Provision of Transportation Services (Rental Vehicles)

Afghanistan continues to face a protracted humanitarian and public health crisis driven by conflict, economic instability, displacement, and a fragile health system. The Afghanistan National Drug Use Survey (ANDUS) estimates 2.9–3.5 million people test positive for drugs, with 2–2.4 million identified as regular users. Widespread availability of opioids, heroin, and synthetic drugs such as methamphetamine has intensified dependency and related health consequences. Mental health conditions including depression, anxiety, psychosocial distress, and PTSD remain prevalent, particularly in conflict‑affected communities. Kandahar and Nangarhar provinces are among the most affected, with rural drug use rates significantly higher than urban areas. Current treatment services face critical gaps in residential capacity, outpatient care, MHPSS integration, and reintegration support, resulting in high relapse rates. Adolescents are increasingly vulnerable, especially in Nangarhar, due to exposure to drugs, unemployment, and lack of youth‑focused rehabilitation services. People who inject drugs also face heightened risks of HIV, Hepatitis B and C, and tuberculosis, with limited screening and referral services available. Recent assessments by WHO, MoPH, and partners highlight urgent service delivery gaps requiring integrated, evidence‑based interventions. The proposed project will strengthen treatment, psychosocial support, outreach, rehabilitation, and reintegration services for vulnerable populations in Kandahar and Nangarhar.