Baghbanan Health Centre

Baghbanan Health Centre

Baghbanan Health Centre is 20 kilometres South East of Peshawar. Baghbanan is a brick kiln community of 5,000 households of Afghan refugees, internally displaced people, and host population. They live in chronic rural poverty, with many households subsisting on an income of less than 1 US dollar per day. Children are born into bonded labour and start work on the brick kilns from an early age, and have limited life trajectories. Girls typically marry in their early teens and multiple pregnancies with short birth spacing are usual. The adult female literacy rate is less than 3% so intergenerational transfer of poverty is inevitable. Until 2011, this community had limited access to affordable local health care service provision. With the help of a grant from ANT – Hiroshima, Austrian Development Agency (ADA), Proloka and Hope’ 87 (2011 - 2013) AFPK was able to build and operationalize a HC to provide essential services such as consultation and diagnosis; ante-natal and post natal care; nutrition support; pathology and free medications. In addition, health education sessions and social mobilisation activities were implemented. The HC saw 20,671 patients, from March 2011 to October 2012, including 3,100 girls and boys under 5 years and 7,000 women. In 2009, a comprehensive survey of 200 households in Baghbanan highlighted high levels of acute malnutrition (26.6%) and chronic malnutrition (43.1%), poor uptake of ante-natal care (14.3%), low levels of infant and child immunisation (20%) and financial problems faced at delivery (89%).
There is a clear need to provide primary health care services for this chronically poor population, and to strengthen and extend the range of service provision including immunisation of women and children, reproductive health including family planning, health education, nutritional assessment, nutrition support for malnourished girls and boys under 5 years old, pregnant and lactating women (PLW).
There are a number of local health care providers in the community (Al-Khidmat hospital, UNHCR hospital and vaccination centre, plus local informal providers) which offer limited poor quality services at a high cost, and the nearest hospital providing institutional delivery is located in Peshawar.

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