Training Midwives in Afghanistan

by Action for Development (AfD)
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Training Midwives in Afghanistan
Training Midwives in Afghanistan
Training Midwives in Afghanistan
Training Midwives in Afghanistan
Training Midwives in Afghanistan

The current crisis in Afghanistan is affecting the lives and the security of many people in Afghanistan, particularly women and girls. Access to many essential health and social services has been disturbed due to the control of Taliban and their imposed restrictions. Women and girls have been banned from receiving education, freedom of speech, freedom of activity and movement. Humanitarian aid services have also been reduced or have been suspended in certain provinces, with many aid workers having left the country. Main donors including the World Bank have also halted their support to health programmes.  This has caused a serious problem in the operations of clinics and hospitals, lack of medicine, lack of staff and can eventually even result in the collapse of Basic Package and Essential Package of Health Services (BPHS and EPHS).

What is Action for Development doing to help?

Despite the current situation in Afghanistan and the ongoing conflict, AfD is determined to continue its support to vulnerable populations, especially women, and adapt its projects to the ongoing emergency context, to make sure that women and children are still prioritized and get access to essential health services despite the crisis. We do so because we cannot leave behind those we have worked with and for over the last 10 years.

Action for development (AfD) has been working over the years in supporting the capacity-building of midwives in rural zones in Afghanistan and by promoting healthy messages.  For the years 2021 and 2022, and as part of the Basic Package of Essential Health Services (BPHS and EPHS), AfD has developed a midwifery gap-training project in four provinces in Afghanistan, with the aim of improving quality of maternal and neonatal health services in rural areas. Previously, AfD’s overall mission was to train 1,000 midwives across the country. So far our count has reached 650 midwives in 7 provinces.

In these critical times the accessibility to health services is prohibited in some areas due to insecurity, however, some areas are still partially secure and there is a possibility to set up trainings for women, by women specialists, and we would like to use this momentum to safely train an additional 350 midwives to reach our initial goal. We have taken all the necessary measures to ensure the safety and well-being of our staff and the midwives we would like to train.

Until present,  AfD received close to 25,000 USD through additional fundraising mechanisms and over 4,000 USD online through the GlobalGiving platform and generous donors like yourself.  However, we are urgently looking for additional funds to support the implementation of our midwifery training programme and other emergency services.

Please help us support these women, please help our midwifery training programme. Your help can make a huge difference, especially where it is needed most.

Every donation counts!

Thank you for your generous support,

The Team at AfD

 

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Since 2014, Action for Development (AfD) has been providing training to midwives in Afghanistan. According to UNICEF and global research, high rates of maternal death reflect several factors, including limited access to quality maternal health care, particularly in rural parts of Afghanistan; a lack of knowledge of maternal health and safe delivery; and the scarcity of qualified female health providers, since there is a strong cultural preference for women to be cared for by other women.

In 6 years of existence, AfD's program has made it possible to train 650 midwives, including 113 who then qualified to become trainers themselves thanks to the so-called «cascade» approach. In total, 6 provinces of Afghanistan have already benefited from this program. 

Sediqa is 31 and she works at the Shadeed Abdul Health Center. She beneficiated from the AfD Midwifery Training Program in the past as well. She is now training 6 other midwives:“I have very good memories of my training with AfD because when I first came, I did not know about some topics. Thanks to the cascade approach, I later became myself a trainer. Taking a step back, I realize as our knowledge of the profession grows, so does our will to learn."

Despite these improvements over the past years, Afghanistan has one of the highest maternal and newborn mortality rates in the world, and the need for specialised care is more important than ever. Moreover, COVID-19 has exacerbated the difficulties faced by many and has pushed women and children's health outcomes to devastating levels, which also has implications for peace.

"Besides, the corona virus has had a huge impact on our practice, as our patients were afraid of getting infected.One of our patients, who came from Dehsabz, reported that she had given birth at home. Sadly, she was not able to give birth in a healthy and professional context and manner which caused her to bleed extensively and to suffer from anemia. She then came frequently to visit the clinic and was able to recover."

Improving the survival rates of mothers in Afghanistan is an issue of immense importance for women, children and the country as a whole. Midwives are the key to providing the crucial care necessary - but they need your help!

We aim to train 400 new midwives across 4 provinces of Afghanistan: Takhar, Logar, Wardak and Badakhshan. One Day Wages foundation has agreed to provide us a total of 11,000USD with a condition to raise another 11,000USD. With a total of 22,000USD we will be able to train 100 midwives; which would include: 

- Travel cost and accomodation charges for two Master trainers (a male and a female) who would travel to the rural province
- Travel cost and accomodation costs of the 20 midwives who will receive ToT lessons
- Cost of preparation of material and training dossie for 100 midwives 
- Travel cost to the monitor who would collect information on actual cascade training from the midwives who received training via cascade method.
Not only is our project impactful, it is also super cost-efficient, costing just 220USD for a 12 day training per midwife (18USD per day, in the very rural province). In return, each of these 100 midwives will be able to serve between 150 to 360 women per month, assisting them with post-partum and ante-natal care. 
Support us, and help improve the health outcomes for vulnerable women and children!
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In Afghanistan, maternal and infant mortality rates are among the highest in the world. Between 2014 and 2019, Action for Development (AfD) has trained more than 600 midwives in 6 provinces of Afghanistan. The 2021 program aims at training 400 midwives across 4 provinces of Afghanistan: Kabul, Logar, Wardak and Badakhshan.

Following a “skills-gap protocol”, AfD delivers training to 80 government-trained community midwives, who will then become midwife trainers. The training for the 80 midwives will be run over 12 days in a secure rented venue, sourced with the help of local provincial public health officials and local community. Midwives then return to their communities and deliver the training to an additional 4 midwives each through a cascade-model approach. This method of training has proven more effective, less expensive, more sustainable and community-based than traditional training methods. 

Upon completion of the training, the midwives will be able to better perform their roles in the healthcare system, contribute to the prevention of unnecessary maternal/infant mortality, and improve women’s participation in the workforce.

Join us in improving women and children’s lives in Afghanistan by empowering midwives with qualified training! In order for the program to be implemented, it needs to be funded. We have set the total budget at $11.000. We count on the generosity of our donor community, supporters and friends to make this possible!

Every donation counts!

Sincerely,

The Team at AfD

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In Afghanistan, maternal and infant mortality rates are among the highest in the world. According to UNICEF, the infant mortality rate is 52 deaths per 1,000 live births and the maternal mortality rate is 638 deaths per 100,000 live births.

Between 2014 and 2019, Action for Development (AfD) has trained more than 600 midwives in 6 provinces of Afghanistan. The training program 2020/2021 aims at training 400 midwives across 4 provinces of Afghanistan: Kabul, Logar, Wardak and Badakhshan.

Following a “skills-gap protocol”, AfD delivers training to 80 government-trained community midwives, who will then become midwife trainers. The training for the 80 midwives will be run over 12 days in a secure rented venue, sourced with the help of local provincial public health officials and local community. Midwives then return to their communities and deliver the training to an additional 4 midwives each through a cascade-model approach. This method of training has proven more effective, less expensive, more sustainable and community-based than traditional training methods.

Upon completion of the training, the midwives will be able to better perform their roles in the healthcare system, contribute to the prevention of unnecessary maternal/infant mortality, and improve women’s participation in the workforce.

Join us in improving women and children’s lives in Afghanistan by empowering midwives with qualified training! In order for the program to be implemented, it needs to be funded. We have set the total budget at $11.000. We count on the generosity of our donor community, supporters and friends to make this possible!

Every donation counts!

 

Sincerely,

The Team at AfD

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Dear Supporter,

During this difficult time, we hope you are safe and healthy, as well as your family and your loves ones.

For the year 2019, the Midwifery Training Program was implemented in the Province of Kapisa, during the month of December. Kapisa was selected for the initial training of midwives due to its acceptable level of security and infrastructures (training center, hospitals for practice, accommodation, etc.), as well as its adequate transport network which is essential for the training. For the development of the training modules we have partnered with the Haute Ecole de Santé de Genève; the midwifery department has kindly shared its pedagogical skills and clinical expertise.

The training was carried out in two phases: during the first phase, 21 graduate midwives have received the training, after being selected according to pre-established criteria. During the second phase, they themselves have had the opportunity to train other midwives, nurses and medical staff members.

AfD has adopted a “cascade-model” approach as the best strategy to provide training aimed at improving and developing midwifery knowledge; through this approach, a total of 119 midwives received quality training during the reporting period.

AfD’s local office in Kabul has collaborated with community leaders, whose constant support for this program is essential due to the significant influence they exert on their communities. The Ministry of Public Health, as well as local and international NGOs in charge of health facilities, had the responsibility of selecting midwives, through an interview and a theoretical examination. The tests have been designed by AfD’s master trainer recruited for the program.

Phase I of the training was conducted over 10 days at a training center, one week consisting of theoretical classes from 9 a.m. to 3 p.m. An examination was carried out beforehand to test the skills of the participants. Phase II of the training took place over two days, at the Kapisa Provincial Hospital, where midwives were trained on practical skills. 

Following the training, the midwives returned to their locations in order for them to train up to 8 colleagues each. The midwife in charge of the training has divided the lessons into 5 sessions over a period of one month. AfD’s master trainer has attended some of the lessons given in various health centers across the province in order to assist the midwives, both teachers and students.

The 21 midwives who benefited from the initial training have all been provided full accommodation at a common facility in Kapisa during the training period, in addition to covering transport costs throughout the duration of the program. The total 119 midwives (from phases I and II), also continued receiving their salary during the duration of the program. An agreement had been previously reached with their employer, namely the NGO responsible for managing the health facilities where the midwives were employed.

Action for Development would like to thank our donor community, whose kind donations have allowed us to successfully implement the Midwifery Training Program in Afghanistan throughout these years. We look forward towards implementing the project in 2020 and continuing to support the people of Afghanistan!

Sincerely,

The Team at AfD



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Organization Information

Action for Development (AfD)

Location: Geneva - Switzerland
Website:
Facebook: Facebook Page
Twitter: @afd_swiss
Project Leader:
Zuhra Dadgar-Shafiq
Geneva, Geneva Switzerland
$4,437 raised of $22,000 goal
 
34 donations
$17,563 to go
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