​The health care project

​Results for 1998-2005:

• In Gozarah we opened a district hospital and 8 health clinics.
• In Pashtoon Zarghoon and Obei we opened two large and three small health clinics.
• In April 2005 we opened a dormitory with 116 beds for female students at Herat Institute of Health Sciences.
• Gozareh district hospital delivered 225.000 consultations. Target was 222.000.
• Gozareh district hospital had 20.000 hospitalized. The target was 17.000.
• All the health clinics together had more than 350.000 consultations. The target was 222.000
• 900 birth assistants and community health workers were educated. Target was 1000.
• We provided theoretical and practical training of more than 300 doctors and nurses. The target was 285
• At the end of 2005 50% of all children less than one year 1 år are vaccinated against measles. 40% of all children are fully vaccinated.
• The number of births assisted by midwife or doctor on clinic or in hospital has increased 20%.

The third phase of DACs health care project in Herat uses the experiences from phase 1 and 2. In Phase 3 we work for:

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• To reach even further out with health care services. Also the Afghans who live in remote mountainous areas must have access to health care assistance and information.
• To improve the health for the kutchies (the Afghan nomads). The ministry for kutchies in Herat informs that kutchies never before have received offer of health care as e.g. vaccinations!
• To balance the gender distribution within the staff. The lack of female nurses and midwifes must be remedied.
• Incorporate the gender aspect in all our activities. Women must contribute to the rebuilding of Afghanistan. It is important to support women possibility for actively improving their life.

​Results for 2006-2007:

• Number of fully vaccinated children and grown-ups has increased from 18% to 60%
• We have created four mobile teams who work in the remotest rural areas. They vaccinate, oversee pregnant women and teach hygiene and nutrition.
• We have trained 168 new Community Health Workers.
• We have trained 22 kutchi (nomads) CHWs.
• We have trained 27 CHW-supervisors and -teachers.
• We have produced TV-spots about midwife and nurse educations
• We have opened more than 15 new health clinics

Target for Phase 3, 2006-2010:​

• 80% of the population has obtained access to basic health care.
• 300 Health Shuras (Village Health Committees) have been trained and are active.
• 600 Community Health Workers (female birth assistants and male paramedics) have been trained and works in the rural areas.

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• Number of home births assisted by trained birth assistants has increased with 40%
• The number of births assisted by midwife or doctor on clinic or in hospital has increased 40%.
• Maternal shelter has been opened at one of the larger clinics.
• 80% of all children are fully vaccinated (2005: 40%).
• 80% of all children below one year are vaccinated against measles (2005: 50%).
• At least 160 female nurses and midwifes have finished their education.
• The dormitory for female students with 116 beds is full and a waiting list had to be made.
• Number of fertile women in consultation regarding family planning has increased with 50%.
• All health facilities give treatment according to IMCI (Integrated Management of Childhood Illness) standard.
• All health facilities give basic obstetric help.
• The three largest health facilities give acute obstetric and gynaecologic surgical help.
• Number of ambulant consultation as well as number of bed patients continues to rise especially in the districts Obeh and Pashtoon Zarghoon.
• All health facilities have made and implemented yearly plans.
• All doctors at our health care facilities have been trained in acute obstetric treatment.
• All DAC personnel have received education regarding equal treatment of genders.
• Outside the health projects DAC has supplied a number of books and educational material for the Massoud public library in Herat.