Provision of lifesaving integrated health and nutrition services for the people in underserved and flood-prone locations of Takhar and Faryab provinces of Afghanistan Agency for Assistance and Development of Afghanistan (AADA) is a non-political, non-profit and independent national organization currently implementing BPHS/EPHS in Ghazni, Paktia and BPHS in Zabul, Nangarhar and Herat provinces and FHH and humanitarian assistance projects funded by UNFPA in Faryab and Takhar respectively. AADA has a wealth of experience in terms of implementation in more than 21 humanitarian response projects funded by CHF/AHF, WHO, WFP and UNFPA for the past seven years.

The proposed project aims to respond to the health and nutrition needs of the underserved population through the provision of integrated mobile health and nutrition services (MHNT) in four prioritized districts by Nutrition Cluster in Faryab and Takhar provinces.
Using this allocation, AADA will undertake the following key interventions:

Establish and maintain two in Gurezewan district of Faryab and three MHNTs in Bangi, Chahab, Khwaja Ghar districts of Takhar province. Gurezewan district/Faryab is an expanded district with more than 26,750 residents in 13 big villages having no access to health facilities, AADA, therefore, proposed establishing two MHNTs in Gurezewan to reach these remote communities.

MHNTs will travel twice a month to pre-planned villages that are not served by the existing Basic Package of Health Service (BPHS) static health facilities (HFs) to provide health and nutrition services in accordance with BPHS and IMAM standards as follow:
(a)Outpatient Department of Severe Acute Malnutrition (OPD-SAM) (b) Outpatient Department of Moderate Acute Malnutrition (OPD-MAM), services to acutely malnourished boys and girls (6 to 59 months) and Acutely Malnourished Pregnant and Lactating Women (AM PLW) (c) Integrated Management of Neonatal and Childhood Illnesses (IMNCI) to children under five years old age, primary health care (PHC) including immunization to boys, girls, men and women (d) Maternal, Infant and Young Child Nutrition (MIYCN) primary caregivers and psychosocial (PSS) counselling services to the affected population. 

Through this allocation, AADA aimed at providing curative and preventive nutrition services to 19,858 direct beneficiaries including nutrition screening for 9,577 boys and girls lt5, OPD SAM to 1271 children and OPD MAM to 3,009 children lt5 and 1335 AM PLWs and MIYCN counselling to 4,666 caregivers. Under the health component of the project, a total of 62,237 (14,116 men, 34,647 women, 6,872 boys and 6,602 girls) will be receiving PHC and PSS  counselling services.

Targets for the nutrition component are calculated for an 11 months period by considering the prevalence of SAM and MAM obtained from the SAMRT surveys and * 2.6 annual population growth rate and for the heath, component considering the MoPH standard for PHC service (at least one consultation /person/year).

Additionally, AADA will provide cash assistance to families whose children are SAM with complications referred to inpatient care at the hospitals. It will support the caregiver and the Mahram during the treatment of the child and help to ensure the adherence of families to the treatment up to the recovery of the child.
AADA will implement this project in close coordination with all the relevant actors at the national, provincial and community levels during the implementation phase.