The Sehatmandi project is a 3-year health services delivery project running from 2018 to 2022 with a total budget of $622 million financed mainly by the World Bank, EU, USAID, and Canada. It is implemented through contracts with national and international NGOs in 31 provinces, with a strengthened mechanism in 3 provinces. Performance is managed by a Project Management Office, with contract management by a Grants and Contracts Management Unit and coordination through a Sehatmandi coordination office in the Ministry of Public Health. Key performance is tracked through over 200 indicators and reviewed at quarterly and annual meetings. Oversight is provided by a Health Sector Oversight Committee comprised of representatives from the Afghan government and international

1. Brief overview of Sehatmandi project
Najibullah SAFI, MD, MSc. HPM
Program Manager - HSD, WCO – Afghanistan

2. Introduction
• Project duration: 1st July 2018 – 30th June 2021
• Actual implementation of Sehatmandi started on 1st
January 2019
• SEHAT project was extended from 1st July 2018 – 31st Dec
2018
• One year extension 1st July 2021 – 30th June 2022
• Before 15th August 2021, WB provided NOL for 22
provinces out of 31
• Total project cost 622,000,000
• Budget (two components: lump sum and pay for performance)
• Financed mainly by WB, EU, USAID and Canada through ARTF
Implementation arrangement
• Contract out to national and international NGOs in 31
provinces
• Strengthening mechanism in 3 provinces

3. Governance
structure
• Performance management by PMO
• Contract management by GCMU
• Coordination by Sehatmandi coordination office in MoPH
• M&E: by HIS directorate of MoPH, technical departments,
and TPM
• National M&E checklist (more than 200 indicators)
• Balance Score Card, HMIS verification and Afghanistan
Health Survey by TPM
• External financial audit
• Public expenditure tracking survey

4. Performance
management
• Quarterly meeting at provincial level, semi-annul and
annual performance review meeting at national level
• Ad hoc meetings with NGOs based on needs
• Implementation support mission by WB
• Midterm project review
• Key performance indicators
• OPD under 5 years of age, ANC, PNC, TB treatment, C-
section, couple years of protection, child growth and
infant feeding, institutional delivery, TT 2, Penta 3,
major surgeries)

5. Project
oversight
• Health sector oversight committee
• Responsible for all key decisions in health sector
including Sehatmandi
• Comprised of:
• MoPH, MoF, general directorate of local
administration, WB, EU, USAID, Canada, WHO, UNICEF,
UNFPA, GFF, health committee of parliament, AHO,
and representative of CSO
• Ad hoc invited members (e.g., TPM)

6. Thanks