Provision of life saving health and nutrition services to remote and isolated communities in priority districts of Parwan and Takhar provinces According to AHO 2022, 588K people in Takhar, and 601K in Parwan are in need of humanitarian assistance, indicating a decrease of 3% in Takhar and an increase of 72% in Parwan compared with 2021. A nutrition and mortality survey was conducted in Takhar by Action Against Hunger (AAH) with the financial support of the OCHA from 08-25 July, 2017. It was a cross sectional survey following two-stage cluster sampling method, based on Standardized Monitoring and Assessment of Relief and Transition (SMART) methodology. The results of SAMRT survey shows that the combined GAM and SAM prevalence among children 6-59 months in Takhar is 16.8% and 3.3% respectively. Similar survey was conducted by AAH and funded by European Commission in Parwan in Feb 2020. According to the survey the prevalence of combined GAM and SAM in Parwan is 13.4% and 2.9% respectively. More than 20% of PLW in Parwan and more than 25% in Takhar suffer from acute malnutrition. 
The study of HMIS data over the past year indicated significant coverage disparities of health and nutrition outcomes between the priority districts and other districts in both Takhar and Parwan provinces. It demonstrates that the current network of HFs has failed to ensure equality in meeting the health and nutrition needs of the population and it is imperative to provide lifesaving nutritional and health services in underserved areas to alleviate the level of inequality from health and nutritional outcomes in future.
Takhar and Parwan were identified at top priority for primary health care and nutrition services in the 1st SA for 2022. This project is designed in line with the SOs 1-3 of HRP-2022, the health cluster’s SO 1 (outcomes 1.1 and 1.3), and the nutrition cluster’s SO 1-3 (outcomes 1.2, 2.1, and 3.1). 
The project plans to reach 63,600 people with life-saving health and nutrition services through deploying 4 MHNTs in Taloqan district of Takhar and 2 MHNTs in Charikar district of Parwan province. The 54 staff members of MHNTs will receive training on IMAM, MIYCN, MHPSS, EPI, and stock management and community mobilizations. OCCD will submit a separate proposal to and sign FLA with WFP for obtaining TSFP food commodities. OCCD, with the help of PND, will submit a request to UNICEF for RUTF.
The project will provide nutritional screening for 11,077 children under five, OPD SAM for 1,615 and OPD MAM for 3,659 children 6-59 months as well as TSFP services for 1,099 AM PLW. SAM children with medical complication will be referred to TFU at district hospital. 4,664 primary caregivers of children aged 0-23 months will be provided with MIYCN counselling. 
The MHNTs will also provide, PHC consultations to 58,300 catchment population, and new-born care immunization, ANC and PNC cares, IMNCI, and health education and MHPSS services to children under five and women in reproductive ages and adults. Specialized services and emergency referrals will be supported. Outreach immunization services in host communities will also be supported. Medical and non-medical equipment, including reproductive health and family planning commodities will be provided to the teams, regular supply of essential medicines will be ensured. 
OCCD will coordinate with the PPHDs, BPHS implementers, PNOs, PND, UNICEF, WFP, and Nutrition and Health Clusters via regular meetings and information sharing related to implementation progress, challenges, and achievement. The project will conduct monthly meetings with health shura members to provide information on project activities and obtain feedback on services provided. The field office will conduct supportive supervision visits to MHNTs and provide on-the-job training. The main office will monitor MHNTs regularly and follow up on developing remedial action plan and progress on implementation. OCCD will ensure registration of the MHNTs and timely reporting through nutrition online system, and GMS.