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, 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 NumberMost recent dataPrevious crises and previous baselinetrend 1) Maternal mortality460/100,000 live births710/100,000 live births↑ (UN Population Division estimates, 2010)estimates, 2005) 327/100,000 live births1,600/100,000 live births (Afghanistan Mortality(MICS, 2003) Survey (AMS), 2010) 2) Life expectancyMale: 47.2 years from birth.Male: 47 years from birth↑ Female: 47.5 years from birthFemale: 45 years from birth (UN Population Division(PRB, 2003). estimates, 2010) 3) Number of health workforce (MD+nurse+midwife)55 (HMIS, 2010)NA per 10,000 population 4) Measles vaccination rate40 % MICS Survey Data, 2011)79% (HMIS, 2010)↓ (Six months-15 yrs)75% (HMIS, 2011)

HEALTH CLUSTER INDICATORS Indicator NumberMost recent dataPrevious crises and previous baselinetrend 5) Number of cases/incidence592/million410/million↓ rate for selected diseasesmeasles incidence relevant to the crisis.(HMIS, 2012 first quarter)(HMIS, 2010) 6) Infant mortality rate136/1,000 live births144/1,000 live births↑ (probability of dying between(UN Population Division(UN Pop. Division estimates, 2005) birth and first birthday/1000estimates, 2010)129/1,000 live births live births). 77/1,000 live births (AMS, 2010)(Afghan Health Survey, 2006) 7) Under-five mortality202/1,000 live births215/ 1,000 live births↑ (probability of dying between(UN Population Division birth and 5 yrs if age perestimates, 2010)estimates, 2005) 1,000 live births).97/1,000 live births191/1,000 live births (AMS, 2010)(Afghan Health Survey, 2006)