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Provision of life saving trauma care and referral services with protection measures in conflict affected areas
15st Feb, 2018-31th March, 2019

Area: Protection, Emergency Response, Health and Promotion
Name of the Project: Provision of life saving trauma care and referral services with protection measures in conflict affected areas
Role of the Consultant: Joint Venture
Provinces: Kunduz
Description of the project and scope of services:

  • Establishing First Aid Trauma Posts;
  • Establishing Rapid Response Team;
  • Conducting Training on Mass Casualty Management
    and Drills.
  • Providing Psycho-social care support, Physio-therapy support and referrals for emergency trauma care and orthotics & Prosthetic care services
  • Establishing and running of Women and Child Friendly Spaces in FATPs, 
  • Community Mobilization for access of the health facilities and WCFS for the affected communities due to conflict,
  • Promotion of International Humanitarian Law and Awareness generation on informal Mine Risk Education
  • Coordination with all relevant stakeholders, clusters and UNOCHA

BPHS & EPHS
1st July 2017 – 30th  December 2018

Area:Health
Name of the Project: Implementation of SEHATMANDI Project in Kunduz Province
Role of the Consultant: Lead Organization
Provinces: Kunduz
Description of the project and scope of services:
  • Providing and delivering Basic Package of Health Services (BPHS) and Essential Package of Hospital Services (EPHS):
  • Implementation of Maternal and New Born Care (ANC, PNC, FP, PPFP, Recognition and referral of emergencies, New borne care and community-based birthing/newborn care (CBBNC))
  • Implementation of Child Health and Immunization (IMCI Activities, EPI Management and Services)
  • Delivery and Implementation of Public Nutrition (Growth Monitoring, Screening, IYCF, Prevention and Treatment of Malnutrition, Baby Friendly Hospital Initiative)
  • Implementation of Communicable Diseases Treatment and Control (Managing and providing Tuberculosis (TB) services, community-based DOTS program, Managing and providing HIV/AIDS services, Malaria Control, Prevention of Hepatitis, Prevention of Rabies and Treatment of Leishmaniosis)
  • Implementation and delivery of mental health and disability Services; as well as Procurement and supply of essential medicine, medical supplies and consumables and lab re-agents
  • Implementation and delivery of Primary eye care, dental health services and prevention of non-communicable diseases
  • Management of referral system from community to health facilities and from health facilities to the regional hospitals.
  • Improve Access and Utilization of Hospital Services (Improve Access and Utilization of Hospital Services through Maximizing Efficient, Improve Access and Utilization of Hospital Services through Strengthening Reproductive Health (RH) and Maternal & Child Health (MCH) Services, Improve Access and Utilization of Hospital Services through Managing Healthcare in Insecurity, Improve Access and Utilization of Hospital Services through Healthcare to Marginalized Groups, Improve Access and Utilization of Hospital Services through Delivery of All components of EPHS in an Integrated Manner)
  • Establish a Comprehensive Referral System within the community and through health facilities
  • Improve the Quality of Patient Care in the Provincial Hospital
  • Improve Knowledge and Skills of PH Health Personnel, PPHO and Community (In-service Trainings, Pre-service
  • Training for CME and CHNE, Clinical and Diagnostic Services (Inpatient Services), General surgical services, Orthopedic Services, General Pediatric services, General Medical Services, Improving Eye Care Unit, Outpatient services (Vaccinations, Ear-Nose-Throat, Mental Health, Dental and Physiotherapy Services), Laboratory services, Blood Transfusion & Blood Bank Services, Ultrasound, X-Ray and ECG Services, Supervision of support services and building, Hospital’s Kitchen, Laundry and tailor, Central Sterile Supply, Hospital’s Mortuary.
  • Ensure Quality Support Services and Emergency Preparedness and response
  • Selection of Community Hospital Board, Building the capacity of Community Hospital Board members; Holding the meetings and facilitating the coordination and communication of community hospital board meeting
  • Strengthening Community Based Health Care Approach (improve CHWs performance, Establishing Family Health Action Groups (FHAGs), Specific Approach for Ensuring that BPHS/EPHS Services are Responsive to the Local Community Needs, Approach for Establishing Mechanism to be responsive for community needs, Citizen Engagement in line with the Citizens Charter National Priority Program (CCNPP)).
  • Managing the Coordination at national, provincial and community levels, Conduct regular supportive supervision of the HFs, Establish and Operationalize a Comprehensive Referral System, Data Analysis, Reporting, Routine Supply)
  • Increasing Access and Utilization of Services Specially for Hard to reach and marginalized communities such establishing the number of new HFs and rationalization of existed HFs (Establishing Family Health Houses (FHH), Public Private Partnership for EPI Services, Health Information Center (HIC), School Health initiative, Distribution of baby kits for mothers who give birth, Performance based incentive to CHWs)
  • Providing pre-services training to community midwives and community health nurses, Capacity Building of Health Staff delivering BPHS/EPHS services and Project Technical Staff, Engagement and Supporting, Managerial Capacity, Technologic Skills)
  • Providing Gender Equity in Health and Nutrition Service Delivery, Strengthen the Afghanistan Government’s Legitimacy and Visibility at Service Delivery Points Particularly at Community
  • Strengthening managerial autonomy and enhance efficiency of BPHS and EPHS facilities at provincial level.

RMNCH
4th Oct, 2017 – 3th Oct, 2018 (One Year)

Area: Health, Emergency, Nutrition
Name of the Project: Reproductive, Maternal, Neonatal and Child Health (RMNCH) Project
Role of the Consultant:  Sole Consultant
Provinces: Kunduz
Description of the project and scope of services:
  • Implementation of Reproductive, Maternal, Neonatal and Child Health (RMNCH) Project through mobile health teams in Kunduz province
Goal: To reduce maternal and child mortality and morbidity rate among mothers and young children through equitable access to quality health care services.
 Objectives:
  • To ensure provision of basic health services in remote villages in hard to access areas; 
  • To expand and strengthen community-based health care (CBHC) through the identification of additional CHWs in hard to access areas and to link community level interventions with BPHS facility-based services; 
  • To increase awareness, encourage greater community participation and ownership that creates demand for health services;
  • To enhance and sustain adaption of positive hygiene practices particularly hand washing, water use and safety and environmental sanitation; 
  • To improve communication skills and performance of service providers.
  • Specific- expected results and expected outputs contributing to the results:Project results will be focused on the main national health indicators focusing on maternal and neonatal health. Meticulous monitoring of the program activities to ensure the delivery of quality services will be done through regular direct supervision and analysis
    of data. The expected result of this project is obviously related to the main objectives, the following results expected through end of the project;
  • The capacity of 12 health workers and 148 community health workers built to manage sick children using standard Integrated Management of Childhood Illnesses approach.
  • 1005 out of 5023 pregnant women immunized against tetanus during their child bearing age (15-45y) in the defined villages by end of project (TT2+)
  • 5023 out of 25116 under 5 children immunized against preventable disease of childhood
  • 25116 under 5 children immunized against Polio
  • A community based micronutrient supplementation services for pregnant women in all villages established in the defined geographical area by end of project
  • 5023 out of 25116 child bearing age mothers provided with relevant information and basic services regarding health, hygiene and nutrition
  • 5023 out of 25116 child bearing age mothers thought how to behave to their young children and evaluate changes in their health.
  • A recording and registration system for all child bearing age women, pregnant women, new-born and under-five children established.
  • 1005 out of 5023 pregnant women provided ANC, PNC and timed referral for institutional delivery.


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