Improving access to integrated Nutrition, Primary health care and Basic WASH services to Underserve Population in Nad-e-Ali District Helmand Province Proposed project is an integrated approach of Nutrition, Health and WASH to improve nutrition status of children and mothers in white area (28000 population) through establishment of 4 MHNTs in Nad-e Ali District of Helmand province. The intervention includes nutrition intervention, PHC services, health promotion at community and HFs level and promotion of WASH components. Project will be implemented considering AAP, Protection and RCCE principles. It will also include Psychosocial counseling to the affected population in targeted area.
 
Project will target beneficiaries both at HF and community level focusing on nutritional status of children and PLWs. On community level, community nutrition team is proposed, consist of 4 persons (2 community mobilizer, 1 female nutrition screener and 1 health/hygiene promotor). On MHNTs level, a qualify female nutrition counselor will be hired who will be responsible for the delivery of nutrition services (nutrition counselling, iron-folic acid supplementation, GM, management of uncomplicated SAM/MAM cases, referral to HFs, distribution of vitamin A and deworming to the Under 5 children), promotion of hygiene, water treatment methodology, disease prevention, diversification of available food and awareness at HH and community level. 

Project will promote IYCF activities including distribution of IEC material both on clinic and community level. Key messages of IYCF will be used for the awareness and improvement of the nutrition status of children and mothers. 

To ensure early and timely detection of malnutrition, the Mother MUAC Approach, through orientation of mothers and distribution of MUAC. This approach will help in early detection of SAM/MAM and improve the preventive measurement at HHs level. 

Community WASH and Nutrition Team is ncluding four staff, two male mobilizers will work with community for developing coordination and held meeting community elders, hygiene promotion, awareness, assessment of water sources and data collection at community level. At Household level, female nutrition counselor and health/WASH promotor will work with families for nutrition assessment of children and PLWs, hygiene promotion, health education, referral of MAM/SAM case, to nutrition counselor of MHNT. Community Nutrition/WASH Teams will be trained on nutrition counselling, Health promotion and hygiene package. 

Supplementary foods (RUSF and Super-Cereal) will be provided by WFP to U5 MAM children amp PLWs and RUTF to SAM children by UNICEF. These required supplies are coordinated with WFP and UNICEF during the proposal development stage. 
  
Children affected by violence, abuse, neglect amp exploitation will be supported with prevention and response services. In addition, prevention, mitigation amp response to SEA and gender-based violence will be strengthened.

For promotion of RCCE component, Community health Shuras will establish in each SDP and regular monthly meeting with community and health Shura conducted. 

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, managed through provincial offices in Helmand provinces, supported by HADAAF’s HQ in Kabul. During inception period, all preparatory measures (coordination, recruitment, setup, procurement)
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. The HFs will be registered with MoPH database for submission of reports in HMIS. 
Data collection and reporting tools will be used for the purpose and monthly reports submitted to Health Cluster Reporting Hub and registered in HeRAMS. Technical and financial reports will be submitted to OCHA in GMS in agreed schedule.