||The Project will explore potential partnership of MoPH, NGOs and communities to develop sustainable community-based primary health care in poor rural communities currently not having Government or NGO services, as a pilot for replication nationwide. The objective is to substantially reduce maternal and child mortality, prevalence of infectious diseases, malnutrition, and fertility (targets will be set later) in these targeted communities over a three-year period. The Project will improve access to basic health, nutrition and birth spacing interventions, provide quality care at low cost, and promote healthy life style. The Project will generate local contract labor. The Project will reach about 10 districts total, in Badakhshan, Bamyan, Kapisa, Samangan and Uruzgan provinces.
|Project Rationale and Linkage to Country/Regional Strategy
The overall objectives of the Projects were to: (i) reduce Infant Mortality Rate (IMR) by 30%, the prevalence of common infectious diseases and malnutrition in children, the maternal mortality ratio, and the birth rate in the targeted communities over a period of 3 years; (ii) demonstrate the potential of partnership of the Ministry of Health (MOH), and NGOs, and communities in developing sustainable community-based health service delivery system, targeting 10 high priority districts, which lacked services, for a possible replication of the system nationwide ((later reduced to 9 districts: 5 in Badakhdhan Province and 4 in Gohr District).
The specific objective of the Project are to (i) make interventions through health centers and with the use of CHWs; (ii) provide quality health services at less cost by training health staff of MOH and CHWs, supplying equipment , and developing a drug supply system; (iii) improve water supply and sanitation through the provision and repair of water pumps and latrines, including schools; (v) promote healthy life styles and timely referral through health, nutrition , and birth spacing education, by increasing access to radio education programs for women and by training local leaders, CHWs, and health staff; (vi) strengthen local leadership in community development activities for health, with linkages to other sectors such as education and agriculture, and (vii) build the capacity of MOH, NGO, and communities in a sustainable partnership.
The Project consisted of five components: (i) support to local community organization and NGOs ($693,000); (ii) support to local health centers construction and rehabilitation ($670,000); (iii) training and capacity development of CHWs ($542,000); (iv) essential drug supply ($471,000); and (v) project management ($220,000).
1. Reduce poverty by improving health, nutrition, and reproductive health status of the rural poor.
2. Demonstrate the potential of Ministry of Health (MOH)-nongovernment organization (NGO) partnership to develop quality community-based health care for the poor in 10 undeserved districts.