Herat is located in western part of the country and boarders with Iran and Turkmenistan. It has internal borders with Badghis in north, Farah in south and Ghor in east. Herat is divided into 16 districts and encompasses 1,816,100 inhabitants according to the Central Statistics Office (CSO).
Basic Package of Health Services (BPHS):BDN has been implementing BPHS in Herat province since November 2009. This was under Partnership Contract for Health (PCH) with the Ministry of Public Health (MoPH) 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 82 fixed Health Facilities (HF) including four District Hospitals (DH), three Comprehensive Health Centers Plus (CHC+), 17 Comprehensive Health Centers (CHC), 33 Basic Health Centers (BHC), and 25 Health Sub Centers (HSC). The Community Based Health Care (CBHC) is provided through 1,044 HPs comprising 2,088 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 Herat 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 Herat 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).