Essential life-saving nutrition services to children and women affected by spring disaster in Kunar province In response to 2nd Reserve Allocation 2021 HNI-TPO will implement nutrition services in in priority districts of Kunar province. The HNI-TPO is a Netherland-based international organization working in Afghanistan since 1994 in health, nutrition, MHPSS, communicable disease control, GBV, humanitarian services, capacity building and research. The HNI-TPO has been present in the eastern region provinces since the beginning of its operations in Afghanistan. Currently, HNI-TPO is the BPHS/EPHS implementer in Kunar and Laghman provinces, and implements EPHS in Nangarhar. HNI-TPO has been implementing other humanitarian and vertical projects in Kunar and many other provinces of Afghanistan. 
The potential dry-spell and floods in spring and summer months put some districts of the province in a dire need for emergency nutrition services to prevent morbidity and mortality in children and women.
The continuous insecurity with frequent clashes between government and opposition forces has been further complicated by the COVID-19 pandemic which is showing indications of third wave in the country deteriorated the situation and people access to the health facilities badly affected. 
Based on IPC, Kunar province is among the 9 high risk provinces in Afghanistan which shows emergency situation of food security there. According to the HRP 2021, nearly one in two children under five and one in four PLW is now facing acute malnutrition and requires life-saving treatment services. 
Kunar province population is scatter and distributed in valleys with harsh geographic location, transportation problems, and road block due to flood and land slide which caused to limit access to the available health facilities. Most of the health facilities in Kunar (31 out of 62) are health sub centers (Now called preliminary health center or PHC) which do not have nutrition services as per BPHS policy. 
According to the rapid assessment for AHF project, th  following districts will be targeted through 7 Mobile Nutrition Team (NMTs) : Asmar, Dangam, Marawara, Nari, Noorgal and Watapur. 
Each NMT will consist of 4 technical staff including one MD, one Midwife, One nutrition officer and one social mobilizer/health educator. Project staff will train on nutrition topics (IMAM). In addition social mobilizers/health educator and team in-charges will train on communication and community engagement topics. 
This project will provide OPD SAM and OPD MAM services. Complicated SAM cases will refer to the relevant IPD-SAM sites and transportation cost (conditional cash payment) will provide to the care taker according to the Afghanistan cash for nutrition guidance note. Also screening, GMP and RCCE regarding COVID-19. In addition to the nutrition activities, these mobile team will provide OPD services, antennal care, post natal care and family planning services. In OPD main focus will be on children, women and men.
Project will have one month inception period for staff recruitment, vehicles renting for NMTs, provision of SAM and MAM supply form PND/UNICE and WFP, SDPs selection , kickoff , detail planning, receiving HMIS codes for NMTs and project registration with the Ministry of Economy. 
This project will provide services to 64,658 people and will regularly supervise and monitor by HNI-TPO provincial and country offices team. In addition the relevant stakeholders will be involved in all phases of the project.