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System Enhancement for Health Action in Transition (SEHAT)
Public Nutrition DepartmentNutrition ClusterFebruary 5, 2014
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Outline1. Background2. Project Design3. Objectives and scope4. Components and
coverage5. Implementation
modalities6. Financing Resources
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Context/background
SEHAT builds on ten years of successful health sector development experience in Afghanistan
Emergency health project 2003-2009 (~$120M IDA)
SHARP 2009-2013 (~$156M IDA/ARTF)
Remarkable output/outcome level achievements 3
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Project Design Process
Project design team within the MOPH led by DM Policy and Plan and participation of GDs
NPP and MOPH Strategic Plan formed the basis of program design
Lessons learned from previous projects incorporated in the design
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SEHAT development objective
to expand the scope, quality and coverage of health services provided to the population, particularly to the poor, in the project areas, and to enhance the stewardship functions of the Ministry of Public Health.2013-2018
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SEHAT components
Component 1: Sustaining and improving BPHS and EPHS services (US$307 million)
Component 2: Building the stewardship capacity of MOPH and system development ( US$90 million)
Component 3: Strengthening program management (US$10 million)
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Component 1: BPHS and EPHS
Contracting Out (PPA) and contracting In (SM) to increase coverage and improve quality of BPHS and EPHS
Training of community midwife and community nurse
Others (HIV, Nomad, prisoners, RBF)
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Component 2: system development
Strengthening sub- national government for health
Strengthening Healthcare Financing Developing Regulatory Systems and
Capacities for Ensuring Quality Pharmaceuticals
Working with the Private Sector Enhancing Capacity for Improved Hospital
Performance
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Component 2: system development
Strengthening Human Resources for Health
Strengthening Health Promotion and Behavioral Change
Strengthening Health Information System and Use of Information Technology
Improving Fiduciary Systems
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Component 3: Strengthening program management
finance incremental operating costs of MOPH at the central and provincial level
support and finance short term technical assistance in specific areas
Coordinate with CBR
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Implementation modalities
Contracting out and contracting in All MOPH department involved
Systems developments
Sub-national (Provincial budgeting)
Analytical work on National Hospitals
Measurement of results through internal/external evaluation system
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SEHAT Financing Sources
• IDA -> $100 million
• ARTF -> $270 million
• GOIRA -> $ 30 million
• HRITF -> $ 7 million 13
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Thankyou!
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