Expansion of emergency lifesaving health services to the most vulnerable population of Afghanistan in the areas of highest needs.. The healthcare system of Afghanistan is combating serious challenges. Nearly a quarter of Afghanistan's population does not have access to primary health care. Afghanistan has one of the highest maternal and infant mortality rates in the world. According to epidemiological data, there are measles outbreaks across the country, acute watery diarrhoea (AWD) in five states and dengue fever in Nangarhar. The upcoming summer season is likely to contribute to the spread of AWD outbreaks in other regions. 
People with disabilities need adequate health care, including physical rehabilitation and psychosocial support. Post-conflict Afghanistan requires post-traumatic physical rehabilitation services throughout the country. 
According to the Multi-Sector Rapid Needs Assessment analysis conducted by WVA in March 2022, access to health services averages one and half hours coupled with additional challenges associated with health care are: availability of services at health facilities distance to services, delays at points of care and poor health seeking behaviours. Overall, distance, inadequate medicine in facilities and lack of money to complement health care and treatment are the outstanding bottlenecks for communities. Evidence shows most deliveries were home (64%). 
The Government of Afghanistan calls for ensuring universal access to health care through the provision of emergency life-saving health services, focusing on providing the providing primary healthcare services to the most vulnerable population of Afghanistan in the areas of highest needs. 
In line with the AHF 1st Standard Allocation for 2022, the proposed project aims to improve access to primary health care services including reproductive and child health care services as well as mental health and psychosocial support services (MPHSS) through supporting static health-care facilities to provide integrated primary health-care and nutrition services and establishment of the Mobile Health and Nutrition teams (MHNT) in 2 provinces of Afghanistan (Ghor and Herat Provinces). One MHNT will be functioning in Gho in one district and two MHNTs will be functioning in Herat in three districts.

To improve the continuum of care from the MHNT level to the higher level of health service delivery points the project will provide the below support to the static health facilities (at least 3 HF will be supported).
-	Secondment of health care providers
-	Support case management (provision of medical and non-medical supplies)
-	Capacity building for the static health facility staff along with the MHNT staff on MHPSS and disability
-	Enhance the trauma care services by provision of equipment and medical supplies
-	Improve the referral system by support of the 4 ambulances

World Vision in close coordination with the WHO, UNICEF, DoPH, AADA and other health players in the respective e provinces working to expand the coverage of the primary lifesaving health services to the areas where there is not any access to the existing health services, currently the main health agencies providing the lifesaving health services in Herat are as follow:

CARE International running 2 MHNTs (1 in Enjil and 1 in Gozara).
IOM running 4 MHNTs (1 Karukh and 3 in Herat city)
RHDO running 6 MHNTs (1 in Shindand, 1 in Adraskan, 1 in Ghoriyan, 1 Kohsan, 1 Gulran, 1 Kohsan)
JHPIEGO running 6 MHNTs (6 in Herat city)
WV had the biweekly meeting with all these agencies and ensure synergies and prevent from any possible duplication and overlap.