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Healthprogramme Afghanistan

Context

The program focus is on the deprived access to primary and secondary health care for the poorest of the poor. On micro-level, the target groups in general have limited access to basic quality health services. These are even harder to access for mother and children, due the limited attention given to care. Social stigma keep people with disabilities out of society and, in addition, the current rehabilitation infrastructure is ill equipped to meet the needs of the majority of people with disabilities; exclusion and discrimination is a consistent phenomenon. On the meso-level, insufficient skills & knowledge of local health personnel and neglect of a 'rights' perspective among target groups as well as government towards health services is predominant. Also, sound referral networks which can facilitate better health services are absent. At macro-level, government health expenditure is low and there is a lack of awareness among policy makers on health & disability issues.

Aim of the programme

As the baseline shows that accessibility to quality health care is limited, the program aims to contribute to better health care systems and improved health status by increasing this accessibility, in particular for the poorest of the poor, focusing on maternal health and disability. The Theory of Change is that if the poorest and most vulnerable sections of the population have increased access to health care by means of specialized as well as mainstream services, their health status and ultimately their position in society will improve significantly.