Support to the MoPH for the FC Recovery Programme Afghanistan - Telemedicine (Feasibility Study)

Country: 
Afghanistan
Region: 
Area of competence: 
Health Facilities and Services
Donor organization: 
KfW (KfW Development Bank)
Start of Project: 
06/2018
End of Project: 
11/2018
Staff-month: 
189
Value of service: 
€ 69,568
Description of Project: 

Telemedicine services were already introduced in Afghanistan to various degrees by different services providers since 2006. The necessary horizontal and vertical integration of the services was lacking, however, as well as coordination between the different organizations offering such services. In this context, the German Foreign Office through KfW Development Bank intended to finance a feasibility study to assess (i) the feasibility of further improvement in the telemedicine facilities in the country especially in the Northern Provinces of Kunduz, Takhar, Badakshan and Balkh and (ii) investigate the possible needs for upgradation of the mother and child unit at the Aga Khan Development Network (AKDN)-operated Provincial Hospital in Faizabad so that the same can serve as a centre of excellence and hub for a telemedicine network in the region.
EPOS Health Management together with its sub-contractors International Virtual e-Hospitals (IVeH) and Mini Medical Services (MMS) and Tamadon Afghan Construction and Maintenance Group (TAG) was contracted by KfW on behalf of the Ministry of Public Health in Afghanistan to undertake the study.

Description of Services: 

Telemedicine services were already introduced in Afghanistan to various degrees by different services providers since 2006. The necessary horizontal and vertical integration of the services was lacking, however, as well as coordination between the different organizations offering such services. In this context, the German Foreign Office through KfW Development Bank intended to finance a feasibility study to assess (i) the feasibility of further improvement in the telemedicine facilities in the country especially in the Northern Provinces of Kunduz, Takhar, Badakshan and Balkh and (ii) investigate the possible needs for upgradation of the mother and child unit at the Aga Khan Development Network (AKDN)-operated Provincial Hospital in Faizabad so that the same can serve as a centre of excellence and hub for a telemedicine network in the region.

EPOS Health Management together with its sub-contractors International Virtual e-Hospitals (IVeH) and Mini Medical Services (MMS) and Tamadon Afghan Construction and Maintenance Group (TAG) was contracted by KfW on behalf of the Ministry of Public Health in Afghanistan to undertake the study.

The feasibility study focused on preparing a project aimed at expansion of telemedicine services in the four selected provinces of Afghanistan. The aim was to look at the needs based on three project components viz. (1) physical expansion of telemedicine services in the four provinces in order to enhance mother and child health in the area, particularly in remote areas; (2) Upgradation of small health facilities with regards to telemedicine services expansion connection; and (3) Upgradation of the Mother and Child Unit at the Provincial Hospital in Faizabad.

To this end, the following services were provided by the study team:

Assessment of:

The existing epidemiological profile of the country.
The existing telemedicine services providers along with services provided thereof.
The available functional healthcare services set up at the provincial level, district level and beyond.
Healthcare infrastructure, equipment, human resources and healthcare technology available in 84 healthcare facilities selected in consultation with the concerned District Health Provinces (including four hub hospitals).
E-health and other health human resource trainings available for the staff at the different levels of care.
Services demand for MCH services in Badakshan Province, especially Faizabad Provincial Hospital.

As a result, a feasibility study report was produced covering the needs and related costs for (1) physical expansion of telemedicine services (services and related equipment) in the four provinces (spread across 80 healthcare facilities); (2) minor rehabilitation needs (civil works) of the healthcare facilities selected; (3) training needs of the staff in the selected healthcare facilities and (4) optional construction of an MCH Unit in the Provincial Hospital in Faizabad.

Project Volume: 
€ 69,568