UNDP, through Global Fund resources, will support Afghanistan to maintain the prevalence of HIV below 0.1% among general population and below 5% among high-risk populations. Between 2011 and 2017, Afghanistan consistently increased its HIV testing rate through Voluntary Counselling and Testing Centers (VCTs), through provision of safe injection kits for PWID; provision of Opioid Substitution Therapy (OST), provision of condoms and provision of ART treatment for cases that tested positive in five centers in Kabul, Herat, Balkh, Nangarhar and Khost. The GF grant will support implementation of HIV services at drop in centers, mobile and community outreaches for key populations in 12 provinces of Afghanistan.
The HIV grant will continue prioritizing essential prevention services for key populations with geographical expansion to new provinces/cities and/or scale-up of population coverage in provinces/cities with ongoing services, including comprehensive harm-reduction services for injection drug users in the general population and in prisons. Treatment, care and support will be provided for all people living with HIV. The grant will support assessment and design of strategies and interventions to address human rights and gender equality issues. Additionally, technical support will be provided to the national AIDS control programme to strengthen the HIV surveillance, monitoring and evaluation systems for improved data quality and data use to guide programming.
The TB component of the grant will support the NTP to focus on two major technical gaps: low TB-case notification and insufficient Programmatic Management of Drug Resistant TB (PMDT). UNDP supported NTP to strengthen TB case detection and treatment and management of multidrug-resistant TB. The grant supported the construction of drug-resistant TB wards in five provinces of Afghanistan. UNDP will support NTP to continue current interventions with special emphasis on key affected populations; and maintain the basic framework of the NTP by funding its human resources, supplies and equipment and monitoring and evaluation (M&E) while enhancing interventions addressing human rights and gender-related barriers. UNDP will also strengthen key interventions to increase case notifications that have been implemented through Global Fund support.
UNDP through the RSSH grant will help the country in continuation of interventions with a strategic focus on: (i) increasing the number of female health care workers at the community level; (ii) improving and reorganizing the laboratory network and (iii) improving the national health management information systems (HMIS) to properly capture all relevant disease indicators at all levels of the health system. UNDP will support the implementation of new interventions: (i) establishing Family Health Houses (FHH) and female Health and Social Counsellors (HSC) to reduce gender disparities in access to services; (ii) involving private providers in insecure and/or remote geographical areas; (iii) strengthening community response and systems through capacity building for civil society organization working with key populations and women, and (iv) strengthening supply chain mechanisms, and giving support to the newly established drug regulatory system and quality assurance laboratories for quality monitoring and assurance of pharmaceuticals.
UNDP will support Afghanistan to ensure that the country is on track to eliminate malaria by 2030 as per the national malaria strategic plan which is aligned towards country development and the Sustainable Development Goals. UNDP supported the country in strengthening malaria case management and introduced rapid diagnostic tests at health post and community level. UNDP will help the country to improve enhanced case management through expanded access to early diagnosis and effective treatment at public health facility, community health workers and involvement of private providers. UNDP will support malaria vector control targeting universal Long-Lasting Insecticide Nets (LLIN) coverage in high-burden areas through mass and continuous distribution at ANC clinics. UNDP will support national malaria control programme to improve data quality and data use through full integration of malaria information flows into the national HMIS; and quality improvement of program management and implementation through strengthened human resources and capacity building at all levels.