Family Health House (FHH)

Area: Reproductive, Maternal, Newborn, Child and Adolescent Health Services
Name of the project: Family Health House (FHH)
Duration of the project: 1st Jan 2020—30th March 2023
Role of the consultant: sole consultant
Province: Paktika & Khost
Description of the project and scope of services:

  • Under the FHH project, OHPM will train 23 community midwives and will deploy them to the target district where they will provide Maternal, Newborn, Child and Adolescent Health Services. Meanwhile, through two FHHs and two mobile health teams, OHPM will provide the same services till the graduation of community midwives.
  • Providing equitable access to and use of quality health, nutrition, WASH, prevention and protection services that are appropriate and effectively address their rights and needs.
  • Increase national institutional capacity to deliver comprehensive maternal health services.
  • Provision of essential RMNCAH services through two mobile health teams and two family health houses.
  • Running of community midwifery school boarding 23 students
  • Construction and equipping of two FHHs in Paktika province
  • Provision of training to CHWs of Paktika province
  • Provision of immunization services (TT2+, PENTA 3
  • Under five screening and provision of health education sessions.
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Community Based Outreach Vaccination (CBOV)

Area: Immunization/Vaccination
Name of the project: Community based outreach vaccination (CBOV) project
Duration of The Project: 22th Oct 2019 – 22th March, 2021
Role of the consultant: sole consultant
Provinces: Khost and Paktika
Description of the project and scope of services:

  • The Community Based Outreach Vaccination (Mobile Immunization) Objective is to strengthen and improve EPI coverage through deploying community based outreach vaccination teams to cover the uncovered villages and areas in rural settings of the Paktika and Khost province.
  • Establishment of Hubs and service delivery points in the target white areas and assigning the teams for each SDP by the project supervisor during the first two months of the project.
  • Conducting EPI routine services through Mobile immunization teams at the communities by the CBOV teams during the life of the project.
  • Regular monitoring of the quality of data and providing constructive feedback to the vaccinators by the project supervisor, BPHS EPI supervisor and PEMT on monthly bases during the life of the project.
  • Supplying vaccines and monitoring the cold chain supply of vaccines to all hubs and service delivery points by the project supervisor on monthly bases during the life of the project.
  • Revising and implementing the EPI Micro Plan for the vaccinators by the project supervisor, PEMT and BPHS EPI supervisor during the first quarter of the project.
  • Supporting the National Immunization Days (NIDs) by the CBOV team during the life of the project.
  • Conducting coordination meetings with PPHD, PEMT and REMT by the project management team and project supervisor on monthly bases during the life of the project.
  • Providing TT vaccine Outreach services in the districts where girls’ high schools are available by the CBOV team on bi-annual bases.
  • Conducting awareness sessions to the general population of the white areas and under the coverage of Mobile immunization teams at the communities by CBOV teams on monthly bases during the life of the project.
  • Conducting Joint Monitoring and Supervision visits from community base service delivery points by Project management team, PEMT, BPHS EPI supervisor and project supervisor on monthly bases during the life of the project.
  • Providing project inception report 14 calendar days after singing of the contract by the project management team within the first month of the project.
  • Providing regular quarterly technical reports to PEMT, REMT by the project management team during the life of the project.
  • Providing regular quarterly technical and financial reports to GCMU HSS-3 by the project management team during the life of the project.
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MALARIA

Area: Health and Emergency, Mass Campaign and Promotion
Name of the Project: Implementation of Malaria Project
Duration of The Project: 1st April, 2016 – 31th Dec, 2021
Role of the Consultant: Sole Consultant
Provinces: Khost, Paktika and Kunduz
Description of the project and scope of services:

  • Implementation of Malaria project activities under the Global Fund UNDP program in Khost, Paktika and Kunduz provinces.
  • The main objectives of this project is to reduce malaria morbidity at the provincial level;
  • Reduced malaria mortality to zero; 3) to reduce the incidence of P. falciparum malaria to sporadic cases with a vision to completely interrupt transmission of P.f by 2020;
  • Reduced malaria morbidity in high risk area by 80% by the end of 2017.
  • Vector Control (LLIN continuous Distribution for Pregnant women (ANC-1) and LLIN distribution through Mass Campaign in Community)
  • Case Management (Community Based Malaria Management Training for health workers (MDs, CHSs, CHWs), Malaria Microscopy training for Lab technicians, Case Identification with RDT and Lab. treatment with Premaquine and ACT and referring from HP to HFs.
  • Conducted training on malaria case finding, diagnosis, and treatment for health providers at the community and health facility levels.
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Strenghthening Routin Immunization (SRI)

Area: Immunization/Vaccination
Name of the Project: Strenghthening Routin Immunization (SRI)
Duration of The Project: 19th August, 2020 – 18th August, 2021
Role of the Consultant: Sole Consultant
Provinces: Paktika
Description of the project and scope of services:

  • To increase routine EPI coverage among children residing in rural areas of the Paktika province through expanding EPI fixed, outreach and mobile services in white and underserved areas.
  • To increase Penta-3 vaccine coverage by 25% in the Paktika province (to be confirmed by improvement in coverage measured by relevant survey compared to AHS 2018 results);
  • To reduce missed opportunities for vaccination as measured by Penta-1 to Penta-3 drop-out rate <10%;
  • To reach un-immunized and under-immunized children in white and underserved areas through improved access and utilization of routine EPI services.
  • OHPM will deliver immunization services through fixed centers, outreach and mobile activities according to the National EPI policy. OHPM plans to increase access to immunization services through hiring additional vaccinators in remote and underserved areas where fixed centres, outreach activities and mobile immunization are not covering the entire population. Furthermore, OHPM will provide immunization service in the light of EPI strategy to reach to the poor geographic access and promote community participation and ownership through identification of local vaccinators and linked them to the BPHS network. In order to reach project overall and specific objectives, our approaches are: Fixed Center: Fixed vaccinators will administrate zero dose of OPV, BCG and Hep-B to all new- born babies immediately in HFs as well as administrate other vaccines such as PENTA, Polio, PCV, Rota, TT, Measles and IPV according to the schedule. Fixed centers’ vaccinators will have sufficient supplies, vaccines and equipment that will provide immunization services to all children aged under two and child bearing aged women who are visiting HFs for any reason.
  • Outreach activities: The outreach activities will cover the remote/ hard-to-reach areas of HFs and follow up of dropouts. We will update districts and health facilities EPI micro planning. In addition, we will use community based microplanning developed for Paktika province as well as HMIS data (MIAR) and EPI monthly report to identify the areas with low EPI coverage and eligible for outreach EPI services.
  • Mobile Teams: We are using mobile approach for difficult topography areas and those areas not covered by outreach. Special attention is given to covering vulnerable and marginalized segments of the community such as IDPs, nomad and returnees.
  • Reduced malaria morbidity in high risk area by 80% by the end of 2017.
  • Vector Control (LLIN continuous Distribution for Pregnant women (ANC-1) and LLIN distribution through Mass Campaign in Community)
  • Case Management (Community Based Malaria Management Training for health workers (MDs, CHSs, CHWs), Malaria Microscopy training for Lab technicians, Case Identification with RDT and Lab. treatment with Premaquine and ACT and referring from HP to HFs.
  • Conducted training on malaria case finding, diagnosis, and treatment for health providers at the community and health facility levels.
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Basic Package of Health Services (BPHS) and Essential Package of Hospital Services (EPHS)

Area:Health
Name of the Project: Implementation of SEHATMANDI Project in Paktika, Khost and Kandahar Provinces
Role of the Consultant: Lead Organization
Provinces: Khost, Paktika and Kandahar
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
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Corona Virus and Disease (Covid-19)

Area: Health
Name of the Project: COVID-19
Emergency Response and Health System Preparedness Project (ERHSP)
Duration of the Project: May 02,2020-October 02, 2020
Role of the consultant: Sole consultant
Province: Khost & Paktika and Kandahar (JV with BARAN)
Description of the project and scope of services:

  • Over All Objectives
    The overall objectives of the project are to protect our citizens from the spread of COVID-19; to respond and mitigate the threat posed by COVID-19 in Afghanistan and to strengthen national health systems preparedness and capacity to respond to public health emergencies.
  • One of the aim of this project is to avoid disruption of BPHS/EPHS/ service delivery under SEHATMANDI project.
  • SCOPE OF SERVICES
    1. At the Provincial Level: There is a provincial Center for Combating Corona virus, headed by the Provincial governor and/ or Provincial Health director. The center will have three main function a) health services, b) surveillance, c) monitoring and risk communication; d) logistic/ finance support.
    2. At the district Level: The |District Center for Combating Corona virus will be established in coordination with PPHDs. The MoPH has to facilitate the infrastructure and necessary equipment and supply will be provided. The world Health Organization (WHO provides the training. The SP will link the RRT with the District Center based on priority; Each RRT will be equipped with one vehicle.
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Targeted Supplementary Feeding Program (TSFP)

Area: Emergency Response, Nutrition
Name of the Project: Public Nutrition Program - Targeted Supplementary Feeding Program (TSFP) Project
Duration of The Project: 1st July 2017 – 31th Dec, 2019
Role of the Consultant: Sole Consultant
Provinces: Parwan, Khost and Paktika
Description of the project and scope of services:

  • Implementing Public Nutrition Program under Targeted Supplementary Feeding Program (TSFP) in Parwan, Khost and Paktika provinces of Afghanistan.
  • To treat moderate acute malnourished children age 6-59 months and acute malnourished pregnant and lactating women in target areas during the project period
  • To increase nutrition awareness of pregnant and lactating women and MAM children caregivers and promote optimal behaviors among them through social behavior change communication (SBCC)
  • Treat acutely malnourished pregnant and lactating women (AM-PLW) from the second trimester up to their sixth month of breastfeeding.
  • Increase awareness of malnourished pregnant & lactating women on optimal infant and young child feeding, and maternal nutrition.
  • Conduct a comprehensive evaluation of the PLW that includes: anthropometry (MUAC), medical history, and physical examination
  • Monitor the progress of the woman’s nutritional status
  • Verify and exclude the presence of medical complications
  • Make a referral, follow-up home visit, or discharge as appropriate
  • Probe woman on the daily ration size, storage, and use of supplementary ration
  • In case of absence, pass the information and pay visit to the house of the child to know the reason for absence.
  • Ensure continued counselling for ante natal / post-natal care and IYCF
  • Where possible, give a demonstration of how to use Plump Supplement
  • Record the mothers’ registration number on ALL documentation
  • Give the schedule of the next TSFP visit
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Afghan Context- Community Let Total Sanitation (AC-CLTS)

Area: Water and Sanitation, Hygiene and Health Promotion
Name of the Project: Community-Led Total Sanitation (CLTS)
Role of the Consultant: Sole Consultant
Provinces: Paktika, Kunduz and Khost
Description of the project and scope of services:

  • Conducting of communication coordination meeting with PRRD and related stakeholders
  • Preparing of implementation plan for each month
  • Conducting of CLTS basic training for CLTS team
  • Conducting pre-triggering and triggering
  • Establishing of CLTS Committee
  • Establishing of FHAGs
  • Conducting of Baseline survey in triggered communities
  • Conducting of Post triggering follow up visits from triggered communities
  • Conducting of Hygiene promotion training for CLTS team
  • Conducting of Hygiene promotion training for CLTS committee members
  • Conducting of Hygiene promotion training for FHAG members
  • Conducting of ODF Verification & Certification training for CLTS team
  • Conducting of Endline survey in communities which claimed for ODF
  • Verification of claimed communities
  • Certification of verified communities
  • Conducting of post ODF follow up in certified communities
  • Conducting of joint monitoring with PRRD and related stakeholders
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CHF-OCHA

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
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Reproductive, Maternal, Neonatal and Child Health (RMNCH)

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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Challenge TB

Area: Health, Promotion and Community-Based Activities
Name of the Project: Community-based DOTS through Challenge TB Project
Role of the Consultant: Sole Consultant
Provinces: Khost & Paktika
Description of the project and scope of services:

  • Implementation of Community-based DOTS Project in Paktika and Khost Provinces
  • OHPM with the support of USAID-MSH implemented the Community Based DOTS under Challenge TB project in both Khost and Paktika provinces from August 2015 to September 2017.
  • The objective of the project was to improve and strengthen the Community Based DOTS activity in community level through: 1) increase case detection, especially in early stage; 2) providing efficient, accessible and equitable health care services; and 3) ensure access to communities, and to provide TB services closer to patients’ home.
  • This approach encompasses awareness raising activities, such as community events e.g. school and bazaar events, dissemination of IEC materials, displaying billboards and airing tuberculosis messages through local media, aiming increasing demand, training of community health workers, to identify presumptive Tuberculosis cases, referrals and DOT (treatment) provision, proper recording and reporting activities and to document evidences.
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Training of BPHS

Area: Capacity Building and Training
Name of the Project: Training of BPHS staff on Nutrition Service Delivery
Role of the Consultant: Joint Venture
Provinces: 11 Provinces of Afghanistan
Description of the project and scope of services:

  • Rolling out Public Nutrition Department (PND) training package in 11 provinces of Afghanistan.
  • OHPM in joint venture with ACF implemented the training and capacity building of BPHS and EPHS staff of 11 provinces project with the financial support of UNICEF.
  • The overall objective of this project was to roll out the PND nutrition package in 11 provinces of Afghanistan.
  • Provided quality training according to the training guidelines of PND to BPHS staff (doctors, nurses, midwifes, Community Health Supervisors, and BPHS Supervisors) at their respective province/region
  • Conducted post-training monitoring and supervision, and support BPHS staff in their daily performance of tasks (on the job)
  • OHPM trained 3517 staff of 11 provinces BPHS and EPHS on the newly revised National Nutrition Guidelines of the Public Nutrition Department of MoPH.
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Family Health Worker

Area: Capacity Building and Training
Name of the Project: Implementation of Family Health Workers Project (FHWP)
Role of the Consultant: Sole Consultant
Provinces: Bamyan
Description of the project and scope of services:

  • Implementation of a pilot project named FHWP for the first time in Afghanistan, where health learning contents were provided to all students of Bamyan School and 568 teachers were trained as FHWP trainers in 240 schools in seven districts of Bamyan province.
  • The Family Health Worker Project (FHWP) as a pilot project was successfully implemented in two phases by Organization for Health Promotion and Management (OHPM) in Bamyan Province.
  • The first phase of the project started on 7th September 2013 and was stopped on 15th March 2014 due to de-allocation of budget in the fiscal year of 1393. On 8thSep 2014 the project was restarted under an amended contract for four months covering Sep 8, 2014 to Jan 5, 2015 which was successfully completed.
  • The overall objectives of the FHWP was “To improve the health status of Afghan people especially mothers and children in community through changing behavior, knowledge and skills”.
  • During the project life the planned activities for the project were successfully implemented in close coordination with the involved stakeholders including relevant provincial and central authorities and directorates.
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Sustainable Water and Sanitation Supply Project (SWSS)

Area: Water and Sanitation, Hygiene and Health Promotion
Name of the Project: Sustainable Water and Sanitation Supply Project (SWSS)
Role of the Consultant: Sole Consultant
Provinces: Badakhshan, Baghlan and Bamyan
Description of the project and scope of services:

  • Implementing Community-led Total Sanitation and Hygiene Behavior Change Project (CLTS) in Baghlan and Badakhshan provinces.
  • The goal of the Provincial Community-Led Total Sanitation Program was to improve the quality of life of youth in the rural communities and reduce the morbidity and mortality from communicable diseases, especially among young children and women.
  • OHPM focused its interventions on achieving the following objectives of the project in Bamyan, Badakhshan and Baghlan provinces from March 2011 to June 2013.
  • The main activities of this project were focused on improving the sanitation status of the communities through health education and hygiene promotion among target communities as two major component of the Primary Health Care PHC to support to the BPHS.
  • OHPM successfully achieved the following results in the target districts of these provinces.
  • All intervention youth communities achieved an open-defecation-free (ODF) environment.
  • All households were committed for safe solid waste management, using their own idea and local materials.
  • All households had access to an improved and safe sanitation facility and use it.
  • Increase the use of effective household water treatment methods.
  • Increased the number of households that correctly store water.
  • Increased the number of households that have a specific place for handwashing.
  • Increased the number of households with soap at the place of handwashing.
  • Increased the number of mothers of young children and youth who know all critical times for handwashing.
  • Decreased the workload of the local municipality in regards to waste collection and disposal.
  • Enhanced the knowledge of the youth in communities in the target cities
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