Provision of  lifesaving health and nutrition interventions to prevent malnutrition in Argo district of Badakshan The nutrition situation in Afghanistan is characterized by high levels of wasting and stunting, with high variation across and within provinces. In 2013, the national prevalence rate of wasting was 9.5% (with 4.0% severe wasting), and the national prevalence rate of stunting 40.9%. In 2015, severe wasting was estimated to affect about 600,000 children under 5 years of age in Afghanistan. Levels of micronutrient deficiencies are high, with iodine deficiency prevalence at 30% in children and 40% in women of childbearing age, iron deficiency prevalence at 26% in children and 24% in women of reproductive age and vitamin A deficiency prevalence at 50% in children and 11% in women of reproductive age. 
The Afghanistan IPC Food Security Analysis issued in November 2020 projects that between November 2020 and March 2021, corresponding to the lean season, populations in Afghanistan are likely to experience high levels of food insecurity. [i] According to the report, an estimated 8.85 million people will likely be in Crisis (IPC Phase 3) and nearly 4.3 million people will likely be in Emergency (IPC Phase 4) between November 2020 and March 2021. Populations in IPC Phase 4 and above are considered likely to experience high levels of acute food insecurity and require humanitarian support. The report identifies COVID-19 impacts, increased food prices, reduced incomes, and conflict and insecurity as key drivers of food insecurity. 
Badakhshan province is consisting of 28 districts with total population of 1348615. Badakhshan province is one of the most mountainous provinces in Afghanistan with harsh terrain and very limited access to far-flung districts, having less agricultural lands, consisting of vulnerable population from food insecurity perspective. Winter is very harsh with heavy snowfall in most of districts, which causes road blockage for several months,we have functional health facilities and staffing was completed according to BPHS, we will use from our previous experience and communicate the program implementation with HFs health shura and will provide awareness regarding objectives of this project to have their support during implementation of project. 
In Badakhshan province as per SMART survey was conducted on August 2018 the prevalence of GAM is 20.7% likewise SAM prevalence is 6.1% and MAM prevalence is 14.6%. prevalence of malnutrition in women of reproductive age is 19.7% which mainly due to food insecurity, poor households, low level of literacy, poor healthy lifestyle, poor hygiene and sanitation and hard to reach areas exacerbated by harsh winters. 
 
AKF/AKHS, A proposed lifesaving nutrition interventions to increased equitable access to health and  nutrition services and commodities (the set of activities elaborated in Grant Request Justification). 

The project will deliver health and nutrition services in Argo district of Badakshan through two mobile health and nutrition services. The teams will provide both primary health care services through 3 medical doctor and 3 midwives, immunization through 3 vaccinators and nutrition services that will include screening, growth monitoring, outpatient  acute moderate and severe malnutrition treatment service. The population covered under project will be 111,633 of Argo Districts that include 155 villages, this will include 54700 Females and 56,932 Males , Children under five in both categories will 22,320. 

	Introduce the project to communities and local authorities. 
	Providing required nutrition and primary care services
	Timely prepare and submit food requests, and requests for equipment, e.g. MUAC tapes, etc., to the WFP Area/Sub-Office. 
	Printing of forms, registers, cards 
	Dispatch of food, equipment, and forms, etc. through MHNTs to Service delivery sites.
	On the job training of staff on nutrition. 
	Set-up community outreach - and regular nutrition screening, referral, follow-up, and community awareness on nutrition amp health topics in communi