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Basic Package of Health Services, BPHS

In March 2002, the Ministry of Public Health started to identify its priority to health problems in the country. After one year of discussions and meetings with health professionals and stakeholders, the Basic Packages of Health Services (BPHS) was endorsed. The purpose of BPHS was to:

* provide a standardised package of health services which forms the core of services delivery in all primary health care facilities

* promote a re-distribution of health services by providing equitable access based on the population density in relation to population density in underserved areas.

The services are to provide at four levels of health care delivery; Health Posts, Basic Health Centres, Comprehensive Health Centres and District Hospitals. BPHS remains the core strategy of the National Health Policy and through cooperation of MoPH, donors and implementing NGO´s, BPHS expanded to reach 77 % of the afghan population.

Wardak BPHS project

Location: Center of the country
Total District: 9 (Maidan Shahr,Sayed-Abad, Nerkh, Jalriz, Bisood1, Bisood2, Chack, Dayemirdad and Jeghatoo)
Total population 475,084
Date start BPHS implementation: March 2004
Duration of contract: 31 months
Donor: World Bank
Number of clusters: Three (Maidan,Bisood and Sayed Abad)
Total Number of health Facilities: 32 (2 district hospital, 9 CHC and 21 BHC 21 MCH and 4 EmOCs)
Number of health post: 164
Number of consultations: 844,831
Training centers: In each cluster+ female training center in the center of province.
Total training achieved: 1162 staff got training including MOPH staff
Number of CMW enrolled in training: 22
Total number of staff: 387
Number of evaluation done: Three with excellent result (first successful project in the World Bank projects) and achieving bonus from the donor
Pilot project implemented in the area: IMCI and Health Financing
Physical construction of Health facilities: One building in Maidan-shahr. Strong coordination was present between all stakeholders active in the province.

Involvement of National Solidarity Program (NSP) and Community Organization Unit (COU) in community based health activities.

Paktika BPHS project

Swedish Committee for Afghanistan has signed a contract with Ministry of Public Health Services (MoPH) to implement BPHS in the South-Eastern province of Paktika.

Project is as follow:

Location: South-East of the country
Total District: 6 ( Matakhan, Sarhawza, Sarobi, Zerook, Gomal and Barmal)
Total population 101,1000 (CSO)
Date start BPHS implementation if approved: May 2006
Duration of contract: 20 months
Donor: World Bank

Total Number of proposed health Facilities: 6 (One Comprehensive Health Center Plus (CHC+), 1 comprehensive Health Center (CHC),4 Basic Health Centers (BHCs) CHC. The CHC plus will provide surgery services as well as comprehensive EmOC services and the remaining health facilities will provide basic EmOC services. There will be 50 health posts staffed with one male and female Community Health Workers (CHWs).

The main problems which will be addressed in service delivery are maternal mortality and morbidity, child illnesses, tuberculosis, malaria (mainly in Gomal) and malnutrition.

Also please receive the detail of some abbreviations as the following:

EmOC Emergency Obstetrics Care
CSO Central Statistics Office
GCMU Grant Contract Management Unit
PPA Performance based Partnership Agreement
RH/FP Reproductive Health/Family Planning
IMCI Integrated Management of Child illness
ARCS Afghan Red Crescent Society