 |
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
 |
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
 |
 |
 |
 |
 |
 |
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
 |
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
The Mission of Health Program of CAF: The Mission of health program of CAF is to support the families to develop their full potentials in order to contribute to economic and social development and eliminate the root causes of disease – poverty, unawareness and injustice. Working Principles of Health Program of CAF Beside the working principles of CAF as general principles the health programs consider the followings: 1. Treating all people with dignity, honesty and respect and considering healthy life as a basic right of every individual. 2. Giving priority to groups in greatest need, especially women, children, the disabled and those stricken with poverty. 3. Making evidence-based decisions. 4. Promoting healthy lifestyles and discouraging practices proven to be harmful. Health Program Outcomes: The aim of health program of CAF is to contribute to the health policy outcomes of the MoPH and as a minimum: 1. Maternal mortality ratio reduced by 20%, from 1,600 to 1,100. 2. Infant mortality rate reduced by a quarter, from 165 to 120 3. Under-five mortality rate reduced a quarter, from 260 to 190 4. Prevalence of acute malnutrition among children under five years of age lowered from 7% to less than 5% 5. Decrease the number of population living at high risk for malaria from 16% of population to 8% of population, 6. Decrease the Tuberculosis morbidity/ mortality rate from 321 cases/ 100,000 and 91 deaths./100,000 to 48 cases/ 100,000), 7. Decrease the rate of morbidity and mortality due to other causes by 20% from the current level. 8. Ensure environmental sustainability and access to safe drinking water and sanitation (from 13% of population currently have access to safe water to 57%). CA Health Programs in Afganistan Takhar Province: Completed Projects: 1.BPHS Project in 6 disticts of Takhar province(REACH Project)
Current Project: 1- BPHS(Basic Package of Health Services), PPG(Performance Based Partnership Grant)
Kunduz Province: Current Project 1- BPHS project in partnership with Merlin funded by EC
Badakhshan Province: Completed Projects: 1- BPHS in cluster 2 in partnership with Merlin 2- EPHS in Provincial Hospital of BDK 3- BCC/IEC project-funded by UNFPA Current Projects: I- EPHS(Essential Package of Hospital Services) funded by USAID II- BPHS 1- PPA (Performance Based Partnership Agreement) project, implementing by CAF/SHDP consortium in cluster 5 of Badakhshan province funded by World Bank. BPHS is implementing.
Research Projects: Willingness to Pay (WTP): This was research project from COPRI-A which mainly focused the willingness of people regarding payment for 10 health products such as contraceptives, bed nests, toothbrush, . This study was focused on urban and rural areas of Afghanistan. Kabul was selected as urban part of the study and Takhar as rural part. It s donor was Constella Futures/USAID. SHDP as leading agency and CAF as implementing partner implemented this project in aforementioned two provinces. (For further information refer to number 3 in bellow table) Conflict and Social Determinants of Health: This was a small study of WHO/EMRO focused in effects of conflict on children. CAF and SHDP implemented thisstudy in Kabul city. (For further information refer to number 3 in bellow table) EQUIP-Assessment:
This project was granted by Initiative to Promote Afghan Civil Society (I-PACS) CAF implemented this project in 2006-2007 with good achievements. With the details of the projects as following:
Summary: Care of Afghan Families (CAF) designed the program for Community Development program which enabled the community to think in a comprehensive way for their own community needs ,problems identifications, solutions and prioritization and set up a sound system for fighting against injustice,unawarenss and women ,human rights violation. The project organized efforts of the community in Khwaja Ghar District of Takhar Province .This placed Khoja Ghar CDC some step more ahead in term of community organizations functions for development. CAF has established a Community Development Committee (CDC) in Khoja Ghar district of Takhar province.CAF is strongly willing to investment in the key resource of human capital which will allow rural community to look to the future with confidence. Therefore CAF is focusing on the existing human capital training, promoting capacity building, skills acquisition and organization for local strategy development. It will be facilitated through participatory needs assessment; priority setting; solution definition; project analysis, project identification, monitoring and evaluation. Reaching to this aim will be proceeded in the following manner: In first stage a community resource center was established. It served as gathering and information center for the community in a long term basis. The CDC got relevant training for Participatory Rural Appraisal .Then hey prepared a comprehensive detailed community map which will orient their deeper understanding of their own community. Based on that they made prioritization of their needs. It familiarized them with a new practical learning opportunity Second part of the project was training of Khoja Ghar Community about violation against women which is a common problem in the area. The training include both men and women separately. The resource center was used a training center. This project was implemented in coordination with local government of KhwajaGhar District of Takhar Province,Khoja Ghar CDC, National Solidarity Program (NSP), Community health Committees, Women Associations, Women Dept at provincial level, NGOs and other agencies present in the district. 1. goal and objectives 1.1. Goal Enable the community to contribute actively in the development of their community through reduction of unawareness and injustice and development. 1.2. Objectives Objective 1: To establish and support one Community Resource Center in Khwaja Ghar District of Takhar Provinc Main achievements of the project: Sensitizing the community and informing the community about the concept of CBO's Establishing of the General Assembly and board of directors for the CDC Project. Establishment of Khwaja Ghar Community Development Committee – KCDC as a community based civil society organization with a general assembly of 23 people, board of directors of 9 people and executive committee of 3 people Finalization of the registration of the Khwaja Ghar CDC in ministry of justice as a civil Society organization Signing of MoU between CAF and KCDC for further development of project activities TOT for Master Trainers and supervisors about community-based supportive education program, Child/Human Rights . Holding participatory rural appraisal- PRA training for general assembly members as well as KCDC In some villages the community elders were monitoring the classes directly themselves (as it has been seen in Laklakan village). Even after the project's closing people in Laklakan village are committed to continue with the procession of the classes Strong and significant community contribution in provision of heaters by community for warming the classes during the cold weather. Supporting for development of a new proposal for the KCDC Satisfaction of the Department of Education from the project success Satisfaction of District head (woloswal) from the project success (according to his letter to the CAF) The examination results showed the students improvement from 36.99 in pretest to 93.66 posttest during the implementation period. Some of the students who have failed for several times has got good marks and numbers after joining even they have got grade first or second at their school classes the supportive education. Encouragement of shy and backward students for being active during the classes as they even gave their recommendations to supervisors to solve some of their problems, increased interest of students as was revealed in questioning the teachers, more participation at class discussion, early arrival and waiting time for official class hours. It was a positive change brought about by this project. Improvement of new teaching and learning methods such individual questions and answers, group works, home work supervision School attendance sheets showed that the students have improved significantly. Satisfaction of students' parents from their children improvement was a witness to such improvements. Great commitment and contribution from the project staff (teachers, supervisors) and community elders as reflected in their contribution for education with low incentives and housing for some classes. Improvement of female students in different classes (according to the examination results). The girls' success and attendance exceeded than those of boys. It revealed another fact that boys were busy in land farming and income generation activities and it caused them to be sluggish in the education program. On the other hand motivation and enthusiasm of learning among young girls who have not had the chances of going to school, as they demanded the female supervisors to provide learning opportunities for them in the future. Handover of all office assets to KCDC in a general official function including the district governor and education department authorities. CHALLENGES: The registeration of this CSO in ministry of justice(MoJ) was a challenge but through continous and sustained effort CAF was able to register it in MoJ Finding a couple as master trainers was difficult. Hence we planned to take into account the gender balance but it was difficult to find a couple. So we proceeded with recruiting only men as master trainers despite that there was no major problem in communication among men and women. Natural disaster, such as strong wind and dust destroyed some tents of the school and brought about some delay in education system. There were not shelters left for students and they were studying in hot sunshine. We jointly decided to provide some shelters bearing in mind that education department are unable to do so. Lack of school books was another unanticipated problem. The problem was presented to education department at local as well as provincial level and they expressed their failure in providing the school books. We had to supply three volumes of books for 1500 students which in total equaled to 9000 volume school books. We managed to provide the required amount of books from our education package. Lack of general assembly members' capacity in prioritization of problems was one of the biggest challenges. The members were not able to prioritize the problems, as they recommended the establishment of hospital whereas we had one Comprehensive Health Center (CHC) , which was lacking female staff so how could we run a hospital which needs more staff and equipments than CHC. Through open group discussion we managed to solve this problem partly but still there is need of further trainings in this regard. For the whole project period although there were some problems that hindered our project progress but we can point out some of the main challenges and problems as following: Voluntary based working of the general assembly and the board of Directors members for the CDC project. This was challenging point and the people asked for salary for the members holding the different positions at general assembly and the Board of Directors for the KCDC It was a problem at the beginning but after long and frequent discussions we managed to convince them to work for their own community on volunteer basis. When we subcontracted the education project with KCDC there were couples of challenges as well among which we can say, finding the human resources, say , qualified teachers was prominent . Most of the teachers were at the same time students at school but in higher grades 9 to 12. contracting them for this project with low salary of 30$USD/month was another problem as they were not willing to work for this incentive but we told and explained the concept behind this which was the sustainability of the program after ceasing of the donor fund and finally they accepted to work for the education of the children of their community. Finding of suitable place for classes in all schools were another challenging point. We, by help of community people, managed to utilize all possible resources in this regard hence we managed to start some classes at mosque, some at teachers home and some at school where it was suitable. Some schools were having only shelters for classes and these were torn at windy times which were a problem during the implementation of the project. We provided 40 shelters for such classes. The supportive education curricula language did not match with local native language. In some of the target communities they are Uzbek speaking inhabitants. Hence the curricula was first translated to Dari then expressed in Uzbeki and taught to the students. Lessons learned and Recommendations: During the length of the project we learned some lessons and can be summarized in brief herein: -For capacity building of local development committees such life span of the project is short and there is continuous need of support and advocacy for sustainability and vitality of the local development committees. -There is need of donor agency as well to be cautious when establishing such civil societies to support them for the at least two first years to encourage them to stand on their own otherwise the establishment of such organization without full support is under question from sustainability point of view. -Education is a big subject and it is beyond the scope and limits of such short span projects. There are full ranges problems and challenges ahead of such project either financially or operationally. There is strong need of support in education program in order to contribute to MDG's achievements. -Increase communication with partner organization in term of recommendation and feedback on achievements. |
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
 |
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
 |
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
 |
 |
 |
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
 |
|
|
|
|
|
|
|
|
|
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
