Improve access to effective trauma care, mass casualty management and emergency health care in high risk provinces This project contributes towards decrease morbidity and mortality among people affected by conflict related trauma, displacement and deprived of emergency health services through the following actions 
1- Training of Surgeons on Trauma care, Nurses on Triage, CHC staff on Basic Life support, Community health workers on First aid will ensure that there is continued support for trauma care and stabilization starting from the community as the first responders. This project also includes training of nurses on anesthetic technicians due to fill the gaps found in hospitals where there are several Operation theaters (OTs) but one or no OT anesthesiologist to support emergency operations in conflict districts. Additionally, Basic Life Support for ambulance staff also included and the provinces selected are only those that have formal ambulance services. These trainings will be conducted in collaboration with EMEGENCY NGO, ARCS and MoPH. Public health staff from conflict affected high risk provinces will be trained by WHO on updated diseases outbreak response and Environmental health in emergencies. (for locations, see Annex 1). The trainings will be conducted from July 2016 to June 2017.
2- Establish Two Trauma centers in Kapisa and Faryab (the tentative BOQ attached). The activity will complement the Mass casualty management planning, related trainings and supplies and will address the gaps of space, essential equipment and human resource for operationalize the selected hospitals to be fully functional as referral hospitals by 2017. The hospitals selected for the project are under high risk for conflict and facing inadequate support from the routine health allocation. The components of these Trauma centers has been discussed in a Working group that included WHO, ICRC, MSF and EMERGENCY. The activity will be implemented in collaboration of EPHS implementing partner of the province. (WHO has already tested a similar project in Kunduz).  
3- The project will include part of initial cost for operationalizing national CCC in Kabul and establish trauma surveillance through CCCs in Kabul, Mazar, Kunduz, Jalalabad and Kandahar provinces under the support of USAID. This activity will ensure proper monitoring and coordinated response of conflict related emergencies all over the country 
4-Procurement of Trauma Kits, BHK, Supplementary Kits, MCM supplies, DDK, ARI, miscellaneous drugs and water filters by WHO would serve 623,140 populations out of which 305,509 are women and girls. The water filters procured are specifically targeting pregnant women living in conflict zones and or displaced. These kits will be internationally procured and prepositioned in WHO regional warehouses except for the MCM sets, these will be prepositioned with the Provincial health directorate or the provincial hospital to complement the MCM plans developed under ECHO and CHF 2015-16
5- Subcontracting SHRDO to provide Basic Health services for IDPs in Kabul Informal Settlement will address the basic health care needs of gt40,000 people displace from different conflict affected provinces until the project is taken over by the MoPH in 2017.
6-Establishment three medical waste facilities in Badakshan, Balk and Kapisa, will be done in collaboration with MOPH and the EPHS implementing partners. There is lack of guidance in the EPHS package at national level and based on a recent assessment (HCWM plan for SEHAT MoPH, 2014), health care waste management is not operationalized in Afghanistan. Hence, this is important to support safe disposal of surgical waste especially during mass casualties, which if not properly managed. WHO will implement these projects in 3 regions, to improve waste management where the situation is critical but also to use the areas developed as pilot sites to be used for capacity building among EPHS partners and MoPH.  WHO will also take this opportunity to develop guideli