Baghlan province is located in northeast of Afghanistan with a total population of 879,000 according to Central Statistics Office (CSO). The province comprises 14 districts and shares border with Kunduz and Takhar to the north, Panjshir and Parwan to the south, and Samangan and Bamyan to the west.
Basic Package of Health Services (BPHS): BDN has been implementing BPHS in Baghlan province since 2004. This was under different contracts with the Ministry of Public Health (MoPH) such as Rural Expansion of Afghanistan’s Community-based Healthcare (REACH), Performance-Based Partnership Grant (PPG), and Partnership Contract for Health (PCH) till June 2015. In July 2015, after a competing bidding process, MoPH awarded BDN a new contract under System Enhancement for Health Action in Transition (SEHAT) project to deliver the BPHS up to June 2018.
The BPHS is provided through 66 Health Facilities (HF) including two District Hospitals (DH), one Comprehensive Health Center Plus (CHC+), 12 Comprehensive Health Centers (CHC), 28 Basic Health Centers (BHC), 21 Health Sub Centers (HSC), and one Prison Health Center (PHC). The Community-Based Health Care (CBHC) is provided through 629 Health Posts (HP) comprising 1,258 Community Health Workers (CHW), nearly half of whom are women.
Community Midwifery Education and Community Health Nursing Education (CME/CHNE): BDN is also implementing CME/CHNE programs in Baghlan province under its SEHAT project. The education programs aim to train 24 community midwives and 24 community health nurses by using CME/CHNE strategies. They will be employed after completion of training in the remote areas where the students were selected from and agreed to serve. BDN is trying to offer high-quality teaching by using up-to-date national CME/CHNE standards endorsed by the MoPH. Ghazanfar Institute of Health Science (GIHS) and Afghanistan Midwifery and Nursing Education Accreditation Board (AMNEAB) will assess the programs on regular basis. The CME/CHNE programs will last for 28 months including three months of preparation, 24 months of training and one month for closeout. The lessons are taught by professional trainers who were trained in Kabul by the GIHS. Furthermore, some nearby HFs are allocated for the students to do their practical work under direct supervision of specified clinical preceptors. In addition to accommodation and living facilities for non-resident students, BDN provides other facilities such as food, stationaries, library, kindergarten, and skill and science laboratories for the students.
BDN started implementation of challenge TB project (CB-DOTS) with partnership of Management Sciences for Health (MSH) in Oct 2015, and it has been applied at all districts of Baghlan province.
Challenge TB aiming at building the capacity of community health workforces (CHWs & CHSs) and increasing community awareness for strengthening quality TB services at the community level. Targeted group are community members who has cough for more than two weeks (TB Suspects). Family members of identified TB cases are screening, diagnosing and treating. The referral system between community and health facilities and slide/sputum sending will be strengthened, as will the laboratory activities. Furthermore, we have arranged some awareness events at community level through training, billboard installation and media/radio spot regarding TB (Tuberculosis).