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Final evaluation Netherlands participation in ISAF 2006 - 2010

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Gizab had <strong>in</strong>creased and there was a form of medical care available <strong>in</strong> allsix districts of Uruzgan. The number of operational health care facilitiesgrew from n<strong>in</strong>e to seventeen. The number of health care staff rose from 89to 124 and the number of doctors also rose from 19 <strong>in</strong> <strong>2006</strong> to 31 <strong>in</strong> <strong>2010</strong>.The number of community health workers rose from 130 to 300, <strong>in</strong>clud<strong>in</strong>g100 women (see the histogram below for a comparison of the qualifiedmedical personnel <strong>in</strong> Uruzgan <strong>in</strong> <strong>2006</strong> and <strong>2010</strong>). The district hospital ofTar<strong>in</strong> Kowt expanded <strong>in</strong>to a prov<strong>in</strong>cial hospital. There was also an <strong>in</strong>crease<strong>in</strong> the number of first-aid stations and women’s access to basic health carefacilities was improved. In addition, the follow<strong>in</strong>g activities took place:education <strong>in</strong> the field of sexual and reproductive rights, tra<strong>in</strong><strong>in</strong>g of qualifiedpersonnel, treatment of drug addicts, and awareness campaigns for healthrelatedissues and vacc<strong>in</strong>ation programmes.The expansion of health-care centres was often subject to delays due to the<strong>in</strong>stability <strong>in</strong> the areas where they were to be set up (<strong>in</strong> the more stableareas the <strong>in</strong>frastructure had already been put <strong>in</strong> place). Moreover, it wasnot easy to get qualified personnel, such as female doctors and nurses. Andthen the expectations of the population were often higher than what couldbe provided. The community health workers, for example, are really onlyvolunteers who are greatly overstretched, while only be<strong>in</strong>g able to offer firstaid. Not all the cl<strong>in</strong>ics have qualified personnel. The consequence is thatmany cases are still dependent on the hospital <strong>in</strong> Tar<strong>in</strong> Kowt.Histogram from TLO report: Comparison of qualified medical personnel<strong>in</strong> Uruzgan <strong>in</strong> <strong>2006</strong> and <strong>2010</strong>.TL: total number of qualified medical personnelF: number of female medical personnel4.5.9 EducationThe <strong>Netherlands</strong> had set itself the goal of enlarg<strong>in</strong>g the number of selfsusta<strong>in</strong><strong>in</strong>gschools and school-go<strong>in</strong>g children, <strong>in</strong>clud<strong>in</strong>g girls. For the lastcategory <strong>in</strong> particular, more female teachers were required. The<strong>Netherlands</strong> supported the launch of the national education programmeEQUIP <strong>in</strong> Uruzgan. This launch was possible thanks to a Dutch and a localNGO (ANCC/Save the Children). The first stage was to provide education <strong>in</strong>three districts. The ultimate goal was to achieve this <strong>in</strong> all centres ofPage 71 of 133

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