Healthcare

Throughout the year 2021, SCA received more than 1.8 million patient consultations, 45% of whom were women.

SCA’s Health Activities in 2022:

Implementation of SEHATMANDI project in Wardak and Nooristan Provinces

SCA is implementing the Basic Package of Health Services (BPHS) and Essential Package of Hospital Services (EPHS) under SEHATMANDI contract funded by World Bank (WB) channels through WHO and UNICEF in Wardak and Nuristan provinces from January till end June 2022. The project ensure access to health services to all 670,000 populations in Wardak and 164,400 in Nuristan Provinces throughout 77 different types of health facilities and 397 health posts in Wardak and 37 health facilities and 168 health posts in Nuristan provinces.

Improving delivery of essential RMNCAH Services in hard-to-reach areas through the family health house (FHH)facilities.

The FHH model piloted by the CBHC department of the MoPH, with technical and financial support from UNFPA to increase access to basic RMNCAH services in the country. The FHH, or Ashiana-e-Sehi, is a community-based health facility established in areas that lie at least 10 kilometres or at least 3 hours walk from the nearest BPHS facility. It serves a population of 1,500–3,000 people and is staffed by a community midwife. The FHH model comprises four components, the FHH itself, one health post, two Family Health Action Groups (FHAGs), and one Community Health Shura.

The FHH project funded by UNFPSA is awarded to SCA in 2022. SCA has taken over this project in early 2022 and will continue till end Dec 2022. The project has 20 PHHs and a CME school with 21 students in Samangan and 25 FHHs and a CME school with 16 students in Nuristan pronounce.

Communication for development:

In order to increase awareness  and  change behavior of the Paktika, Laghman and Samangan people regarding  the emergency  likes WASH, Health, Nutrition, education and nutrition so the C4D project was awarded to SCA at the beginning of 2022.The aim of C4D project is to target social groups and utilise local capacities to drive behavioural change through collective engagement and participation among social community structures like teachers, religious leaders, health workers, youth, and women groups to create harmony in coexistence for a common cause, in this case, the desired impact of better practices around health, nutrition, WASH, Education and protection.

The key outputs for the C4D project are Social and Behavior Change interventions through community mobilization and engagement in humanitarian situations, Capacity Development of Community Groups and COVID-19 (and other outbreaks) Prevention Measures and Vaccine Demand Creation

Afghanistan COVID-19 Emergency Response and Health Systems Preparedness (ERHSP) project:

In response to Covid-19 outbreak the ERHSP project funded by WB has started in May 2020 with the aim to Protect the residence of Wardak, Panjshir, Perwan , Nuristan and Kapisa provinces from spreading the COVID19 and to respond and mitigate the threat posed by COVID-19 in Afghanistan. After the political changes in Afghanistan the project remained unfunded by the donor, ultimately SCA took the funding responsibilities from its internal sources in all five provinces. SCA is running this project through 90 inpatient beds, 41 district centers, and 84 COVID-19 vaccination sites in all five provinces till end Dec 2022.

Community Midwifery Education (CME) Programme:

To address shortage of midwives, SCA through its own fund implemented community midwifery education Programme in Laghman, Samangan and Wardak provinces. Until May 2022, total 585 midwives were graduated from SCA-managed community midwifery schools in Laghman, Samangan, Wardak, Kunduz and Sar e Pol provinces. After the graduation of 25 students in May 2022, CME program was ended in Wardak province. To fill the gaps of community midwife in Parwan province. SCA agreed to initiate CME program in Parwan province. The selection process of the student

Learning for Healthy Life:

SCA is educating illiterate women and girls in reproductive age group in Laghman, Wardak and Balkh, Parwan and Samangan provinces to make them able to make decisions regarding their reproductive health through a project called “Learning for Healthy Life (LHL)”. In 2022, around 7000 women in five provinces will benefit from this program through nine months of special tailored 280 classes.

School Health:

At the beginning 2022, the school health program was handed over to education program the education program will implement it in their CBE schools.

Midwives Mentorship Programme:

In order to develop the professional capacity of midwives and make them able to provide quality and safe maternal and newborn services, SCA in partnership with Afghan Midwives Association (AMA) kicked off the midwives’ mentorship program in Sar e Pul, Samangan and Wardak provinces for the first time in 2010-2011. In 2022, midwives at 60 remote health facilities in Parwan, Kapisa, Panjshir, Baghlan, Logar and Khost provinces will benefit from this project.

Smart Paper Technology:

In Afghanistan, the Health Management Information System (HMIS) data is collected on paper-based systems resulting in multiple issues such as inaccuracy, inconsistency, incompleteness, and limited use of data for taking improvement actions. To address these issue, Smart Paper Technology (SPT) was introduced by Shifo Foundation, in collaboration with the Ministry of Public Health of Afghanistan and the Swedish Committee for Afghanistan in 2016. Smart Paper Technology (SPT) solution can bypass the infrastructural challenges, whilst bringing the same benefits of fully digital health solutions at a low operating cost. Swedish Committee for Afghanistan with technical support from Shifo Foundation support the Ministry of Public Health of Afghanistan (MoPH) in the implementation of Smart Paper Technology in Wardak and Laghman provinces with aim of gradually expansion to other provinces. SCA has been able to integrate SPT into the DHIS2 (MoPH data warehouse). In Wardak province, the SPT project operated normally in all 64 immunization sites and was expanded to 79 RMNCH sites after the successful piloting of the project. In Laghman province, the SPT EPI component was fully implemented and operational in all health service delivery points that consisted of 52 immunization fixed centers, 368 outreach, and 269 mobile sites.