This administrative/political stand-off offers three ‘governance’ lessons for Afghanistan: use of local knowledge to expand legitimacy, inclusive central administration, and decentralization of authority and responsibility.
On the first day of spring 2017, the day of Nawroz, they have produced a report on happiness and called it World Happiness Report only to say that the developing, the poor, and the third world countries are also the unhappier countries. Are you serious? I am celebrating this Nawruz in St. John's Newfoundland, Canada,... Continue Reading →
Whenever the topic of sustainability in Afghan health projects is raised, the initial thought that comes to mind is financial sustainability.We usually forget that besides financial sustainability, there are other factors that are as important as finance, if not more. First, human resources for health is the backbone of the system. Afghanistan faces a chronic... Continue Reading →
The new Afghan minister of public health, Ferozuddin Feroz, has started his job recently. With so many important health issues to deal with, I have come up three most significant tasks and challenges that the Ministry of Public Health has to deal with in the next five years. 1 – SEHAT (System Enhancement for Health... Continue Reading →
CHWs are largely volunteer members of the community, nominated by a Village Health Council (VHC), and trained, supervised and supported by the organization implementing the BPHS. They are reimbursed for their trip to health facilities, and provided toothbrush and toothpaste, hand soap, and towel for their own use. Most CHWs are illiterate; few of them... Continue Reading →
there is a need to shift the entire system of medical education in the country. We need less professional medical doctors, trained in shorter time, and willing to work in the rural settings where they are most needed.
Ashraf Ghani swore in as the President of Afghanistan on 28 September 2014. In his first presidential speech, he attempted to indicate he had a fine understanding of challenges in Afghanistan. I, however, argue he has an academic knowledge of the problems; he either turns a blind eye to the realities of the country or is... Continue Reading →
Afghan women: Let’s talk about it. Afghanistan has a maternal mortality rate of 1,400 per 100,000 live births, compared to 320 regionally and 280 globally (WHO, 2011). The probability of Afghan women dying during childbearing period is 1 in 11; the proportion is 1 in 30,000 for developed countries. Afghanistan is the worst place to... Continue Reading →
Introduction Traditional health care sector, mainly medical care centres and physicians at its core, has been concerned with individuals’ disease diagnosis and treatment, while public health efforts have been focused on populations’ health promotion and disease prevention. In Afghanistan, the focus of the health care system is on providing Basic Package of Health Services (BPHS)... Continue Reading →