Where We Work

Afghanistan

photo of a family

Afghanistan Facts

  • bar graph
    6%
    of households use appropriate water treatment
  • pregnant woman
    1 in 14
    women dies from either pregnancy or childbearing
  • baby
    1 in 18
    children dies before their fifth birthday

Afghanistan suffers from some of the worst health indicators in the world. While the country has reversed declining health trends, attention is still required to improve health outcomes for women and children.

SHOPS Plus supports the Afghan Social Marketing Organization (ASMO), a leading non-governmental organization that promotes maternal and child health and family planning, in strengthening their impact and sustainability. The organization’s contribution to health in Afghanistan is significant. According to an analysis by the project, about 22 percent of women using modern contraceptives used products marketed by ASMO. Additionally, between 5 and 20 percent of users purchased ASMO’s oral rehydration salts, water treatment solutions, or iron supplement products.

Using a total market approach, SHOPS Plus's activities are aimed at increasing the geographic availability of ASMO’s products and decreasing gender barriers to access, increasing the reach and cost effectiveness of ASMO’s marketing efforts, and strengthening ASMO’s internal processes and systems to make it a more attractive investment to donors.

SHOPS Plus and ASMO have improved provider quality through training and detailing private sector providers on FP and MCH. By improving provider technical knowledge around areas such as eligibility criteria, side-effects and their management, and contraindications, providers are better able address client concerns, reduce prevalent myths and misconceptions and provide quality care.

Highlights from the activity from December 2016 through April 2020:

  • Provided over 880,000 couple years of protection through contraceptive sales, supported the disinfection of over 225,000,000 liters of drinking water and treatment of over 1,560,255 diarrheal episodes
  • Reached over 7,363,000 people with targeted messages via social media and nearly 1,050,000 beneficiaries through various social and behavior change activities
  • Launched four new products: iron folic acid tablets to address anemia in pregnant women in a new cost-efficient packaging, two strengths of Aquatabs water purification tablets for household water treatment, and progestin only pills to expand contraceptive options available in the private market
  • Conducted over 750 private provider detailing visits across Kabul and the 4 main urban provinces

Relevant research:

Program Components

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Sustaining Health Outcomes through the Private Sector (SHOPS) Plus is a five-year cooperative agreement (AID-OAA-A-15-00067) funded by the United States Agency for International Development (USAID). This website is made possible by the generous support of the American people through USAID. The information provided on this website is not official U.S. government information and does not represent the views or positions of USAID or the U.S. government.