Provision of integrated emergency health and WASH services for underserved refugees and local communities in Barmal and Urgon districts of Paktika Under Allocation Envelope three , provision of timely humanitarian support to vulnerable populations, including refugees, returnees, and host communities, IMC  proposes to provide WASH assistance and emergency primary health care to refugees living with  host communities (about 19 .8 % ), in Urgon and Barmal districts of Paktika Province. Currently there are significant gaps in services and IMC will address these through the following activities:: 

A: Construction of Ventilated Improved Pit (VIP) Latrines: IMC proposes to improve sanitary conditions of refugees and the local communities through the construction of 150 (VIP) latrines (120 in Barmal and 30 in Urgon). The location of the latrines will be selected in consultation with the beneficiaries under a strict selection criterion, to ensure that the locations of the latrines are safe and accessible to all community members, with special consideration for the needs of women, girls, people with disabilities, and the elderly. 

B: Drilling of boreholes: IMC will drill 21 boreholes (15 in Barmal and 6 in Urgon) in total, for refugees and surrounding local communities residing in Barmal and Urgon districts for better integration and to avoid any future tensions over water, following the MRRD guidelines. The sites for the boreholes will be selected in consultation with WASH committees that represent refugees and local communities. 

C: Hygiene promotion : IMC proposes to train a group of volunteers as Community Hygiene Promoters (CHPs),) for five days on personal hygiene and safe disposal of excreta (sanitation) techniques, safe water collection and its handling, hand washing, personal hygiene, safe garbage disposal and drainage. The CHPs in turn will provide hygiene awareness sessions to the communities . During sessions, hygiene kit will be distributed to the beneficiaries with an aim to change hygiene behavior significantly reduce the risk of WASH related diseases. 

D: WASH Committees:  establish 3 WASH committees in both Urgon and Barmal districts, each composed of 8 -10 influential and respected community elders and members from all walks of life in the targeted location with an interest in WASH promotion. The WASH committee members will capacity build through a 5 day training to increase their understanding, knowledge and skills on WASH and management the committees. 

E: Running a static health center in Barmal District
IMC, in close coordination of Paktika PPHD and local authorities, established a static health center for refugees where the refugees, especially women and children with the support of UNHCR. The project started in July and is ending in December 2016. IMC proposes to extend the provision of health services through this health facility after December 2016. Services included outpatient department services, reproductive health, vaccination and health education 

F: Provision of mobile health services in Barmal and Urgon districts
IMC provides mobile health services through 2 mobile health teams to the remote villages one day per week per village in Barmal and Urgon districts, with the support of UNHCR from July – December 2016, where refugees have no access to basic health services. IMC proposes to extend the provision of health services through this health facility after December 2016.The mobile services will include OPD, vaccination, health education and the provision of free medicines and clean delivery kits. 

G: Provision of clean delivery kits and medicines/medical supplies
IMC will provide clean delivery kits to all pregnant women through the health facilities in the 3rd trimester of pregnancy to promote clean home delivery for those who have no access to delivery services by skilled health personnel. The midwife will then provide education on its usage and benefits to mothers and mother- in-laws /elderly women who accompany pregnant mothers. 

H: Provision of health education 
Both health facilities will provide at least two sessio