Download Building on Early Gains in Afghanistan's Health, Nutrition, by Tekabe Belay PDF

By Tekabe Belay

Afghanistan has made huge development when you consider that 2001. A national survey performed in past due 2006 came upon that the IMR had fallen to 129 in line with 1,000 dwell births, and the U5MR had fallen to191 in line with 1,000 reside births, representing a 22 percentage and 26 percentage decline, respectively, from the top of 2001. equally, prenatal care assurance has elevated from lower than five percentage to 32 percentage, and DTP3 insurance has elevated from lower than 20 percentage to 35 percentage among 2003 and 2006. Administrative information point out that the variety of functioning fundamental future health care amenities has approximately doubled from 498 in 2001 to greater than 936 in 2008. the standard of care in publicly financed amenities additionally has elevated by means of approximately 22 percentage from 2004 to 2006. regardless of this development, a lot nonetheless continues to be performed. even though growth within the health and wellbeing area is encouraging, it's not enough to make sure that Afghanistan will in achieving the Millennium improvement objectives (MDGs). The demanding situations contain revising the content material of the BPHS, rethinking the supply of the BPHS, securing sustained and predictable financing, the rising inner most zone, scarcity of human assets for health and wellbeing, and the development the potential of the ministry to allow it successfully perform its stewardship services. the amount provides particular coverage strategies for the MOPH to contemplate to extra construct at the early profits made within the overall healthiness region. The guiding rules of those suggestions are consistency with the Ministry’s imaginative and prescient and feasibility on implementation. those coverage suggestions inform a narrative with the important subject matter of increasing carrier insurance and what the Ministry must do to make that take place.

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Extra info for Building on Early Gains in Afghanistan's Health, Nutrition, and Population Sector: Challenges and Options (Directions in Development)

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Data on the level of discretionary budget were not available for this year. 3 Total and per Capita Public Expenditure on Health, 2005/06–2008/09 (1384–87 AC) (millions of dollars, except where stated otherwise) Item Total funding Population Funding per capita With 80% coverage With 60% coverage Source: Author’s compilation. 2). 4 since 2003/04 (1382 AC). S. Agency for International Development (USAID). Contribution by donor. 5). Excluding the United Nations, these donors now support more than 90 percent of primary health care expenditures.

Background 9 • Provincial hospitals serve as referral points at the provincial level. • Regional hospitals serve as referral points for groups of provinces. • National hospitals and tertiary care hospitals are located mainly in Kabul. Role of the Private Sector In addition to public facilities, there exists a largely unregulated private sector, which operates mainly at the basic care level. The private sector provides a limited scope of services compared with those offered by the public sector and NGOs.

It sets four ambitious targets to be attained by the end of 2013 (1391 AC): • Reduce the maternal mortality ratio by 50 percent from the 2000 (1379 AC) level. • Reduce infant and under-five mortality rates by 50 percent from the 2000 (1379 AC) level. • Increase physical access to the basic package of health services (BPHS) by increasing the proportion of people living within two hours’ walking distance of a health facility from the 2008/09 (1387 AC) level of 65–90 percent. • Attain full immunization coverage.

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