Tupchi Village, Bamyan City – Women and children from far and near can be seen approaching Topchi Sub Health Center in the outskirts of Bamyan City, as it opens for another busy day. One of the first patients to arrive is Ziagul Muradi, 20, a homemaker from Tupchi village. She has brought her 11-month-old son, Mahdi, to be vaccinated against measles.
As a first-time mother, she appreciates the services of the village clinic and visits often. “I need to get a doctor’s opinion about my child’s health,” Ziagul says, confident in the care she will receive because “the doctors here are very professional and have access to good medicine.”
Located 12 km from Bamyan city center, the Tupchi Sub Health Center serves between 1,400 and 1,800 patients a month, mainly children under five and women.
The clinic first opened in 2002. Ministry of Public Health (MoPH) reforms begun in 2013 under the System Enhancement for Health Action in Transition (SEHAT) program improved overall quality of care by improving access to medicine, training health care for clinic staff, ensuring cleaner and safer facilities, and making health information more accessible to patients.
For residents like Bibi Sangi, 40, a cattle farmer, Tupchi Sub Health Center is a lifeline to quality health care. Her grandson, Mowlody, 6, has suffered from chest and breathing ailments since birth. Without the Tupchi Sub Health Center, “we would have nowhere else to go and would rely on faith in God alone to solve our health problems,” she says.
SEHAT, closed in June 2018, worked to expand the scope, quality, and coverage of health services provided to the population, particularly vulnerable groups. SEHAT was supported by the International Development Association (IDA), the World Bank's fund for the poorest countries, and the Afghanistan Reconstruction Trust Fund (ARTF), administered by the World Bank on behalf of 34 donors.
The Sehatmandi project, which came into effect in July 2018, is building on SEHAT’s work. Specifically, The project is supported by IDA, the ARTF, and the Global Financing Facility (GFF), a multi-stakeholder partnership for reproductive, maternal, newborn, child and adolescent health and nutrition.