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Improving the Quality of Health Services

Afghan Midwives

Improving the Quality of Health Services

I am a midwife by profession, I provide capacity-building support for the Midwives working in the health care system on quality improvement tools and high-impact health interventions. I also lead the activities with the Afghan Midwives Association, to collaborate on the capacity building of midwives, advocacy for the rights of midwives, and standardization of the midwifery profession through revision of curricula and standards. I also work with the American College of Nurse-Midwives on capacity-building activities for targeted midwives in different provinces.

Besides all that, of course, I have some managerial activities, like tracking activities at the provincial level and traveling to provinces—for instance, I recently visited some Provinces for a monitoring visit—to oversee the quality of maternal and neonatal health services. I visited some health facilities to observe the quality of services and the quality improvement programs.

Still, there are security threats and concerns in the country, especially for women. One of the biggest issues is that, under the new regime, a woman cannot travel without a Maharam, which is a male companion. I didn’t have a male companion to accompany me in traveling to the provinces, so I took my aunt with me. But, since we were two women traveling together without a male companion, the hotel would not give us accommodation to stay at night. Thankfully, our colleagues, allowed us to stay in their homes while we visited the provinces.

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