Integrated mobile health, protection and GBV services in rural frontline communities of Kharkiv, Donetsk, Zaporizhzhia and Kherson regions ltpgtThis project is a commitment to those people that are most affected by war, discrimination and conflict in Ukraine and live in rural hard to reach frontline communities. It is a partnership of National and Local civil society organizations that have ability and proven long time record to deliver critically needed health and protection services to communities in hard-to-reach frontline (withing 7 to 30 km) rural locations of Kharkiv, Donetsk, Zaporizhzhia and Kherson oblasts. The project has already established presence on the ground, working cooperation and plan to continue to work in 4 oblasts in the following rayons (subject to the safety conditions): Kharkivska: Izyumskyi, Chuguivskyi, Kupyanskyi, Kharkivskyi Donetska: Kramatorskiy, Pokrovskyi, Bakhmutskyi Zaporizhzhia: Zaporizkyi, Polohivskyi Khersonska: Khersonskyi, Beryslavskyi. The exact list of hromadas where project has established working relations and routinely provided services is indicated in the program report attached to this proposal.ltbrgtEach oblast team will use two vans for primary health services. The first van is used by primary health doctors. Each team has two family doctors. Services includes primary health doctors counseling on general medical issues, including chronic and infectious diseases prescribing treatment and issuing the necessary drugs for a period of 30 days, referral to other specialists if necessary. Family doctors will prescribe only medicines that is procured by the project and is included in WHO Essential medicine list (EML) or National EML and treatment protocols. The second van has room equipped with an examination couch for basic diagnostics using cardiograph, glucometer, tonometer as well as portable ultrasound if requested by a doctor. After the diagnostic, a patient will go back to the family doctor with the results to continue consultation. Another room of the second van is used for portable lab diagnostics using hematology analyzer and rapid tests for HCV, HIV, syphilis, COVID, troponin, etc. All equipment and tests for diagnostics are already procured, fully functioning and are ready for use in this project. Alliance have also mobilized resources (The Global Fund) for supporting third van (that will join two primary health focused vans) to provide more specialized TB screening and diagnostics, including usage of ultra-portable X-ray and GeneXpert diagnostic platform with involvement and coordination of local TB service.ltbrgtIn all communities that will be visited by mobile clinics our local partner Charitable fund “Blago” will provide home-based care and case management services for people who have disabilities and limited mobility. “Blago” has experience and proven capacity of providing case-management and home-based care for people with disabilities and limited mobility in Kharkiv and Donetsk region. For this project Blago will expand and share this model of home-based care to Zaporizhzhia and Kherson region. ltbrgtIn this project Alliance will also provide components of GBV services, specifically (1) raising community members awareness and informing community members about GBV services provided by partners and coordinated and shared through GBV cluster, (2) supporting devoted GBV consultant on the existing Alliance supported national telephone hotline and internet platform Help24, (3) procuring and distributing Dignity kits to women and girls by the mobile clinics coordinators, (4) providing training for all mobile clinics team members in the GBV issues.ltbrgtlt/pgt