Improving access to Integrated Nutrition and Primary Health Care Services to the Affected Population in 6 targeted Districts of Khost Province The proposed project is submitted in response to Nutrition Cluster Afghanistan Emergency Earthquake Plan 2022. On June 22nd, a magnitude of 5.9 earthquakes struck Khost, Paktika, and Paktika. In Khost province, the most affected districts are Spera, Mandozi, Nadir-Shakot, Shamal, Gurbaz, and Tani where 177,968 people are living in MMI V and 15,020 people are in MMI VI. Khost is already in IPC AFI 3 with Acute Malnutrition treatment coverage of 34%. HADAAF will target the affected population living in MMI V and VI in the 6 most affected districts and will reach the population through establishing 10 emergency MHNTs and deployment of 22 Community Nutrition Mobilization Team (CNMT), consisting of 2 persons to perform activities such as MIYCN counseling, screening of U5 children and PLWs for AM and their referral. The project will implement considering AAP and RCCE principles. 
The project will target beneficiaries both at MHNTs and community levels focusing on the nutritional status of children and PLWs. On the community level, CNMTs are proposed to screen children and PLWs for MN and refer the MAM/SAM cases to the treatment center, provide health education and information about the consequences of MN, distribution of vitamin A and deworming to the eligible children, promotion of hygiene messages, disease prevention, diversification of locally available food and awareness raising. On the MHNTs level, nutrition counseling, provision of iron-folic acid and vitamin-A supplementation, GM, management of uncomplicated SAM/MAM cases, and referral of complicated cases to HFs will be the main activities. The project will also promote IYCF-E activities including the distribution of IEC material. Establishment of community groups/health shora and conducting of SBC campaigns on district level will also be part of the project.
The main activities are:
1) Strengthening coordination with ANDMA, PPHD, WFP, UNICEF, and BPHS implementer through attending weekly, biweekly and monthly national/regional and provincial meetings.
2) Establishment of 10 MHNTs as:
 Three MHNTs with 7 CNMTs will provide different nutrition services to 74,577 affected populations living in the Mandozi district.
 One MHNT with 3 CNMTs, will provide different nutrition services to 15,160 affected people in the Nadir-Shakot district. 
 One MHNT with 2 CNMTs will provide different nutrition services to 9,854 affected population living in the Shamal district.
 Two MHNTs with 3 CNMTs will provide different nutrition services to 26,015 affected population living in Spera district. The affected areas in Spera district are about 4 hours away from Khost center, so the staff of these two MHNTs with CNTs staff will stay there for 24 hours. They will work as fixed or semi-fixed. Accommodation facilities are also considered for them. On daily basis MHNTs will be operationalized from the accommodated area of the affected villages. In the other 5 targeted districts, the MHNTs approach is considered. 
 Two MHNTs with 6 CNMTs will provide different nutrition services to 62,703 affected population living in the Tani district.
 One MHNT with 1 CNMT will provide different nutrition support to 4,176 moderate affected and for the rest awareness and other nutrition support) affected population living in Gurbuz district. 
3) Screening of children 06-59 Months and PLWs for Malnutrition and treatment or referral.
4) Capacity building on IMAM and MIYCN for MHNTs staff.
5) Treatment of Acute MN (SAM, MAM, and PLWs)
6) One day of RCCE orientation to community elders in the targeted area
7) 12 days of Nutrition consular training
8) 2 days of IYCF-E training for CNMTs
9) 6 days of EPI refresher training 
The project will include, household visits, community mobilization and promotion of hygiene and sanitation at HH and community level.
Project implementation will be closely supervised and monitored using standards MoPH monitoring tools and involving the community in monitorin