Integrated primary health care services for areas of return and drought-affected people in Nangarhar, Laghman, and Kunar provinces ltpgtOPHA is pleased to deploynbspten mobile health and nutrition teams (MHNTs)nbspto provide immediate assistance to vulnerable areas of returnnbspand drought-affected people in areas of high need in Nangarhar, Kunar, and Laghman Provinces. Considering the AAP and RCCE principles, OPHA engaged the local community and PPHDs during the project’s design phase. OPHA proposes deploying 1nbspMHNTnbspin the Nurgul district of Kunar, 2 MNTs in the Alinegar and Qarghaei districts in Laghman, and 6 MHNTs in Dara-nor, Jalalabad city, Kama, Kot, Kuz Kunar, and Rodat districts of Nangarhar province for areas of returnnbspand 1 MHNT in Goshta district of Nangarhar for drought-affected people as per the 1st reserve allocation 2024 and PPHDs agreement letters. The project targets men, women, and children under five years, pregnant and lactating women, and persons with disability. These MHNTs provide outpatient services to clients of all diversities, early detection and treatment of acute respiratory infections, ANC, PNC, referral of institutional delivery, SRH services, IMCI, immunization, and MPHSS services. Also, the MHNTs provide nutrition screening, growth monitoring, MIYCN counseling, treatment of SAM and MAM and AM-PLW, micronutrient supplementation, and referral of severely acute malnutrition with medical complications to a comprehensive nutrition center (IPD-SAM). The MHNTs will further support the referral of severely ill cases from the community to the nearest health facilities using the MHNT vehicle andnbspby distributing the phone numbers of BPHS HFs with ambulance services to the clients to promote safe referrals. The MHNT structure consists of a Male doctor, a female nutrition counselor, a midwife, a female psychosocial counselor, and a femalenbspvaccinator to cover the services under this assignment.nbspThe project staff efficientlynbspmanages the project with the support and liaison of OPHA's management team. Required medicine, equipment, medical and non-medical supplies, IEC, and health/nutrition promotion materials will be provided in multiple formats to ensure accessibility. OPHA builds and maintains close coordination with the stakeholders, including OPDsnbspand regular project data reporting at the provincial level. OPHA is the health implementer in Logarnbspand was an implementer innbspParwan and Faryab provinces, which enables OPHA to deploy MHNTsnbspin target provinces. The MHNTs operate based on BPHS guidelines, focusing on integrated primary health service, supporting RCCE, increasing community awareness on disease prevention, strengthening surveillance systems, capacity building, and providing trauma care services in areas of return and drought-affected communities. As a cross-cutting matter in this assignment, OPHA considers the minimum gender marker code within the proposed projects. We ensure that gender equality and awareness activities are mainstreamed within the project’s scope. The project is a disability-inclusive concept in which we provide all MHNTs with wheelchairs, support for disabled children with acute illness, and disability awareness activities. OPHA conducts monthly supervision, monitoring, coaching, and mentoring of the MHNTs to ensure the quality of services and identify barriers and risks for PwDs. Accordingly, women, men, boys, and girls of all ages, including people with disabilities, will benefit equally from the proposed interventions. 59500 individuals in the areas of returnsnbspand drought-affected communities will directly benefit from the project. The project will cover a total of 16660 males over five and 30940 females over five for OPD services, including 7.5% PwDs (4463), 2142 boys and girls undernbsponenbspfor vaccination, 3640 caregivers of children 0-23 for MIYCN, 615 children 6-59 months for SAM, 1636 for MAM, 1101 PLWs for acute malnutrition, and 2895 children 6-59 for MMNPs. One of the project's sustainability aspects is the capacity building of local staff on health and nutrition interventions innbspthe provinces.ltbrgtlt/pgt