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دافغانستان لپاره دمرستی او پرمختیا مؤسسه

BPHS Takhar (SEHAT Project)


System Enhancement for Health Action in Transition (SEHAT) for Consultancy Services for Performance-Based Partnership Agreement (PPA) to deliver the Basic Package of Health Services (BPHS) in Takhar province.

Funding Agency:

World Bank

Start Date:

July, 2015

End Date:

June, 2018

Geographical Coverage:

Takhar

Objectives:

  1. To increase access and utilization, and to  improve quality of primary health care services in equitable and sustainable manner;
  2. To increase access to and utilization of quality preventive and curative nutrition services including case management of malnutrition and increase access to quality therapeutic feeding and care at health facility and community levels;
  3. To increase access to and utilization of quality promotive, preventive and curative mental health services including case identification, referral, treatment, psychosocial counselling and social integration;
  4. To increase access to and utilization of quality promotive, preventive and curative disability and physical rehabilitation services including case identification, referral and physical rehabilitation of persons with disability;
  5. To build the capacity of health staff working in the province for delivery of BPHS and provide pre-services training of community midwives and nurses to address shortage of health workers at health facilities;
  6. To strengthen supervision/monitoring and management of health facilities;
  7. To increase the proportion of women and children having access to emergency and routine Reproductive Health (RH) and Maternal, Neonatal and Child Health (MNCH) care,  and immunization services;
  8. To increase the coverage of services to prevent and treat communicable diseases including TB, HIV/AIDS and Malaria;
  9. To ensure and maintain quality support services, including those for laboratory services, blood safety, radiology, pharmaceutical, equipment and medical supplies;
  10. To increase community’s involvement in provision of health services and enhance community satisfaction with health services;

Achievements/Expected Outputs:

IndicatorBaselineEOP Target
Number of functional health posts502552
Number of MHT00
Number of functional SHCs1515
Number of Prison Health center11
Number of functional BHCs3434
Number of functional CHCs1212
Number of functional CHC+11
Number of functional DHs33
Number of consultations per person per year1.421.92
Proportion  of all pregnant women receiving at least one antenatal care visit27.10%44%
Proportion of deliveries attended by skilled workers in the facilities22%34%
Cesarean section rate5%>5%
CPR-(% of women 15-49 years currently using a modern FP method)4.60%13.60%
TB Notification rate for NSS positive- in 100,000 population (Annual project target is 58/100,000)5260
Cure rate among TB cases detected (TB treatment success rate)95%>90%
Proportion of children 100%100%
Proportion of children 22%48% 
Cure rate among children56%60%
Number of common mental disorder patient treated8571959
Proportion of children 0-11 months receiving PENTA1>90%>90%
Proportion of children 0-11 months receiving PENTA3>90%>90%
Proportion of children 0-11 months receiving measles1>90%>90%
Proportion of health facilities with at least one female health worker100%100%
Total number of female doctors719
Total number of  midwives9488
Total number of female nurses3130
Number of health facility received supervisory visits6666
Completeness of HMIS reporting100%100%

Beneficiary Population:

Total population: 950.100


Districts Population Women in Reproductive age Pregnant women Under 5 yrs age children
Taloqan 223100 44620 8924 44620
Hazarsomoch 13600 2720 544 2720
Baharak 30600 6120 1224 6120
Bangi 34700 6940 1388 6940
Chall 27900 5580 1116 5580
Namak Ab 12000 2400 480 2400
Kalafgan 34800 6960 1392 6960
Farkhar 46300 9260 1852 9260
Khujaghar 66200 13240 2648 13240
Rustaq 162200 32440 6488 32440
Ishkamesh 58300 11660 2332 11660
Dushtiqala 31600 6320 1264 6320
Worsaj 37500 7500 1500 7500
Khujabahawuddin 23000 4600 920 4600
Darqad 26600 5320 1064 5320
Chah Ab 77700 15540 3108 15540
Yangiqala 44000 8800 1760 8800
Total 950100 190020 38004 190020

Main services:

Indicator Baseline EOP Target
Number of functional health posts 502 552
Number of MHT 0 0
Number of functional SHCs 15 15
Number of Prison Health center 1 1
Number of functional BHCs 34 34
Number of functional CHCs 12 12
Number of functional CHC+ 1 1
Number of functional DHs 3 3
Number of consultations per person per year 1.42 1.92
Proportion; of all pregnant women receiving at least one antenatal care visit 27.10% 44%
Proportion of deliveries attended by skilled workers in the facilities 22% 34%
Cesarean section rate 5% 5%
CPR-(% of women 15-49 years currently using a modern FP method) 4.60% 13.60%
TB Notification rate for NSS positive- in 100,000 population (Annual project target is 58/100,000) 52 60
Cure rate among TB cases detected (TB treatment success rate)  95% 90%
Proportion of children <5 receiving growth monitoring checkups 100% 100%
Proportion of children <5 with severe acute malnutrition enrolled in treatment program 22% 48% 
Cure rate among children<5with severe acute malnutrition enrolled in treatment program 56% 60%
Number of common mental disorder patient treated 857 1959
Proportion of children 0-11 months receiving PENTA1 90% 90%
Proportion of children 0-11 months receiving PENTA3 90% 90%
Proportion of children 0-11 months receiving measles1 90% 90%
Proportion of health facilities with at least one female health worker 100% 100%
Total number of female doctors 7 19
Total number of  midwives 94 88
Total number of female nurses 31 30
Number of health facility received supervisory visits 66 66
Completeness of HMIS reporting 100% 100%