Afghanistan has experienced decades of conflict, leading to the destruction of much of its social infrastructure, including the health system. JVC/YVO implemented the Basic Package of Health Services (BPHS) to provide essential healthcare to the rural population, with a particular focus on women and children.
Community Health Workers (CHWs) were primarily volunteers from the community, nominated by a Village Health Committee (VHC). They were trained, supervised, and supported by JVC/YVO and the BPHS. CHWs received reimbursement for their travel to health facilities and were provided with personal kits (including a toothbrush, toothpaste, hand soap, and a towel) as well as medicines for the villagers. Both male and female CHWs were engaged in these efforts.
Female CHWs played a critical role in facilitating female-only events and meetings. CHWs participated in national health campaigns when requested or employed to do so. In collaboration with village elders or leaders and the VHC, CHWs—both male and female—organized monthly meetings to address health issues within their communities.
Male VHCs often discussed environmental health concerns, such as access to clean drinking water and irrigation. Female VHCs, on the other hand, focused on maternal and child health issues. These included topics such as breastfeeding, nutrition for mothers and children, antenatal and postnatal care visits, and addressing family challenges (e.g., persuading mothers-in-law and husbands to support access to healthcare services). Additionally, they worked on arranging transportation for pregnant women to health facilities.