Afghanistan

Total WHO funding required for Afghanistan is $5,528,535

The boundaries and names shown and the designations used on this mapdo not imply official endorsement or acceptance by the WHO. Source: ESRI data & Maps CD March 2000

Afghanistan

Background 2003 Objectives 2003 Achievements and Constraints 2003 Donors• United States- Finland• Norway- Denmark• Ireland- Canada• Italy-Australia-Sweden• ADB/ WB-Japan• ECHO-EC-Netherlands

ImplementingPartners

• The political developments in 2001 broughtsignificant changes in the socio -economic life ofAfghanistan. The most dramatic has been thereturn of around 2.5 million Afghan refugees totheir homeland.

• Authority of the central government remainsinadequate outside the capital and insecurity inSouth, South East and in some areas of the Northand Central highlands has affected assistanceactivities and restricted access.

• The health sector is benefiting from largeresources provided by the internationalcommunity after the crisis. Moreover, theresources that were in the past going to warwounded and internally displaced populationneeds are now being shifted to developmentalhealth programmes. The number of agenciessupporting health has doubled. Significantnumber of qualified Afghan health professionalshas returned to join the ministry of healthworkforce and most importantly health careservices have expanded quite substantially.

• Address malnutrition andcommunicable diseaseswith focus on emergencyfeeding, micronutrientprogrammes, EPI,diarrhoeal disease, TB,malaria and leishmaniasis

• Improve access to a basicpackage of health servicesincluding immunisations,essential obstetric care,Integrated Management ofChildhood Illnesses (IMCI),and health and nutritioneducation .

• Build the capacity of theMoPH

Achievements• The Ministry, supported by all its partners, is steadily getting into its role of

providing leadership and direction. UN and partners support the ATA inrebuilding Primary health care especially obstetric, reproductive and childhealth care. New health policies have been formulated, a basic package ofhealth services developed, programmatic policies and strategies put in place.

• Regional management teams are functional and provide leadership andreceive support for their capacity building.

Constraints• High level of illiteracy among women , high maternal and infant mortality• The majority of the people have no access to essential health services, and

where available the quality needs to be strengthened• Currently the health system is still severely fragmented and project based• MOH still lacks capacity in human and physical resources

• UNFPA-SCF• IFRC-ICRC• UNICEF-HNI-IAM-ACF• MSF• NGOs

Major Health Concerns and Objectives for 2004 WHO Proposed Projects for 2004

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The two major health challenges for Afghanistan are:• Access to essential health services in an equitable manner and rebuilding an efficient health systemTo have a positive impact on the health status and well-being of the most vulnerable group, the WHO 2004 focus areas on are:• To strengthen the capability of national laboratory facilities to confirm outbreaks inside the country.• To provide safe drinking water in Jalalabad.• To address the burden of malaria, tuberculosis.• To improve the efficiency and effectiveness of health care delivery system through the development of a health information

system .• To improve maternal and child health status and to reduce morbidity and mortality among women and children through

introducing the services of female health volunteers in pilot areas, IMCI, EPI .• To implement social and income-generating schemes based on the Basic Development Needs(BDN) approach.• To create safe breathing environment through air pollution management for the Kabul inhabitants.• To rehabilitate X-ray departments and to train X-ray technicians.• To contribute to the delivery of quality nursing and midwifery education

• Strengthening of laboratory confirmation of disease outbreaks inAfghanistan ($168,000)

• Water conservation & water quality improvement ($297,000)• Sensitizing Afghan private practitioners on DOTS ($20,000)• Health Information System ($155,000)• Scaling up Insecticide -treated nets (ITNs) implementation for the

control of malaria in North-eastern Afghanistan ($1,044,206)• Integrated Management of Childhood Illnesses: (IMCI)• Scaling & expansion ($1,425,300)• Female Health Volunteers for maternal and child health ($180,000)• Health promotion through Basic Development Needs (BDN) socio-

economic activities ($638,000)• Air pollution management ($451,750)• Expended Programme on Immunization ($144,542)• Control of Cutaneous Leishmaniasis ($706,854)• Imaging technology (X-Ray) ($80,000)• Improving the capacity of Institutes of nursing and allied health

($217,883)