GFF Partner Country Afghanistan
The GFF’s engagement in Afghanistan began in 2015 with a focus on transforming the country’s health service delivery model to expand access to quality care in most provinces, while also improving accountability and resource efficiency.
Support from the GFF, World Bank, and other partners contributed to improvements in several core maternal and child health indicators, such as more attended births, improved access for women and girls to contraceptives, and increased antenatal and postnatal care. Building on this progress, in 2020 the GFF supported the expansion of Afghanistan’s investment case (IC) to better align partner initiatives and resources around priorities.
Since the political crisis of August 2021, the GFF has been working closely with the World Bank and other partners to restore access to essential health services for women, children, and adolescents. These efforts include support to the World Bank to rapidly prepare the Health Emergency Response Project co-financed by the Afghanistan Reconstruction Trust Fund and the GFF. The GFF is also supporting technical working groups (co-chaired by WHO, the World Bank, and USAID) to facilitate the development of the Health Sector Transitional Strategy which aims to expand access to quality health and nutrition services and strengthen health system resilience.
Core RMNCAH-N Impact Indicators
The 8 GFF core impact indicators reflect updates aligned with the in-country survey schedule which optimally occurs once every three to five years to determine population-based changes in important health and nutrition outcomes. These indicators are core to the GFF Logic Model, to reflect impact of aligned interventions over time.
Under-five mortality rate is 55 per 1000 livebirths in the 5-9 year period preceding the MICS survey, source MICS 2022-23. Neonatal mortality rate is 25 per 1000 livebirths in the 5-9 year period preceding the MICS survey indicating a relative improvement, source MICS 2022-23.
The GFF highlights progress between the two most recent point estimates from population-based surveys approved by countries. The timing of the data points is dependent on when survey data are available, which introduces lags. In addition, it has been demonstrated that stillbirths tend to be under-reported in population based surveys1. For many of the indicators highlighted in this table, annual estimates are produced through global processes. The globally produced estimates can be found through the following sites:
Core Health Financing Indicators
The six GFF core health financing indicators track changes to country budget and expenditures with a focus on health spending, to monitor the expected impact of increasing the total volume and value of funding allocated to health and nutrition. The GFF partnership supports financing reforms by engaging with ministries of finance and ministries of health to strengthen mobilization of domestic resources as well as allocative and technical efficiency. These indicators are tracked through country-specific data sources such as BOOST, NHA, and budget reports. Expenditure data are tracked through the Global Health Expenditure Database (GHED), for which data are available through the end of 2018. Through measurement of budgets and expenditures, the GFF partnership aims to accelerate the expansion of interventions that are high-impact, cost-effective, affordable, and feasible to accelerate progress on universal health coverage and in achieving SDG targets.
Survey and Estimated RMNCAH-N Coverage
The RMNCAH-N coverage data includes a standard set of 15 RMNCAH-N coverage indicators from available population-based surveys from 2010 to the most recent available survey. These indicators show progress towards key goals across maternal, child, and adolescent health and nutrition outcomes. Additional key nutrition-sensitive and/or education-specific coverage indicators are presented for countries where the GFF co-finances a nutrition-focused World Bank project or where education is a strong focus of the IC.
The RMNCAH-N coverage data are sourced from the most recent available population-based surveys.
For additional indicators and historical data, please refer to the Primary Health Care(PHC) tab, where an additional range of RMNCAH-N survey data and visuals from previous years is available.
Resource Mapping
Resource mapping is a key component of the GFF approach. The resource mapping exercise helps countries assess funding gaps, align donor and government resources, and improve the efficiency and equity of health spending. Resource mapping data for each country varies based on whether countries have completed one or more resource mapping exercises.
Implementation Progress
GFF Country Engagement Theory of Change
The Country Engagement Framework highlights reforms prioritized by the country, and links them to output and outcome indicators which represent the measurable results that the reforms intend to help achieve. By selecting a specific reform within the drop down menu, the user can see the intended results that correspond with that reform as represented by specific output and outcome indicators. Where implementation progress is mature and data are available for output and outcome indicators, users can click on the arrow to access results in data section below.
Implementation Progress Data
The data in this section is aligned with the Afghanistan Theory of Change and data is provided for a selection of indicators from the Investment Case Results Framework, Health Financing priorities, and the World Bank Project as applicable. Please select indicators from the dropdown menu to view the data for each indicator. Where subnational data is available, the map will display subnational trends over time or the latest data available. Hovering over the map will display additional data for the select indicator. Clicking on a region will add it to the chart on the right. All data, including source information, may be downloaded by selecting the arrow to the right of the indicator dropdown menu.