Basic Package of Health Services, BPHS
I mars 2002 intensifierade hälsoministeriet sitt arbete med hälsoproblematiken i Afghanistan. Efter ett år av diskussioner och överläggningar lanserades så standarden Basic Package of Health Services, BPHS. BPHS ger direktiv om hur vården ska bedrivas provinsvis, alltifrån enkla hälsokliniker, mödra- och barnhälsovårdscentraler till distrikts- och provinssjukhus. Både behandlande och förebyggande verksamhet ingår i standarden.
Syftet med BPHS är:
- tillhandahålla ett standardiserat baspaket för vårdinsatser som ska utgöra kärnan i all vårdrelaterad verksamhet.
- främja vårdinsater så att alla i de mest utsatta områdena ges samma tillgång och rätt till vård, baserat på befolkningsmängd. BPHS står för vårdinsatser på fyra olika nivåer: Distriktssjukhus, fullständiga hälsocentraler med möjlighet att ta sig an mer komplicerade sjukdomar, enklare hälsocentraler för basal sjukvård samt hälsokontrollstationer.
BPHS fortsätter att utgöra kärnstrategin i hälsoministeriets policy för nationell hälsa. I samarbete med hälsoministeriet, donatorer och verksamma NGO:er har BPHS i dag expanderat och når i dag 77 procent av Afghanistans befolkning.
Fakta BPHS i Wardak
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
Ministry of Public Health has announce call for interest for two clusters in Paktika province. SCA has shown its
interest for cluster no 6 of Paktika and submit a proposal for the said cluster. 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.
BPHS – Basic Package of Health Services
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