Public health in afghanistan march 29 2010

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Public health in afghanistan march 29 2010

  1. Dr. Abdul Tawab Kawa Saljuqi (MD) MPH Student Health Promotion and Health Behavior SectionMel and Enid Zuckerman College of Public Health University of Arizona Global Health Alliance Meeting March 29th 2010 Tucson, Arizona, USA Photo by Luke Powell
  2. • A musical Slide Show• Afghanistan’’s Demographic Situation• Briefing on Public Health System and Current situation• Question and Answer Photo by Luke Powell
  3. Photo by Luke Powell
  4. Afghanistan Map Located in South Central Asia
  5. • The heart of Asia Between• Pakistan ( south and East)• Iran ( west) )• Tajikistan (North)• Uzbekistan ( North) Turkmenistan ( North)) China ( North East) Photo by Luke Powell
  6. Afghanistan(647500 km2)2.2 timesLarger thanArizona(295,254 km2) Photo by Hussain Hassrat
  7. • Population: 24 million CSO , 2007 – Female / Male Ratio : 49/51• Literacy Rate : 35 40 % (Ministry of Education 2007)• GDP : 426 USD ( WB) 2008 Photo by Luke Powell
  8. • Life expectancy is 43 years, compared to 59 years for low income countries worldwide. Photo from Google ImageSource : WHO
  9. • Moreover only Moreover, 13 percent of Afghans have access to safe drinking water and 12 percent to adequate sanitation Photo from UNICEF website UNICEF best estimates 2008
  10. • Access to electricity : among the lowest in the world. world• The situation has however improved in Kabul, Mazar and Hirat
  11. • More than 7 million children to h l 2.5 illi t school 2 5 million girls il • More than 4500 schools all over the country • More than 170000 teachers • Implementation of Healthy School Initiative since 2006 with MoPH and UNICEF Photo from UNICEF websiteSource: Afghan Ministry of Education website
  12. Agricultural Production:A i lt l P d tiwheat, fruit, nuts, wool,mutton, sheepskins,lambskinsMajor AgriculturalExports:Nuts, fruit, spicesAgriculture: 31% of GDP GDP,80% of employmentUS Department of Agriculture/Afghanistan Photo from Afghanistan Land of Beauty and Culture
  13. Photo from Afghanistan Land of Beauty and Culture •83000 US forces •45000 ISAF and NATO •More th 80 % of i t M than f international ti l assistance spent on security •70 000 Afghan g National Army•NATO website/Afghanistan•United States AccountabilityOffice report on Security inAfghanistan
  14. Islam (99%)Others (1%) ( Hinduism andChristianity) Photo from Afghanistan Land of Beauty and CultureSource : Wikipedia / Religion in Afghanistan
  15. Surprise Visit ofObama to Afghanistanto eat some h l h healthyFood!March 28 2010 Photo from White House photo gallery
  16. • Afghanistan National Development Strategy and Health and Nutrition Sector Strategy 2008 2013• Two main strategies for health h lth care provision : ii Basic Package of Health Services and Essential Package of Hospital Services , contracted out
  17. • Two main strategies for health care provision : Basic Package of H lth B i P k f Health Services and Essential Package of Hospital Services , contracted out
  18. Present Health SituationA five year communicationstrategy for AfghanistanBased on 8 GapsProposes 8 StrategiesSupported by a PolicyAnd five year Action PlanAfter 2 years of struggle
  19. Governmental Ministry of PublicOrganizations Health Donors Legislation NGOs UN Private Sector Community
  20. • % of GDP spend on Health• USAID• EU• WB• Other : JICA, CIDA, DFID, , , , AFD, ADB• A very small amount from national revenue Photo from Afghanistan Land of Beauty and Culture
  21. Health Facilities and Referral System in BPHSHealth HPPost HP Comprehensive HP Health CenterHP HP HP HP Basic Health Center HP ReferralsHP 30,000 people HPHP HP HP District or Provincial HP HP HospitalHealth Post Supervision & supplies from BHC, CHC & DH
  22. Facility Level Key Staff Population Coverage Health Post 2 CHW (male/female) ( ) 1,000 1,500 1,000-1,500 Basic Health 1 Nurse (male), 1 15,000-30,000 Midwife/Community Midwife, 2 Center Vaccinator, 1 Community Health Supervisor (5 2) S i (5+2) Comprehensive 2 Doctors (m/f); 2 Community 30,000-60,000 Midwives; Health Center 2 nurses (m/f); 1 Lab Tech 1 Pharmacy tech., 2 Vaccinator, 1 Administrator, 1 Community Health Supervisor (12+4) First Referral 4 Doctors (m/f), 1 surgeon, 1 anesthetist, 1 Pediatrician, 4 Midwife, 10 nurse, 1 X-ray tech, 2 100,000-300,000 Hospital Lab Tech, 1 Pharmacist, 2 Vaccinator, 1 Dentist, 1 Dental Tech, 1 Administrator, 1 Community Health Supervisor (31+7)Source : Basic Package of Health Services 2005
  23. • Maternal and newborn health • Child health and immunization • Public nutrition bli ii • Communicable diseases control • Mental Health • Disability • Supply of Essential DrugsSource : BPHS of health services 2005
  24. Progress of Health Indicators Photo by Hadi Zaher
  25. Ahmad Jan Naeem’s presentation in International Conference on Primary Health Care, Doha 2008
  26. Ahmad Jan Naeem’s presentation in International Conference on Primary Health Care, Doha 2008
  27. Ahmad Jan Naeem’s presentation in International Conference on Primary Health Care, Doha 2008
  28. Ahmad Jan Naeem’s presentation in International Conference on Primary Health Care, Doha 2008
  29. Key Development y p Indicators• Infant mortality rate, per 1,000 live births: Down from 129 in 2006 to about 111 in 2008.• Under 5 mortality rate, per 1,000 live births: Down from 191 in 2006 D f i to about 161 in 2008. Photo from H Ph t f Hussain H i Hassrat tWorld Bank Report on Afghanistan 2009
  30. • Prenatal care to pregnant women: Up from 11% in 2004 to 49% in 2008.• Child immunization rates: Up from 12% in 2005 to 33% in 2008 2008. Photo from Afghanistan Land of Beauty and CultureWorld Bank Report on Afghanistan 2009
  31. • Health service utilization increased among project area populations from a rate of 0.3 consultations p p per capita annually at the outset to 1.64 per capita by the mid 2009. Photo from Afghanistan Land of Beauty and Culture
  32. Childern Mortality Rates 2002-2006 300 257 Deaths per 100 live births 250 191 200 165 00 150 129 100 50 0 2002 2006 Years Infant Mortality Rate Under 5 Mortality RateHealth Information Management System (HMIS), Ministry of Public Health
  33. Increased in Investment 2002 to 2006 c eased es e 00 o 006 Intestment in Health Sector (Million USD) 1400 1200 1000 illion USD 800 Mi 600 400 200 0 2001 2002 2003 2004 2005 2006 Total YearsDeputy Minister of Public Health’s Presentation for International Health Literacy Conference 2009
  34. Progress in Percentage of Health Facilities with at least one female health worker, Afghanistan 2003, 2008Health Information Management System (HMIS), Afghan Ministry of Public Health
  35. • Presence of more than 20000 Community Health Workers H lth W k• Communication and vaccination Campaigns Photo by CBHC Department, Ministry of Public Health
  36. • Community interaction by Partnership Development Quality ( PDQ ) and Participatory Learning Approach ( PLA) strategies Photo from BRAC website
  37. 1400000 mber of dileveri per year 1200000 1000000 Delivery ies 800000 Ante Natal Care 600000 Family Planning 400000 200000 Num 0 1383 1384 1385 1386 1387 2004 2005 2006 2007 2008 YearsHealth Information Management System (HMIS), Ministry of Public Health
  38. Polio vaccine Coverage 80.00% 70.00% 60.00% 50.00% 40.00% 30.00% 20.00% 10.00% 0.00% Y2003 Y2005 Y2006 Y2008Health Information Management System (HMIS), Ministry of Public Health
  39. BCG coverage 80% 75% 70% 65% 60% 55% 50% Y2003 Y2005 Y2006 Y2008Health Information Management System (HMIS), Ministry of Public Health
  40. Full Immunization in Afghanistan 40% 35% 30% 25% 20% 15% 10% 5% 0% Y2003 Y2005 Y2006 Y2008Health Information Management System (HMIS), Ministry of Public Health
  41. DPT Coverage in Afghanistan 50% 45% 40% 35% 30% 25% 20% 15% 10% 5% 0% Y2003 Y2005 Y2006 Y2008Health Information Management System (HMIS), Ministry of Public Health
  42. Photo from Afghanistan Land of Beauty and Culture
  43. Thank Tashakor you Mannana Photo from Afghanistan Land of Beauty and Culture

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