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FEATURE STORY October 23, 2017

Partnering to Improve Healthcare in Afghanistan


Dr. Adam’s Clinic is one of 51 health centers in southern Kandahar province that provides basic package of health services since 2015. With support provided by the SEHAT Program, the clinic offers general check-ups, gynecology and obstetrics services, laboratory facilities, vaccination, and a pharmacy for about 200 out-patients on daily basis. 

Photo Credit: Rumi Consultancy/ World Bank


  • Performance-based partnership with the Ministry of Public Health have improved healthcare coverage and quality in Kandahar Province.
  • Non-governmental organizations are contracted to deliver basic healthcare and essential hospital services through the System Enhancement for Health Action in Transition (SEHAT) Program.
  • Medical staff can receive training, access peer-learning, and share best practices.

KANDAHAR CITY, Kandahar Province – The doctor gently places the diaphragm of his stethoscope on the child’s chest. The little girl looks at the stethoscope curiously but says nothing, while her mother, Sharifa, 50, holds her arm so that the doctor can easily examine her.

He completes the check-up and writes a prescription, telling Sharifa to administer the medication periodically to lower her daughter’s fever.

“Until recently, we did not visit a medical doctor and had always used home remedies,” says Sharifa. “But we switched to coming to the clinic when we learned that the doctors are from our community and their medications are good quality.”

The doctor, Sayed Massoom Nabizada, is the director of Dr. Adam’s Clinic in the ninth district of Kandahar city, the capital of Kandahar Province. Along with 17 colleagues, Dr. Nabizada provides daily health care services in the clinic from 8 am to 4 pm, seven days a week. The clinic serves a local population of 32,000 people, offering general check-ups, gynecology and obstetrics services, laboratory facilities, vaccination, malnutrition treatment, and a pharmacy. An average of 200 patients visit the clinic every day.

Dr. Adam’s Clinic is among a group of health centers that has come under the supervision of the Bu Ali Rehabilitation and Aid Network (BARAN) since July 1, 2015. BARAN provides health care services and monitoring oversight for 51 health centers in the 17 districts of Kandahar Province.  It is a non-governmental organization (NGO) that works in Kandahar to provide a basic package of health services, contracted by the Ministry of Public Health (MoPH) under the System Enhancement for Health Action in Transition (SEHAT) Program. The services are implemented through a performance-based partnership agreement between MoPH and BARAN.

SEHAT aims to expand the scope, quality, and coverage of health services provided to the population, particularly for the poor and is supported by the International Development Association (IDA), the World Bank Group’s fund for the poorest countries, and the Afghanistan Reconstruction Trust Fund (ARTF), in partnership with multiple donors.

"The rate of delivering quality health services for most of the organizations that implement the SEHAT program in the 34 provinces of Afghanistan is satisfactory and on-track."
Dr. Khwaja Mir Islam Saeed
Head of MoPH Grant and Services Contract Management Unit


Quality and coverage of health services has increase significantly by providing basic package of health services and essential hospital services through performance-based partnerships between Ministry of Public Health and Non-governmental Organizations. 

Photo Credit: Rumi Consultancy/ World Bank

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