Health response for earthquake affected households in Paktika and Paktya IRC Afghanistan proposes to provide urgent lifesaving health and nutrition assistance to earthquake affected communities in Paktika province through establishing and providing health amp nutrition services thorough two Mobile Health and Nutrition Teams (MHNTs) in Barmal and Giyan districts. Also through same modality there will be provision of referrals support to i) visibly pregnant women in their 3rd trimester who might end up with complications to get natal services in health facilities, ii) SAM children with complications and iii) injuries or other surgical cases with complications for referrals to District, Provincial and Regional hospitals. Also support in terms of equipment, medicines, supplies, trauma and triage will be provided to district, provincial and regional hospitals Iin Barmal, Giyan, Sharana and Gardiz to cater referrals from communities. 
IRC was an active member of the multi-sectoral assessment in the earthquake affected areas led by UNOCHA followed by individual household assessments conducted by IRC to assess vulnerabilities pertinent to health, WASH, food security and livelihoods. The proposed interventions are designed based on actual needs identified on the ground based on the multi-sectoral and IRC individual assessments, fully aligned to AHF 2022 3rd Reserve Allocation and directly contributes to HRP 2022 Health Outcome 2.2.

To mainstream protection and GBV, IRC's health team will work with protection focal points to disseminate messages through mobile health teams, health posts and outreach activities including conducting FGDs with women and girls on access to healthcare and will continuously advocate through community influencers and religious leaders for inclusion and participation of women and girls in the project activities, channels through which IRC will use to continuously get feedbacks that would help to modify the implementation of the activities in a manner that safeguards and protects women and girls.

To ensure participation of and accountability to affected population, IRC will conduct awareness about its Client Responsiveness and Accountability (CRA) mechanism and channels in the target communities and will disseminate IEC materials about CRA in the target communities. IRC's CRA team will record all complaints and feedbacks while ensuring complainants' confidentiality, no retaliation and do no harm approach. CRA team will discuss the complaints and feedbacks received with relevant IRC units and will provide feedback back to the complainants and will record their level of satisfaction with the way their complaint/feedback was addressed.

IRC will maintain close coordination with UNOCHA, WHO, IOM, DRC, NRC and other actors on the ground to exchange experiences, discuss progresses and challenges, create synergies and avoid potential duplication of efforts. IRC will regularly attend the Health Cluster monthly coordination meetings, ad hoc meetings and provincial level coordination meetings. IRC will respect the reporting timelines stipulated in the project agreement and will submit to AHF within assigned deadlines. IRC will also submit monthly reports to health cluster through the cluster report hub.