Provision of emergency primary healthcare, nutrition, Psycho-social and GBV services to refugees in Khost province HNI TPO is one of the close partners organization with the health cluster working for the conflict affected people under humanitarian response. HNTPO under the humanitarian response chapter, started provision of emergency primary healthcare services in July 2014 through two Mobile Health Teams (MHT) to the most vulnerable conflict affected refugees settled dispersed in 4 districts of Khost (Tani, Matun, Alishir and Spera), and provided emergency primary healthcare services to the refugees till 12 May, 2016. HNI TPO has coordinated these activities with the PPHDs, BPHS implementers and UNCHR offices The most recent data of refugees shared by the DoRR Khost shows a total of 68,223 individuals from North Waziristan settled in 4 districts (Tani, Matun, Spera and Alishir) of Khost. 

The health and nutrition activities are continuation of the previous CHF project being implemented in the 4 districts of Khost, while psycho-social and GBV related activities are the new additions. The services will be provided through 2 MHTs and 2 static health facilities for the refugees settled in 4 districts (Tani, Matun, Terezayi and Alishir) of Khost province. 

In-line with the CHF 2nd standard allocation 2016 priority areas and health cluster specific objectives, HNI TPO proposes the following  interventions 

1) Continuation of the emergency primary healthcare and nutrition (OPD-SAM) services through 2 static clinics which were providing health and nutrition,  and 2 mobile health teams which were previously providing only primary health care but not the nutrition services to the refugees of North Waziristan settled in four districts (Tani, Matun, Terezayi/Alishir and Spera) of Khost. The targeted beneficiaries are refugees who don’t have regular access to the BPHS  and will thus benefit from the emergency primary healthcare services under the proposed project. The emergency primary health services will include OPD consultation and treatment of the common health problems, reproductive health and safe motherhood services such as family planning, ante natal care, post natal care, skilled birth attendance, immunization, health and hygiene promotion activities. The nutrition activities will include screening of the children for nutrition status, OPD-SAM (Severe Acute Malnutrition) diagnosis and treatment. 

2) Integration of Psycho-social and GBV services to the MHTs and static health facilities service package. The psycho-social and GBV response support will involve individual and group counseling as well as facilitation of support group and recreational sessions. The individuals requiring psycho-social and GBV services will be identified through health promotion sessions, community group sessions and  through community stakeholders referrals. During monthly stakeholder coordination meetings the simple tips for identification of people in need of psycho-social  and GBV services will be provided so that community stakeholders such as teachers, health workers, social workers, and NGO workers would be able to identify people and  make referral to HNI TPO service providers.