WORKSHOP REPORT

Reproductive Health Strategy Launching

July 17, 2012 RHD/ MoPH and HSSP

Executive Summary: A one day National Reproductive Health strategy Launching ceremony has been held Through technical support of RH strategy launching nominated committee (RH technical Staff, HSSP, WHO, UNFPA, UNICEF, JICA) and financial support of HSSP funded USAID and JICA on July 17th year 2012 in Kabul Serena Hotel of Kabul. The event was Held with participation of 120 members from Kabul including UN agencies, national and International NGOs and 34 provincial RH officers and HMIs officers.

During the launching beside speeches of MoPH, deputy minister and RH supported Partner s speech from USAID, WHO, UNFPA, UNICEF, Parliament, the national RH Strategy and policy 2012-2016 with its five years budget was introduced. It is worth of Mentioning that the representatives during their speech showed their commitment for Implementation of the five years reproductive health strategy.

Introduction: Maternal and child health is one of the core strategic areas of the Ministry of Public Health - Health Care Sector Strategic Plan (2012-2016). The expansion and Improvement of reproductive health (RH) services With its main components, Maternal and neonatal health (MNH), birth spacing/family planning (BS/FP), sexually Transmitted Diseases/ HIV/AIDs and Breast and Cervical cancers has been a major Commitment of the MoPH and partner agencies towards the MDG 4 and 5.

Fortunately, the Reproductive Health Directorate of the Ministry of Public Health has Made remarkable achievements throughout its program including reduction in Maternal Mortality Rate (327 per 100,000 live birth), Under five Mortality Rate (97 ), Infant Mortality Rate (77 per 1000 live birth), Total Fertility Rate (5.1), improvement in Life Expectancy (the progress made since 2002 (Afghanistan Mortality Survey 2010). However, the maternal mortality rate (MMR) still remains high by international Standards and compared with neighboring countries.

The National RH strategy 2012-2016 was inaugurated by reciting of versus from Holly Quran. Then the reproductive health director welcomed the respected guests and beside This invited His Excellency Deputy Minister of health, Dr. Ahmad Jan Naeem for his Opening speech. His Excellency welcomed all members and delivered his speech. His Excellency besides providing information on overall goal and objectives of the MoPH And its relation with MDG goal 4 and 5, has introduced the achievements that the MoPH had during the last decade. His Excellency acknowledged and thanked from Reproductive Health supported stakeholders including UN agencies, national and International NGOs implementers from everlasting support toward achieving MDG Goal 4 and 5. In addition representatives of USAID, Parliament, WHO, UNICEF, UNFPA have given their comprehensive speeches and expressed their commitment for Implementation of the reproductive health strategy for achieving the objectives of the MoPH.

According to the agenda, during the second part of launching ceremony firstly the National RH strategy 2012 2016 has been presented by Reproductive Health director Dr. Sadia Fayq Ayubi and secondly the cost of five years strategy which was Developed with technical and financial support of the UNFPA has been presented by SMI director of RH director Dr. Sohila Waheb Ziayee. At the end of the launching Answers were given to those who had question from developed RH strategy and policy And it is cost.

Goal: Introduction and dissemination of RH strategy and policy designed as Comprehensive integrated package to achieve quality RH services in all Afghanistan.

Specific Objectives are to: Launch national RH policy & strategy( 2012- 2016)

Introduce national reproductive health strategic action plan and costing (2012- 2016)

Expected outcomes: Government partners, stakeholders, and donors have been oriented to national RH

Policy & strategy (2012- 2016)

Methodology for introduction: In the initial stage the National RH strategy and policy and strategic action plan of RH Strategy including estimated cost of five year presented consequently the Question and Answer part of event has been taken place. The reproductive health director has introduced the National RH strategy 2012-2016. According to her speech, in the reproductive health strategy besides MNH and Family Planning priority has been given to two other important none communicable disease as Breast and cervical cancer and communicable disease Sexually Transmitted Disease And HIV/AIDs. An important part of the strategy was the reproductive health indicators of RH strategy. According to her presentation as an example from indicator section, in baseline of Indicator 68% of health facility had midwifed it will increase to 80%. The second presentation was given by SMI director Dr. Sohila Ziayee. She has Presented the cost of the RH strategy for 2012-2016. According to the estimated cost the five years estimated budget for implementing this Strategy would be almost 80 million $. This amount of money has been divided in five Years based on planned activities. Question answer section: 1. Question: How the RH Directorate will receive the amount of 80 million US$ for

Implementation of this strategy? Answer: Dr. sadia, RH director replied,we have our relevant stakeholder and Donors who promised to support the RHD financially and technically. But we Haven t received promise for all activities as for STI and breast and cervical cancer We need to develop proposal. For will advocate for individual activities to provide This amount of budget accordingly.

2. Question: Although a lot of Midwifes trained, still we have shortage of midwife in The facility level, the reason is since graduation they are not working in their facility Based on their facilities requirements. Answer: We know this problem and identified these challenges in several provinces. The way of solution would be to avoiding distributing graduation certificate unless They work in their catchment areas based on commitments that they were written Officially at the beginning of the programme. Participant's comments: As per supervision in some USAID supported provinces the Deployment process is considering carefully. It means the problems in mentioned Provinces are very rare.

Answer: The criteria for deployment is not implementing accordingly. Through Midwifery Accreditation and Education Board (MAEB) we will work with them to Support deployment process of the midwifery program. In addition, Family Health house/ UNFPA is also a pilot project which will work to Identify challenges and run the program comprehensively.

3. Question: some part of other strategy as CBHC has been repeated in this strategy. I Would like to know if it is necessary to include or not. For usage of misoprostol it should be included hear or not.

Answer: Dr. Sadia replied, a member from CBHC department was present During developing this strategy we are not seeing any repeated approaches especially at The community level. For community based distribution of misoprostol we have Mentioned that the usage of misoprostol must be extended gradually after providing Comprehensive training to community health workers and other relevant people who Are involved in the expansion plan. Participant's comments: Guideline of misoprostol use at the community and facility has Been revised and reviewed. Advocacy is needed to include it in the essential drug list of The MoPH.

Time Session Title Method Facilitator

08-8:30 -Participants Registration ( 30 min) Registration Emal / Fahim

8:30 09:05 am -Recitation of the Holy Quran( 5min) -National anthem ( 5min) -Welcoming remarks

Opening Remarks Dr. Mohammad Nadim Niazi Mayel/ Mujtba Dr. Sadia Faiq Ayubi

9:05-9:20 Her Excellency Ministry of Public Health Speech

Speech Her Excellency Minister of Public Health

09: 20 10:00 -Representatives Speech -USAID -Pearlman -WHO -UNICEF -JICA -UNFPA -WB

Speeches Representatives

10:00- 10:15 Tea Break

10:15- 11:00 National RH policy and strategy ( 2012 2016)

Presentation and discussion

Dr. Sadia Faiq Ayubi

11:00 11:30 National RH strategic action plan costing (2012- 2016)

Presentation and discussion

Dr. Sohila Waheb Ziaee

11:30 12:00 Questions & Answers

All

12:00- 12:30 Awards distribution

Deputy Minister / RHD 12:30-12:45 Closing remarks Speech H.E Minister/Deputy

Minister 12:45-1:00 RH and projects documents exhibition

All 12:30-01:30 Lunch & Pray

Annex (1)

Workshop Agenda:

No Name F \ Name Org Province Phone

1

Khaksar M. Yousof UNICEF Kabul 700251014

2

Dr. Zalmai M. Myagul GIHS Kabul 700793367

3

Dr. Abdul Ghani Khairullah MoPH Badghis 797619835

4

Dr. Jahanara Ghulam Sarwar MoPH Laghman 700144314

5

Dr. Nilofar Faiz Mohammad CBHC Kabul 786365047

6

Dr. Zahra Akhter Moh MoPH Paktia 799683561

7

Dr . Arwal

CBHC Kabul

8

Dr. Shekib Arab Asmatullah MoPH Kabul 786927799

9

Dr. Laviert

UNFPA Kabul

10 Dr. Moazzmafa

UNICEF Kabul

11 Dr. Zarmina

MoPH Nangarhar 700654812

12 Dr. Fazila S.Jamalludin MoPH Parwan 773426216

13 Dr. Hanifa Khair Mohammad MoPH Wardak 799751183

14 Dr. Mairena Hand

798127670

Annex (2)

participant's list

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

32

Dr. Fawzia Shah

Dr. Shaf Sadat

Dr. Shaker

Dr. Tahir Khan

Dr. Homayoon Ghiasi

Mohammad Salim

Dr. Ilyas

Dr. Najia Tareq

Dr. Nadem

Dr. Razia

Dr. Sayeedah

Dr. Shamsia

Dr. Shaista

Dr. Noorzad

Dr. Rita Hashemi

Dr. Rahilla

Dr. Sohrlla

Dr. Rahila Nadir

Saied Jan

MoPH

MoPH

AMRC

CIDA

HSSP

UNDP

HSSP

RBH

HSSP

HPH

KU. H.P

MoPH

MoPH

SC

URC

CARE

CARE

MoPH

Takhar

Kabul

Kabul

Kabul

Kabul

Kabul

Kabul

782728458

700036371

799455314

799308746

799209053

700605161

700030670

700263672

798110228

799037242

700291872

780709038

700593595

799528532

786704426

779494357

798245214

799671987

33

Dr. Mohammad Amar

MSI

799814833

Mohammad Akram 34

35

36

37

38

Ruofi

Dr. Mehr Ali

Sabera Torkmani

Mursal

Dr. Jamal

Mohammad Yonos

Ali Mohammad

Jalaluddin

Said Abadad

Mohammad Ali

MoPH

MoPH

AMA

AMA

ECCS

Sarepul

Bamyan

Kabul

Kabul

Kabul

786344847

799371423

795366778

39

40

Najia Sherzad

Dr. Zakia Khalilluh

MoPH Kabul

Kabul

700298446

798892402

41 Dr. Farhat Ghulam Hazrat AADA Kabul 799705668

42 Dr. Nilofar Ibrahim 707060801

43

44

45

Dr. Noorkhanum

Dr. Ershadudin

Dr. Monisa

Saheb Shah

Ziaudin

Dr. Yaqub Ali

TDH

HSSP

HPC

Kabul

Kabul

Kabul

706602438

706079311

700211344

46 Said Fahim 783304347

47

48

49

50

Dr. Oryunnil

Dr. Farzana

Dr. Naheed

Assadullah

M M.M

MoPH

MoPH

HMIS

Kabul

Badakhan

Kundoz

799326087

796240445

794935479

799345678

51

Dr. Mohammad Reza

Ghulam Rosf

MoPH

Bamyan

771086734

52 Dr. Nasima 799430024

53 Dr. Mohammad Ali E.H Kabul 799305265

54

55

Dr. Rahila

Ahmad Farid

HSSP

AGFa

Kabul

799424894

56

57

58

59

60

61

Dr. Kochi

Dr. Mobarak

Dr. Nigiana

Ahmad Jan

Dr. Hamidullah

Dr. Fida Mohammad

GIHS

MSH

UNFPA

MoPH

MoPH

MoPH

k

Kabul

Kabul

Kabul

Khost

Kabul

771598918

799410212

707198903

700267826

770178090

700329998

62

63

64

65

66

67

68

Dr. Abdul Khaliq

Dr. Noshin

Dr Yaqom

Alisher Atif

Dr. Latifa Sahat

Dr.Baiza

Dr. Abdullah Fahim

Abdul Satar

Shahabuddinq

M.Faqir

A. Hamild

Mir Abdul Haq

Khan Jan

MoPH

MoPH

MoPH

AMD

RHO

MoPH

MoPH

Nimroz

Jawzjan

Ghor

Kabul

Hirat

Kabul

Kabul

708606031

799650822

799258300

799450450

774808250

700278340

700276340

Dr. Mohammad

69 Esmayel 799889060

70 Dr. Hafizullah MoPH Nangarhar 700157162

71

72

73

74

75

76

77

78

79

80

81

82

83

84

85

86

Gul Agha Habib

Ahmel Shadoul

Dr. Zarlasht

Dr. Naila

Dr. Nasera `

Dr. Sharkay

Dr. Nadim

Dr. Reza

Dr. Rasa

Denise Byrd

Stanekzai

Dr. Arzooy

Mahalai

Omar Zama

Tawab

Wagshan

Habibullah

Obaidullah

Ghazi Mohammad

Mohammad Omaj

Mohammad Mobin

Ghulam Ras

Mohra

WHO

RHD

RHD

RHD

HSSP

HSSP

MoPH

JHPIEGO

MSH

HSSP

URC

Futum

WIZ

VAA

Kabul

Kabul

Kabul

Kabul

Balkh

Zabul

Kabul

Kabul

Kabul

Kabul

Kabul

Kabul

Kabul

Kabul

Kabul

708847320

796337652

707201241

707008809

700509798

700456524

777292293

771086730

787564594

700151449

799382007

788123263

700177809

700173694

700283516

87

88

89

90

91

92

93

94

Shaima

Widal atif

Dr. Hemat

Saleha

Akmal Samsor

Ajml Lah

Zakia

Dr.Rukhshana

MA

AWN

MoPH

AMA

ELCS

MZH

MOWA

AWN

Kabul

Kabul

Kabul

Kabul

Kabul

Kabul

Kabul

Kabul

793200554

789244659

706941242

799212429

777331512

794338159

799720620

700242535

95

96

97

98

99

Dr. Abdul Wase

Aemal Ayar

Dr. Naziha

Dr. Moqeem Barna

Dr. Rahmatullah

Qurban Ali

Azizullah

MoPH

MoPH

MoPH

MoPH

JICA

Ghazni

BDK

Kabul

Kabul

Kabul

798691946

773086975

700073296

700224107

798988457

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