2025-01-08-世界卫生组织-HeRAMS_Afghanistan_status_update_summary_report_November_2024_48页_6mb

报告摘要

HeRAMS Afghanistan Summary Update Report November 2024: Analysis

Key Findings

Health Service Delivery Units (HSDUs):
- A total of 4,837 HSDUs were targeted, with 3,815 (87%) operational, 9 destroyed, 563 partially damaged, and 28 planned/closed/suspended.
- Water and sanitation services: 85% of facilities had water access, but 13% faced supply issues, and 87% lacked proper sanitation.
Health Service Availability:
- Operational services: Many health services are not functional.
- Maternal and child healthcare: 55% of HSDUs provided basic services like antenatal care.
- Non-communicable diseases (NCDs): 41% of facilities reported issues.
- Communication disease services: 32% lacked syndromic surveillance, and 52% did not have epidemic control.
- Equipment and infrastructure: Building damage (14%) and equipment failure (17%) are major barriers.
Health service challenges:
- Half of the facilities had staff shortages.
- Outpatient and diagnostic services were limited in many rural areas.
- 78% of facilities did not have functional waste management systems.
Partner Support:
- 70% of HSDUs received partial support, while only 8% received major support from partners.

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This summary highlights the ongoing challenges in the Afghan health system, including infrastructure deterioration, resource constraints, and operational gaps across essential services.

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