Provision of integrated Primary Health Care  including MPHSS and Nutrition service through static HFs in underserved areas of Ghazni province Afghanistan, ltpgtltspan style="font-size: 14px"gtBased on available data from PHD and physical assessment
conducted by our team, it was found that the BHPS in Ghazni province is unable
to cope with current challenges, resulting in poor or no access to available
services for many people in the region. The HER Project supports 102 Health
Facilities, providing primary healthcare services including nutrition services to around 789,079 people in dispersed
locations across Ghazni's wide geography, leaving several areas without health
services. HADAAF also has an active presence through 13 static HFs in remote
areas with WHO support, but many areas lack health services after the closure
of AHF-supported clinics.lt/spangtltbrgtlt/pgtltpgt

lt/pgtltp class="MsoNormal"gtThe main factors contributing to poor access are the long
distances from HFs (requiring 3-5 hours of walking), poorly functional BPHS
facilities, local cultural traditions, and limited awareness about health care
provision. The current HMIS data, although unreliable and susceptible to
manipulation, still fails to meet the MoPH targets for key indicators. Key
indicators from the analyzed data include ANC all visits (47%), PNC all visits
(unspecified percentage), TT+ coverage (50%), DPT3 ltspan style="mso-spacerun:yes"gt lt/spangtcoverage (82%), and institutional deliveries
(54%). Additionally, there is no recent assessment, but data from the Smart
survey 2020 shows a Global Acute Malnutrition (GAM) rate of 8.7% (2.4% SAM and
5.8% MAM) in children under five years old.lt/pgtltpgt

lt/pgtltp class="MsoNormal"gtTo address these challenges, a proposed project aims to
establish 13 Health Facilities (SHCs) in the remotest villages across 10
districts in Ghazni province. The locations for intervention were selected in
coordination with PHD, targeting areas with poor or no access to available HFs
due to long distances (3-6 hours of walking), a weak transport system, and
local cultural restrictions on women's movements. The project is expected to
benefit 91,850 people, including women, children, and persons with
disabilities, by prioritizing activities related to maternal and child health,
immunization, Maternal and Perinatal Health Surveillance System (MPHSS),
control of infectious diseases like TB and malaria, management of malnutrition,
and daily consultations.lt/pgtltpgt

lt/pgtltp class="MsoNormal"gtThe proposed Health Facilities and their respective
locations :lt/pgtltpgt

lt/pgtltp class="MsoNormal"gtWali Mohammad Shaheed: 1 SHC proposed in Sra Qala Village,
covering a population of 6,200, located 13 kilometers from the nearest HF.lt/pgtltpgt

lt/pgtltp class="MsoNormal"gtWaghaz District: 2 SHCs proposed in Surkhak Shahzadagan and
Haft Asiab villages, serving populations of 7,065 and 8,285, respectively,
situated 13 and 11 kilometers from the nearest HF.lt/pgtltpgt

lt/pgtltp class="MsoNormal"gtJaghatoo District: 1 SHC proposed in Shakai, catering to a
population of 5,000, located 12 kilometers from the nearest HF.lt/pgtltpgt

lt/pgtltp class="MsoNormal"gtRashidun District: 1 SHC proposed in Laghari village,
serving a population of 7,800, situated 14 kilometers away from the nearest HF.lt/pgtltpgt

lt/pgtltp class="MsoNormal"gtNawar District: 2 SHCs proposed in Qalai Bakhtiari and Altan
villages, providing healthcare services to populations of 5,512 and 6,488,
respectively, located 27 and 16 kilometers from the nearest HF lt/pgtltpgt

lt/pgtltp class="MsoNormal"gtNawa District: 1 SHC proposed in Rahman Qala village,
covering a population of 8,300, and situated 22 kilometers from the nearest HF.lt/pgtltpgt

lt/pgtltp class="MsoNormal"gtAjiristan District: 2 SHCs proposed in Sahai Maktab and
Baigai villages, serving populations of 8,910 and 5,590, respectively, situated
25 and 15 kilometers from the nearest HF.lt/pgtltpgt

lt/pgtltp class="MsoNormal"gtMalistan District: 1 SHC proposed in Gowmast Village,
providing healthcare services to a population of 6,300, residing approximately
12 kilometers away from the nearest BPHS HF.lt/pgtltpgt

lt/pgtltp class="MsoNormal"gtJaghori District: 1 SHC proposed in Tabarghanak village,
covering a target population of around 8,500, and located 15 kilometers away
from the nearest HF.lt/pgtltpgt

lt/pgtltp class="MsoNormal"gtGhazni District: 1 SHC proposed in Noghai village, serving
approximately 7,900 individuals, situated around 12 kilometers from the nearest
HF.lt/pgtltpgt

lt/pgtltp class="MsoNormal"gtThis proposed project aims to address the gaps in healthcare
access, improve health outcomes, and enhance the overall well-being of the
population in the coverage area.lt/pgtltpgt





ltbrgtlt/pgt