Essential Health and Nutrition Service Provisions for IDPs in Kachin State (ESPI Project) The ESPI project will deliver critical health and nutrition services to vulnerable people living in conflict areas of Kachin State. Target populations include people living in conflict-affected areas, communities with histories of multiple displacements, communities receiving IDPs, and those living non-government controlled areas with poor access to health services. Since 1998, CPI has been promoting access to primary health services in conflict-affected areas in Kachin, Kayah, Kayin, Mon and Shan States. CPI believes that empowering local indigenous organizations is the most effective way to address the health needs of displaced populations in armed conflict settings. CPI designed the ESPI project in partnership with Back Pack Health Worker Team (BPHWT) and Kachin Development Group (KDG) (See Annex A : Partner profile) for the emergency response to conflict-affected victims in non-government controlled areas with the following objectives: 1) Increase access to integrated health care services at emergency setting through locally attainable service providers 2) Strengthen the capacity and quality of services by capacitating indigenous organizations Objective 1: Increase access to integrated health care services in emergency settings: The ESPI project will implement the  “Integrated Package of Health Services” (IPHS) encompassing expanded MNCH, nutrition, SRHR, mental health and immunization program in partnership with BPHWT and KDG through mobile approach for scattered community and facility-based approach at IDP camps. To align with MOHS guidelines, training will be jointly conducted by state health departments and CPI, under the guidance of the respective national programs where possible. CPI will coordinate with HPA and partners to identify gaps and needs in immunization in the camp. If required, CPI will organize crash immunization training to KDG, BPHWT and camp clinic staff. In addition, CPI will advocate with MoHS and State Health Department to get the supply of vaccines for crash campaign.  In Kachin state, BPHWT will operate with four mobile teams with 21 clinic health workers covering nearly 8,735 populations (50% are women and children) from 3 IDP camps located in Hpakant, Sumprabum and Injayaung townships. KDG will operate in 4 townships (Waingmaw, Moemauk, Mansi, and Chipwi) in Kachin State covering 35,588 IDPs in 15 camps located in Non-Government Controlled Area (NGCAs) through the recruitment of 20 clinic health care workers. Main activities include providing essential medicines to the clinics located in the camps, capacity building of camp-based health care workers in camp, conducting regular monitoring and supporting visits to IDP camps. Objective 2: Strengthening the capacity and quality of services by capacitating indigenous organizations. CPI will provide technical assistance to BPHWT and KDG service providers in the following thematic areas.  1) Healthcare Provider/Technician Capacity Building: ESPI project will conduct initial IPHS training among an anticipated 21 clinic health workers from BPHWT and 20 clinic health workers from KDG. Annual refresher trainings in IPHS will be conducted thereafter. The MOHS and its national programs have agreed to continue providing technical support, continuing long-term program sustainability. Likewise, the Maternal and Reproductive Health (MRH) unit will provide technical assistance and training for maternal care and SRHR, and conduct joint monitoring visits, thus ensuring ECBHO technical and workforce alignment with national standards. 2) Quality Assurance: CPI will train partner staff according to national guidelines and CPI field staff, with partner staff, will follow up monthly or quarterly with on-site training and monitoring visits. Coordination with MOHS: CPI will also strengthen relations and collaboration between partners and the MOHS, through routine coordination meetings at the state level, Township Coordination Meetings, and joint mobile outreach.