Emergency integrated winterization services in priority areas of Khost, Kunar, Laghman and Nangarhar In response to AHF 3rd Reserve Allocation 2022, the proposed project is designed to save lives and improve the health and well-being of the vulnerable people in the hard-to-reach areas during the winter in selected districts of Khost, Kunar, Laghman, and Nangarhar through providing quality mobile health and nutrition services, pre-positioning of essential medicine/medical supplies, training of health workers, health education, and strengthening surveillance system. 

HNI-TPO will deploy 4 MHNTs in hard-to-reach areas in selected districts of Laghman and Nangarhar provinces. In Laghman, HNI-TPO will deploy 2 MHNTs in the Dawlat Shah district. The MHNTs will provide essential health, nutrition, MHPSS, health education/awareness, and referral services in selected villages (Frashghan, Naw Safa, Dehane Naw Safa, Khakdani, Ser Aghla, Ghora Gak, Hazara, Mayo, Pesh Mazar Karik, Nashar Hafiz Abad, Dawlatshah, Baz Khando, Shadi Book, Konra, Bombi, Nasah, Dadi, Afghanano Kli, Khandalo, Makil, Baladeh Nawai, and Gena) which are not conveniently covered by the existing BPHS and will be cut off during winter due to floods and other geographical constraints. In Nangarhar, HNI-TPO will establish 2 MHNTs in the Hesarak district. The MHNTs will provide essential health, nutrition, MHPSS, health education and awareness, and referral services in villages (Kolala, Boly, Gazak, Trai, Todachena, Tomany, Tangi, Khangai, Abzangani, Kanara and Sara) that are not or partially covered by the existing BPHS and will be cut off by floods and other climate and geographical constraints during winter. 
In addition, the project will ensure the pre-positioning of adequate essential medicine and medical supplies in BPHS HFs in Spera and Shamal districts of Khost, Chapa Dara and Ghazi Abad districts of Kunar, Dawlat Shah district of Laghman, and Hesarak district of Nangarhar to appropriately manage the higher morbidities, particularly cases of ARI, pneumonia and other diseases in the health facilities during the winter. 
Furthermore, HNI-TPO will train BPHS staff (MDs, nurses, midwives, CHSs) on diagnosing and treating respiratory tract infections, including ARI, Pneumonia, and other chronic diseases in the selected districts of Khost, Kunar, Laghman, and Nangarhar. This will include the BPHS staff from Spera district (Qala Kalay BHC, Soor Kakh SHC, Spera CHC) and Shamal district (Dowa Menda CHC, Borgai SHC) of Khost Chapa Dara district (Gulsalak BHC, Nakora BHC, Chapa Dara SHC, Dega SHC) and Ghazi Abad district (Nishagam CHC, Elgal SHC, Darin SHC) of Kunar Dawlat Shah district (Dawlat Shah CHC, Farshgan CHC, Nawya SHC, Paitak BHC, Kail SHC, Dogran BHC, Karek SHC, Manjoghan SHC, Mile SHC) in Laghman and Hesarak district (Doab SHC, Hisarak DH, Naserkheil SHC) of Nangarhar. 
Moreover, HNI-TPO will provide health education on prevention and mitigation measures for respiratory infections, COVID-19 RCCE, and other winter-related risks through MHNTs and BPHS HFs in Khost (Spera and Shamal districts), Kunar (Chapa Dara and Ghazi Abad districts), Laghman (Dawlat Shah district) and Nangarhar (Hesarak district).
Finally, HNI-TPO will strengthen the disease surveillance system with a focus on surveillance of acute respiratory infections and influenza-like illnesses, including COVID-19, in the mentioned districts of Khost, Kunar, Laghman, and Nangarhar provinces. 

HNI-TPO is implementing the HER (BPHS/EPHS) project in Khost, Kunar, Laghman, and Nangarhar provinces. The services will be coordinated with the BPHS/EPHS provincial teams to avoid duplication and missed opportunities in coverage and to create synergy among the projects. The project design is coordinated with the Health Cluster, OCHA working groups, PPHDs, and WHO representatives, and their recommendations are incorporated into the project.

The project will provide services to 55,538 people consisting of 6,150 men, 34,682 women, 7,487 boys, and 7,219 girls.