A. Background
Afghanistan health system has made considerable progress over the period of 2002 – 2015 because of MOPH leadership, sound public health policies, strategies, innovative service delivery, careful program monitoring and evaluation, and development assistance. In 2003, the MOPH undertook a series of critical and strategic steps: it defined a Basic Package of Health Services (BPHS) and later an Essential Package of Hospital Services (EPHS); it established contracting on a large scale with international and national NGOs for delivery of these services; and it prioritized monitoring and evaluation of health sector performance. Data from household surveys (between 2003 and 2011) show a significant improvement in the coverage of reproductive and child health services as well as a drop in maternal, infant and under-5 mortality.
The MOPH is currently in the process of implementing SEHAT (System enhancement for health action in transition) project funded by IDA and ARTF. This project has three components namely: i) Sustaining and improving Basic Package of Health Services (BPHS and Essential Package of Hospital Services (EPHS); ii) Building the stewardship capacity of the MOPH and system development; iii) Strengthening program management.