Essential health and nutrition services provision for IDPs in Kachin State The ESPI project will continue to deliver critical health and nutrition services to vulnerable people living in conflict areas of Kachin State. CPI modifies the project design based on the experience and learning from the current MHF funded project, making partnership with local ethnic health organizations (EHOs). In 2020 ESPI project, CPI will keep working with Back Pack Health Worker Team (BPHWT) and Kachin Development Group (KDG) for the emergency health and nutrition assistance to conflict-affected victims in non-government control areas. In addition, facility assessment findings are also utilized to strengthen the project design. The objectives of the ESPI project are as follow:
1) Increase access to integrated health and nutrition services at emergency setting through locally attainable service providers. 
2) To maintain existing momentum current project and scale up additional interventions for conflicted affected and internally displaced population based on the previous project experience and local context.
3) Reinforce the capacity and quality of services by capacitating indigenous organizations.
4) Strengthen the quality of EHO’s health infrastructure to meet the minimal cluster standards ensuring safety, and privacy of clients.

For objective 1, the ESPI program will deliver “Integrated Package of Health Services” (IPHS) encompassing expanded MNCH, nutrition, and mental health in partnership with BPHWT and KDG. The partners will adopt mobile approach for scattered community, and facility-based approach at IDP camps. The existing IPHS package will be reviewed and revised by collecting inputs from beneficiaries, partner organizations, and relevant stakeholders. CPI and its partners aims to deliver health and nutrition services to a total population of 42,786 reside in 17 camps and 27,887 host communities, and 73% (51,652) are women and children. Compare to current project, additional 27,000 host community will be benefited from this proposal.

For objective 2, according to the guidance from health cluster, CPI provided Psychological First Aid training to WHW and partners in April 2019 which only applicable immediate after disasters or conflicts. In Kachin, behavior problems, substance use, effects of war, and depression are common mental health problems according to a research done by Catherine Le et al. in late 2016. Therefore, CPI plans to build capacity of partners and VHW on “mental health for nonspecialized health care providers” using mhGAP. 
For objective 3, CPI will provide technical assistance to partners, and VHW in the following areas. a) Technician Capacity Building and annual refresher trainings for IPHS will be conducted. Additionally, training on infectious disease surveillance system will be intensified in 2020. b) Quality Assurance: CPI will train to partners’ staff according to national guidelines and CPI field staff, with partner staff, follow up with monthly to quarterly on-site training and monitoring visits. c) Coordination between MOHS and EHOs: It is proven that the current ESPI project is a platform for EHOs and MoHS to initiate dialogue, strengthen coordination and build trust. Likewise, regular coordination meeting has been conducted in Laiza inviting all health partners working in NGCA.
For objective 4: According to KIO Health Department, all health infrastructures in NGCAs were renovated in 2014, and no maintenance has been done so far. According to SARA assessment result done by CPI in March 2019, all camp-clinics have no visual or privacy, and 90% of clinics required at least minor or major repairmen. Therefore, CPI will support in establishing or renovating delivery rooms in three IDP camps (Je Yang Hka, Hkau Shau or BP-12, and Pakahtawng) where 37% (12,434) of total IDP in NGCA reside. Equipment for medical stores such as metal shelfs, thermometer, etc) will be provided to VHW.