Comprehensive Health Center (CHC)
Location – Kabul
Focus – Health
The long-lasting conflict in Afghanistan has created mass displacement both outside and inside the country. As a result, Kabul alone has a population of around 4 million and is one of the fastest growing cities in the world.
The capital lacks appropriate infrastructure, including transportation and medical services, to cater to the population’s needs.
Since the fall of the Taliban in 2001, important progress has been made towards rebuilding an accessible healthcare system. There has also been a significant improvement in health indicators, though many areas still face great challenges with regards to health care access.
The Comprehensive Health Center project was launched in 2013 in Qasaba, a district in the north of Kabul. Following discussions between AfD and community elders of the district, this area was chosen to implement a Comprehensive Health Centre (CHC) given the systemic lack of medical services. At a district level, CHCs are omnipresent in the country, and are typically able to provide quality care to between 30,000 and 60,000 community members. While District Hospitals are able to service even greater numbers, CHCs play a vital role in complementing the latter and in some areas, are often the only healthcare service available.
AfD, in partnership with community leaders and donors, contributed to the development, procurement and operations of the new CHC. The clinic’s objective is to provide efficient and versatile health care services to neighbouring communities. Our facilities can accommodate around 10 recovering patients and can perform health checks, births, vaccinations and other basic medical treatments.
Versatile management for better accessibility
The CHC welcomes on average over 1,000 patients per month, and the clinic is open from 8am to 8pm, unlike most other healthcare facilities of the area, which close at 2pm. Consultations, diagnosis fees and provision of essential medicine are offered for 1$ per patient, instead of the approximately 40$ for the same services in the private sector. The CHC also offers free services to very poor patients. AfD and the CHC also provide training to community health workers. The training is innovative because the community workers receive both theoretical training to be able to recognize dangerous illnesses and also practical training in basic healthcare.
Since its inauguration in 2013, the number of patients treated at our CHC has constantly increased. Community members are aware of the clinic and its high quality treatment. Our CHC’s features, including the long opening hours and high quality medical care, not only increase the possibility for the population of northern Kabul to access healthcare, but also widen the scope of medical issues that are treated. Furthermore, the centre plays an important part in achieving AfD’s main goal of reducing maternal and infant mortality, since women and children under the age of 5 are the main groups of patients.