موسسه همکاری و انکشاف برای افغانستان

دافغانستان لپاره دمرستی او پرمختیا مؤسسه

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

Takhar province is located in North East Region of Afghanistan, bordering with Badakhshan in east, Kunduz in west, Baghlan and Panjshir in south, and Republic of Tajikistan in north. The province has an estimated total population of 950,100 as per CSO 2012.
AADA is implementing the BPHS project in Takhar province in partnership with a local NGO called Afghan Youth Service Organization (AYSO), under overall stewardship of MOPH. AADA is managing 66 health facilities (3 DH, 1CHC+, 12 CHC, 34 BHCs, 15 HSCs, one prison health center and 502 HPs.

Funding Agency:

World Bank

Start Date:

December, 2015

End Date:

June, 2018

Target:

950,100

Objectives:

Specifically, the main objectives of the project are:

  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:

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

27.1%

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)

4.6%

13.6%

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%

 

Beneficiary Population:

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