Establish static and mobile health facilities to provide integrated health care services in Paktika province CAF has the honor to establish static health centers and deploys MHNTs to expand humanitarian access and response in underserved and earth quick affected locations of Paktika province and to provide integrated primary health care services including SRH, MPHSS, and nutrition. CAF proposes to establish two SHCs and deploy one MHNT in Barmal district and to establish two SHCs and deploy one MHNT in Geyan districts of Paktika province. The project target is men, women, and children under five years and pregnant and lactating women (PLW). These SHCs and MHNTs will provide outpatient services including ANC, PNC, (promotion of) institutional delivery, SRH services, IMCI, and immunization services by the trained midwife, physician, vaccinator, and psychosocial counselor in the catchment areas of each service delivery point. Also, the SHCs and MHNTs provide nutrition screening, growth monitoring, IYCF counseling to PLWs, treatment of SAM (MUAC less than 11.5 or WHZ less than -3SD) and MAM (MUAC between 11.5 and 12.5 cm or WHZ between -3SD and -2SD) cases, micronutrient supplementation, and referral of severely acute malnutrition to a comprehensive nutrition center. Also, the facilities provide mental and psychosocial counseling services to disaster-affected people. Simultaneously, we will further support the referral of severely ill cases from the community to the nearest health facilities. Though the SHCs and MHNTs encourage referred clients with severe cases to approach at their own cost in some cases the MHNT vehicle will support such emergency cases and refers severely ill patients to the nearest HFs. Also, the SHCs and MHNTs will distribute the phone number of HFs ambulances available in the district through the BPHS implementer. The SHC and MHNT structure consists of a Male doctor, a nutrition counselor, a midwife, a psychosocial counselor, and vaccinators to cover all the services by the SHCs and MHNTs. The project management team (project officer and operation officer) can efficiently and transparently manage the project with the support and liaison of CAF’s management team. Required equipment, medical and non-medical supply, IEC, and health/nutrition promotion materials will be provided to the project. Also, CAF builds and maintains close coordination with the public health directorate of the province by signing MOUs. We coordinated with OHPM and IOM for the deployment of MHNTs and the establishment of SHCs in the two districts of the province to prevent overlaps. The scope of services at the SHCs and MHNTs are based on BPHS and MHNT guidelines. We will rent vehicles to provide mobile services for the teams. As a cross-cutting matter in this assignment, CAF will consider the minimum gender marker code within the proposed projects. We will ensure that gender equality and gender awareness activities are mainstreamed within the scope of the project. CAF conducts regular supervision, monitoring, coaching, and mentoring of the SHCs and MHNTs to ensure the quality of services as per the standards and project requirements. Accordingly, women, men, boys, and girls of all ages including people with disability will benefit equally from the proposed interventions. A total of 42274 individuals in the host communities of Paktika province will directly benefit from the project. This figure consists of 17230 males over five and 17194 females over five for OPD services, 1183 boys and girls under one year for vaccination, 1598 caregivers of children 0-23 for IYCF, 1247 children 6-59 months for SAM, 1438 children 6-59 for MAM, 607 PLWs for acute malnutrition, and 4794 children 6-59 for MMNPs. One of the project's sustainability aspects is the capacity building of the local staff on health and nutrition interventions within the provinces.