Emergency Healthcare The “Emergency Healthcare” project is mainly designed for provision of effective trauma care and mass casualty management to conflict affected people in Kandahar and Uruzgan provinces. It is in-line with the HRP 2016 SO- 2 1st Health Cluster objective.

The services will be provided through:
	6 standalone FATPs in Kandahar: Arghandab, Argestan, Daman, Maywand, Shahwalikote and Spin Boldak.
	2 standalone FATPs in Uruzgan: Shaheed-e-Hassas and Khas Uruzgan.
	2 BPHS facilities strengthening by integrated FATP in Uruzgan: Dehrawud, and Gizab (MoPH manages it from Uruzgan although in the UN system it is part of Daikundi).

The main activities:
	Training on BLS and first aid.
	First aid and stabilization.
	Trauma center.
	Quick response in conflict mass casualties, outbreaks and natural disaster.
	Referral, ambulance.
	Community awareness.

Based on HMIS 2015, the FATPs will have 15-30 cases/week. It is difficult to estimate, depending on circumstances for example in the past 5 days Dehrawud DH received 25 injury and 4 deaths. Whenever the hot fighting subsides it may not have cases for that duration.

Estimated direct beneficiary is about 15600 patients and 56 staff. 

Two integrated FATPs are planned for Dehrawud DH and Gizab CHC functional 24/7 with properly staffed, equipped and ambulance for transfer of the victims. 

Dehrawud DH needs a shelter for triage of the cases (a medical tent) and an extra ambulance. Gizab CHC emergency room needs boost-up with 2 extra nurses for night duty and escorting the injured if required.  

Recent fights in the centers of Shaheed-e-Hassas and Khas Uruzgan districts (since 25th May 2016) caused interruption of all civil services and evacuation of most of the residents. In the concept note we had plan to establish integrated FATPs. Considering the new circumstances, we changed the plan to establish standalone FATPs in safe areas but still accessible for the frontline victims. 

The standalone FATPs for Kandahar are selected on the passages were they can collected victims from conflict areas at least 10km far from closest health facility. 

Written protocols will be signed with the referral points (referral, quick response and feedback). 

For the needs assessment, AHDS had consultations with the stakeholders the communities, local authorities, NGOs and UN agencies. The stakeholders will be involved in oversight, information sharing and welcomed for any monitoring and evaluation required. 

A health Shura will be established for each FATP members will be oriented “community awareness” on who to cooperate with FATPs early warning, rapid assessment, early transfer of the victims, and follow up.

The project is designed to contribute significantly to gender equality. The gender was considered during the assessment phase. Data and information will be segregated gender and age wise to ensure a good analysis of outputs and outcomes based on gender aspects.

MoPH national waste management policy ensures minimizing environmental hazard. The emergency health services and staff will be managed in a very user friendly manner to avoid any direct or indirect harm. 

The total staff will be 56 including: project manager, admin and finance officer and support staff in the office as well as 34 nurses and 16 guard/cleaners in the FATPs. Each standalone FATPs will have 4 nurses and 2 guards, working in different shifts. 2 extra nurses will be hired for Gizab CHC.

The total required budget is USD 466,191.

Exit: AHDS implements BPHS in Uruzgan through SEHAT contracts. The integration of proposed FATPs is already considered in the draft action plan for future. They will not face financial challenge at the end of this allocation.

If the security becomes better, Kandahar FATPs will not be needed any more. We hope that before end of this ERP the peace negotiations reach to a positive result. Integration to BPHS will be sought with GCMU and BPHS implementer.