Supporting Health Sector Resiliency in Afghanistan


The USAID-funded Health Sector Resilience (HSR) project managed by Palladium supports the Government of the Islamic Republic of Afghanistan to foster a strengthened, reformed, and increasingly self-reliant Afghan health system. The aims are to improve health sector governance and accountability, increase government financing for priority health services, and strengthen human resources systems and operations at the Ministry of Public Health (MoPH). ThinkWell provides technical support and capacity building to the Health Economics and Financing Directorate (HEFD) of MoPH. ThinkWell’s work includes building capacity by facilitating trainings and exchanges with other countries for HEFD. In addition, we engage in joint analytical work, such as fiscal space analysis for the health sector to identify and assess potential sources of revenue for the health sector, developing an investment case for health, supporting the setting of strategic directions towards achieving universal health coverage, and designing and supporting the implementation of an advocacy plan for the MoPH to increase domestic resources for health.

Achievements in Year 1 (2015-2016)

  • Supported the design of an advocacy plan informed by actors analysis to tailor strategies and key messages to key target audiences like the Ministry of Finance and members of parliament
  • Strengthened the capacity of the MoPH to understand the fundamentals of advocacy and conduct an effective advocacy campaign
  • Strengthened the analytical skills of the HEFD through joint preparation and dissemination of a fiscal space analysis report and policy brief
  • Supported the MoPH’s Health Economics Exchange Forum (HEEF) by organizing a webinar on user fees, linking Afghanistan with practitioners from other countries to learn about regional and international experiences

Achievements in Year 2 (2016-2017)

  • Supported the implementation of the strategic advocacy plan
  • Developed a position paper to support MoPH articulate a vision for achieving UHC in Afghanistan
  • Prepared an investment case for health to demonstrate the health, economic, and social returns of increased domestic financing for health
  • Prepared an in-depth analysis of opportunities for raising additional resources for health by introducing earmarked taxes
  • Supported HEEF by organizing webinars on provider payment mechanisms and universal health coverage drawing on the experiences of Kyrgyzstan, Thailand, and Turkey
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