Afghan Health & Development Services
A nonprofit, 501(C)(3), Tax ID: 54-1968322 committed to helping the Afghan people. Established in 1990.

For a healthy society


Recent Annual Report 

For the full report in PDF version click on Annual Report 2020

 

SDG 

AHDS’ theory of change describes how to ensure universal health coverage (UHC) and the right to the highest attainable level of health. Based on the new strategic plan, AHDS services contribute to the sustainable development goals (SDGs) 2, 3, 4, 5, 6, 8, 13, 15 and 16.

 

 

Project in 2020

Humanitarian aid

The Emergency Healthcare project for conflict and drought affected people in Uruzgan Province: is aimed to improve the wellbeing of the general population through improved access to primary healthcare (PHC) services targeting IDPs, returnees, and vulnerable host communities in the districts of Uruzgan Province for one year. The project is funded by OCHA-Afghanistan Humanitarian Fund (AHF).

Advocacy for Health Financing

Objective of the Lobby and Advocacy for Health Trajectory was to convince decision makers to support and endorse the resource mobilization reforms for increasing domestic investment in health is organized around four key areas: 1) Increased allocation of government funds to health, 2) Earmarked tax (sin-taxes on tobacco, vehicle, fuel, sugary-sweetened beverages) for health, 3) Collection of user fees at hospitals and 4) Introduction of health insurance. The project is funded by Cordaid.

Citizens’ Charter

Citizens’ Charter National Priority Program (CCNPP) is facilitated by AHDS&SDO joint venture that supports the communities and their elected Community Development Councils (CDCs), extending from community mobilization to full utilization and monitoring of their block grants in Uruzgan and Zabul. The project is funded through MRRD by the World Bank (IDA). Social Inclusion Grants (SIG) as CCNPP sub-program, mobilizes the communities and their CDCs stop seasonal hunger by establishing a simple safety net for the poorest. AHDS facilitates the Uruzgan part.

 

Results in 2020

 

COVID 19

The burden of COVID-19 pandemic is added on catastrophe from 41 years conflict in the country. The human rights, basic social priorities and economic needs of the people have to be addressed sensibly.

The Ministry of Public Health (MoPH) reported 51,594 confirmed COVID-19 cases with 2,054 registered deaths from the illness in 2020. However, due to lack of accessible, nationwide testing facilities, MoPH estimates the actual number of positive cases could be much higher.

Afghanistan is especially vulnerable because of its limited health care system, along with a large influx of refugees returning from Iran and Pakistan without proper quarantine and containment measures in place.

In many ways, COVID-19 has displayed economic consequences similar to those that occur in the case of a conflict, including loss of livelihoods, employment and income sources; inflation in the price of basic supplies; reduced domestic revenue; and increased levels of dependency on international support. The implications of COVID-19 for an already-weak economy, combined with persistent conflict, political uncertainty and enduring development challenges, increase vulnerabilities and the risk of reverting progress made to date (World Bank, 2020).

The challenges imposed by COVID-19 pandemic exceed people’s ability to mitigate threats to their health, education economy, and even basic needs of their families. Poverty and unemployment as well as gender-based violence have been increased.

 

Humanitarian aid

The Emergency Healthcare project for conflict and drought affected people in Uruzgan Province: is aimed to improve the wellbeing of the general population through improved access to primary healthcare (PHC) services targeting IDPs, returnees, and vulnerable host communities for one year in Uruzgan Province. The project is funded by OCHA from the Afghanistan Humanitarian Fund (AHF).

The services are provided by eight Mobile Health Teams (MHT) in remote conflict areas of Chenarto, Chorah, Khas-Uruzgan, Dehrawud and Shahid Hassas districts; Uruzgan Province.

The assistance includes primary healthcare (PHC) services with focus on maternal and child health; essential live-saving trauma care including psychosocial support in emergencies; integrated management of acute malnutrition (IMAM) for children; protection services to women, men, girls and boys; psychosocial support to conflict affected people; ambulance and referrals of complicated cases to higher level of medical services.

The project focuses on the population pockets who do not have access to basic package of health services (BPHS). The Health Shuras appreciated the assistance and asking for long term sustainable provisions.

Dr Abdul Ghafar Watanwal, Provincial Public Health Director, presents a Letter of Appreciation to Dr Rahimuddin Noorzad, Manager of the project, for quality services and brilliant performance.

 

Advocacy

Evidence shows that one of the main barriers to achieve universal health coverage is reliance on household out of pocket payments. The national health accounts (NHA) 2017 reported that the total per capita health spending was USD 87. Direct out-of-pocket (OOP) spending by households accounted for 75.5 % of total spending on health, whereas donors contributed 19.4%, and the government financed 5.1%. 

AHDS with support of Cordaid, continued lobby and advocacy for improved health financing that was started from late 2019 in the country. In 2020, the efforts were focused on increasing government budget allocation on health, users’ fee utilization by the hospitals, public private partnership, excise tax earmarking for health and social health insurance.

The achievements were increased government budget for health sector by 23 million USD more the initial draft budget, an official letter from the Ministry of Public Health stating that the use of carbonated beverages is prohibited in all formal gatherings, convinced the Ministry of Finance on users’ fee utilization by the hospitals based on Official Gazette 1274, reopened formal discussions for putting the public-private partnership law and policy in practice, encouraged the Alliance of Health Organizations (AHO), Youth Network and National Advocacy Committee (NAC) to join the advocacy.

Meeting with Dr Noorulhaq Yusufzai, Director of Indira Gandhi Pediatrics Hospital, on how users’ fee utilization can improve quality of timely services for the children.

 

Polio

Afghanistan and Pakistan are the only two countries where polio is still classified as endemic in 2020. In Afghanistan, despite continuous concerted efforts by the polio program to achieve polio free status, the battle to finish the last mile has become a pivoting challenge, resulting in an increase in the number of polio cases during the last three years. Unfortunately, poliovirus is currently spreading to the provinces that have remained polio free for a long time.

The obstacles to polio eradication are the civil war, shortage of basic health services, community fatigue for repeated campaigns, maintaining the potency of live vaccines with optimal temperature during outreach and oppositional stance of some people perceived as a potentially hostile intervention by outsiders.

 

 

Community Development

AHDS in partnership with SDO is facilitating partner (FP) for the Citizens’ Charter National Priority Program (CCNPP) and Social Inclusion Grants (SIG) under pakage-1 in Uruzgan and Zabul provinces. This was a three-year project (May 2017 – May 2020), later on extended up to 31 October 2021.

The project management unit (PMU) under provincial rural rehabilitation and development directorate (PRRD) was responsible to transfer fund and assist the CDCs to implement their community development plans (CDP).

Establishing of community development councils, their sub-committees and plans were almost complete in the past. Therefore, this year the main focus was on clustering the CDCs, CCDC plans, building their joint capacities, linkages and community monitoring.

The communities have gained the knowledge and skills to manage their own villages, set priorities and actively engage in emergency mitigation and development. The people, especially vulnerable were happy from the changes and assistance received.

The challenge in front of expanding the program remained as before in Uruzgan Province; opposition forces did not allow expansion of planned activities in a big number of villages.

Linkage meeting of the CCDC members with Provincial Citizen’s Charter Management Committee (PCCMC) in Uruzgan Province.

Facilitating Partner

AHDS

SDO

Jointly

Province

Uruzgan

Zabul

District

Tirinkot

 

Chora

 

Qalat

 

Tarnak o

Jaldak

Total

 

Target communities

197

216

191

126

730

Communities covered

111

17

186

114

428

Activities achieved in 2020

 

 Cluster-CDC and CCDP

70

 

181

90

341

Cluster CDCs Sub-Committee

50

 

138

50

238

CCDC, procurement and finance workshop

70

 

185

113

368

CCDC, gender and environment workshop

70

 

185

113

368

CCDC, project risk and disaster management

70

 

185

113

368

CCDC, monitoring workshop

70

 

185

113

368

Linkages; quarterly (1st,2nd and 3rd round)

140

 

555

226

921

Linkages; biannual (1st and 2nd round)

140

 

370

113

623

IMI (Institutional Maturity Index) 2nd round

74

 

185

110

369

Approved SIG proposals

30

 

 

 

30

SIG fund transferred

29

 

 

 

29

Amount procured for SIG (AFN)

2,040,000

 

 

 

2,040,000

SIG beneficiary families

297

 

 

 

297

Grain bank (GB)

 

 

80

22

102

Amount for food purchase (AFN)

 

 

801,343

220,369

1,021,712

GB beneficiary families

 

 

280

43

323

 

Human Resource

AHDS provided 112 job opportunities in 2020; out of which 25% employees were women. 27 female and 54 male staff received in-service trainings.

The trainings were: core humanitarian standards, gender mainstreaming, risk management, Statistical Package for the Social Sciences (SPSS), psychosocial support, vaccination, gender-based violence (GBV), reporting, healthcare financing.

 

Finance

·          Total expenditure in the year 2020 was USD 740,897.

·          The average of budget execution for health projects was 93% and for Citizen’s Charter 69%.

·          The administration cost was 7%.

·          The reason for underspent was: shortage of local health staff and slow expansion of the CCNPP activities in the conflicting areas of Uruzgan Province.

               

Budget/expenditure in 2020

 

N.

Project Name

Duration

Partner

Donor

Budget of the projects for 2020

Expenditure 2020 (US$)

Status

1

Lobby and Advocacy for Health Trajectory

Aug 2019-Dec 2020

Cordaid

40,046

37,644

Completed

2

Healthcare for drought and conflict affected people in Uruzgan Province

May 2020-Apr 2021

UNOCHA, AHF

401,197

370,022

Continues

3

Citizen Charter Afghanistan Project (CCAP)

May 17-Oct 2021

MRRD,

WB

309,342

212,688

Continues

4

Organization input

Jan-Dec 2020

AHDS

209,733

120,543

Continues

               

 

ان الله رفیق یحب الرفق

God is gentle and loves gentleness

 

 

 

News & Events

Afghan Calendar 1400 (2021-22)

AHDS Annual Report 2020 

Healthcare in war zone. https://www.cordaid.org/en/news/cordaid-in-uruzgan-promoting-health-care-in-a-war-zone/    

N-Peace recognized, Mrs. Zarqa Yaftali, AHDS' Board Member, as Award 2019 winner for the on-the-ground action and powerful stories of peace-builders in Afghanistan. http://n-peace.net/winner-2019/ 

AHDS has been certified by ISO 9001:2015 as NGO working in health and social works. Certificate 1911QMS02

AHDS received the AICS Certificate and Award of Best Practice during the Stakeholders’ Coordination for CSOs Empowerment and Certified CSOs Award Ceremony on 31 Mar 2019 in Kabul Serena Hotel. Click here for details. 

AHDS received appreciation letters from the Local Government Authorities. Click here for details 

The Afghan Minister received the Best Minister Award in WGS 2019Click here for details. 

AHDS developed its five years Strategic Plan (2019-2023), Click here for details. 

Security incidents have directly harmed NGOs. We call upon  all  parties  to  the  Afghan  conflict  to  end  all  forms  of  violence  against Humanitarian Actors – including NGOs and their employees  click here 

AHDS received awards of best education programs from MoPH and AMNEAB in Kandahar and Urozgan provinces. Click here for details

Afghanistan's Ministry of Economics recognizes Afghan Health and Development Services (AHDS).   Click here to view certificate of recognition.

IRS form 990 click here

 

 

 

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