HEALTH CLUSTER, AFGHANISTAN 05/SEPT/2012

HEALTH CLUSTER’s CURRENT 3Ws

• Prepared 3Ws Mapping (to respond who is doing what and where),

– Implementing partners’ name by district and health facilities– # of Health facilities cover and # of implementing partners– In some area data is not reported, so the map is blank

• Prepared separate spread sheet prepared for 3Ws information by province and district including key contact persons and their contact details i.e. telephone, e-mail

• 3Ws information are regularly being updated. However, getting information from some areas is difficult due to lack of regular reporting practices among the partners;

HEALTH CLUSTER’S CURRENT NEEDS MAPPING

In order to prepare the Health Cluster Needs Mapping, the following initiatives have been taken:1.AFGHANISTAN - Health Facilities Mapping prepared in March/2012 which gives the functional and non-functional status of HFs i.e. national, regional, provincial, district, special hospital; CHC, BHC, SHC and mobile clinics along with population density of the area. In south 50%-70% people has no function health facilties. 2.Prepared “Disease Outbreaks Risk Mapping from 2008 to 2011” by district; and Monthly Disease Outbreaks Mapping (# of outbreak and nature of disease) being prepared and circulated through Health Cluster; 3.Prepared “Vaccination Coverage Mapping from 2008 to 2011” by district which gives vaccination coverage ranging from below 50% to above 90%. 4.Prepared “DEWS Sentinel Sites in Health Facilities Mapping” along with population density, which gives regular surveillance of Disease Early Warning System in 312 sentinel sites. The above are the part and partial of cluster needs mapping initiatives started by Health Cluster in 2011/2012. The purpose of the above mentioned mapping is to identify the emergency/disaster and health risk districts in different level. After analyzing the different level of risks; it helps to find the gaps and prepare realistic contingency plan.

HEALTH CLUSTER INDICATORS

Indicator Number Most recent data Previous crises and previous baseline trend

1) Maternal mortality 460/100,000 live births 710/100,000 live births ↑ (UN Population Division (UN Population Division estimates, 2010) estimates, 2005) 327/100,000 live births 1,600/100,000 live births (Afghanistan Mortality (MICS, 2003) Survey (AMS), 2010) 2) Life expectancy Male: 47.2 years from birth. Male: 47 years from birth ↑ Female: 47.5 years from birth Female: 45 years from birth (UN Population Division (PRB, 2003). estimates, 2010) 3) Number of health workforce (MD+nurse+midwife) 55 (HMIS, 2010) NA NA per 10,000 population 4) Measles vaccination rate 40 % MICS Survey Data, 2011) 79% (HMIS, 2010) ↓(Six months-15 yrs) 75% (HMIS, 2011)

HEALTH CLUSTER INDICATORS

Indicator Number Most recent data Previous crises and previous baseline trend

5) Number of cases/incidence 592/million 410/million ↓

rate for selected diseases measles incidence measles incidence

relevant to the crisis. (HMIS, 2012 first quarter) (HMIS, 2010)

6) Infant mortality rate 136/1,000 live births 144/1,000 live births ↑

(probability of dying between (UN Population Division (UN Pop. Division estimates, 2005)

birth and first birthday/1000 estimates, 2010) 129/1,000 live births

live births).77/1,000 live births (AMS, 2010) (Afghan Health Survey, 2006)

7) Under-five mortality 202/1,000 live births 215/ 1,000 live births ↑

(probability of dying between (UN Population Division (UN Population Division

birth and 5 yrs if age per estimates, 2010) estimates, 2005)

1,000 live births). 97/1,000 live births 191/1,000 live births

(AMS, 2010) (Afghan Health Survey, 2006)