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د امریکا د پراختیایی ادارې سیمه ییز روغتیایی سیستم د دوام پروژه

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USAID Local Health System Sustainability Project

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Afghanistan

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Afghanistan suffers from some of the worst health outcomes in the world: life expectancy at birth is estimated at around 46 years, and one out of four children die before their fifth birthday. Many infectious diseases such as respiratory infections, diarrheal diseases, measles, and malaria contribute to the burden of disease and death. 

After 30 years of protracted crises, the health system in Afghanistan is left weakened and unable to support its growing population. This is compounded by the recent regime change in August 2021; widespread economic instability; and a growing hunger crisis, leaving millions of women and children in Afghanistan cut off from aid supplies or access to basic health services. In addition, rising prices are making health products and services unaffordable, reducing business revenue and the ability of owners to continue to provide services and products.

Donors and the humanitarian community continue to support basic health service delivery but are largely focused on rural populations. The result is fewer public sector service delivery points and inadequate support for urban and peri-urban communities. A focus on a more resilient health system is needed to support Afghanistan to improve these health indicators. With proper coordination and quality assurance, the private health sector offers a viable option to increase access to affordable care among these populations.

The LHSS Afghanistan Activity is working with private sector stakeholders to expand the scale, quality, accessibility, and affordability of health products and services including family planning, maternal and child health, tuberculosis, and noncommunicable diseases in Afghanistan.

In addition, the Activity and partnering organizations will build and strengthen sustainable private sector models while addressing the urgent needs of priority populations, in five of Afghanistan's most populous provinces: Kabul, Herat, Kandahar, Balkh, and Nangahar. The Activity in Afghanistan builds on the learnings and knowledge gained from the seven-year Sustaining Health Outcomes through Private Sector Plus (SHOPS Plus) Project, led by Abt Associates.