System Enhancement for Health Action in Transition (SEHAT)
Sarepul province is situated in the north of Afghanistan and bordering Jawzjan province in the north, Balkh province in the northeast, Samangan province in the southeast, Bamyan and Ghor provinces in the south and Faryab province in the west.
Basic Package of Health Services (BPHS): In January 2014, Ministry of Public Health (MoPH) granted a contract award to BDN under Systems Enhancement for Health Action in Transition (SEHAT) project to deliver the BPHS in Sarepul province up to December 2016. The BPHS is delivered to 575,672 inhabitants of the province through 53 Health Facilities (HF) including three District Hospitals (DH), seven Comprehensive Health Centers (CHC), 16 Basic Health Centers (BHC), 26 Sub Health Centers (SHC), and one Prison Health Center (PHC). The Community-Based Health Care (CBHC) is provided through 304 HPs comprising 608 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 Sarepul 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 commenced in January 2015 and 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 in close coordination with MoPH/GIHS is implementing CHNE project in Sarepul province through the Global Fund. The project has designed to enable the community by buildup the capacity throughout CHNE School to serve in its own community and reduce mortality and morbidity of the most vulnerable people (women and children).
The project aims to train 36 students as professional nurse by using community health nursing education strategy, which will be employed after completion of training in the remote areas where the students already agreed and guaranteed by the community. BDN will offer high quality teaching by using update national CHNE standards endorsed by the MoPH. The program will be assessed by GIHS and AMNEAB during the project period and the CHNE School commenced in March 2014. The project duration is 28 months including three month of preparation, 24 months of training and one month for closeout.
The lessons teaches by professional trainers whom trained in Kabul GIHS, furthermore some nearby health facilities are allocated for doing their practical works with collaboration of clinical preceptors. Meanwhile for non-resident students, BDN provide accommodation facility including, food and other training materials like books, library, kindergarten, skill and science lab facilities. The students will deploy based on shortage of female health workers in their own health facilities.