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

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

Thankyou!

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