Sehatmandi (Well-being)

During 2019, the Aga Khan Health Service, Afghanistan (AKHS, A) was allocated 189 government health facilities to improve the quality of health services provided across the region of Bamyan and Badakhshan in Afghanistan.

Under the Sehatmandi Project, AKHS, A and AKDN dHRC collaborated to develop a robust, digital health tool to aid with performance monitoring of these health facilities. AKDN dHRC developed Sehatmandi, a tablet-based application to digitise the manual assessment and monitoring process for select health facilities. The application, aiming to assist AKHS, A with the monitoring and assessment of the health facilities, enables health care administrators to record real-time data through a digital questionnaire to enable indicator monitoring in real-time. The questionnaire helps monitor the health facility focusing on defined indicators of the tuberculosis and maternal and child health services provided.

During 2019, the app was successfully implemented in 74 and 115 health facilities in Bamyan and Badakhshan, respectively, and is being used by health care administrators to assist with the monthly performance monitoring and reporting in various clinical and administrative areas.

The application is a user-friendly and time-saving tool, which ensures seamless access to data of select health facilities. It is not dependent on internet connectivity and operates in offline mode, allowing data to be synchronized with the central server via SMS technology in case connectivity is not available.

Sehatmandi is a three-year project administered by the World Bank through the Afghanistan Reconstruction Trust Fund (ARTF) and implemented by the Ministry of Public Health in Afghanistan. The project aims to increase the utilization and quality of health, nutrition, and family planning services.

With a focus on improving provision of health service, the project introduces pay for performance initiatives, supports delivery of Basic Package of Health Services (BPHS) and Essential Package of Hospital Services (EPHS) across all 34 provinces in Afghanistan.

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