activities to the US and Australia. As well as the previously mentioned Ruleof Law study by the Max Planck Institute, the <strong>Netherlands</strong> commissioned a“needs assessment” of water management <strong>in</strong> Uruzgan. These studiesserved as a basis for the development of concrete activities <strong>in</strong> thesesectors. In <strong>2010</strong>, the f<strong>in</strong>d<strong>in</strong>gs of the two studies were shared with theAmericans and Australians.The DCU operates <strong>in</strong>dependently from the military personnel stationed <strong>in</strong>the prov<strong>in</strong>ce. The departure of the Dutch military <strong>in</strong> August <strong>2010</strong> did not, <strong>in</strong>pr<strong>in</strong>ciple, have any direct effect on the work of the relief organisations. Theprojects of the DCU and GTZ were able to cont<strong>in</strong>ue un<strong>in</strong>terrupted.A number of Dutch-f<strong>in</strong>anced activities were also carried out by the Afghangovernment without direct Dutch <strong>in</strong>volvement. Most of the long-termprogrammes are national programmes and were already be<strong>in</strong>g carried outby Afghan partners. These are the programmes run by the MRRD (NSP,NABDP, NRAP), BPHS, MAIL/FAO and AICSC/IDLG and the educationprogramme EQUIP. It is the task of the World Bank to ensure that theAfghan m<strong>in</strong>istries spend the funds provided by the ARTF wisely. For anumber of short-term activities, other donors were approached for cof<strong>in</strong>anc<strong>in</strong>g.The Dutch POLAD/OSAD also worked closely with local authoritiesand the Comb<strong>in</strong>ed Team Uruzgan (CTU, the successors to the TFU) <strong>in</strong> orderto assure the security and feasibility of the <strong>in</strong>frastructural projects. The CTUconsiders the construction of the road between Tar<strong>in</strong> Kowt and Chora tohave a high priority.The follow<strong>in</strong>g results, given by sector, are taken from the TLO report andare, where possible, checked aga<strong>in</strong>st other reports. It should be borne <strong>in</strong>m<strong>in</strong>d that reliable statistical data from the prov<strong>in</strong>ce of Uruzgan are veryscarce. This hampers data comparisons. The TLO also po<strong>in</strong>ted out thatthere is a risk of certa<strong>in</strong> government statistics be<strong>in</strong>g manipulated. It isalleged that, <strong>in</strong> order to receive more central government fund<strong>in</strong>g, somedepartments artificially <strong>in</strong>flate the number of teachers or police officers ontheir payroll.4.5.7 Humanitarian aidIn the period of <strong>2006</strong> – <strong>2010</strong>, the <strong>Netherlands</strong> contributed to a number ofUN organisations and the ICRC <strong>in</strong> Afghanistan via the Humanitarian ActionPlan, an overall plan embrac<strong>in</strong>g the whole of Afghanistan and overseen bythe UNHCR. Local organisations <strong>in</strong> Uruzgan have given humanitarian aidand emergency assistance to victims of floods and hailstorms <strong>in</strong> Deh Rawodand a few other areas.4.5.8 Health carePriority was given to <strong>in</strong>creas<strong>in</strong>g the availability and accessibility of basichealth care. The national programme Basic Packages of Health Services(BPHS) was already be<strong>in</strong>g f<strong>in</strong>anced <strong>in</strong> Uruzgan by the European Commission<strong>in</strong> cooperation with Cordaid. In Uruzgan, the NGO AHDS (AfghanistanHealth and Development Service) is responsible for the <strong>in</strong>troduction of theBPHS. Thanks to the many years it has had a presence <strong>in</strong> the prov<strong>in</strong>ce,AHDS now enjoys good access to communities and has – by local standards– extensive expertise. Compared with the European Commission, the<strong>Netherlands</strong> f<strong>in</strong>anced a considerably broader-based BPHS programme. Theaim was, with<strong>in</strong> the space of two years, to make health care accessible toall the <strong>in</strong>habitants of the prov<strong>in</strong>ce.Before <strong>2006</strong>, only a small fraction of the population of Uruzgan had accessto medical care. Four years later, the number of cl<strong>in</strong>ics <strong>in</strong> all districts exceptPage 70 of 133
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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Final evaluationNetherlands contrib
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High mountainsLow mountainsPlains a
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Table of ContentsDutch military per
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Dutch military personnel deceased i
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1 IntroductionThe government would,
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The structure of the final evaluati
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2 The international presence in Afg
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insurgents in, particularly, the ea
- Page 19 and 20: 3 Netherlands policy for participat
- Page 21 and 22: Netherlands’ presence. Furthermor
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- Page 25 and 26: In December 2005, the Netherlands g
- Page 27 and 28: The expectation is that meaningful
- Page 29 and 30: 3.6.2 Implementation of national pr
- Page 31 and 32: 4 Implementation of the mission and
- Page 33 and 34: tasks to fulfil in the area of secu
- Page 35 and 36: such as the Bushmaster, that was be
- Page 37 and 38: Afghan partner unit, at all times o
- Page 39 and 40: northern part of Deh Rawod in 2007.
- Page 41 and 42: in large and small bases, while con
- Page 43 and 44: previously thought and comprised a
- Page 45 and 46: Apart from facilitating training an
- Page 47 and 48: If operations in close proximity of
- Page 49 and 50: As previously mentioned, the preven
- Page 51 and 52: - Between 2006 and 2010, the number
- Page 53 and 54: government of Chora in January 2010
- Page 55 and 56: At the beginning of the Dutch missi
- Page 57 and 58: intermediary of TLO and political a
- Page 59 and 60: interest for filling judicial posit
- Page 61 and 62: During the Uruzgan mission, a great
- Page 63 and 64: structurally change governance in U
- Page 65 and 66: development programmes. Before the
- Page 67 and 68: also the way in which Afghans perce
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- Page 73 and 74: The DCU programme devoted and still
- Page 75 and 76: purpose of these loans, cooperative
- Page 77 and 78: In view of the lack of enthusiasm a
- Page 79 and 80: 5 Expenditure for the mission and i
- Page 81 and 82: Overview of long-term expenditure a
- Page 83 and 84: expenditure related to the deployme
- Page 85 and 86: Multi-year expenditure, Foreign Aff
- Page 87 and 88: explosive ordnance disposal, armour
- Page 89 and 90: this situation as constraining, for
- Page 91 and 92: organised at a later stage. In addi
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- Page 95 and 96: Mercedes Benz terrain vehicle, the
- Page 97 and 98: 6 ConclusionsThis chapter begins wi
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- Page 103 and 104: province. This, too, was done by me
- Page 105 and 106: area, increased sales of agricultur
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- Page 109 and 110: d. The recommendations from advisor
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- Page 113 and 114: Annex A, Afghanistan Compact Benchm
- Page 115 and 116: end-2010, reforms will strengthen t
- Page 117 and 118: Afghan Cultural HeritageA comprehen
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Annex B, Results of the socio-econo
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EducationTLO data:• In 2006 there
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Overview of the number of children
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Annex C, Chronology200522 December:
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July: microcredit provider World Co
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Annex D, List of abbreviations3DADZ
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