Essential integrated health services in Nangarhar, Kabul, and Kunduz provinces The proposed project is designed in response to AHF 1st Standard Allocation 2021 with the purpose to expand access to emergency life-saving health, MHPSS and nutrition services in underserved and hardest-to-reach areas in Kunduz strengthening health response to health emergencies including infectious disease outbreaks in exiting HFs in Nangarhar and enhancing COVID-19 infection prevention and control in urban HFs in Kabul. HNI-TPO is a Netherland-based international organization working in Afghanistan since 1994 in health, nutrition, MHPSS, communicable disease control, GBV, humanitarian services, capacity building, and research. HNI-TPO is present in the project target provinces since the beginning of its operations in Afghanistan. HNI-TPO is implementing EPHS/urban BPHS in Nangarhar and several health, GBV and humanitarian projects in Nangarhar and Kabul provinces. 

To address needs and vulnerabilities of people in underserved/hardest-to-reach areas in selected districts of Kunduz, HNI-TPO will provide essential life-saving health, nutrition and MHPSS services through four integrated MHTs in Qale Zal, Chahardara, Khanabad, Aliabad, and Imam Sahib districts. Team-1 will provide services to more than 12,000 people in Keshani, Zahir, Salim Woloswal, Malik By, Arbab Zahir, Qalamabad and Dewana Qishlaq locations in Gul Tepa district. Team-2 will provide services to more than 8,000 people in Ainulmajar (Panji Eshan), Alinulmajar (Haji Qader), Koolabi Qarya-e-Yateem, Ahmadzai Qarya-e-Yateem, Madrassa Qarya-e-Yateem, Sojani Ulya, Mangal ha, Laghmani Nahr-e-Sofi, Popalzaee, Daghareq Barakat Pahlawan, Daghareq Haji Aiwaz, Qoushtepa, Sojani, and Mama khil villages in Chahardara district. Team-3 will provide services to more than 10,000 people in Kohna qishlaq, Anderabi, Khubdara-e-Kalan, Ochquduq, and Aadam Kahan villages of Khanabad district and Qadam Joy and surrounding areas in Aliabad district. Team-4 will provide services to more than 10,000 people in Qalam Gozar, Majar, Besh Kapa and Zardkamar villages in Imam Sahib district. The SDPs for integrated MHTs have been identified through a rapid field assessment, consultation with PPHD, WHO focal point, BPHS implementer and other stakeholders. 

To address the health emergencies in urban settings, HNI-TPO will strengthen Nangarhar Regional Hospital (NRH) and urban HFs in Nangarhar to ensure appropriate health response to infectious disease outbreaks particularly Dengue fever and AWD. HNI-TPO will provide medicine/medical supplies, equipment, and diagnostic kits to NRH, Najmul Jahad and Najmul Qura CHCs, Rigi Shah Mard Khan, Prison and Kariz Kabeer BHCs, and will position one lab technician in each of the mentioned five urban HFs to ensure proper management of Dengue fever. Furthermore, HNI-TPO will provide medicine/medical supplies, and diagnostic kits to NRH, Najmul Jahad and Najmul Qura CHCs, Joyi Haft, Rigi Shah Mard Khan, Zarin Abad, Kariz Kabeer, Bakhtan and Prison BHCs, Sayaf Family, Farm-e-Hada and Sia Sang SHCs to ensure appropriate management of AWD. Moreover, HNI-TPO will broadcast approved TV/Radio spots (600 spots during project life) through local TV/Radio channels and will print/distribute IEC materials to all BPHS (around 130) HFs in Nangarhar to increase awareness and knowledge of communities on dengue fever and AWD.

To address the need of frontline health works due to limited resources, HNI-TPO will provide COVID-19 IPC training to all clinical staff of Kabul urban HFs and will provide PPEs to all staff of the Kabul urban HFs. Using standard MoPH/WHO guideline, IPC training will be provided to 481 MDs, midwives, nurses and vaccinators, and PPEs to all 732 staff of 53 urban HFs.

The project will provide service to 80,257 vulnerable people including 11,811 men 15,450 women 27,035 boys and 25,961 girls. The project will be implemented by a dedicated team and support from country/provincial office