Prior to the establishment of the Hazarajat Community Health Project (HCHP) the nearest health care facility for most people in Lal-wa-Sarjangal district was at least one day’s drive by road.

The project initially began in 1999 as a small Mother and Child Health Clinic and has expanded to now include 157 Health Posts, 5 Basic Health Centers (BHC) and a Comprehensive Health Center + (CHC+).

In March 2007, a Memorandum of Understanding was signed between IAM and the Ministry of Public Health (MoPH) which made IAM the implementing partner of the Basic Package of Health Services (BPHS) in Lalwa-Sarjangal. The BPHS is a part of the national strategy for health services in Afghanistan. As a result HCHP assumed full responsibility for primary health service provision in the district, and the MoPH closed the two other clinics which were operating in the Lal Bazaar.