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Afghanistan - System Enhancement for Health Action in Transition Project (English)

The System Enhancement for Health Action in Transition Project of Afghanistan had a satisfactory overall outcome, a satisfactory performance by the Bank and the monitoring and evaluation quality was high. The lessons learned were: (1) Contracting with NGOs to deliver services is an important approach, especially in FCV settings. (2) Capacity building takes time and is difficult. It is better not to attempt too much at once. It is critical to define clearly the purpose of capacity building. (3) Token government contributions to project financing make little sense. (4) Good quality monitoring and evaluation is worth investing in. (5) Complaints handling and grievance redress processes are not enough, complaints must be acted upon. (6) A very strong team, and adequate resources are needed to manage an operation in an FCV environment.


  • Document Date


  • Document Type

    Implementation Completion and Results Report

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  • Country


  • Region

    South Asia,

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  • Disclosure Status


  • Doc Name

    Afghanistan - System Enhancement for Health Action in Transition Project

  • Keywords

    integrated management of childhood illness; Infant and Young Child Feeding; Environmental and Social Management Framework; access to basic health service; System Enhancement for Health; infant and child mortality; quality of health services; life expectancy at birth; health facility; Maternal and Child Mortality; unmet need for contraception; national nutrition; Maternal and Newborn Health; Human Development and Gender; access to health care; Reproductive and Maternal Health; Reproductive and Child Health; infant mortality rate; total number of birth; delivery of health services; skilled health personnel; income quintile; number of women; scope of service; health information system; children under age; contraceptive prevalence rate; quality of care; community health worker; world food programme; national poverty line; Health Service Delivery; service delivery approach; specific health service; sections of society; human capital development; public health policy; basic social service; Internally Displaced People; increase in conflict; government revenue growth; indicators of health; per capita income; Rule of Law; point of service; severe child malnutrition; health care financing; quality assurance system; Demographic and Health; Financial Management System; internal audit staff; Electronic Government Procurement; category of health; health system development; financing health services; antenatal care coverage; mental health intervention; books of account; assessment of outcome; low income group; number of births; health service coverage; Public Financial Management; private sector engagement; maternal health care; knowledge of contraception; long term development; labor force participation; distribution of medicine; modern family planning; hours of operation; supply of service; human development outcome; choice of method; gross domestic product; conflict and violence; Human Immunodeficiency Virus; grievance redress mechanism



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Afghanistan - System Enhancement for Health Action in Transition Project (English). Washington, D.C. : World Bank Group.