support Static Health facilities to provide integrated Primary Health Care services including mental health and Psychosocial support (MPHSS) and nutrition services in underserved location of Ghazni province. HADAAF have active presence through running of 7 SHCs in remote area, conducted assessment and using existing data, desk review, to elaborate current health services provision/ Gaps and priority health needs of the underserved population. Based on available data from PHD and physical assessment conducted by our team  it was found that BPHS is not able cope with current challenges and people in many areas have poor or no access to the available services. 102 HFs supported through HER Project  is providing health care services to around 789,079 population residing in dispersed location of Ghazni wide geography. The main determinant of poor access is long distance from HFs (3-5 Hrs. walk), poorly functional BPHS facilities, local tradition, and poor awareness about health care provision. Current HMIS data although unreliable and having high chance of manipulation still does not meet the MoPH targets for key indicators. Current data are analyzed as, ANC all visits 47%, PNC all visits, TT+ 50%, DPT3 82% and institutional deliveries 54%. Data from Smart survey 2020 also show GAM rate of 8.7% (2.4% SAM and 5.8%) but MAM in PLWs are 27.7%.
Proposed project will establish 13 HFs (SHCs) in the remotest villages in 9 districts (Wali Mohammad Shaheed, Waghaz, Jaghato, Nawar, Nawa, Ajiristan, Malistan, Jaghori and Markaz ).. Locations for intervention are selected in coordination with PHD, having poor or no access to available HFs due mainly to long distance (3-6 Hrs. walk), poor transport system and local culture of restriction on women movements. The project will benefit 87,470 people including women, children and disables in the coverage area. MoPH/HC priority activities including, Maternal and child health, immunization, MPHSS, Control of infectious disease including TB and Malaria, management of Malnutrition and daily consultation for patients and clients. The project is designed to be implemented with full transparency and commitment to accountability and protection principles.
All HFs will be staffed based on standard staffing status and 3rd reserved allocation strategy 2022. IPampC officer will be nominated from existing staff to ensure prevention measures including infection prevention and RCCE promotion. Based on above explanation the project interventions are in the line with Health cluster allocation strategy 2022 1st Standard allocation.
The project will be fully functional providing services to the population after 1-month inception period. Medicine planned to be purchased under this project will have an extended shelf-life, minimum beyond the life of the project.  HADAAF will ensure full transparency in purchase of medicine in compliance of best practice.There will be no duplication of medicine and medical consumables in the AHF funded RA3 2022 project with other sources. in specific circumstances (e.g. Outbreaks, delays in the procurement), We will seek prior approval from AHF and Health Cluster for any donation.  The project will be managed through provincial offices with a coordinator and 2 supervisors in Ghazni provinces, supported by HADAAF’s HQ in Kabul. 
Interventions planned in project design based on cluster priorities
1) Provision of emergency Primary Health Care, MPSS services amp RCCE activities in all HFs. 
2) orientation of health Shura amp community leaders on RCCE and community outreach
3) Infection control and promotion of hygiene at HF and community level.
4) integration of AAP principles and protection component throughout project cycle.
Project implementation will be closely supervised and monitored using standards MoPH monitoring tools and involving community in monitoring, adopt feasible strategies for monitoring including remote monitoring. HADAAF will apply for MoU with MoPH and  HFs will be registered with MoPH database for submission of reports in HMIS. 
Data collection and reporting tools will used for the purpose and monthly reports submitted to Health cluster Report Hub and the HFs registere