Health Service Department
The Health Service Department is one of the vital sections of the ARCS. Its main responsibilities to deliver health services to the disaster affected population based on the RC/RC goals and look forward to reduce human suffering, remove passion and to improve health quality around the country.
Since the establishment of the ARCS (1313), the Health Service Department has delivered the basic health services in the fields of first aid and health centers and gradually, by great efforts, its services (First Aid & Health Basic services) have been improved to mother and child protection centers, MHTs and hospitals.
The ARCS health clinics have played a very major role in reducing human suffering during war decades, specially, during the internal functional fighting in Kabul (1375 – 1371) and during the Taliban’s sovereignty in Kabul and other major areas of Afghanistan. In the above mentioned periods, the health infrastructures have been seriously affected, as for as, the health ministry was not able to even respond to the basic health requirements in cities.
In the other hand, the law numbers of internal and external organizations have been involved in health services in the country. During the functional fighting in Kabul (1371 – 1376), four clinics and four mobile health teams in different areas controlled by different sets were active and delivering health services. In 1376, the Afghan Red Crescent Society added the Mother and Child health services as a fundamental element. In the current situation, the ARCS Health Service Department as assistant to the government has a particular importance that has placed a tangible achievement in people’s health recovery in the target areas.
The Health Service Department has the following areas:
The HIV/AIDS concentrating on the principle of social safety runs preventive trainings. The beneficiaries of this program includes different categories such as: youth, school teachers and principle, HIV/AIDS patients, cities populations, districts, villages, families, mountains and quarters people. These trainings are delivered by trainers, volunteers and project responsible regarding the reorganization, mode of HIV transmission, signs of being infected with diseases spread through sexual intercourse, blood donation, barbers, glamour suites, and decrease physical resistance due to drug use. In these training meetings targeting prevention from HIV/AIDS, mostly concentrated on running seminars, informative posters distribution about the sanitation and HIV/AIDS sensitivity.
In struggling against taunts and discrimination campaigns, with participation of volunteers and government authorities, it has been found that hundreds of needy people in the mentioned field have benefited from the services.
This program has been developed in 2006 for five years. In 2010, after its extension, it has started activities as a part of MNCH and it is still continued. The main target of the HIV/AIDS program of ARCS is participation in reducing human suffering from HIV/AIDS through local responding, prevention through care and implementation of activities against the taunt and discrimination.
The above targets are achieved through the following points:
Achievements of HIV/AIDS program:
- . Participate and being involved in reducing the Reduce new cases of the virus among young people through educating the same age youths and improving the living modes.
- . Improving the lives quality of those who are suffered with HIV/AIDS and their families, through support the activities of the Anti-Defamation and discrimination.
- . Reducing the infection of HIV virus through the blood transmission by increasing the blood donation and its test on voluntary bases. At the very beginning, it is tried to reduce the Anti-Defamation and discrimination in society through campaigns by teachers, parents and students.
- . The national society expects to spread out the prevention activities on Anti-Defamation and discrimination in the targeted schools and society.
- 131 high school are currently covered in four zones.
- 25 workshops for 625 students and teachers have been run in Kabul, Jalalabad, Mazar and Heart provinces.
- 7 workshops regarding blood donation for 175 students and teachers have been run in Kabul and Mazar and 12 clubs have been established in schools.
- Celebrating the blood donation world day within the blood donation to blood bank
- Printing the audio and visual materials (brochures, banners, flip charts)
- Running Anti-Defamation and discrimination campaigns in program covered schools
- 55580 beneficiaries have been trained by the trainers.
- Participation of 10 trainers in HIV/AIDS workshop ( 5 in Heart and 5 in Jalalabad)
- The coordination and working method with the stakeholders
- Participating in national program of organizations and blood bank meetings regarding the HIV/AIDS control
- Monthly meetings with the same age and HIV/AIDS trainers
- Coordination and well relationship with youth section, CBHFA and other programs
- Coordination and well relationship with the Kabul, Jalalabad, Mazar and Heart provinces’ education directorates
This project is financially donated by the International Federation of Red Cross and Red Crescent (IFRC).
Treatment of children with cardiac surgery, maternity pests
The national society since the end of 1388 the Treatment of children with cardiac surgery, maternity pests project has been started by Health Service Department in all over the country. This project is further concentrated in Treatment of children with cardiac surgery, maternity pests, type of cardiac surgery, maternity insect pest species simple and complex heart pierced diseases pests such as (Pulmonic Valve stenosis =PS, Aortic Valve stenosis=AS ,Mitral Valve stenosis=MS, Tricuspid Valve stenosis =T.C.S).
The first targeted groups:
children with cardiac maternity pests
The second targeted groups:
all the people suffering children with cardiac diseases without considering the age, and sex
Examinations for strengthening Patients with heart hole
- Children with heart hole type VSD=Ventricular Septal Defect
- Children with heart hole type ASD=Atrial Septal Defect
- Children with heart hole type complex CHD-ASD,VSD, TGA, PS Total Anamulos, Complete AV canal Defect
- Children with gynecology heart hole (Tetra Logy Fallout)
- Children with (Pulmonic Valve stenosis =PS, Aortic Valve stenosis=AS ,Mitral Valve stenosis=MS, Tricuspid Valve stenosis =T.C.S
- Patent Ducts Arterious =PDA
- Co arectation Aorta Aneurism Aorta +VSD, ASD ,TGA, PDA, PS, AS and Pulmonary Hypertension
- Doppler color echo cardiograph
- Cardiac catheterization
The patients are included in the list according to their echo examinations. To respond to treatment of patients agreements with equipped health centers inside and outside the country of understanding was signed among the parties.
with RMI/ Peshawar Pakistan
with Max Fortes hospital
The patients are introduced to the centers by turn and their immediacy.
This project is completely donated by the ARCS and has its own SOP in this regard to be referred to.
This project is one of the fundamental sections of the ARCS that trains volunteers at community based. The CBHFA volunteers are the remarkable power delivering health services to disaster affected people and rescue lives.
Participating in other humanitarian affairs such as movement introduction to communities, its emblems, briefing on HIV/AIDS risks and any other humanitarian assistance.
For the first time, the health First Aid program has started in ARCS in June 1997, commencing from Nangarhar, Kabul, then, in Heart, Kandahar, and Mazar-e- Sharif and currently it is active in 34 provinces of the country.
This program covers 15000 villages in 302 districts and 34 provinces of the country (Afghanistan). In this program, 7 supervisors (regional officers), 80 trainers (First Aid Trainers), are busy in delivering services and 20300 volunteers are involved in activities of this program. The CBHFA could successfully spend its annual budget and will reach to its goal in near future. This program is financially and technically supported by ICRC and IFRC.
The ARCS Central Hospital
The ARCS has two equipped hospitals.
- A seventy bed equipped hospital with modern facilities
- An exclusive hospital for Drug addicts in Parwan province
The central hospital of the ARCS is district level hospital that has treatment and prevention sections. The treatment section works in the following areas:
- General Internal, medical OPD and Inpatient Services
- Surgery OPD and Inpatient Service
- Orthopedic OPD service and physiotherapy
- Child Internal OPD, Immunization, Lash mania treatment and Inpatient Services
- Gynecology OPD, inpatient along with normal birth and Mother and Child Support along with Family arrangement Services
- Tooth section including diagnosis and treatment
- Massive Immunization
- Pharmacy Section
- Emergency Health Services
All staff in ARCS central hospital are professionals that include treatment specialists, nurses, technicians and administrative staff both male and female who are in the people’s service for 24 hours.
All expenses and expenditures of the hospital are paid from the Health Service Department budget and its medicines are quarterly provided by ICRC based on the requirement.
There are 45 ARCS fixed health clinics have license from MoPH in 34 provinces based on the laid standards, policies and strategies in MoPH. For delivering well health services in clinics, the Health Service Department always runs training workshops for enhancement of the professional capacities of doctors, nurses, midwifes, First Aid volunteers, HQ and regional staff.
These clinics are in basic health center level that their all services are according to the basic health package services of MoPH. All the services are free of charges for poor and needy people.
The basic health services are the followings:
The Major Achievements of Clinics:
- MNCH: includes before, during and after birth care including normal birth services and families along with IMCI
- Massive immunization services (fixed center and harvested area)
- Providing basic medicine: these clinics by providing quality drugs to vulnerable people in harvested areas, specially, in villages and districts of the country even, in areas where people can’t access to the basic health services, tries to meet the needs of people in terms of basic health services.
- wound dressing services
- Public Nutrition Services (check child growth)
- Health education: in addition to the health services for the patients, the clients learn any required health and hygiene trainings as well.
- Epidemic control services
- Environmental health services (individual and group health training)
- Strengthen mental health and social services by advising including referral services
- The completion of all standard clinics buildings construction
- Constructing of six clinics by financial support of IFRC in Balkh, Panjsher, Nimruz, Paktia and Kapisa
- 2 clinics by ARCS budget in Farah and Kabul (Shakar Darah district), 2 clinics are in progress to be constructed in Kabul (Mosahee and Mahdia districts), 1 clinic in balkh (Chahar Sang district) through national solidarity program
- Clinics repair in 7 zones of ARCS:
- West south central zone: Ghazni, 1 clinic, (Shamsul Arefeen district), Logar, 1 clinic, (Pol-e- Alam), Maidan Wardak, (Shaikh Abaad), west zone: 1 clinic (Badghis), east zone: 2 clinics (central Jalalabad and Darah Noor), Kandahar (central Kandahar) 1 clinic
- Providing medical and nonmedical equipment to all zones clinics
- Building capacities of all health centers staff at zone and branches level
- Evaluation and assessment of health centers through HQ health responsible and regional staff in regional zones
- Providing and transferring of health standard guidelines in 7 regional zones
- Staff recruitment, specially, recruiting women
This program is financially and technically supported by the movement partners (ICRC, IFRC and ARCS itself).
Health in Emergency (HiE):
- Mobile Clinics
In addition to the fixed health clinics, the Health Service Department has 21 MHTs in its structure that provides medical services in emergency cases targeting the natural and unnatural disasters affected areas. These teams are ready to deploy to the different areas according to the need, but the main responsibilities of such reams are in IDPs camps, disaster prone areas, border emigrants and returnees, remote and the areas out of reach.
The mobile clinics are based and ready in 5 major province (Kabul, Kandahar, Nangarhar, Balkh and Heart) these teams when required, in addition to health services, assist people in implementing vaccine to mothers and children, giving information on types of Influenza diseases, health and hygiene care as well. As a result, tens of patients are treated by these teams daily.
The working areas of the MH units:
In normal situation, health services for those who live in remote areas and don’t access to health services, especially, in emergency cases when natural and unnatural disasters happen, runs 20 days campaigns in coordination with ARCS disaster management. As well as, these units are also involved in national vaccination day, running regional practices in terms of unexpected disaster response. Transferring injuries to health centers through referral services, implementing urgent assessment based on need are also part of their activities.
Considering the effectiveness, access, and equality in delivering standard and quality health services, there is a possibility for the expanding of MHTs in all provinces of the country and it is seriously in plan to be implemented in near future. This project is funded by IFRC and ARCS.
Health interventions at community level project
This project is in line to the increasing the people’s awareness in promotion of health and improve health habits at villages and districts level. The major goal of this project is providing latrines, supply drinking water in order to reduce the occurrence of such diseases that are caused by inhabit environmental health and Contaminated water supply.
This project includes two major sections (Software, Hardware):
Currently, this project is active in Balkh, Samangan, Sar-e-Pol, in North zone and in Nangarhar, Momand Dara district in East zone. However, it is possible to be activated in Parwan, North West zone as well. This project is funded by IFRC and ARCS.
Major Achievements of this project:
Software Section Achievements:
- Constructing 7 health latrines in 3 districts
- Arranging 7 existence wells in Kholm, Deh Warda village
- Providing 72 tankers for hand washing for 72 health latrines in Deh Hassan and De Warda villages of Kholm district
- Digging 4 wells in Dedadi and Kholm districts
- Based on the operational plan, since 2010, 120 female folunteers have been selected in 6 villages ( Arigh Baator, Joy Wakil, Deh Hassan, Deh Warda, Qarloq and Hassan Khil) and in 3 more districts
- Selecting of 74 councils for using water in 6 villages of Khan Abaad and Kholm districts
- Running baseline survey in 6 villages of Khan Abaad and Kholm district
- Selecting 120 volunteers in 6 villages of Khan Abaad and Kholm district and running training course of improving sanitation and health level for 180 female volunteers in 9 districts
- Running training course for 100 CBHFA volunteers in Khan Abaad and Kholm districts
- Running training course for 80 female CBHFA volunteers in Khan Abaad and Kholm districts
- Running training course for improving sanitation and health quality for 12 male volunteers in Bashirli and Shor Tapa village
- Running n sanitation improvement and health quality campaign in Kholm district
- Running two term training of protective health care for 9 female volunteers in Kholm, Dehdadi village
- Running two term training of protective health care for 9 female volunteers in Dehdadi village
- Running two term training of protective health care for 9 male volunteers in Dehdadi village
- Running two term training of protective health care for 9 female volunteers in Hassan Khil, Balkh Province
- Running two term training of protective health care for 9 female volunteers in Deh Hassan and Deh Warda villages of Kholm districts. All health projects, most of the times, fully or partly funded by movement partners, and the ARCS is also involved in funding process. In implementing, evaluation and assessment of the projects, the efforts of MoPH, national and international health organizations are also highly appreciated. All the activities of Health Service Department are based on its annual plan and in close coordination with movements’ stakeholders.
Treatment of patients with severe burns and break-diseases:
In 1368-1989, based on an agreement between ARCS and German Peace Village it has been agreed that in a long term program, Patients with severe burns and break-diseases should be deployed to Germany for treatment. All internal expenses of this program are through ARCS and external expenses are through German Peace Village.
The German Peace village doctors come to Afghanistan twice a year in specific months and checks up the patients. Those patients, whose treatment is not possible in Afghanistan, are deployed to Germany with doctors.
In 1392, in 68th round, 61 patients deployed to Germany for treatment. In every round, the number of patients are different. Thousands of patients have been deployed so far.
All expenses during the treatment in Germany are paid by German Peace Village that in this time period from the start of this process till yet, the groups of more than 60- 70 patients from 34 provinces have been deployed to Germany for treatment and after treatment they returned back to Afghanistan. The representative of German Peace Village has twice traveled to Afghanistan and after checkup and identifying patients, have transferred them to Germany with the German Passports and Visa. By improving this program, ARCS wants to reduce the human suffering of poor and needy people in Afghanistan.