Baghbanan Health Centre

The Abaseen Foundation has from the outset been engaged in the delivery of health services and currently operates a health centre which serves the Baghbanan area where the schools are located. It is next to NMS schools in a purpose-built unit. Initial funding was provided by Hope ’87 with donations from ANT Hiroshima (Japan) on about 1000 square yards of land donated free of cost by the community, a significant commitment.

The Abaseen Foundation was contracted to start health services in the building in 2010 with funding provided by Hope ’87, Proluka and the Austrian Development Agancy (ADA). AFPK was able to build and operationalise the BHC to provide essential services such as consultation and diagnosis, ante-natal and post-natal care, nutritional support , pathology and free or subsidized medication. Additionally health education health education and social mobilization activities were commenced and are ongoing.

The BHC saw 20,671 patients, from March 2011 to October 2012, including 3,100 girls and boys under 5 years and 7,000 women. In 2009, a comprehensive survey of 200 households in Baghbanan highlighted high levels of acute malnutrition (26.6%) and chronic malnutrition (43.1%), poor uptake of ante-natal care (14.3%), low levels of infant and child immunisation (20%) and financial problems faced at delivery (89%).

The 5,000 households of Baghbanan benefit directly from the health care services provided by the HC. In addition, there are indirect beneficiaries from the neighboring regions of Frontier Region Peshawar, FATA and the Afghan refugee camp in Shamshatoo (6-20km from Baghbanan) where there is currently very limited access to affordable primary health care provision.

There was a clear need to continue primary health care service provision for this chronically poor population beyond the end of the Hope’87 funding period, and to strengthen and extend the range of service provision including immunisation of women and children, reproductive health including family planning, health education, nutritional assessment, nutrition support for malnourished girls and boys under 5 years old, pregnant and lactating women (PLW).  In addition, an outreach worker programme to support dissemination of health messages needed to be implemented, and local  traditional birth attendants (TBAs), who have been trained in safe and effective birthing practices, needed to be utilised via a microcredit voucher scheme for reproductive health support. AF PK and AF UK were successful in securing funding for another 3 years from DFID to continue and expand the HCB services.

The DFID project concluded in 2016. Part of the agreement with DIFD was that minimal service user charges would continue to be charged throughout the project period and retained in order to sustain the project for at least a further two years beyond the life time of the project, to allow time to secure further funds for sustainability.

The current range of services include a range of curative and preventative services including consultations, Mother and Child Services, EPI, Nutritional support, Laboratory services, TB treatment and health education activities.

Nahaqi Hospital

The Foundation has a strong track record in delivering sustainable projects in healthcare. This included taking on responsibility for Nahaqi Hospital, our first project; a non functioning 22 bedded Government Emergency Satellite Hospital on the edge of Peshawar, its equipment, managing staff (who continued to be paid by the Government), and infrastructure. Today, through a unique partnership between the Government of Khyber Pakhtunkhwa and the AF UK and PK, the hospital is providing healthcare that makes a real difference to local people. It is regarded as the model “public/private partnership” in NWFP. Building on this experience, further health projects were undertaken including entering into a similar arrangement at Kabal Hospital, a government hospital in Swat and a range of mother and child community projects in Swat and Kohat. These projects attracted only fixed term funding, but importantly allowed us to test that the model we had developed was replicable. Our success in all these projects has encouraged us to further develop existing projects and look for new opportunities.