Emergency response to improve Primary Health Care accessibility, mental health services and  to address Mental Health, Substance Use and related psycho-social-medical consequences for the most marginalized population in IDP camps in Kachin and Shan State Objective
1) ) Improve access to (mental) health and primary health care (PHC) services for people affected by conflicts and crisis
2) Improve access to information on primary prevention of drug use and harm reduction for people affected by crisis and displacement
3) Address drug use issues and psycho-social-medical consequences in IDP camps.
Targeted people: Conflict affected and displaced populations
Locations: Kokang SAZ in Shan State Waingmaw, Hpakant, Bhamo Townships in Kachin State
Background
There is a strong link between exposure to traumatic events and substance use problems. Prolonged conflicts add to IDPs severe psychosocial trauma, rape, harassment, gender-based violence are likely to turn to substance use to cope with emotional pain, guilt, anxiety or terror. 
Drugs are a readily available ‘remedy’ for trauma, stress and hopelessness, adding to increased co-morbid mental health disorders, dual diagnosis, PTSD and depression. Adapting to a new environment and exposure to unfamiliar patterns of drug use has impact on food security, under-nutrition, ill health, and is a driver of blood borne infections due to sharing of injecting equipment and prolonged (violent) sexual behavior due to ATS use. 
Displaced people living in crowded conditions and drug users are high risk of TB, gt10 times higher than general population. TB is further exacerbated due to opium and/or ATS smoking. 

Main activities
1) Provision of PHC through mobile medical teams in IDP camps
1.1 Provide PHC by mobile medical teams
1.2 Strengthen disease surveillance and communicable disease prevention
1.3 Provide appropriate referral support 
1.4 Promote hygiene practices

2) Provision of mental health services and psycho-social-medical support to address drug related issues
2.1 Provide pain management and referral to drug treatment center
2.2 Provide psychological first aid by trained lay people from camps
2.3 Provide clinical psychological and psychiatric interventions
2.4 Provide mental health and psychosocial support through case management approach to protect or promote psychosocial well-being and/or prevent or treat mental health disorders

3) Raise awareness on drugs, primary prevention of drug use and harm reduction
3.1 Capacity building to staff on drugs, primary prevention of drug use and harm reduction
3.2 ToT training to different stakeholders 
3.3 Develop and distribute IEC materials on primary prevention of drug use and harm reduction.
3.4 Provide awareness raising sessions on drugs, primary prevention of drug use and harm reduction
3.5 Self-help group sessions using young peers from IDP camps

4) Other supportive integrated activities
4.1 Link with existing AHRN TB Accelerated Case Finding (ACF) teams for TB screening and treatment
4.2 Provide blood borne infections screening

Main implementation strategy
The proposed locations are State and Non-State controlled areas in the proximity of existing AHRN projects, from which IDP camps are covered by mobile medical, ACF-TB teams and trained IDP Case Workers are enabled to reach those at highest risk. Most staff are already recruited, trained, working with AHRN for years well experience in public health, drug use interventions and/or training skills.
The effectiveness of integrated approach (primary health care services, harm reduction and MHPSS) is the key in this implementation strategy because people do not usually aware of their mental health conditions and mostly are detected through primary health care services by healthcare providers. They can get the one-stop service and can increase the service uptake. AHRN will sub-contract the local NGO “The Best Shelter” registered under MoHS, No:1/Pyitwin/0637, which has the expertise working with peers, remote IDP and community based interventions, mental health training and drug use primary prevention.