 anesthetist, 1 OT nurse, 1 ward nurse and 1 guard/cleaner along with an ambulance. The ambulance will provide referral services for complicated cases out to the higher level facilities. Ambulance will also be used for collecting patients from nearby locations and in case of mass casualties. MHT will be staffed with an MD/Nurse, a midwife and one vaccinator. MHT will provide PHC and basic RH services along with vaccination services in pre-identified SDPs in IDP communities and white areas. All staff will be trained on trauma care, IP and waste management. 
An independent team with support of BPHS project in field and ACTD main office teams will manage project implementation in the province. The team assigned will be stationed in Lashkargah with frequent travel to the sites of activities based on the plan. The project will start on 01 July 2017 and ends on 30 June 2018. 
Implementation of services will be carried out in close coordination with all stakeholders including communities and groups involved in different locations in the province. 
The project will be regularly sportively supervised by the project team and ACTD main office team. Effective reporting system will be in place and technical and financial reports to OCHA will be submitted based on agreed timelines. Only one FAPT (Aliabad) will remain from the last project. The six new FATPs will be in the new locations , new staff and new activities. Based on current war in Aliabad the FATP will remain active in the area. Clear coordination is in place with Emergency and MSF, new FAPTs site selection are in close coordination with Emergency and MSF. There are no sites of Emergency near to the selected sites, a meeting was conducted with Emergency and all relevant issues discussed.
Health Facilities details:
FATPs: Kajaki =Alibad BHC, Nadali= Loy Manda BHC, Sangeen= Malmal BHC, Washer = Sarfolad BHC, Nawa= Shorkhdozd BHC, Marjah= Qasim Bazar SHC and Lashkargah= Khoshkaba BHC
Trauma Centers (DHs): Hazar Joft DH in Garam Ser District and Grishk DH in Nahr-e Siraj district
Although ACTD will hand over the BPHS project in Helmand to a new implementer, ACTD will be present in the province for implantation of other health projects funded by UNDP and UNICEF, consisting of the TB and Malaria control program (funded by Global Fund through UNDP), and training of health workers’ project funded by UNICEF.