JFPR 9030: Primary Health Care Partnership for the Poor
Afghanistan (AFG)
Project Summary
- Multi-Sector Cluster TA for Capacity Building for Reconstruction and Development
- Social Sector Program Development Loan (Proposed for 2003)
| Total Budget |
: 3,600,000 US$ |
| JFPR grant |
: 3,000,000 US$ |
Ministry of Health under the overall guidance of the Afghan Assistance Coordination Authority and the Ministry of Finance
Five NGOs will be contracted, 1 for every 2 districts with a total catchment of about 100,000 people, in coordination with the Project Implementation Unit
The JFPR project will pilot a comprehensive approach to develop community-based primary health care that benefits the poor and most vulnerable. It will set-up community-managed health centers for clusters of villages in 10 of 50 priority districts in Afghanistan that are accessible to substantial populations but lack services. Priority has been given to poor districts lacking services, and districts with large numbers of excombatants, returnees, and internally displaced persons.
Overall Objective
- Reduce poverty by improving health, nutrition, and reproductive health of the rural poor.
- Demonstrate the potential of partnership with the Ministry of Health, NGOs, and communities in developing sustainable community-based health care, targeting 10 high priority districts currently lacking services, for possible replication nationwide.
Project Purpose
- Reduce child mortality rate by 30%, prevalence of common infectious diseases and malnutrition in children, maternal mortality ratio, and birth rate in the targeted communities over a period of 3 years.
Expected Output
- Sustainable community-managed primary health care systems
- Health centers
- Community health workers services
- Drug supply system
- Ministry of Health capable of contracting and managing NGOs
Main Project Components
- Community leadership in health development with support of NGOs
- Improvement of health services in 10 districts
- Community health workers program for women and children
- Drug supply system
- Capacity building in public-private partnership
Activities
- Participatory planning
- Leadership development
- Construction
- Procurement of Equipment
- Community health workers training and support
- Radio education for women
- Revolving drug fund design
- Financial and stock training
- NGO contracting
- Training of Ministry of Health staff
- Surveys
ADB Contact
Vincent de Wit
Senior Health Specialist
Social Sectors Division
South Asia Department
Tel: +632 632 5732
E-mail: vdewit@adb.org