Health Facilities In Afghanistan: Observations From Site Visits at 269 Clinics and Hospitals
Special Inspector General for Afghanistan Reconstruction Arlington United States
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This is a summary report of our findings from site visits at 269 health facilities across ten provinces in Afghanistan. The purpose of our work, which resulted in ten reports issued from October 2015 to April 2019 was to determine the extent to which these facilities were open and operational, and to assess their current condition. Before the U.S. military intervention in 2001, several decades of conflict severely degraded Afghanistans health system. After the fall of the Taliban in 2001, USAID and other donors worked with the Ministry of Public Health MOPH to build or renovate hundreds of health facilities, train health professionals, and establish the criteria with which to equip and operate health facilities nationwide. As of 2019, USAID spent approximately 1.3 billion to build, support, train, and sustain the Afghan health system. Since 2008, USAID and its partners executed three on-budget programs to support facilities in 13 provinces Partnership contracts for Health PCH, System Enhancement for Health Action in Transition SEHAT, and Sehatmandi. Together these programs in coordination with the World Bank and other donors have sustained and funded the Afghan Health system in both rural and urban settings. From July 2015 through October 2018, we visited 269 health facilities in 10 provinces to confirm their operational status and to assess their condition. SIGAR issued 10 reports and 2 alert letters addressing the condition of these facilities. We found that although most facilities were operational and, except for one instance, included an operational pharmacy, two facilities were in potentially hazardous condition due to possible seismic activity and an explosion. Finally, at another facility, staff were not present because a staff member had been killed offsite earlier in the day. The facility was closed as a result.
- Civil Engineering
- Medical Facilities, Equipment and Supplies