MoPH Presentation Formarrrrrrrrrrrt.pptx

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1. International Rescue committee Project Name: Integrated humanitarian services and protection assistance to the most vulnerable refugees and returnees, IDPs and host communities in Nangarhar, Khost, and Badghis Provinces of Afghanistan. Donor: BPRM Project Duration: 3 years Start/End: November 01, 2024, to August 31, 2027. MOU Submission Date: N/A Note: Maximum time for presentation is 20 minutes

2. NGO Background information (including Validation of NGO Registration & Tax Clearance) The IRC has been working in Afghanistan since 1988 providing emergency response recovery and development interventions with the support of different donors and stakeholders. The IRC is a key member of the Humanitarian Country Team (HCT), advising on strategic decision-making across the country, including emergency response. Whilst IRC’s strategy in primary emergency support focused, it recognized the importance of building resilience within targeted communities. As such, the IRC implements a recovery-oriented strategy in tandem with its humanitarian programming. The exciting opportunities to promote linkage between IRC’s lifesaving emergency and its more resilience-focused livelihood programming and health. Since the declaration of the pandemic in March 2020, IRC has been designing and implementing a comprehensive COVID-19 response program that addresses immediate public health concerns, exacerbated protection risks and recovery needs. IRC has provided IPC, triage and water system to health service providers (including the BPHS/EPHS packages), in other provinces where operate with the support of other funding and is developing a package of services, including age and gender-specific IEC materials and COVID outreach targeting women and girls. IRC leverages and applies learning and experience from its global team responding to COVID-19 in similar contexts.

3. IRC is committed to providing essential, life-saving services to the most vulnerable populations in areas as following: - Nangarhar Province: Khogyani district Badi Kas village. - Khost Province: Matun district - Badghis Province: Ghormach district Mastow Khil village. Provincial information and complete profile

4. Background of Project Target area Health Facilities Profile Nangarhar Province: Khogyani district Badi Kas village. Khost Province: Matun district Badghis Province: Ghormach district Mastow Khil village.

5. Field Assessment result One slide

6. Project Goal & Objectives Project Goal: To enhance the resilience, well-being, and dignity of vulnerable communities by delivering integrated and equitable access to protection, health with integrated nutrition and WASH services. Program Objectives: Objective 1: The most vulnerable returnees, IDPs, and host populations are safe in their communities and receive support when they experience harm. Objective 2: Returnees, IDPs and host populations, particularly the most vulnerable, including women, men, girls, and boys, have improved access to primary health care, including MHPSS, WASH and nutrition services

7. Method & Strategy of Implementation IRC aims to support health services in three health facilities (one per province), focusing on acute, chronic, and mental health care, including specialized support for individuals with disabilities. The project targets approximately - 102,564 OPD consultations, including reaching 3,327 Persons With Disabilities. Each facility will be staffed by a team comprising as following below: - Doctor/team leader, - Midwife for reproductive health, - Data registrar/clerk, utilizing the IRC primary healthcare (PHC) toolkit, - Pharmacist for medication dispensing and inventory management, - Two MHPSS counselors (male and female) expected to assist 3,520 beneficiaries, - Nutrition nurse and nutrition counselor to provide treatment and prevention of malnutrition services, a - Vaccinator for routine child and tetanus vaccinations, - Community Health Supervisor/CHS and 12 CHWs, - Cleaner for maintaining hygiene and infection prevention, - Security guard.

8. Project expected Results One slide

9. Project Interventions Integrated Protection (Child Protection, Family Support and Protection Rule of Law), Health, Nutrition and WASH, Cash; Inclusion of Persons with Disabilities, Mental Health and Psychosocial Support (MHPSS).

10. Mechanism to avoid Duplication in Service Delivery The IRC is working in close coordination with all relevant stakeholders for said purpose, the IRC regular attends and participate in Health cluster meetings, working group forums like CBHC, MHPSS, RH and closely liaise with MoPH at central level and DOPH at provincial level. At provincial levels and district levels we also attend such coordination meetings under the platform of provincial health cluster lead by WHO. The purpose is to update each other and complement and supplement each other’s’ activities along with avoiding duplication of efforts.

11. Target Population Integrated multi-sectoral approach Project to provide services to targeting a total of 738,974 vulnerable individuals across Nangarhar, Khost, and Badghis over three years. The program aims to address the critical needs of the most vulnerable by providing integrated protection, health, nutrition, and WASH services. Specifically, 50% of the targeted population includes returnees/refugees, 20% IDPs, and 30% the host populations, the following is only health and nutrition target in details, SL no Sector Refugees/Returnees Host IDP Female Male Girls Boys Target 1 Health 55,465 33,279 22,186 46,591 16,640 25,514 22,186 110,931 2 Nutrition 7,224 7,225 3,432 5,729 5,287 14,448 Grand Total 62,689 40,504 22,186 50,023 16,640 31,243 27,473 125,379

12. Coordination & communication IRC will have a close coordination with local authorities (DOPH, MOPH) and respected community, in all three locations in Nangarhar, Khost and Badghis as well as at central level in Kabul with MOPH and at provincial level with DOPH health teams will regularly attend in the meetings, working group formats, also health team will have continued communications with communities and local government for project activities running smoothly.

13. Project Indicators, Targets & Achievements Sector Indicators Target Health Number of individuals with disabilities reached through PRM funding (Output) 774 Health Number of health care centres supported with supplies, equipment, and/or training assistance through PRM funding (Output) 3 Health Number of total health consultations conducted with PRM funding (Output) 23,443 Health Number of health care professionals/administrators trained on providing health services to PRM persons of concern (Output) 21 Health: Sexual and Reproductive Health Number of individuals receiving sexual and reproductive health services through PRM funding (Output) 1,458 Health: Sexual and Reproductive Health Percentage of births attended by skilled health personnel (Outcome) 100% Health: Sexual and Reproductive Health Percentage of pregnant women receiving at least four antenatal visits (Outcome) 40% Mental Health and Psychosocial Support (MHPSS) Number of individuals receiving MHPSS services through PRM funding (Output) 880 Mental Health and Psychosocial Support (MHPSS) Number of individuals trained in MHPSS through PRM funding (Output) 6

14. Proposed Budget & Justification by Budget line One slide

15. Commitment of NGO with MOPH The Organization has to present a detailed work plan to be agreed in the project’s contract number VYJKCDDX9G95, prior to commencing the activities mentioned in this MoU. The Organization is fully responsible and committed for proper implementation of the project work plan and activities as outlined in the MoU. The Organization agrees to perform the necessary activities transparently and in an accountable manner. Furthermore, the Organization is committed to make available sufficient financial, human and other resources for the implementation of the project’s activities and fulfillment of its goals and objectives. The Organization is liable to start and implement all activities relevant to the current project in accordance with the policies and strategies of the MoPH and all laws and regulations of the country. The Organization will provide the financial and program activities reports on quarterly, semiannually and annually, according to the health system information and standards to relevant departments of the MoPH and Provincial Health Directorates of Nangarhar, Khost and Badghis provinces. The Organization agrees that MoPH has the right to monitor and evaluate the all activities of project & implementation plan of the Organization’s project in relevant provinces in grant period. The Organization agrees to deliver all project activities free of cost to the beneficiaries. The Organization will perform all project activities in coordination with Provincial Health Directorate of Nangarhar, Khost and Badghis provinces and will participate in the relevant coordination meetings and utilize the guidance and cooperation of the Directorate when necessary. According to the policies of Ministry of Public Health, the outcomes of the completed project will be shared with the MoPH and the provincial health directorate at the end of the project. The Organization shall get the documents of its medical doctors, nurses, midwives and health personnel certified by the concerned Provincial Health Directorate, Health legislation Directorate and the General Directorate of Human Resources of MoPH , otherwise the responsibility lies with the Organization. The Organization is responsible for facilitating the round-trip facilities and other necessities for the Ministry of public Health team during the supervision and monitoring the projects of that organization.

16. Challenges - Suspending activities at provincial level by local authorities, - Not signing MoU on time by sectorial ministries this effecting IRC project activities, - Banned on women due to supreme leader order (FARMAN) which mostly effected project activities, - Identifying suitable location or community house for HFs in a white areas. 

17. Recommendations - MOPH requested to have proper communication with other sectorial ministries for support of NGO activities at provincial level, - It’s kindly requested to MOPH to sign the MOU on time, this will be strengthening of project activities at provincial level and will prevent project from suspension, - This is recommended that the MOPH kindly support the female workers in health sector this will better benefit female beneficiaries at each service delivery points, - DOPH need to support local NGOs to identify and select white area to be accessible for all clients,   

18. MOPH relevant Departments Comments One slide

19. End