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Health

Group photo of participants of the Communicable Diseases.

Communicable diseases are a major cause of concern in low-income countries where poor education and awareness, unsustainable lifestyles, poor hygiene and sanitation, lack of palatable water and poor nutrition are contributing factors towards higher morbidity and mortality rates. Diarrheal Disease, Acute Respiratory Tract Infection (ARI), and Malaria, being most life threatening, are highly prevalent in many low-income countries.

These communicable diseases are recognized as very common in Afghanistan and have led to increased morbidity rates in the country in recent years. Since HMIS[1], recently reported that malaria, ARI and diarrhea are all highly prevalent diseases in the area that we work with under our PSMNCH[2], Community World Service Asia prioritized the training on communicable diseases for its nurses and midwives working at the project health centers. Awareness and techniques on diagnosing and preventing anemia, pelvic inflammatory diseases, STD (Sexual Transmitted Disease) and HIV were also included in the training. The training was conducted in two batches, one of six midwives and another of six nurses, of three days each in late August at the Laghman Public Health Directorate.

The training aimed at enhancing and refreshing the expertise of the midwives and nurses on communicable diseases, which would enable them in easily identifying, managing and referring patients to specialists and other hospitals. The trainings were led and facilitated by in-house experts on HMIS and Reproductive Health.

Participants of the training were briefed on the diagnosis and management of different kinds of diarrhea and on the symptoms and cure of dehydration. They were also provided with Integrated Management of Childhood Illnesses charts, which displayed the management processes of dehydration. The training ensured that all midwives and nurses were taught about the types, signs, complications and cure of malaria.

During the session on ARI, participants learned about the causes and preventive measures of common cold, pneumonia, sever disease, otitis, and pharyngitis. Participants further discussed the diagnosis and cure of ARI as per the National Standard Treatment Guideline (NSTG). Copies of the NSTG were also provided to the midwives and nurses. The session on anemia enabled participants to diagnose and control anaemia in pregnant and lactating women.

Guidelines including the National Standard Treatment guideline, malaria national treatment protocol and other MoPH[3] standard guidelines were shared with the participants, which would facilitate them during Out Patient Department (OPD) consultations.

Midwives and nurses were updated on new treatment and diagnostic protocols. Their skills and knowledge on clinical practices, existing gaps of diagnosis and treatment of common diseases were enhanced and made more effective.

Participants’ Voices:

The training was very useful for all of us. We largely learnt about common diseases. Anemia is much common among women of Ghaziabad. The training has equipped us with skills to provide efficient services to combat various disease, especially anemia. – Gulzai, midwife of Ghaziabad health facility.

Capacity building opportunities are always helpful for efficient work. We appreciate the opportunities provided to us, allowing us to stay updated with standard guidelines. This training has helped enhance our knowledge and skills on communicable diseases. I would recommend diverse training on other diseases recorded in the Health Management Information System reports. Gulrahman nurse of Shmam-o-Ram health facility.

I have visited several health facilities of Community World Service Asia and the quality of services has been improving frequently. These refresher trainings have contributed immensely in the proficient performance displayed by all the health staff at the health facilities. – Deputy Public Health Director of Laghman Public Health Directorate.

[1] Health Management Information System

[2] Partnership for Strengthening Mother, Newborn and Child Health project (PSMNCH)

[3] Ministry of Public Health

DurationJul 01, 2015Jun 30, 2018
LocationDoronaro, Hyder Farm and Nabisar of District Umerkot
Key Activities
  • Support to three of six Rural Health Centres (RHCs) in Umerkot, each with a catchment of 95, 700 community members, through provision of free of cost basic Maternal, Newborn, and Child Health (MNCH) services.
  • Extensive antenatal care provided to women visiting the three RHCs and follow-up postnatal check-ups conducted after safe deliveries.
  • An active Disease Early Warning System (DEWS) which assists doctors to identify and raise disease alerts at district level.
  • Our Health Information System (HIS) also helps early detection of complicated cases which speeds up referral of cases of women diagnosed as having high risk pregnancies to higher level hospitals for further treatment.
  • Training and building capacity of Traditional Birth Attendants (TBAs) on early detection of high risk pregnancy, safe delivery of babies and distribution of safe delivery kits to 12 TBAs.
  • Family spacing advice and family planning options are provided to women in thirty villages. As a result, we are witnessing lower cases of mothers having babies within one year of delivery.
  • Health education sessions targeting school-going children within nine schools in the RHC catchment areas have been conducted
  • Close coordination and partnership with other healthcare practitioners in the district. For example, we are conducting nutritional assessments for mothers and children under the age of five and referring those identified as suffering from malnutrition for further treatment and food supplement provision.
  • Participation of project staff in organizational capacity building initiatives such as Leadership trainings, Do-no-harm mainstreaming in disaster management; quality and accountability training where staff are reviewing the Standard Operating Procedures during Health Emergencies; and online competency trainings on report writing and communication skills development.
  • Support to district-wide government health initiatives such as polio vaccination campaigns and safe pregnancy initiatives as well as hosting of health-related celebrations such as World Health Day, World Disability Day and International Women’s Day.
Participants55,620 Individual

DurationApr 01, 2006Dec 31, 2008
LocationDistrict Mansehra, Battagram and Shangla of KP
Key Activities
  • 11 latrines and washrooms + one toilet
  • 48 water supply schemes
Participants69,370 individuals

DurationSep 01, 2007May 31, 2008
LocationKeti Bandar and Kharochan Talukas of Thatta district in Sindh Provicne
Key Activities
  • Installations of 225 (two hundred twenty-five) Abyar hand pumps (where water table is accessible up to 30-40 feet)
  • Installations of 16 (sixteen) Jiyapo hand pumps (where water table is very deep and above 50 feet)
  • Conduct 37 (thirty-seven) health and hygiene awareness sessions
  • Distribution of 2,200 (two thousand two hundred) hygiene kits
  • Distribution of 4,400(four thousand four hundred) Jerry Cans (each 20 litre)
ParticipantsApprox. 80,000 individuals

DurationNov 15, 2008May 31, 2009
LocationRojhan sharqi, Fatehpur, Noorpur mojahwala, Dajal, Wah lashari of Rajanpur district
Key Activities
  • Installation of 185 hand pumps
  • Health hygiene and DRR sessions
Participants33,700 individuals

DurationDec 15, 2009Mar 31, 2010
LocationUC Kotla Saidan, Naewela and Marrha of D.I Khan district
Key Activities
  • Reconstruction of 328 latrines
  • 20 bathing places
  • 20 washing places
  • Installation of 60 hand pumps
  • Construction of 10 waste collection points
  • Distribution of 2,100 hygiene kits
  • Health and hygiene sessions for adults and children
Participants15,792 individuals

DurationSep 01, 2011Nov 30, 2012
LocationUC Bijora, Sujawal, Jaar, Keenjar of district Thatta
Key Activities
  • Health and hygiene sessions, Rehabilitation of water courses, drainages and ponds
  • Provision of nadi filters
  • Installation of 40 hand pumps
Participants13,856 individuals

DurationSep 10, 2015Mar 10, 2016
LocationBara Teshil of Khyber Agency
Key Activities
  • Free Medical Consultations through Mobile health clinics
  • Provision of Free Medicines
  • Ante Natal and Post Natal Care Services
  • Sessions on Health and Hygiene issues
Participants20,000 flood affected people