Health Sector Emergency Reconstruction and Development Project
Country of Operation
- The World BankForeign aid agency or multilateral organization
- Afghan Ministry of Public HealthGovernment
SummaryThe Health Sector Emergency Reconstruction and Development Project financed implementation of the Basic Package of Health Services in 11 provinces: in 8 through contracts between the Ministry of Public Health and 8 NGOs and in 3 through direct service delivery by the Ministry of Public Health.
Key program components
The principal goals of the project were to:
1.) Assist the Ministry of Public Health (MOPH) reduce the rates of infant and child mortality, maternal mortality, child malnutrition, and fertility through expanding delivery of the Basic Package of Health Services (BPHS) and increasing equity of service delivery.
2.) Strengthen the Government by increasing MOPH's stewardship over the sector including a greater role in healthcare financing, coordination of partners, and supervision of NGO work;
3.) Build the capacity of Afghan health workers to provide and manage health services. To address the shortage of female health workers in remote areas, the project supported the Community Midwifery Education program. In addition, volunteer community health workers were trained, new health centers opened, and the quality of care improved.
Since 90% of rural Afghans live in areas where health services are provided by contracted NGOs, results-based financing (RBF) was introduced to improve the quality of service provided by these NGOs. As a result of HSERDP, millions of people in rural Afghanistan now have access to primary health care for the first time, as national coverage rates rose from 9 percent of the general population in 2003 to 85 percent in 2008.