Active Portfolio Investment Projects

Human Development

Project Title:
System Enhancement for Health Action in Transition
Grant Amount:
$300 million
Approval Date:
June 17, 2013
Closing Date:
June 30, 2018

Project Objective:

The development objective of the System Enhancement for Health Action in Transition (SEHAT) project is to expand the scope, quality and coverage of health services provided to the Afghan population, particularly to the poor in the project areas, and to enhance the stewardship functions of the Ministry of Public Health.

Program Summary

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The Project: The SEHAT project is the second and scaled-up phase of the ARTF and IDA-financed Strengthening Health Activities for Rural Poor (SHARP). The project supportings the implementation of the Basic Package of Health Services (BPHS) and Essential Package of Hospital Services (EPHS) through contracting arrangements both in rural and urban areas covering a total of 22 provinces, including Kabul urban (out of 34 provinces) in the country, expanding from 11 provinces under SHARP to 22 provinces under SEHAT.

The project is also strengthening the national health system and Ministry of Public Health’s (MOPH) capacity at central and provincial levels, so it can effectively perform its stewardship functions in the sector.

The program, which is estimated for a total value of US$407 million, is jointly supported by the Government of Afghanistan with US$30 million, IDA Grant of US$100, Health Results Innovation Trust Fund (HRITF) of US$7 million, and ARTF of US$270 million.

Expected Results

• Increase births attended by skilled health personnel among lowest income quintile
• Increase PENTA3 immunization coverage among children aged between 12 and 23 months in lowest income quintile
• Increase contraceptive prevalence rate (using any modern method) 
• Increase the proportion of children under 5 years of age with severe acute malnutrition receive treatment
• Improve the score on the examining quality of care in SCs, BHCs, and CHC on the balanced scorecard.

Project Resources