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Women’s Month Profile: Improving Health Care in Afghanistan

Submitted by Sally Cooper,
Communications and Knowledge Exchange Officer at USAID Tech-Serve

Women gather outside a health clinic in the western city of Herat. Dr.Zareena’s work with USAID Tech-Serve supports the Ministry of Public Health in providing quality health care to women across Afghanistan. Photo: Sally Cooper, USAID Tech-Serve

Dr. Zareena sits quietly at her desk in the corner of a large office, her attention focused on the files open on the laptop screen in front of her. “We are very busy here today,” she said, adding with a smile, “actually we are very busy here most days.”

Zareena works at Tech-Serve, a USAID-funded project building capacity at the Ministry of Public Health (MoPH). She works with health professionals at MoPH offices in USAID-supported provinces throughout the country, building their capacity to enable them to deliver quality health services for all Afghans. As part of a team looking after 17 provinces, Zareena’s days are full.

As a child growing up in Kabul through the years of the Russian occupation and the bloody civil war that followed, she recalls her family moving from neighborhood to neighborhood, escaping the fighting and seeking occasional refuge with relatives living in the provinces when the capital became too chaotic.

The fall of the Taliban government in 2001 re-opened a world of opportunities for young women like Zareena. After finishing school, with her family’s permission, she enrolled in the prestigious Kabul Medical University to pursue a career in health care. She was the first girl in her family to study, a choice that brought with it a raft of social pressures. “It was different,” she said, “but it was not wrong.”

After graduation, Zareena said, “I wanted to work in health and learn more.” She worked for a number of health-focused organizations, gaining valuable experience in each before joining Tech-Serve.

One area in which she is particularly interested is Tech-Serve’s leadership and management program which works with public health managers around the country to enable them to lead their teams, face challenges and achieve results. “It encourages me to develop my career in management so I can work for better health of women and all patients,” said Zareena.

Afghanistan has rebuilt its public health system from scratch in the last decade. More women are accessing quality health care than ever before for both themselves and their families. Progress has been slow but, as Zareena notes, “progress has been made. The health of mother and child is better than it was even three years ago.” In 2010, seventy five percent of Afghans seeking health care services were women and children under the age of 5.

But in 2011, Afghanistan’s future remains uncertain. Political tensions and a revived insurgency eat away at many of the gains made in the past decade, particularly for the country’s women. Asked what she thinks Afghanistan will be like in three years, Zareena shrugs. “I wish a brighter situation than today. We see the reality but we shouldn’t lose our courage.” She turns once more to her computer screen, “this is our hope.”

Technical Support to the Central and Provincial Ministry of Public Health (Tech-Serve) is implemented by the Afghanistan Ministry of Public Health and Management Sciences for Health.  Dr. Zareena’s name has been changed to maintain her privacy.

A Dispatch from the Tunisian and Libyan Border

Nancy Lindborg is the Assistant Administrator for the Bureau for Democracy, Conflict and Humanitarian Assistance at USAID on the ground. Photo Credit: USAID

Ras Jdir, Tunisia: I heard boisterous singing as I walked through the transit camp on the border between Tunes and Libya. There, forming a human chain to pass boxes of supplies into a tent, was a group of Tunisian youth, volunteering to assist the tens of thousands of migrants fleeing the conflict in Libya. They provided a welcome counterpoint to the blowing sand and steady flow of Bangladesh, Somalia, Malian and other migrants struggling across the border and into the transit camp.

Only weeks after the Tunisians sparked a regional revolution on January 14th, toppling the corrupt regime of Ben Ali and inspiring the world with their aspirations for freedom and democracy, Tunisians have once again mobilized. The newly installed government of Tunisia quickly provided security and support for transit camps. Citizens across the country have spontaneously provided food, water and blankets, and driven to the border to volunteer. The energetic singers I encountered were part of a group of 40 Boy Scouts who came eager to help. There was a palpable sense of pride in their ability to organize and act in this new era of freedom.

Some 80,000 Tunisians worked inside Libya, alongside the more than a million guest workers from around the world — 200,000 have fled thus far. Already 30,000 Tunisians have returned, often to the poorer communities in the south, which means an influx of unemployed workers and loss of remittances. At the same time, the economy is reeling from loss of tourism in the wake of recent events and loss of important commerce with Libya. And yet, Tunisians, including those in these hardest hit communities, have generously reached out, determined to help.

I traveled with Eric Schwartz, Assistant Secretary for Population, Refugee and Migration at the U.S. Department of State to understand better the needs arising from the conflict now engulfing Libya. While there, we announced $17 million of urgent assistance, bringing the total U.S. Government aid to $47 million. Our assistance to-date has gone to UN organizations on the frontlines of managing the camps and transport, to international NGOs able to provide critical help to those still inside Libya, as well as to the Tunisian Red Crescent Society, now an important conduit for volunteers.

Our new funding will target urgent assistance to the Libyans who are still trapped inside a bloody conflict as well as enabling support for those communities in southern Tunisian hardest hit by this crisis. We are inspired by them and as Americans, we are proud to mobilize alongside them in this time of crisis.

I also stopped to talk with two migrants from Bangladesh. They had worked in Libya for a year, but had not received wages for several months. Their employer abruptly shut down the construction project where they had worked. Fearful of the rising violence they headed to the border and along the way were robbed of their remaining money and cellphones. When we met, they had joined the 40 Boy Scouts, inspired as well.

Nancy Lindborg is the Assistant Administrator for the Bureau for Democracy, Conflict and Humanitarian Assistance at USAID.

USAID Administrator Statement on the Passing of Ambassador Richard Holbrooke

The following is a statement from United States Agency for International Development (USAID) Administrator Dr. Rajiv Shah on the passing of Ambassador Richard Holbrooke.

“Last night, we received the sad news that Richard Holbrooke passed away. Richard’s passing will be deeply felt by his family, those he worked with and those he served.

Much has been mentioned about Richard’s tireless commitment to diplomacy, one that stretched across five decades and was marked by incredible accomplishment-supporting the Paris peace talks as a foreign service officer in Vietnam, helping to normalize our relations with China as the youngest ever Assistant Secretary of State for East Asian and Pacific Affairs, and designing the Dayton Accords that ended the war in Bosnia. He was one of this nation’s finest, most dedicated public servants and architects of peace.

But Richard was also deeply committed to development. He worked at USAID in the early years of his career and was a relentless champion of development in this country’s foreign policy pursuits. As Ambassador to the United Nations, Richard elevated the cause of AIDS and the concerns of Africa to the top of the international agenda. And most recently, as Special representative to Afghanistan and Pakistan, he recognized the critical role development played in countering and ending violent conflict.

Islamabad, January 13, 2010 – U.S. Special Representative for Afghanistan and Pakistan Ambassador Richard Holbrooke exchanges signed documents with Mr. Shahid Rafi, Secretary of the Ministry of Water and Power Photo Credit: U.S. Embassy in Pakistan

The late U.S. Special Representative for Afghanistan and Pakistan Ambassador Richard Holbrooke exchanges signed documents with Mr. Shahid Rafi, Secretary of the Ministry of Water and Power Photo Credit: U.S. Emabssy in Pakistan

I know many of you have worked closely alongside Richard and learned much from him.  As a colleague and friend, he pushed us to excel and brought his tremendous intellect and diplomatic tact to our shared mission.  I will be forever grateful for his friendship, mentoring and support and will deeply miss his larger-than-life personality.

Please join me in extending condolences to his wife Kati and the rest of his family, and let us honor Richard’s enduring contributions both to his country, and to the cause of peace around the world.”

Palestinian Authority Capacity Enhancement Project Reaches Community Through Cartoons

The Palestinian Authority Capacity Enhancement (PACE) project is working to develop a more professional and competent public administration and civil service within the Palestinian Authority (PA), and to provide more effective, efficient and responsive services and benefits to the Palestinian people.

The project has produced a series of 30 humorous cartoon episodes educating Palestinians about issues concerning democratic behaviors, health and safety issues, etc. The cartoons are broadcast on Palestinian local TV stations. This is an new and innovative approach to pass educational messages to the Palestinian public.

It  has two primary objectives: a short-term focus on the delivery of improved services and a medium-term focus on capacity enhancement of government institutions. The project is currently working with five partner ministries: Ministry of Finance (MOF), Ministry of Transportation (MOT), Ministry of Interior (MOI), Ministry of Telecommunications and Information Technology (MTIT), and the Ministry of Public Works and Housing (MOPWH).

A Comprehensive Approach to Yemen

Cross-posted from  The White House Blog

On Friday, U.S. officials participated in a meeting of the Friends of Yemen in New York, marking an important occasion to coordinate international support for Yemen. The meeting also provides a good opportunity to discuss the United States’ comprehensive approach to assist Yemen.

Much of the press attention about U.S. efforts regarding Yemen has focused on efforts to combat Al Qaeda in the Arabian Peninsula (AQAP).  There is no doubt AQAP is a serious threat to Yemen, the United States, and our allies.  This was vividly demonstrated by the attempted bombing of Northwest Airlines Flight 253 on December 25, 2009, as well as by AQAP attacks in Yemen and Saudi Arabia. In response to this threat, in the past year the Yemeni government has conducted operations that have helped disrupt AQAP’s operations, but AQAP remains dangerous.  AQAP has conducted retaliatory attacks against Yemeni forces, and continues to plot additional attacks against the United States.  The United States strongly supports the Yemeni government’s efforts, and is providing it security assistance to increase its capacity to counter the AQAP threat.  The United States has also designated AQAP and its leaders as terrorists domestically and through the United Nations in order to prevent their travel and restrict their access to the international financial system.  At the same time, the United States and our international partners are strengthening international air travel security in order to prevent future attacks by AQAP or other terrorists.

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After-School Activity Changes a Student’s Outlook and Plan for Future

Malek Haidar, a fourteen-year old student at Zahle Public School has benefited from extracurricular activities. Photo Credit: USAID/Lebanon

Submitted by Elias Alhaddad

Lebanon Education Assistance for Development (LEAD) has inspired Malek Haidar to change his plans for the future by providing him the opportunity for after-school activity.

Malek, a fourteen-year old student at Zahle Public School, used to skip school and was nearly expelled for poor behavior and attendance.  Then he was required to improve his behavior in order to be accepted in a school play.

Taking an important role in the play, the role of a mother, helped change Malek into a disciplined hard working student, with the dream of becoming a professional actor.  “I know that to become an actor I will have to work hard and doing well in school is a large part of that,” said Malek.

The change in his attitude was noticeable to his parents, friends, and teachers, who were amazed at his discipline and new perseverance to attend all classes.  “He was no longer the same person.  There was a 180 degree change.  He was no longer a burden but a pleasure,” observes Maria Hadchiti, the school’s principal.

Implemented by the International Orthodox Christian Charities (IOCC), this extra-curricular activity is one of over 160 similar programs throughout Lebanon, which foster a positive school spirit and environment and develop creativity among teachers and students.  These USAID-funded activities include sporting events, health and craft fairs, and community enriching activities.  To date, IOCC has assisted 228 public schools throughout Lebanon and  supported more than 110 school clubs and 116 parent-teacher associations under the LEAD program.

This Week at USAID – August 16, 2010

Administrator Shah will officially swear-in Alex Dickie to be the Mission Director-designate to Iraq and Mike Harvey to be the Mission Director-designate to West Bank Gaza.

Secretary Clinton gives a speech on the Global Health Initiative (GHI) at the Johns Hopkins University Paul H. Nitze School of Advanced International Studies.  The GHI is building on the Bush Administration’s successful record in global health, and taking these remarkable achievements to the next level by further accelerating progress and investing in sustainable health delivery systems.

Improving Government Services for Palestinians

Submitted by Jan Cartwright

USAID is helping the Palestinian Authority (PA) provide its constituents with more effective, efficient, and responsive services through an initiative called the PA Capacity Enhancement (PACE) project.

Watch this short video to see what a difference USAID-funded renovations to the Nablus and Hebron Licensing Bureaus and the Hebron Ministry of Interior Office of Civil Affairs have made to citizens.

“The difference is really big when you compare before to after,” said Amir Abdullah Abu Ayad, citizen of Hebron.  “Where before people were everywhere and it [Hebron Licensing Bureau] was full of smoke, now it’s excellent and civilized.”

The video below provides an overview of the USAID-supported PACE project.

USAID’s Mission in West Bank and Gaza helps people living there lead healthier and more productive lives.  Since 1994, the U.S. Government has provided $2.9 billion through USAID to implement a development program in the West Bank and Gaza.

Jordan Celebrates International Youth Day

Bashar Al-Farajat, (age 18) from Wadi Mousa registers for one of the USAID-funded projects with a youth component during the USAID-funded International Youth Day 2010. August 5th 2010 Petra – Jordan Photo: USAID/Jordan

More than 650 youth from across the Kingdom of Jordan gathered at a mountain top over looking Petra last week to celebrate International Youth Day.  The day long celebration included Jordanian music and folk dances, contests, sketches, and workshops.

During his remarks to the participants, USAID|Jordan Mission Director Jay Knott quoted King Abdullah II saying that “youth of Jordan are the hope of the future.”

The event was hosted with the support of Chairman Mr. Ahmad Al-Masarwah of the Higher Council for Youth and eight of USAID’s partners.

In a joint press conference at closing ceremony, Al-Masarwah and Knott called for establishing a youth television and radio station, saying that it is essential in giving the youth a voice.

This is the third consecutive year that USAID|Jordan has hosted an International Youth Day event.

USAID – From the Field

Submitted by Abby Sugrue

In Egypt USAID is supporting the Ministry of Health (MOH) by providing full, two-year scholarships for a total of 25 ministry employees to attend U.S. – based MBA programs. This program targets a small number of employees who have leadership potential to be change agents to implement Egypt’s health sector reform program; and it responds to the country’s need to develop a cadre of business-minded professionals. In addition to their academic studies, the students are expected to participate in an internship activity during their two years to practically apply the skills they are learning.  Past participants returned to Egypt and are now serving in critical positions in the Ministry of Health, contributing new knowledge and experiences to improve health programs, policies and procedures.  Through this successful partnership USAID is significantly contributing towards improving health coverage of underserved populations and strengthening the technical and managerial capacity of the Egyptian health sector.

In Lebanon the Opening of the “Live Akkar” trade fair that will increase awareness, visibility, and sales of local products and services of Akkar.  This four-day trade fair will open its doors again to visitors from Akkar, the North and all of Lebanon.  This trade fair will increase awareness, visibility, and sales of local products and services of Akkar.  It will also stimulate local enterprises, agriculture, and tourism.  “Live Akkar” will feature around seventy enterprises from Akkar exhibiting agricultural products, local foods, handicrafts, garments, and other items.   Presentations on local production of commodities such as dairy, olive oil and mushrooms will be provided  by experts on a daily basis.  In addition, the trade fair will have cultural and family attractions including  daily performances by popular local artists, puppet shows and traditional music concerts.

In Dominican Republic a press trip to The Salto de Jimenoa, which was recently declared as National Protected Area. The Ministry of Environment and the USAID Environment Protection Program will lead a discussion with media attending the importance of this area and the benefits it provides to surrounding communities. The main highlight is protecting the environment and biodiversity of the area and the importance of hydraulic resources that the Salto de Jimenoa provides.

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