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National Reproductive Health Strategy (2012–2016)Strategic Objectives (Based on RH Segment of HNS Goals)Increasing the coverage and quality of services to prevent and treat RH problems;Improving access to and utilization of quality emergency and routine RH and newborn careservices at community, outpatient and hospital levels;Strengthening organizational development and management at central and provincial levelsto ensure the effective and cost-efficient delivery of quality RH services;Further developing the capacity of health personnel to manage and better deliver quality RHservices; andFacilitating evidence-based decision-making through coordination of relevant and usefulresearch.Page 8
National Reproductive Health Strategy (2012–2016)STRATEGIC COMPONENTSComponent 1: Maternal and Neonatal HealthIn its primary role as steward of reproductive health services, the RHD will improve the quality andcoverage of maternal and neonatal health (MNH) care, primarily through advocacy, collaborationwith other MoPH units and other stakeholders, and overseeing implementation of partners’projects. Principal strategic approaches include:Strategic Approach 1.1: Increase women’s access to and utilization of antenatal care,skilled care, emergency obstetric and neonatal care (EmONC) and postpartum care1.1.1. Strengthen community-based health care delivery using community health workersMany Afghan women never leave their community, from the pre-conception period throughthe postpartum period. Because of this, beginning in 2011, the MoPH and implementingpartners will place a major emphasis on strengthening community-based MNH servicesusing community health workers (CHWs) in conjunction with family health action groups(FHAGs). Specifically: CHW job descriptions will be revised based on RH service requirements.Quality will be included as an integral part of CHW activities, in consultation with theImproving Quality in Health Care (IQHC) and Community-Based Health Care (CBHC)units.In-service and refresher training of reproductive health issues will be integrated,strengthened, and coordinated with CBHC in the following areas:Promoting healthy behavioursProviding preventive careIdentifying problems and danger signsFacilitating and encouraging timely referralsEncouraging appropriate early care-seekingReferring to health facilities for other MNH servicesStrengthening linkages between CHWs and other community-based healthparticipants such as community health supervisors (CHSs), health shuras,and community midwives (CMWs)As a result of the expansion of their role, CHWs, working with FHAGs, CHSs, health shuras,and CMWs, will be able to map pregnancies; provide health messages; provide vitamin A,iron folate, and anti-malarials; prepare and make available home delivery kits; ensurecleanliness and enhance mother education for proper birth planning; educate mothers onclean delivery principles; make postpartum visits to mothers and newborns according toschedule; promote early and exclusive breastfeeding; and refer patients to the health facilityas needed. While CHWs are not SBAs and do not conduct deliveries, they can be present atdeliveries to ensure cleanliness, keep the baby warm, promote early and exclusive breastfeeding, and so on.Page 9
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