Provision of emergency and lifesaving health /trauma care and Covid19 prevention services to the affected and vulnerable local communities in Ghazni, Herat, Nangarhar provinces of Afghanistan Through this project, AADA aims to improve access of needy communities to lifesaving emergency health and trauma care services in Ghazni, Herat and Nangrhar. In general, the project is boosting/complementing the existing surgery services in DH/CHC of Sehatmanid, and empower the staff exist in these HFs. The proposed actions are as follows:
-The surgery/trauma care related infrastructures in  Adraskan CHC+, Gulran DH and Zer Koh CHC of Herat province that will be expanded and prepared for optimal, 24/7, emergency surgery and trauma care service delivery.
-Provision of medical / non-medical equipment and pharmaceutical to Sangar CHC+ , Ghojor CHC+ [Jaghori ], Maradena CHC+ [Malistan] and Nawor CHC in Ghazni  Adraskan CHC+ [Adraskan district], Gulran DH [Gulran district] and Zer Koh CHC [Shindand district) in Herat and Ragha DH [Hisarak district] , Kama DH [Kama district], Piwa Kandaw DH [Rudat district)  and Sultan Poor CHC+ in Sorkhroad district of Nangarhar, where a huge number of people live, but do not have easy access to any district and provincial hospital to seek trauma care services.
 Establishing two-unit/teams of highway ambulance in Herat to provide rapid response (first aid, stabilization) and evacuation/referral services to traffic accident casualties. The first team in Karokh district to serve Herat and Badghis highway accident casualties and the second unit in Zawol area to cover the they highway between Kandahar and Herat. They will be 24/7 available with male nurses and drivers
-Recruitment of additional staff:
1. Recruitment of three surgeons (one for Adreskan CHCs in Herat, one for Nowur CHC in Ghazni and one backup surgeon for Herat DHs and CHC+) to provide 24/7 services
2. Recruitment of additional 7 male and 7 female nurses in each of 7 targeted DHs and CHCs in Herat and Ghazni who will be providing both nursing as well as psychosocial counseling services. Staff will be selected based on their experiences and qualifications following AADA formal recruitment process.
3. Provision of 24/7 surgical treatment for conflict and non-conflict trauma and other patients in need of surgery interventions.
Recruitment and training of one male and one female health educators in each of the 18 high caseload districts ( 18 in Ghazni and 18 in Herat province) to conduct awareness sessions and thereby promote the knowledge, practices and behavior of the communities on the diseases outbreaks through outreach and on the HF level.
Recruitment of 26 male and female health professionals (3 and 2 for each DH and CHC respectively) to serve as health educators in the following DHs and CHCs with high daily caseload of patients including Goshta CHC+, Hisarak DH, Kama DH, Khogiani DH, Wazir Perakhil CHC+, Kot Jaba CHC+, Agam DH, Piwa Kandaw DH, Ghani Khel Hospital HD and Sultan Poor CHC+ of Nangarhar.
Procuring of personal protection equipment (PPE) and hygiene products for 9 DHs and CHCs in Nangarhar to reduce staff exposure to COVID-19.
The PPE kits and hygiene products will be distributed on monthly base to the targeted DH and CHCs in Nangarhar.
PPE will be distributed to staff who are involved in routine service provision at HF level. Conducting daily awareness raising session on Covid-19 prevention and risk management to DH and CHC attendees.
Frequent/regular monitoring and supportive supervision visits to TCUs and HFs by provincial offices to ensure the quality of health care.
-Reporting:
Monthly Reports will be submitted in timely manner to regional health sub-cluster, health cluster Reporting Hub, Collecting and analyzing TCUs report on a monthly basis and sharing with PPHD HMIS department, and financial and programmatic narrative reports will be submitted to OCHA based on GMS.