Afghan Health & Development Services
A non-profit,  501(C)(3), tax exempt, established in 1990.

for a healthy society


Reproductive Health

Reduction of maternal and new born mortality and morbidity is one of the biggest challenges of Afghanistan which can be done through providing quality and timely treatment of pregnant women by an appropriate health provider. The Afghanistan Mortality Survey (AMS)  estimated the maternal mortality rate 327 deaths per 100,000 live births, infant mortality rate at 77 per thousand and under-five mortality rate to be 97 per thousand live births.

Aino Birth Center:
Quality reproductive healthcare, basic emergency obstetrics and newborn care as well as informative classes for the mothers.  AHDS pilots a health reform, performance based financing (PBF), in this cenrter that is funded by Cordaid. The aim is to seek sustainable health service provision by autonomous service providers.
  

In addition, AHDS contributes to the reduction of maternal morbidity and mortality by: 

1.  Technical support as a member of reproductive health task force, training committee and family planning working group led by the Ministry of Public Health (MoPH); that includes:

a.  Policy and Strategic plans
b.  Guidelines
c.  Developing job aids and assessment tools
d.  Information, Education, Communication material
e.  Curricula
f.   Review studies and researches 

2.  Human Resource capacity building by provision of long and short term trainings:

a.  Midwifery school
b.  Community midwife education
c.  Emergency Obstetric and Neonatal Care short courses
d.  Reproductive Health short courses
e.  Family Planning short courses
f.   Training of female community health workers

 3.  Provision of free reproductive healthcare services in remote areas that includes:

a.  Institutionalized deliveries
b.  Emergency obstetric and neonatal care
c.  Management of post partum hemorrhage
d.  Antenatal and postnatal care
e.  Birth spacing
f.   Immunization for women and children
g.  Health and nutrition education
h.  Micronutrient supplementation and therapeutic feeding
i.   Prevention and treatment of sexually transmitted infections including HIV

Kandahar Healthcare

Partnership Contracts for Health Services (PCH) project is provision of Basic Package of Health Services in Kandahar Province including the city and districts. The project is funded by ministry of public health (MoPH)/USAID.

The project had considerable achievements in spite of insecure situation and continuous insurgencies. The community elders and other stakeholders, through health post committee, health facility committee, and Provincial Public Health Coordination Committee (PPHCC) and provincial health sub-committees supported the activities. Joint monitoring lead by Kandahar PHO was established. The stakeholders had important role in improving quality of the project, increasing polio eradication impact, controlling disease outbreaks, expanding health services to remote areas and construction of buildings for health facilities.

Comparing the baseline and end of project surveys, significant improvement were noticed in contraceptive prevalence rate, knowledge of two modern contraceptive methods, births attended by a skilled attendant, mothers attending at least one ANC visit, mothers receiving PNC after delivery and children received Vitamin A. The quality assurance standards were applied in 18 health facilities and leadership development accomplished in 12 health facilities. These practices will continue to improve the management and quality of health services based on the national standards.

The number of disease outbreaks decreased, no polio case is reported in 2013 and 2014. The main reason for a significant increase in vaccination coverage and decrease in number of childhood killing diseases was implementation of  outreach services in Kandahar Province.

Urozgan Healthcare

The essential package of hospital services (EPHS) and basic package of health services (BPHS) for Urozgan Province is funded by SEHAT project of the ministry of public health. The main donor is the World Bank. AHDS and Cordaid  impelment these projects as a joint venture. The community midwifery education and community health nurse education are also part of SEHAT project.

Healthcare services provision is complemented with other projects in partnership with Save the Children funded by AusAID. This includes mobile health teams, sub-health centers, school health and nutrition education and commujity based management of acute malnutrition.

 

 

 

Malnutrition

Malnutrition can best be prevented during gestation and the first two years of life.

The Public Nutrition Policy and Strategy (2009-2013) of Afghanistan, therefore, focus primarily on interventions targeting children under 2 years of age and mothers to prevent the inter-generational cycle of malnutrition (1000 days). The main points of intervention for health facilities are:

  1. Community awareness; the knowledge, skills and support to adopt healthy nutrition practices
  2. Appropriate infant and young child feeding practices (IYCF)
  3. Prevalence major micronutrient deficiency disorders, in particular iron, folic acid, iodine, vitamin A, zinc and vitamin C
  4. Case management of severe acute malnutrition (SAM) through outpatient therapeutic feeding programs (OTP) and stabilization centers (SC)

AHDS had baseline household surveys done in both provinces. Relevant trainings were provided for the middle managers and frontline staff of nutrition program. Community-based Management of Acute Malnutrition (CMAM) and targeted supplementary feeding (SFP) for prevention of moderately acute malnourished (MAM) children from serve malnutrition was integrated in healthcare services of both Kandahar and Urozgan provinces.

The number of defaulters was high when we started community based management of acute malnutrition (CMAM) in Kandahar and Urozgan provinces. It took time for the mothers to see the results and understand importance of growth monitoring and proper feeding of children.

SMAR survey using ENA software (2012)KandaharUrozgan
Acute Malnutrition (Weight for Height)(6-59 months age)Global Malnutrition4.7%6.8%
Moderate Malnutrition3.9%5.8%
Severe Malnutrition0.8%1%
Breastfeeding(0-23 months age)Ever breastfed91%97.7%
1st hour breastfed31.3%34%
Colostrum breastfed86%84%
More than 12 months breastfed23.4%22%
Chronic malnutrition(6-59 months age)Global Stunting50.8%51.8%
Moderate Stunting28.3%27.4%
Severe Stunting22.6%24.3%
  

 

 

 

 

 

 

News & Events

Open letter: Effective targets to promote Sustainable Peace click -here  

AHDS would like to develop a tailor made Management Information System (MIS) and invites professional IT/Software Developing companies to participate in the bid. 

AHDS developed its five years Strategic Plan (2014-2018), Click here for the summary. 

AHDS received an award from Afghanistan's Ministry of Public Health and AMNEAB for the Best Midwifery Education in Kandahar and Urozgan provinces (photos).

Afghanistan's Ministry of Economics recognizes Afghan Health and Development Services (AHDS).   Click here to view certificate of recognition.

Click here to review AHDS' Form 990 (2015) 

 

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