Provision of lifesaving trauma care services through 3 FATPs in conflict and hard-to-reach districts -Barmel, Janikhel and Ziruk, of Paktika province and Emergency WASH services to returnees, IDPs and underserved communities in Shams and Said Toba villages of Surkhrood district of Nangarhar province, Afghanistan. International Medical Corps (IMC) is a US-registered independent affiliate organization of International Medical Corps UK (IMC UK), with which IMC UK shares the same name and charitable objectives and mission. IMC UK and IMC work together to deliver assistance programs in an accountable and effective manner in pursuit of their commonly-held charitable objectives. IMC UK will engage IMC to implement its programmes in the field, with IMC UK oversight, according to the terms and conditions of any agreement that results from this proposal and the terms of the parties’ administrative service agreement. IMC maintains a branch office in Croatia, IMC Split that provides administrative and operational support to IMC UK and to the programmes on the ground, including but not limited to financial management, procurement management/international procurements, and logistics. 

Under this project, IMC proposes to provide lifesaving trauma care services and Emergency WASH services to conflict affected people, IDPs and underserved communities in Barmal, Janikhel and Ziruk conflict and hard to reach districts of Paktika province and Surkhrood district of Nangarhar provinces through following activities:

Project Initiation: IMC will sign MOU with MRRD, MOPH and WASH committees from the beginning of project in order to implement the project in a coordinated and smooth manner. 

Health: 
1. Establishment of 3 FATPs in 3 hard to reach districts of Paktika province to stabilize injured and refer to the nearest hospital for advanced care based on need 
2. In order to provide timely and standard referral, IMC will make available 3 Ambulances (one at each FATP) equipped and supplied with all necessary items to provide first -aid and basic life support.
3. Training of newly recruited nurses on BLS to provide quality trauma care services 
43. Provision of medical supplies including equipment, medicines based on MOPH / WHO standard essential list 

WASH:
1. Bench Marking: IMC will conduct a baseline exercise to benchmark the situation and towards the end of the project will conduct an end line and KAP survey to access the beneficiaries’ knowledge, attitude and practices regarding WASH
24. Community WASH: Construction of 50 boreholes (hand pumps), 133 latrines and capacity building of (10 Community Hygiene Promoters) 5 community water mechanics for IDPs, returnees and underserved communities in Surkhrood district of Nangarhar province 
3. WASH in Schools: Construction of 1 borehole, 10 block latrines and 2 hand washing facilities in one school and one hygiene promotion campaign 
4. Hygiene promotion and distribution of hygiene kit which will be received from DACAR to IDPs.
5. Community mobilization: 5. IMC will conduct training of 10 Community Hygiene Promoters (CHP). The trained CHPs will in turn organize awareness sessions on themes related to hand washing, personal hygiene, environmental hygiene, water and food hygiene, and water treatment (chlorination) topics to the targeted beneficiaries through regular community sessions in gatherings and mosques. 

Coordination: IMC will continue the effective coordination with WASH, Health clusters, OHPM (BPHS IP) OCHA / CHF, MRRD, PPHD, DORR, DOE and community 

Monitoring: To ensure that activities are implemented in line with project objectives, IMC will continuously monitor the project to measure various output level indicators against the work plan. IMC will develop a comprehensive MampE plan at the beginning of the project within the existing MampE framework and develop monitoring tools to monitor the activities of the project and collect relevant data. The Logical Framework will be used for monitoring indicators and objectives. A Project Management Tool created by IMC, will be used to record the findings of monitoring of project activities. Post Distribution Monitoring will be the one of the monitoring methodologies which will be used after each distribution