Ahmad Kamran Osmani
First, I through working with MOH of Afghanistan and development partners designed, facilatated and conducted Afghanistan first national FP workshop for improving FP and birth spacing services in the country on July 2015. In this workshop, 200 stakeholders contributed to: an analysis of strengths, weaknesses, opportunities and threats of MOH FP services based on WHO six building block for health system strengthen and driven recommendation for improving FP and birth spacing services. Secondly, I conducted a research on Factors Influencing Contraceptive Use Among Women in Afghanistan by secondary data analysis of a national representative survey. I proud that for the first time in Afghanistan I have done such a national representative study and published it into an international journal.
Afghanistan has the lowest CPR (13.8) compared to other countries in the region. This low rate of CPR is one of the leading causes of Afghanistan’s highest TFR and MMR in southern Asia. These high rates have an impact on overall socio-economic development of the country in general and maternal and child health in particular. So, promoting FP services and healthy birth spacing as life saving intervention in community to save Afghan ‘s women and chlidern life, greatly satisfied me working in FP.
Although 58% of Afghan 's married women has knowledge of at least one contraceptive modern method, CPR nationwide remains very low which is 13.8%. To address this knowledge-practice gap, as an initial step I worked with MOH to conduct a FP campaign with objectives to increase knowledge of citizen on the advantages of birth spacing, which could ultimately increase contraceptive use ,and to reinforce the positive health impact of birth spacing on improving the health status of Afghan families.
However they’re two coordination forums like Afghanistan FP2020 and national FP committees establish within MOH, cross-sectorial collaboration and coordination for strengthen national FP is very insufficient. To address this, a national steering committee should be established which include representatives of relevant institutions such as Ministry of Religious Affairs, Ministry of Women Affairs, Ministry of Youth Affairs, Ministry of Education and higher education ,civil society, and parliament.
First do advocacy for inclusion of implant into essential drug list, Basic Package of Health services drug list and Essential Package of Hospital services drug list. Secondly, work on scale up of LARC methods practically IUD and Implant in all public and private HFs. Third, revise Afghanistan 2012 FP service delivery guideline. Finally, conduct a number of studies to find the effectiveness of FP in-services trainings on health providers behavior and practice as well as on FP services utilization