System Enhancement for Health Action in Transition (SEHAT)

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The Project: The SEHAT project was the second and scaled-up phase of the ARTF and IDA-financed Strengthening Health Activities for Rural Poor (SHARP). The project supported the implementation of the Basic Package of Health Services (BPHS) and Essential Package of Hospital Services (EPHS) through contracting arrangements both in rural and urban areas covering a total of 22 provinces, including Kabul urban (out of 34 provinces) in the country, expanding from 11 provinces under SHARP to 22 provinces under SEHAT.
 

The project supporting the strengthening efforts of the national health system and Ministry of Public Health’s (MOPH) capacity at central and provincial levels, so it can effectively perform its stewardship functions in the sector.
 

The program was jointly supported by the Government of Afghanistan with $30 million, IDA Grant of $100, Health Results Innovation Trust Fund (HRITF) of $7 million, and ARTF of $270 million.

KEY Results

1. Increase births attended by skilled health personnel among lowest income quintile
2. Increase PENTA3 immunization coverage among children aged between 12 and 23 months in lowest income quintile
3. Increase contraceptive prevalence rate (using any modern method) 
4. Increase the proportion of children under 5 years of age with severe acute malnutrition receive treatment
5. Improve the score on the examining quality of care in SCs, BHCs, and CHC on the balanced scorecard.