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Afghanistan - Support to Basic Package of Health Services (BPHS) Project (Inglês)

Ratings for the Support to Basic Package of Health Services (BPHS) Project for Afghanistan were as follows: outcomes were satisfactory, the risk to development outcome was substantial, the Bank performance was moderately satisfactory, and the Borrower performance was also moderately satisfactory. Some lessons learned included: the approach used in Afghanistan to deliver primary health care services is becoming a model for other fragile and post-conflict countries. The successful approach revolves around: (i) a low cost unified package of health services that is agreed upon by all stakeholders; (ii) contracting out services to NGOs who have greater agility and flexibility in delivering those services; (iii) close collaboration between the government and development partners with clear cut spheres of responsibilities and roles; and (iv) a gradual strengthening of government capacity for stewardship and healthcare provision with increasing roles and responsibilities over time. Reporting and collection of data on performance indicators, and HMIS strengthening should be considered carefully when designing future operations. Local provincial health departments should be encouraged to play an increasing role of facilitation and stewardship. Strict supervision of and reaping maximum benefits from NGOs should not be the primary focus of the provincial health departments. Early engagement of the provincial health departments should be sought in future operations to coach them towards facilitating and assuming monitoring functions during project implementation.


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    Conclusão da Implementação e Relatórios sobre Resultados

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    Sul da Ásia,

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    Afghanistan - Support to Basic Package of Health Services (BPHS) Project

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    access to health service;extension of closing date;maternal and child health;review and implementation support;ip disbursements archived;monitoring and evaluation arrangement;short period of time;Maternal and Newborn Health;population and reproductive health;economic and financial analysis;delivery of health services;primary health care facilities;quality of care;internal audit department;health facility;intermediate outcome;female health workers;health care facility;means of transport;means of transportation;maternal mortality ratio;urban service delivery;direct service provision;quality at entry;community health worker;health care personnel;assessment of outcome;total population size;high poverty rate;children under age;distribution of medicine;iron deficiency anemia;population with access;Environmental Management Plan;prison health care;reproductive health service;national policy priority;curative health services;supply of service;human development indicator;skilled birth attendance;skilled human resource;national health system;delivery of service;disruption of service;continuation of services;provision of service;tb control;national household survey;assessment of risk;medical waste management;delay in procurement;health facility survey;independent third party;maternal health service;financial management staff;health care packages;social and environmental;outputs by components;reproductive health indicator;quality of supervision;project costing;nutritional status;skilled attendant;procurement process;Antenatal Care;Mental health;urban health;live birth;development partner;remote village;female workers;chronic malnutrition;project effectiveness;outpatient visits;urban setting;financial statement;comparable data;basic package;pregnant woman;rural province;essential medicines;disability services;harsh winters;nutrition service;increased access;nutritional indicator;improved health;stakeholder workshop;comparable skill;disease burden;health clinic;Population Growth;proxy indicator;direct payment;pertussis vaccine;equity index;newborn mortality;global development;color coding;financial information;social safeguard;national immunization;Essential Drugs;non-governmental organization;health clinics;household data;utilization rate;delivery model;patient satisfaction;management letter;health stock;measurement tool;socioeconomic conditions;internal control;internal audits;financial resource;target setting;uniform rate;developmental impact;logistical support;existing contract;remote district;baseline survey;health authorities;outreach service;external partner;rural area;severe consequence;ongoing conflicts;perceived risk;resource constraint;primary author;targeted population;financial capability;vaccination program;evaluation activity;innovative feature;grant funds;community level;political opposition;political risk;technical standard;public entity;analytical study;community nurse;beneficial impact;pilot component;peer feedback;rural community;vaccination coverage;parallel financing;Prenatal Care;disbursement profile;promoting growth;rural economy;rural livelihood;interim strategy;target beneficiary;nutrition outcome;nutritional problem;administrative datum;reproductive age;donor financing;nutrition intervention;community involvement;implementing partner;female staff;disbursement rate;expenditure allocation;operational budget;medical waste management plan;procurement law;procurement official;government process;procurement capacity;procurement management;medical goods;procurement procedure;public health;procurement committee;material issues;early assessment;consultancy service;satisfactory rating;beneficiary survey;



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