Afghanistan

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  • Afghanistan

KEY RESULTS

 

48,000 new smear-positive TB cases detected and treated

Source: The Global Fund

678 people currently receiving antiretroviral therapy

Source: UNDP

2.5 million insecticide treated bed nets distributed

Source: The Global Fund





UNDP Trains 200+ Young Women to

Save Lives in Rural Areas

 

Afghanistan has one of the highest maternal and child mortality rates in the world. In isolated Nuristan province, woman commonly die because basic healthcare is unavailable – either because there are no doctors or because women are not allowed to be treated by a man. There are a shortage of nurses in the province and most doctors and nurses from outside are afraid to work there. The solution is to train local people who can then return to their communities. The nursing school set up by UNDP and the Afghan Ministry of Public Health, with funding from the Global Fund, will provide capacity to fill this gap in basic provision.  Each nurse receives two years of medical training as well as accommodation, transportation, three meals a day and a nominal living allowance. Once back in their communities, nurses will also be able to pass on important advice to keep women and children healthy. Often enrolling is harder than the actual study as the women face discrimination and are not supposed to live or study away from home.

“My parents were very worried about how I could live away from them..... But for months I fought back hard until I convinced my father to give me the green light.” 

Read the full story

 

 

    

 

   

RESULTS - CONTINUED

 

TB treatment success rate (2014)

Source: World Health Organization

Retention on ART 12 months after starting treatment (2015)

Source: UNAIDS

Maternal mortality rate

Source: World Health Organization

Child mortality rate

Source: World Health Organization

Project Summary

Afghanistan's health status is one of the worst in the world. Armed conflict and natural disasters have damaged public health infrastructure and severely affected the delivery of basic health care services. As a consequence, Afghanistan faces considerable health challenges.

In 2015, UNDP Afghanistan became the Principal Recipient of four Global Fund Grants: HIV, TB, malaria and health system strengthening. Working in partnership with the Ministry of Public Health, and other national and international partners, UNDP is helping to strengthen the health system by training nurses and improving access to community-based healthcare services. The collection and use of data for monitoring health outcomes is also being improved, including the creation of one national database for health indicators. More than half the population live in areas affected by malaria, with more than 400,000 cases in 2011 alone. To address this, the distribution of long-lasting insecticidal nets in all transmission areas is being carried out, awareness campaigns are being run and improvements are being made to monitoring, access to treatment in health facilities and the community.

As injecting drug use is the main driver of the HIV epidemic; the HIV grant is enabling essential prevention services for key populations, focusing specifically on people who inject drugs and prison populations. This includes scaling up prevention services and also expanding services to areas where non currently exist. The country also faces a high-burden of TB with stigma, discrimination and access to services all of particular concern. The pre-existing TB program identified TB case notification and MDR-TB program management as areas for improvement and the grant focuses on key interventions to address these gaps, with special focus on key affected populations.

 

PORTFOLIO OVERVIEW

 

Disease Component

HIV/ AIDS

Grant

AFG-H-UNDP

Phase

Period 1 

Amount

                        $8,690,986

Rating

 

Disease Component

Malaria

Grant

AFG-M-UNDP

Phase

Period 1 

Amount

                        $19,627,543

Rating

 

 

 

Disease Component

Tuberculosis

Grant

AFG-T-UNDP

Phase

Period 1 

Amount

                      $11,002,846

Rating

 

 

 

Disease Component

Health Systems Strengthening

Grant

AFG-S-UNDP

Phase

Period 1 

Amount

                      $8,084,866

Rating

 

 

 

 

Overall Grant Rating

 

 

  Exceeding expectations

 

  Meeting expectations

 

  Adequate

 

  Inadequate but potential demonstrated

 

  Unacceptable

 

  No rating available