Support static health-care facilities to provide integrated primary health-care services including mental health and psychosocial support (MPHSS) and nutrition services in underserved locations of Helmand province. In May 2022, HADAAF conducted assessment in Helmand provinces using existing data, desk review and physical visits from deprived location, to elaborate current health services provision/ Gaps and priority health needs of the underserved population. (Assessment results attached). Based on available data and physical assessment, it was found that health system revitalized with insufficient numbers of health HFs to meet the needs of population. Only 78 HFs supported through Sehatmandi is providing health care services to around 1,500,000 population residing in dispersed location of Helmand wide geography. Based on existing data, about 1/3 of the population are have poor or no access to available health services. The main determinant of poor access is long distance from HFs (3-5 Hrs. walk), local tradition, poor awareness about health care provision. Current HMIS data although unreliable and having high chance of manipulation still doesn’t 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 alarming situation, it records SAM 10% and MAM 17% for Helmand province.
Proposed project will  contribute through  support 12 HFs (7 SHCs and 5 BHCs) in the remotest villages in 9 districts (Marjah/Nadi Ali, Nawzad, Baghran/Baghani, Nawa Sangin, Garamseer, Mosa Qala,, washir and Kajaki).. Locations for intervention are selected in coordination with PHD and WHO, 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 76,142 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. Targets for each indicator are set based on HC and MoPH requirement in the proposal logical framework. Th project is designed to be implemented with full transparency and commitment to accountability and protection principles.
To ensure provision of full package of PHC services, all HFs will be staffed based on standard staffing status and allocation strategy 2022 to include MPSS and RCCE through deployment of psychosocial counselor for counseling mental health issues and GBV victims. IPampC officer will be nominated from existing staff to ensure prevention measures including Covid-19 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, during which all preparation will be completed. The project will be managed through provincial offices in Helmand 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) Training/orientation of health Shura amp community leaders on RCCE and community outreach
3) Infection control and promotion of 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. The 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 Reporting Hub and registered in HeRam. Technical and financial reports will be submitted to OCHA in GMS in agreed timeline.