موسسه همکاری و انکشاف برای افغانستان

دافغانستان لپاره دمرستی او پرمختیا مؤسسه

Family Health House & Mobile Support Teams


Afghanistan has high rate (327/100,000, Afghan Mortality Survey 2010) of maternal death. To have significant contribution in reduction of Maternal and child mortality and morbidity rate in Afghanistan, AADA in collaboration with UNFPA and MOPH initiated the competency-based midwifery program for Family Health Houses (FHH) establishment in Maimana, Bamyan and Daikundi provinces since September 2009.  The midwifery training modules focus mainly on capacity enhancement and increase in professional knowledge of midwives as well as for providing opportunities to train MOPH staff on standard clinical practice skills. A total number of 52 students graduated from Maimana and Bamyan CME schools. The graduated midwives are working in the Family Health Houses in their villages of origin.
A Family Health House (FHH) is a place where you can find a trained community midwife who can provide basic reproductive health and family planning services for women in their own communities on a permanent basis, in safe and culturally acceptable circumstances, with the cooperation of their home communities.
 A Family Health House:

  1. Ensures provision of essential reproductive health services to people leaving in remote areas;
  2. Increases the number of deliveries attended by skilled health care providers;
  3. Strengthens community partnership and ownership and enhances overall sustainability of the health care system in remote rural areas;

 
A typical Family Health House is composed of two rooms and a toilet -one room for the community midwife worker’s and another equipped as delivery room. Each Family Health House is staffed with one certified midwife, supported by Community Health Workers (one male and one female), 2-4 Family Health Action Groups and an active Health Shura.
 
The community midwife and the community health workers are selected from the community, trained by the Ministry of Public Health (MoPH) with the technical support of the United Nations Population Fund (UNFPA), and then deployed to serve the rural communities through the Family Health House. By establishing Family Health Houses, the role of Mobile Health Teams (MHTs) changed as Mobile Support Teams (MSTs). The MSTs provides Health Services Delivery in FHHs only. There are three Mobile Support Teams for thirty-three Family Health Houses in Faryab province. MSTs in addition to provision of basic health services also technically support and supervise the midwives those are working in Family Health Houses in very remote and isolated communities.

Funding Agency:

UNFPA

Start Date:

January, 2012

Geographical Coverage:

The project cover 7 districts (Almar, Qaisar, Khoja sabz posh, Pashtoon kot, Lawlash and Gurziwan) of Faryab province.

Objectives:

To provide round the clock services in remotest villages of Faryab province through 33 competent midwives that received competency based training program under the HRD plan of MOPH for safe motherhood.

Beneficiary Population:

Total population: 27,639

The below table shows the population of the coverage area for CME students (after graduation).


DistrictsPopulationUnder, 5 childrenCBA womenPregnant women
Almar142202844640 736
Qaisar4421788431990 2288
Gurziwan2525750511136 1307
Pashtoon kot4740094802133 2453
Kohistan675851351730413497
Khoja sabz posh94801896427 490
Blecheragh4740948213 245
Dawlat Abad4740948213245
Total21763943527979311261