Provision of life saving health and nutrition services in hard-to-reach areas and isolated communities in priority districts of Panjsher province The OCCD was established and registered with the Ministry of Economy as a non-profit, non-governmental, non-political and independent organization. OCCD aims at transferring experience and expertise from national and international organizations to Afghanistan context to ensure the sustainability of efforts as well as provide opportunities for Afghans to use their full potentials in humanitarian and community development activities.
Panjsher province is located in the central region of Afghanistan with nearly the entire province (91.2%) being mountainous or semi mountainous. The analysis of the DHIS-2 data over the past 12 months indicates that the health and nutrition outcomes in Panjsher are lagging behind and there are gaps in the service delivery particularly in hard-to-reach areas. Although The OPD per capita is low and the winter season has not yet started more than 52% of OPD morbidities was due to acute respiratory infections. 
During the upcoming winter, the current situation is expected to further deteriorate, that urges the expansion of the humanitarian response to provide primary health services through MHTs. To reduce mortality and morbidity associated with respiratory infections and other winter-related risk the project aims to improve access to primary health care services and to raise awareness on the prevention measures of the people in hard-to-reach and underserved areas in Panjsher province. In line with the SO1 of the HRP 2022 and the SP1.3 of the health sector, the project will support four MHTs in hard-to-reach and under-served areas across Bazarak, Dara, Onaba, Paryan and Shutul districts of Panjsher province to provide life-saving primary health care services including MPHSS and nutrition services.
In Panjsher, the OCCD will set up its provincial office and recruit project management staff and health personnel for the four MHTs. To inform relevant stakeholders of the project scope and implementation plan and to ensure coordination of the project activities, the project team will arrange introductory meetings with the PPHD, BPHS implementer, regional health cluster, local government officials, community representatives, and health Shura members. The project team will specify the MHTs’ catchment areas and select the SDPs in the prioritized districts. Four vehicles will be rented for the MHTs. The project team will procure medical and non-medical equipment, essential medicine, and medical and non-medical supplies for the MHTs. 
The MHTs will provide integrated RMNCH, MPHSS, nutrition, and EPI services in hard-to-reach and underserved areas in prioritized districts of Panjsher. The project will conduct community-based awareness raising campaigns to raise awareness on the respiratory infections and other winter-related risks and prevention and mitigation measures. In addition, each MHT will be staffed with one female Community Mobilizer/Educator preferably with a nursing education who will conduct group health education sessions for people particularly on the prevention and mitigation measures related with ARIs and other risks associated with the winter as well as one-to-one health education sessions with patients and their families and teach them how to cope with or manage existing health conditions. In-service training will be provided for 40 health staff on PSS, IPC, EPI refresher, and OCCD’s code of conduct and Do Not Harm Policy, and PSEA identification and reporting.
OCCD will incorporate safeguarding and AAP measures into the design and during the implementation of the project. Supervision and monitoring visits will be conducted to the SDPs for maintaining quality standards of the services and a collaborative working environment will be maintained with the PPHDs, the BPHS/EPHS implementers, and other stakeholders in the province. OCCD will submit technical and financial reports as per the contractual requirements to the donor.