Friday, 15 January 2016 18:00

Health

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BRAC’s health programme aims to revitalise Afghanistan’s health system. It provides healthcare services in rural and hard-to-reach areas in partnership with the Ministry of Public Health. Core services include essential healthcare, prevention and treatment of malaria and tuberculosis (TB), and ante and post-natal care. BRAC aims to improve access to healthcare and the overall health status of the poor, particularly women and children. 

BRAC’s approach to healthcare combines preventive, promotive and curative healthcare services, following existing government guidelines on basic health service packages ( basic package of health services, BPHS) and essential hospital service packages ( the essential package of hospital services, EPHS).

BRAC was the first development organisation in the country to widely use female community health promoters for whom literacy was not mandatory. Delivering basic healthcare services at their neighbours’ door-steps, frontline community health promoters help to raise demand from communities for improved healthcare services from the local government.  Its frontline community health promoters are oriented on detecting and treating common diseases, providing maternal and child healthcare services, and referring critical cases to nearby government facilities. 

Up to June, 2015, overall 110,606 women received reproductive and maternal health services. 212 mothers underwent caesarean section and 3,068 surgeries were conducted in BRAC’s hospitals. A total of 91,383 children aged less than one were vaccinated with penta-3, and 95,663 pregnant women received a second dose of Tetanus Toxoid (TT) vaccine.

In the second phase of The Global Fund to Fight AIDS, Tuberculosis and Malaria (GFATM), treatment success rate was 91 per cent in new smear positive TB cases, and 28.25 per cent in new SS TB (sputum-smear positive tuberculosis) patients who were treated and managed by the CHPs. So far, 47 master trainers and 3,363 healthcare providers and community health workers received training on malaria.

Currently BRAC is a sub-recipient of the Global Fund’s national tuberculosis programme in Afghanistan, that is valid from April, 2015 up to November, 2015. BRAC works with the country’s National Tuberculosis Programme (NTP) to develop the capacity of Afghani nationals.

National Solidarity Programme

The National Solidarity Program (NSP) is a national priority programme of the Government of the Islamic Republic of Afghanistan that has been executed by the Ministry of Rural Rehabilitation and Development (MRRD). This is the single largest community development initiative of MRRD in Afghanistan and known to be the second-largest in the world, where USD 2.7 billion has been approved as budget from 2003 to September 2016.  The development objective of this programme is to build, strengthen, and maintain Community Development Councils (CDCs) as effective institutions for local governance and socio-economic development. 

BRAC Afghanistan has been working with MRRD as Facilitating Partner (FP) for NSP since 2003, mobilising and partnering with communities to construct community infrastructure projects including community centres, water supply schemes, latrines, irrigation channels, micro-hydroelectric plants, protection walls, roads, bridges and schools. Through NSP, BRAC Afghanistan is working to strengthen the concepts of community mobilisation, natural resource management, and enterprise development in the communities.

BRAC also helps CDCs link with other potential funding sources for community development projects that are not funded by a NSP block grant. BRAC contributes to the NSP process in four ways:
•    Facilitates and supervises the democratic election of CDCs
•    Helps identify and prioritise potential infrastructure projects needed by the CDCs
•    Assists with project design, NSP applications, and project reports
•    Oversees the financial transactions of the CDCs to ensure transparency and accuracy

Through participation in the NSP along with others, communities strengthen skills and attitudes necessary to define, manage and govern their own development. As of January 2015, BRAC has successfully mobilised and provided technical assistance to more than 250,000 families in 806 CDCs in 4 provinces of Afghanistan under NSP III, and have also successfully initiated and conducted various kinds of capacity development activities to 141,050 community members.


In addition to NSPs on-going operations, the construction department has been established in 2014 with an aim to assist and facilitate all sorts of construction within the organisation. At present, the construction department is providing technical assistance to the education programme of BRAC Afghanistan in completing the construction of 28 school buildings in 9 provinces of Afghanistan.

Project

Duration

Donor/Partner

Goal

 

Repeater Block Grant (RBG) 1 in National Solidarity Programme

 

 

January 2011 to December 2014

MRRD

The objective of the NSP is to build, strengthen, and maintain Community Development Councils (CDCs) as effective institutions for local governance and socio-economic development. This project is mainly for communities where the full first block grant was utilised for subprojects as approved by the NSP.

This project has been completed and successfully handed over to MRRD on December 2014. 

Repeater Block Grant (RBG) 2 in National Solidarity Programme

 

 

 

January 2013 to September 2016

MRRD

The objective of the NSP is to build, strengthen, and maintain Community Development Councils (CDCs) as effective institutions for local governance and socio-economic development.

This project is mainly for communities where the full first block grant was utilised for subprojects as approved by the NSP (irrespective of whether the final status of the subproject was failed or completed).

New Rollout in National Solidarity Programme

 

 

September 2012 to September 2016

MRRD

The objective of the NSP is to build, strengthen, and maintain Community Development Councils (CDCs) as effective institutions for local governance and social-economic development.

This project is for communities where NSP has never worked before and these communities will receive their first block grant for implementation of sub-projects.

 

 

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