Udenrigsudvalget 2009-10
URU Alm.del Bilag 269
Offentligt
Årsberetning 2009-2010
Den Danske Afghanistan KomitéAnnual Report 2009-2010
The Danish Afghanistan Committee
3
DAC’s bestyrelse / The DAC BoardFormand/Chairman: Viggo FischerNæstformand/Vice Chairman Overlæge/Senior Surgeon: Ole J. SiemssenKasserer/Treasurer Cand.Mag/MA: Lene IngvartsenLægekonsulent/Medical Adviser: Ole Frank NielsenOversygeplejerske/Head Nurse: Helga SchwedlerOverlæge/Senior Surgeon: Siems J. SiemssenLektor/Senior Master: Andrea Rømer LauritsenStedfortrædere / Substitute MembersSygeplejerske/Nurse: Merete RønnowOverlæge/Senior Surgeon: Alexander SchultzStud.polit/Student of Economics: Asma BarlianDAC’s Rådgivergruppe / DAC’s Advisory BoardFormand/Chairman Overlæge/Senior Surgeon: Jens Krogh ChristoffersenIngeniør/Engineer: Bashir FanaSkoleinspektør/Principal: Palle MaagLæge/Doctor: Per SteinøDAC, HeratProjektdirektør/Project Director: Inge-Lise AaenProjektadministrator/Project Administrator: Sumitra MukherjeeDAC House, Jadah Mahbas, Region 1, HeratDAC, København (CPH)Projektkoordinator/Project Coordinator: Mingo Heiduk TetscheProjektassistent/Project Assistant: Stine Dechmann (Barsel/Maternity leave)Projektassistent/Project Assistant: Julie Jeeg (Barselsvikar/Maternity replacement)Gl. Køge Landevej 115, 2,2500 ValbyBidrag/ContributionsDACKvindekollegiet/Female dormitoryEigil Jensen
Konto: 5400 – 1787131, SydbankKonto: 8075-1195720, SydbankTel/Fax: +45 32 50 34 93
Årsberetning 2009-2010Redaktion: DAC KøbenhavnFoto: Mingo Heiduk Tetsche, Inge-Lise Aaen, Elisabeth PetterssonGrafisk design: Rie Jerichow
Annual Report 2009-2010:Editorial Staff: DAC CopenhagenPhotos: Mingo Heiduk Tetsche, Inge-Lise Aaen, Elisabeth PetterssonGraphic Design: Rie Jerichow
DEN DANSKE AFGHANISTAN KOMITÉ
2009-2010
THE DANISH AFGHANISTAN COMMITTEE
FormandensberetningDet forløbne år - 2009-2010 - har været resultatrigtfor Den Danske Afghanistan Komité (DAC). Der ertaget nye initiativer, og det hidtidige arbejde er blevetstyrket. DAC har således fortsat kunnet yde en omfat-tende indsats for at sikre den afghanske befolkningi de dele af Herat-provinsen, hvor vi arbejder, sund-hedsfaglig behandling og vejledning - i overensstem-melse med projektets målsætning.Det økonomiske grundlag har været tilvejebragtved en ny bevilling fra Udenrigsministeriet (Danida).I første omgang har vi fået en bevilling frem til januar2011, dog med en mundtlig tilkendegivelse af, at vikan forvente støtte i yderligere tre år. Det betyder, atvi her til efteråret skal søge en ny bevilling. Ikke pågrund af uvilje fra ministeriets side, men som følgeaf at pengene nu kommer fra den humanitære kassemed et-årige bevillinger. Ud over støtten fra Danidamodtager vi fortsat mange og værdsatte frivillige bi-drag og donationer.DAC’s fokus har det seneste år, ud over den hidtidigeindsats, især været på børne- og mødresundhed tilgavn for befolkningen i de afsidesliggende landom-råder samt på videreuddannelse af det afghanskesundhedspersonale.I den forbindelse har DAC sendt nogle af de af-ghanske ansatte på kurser i resten af Afghanistansamt i udlandet og har derudover igen i år haft dyg-tige, danske korttidskonsulenter udsendt til Herat.Jordemoder Mette Opstrup har været på GozarahDistriktshospital (GDH) i efteråret 2009 og er i skri-vende stund på vej til sit andet ophold for at rådgiveog vejlede de afghanske kvinder om graviditet ogfødsel.Derudover har sygeplejerskerne Elisabeth Pet-tersson og Elin Petersen været i Herat for henholds-vis anden og tredje gang med det formål at videreud-vikle og konsolidere den opbyggede viden og styrkegode procedurer omkring spædbørnspleje og hygi-ejne. Både Elisabeth og Elin befandt sig i Obeh, dader i maj i år indtraf et alvorligt mudderskred medstore menneskelige og materielle omkostninger tilfølge. De to ydede sammen med vore afghanske med-arbejdere en enestående og hurtig hjælpeindsats,hvilket DAC siger dem alle mange tak for. Hertilkan det oplyses, at mange af de afghanske medarbej-dere udtrykte stor stolthed over DAC’s samlede nød-hjælpsindsats i forbindelse med katastrofen, menogså over projektets generelle arbejde. Medarbej-dernes tilfredshed med at arbejde i projektet, deresarbejdsiver og store engagement er noget, som DACsætter meget stor pris på.Projektdirektør Inge-Lise Aaen og projektadmi-nistrator Sumitra Mukherjee har også i de forløbne12 måneder lagt stor energi og kompetence for dagen,hvilket har givet mange positive resultater.Der er også sket en betydelig styrkelse af arbejdetude i distrikterne, idet Dr. Sohail, hidtil resultatrigdistriktsdirektør i Obeh, har fået ansvaret for alt op-søgende arbejde (outreach) i alle distrikter.
Words fromthe ChairmanYear 2009-2010 has been successful for the Danish Af-ghanistan Committee (DAC). DAC has started new initia-tives and the existing work has been strengthened. Thus,DAC has been able to continue making an extensive ef-fort providing health care treatment and guidance to theAfghan people in our target districts – in line with theproject document.The financial base has been provided by a new grantfrom the Danish Ministry of Foreign Affairs (Danida). Wehave been given a grant up to January 2010. However,Danida has by a verbal agreement, ensured that we canexpect financial support for three more years.The one-year-grant is not due to reluctance on theMinistry’s part, but is a result of the grant now being giv-en from Danida’s humanitarian funds, providing only one-year grants. By verbal agreement Danida has ensuredDAC its support until February 2014, and an applicationfor next year’s grant will be submitted to Danida shortly.Additional to the support from Danida, DAC still receivesmany appreciated voluntary contributions and donations.Over the past year, DAC’s area of focus has, apart fromthe existing work, especially been on mother and childhealth for the benefit of the population in the remote ar-eas, as well as on further education of the Afghan health-care professionals. In this connection, DAC has sent someof the Afghan employees to other parts of Afghanistan andabroad in order for them to attend educational coursesand seminars, and furthermore, DAC has once again sentcompetent Danish short-term expats to Herat. MidwifeMette Opstrup has visited Gozarah Districts Hospital(GDH) in fall 2009 and is at the time of this writing, onher way to her second visit to GDH to guide and advice theAfghan women on pregnancy and birth.In addition, Hygiene Nurse Elisabeth Pettersson andPediatric Public Health Nurse Elin Petersen have visitedHerat for the second and third time respectively in order toconsolidate and further improve the achieved knowledgeand strengthen the good procedures in relation to hygieneand the general care of babies. Both Elisabeth and Elinwere in Obeh, at the very moment when a serious mudslide flooded the city resulting in major human and mate-rial damages. Both of them made an exceptional emergen-cy relief effort together with our Afghan employees, whichDAC would like to give all of them a heart-felt thanks for.In this context, it is worth mentioning that many of DAC’sAfghan employees expressed strong pride in DAC’s over-all efforts in relation to the disaster, and also in relation tothe general work of the project. The employees’ satisfac-tion and zeal for working in the project as well as theircommitment are highly appreciated by DAC.During the last 12 months, Project Director Inge-Lise Aaen and Project Administrator Sumitra Mukher-jee have also showed great enthusiasm and compe-tence, which have given many positive results.The work in the districts has also been strengthenedconsiderably as Dr. Sohail, a successful director who for-merly has been working successfully as district directorin Obeh, has been given the overall responsibility for allDAC’s outreach work.
Det skalfremhæves,at komiteensstørste enkelt-aktivitet, GDH,i det forløbneår af denafghanskeregering erblevet kåret tilnationaltmodel-distrikts-hospital.
It is worthunderlining thatDAC’s majorsingle acti-vity, GDH, waschosen to be anational modeldistrict hospitalby the Afghanauthorities.
3
DEN DANSKE AFGHANISTAN KOMITÉ
2009-2010
THE DANISH AFGHANISTAN COMMITTEE
Viggo Fischersammen medafghanskekolleger underprojekttilsyneti slutningen afmaj 2010.Viggo Fischeralong withAfghancolleaguesduring theannual projectvisit in lateMay 2010.
På DAC Københavns kontor i Valby er StineDechmann, som studerer international virksomheds-kommunikation ved CBS, i marts ansat som studen-termedhjælper og har blandt andet været medvir-kende til at styrke DAC’s informationsarbejde. Stinegår på barsel fra 1. oktober og forventes at vendetilbage til DAC næste efterår. I mellemtiden tiltræderbarselsvikar Julie Jeeg, som læser sociologi på LundsUniversitet.For DAC’s position udadtil i Afghanistan skal detfremhæves, at komiteens største enkeltaktivitet,GDH, i det forløbne år af den afghanske regering erblevet kåret til nationalt model-distriktshospital,som læger, sygeplejere og sygehusadministratorerskal lære metoder fra i behandling, forebyggelse ogledelse. Kåringen er glædelig. Indsatsen i Herat harhele tiden haft som mål at fremstå som forbillede.At DAC’s måde at gøre tingene på fremhæves af deafghanske myndigheder som et eksempel til efter-følgelse i det øvrige afghanske sundhedssystem ernaturligvis tilfredsstillende.Herudover har DAC været godt i fokus i de dan-ske medier. Blandt andet har journalist fra KristeligtDagblad Ulla Poulsen samt freelance journalist KeldBroksø begge besøgt Herat. Det er der er kommet enflot mediedækning ud af. Læs mere herom på de kom-mende sider under ”DAC i medierne”.For så vidt angår outreach-indsatsen i Herat, detvil sige bestræbelserne på at komme ud i de mangesmå, isolerede samfund, er dette fortsat en af DAC’shovedaktiviteter. Et nyt initiativ blev igangsat iforåret. Det drejer sig om kvindelige familierådgivere,som er nøglepersoner, der skal uddannes til at kunneundervise og rådgive kvinderne i deres landsbyer ibørne- og mødresundhed, herunder især sygdomsfore-byggelse. Herudover har vores mobile sundhedshold,de lokalt aktive mand-kvinde landsbyudviklingsholdsamt de stationære landsbysundhedsarbejdere ogsåskabt positive resultater for de afsidesliggende smålandsbyer, hvilket der kan læses mere om på de næstesider.
Stine Dechmann, who studies International BusinessCommunication at Copenhagen Business School, hasbeen employed as a part-time project assistant with DACCopenhagen since March 2010. Among other things, Stinehas contributed to the strengthening of DAC’s informationwork. Stine is going on maternity leave from October 12010 and will return in fall next year. Julie Jeeg, who isstudying sociology at Lunds University, will replace Stineuntil her return.In relation to DAC’s position in Afghanistan, it is worthunderlining that DAC’s major single activity, GDH, waschosen to be a national model district hospital by the Af-ghan authorities in late summer 2009. This means thatdoctors, nurses, and hospital administrators from all overAfghanistan are supposed to learn procedures and meth-ods in relation to treatment, disease prevention, and man-agement from GDH.The appointment of GDH as a model district hospitalis of course encouraging. It has always been an objectiveto make the work in the Herat Province inspirational.The fact that DAC’s working practices are emphasized bythe Afghan authorities in order to inspire the rest of theAfghan healthcare system is certainly gratifying.Furthermore, DAC has attracted positive attention inthe Danish press. Among other things, journalist from theDanish newspaper Kristeligt Dagblad Ulla Poulsen andfreelance journalist Keld Broksø have both visited Herat,which has resulted in an impressive press coverage. Readmore on this subject under “DAC in the press”.DAC’s outreach effort in Herat – the effort to reach theremote and isolated villages – is still one of DAC’s mainactivities. A new outreach initiative was established inspring 2010. This initiative involves so called FemaleFamily Advisors (FFAs), who are key advisors educatedto teach and counsel the women from their villages in re-lation to mother and child health, including disease pre-vention. Moreover, our Mobile Teams, our locally activemale-female Village Health Development Teams andour Community Health Workers have performed wellin order to create positive results for the remote vil-lages, which will be elaborated on the following pages.
4
DEN DANSKE AFGHANISTAN KOMITÉ
2009-2010
THE DANISH AFGHANISTAN COMMITTEE
Der er ingentvivl om, atglæden overat have fåetadgang til rentdrikkevand ermeget stor. Detblev fremhævet,at man alleredekan konstateresundhedsmæs-sige forbed-ringer som foreksempel etmarkant faldi antallet afdiarré-tilfælde.
There is nodoubt that theexcitementover the newlygained accesto safe water isremarkable. Itwas emphasizedthat by now it isalready possibleto point outhealth-relatedimprovements,including anotable declinein cases ofdiarrhea.
Indsatsen ude i lokalsamfundene har været be-gunstiget af en forbedret sikkerhedssituation i He-rat-provinsen. En lokal oprørsleder, der angivelig vari ledtog med Taliban, fik chancen for at overgive sigDa han nægtede, satte myndighederne, efter sigendetilskyndet af lokalbefolkningen, en væbnet aktioni gang, der har givet mere ro. Afghansk militær ogpoliti er mere synlig end tidligere. Vi kan naturligvisikke vide om denne stabilitet fortsætter, og områdetrammes undertiden af selvmordsbombere og bort-førelser, ofte knyttet til pengeafpresning.Vi havde lejlighed til ved selvsyn at konstatereden forbedrede sikkerhed i forbindelse med det årligeprojekttilsyn i slutningen af maj. Her havde vi heltnye muligheder for at komme rundt i projektområdet,også til afsidesliggende landsbyer. Deltagerne i tilsynetvar DAC’s kasserer Lene Ingvartsen, bestyrelsesmed-lem Andrea Rømer Lauritsen, projektkoordinatorMingo Heiduk Tetsche, journalist Keld Broksø samtundertegnede. Vi fik blandt andet tilset tre landsbyermed nybyggede brønde – nogle af de konkrete resulta-ter af sidste års indsamling. Der er ingen tvivl om, atglæden over at have fået adgang til rent drikkevand ermeget stor. Det blev fremhævet, at man allerede kankonstatere sundhedsmæssige forbedringer som foreksempel et markant fald i antallet af diarré-tilfælde.Situationen i landet som helhed kan næppe be-skrives i få ord. Der er som bekendt betydelige sikker-hedsmæssige problemer i andre dele af landet, og deter ingen hemmelighed, at landet plages af korruption,især på centralt plan. Set fra undertegnedes syns-vinkel vil det være nødvendigt i de kommende år vedfordelingen af international støtte at lægge mere vægtpå decentralisering og på den lokale og den regionaleudvikling. Udviklingen i Herat-provinsen viser, atet tæt samarbejde mellem de udenlandske ”private”hjælpeorganisationer – NGO’erne – og de afghanskelokale myndigheder er en god kombination til at opnåresultater. I den forbindelse skal der særligt rettesen tak til Dr. Rashid, direktør for det regionale sund-hedsministerium i Herat, for det gode samarbejdesamt til det italienske militærs genopbygningshold(PRT) for støtte under katastrofen i Obeh.Afslutningsvis vil jeg gerne rette en varm tak til voreafghanske ansatte for deres ihærdige indsats. De yderet vigtigt bidrag til en bedre fremtid for deres land. Eteksempel til efterfølgelse. Ligeledes tak til vore med-lemmer, samarbejdspartnere og donorer uden hvisstøtte, DAC’s resultater slet ikke var mulige. Dettegælder blandt andre MultiCenter Syd og BendixTransport, der tager sig af DAC’s indsamlede mate-riale. Den fortsatte støtte, økonomiske bidrag, udstyrog beklædning (se under ”Donationer”), gør det muligtfor DAC ikke mindst at give indsatsen en social vinkeltil gavn for udsatte grupper, der ikke er dækket afDanida-projektet.Med venlig hilsenp.b.v.Viggo Fischerformand
The efforts in the remote villages have been favoreddue to an improved safety and security situation inHerat Province. A local insurgent leader, who allegedlywas in league with Taliban, was given an opportunityto surrender. When he refused, the authorities startedan armed action, which the local population reportedlysupported, and which has resulted in this a relativelypeaceful situation. Furthermore, the Afghan militaryand police have become more visible in the province. Ofcourse, we cannot possibly know whether this stabili-zation continues, given the fact that suicide bombs andkidnapping – the latter often related to extortion – nowand then occurs in the Herat Province.In connection with our annual project visit in lateMay, we could ascertain for ourselves that the securitysituation had improved. We were able to move aroundfreely in the whole project area - including the remotevillages. The participants on this year’s project visitwere DAC’s treasurer Lene Ingvartsen, board memberAndrea Rømer Lauritsen, project coordinator MingoHeiduk Tetsche, journalist Keld Broksø and the un-dersigned. We got to see three villages with newly builtwells – the actual results of last year’s fundraising cam-paign “Water against War”. There is no doubt that theexcitement over the newly gained acces to safe wateris remarkable. It was emphasized that by now it isalready possible to point out health-related improve-ments, including a notable decline in cases of diarrhea.Overall, the situation in Afghanistan is hardly de-scribable. It is a well-known fact that there are serioussafety-related problems in other parts of Afghanistan,and it is no secret that the country is afflicted by corrup-tion, especially at the central level. Seen from the un-dersigned’s point of view, in the years to come it will benecessary to place greater emphasis on decentralizationand on the local and regional development as regardsthe disposition of international support. The develop-ment in the Herat Province proves that a close co-ope-ration with the NGOs and the local Afghan authoritiesis fruitful in order to obtain results. In this connection,DAC would like to express our sincere thanks to Dr.Rashid, director of Regional Ministry of Public Health,for the good cooperation and also to the Italian Provin-cial Reconstruction Team (PRT) for the support duringthe disaster in Obeh.Finally, I would like to offer our Afghan employees mybest thanks for their dedicated effort. Their contributionto a better future for their country is of great importance– and an example for others to follow. Many thanksalso to our members, cooperating partners, and dona-tors. Without your support, DAC’s initiatives and re-sults would not be possible. Among others, this includesMultiCenter Syd and Bendix Transport Denmark A/Swho manage DAC’s collection of donated materials. Thecontinuous support, contributions, and items of clothing(cf. “Contributions”) make it possible for DAC to placethe project at a social angle for the benefit of vulnerablegroups, who are not covered by the Danida project.Sincerely,On behalf of the BoardViggo FischerChairman
5
DEN DANSKE AFGHANISTAN KOMITÉ
2009-2010
THE DANISH AFGHANISTAN COMMITTEE
Udviklingen isundhedsprojektetI det forgangne år er der sket væsentlige fremskridtpå Gozarah Distriktshospital (GDH) samt sundheds-klinikkerne i Obeh og Pashtoon Zarghoon.
Health ProjectDevelopmentThe past year has generated considerable progressat Gozarah District Hospital (GDH) and the healthcenters in Obeh and Pashtoon Zarghoon.
GDHEt år med fremgang på GDH skal ikke mindst ses i lysetaf at hospitalet i sensommeren 2009 af Herat-provinsenssundhedsmyndigheder blev kåret til model for efterlign-ing i hele Afghanistan på grund af dets høje faglige niveauinden for både behandling og ledelse. En anerkendelsesom DAC naturligvis finder meget tilfredsstillende. Dethøje faglige niveau forsøger DAC at opretholde ved for-skellige initiativer på uddannelsesområdet, for eksempelvia videreuddannelse af det afghanske sundhedsperso-nale samt brug af udsendte danske korttidskonsulenter,som nævnt i formandsberetningen.På GDH er man desuden begyndt at lave ernæ-ringsstatistikker over de spædbørn, der kommer på densåkaldte Baby Well Clinic. Statistikkerne viser desværreofte, at babyerne er stærkt underernærede. Derfor erDAC gået i gang med at søge midler til initiativer, der kanafhælpe problemet ogforbedre statistikkerne.
GDHProgress at GDH should be viewed in the light of the ap-pointment of GDH as a national model district hospitalby the Afghan authorities in late summer 2009 due to thehigh professional standard in relation to treatment, di-sease prevention, and management – a recognition whichDAC highly appreciates. The high professional standardat GDH is maintained by different efforts in relation toeducation, including the engagement of Danish short-term expats, and further education of our Afghan em-ployees by means of courses in Afghanistan and abroad.At GDH nutrition statistics have been introducedin order to record the degree of malnutrition amongthe babies at the so called Baby Well Clinic. The sta-tistics unfortunately show that the babies are oftenmalnourished. Therefore, DAC has started to seekfunds for initiatives which can improve the babies’health and improve thebad statistics.
ObehKlinikken i Obeh er efterkatastrofen efterhåndenkommet på fode igen.Klinikkenskapacitetblev under katastrofensat på en alvorlig prøve,men takket være ud-videde funktioner såsom et kirurgisk afsnit,en akutafdeling og ensengeafdeling som blevetableret i 2008, varklinikken gudskelov godtudstyret til at hjælpeså mange af de tilkade-komne som muligt. Der-udover var ikke mindstden gode lægefagligeservice og medarbej-derne i netop Obeh enafgørende, positiv fak-tor i forhold til at kunneyde hjælp og behandlingunder katastrofen. Detilskadekomne, som ikkekunne få behandling iObeh, blev overflyttet tilandre store hospitaler,inkl. GDH, med hjælpfra det italienske PRT.
ObehAfter the serious mudslide disaster in May2010, the Comprehen-sive Health Center+(CHC+) in Obeh hasfinally been fully re-stored. The center’s ca-pacity was acutely put tothe test during the dis-aster, but thanks to theextended services suchas a surgical section, anemergency department,and an inpatient unit,which were established in2008, the center was well-equipped to help as manyflood victims as possible.In addition, the profes-sional medical service andthe employees were notleast an essential, posi-tive factor in relation toproviding aid and treat-ment. The victims, whocould not get treatmentlocally in Obeh, weremoved to other, largerHospitals,includingGDH, with the help ofthe Italian PRT.
En kvinde med sin datter på GDH’s børneafdeling.A woman with her daughter at GDH’s pediatric unit.
6
DEN DANSKE AFGHANISTAN KOMITÉ
2009-2010
THE DANISH AFGHANISTAN COMMITTEE
DAC’s sundhedsindsatsDAC’s Health ProgrammeI alt/total:19 klinikker/HealthCenters209 sundhedsposter/HealthPosts14 landsbyudviklingshold/VillageHealthDevelopment Teams4 hold supervisorer for landsbyudviklings-holdene/VillageHealth Development Supervi-sor Teams418 landsbysundhedsarbejdere/CommunityHealth Workers11 supervisorer for landsbysundhedsarbej-dere/CommunityHealth Worker Supervisors4 hold supervisorer for landsbyudviklings-holdene/VillageHealth Development Super-visor Teams3 mobile sundhedshold/MobileTeams
Gozarah
Gozarah Distriktshospital/GozarahDistrict Hospital (GDH)5 Basale sundhedsklinikker/BasicHealth Centers (BHC)3 Underklinikker/SubHealth Centers (SHC)Opsøgende sundhedsarbejde/Outreach:104 Sundhedsposter/HealthPosts(=208 sundhedsarbejdere/CommunityHealth Workers)5 Landsbyudviklingshold/VillageHealth Development Teams (VHDT)– total 10 persons6 Supervisorer for landsbysundhedsarbejderne/CommunityHealth Worker Supervisors2 Hold supervisorer for landsbyudviklingsholdene/Village Health Development Supervisor Teams1 Mobilt sundhedshold/MobileTeam
Obeh
Obehs sundhedsklinik+/ObehComprehensive Health Center (CHC+)1 Basal sundhedsklinik/BasicHealth Center (BHC)2 Underklinik/SubHealth Centers (SHC)Opsøgende sundhedsarbejde/Outreach:56 Sundhedsposter/HealthPosts(=112 sundhedsarbejdere/CommunityHealth Workers)3 Landsbyudviklingshold/Village Health Development Teams (VHDT)– total 6 persons2 Supervisorer for landsbysundhedsarbejderne/CommunityHealth Worker Supervisors1 Hold supervisorer for landsbyudviklingsholdene/Village Health Development Supervisor Team1 Mobilt sundhedshold/MobileTeam
Pashtoon Zarghoon
Pashtonn Zarghoons sundhedsklinik+/PashtoonZarghoon Comprehensive Health Center (CHC+)2 Basale sundhedsklinikker/BasicHealth Centers (BHC)3 Underklinik/SubHealth Centers (SHC)Opsøgende sundhedsarbejde/Outreach:49 Sundhedsposter/HealthPosts(=98 sundhedsarbejdere/CommunityHealth Workers)6 Landsbyudviklingshold /Village Health Development Teams (VHDT)– total 12 persons3 Supervisorer for landsbysundhedsarbejderne/CommunityHealth Worker Supervisors1 Hold supervisorer for landsbyudviklingsholdene/Village Health Development Supervisor Team1 Mobilt sundhedshold/MobileTeam
Pashtoon ZarghoonDen 1. marts 2010 blev en opgraderet version af sund-hedsklinikken i Pashtoon Zarghoon indviet. Opgra-deringen af klinikken fra et såkaldt ”ComprehensiveHealth Center” – CHC – til et udvidet CHC+ betyderen række forbedringer på flere medicinske områder.Blandt andet er der nu en akutafdeling, som giver mu-lighed for at yde basal kirurgisk hjælp til de afghanskepatienter, ikke mindst kvinder der har behov for kej-sersnit. Derudover har klinikken fået en øget kapacitettil at have indlagte patienter, og renovationer af toilet,bad samt en forbedring på hygiejneområdet har gjortdet muligt at repræsentere en standard, der ikke er setfør på klinikken.
Pashtoon ZarghoonOn March 1 2010 an upgraded version of the CHC inPashtoon Zarghoon was opened. Just as in Obeh, theupgrade to a CHC+ meant several improvements indifferent medical areas. For instance, a new emer-gency department, which offers the Afghan patientsbasic surgical treatment, not least women who needcaesarean sections, has been established. Moreover,the center now has greater capacity for hospitalizedpatients, and a restoration of toilets and bathroomstogether with improved hygiene procedures haveraised the standard to a level, never seen at the cen-ter before.
Outreach-indsatsenDAC’s outreach-indsats har i 2009/2010 været gen-stand for forskellige ændringer og omstruktureringerog er stadig en af DAC’s hovedaktiviteter der fortsater af stor værdi for befolkningen i de afsidesliggendeområder.DAC’s mobile sundhedshold, som vaccinerer ogyder basal hjælp til landsbybefolkningen, er stadig envigtig del af outreach. Det sidste år er antallet af mo-bile sundhedshold blevet reduceret, hvilket skyldesen positiv fremgang på de adskillige underklinikkeri både Gozarah, Obeh og Pashtoon Zarghoon. Under-
Outreach effortsDAC’s outreach efforts have been subject to differentchanges and restructuring. However, the outreachefforts are still a central part of DAC’s main activi-ties and continue to be of great importance to therural population.DAC’s Mobile Teams (MT), who vaccinate and as-sist the rural population with basic health care, arestill an important part of the outreach efforts. Dur-ing the past year, the number of MTs has been re-duced, which is due to a positive improvement in thedifferent Sub Health Centers (SHCs) in Gozarah,Obeh, and Pashtoon Zarghoon. The SHCs have started
7
DEN DANSKE AFGHANISTAN KOMITÉ
2009-2010
THE DANISH AFGHANISTAN COMMITTEE
Indvielse afdet nye CHC+i PashtoonZarghoon.Til højre sesblandt andreprojektdirektørInge-Lise Aaensamt DAC’soutreach-officer Mr.Solehi.Inaugurationof the newCHC+ in Pash-toon Zarghoon.To the right areProject DirectorInge-Lise Aaentogether withDAC’s outreachofficer Mr.Solehi.
klinikkerne er begyndt at give vacciner, hvorved dehar lettet en del af sundhedsholdenes arbejdsbyrde,og derfor har det været hensigtsmæssigt at reducereantallet.Også DAC’s landsbyudviklingshold, der under-viser landsbybefolkningen i blandt andet hygiejne,ernæring og spædbørnspleje, er blevet reduceret.Reduceringen skyldes en budgetmæssig vurderingaf, at det ville være mere formålstjenligt at beholdefærre og naturligvis de mest kompetente landsbyud-viklingshold for derved økonomisk at kunne sikre etår mere med netop dette initiativ. Dog er den samledesupervision af landsbyudviklingsholdene forøget vedhjælp af adskillige initiativer, som sikrer, at de yderen outreach-indsats af højeste kvalitet.I forhold til DAC’s landsbysundhedsarbejdereudgør deres arbejde med at henvise tuberkulosepa-tienter samt patienter med gynækologiske vanskelig-heder en vigtig del af en behandlingsprocedure, der ersærdeles effektiv og gavnlig for den afghanske befolk-ning. Også uddannelsen og supervisionen af landsby-sundhedsarbejderne fortsætter ufortrødent.Hvad angår nye initiativer på outreach-området,har DAC siden foråret 2010 iværksat et pilotprojektmed kvindelige familierådgivere. De skal uddannes iat undervise kvinderne i deres landsbyer i børne- ogmødresundhed, herunder sygdomsforebyggelse. Deskal samarbejde med landsbyudviklingsholdene ogskal som udgangspunkt være shura-medlem, for at lette
to vaccinate, and have thereby lightened the MTs’work load, which thus made it sensible to reduce thenumber of MTs.The number of DAC’s Village Health Develop-ment Teams (VHDTs), who teach the rural popula-tion hygiene and nutrition procedures and generalcare of babies, has also been reduced. The reductionis caused by a budgetary assessment which statesthat it would be beneficiary to keep few, competentVHDTs, and thereby making it financially possibleto run the VHDT-activities for one more year. How-ever, the general supervision of the VHDTs has beenincreased and several supervision efforts have beenimplemented in order to make sure that the VHDTsprovide outreach efforts of the highest quality.As regards DAC’s Community Health Workers(CHWs), their work on referring tuberculosis pa-tients and patients with gynecological disorders isan important part of a treatment procedure, whichis highly effective and beneficial to the rural popula-tion. Like the VHDTs, the education and supervisionof the CHWs continue steadily.As to new outreach initiatives, DAC has starteda project involving Female Family Advisors (FFAs),who are educated to teach and counsel the womenfrom their villages in relation to mother and childhealth, including disease prevention. The FFAs col-laborate with the VHDTs, and in principle, need tobe Shura members, in order to make the implemen-
8
DEN DANSKE AFGHANISTAN KOMITÉ
2009-2010
THE DANISH AFGHANISTAN COMMITTEE
implementeringen af initiativet i forhold til de andre be-boer i landsbyerne. Det skyldes, at shura-medlemmer iforvejen nyder en øget legitimitet og har kendskab til denlokale befolkning. Indtil videre er der i alt 15 kvindeligefamilierådgivere, fem per distrikt, og hvis bevillingernerækker til det, forventes der at komme mange flere.SeniorkirurgDr. Nazifsammen medkirurg Dr.Saber på en afGDH’s opera-tionsstuer.Senior Sur-geon Dr. Naziftogether withSurgeon Dr.Saber in one ofGDH’s operat-ing theatres.
tation of the FFA project in the villages easier. Thisis due to the fact that Shura members already enjoylegitimacy and have a thorough knowledge of thepopulation in the village. So far, 15 FFAs have beenestablished (five per district), and it is planned toincrease their numbers, if the necessary grants arebeing issued.
Icaturibus molo cuptionsenulpari blamus alitavelesti usciis dolente vel-labores am undit pe cum
bla pore modio. Cuptaporest, omnihiliqui om-molup tatquis cuptatiusaut hiciet alit volupta
9
DEN DANSKE AFGHANISTAN KOMITÉ
2009-2010
THE DANISH AFGHANISTAN COMMITTEE
KvindekollegietDAC’s kvindekollegium iHerat er stadig fuldt be-lagt med 96 unge kvinder.En venteliste med pt.32 kvinder indikerer enfortsat stigende popu-laritet, hvilket er ydersttilfredsstillende. Omkost-ningerne til kollegiet harhidtil været afholdt indenfor budgettet af DAC’sDa n ida-f i na nsieredesundhedsprojekt, menfra februar 2011 vilder ikke længere væreråderum til driften afkollegiet inden for deeksisterendeøkono-miske rammer.Dette er en storudfordring for DAC,da vi ser kollegiet somen vigtig hjørnesten i vores arbejde i forhold tilat give unge kvinder i yderområderne en mulighed forat studere og samtidig bidrage til en udvikling i kva-lificeret, og ikke mindst nødvendig, arbejdskraft indenfor sundhedssektoren. Derfor har vi i august iværk-sat en kampagne, der forhåbentlig kan være med tilat sætte fokus på behovet for kollegiet, således at detbliver muligt at indsamle de midler, der er nødvendigefor at DAC kan fortsætte driften af det.
Female DormitoryDAC’s female dormitory in Heratis still fully booked with 96 youngAfghan women. A waiting list with32 women indicates a continuouslyincreasing popularity, which is verysatisfactory.Up to now the dormitory costshave been paid for with DAC’s Da-nida funds, but from February 2011,there will no longer be financial lati-tude for the running of the dormitorywithin the Danida budget. This is notsatisfactory, as DAC regards the dor-mitory as an important part of ourwork on giving young Afghan womenin the remote villages an opportunityfor studying and thereby contributingto the development of a qualified andimportant labor force within the healthcare field.In August 2010 DAC has thereforelaunched a campaign with the objectiveto put focus on the dormitory and hopes tobe able to raise the funds needed in order to continuethe running of it.
Opfølgning på ”Vand mod krig”Glæden overbrøndene erenorm. Somformandenfor den lokalevandkomité,projektirektørInge-Lise Aaen,siger: ”De kanslet ikke fåarmene ned!Samarbejdet mellem DAC og Politiken om projektet”Vand mod krig” har allerede nu hjulpet mange afgha-nere med at få adgang til rent drikkevand.Det indsamlede beløb af godt 1.000.000 kr. har ind-til videre resulteret i, at der er blevet installeret 25brønde i 25 forskellige landsbyer i Gozarah-distriktet,som befolkningen har fået overdraget ansvaret for.Glæden over brøndene er enorm. Som formanden forden lokale vandkomité, projektirektør Inge-Lise Aaen,siger: ”De kan slet ikke få armene ned!”Ingeniør Abdul Basir Tukhy, som koordinerer im-plementeringen af brøndene i Herat, har skrevet mereom vandprojektet. Læs hans status senere i denne års-beretning.
Update on “Water against War”The collaboration between DAC and the Danishnewspaper Politiken in relation to the water supplyproject “Water against War” has already providedmany Afghan citizens with the access to safe drin-king water.The collected amount of almost 1,000,000 DKK(170,000 USD) has so far resulted in 25 wells in 25different villages in the Gozarah district; wells whichthe population in the villages are now responsible for.According to the Chairman of DAC’s water committee,Project Director Inge-Lise Aaen, the Afghans are ex-tremely delighted with the new wells and “they cannotstop rejoicing”.DAC’s engineer Abdul Basir Tukhy, who coordi-nates the implementation of the wells, has writtenhis update on the water supply project later on inthis report.
According tothe Chairmanof DAC’s watercommittee,Project DirectorInge-Lise Aaen,the Afghansare extremelydelighted withthe new wellsand “theycannot stoprejoicing.
En af de 25 nybyggede brønde,der sikrer afghanerne rent drikkevandOne of the 25 newly built wells, which helpsthe Afghans assesing safe, clean drinking water.
10
DEN DANSKE AFGHANISTAN KOMITÉ
2009-2010
THE DANISH AFGHANISTAN COMMITTEE
11
DEN DANSKE AFGHANISTAN KOMITÉ
2009-2010
THE DANISH AFGHANISTAN COMMITTEE
Sundhedsprojektet i tal/HealthCare Project in NumbersAmbulante patienter på sundhedsklinikkerneOutpatients in health centersTotal okt. 2009 - jun. 2010: 248.71850.000Okt. - Dec. 200940.000Jan. - Mar. 2010Apr. - Jun. 20101.2001.500
Indlagte patienter på Gozarah DistriktshospitalInpatients in Gozarah District Hospital
30.000
900
20.000
600
10.000
300
0
Gozarahinkl. GDH
PashtoonZarghoon
Obeh
0
Okt. - Dec. 2009
Jan. - Mar. 2010
Apr. - Jun. 2010
Kirurgiske indgrebSurgeries500Okt. - Dec. 2009400Jan. - Mar. 2010Apr. - Jun. 2010
Fødsler på sundhedsklinikkerBirths in health centers800700600500400Okt. - Dec. 2009Jan. - Mar. 2010Apr. - Jun. 2010
300
200
300200100
100
0
Gozarahinkl. GDH
PashtoonZarghoon
Obeh
0
Gozarahinkl. GDH
PashtoonZarghoon
Obeh
Vaccinationer på sundhedsklinikkerVaccinations in health centers13.00012.00011.00010.0009.0008.0007.0006.0005.0004.0003.0002.0001.0000Gozarahinkl. GDHPashtoonZarghoonObehOkt. - Dec. 2009Jan. - Mar. 2010Apr. - Jun. 2010
Vaccinationer ved mobile sundhedsholdVaccinations by Mobile Teams8.0007.0006.0005.0004.0003.0002.0001.0000Gozarahinkl. GDHPashtoonZarghoonObehOkt. - Dec. 2009Jan. - Mar. 2010Apr. - Jun. 2010
12
DEN DANSKE AFGHANISTAN KOMITÉ
2009-2010
THE DANISH AFGHANISTAN COMMITTEE
DonationerDen positive udvikling i DAC’s arbejde i Herat skyl-des ikke mindst de mange donationer og bidrag fraprivate danskere, virksomheder og foreninger.De mange ekstra private bidrag har gjort vores so-ciale projekter i Herat mulige, herunder blandt an-det tøj til de fattigste børn i vores Baby Well Clinics,oprettelse af baderum i Kuchi-landsbyerne samt ind-køb af materialer til Kaussars sykurser for især ungekvinder og enker, som DAC efterhånden har støttetigennem en del år - og projektet er en succes: I dagafholdes der to kurser dagligt.I forhold til sundhedsbehandling har DAC mod-taget en del medicin fra Farmaceuter uden Grænser,og også DAC-medlem Bodil Lund har igen i åretsløb formidlet en stor del af medicindonationerne.DAC har også modtaget større mængder særdelesanvendeligt hospitalsudstyr fra Glostrup Hospitalog Multicenter Syd, meget nyt sportstøj og bolde fraDGI samt store mængder tøj, sko og legetøj fra fleremedlemmer og andre engagerede privatpersoner,heriblandt Else og Eigil Jensen på AmagerCarl Eltorp fra Bendix Transport har sammenmed MultiCenter Syd og de mange engagerede med-hjælpere fra Nykøbing Falster igen i år ydet en storindsats i forhold til at sørge for opbevaring, pakningog shipping og er derfor i høj grad med til at gøreforsendelserne mulige.Den sidste container med donationerne ankom tilHerat i juni og skabte stor glæde for både patienter ogpersonale, hvis hverdag bliver forbedret radikalt meddonationer som disse. Eksempelvis er en 12-årig drengfra Gozarah meget glad for sin nye kørestol (se billedet).DAC skylder alle ovennævnte en varm tak!Hjælpen fra jer gør en kæmpe forskel, og jeres do-nationer er af stor gavn for de mindst privilegeredei Afghanistan.Udover ovennævnte donationer har DAC også mod-taget den årlige bevilling fra Mellemfolkeligt Sam-virkes pulje Genbrug til Syd, som dækker forsend-elses-omkostningerne til Herat. Næste års bevillinger netop også blevet givet.Den årlige ansøgning om Kulturministeriets tips-og lottomidler er blevet sendt af sted, men der ventesstadig på svar.
ContributionsThe positive development in DAC’s work in Herat isnot least due to the many contributions from privateDanes, companies, and associations.The many extra private contributions have made oursocial projects in Herat possible, including clothes forthe needy babies in our Baby Well Clinics, establish-ment of sanitary facilities in the Kuchi villages andpurchase of materials for sewing courses for espe-cially young females and widows, which DAC by nowhas been supporting for several years. The project isa success: Today, sewing classes are held twice daily.In relation to healthcare treatment, DAC has re-ceived a great deal of medicine from Danish Phar-macists without Borders as well as DAC memberBodil Lund, who repeatedly has arranged medicalcontributions to our work. DAC has also received alarge number of very useful hospital equipment fromGlostrup Hospital and MultiCenter Syd.Moreover, DAC has received new sports clothesand soccer balls from Danish Gymnastics and SportsAssociations, and several members and other com-mitted people have donated a great deal of clothes,shoes and toys. Carl Eltorp from Bendix TransportDenmark A/S has, together with MultiCenter Sydand the many dedicated assistants from NykøbingFalster, once again given a great service in order tostore, containerize and ship the collected materialand equipment – without their help, DAC’s ship-ments to Herat would not be possible.The last container with the hospital equipmentarrived in Herat in June 2010 and made both pa-tients and employees very delighted, as their every-day life is improved radically by such contributions.A perfect example of how the donations can affectpeople’s lives is a 12-year-old boy from Gozarah, whois very pleased with his new wheel chair (see picturebelow).DAC would like to give a heart-felt thanks to allthe above-mentioned people for giving their supportto DAC and not least the Afghan people: Your helpis making a considerable difference for many of Af-ghanistan’s least privileged people.Besides the mentioned contributions, DAC has alsobeen given the yearly grant from ActionAid Den-mark’s Recycling for the South funds, which coversthe shipping expenses to Herat. Next year’s granthas also just been passed. The annual application toThe Ministry of Culture’s National Lottery funds hasbeen sent, but a possible approval has not yet beenconfirmed.Efter en mineulykke sidste efterår mistede denne12-årige dreng begge sine ben. Drengen kom tilbehandling på GDH og har modtaget en af de køre-stole, der var med i containeren fra Danmark.After an accident involving a landmine last fall,this 12-year-old boy lost both his legs. The boy wastreated at GDH, and has received one of the wheelchairs from the Danish container.
13
DEN DANSKE AFGHANISTAN KOMITÉ
2009-2010
THE DANISH AFGHANISTAN COMMITTEE
DAC i medierneSom nævnt i formandsberetningen, har de danskemedier i år igennem en række artikler rettet en delfokus på DAC’s arbejde.Freelancejournalist Keld Broksø har efter sin del-tagelse i DAC’s projekttilsyn i Herat i maj 2010skrevet artiklen ”Afghanistan blåstempler dansksygehus” til Udenrigsministeriets avis Udvikling.Herudover har han lavet en opfølgning på projektet”Vand mod krig” i form af artiklen “Læsernes vandfaldt på et tørt sted i Afghanistan” som blev bragt iPolitiken. Også Anders Jerichow, Politikens tovhol-der for ”Vand mod krig”, har fulgt op på vandprojek-tet med klummen “Hilsen fra en afghansk landsby”.Kristeligt Dagblads Ulla Poulsen besøgte Herat ijuni 2010, hvilket har skabt grundlag for artikel-serien “Afghanistan til hverdag”, der inkluderer 10store artikler, som skildrer forskellige afghanereshverdag. Artiklerne omhandler blandt andre enjordmoderstuderende fra DAC’s kvindekollegium iHerat samt en patient fra Gozarah Distriktshospital(GDH). Udover artikelserien har Ulla Poulsen ogsåskrevet en om udnævnelsen af GDH som nationaltmodel-distriktshospital.Kristeligt Dagblad har desuden tidligere pååret bragt en artikel om jordemoder Mette Op-strups spændende og indtryksrige ophold på GDH iefteråret 2009.DAC’s projektdirektør Inge-Lise Aaen er også blevetskildret en del i de danske medier. I en nyudgivetfolder fra Udenrigsministeriet og Forsvarsministe-riet om Danmark i Afghanistan fortæller Inge-Liseom sit arbejde hos DAC, og i juli 2010 bragte FamilieJournalen et portræt af hende.DAC sætter stor pris på det fokus, som mediedæk-ningen er med til at skabe på vores arbejde og påden civile indsats i Afghanistan generelt, og vi serfrem til et år med fortsat godt samarbejde med dendanske presse.
DAC in the PressAs mentioned under ”Words from the Chairman”, theDanish press has elucidated DAC’s work through anumber of articles over the past year.After participating in DAC’s project visit in Herat inMay 2010, freelance journalist Keld Broksø has writtenthe article “Afghanistan Accords Recognition to DanishHospital”, which was printed in the magazine Udvikling,published by the Danish Ministry of Foreign Affairs. Fur-thermore, Keld has written the article “Readers’ Contri-butions Were Very Welcome in Afghanistan”, which wasprinted in the Danish newspaper Politiken in order to givean update on the water supply project. Journalist AndersJerichow from Politiken, who was DAC’s cooperatingpartner in relation to the water supply project, has alsowritten an update on the project by way of the column“Greetings from an Afghan Village”.Ulla Poulsen from the Danish newspaper KristeligtDagblad visited Herat in June 2010, which has resultedin a series of articles with the collective name “Every-day life in Afghanistan”. This includes 10 articles, whichdescribe the everyday life of different Afghan persons,e.g a midwifery student from DAC’s female dormitoryin Herat and a patient from Gozarah District Hospital(GDH).Apart from the series of articles, Ulla Poulsen hasalso written an article on the appointment of GDH as anational model district hospital. Kristeligt Dagblad hasmoreover displayed an article on DAC’s Danish expatand midwife Mette Opstrup’s visit to GDH in fall 2009.DAC’s project director Inge-Lise Aaen has also been por-trayed a great deal in the Danish press. In July 2010,the Danish weekly magazine Familie Journalen pub-lished a detailed portrait of Inge-Lise and her work inHerat, and Inge-Lise was quoted describing her work forDAC in a new folder on Denmark’s efforts in Afghani-stan published by the Danish Ministry of Foreign Af-fairs and the Danish Ministry of Defense.DAC highly appreciates that the Danish press puts fo-cus on our work in Herat and on the civil efforts in Af-ghanistan in general, and we look very much forward toanother year with a positive cooperation with the Dan-ish press.
14
DEN DANSKE AFGHANISTAN KOMITÉ
2009-2010
THE DANISH AFGHANISTAN COMMITTEE
Mudderskred i Obehden 4.-6. maj 2010Elisabeth Pettersson,hygiejnesygeplejerske:
Mudslide in ObehMay 4-6 2010Elisabeth Pettersson,Hygiene Nurse
Pludselighørtes rum-lende vand-masser, dervæltede nedad flodlejet.Mudder, sten,træer, vandog et enkeltæsel fór forbi.
Suddenly weheard rum-bling watersrushing downthe river bed.Mud, rocks,trees, water,and evena donkeyrushed rightpast us.
Elin Petersen og jeg var i Obeh iElin Petersen and I were in Obeh,de dage, da en mudderkatastrofewhen a mudslide disaster suddenlyskete, og dette er i korthed øje-hit the district. In the following I trybliksbilleder derfra:to present a brief up-to-the-minuteVi ankom til sundheds-account of what happened:klinikken i Obeh efter fire timersWe arrived at the Communitykørsel ad den forfærdelige hoved-Health Center+ in Obeh from Heratvej fra Herat. Som altid blev viafter four hours’ drive on the terriblehjertelig modtaget. Sidst på ef-main road. As usual, we were warm-termiddagen efter dagens arbej-ly received. Late in the afternoon af-de kørte vi til nogle varmekilder,ter finishing our work, we drove toder ligger en halv times kørsel opHygiejnesygeplejerske Elisabethsome hot springs in the mountainsi bjergene, igennem et flot menPettersson var udsendt som kort-through a rough but very beautifulbarskt landskab med mørke skyertidskonsulent for DAC for andenlandscape with heavy, dark cloudshængende tungt over bjergtop-gang i maj 2010.hanging over our heads. We parkedpene. Vi parkerede bilen og kryd-Hygiene Nurse Elisabeth Petters-the car and crossed a little bridgesede en lille bro over et mindreson was dispatched as short-termto get to the hot springs. The threeflodleje for at komme til varmekil-expat for DAC for the second timewashing rooms were occupied, so wederne. De tre baderum var optaget,in May 2010.waited outside, when all hell sud-så vi ventede udenfor, da helvededenly broke loose! Policemen and thepludselig brød løs! Politifolk og administratoren råbteadministrator shouted “up, up, up!” and helped us up the”op, op, op!” og skubbede os op ad bjergskranten. Jegmountain slope. For a moment, I thought that a serioustænkte, at der måske var ved at ske et overfald, ogassault was about to happen, so Elin and I climbed asElin og jeg klatrede alt, hvad vi kunne højere op adfast as we could up the slope.bjergskråningen.Suddenly, we heard rumbling waters rushing downPludselig hørtes rumlende vandmasser, der væl-the river bed. Mud, rocks, trees, water and even a don-tede ned ad flodlejet. Mudder, sten, træer, vand og etkey rushed right past us. After one hour, the water levelenkelt æsel fór forbi. Efter en time faldt vandstanden,fell, and we went back to the car, but we quickly re-og vi gik tilbage til bilen, men vi blev hurtigt klaralized that we could not drive away from there. Theover, at det ikke var muligt at køre derfra. Chaufførendriver had to stay behind to watch DAC’s car (whatevermåtte blive på stedet for at passe på DAC’s bil (hercan be robbed will be robbed in Afghanistan), so weribber man biler for alt, der kan sælges), så vi efterlodleft him behind together with all our food and drinks.ham samt alt, hvad vi havde af mad og drikke. DeThe local police promised to take good care of him, andlokale politibetjente lovede at passe godt på ham ogthey contacted the hospital by satellite telephone to getkontaktede hospitalet via satellittelefon for at få demthem to pick us up at the one spot where the road wastil at hente os det nærmeste sted, hvor vejen ikke varnot washed away.skyllet væk.The hike to this spot took more than one hour andTraveturen ”hjem” på over en time gik fem gangeled us through ice-cold, muddy water, over a range ofigennem iskoldt mudret flodvand, op over et højde-hills and down to a valley where the hospital’s car wasdrag og ned i en anden dal, hvor hospitalets bil stod ogwaiting for us. A police man had come to check up onventede på os. Fordi Elin og jeg var udlændinge, varElin and me, because he wanted to make sure thatpolitichefen også kommet for at sikre, at vi kom godtforeigners were safe. By the hospital, we gave him andhjem. Ved hospitalet fik vi sagt hjertelig tak til po-his staff our best thanks and politely turned down hislitichefen og hans folk, men takkede høfligt nej til hansdinner invitation at his place. This is a typical exam-indbydelse til middag i sit hjem. Sådan er afghanere!ple of Afghans and their hospitality! The chef, who hadKokken, som havde hentet os oppe i bjergene, trylledepicked us up, conjured up a nice dinner, and everybodymiddag frem og alle talte i munden på hinanden, og vispoke all at once about the mud slide, and we weretænkte på vor gode chauffør.thinking of our incredible driver.Vi vågnede næste morgen klokken fem ved lydenThe next morning, we woke up at five a.m. by theaf helikoptere. Ude i klinikafdelingerne var der men-sound of helicopters. In the health cente, people coverednesker alle vegne, smurt ind i mudder. Nogle var pa-in mud were everywhere. Some of them were patients,tienter, andre pårørende. Fire mandesenge og femothers relatives. Four beds for men and five beds forkvindesenge var belagt og der kom en lind strøm afwomen were already occupied, and there was a steadytilskadekomne igennem skademodtagelsen. Omgi-flow of victims through the emergency room.velserne stod under vand – man måtte igennem 10 cmThe surroundings of the center were flooded com-muddervand for overhovedet at komme ind på syge-pletely; you had to walk through a muddy water level
15
DEN DANSKE AFGHANISTAN KOMITÉ
2009-2010
THE DANISH AFGHANISTAN COMMITTEE
Elisabeth Pet-tersson var tilstede undermudderskreds-katastrofeni Obeh. Herhjælper DAC’soutreach of-ficer Mr. SolehiElisabeth overden mudredeflod kort efterkatastrofen.Elisabeth Pet-tersson waspresent duringthe mudslidedisaster inObeh. HereDAC’s outreachofficer Mr.Solehi helpsElisabeth crossthe muddyflood shortlyafter the slideoccurred.
huset! I løbet af natten var der kommet mere vand ogmudder ned fra bjergene, og personalet havde arbej-det hele natten for enten at tætne huller mod indtræn-gende vand eller lave huller, så vand kunne løbe ud.Elin ringede til DAC’s projektdirektør Inge-Lise Aaenfor at fortælle, hvad der var sket. Inge-Lise arrange-rede, at en bil med to læger og to sygeplejersker samten masse forbindsstoffer og medicin straks blev sendtaf sted fra Gozarah Distriksthospital til Obeh. Dekørte turen i rekordfart: to en halv time – dobbelt såhurtigt som alle andre så kort efter mudderskredet!Elin koncentrerede sig om børnene, og jeg tog migaf de voksne. En dreng havde slugt og indåndet mud-der og havde en forfærdelig vejrtrækning. Elin, anæ-stesilægen og cheflægen arbejdede længe med ham,for til sidst at intubere ham i et forsøg på at skylleog suge noget af mudderet op fra hans mavesæk oglunger. En militærhelikopter blev senere tilkaldt oghan blev overført til det amerikanske militærhospitali Herat. En seks-årig pige havde fået mudder i øjnene.Forsigtig rengøring af øjnene med saltvand fjernededet meste, men hun ville ikke åbne øjnene, formentligfordi der stadig var grus derinde. Det havde væretlykken at have en øjenlæge i nærheden.På kvindestuen lå en ældre kvinde indsmurt imudder, fuldstændig tillukket for omverden. Hunhavde mistet en datter. Også hun havde mudderi øjnene og ville ikke åbne dem. Vi fik båret hendeover til bruserummet og vaskede hende fri for mud-der i hår, ansigt, øre, hænder, krop og fødder. Det varumuligt at åbne hendes lille, stramme fletning, derikke havde været friseret i mange år. Den lille pigemed mudder i øjnene viste sig at være hendes pap-barnebarn, og de to havde glæde af at ligge sammen.En stor mand havde sår og skrammer over hele krop-pen. Hans hus var styrtet sammen på grund af flod-og mudderbølgen, og han havde mistet en svigermor,to koner og tre børn. Han måtte bruses fra top til tåfor at fjerne mudderet, inden hans mange sår kunne
of 10 cm to even get to the center! During the night,significant amounts of water and mud had rusheddown the mountains once more, so the employeesat the center had spent the whole night sealing allholes water-tight. Elin called DAC’s project directorInge-Lise Aaen to tell her what had happened. Inge-Lise quickly arranged that a car with two doctorsand two nurses together with a great deal of medicalequipment was sent from Gozarah District Hospitalto Obeh. They drove to Obeh in record speed: two anda half hour! This was twice as fast as everybody elsewho drove to Obeh shortly after the mudslide.Elin focused her attention on the children, and I tookcare of the adults. A little boy had swallowed and in-haled mud and had terrible breathing difficulties. Elin,an anesthesiologist and the hospital medical directortreated him for a long time, and finally intubated himas part of an effort to remove mud from his lungs andstomach. Later on, a military helicopter came and thelittle boy was transferred to the American military hos-pital in Herat. A six-year-old girl came to the center withmud in her eyes. Tender cleaning of the eyes with saltwater removed most of the mud, but the girl would stillnot open her eyes, probably because of some gravel be-ing lodged behind her eyelids. At that moment, it wouldhave been ideal to have an eye specialist nearby!In the female department an elderly woman wascovered in mud and completely detached from her sur-roundings. She had lost her daughter. The woman alsohad mud in her eyes, and would not open them. We gaveher a shower and washed the mud off her body. It wasimpossible to loosen her tight little braid, which had notbeen combed for many years. It turned out that the lit-tle six-year-old girl was the elderly woman’s step-grand-daughter, and the two of them really enjoyed lying nextto each other.A big man had bruises and wounds all over his body.His house had tumbled to pieces because of the mudslide, and he had lost his mother-in-law, two wives and
16
DEN DANSKE AFGHANISTAN KOMITÉ
2009-2010
THE DANISH AFGHANISTAN COMMITTEE
Bageren påden andenside af gadenkom overmed en kurvfyldt medtørre kagertil patienterog perso-nale, og en afrengørings-konernehavde ind-samlet enstor sækrent tøj, somerstatning forpatienternesvåde ogmudrede tøj.
The baker fromacross thestreet camewith a basket-ful of cookiesfor patientsand employees,and a cleaninglady hadcollected abagful of cleanclothing, whichwas usefulsince thepatients onlyhad wet andmuddy clothes.
forbindes. En halvstor dreng sad i en seng med to brødrethree children. We washed his body from top to toe to– de hørte til den store mands familie. Drengens mangebe able to dress his wounds. A boy was sitting on one ofsår på benene blev forbundet og han smilte forsigtigt.the beds with his two brothers; they were all membersAfghanske børn græder sjældent, men deres øjne bliverof the big man’s family. The boy’s wounds on his legsmeget store og mørke.were properly dressed, and he carefully gave me a smile.En mand havde et par små skrammer på kroppen,Afghan children rarely cry; their eyes just become widemen store skrammer i sit hjerte: Han havde sin datterand dark.i hånden, da de flygtede fra vandmasserne, men hanAnother man had only a few bruises on his body, butgled på en sten og gav slip på hende. Hun var en afa very sorrowful heart. He held his daughter’s hand whende otte døde på hospitalet (tre kvinder og fem børn).they tried to escape the mudslide, but he slipped, and hadDa jeg så dem, måtte jeg simpelthen røre ved det eneto let go of his daughter. She was one of the eight deadbarn, for hun så blot ud som om hun sov. Trist, trist,victims at the hospital (three women and five children).trist.When I saw the victims, I had to touch one of the childrenDer skete også gode og rørende ting midt i denne–it simply looked like she was asleep. Sad, sad, sad.katastrofetilstand. Bageren på den anden side afAlso positive and moving incidents happened in thegaden kom over med en kurv fyldt med tørre kagermiddle of this disaster. The baker from across the streettil patienter og personale, og en af rengøringskonernecame with a basketful of cookies for patients and em-havde indsamlet en stor sæk rent tøj, som erstatningployees, and a cleaning lady had collected a bagful offor patienternes våde og mudrede tøj.clean clothing, which was useful since the patients onlyOm formiddagen gik det som en løbeild i dehad wet and muddy clothes.mudrede korridorer, at regionens guvernør var påNext day around noon, it was rumored that the re-vej i militærhelikopter. Pludselig vandrede to smartegional governor was on his way in a military helicopter.mænd ind på kvindestuen med 20 cm lange linser påSuddenly, two fancy men walked into the female depart-deres kameraer. De sagde, at de var fra det nationalement, with 20 cm long, high-powered lenses on their ca-fjernsyn og havde fået lov. Jeg blev vred og sagde,meras. They said they came from national television andat de ikke havde fået lov af patienterne og kunnethat they had permission. I got angry and told them thatderfor ikke tillade sig at komme ind på kvindestuenthey could not enter the female department and start tak-og fotografere. Gudskelov accepterede fotograferneing photographs without the patients’ permission. Fortu-irettesættelsen. Jeg sagde det samme, da guvernørennately, they accepted my severe scolding. I told off thekort tid efter kom ind på stuen med et hav af men-governor as well, when he entered the room with a bunchnesker efter sig, inklusive fotografer. Han svaredeof photographers a few minutes later. In perfect Ameri-på perfekt amerikansk, at jeg havde ret i, at det varcan he said that I was right, and that it was unethical touetisk og sendte folkene ud.bring all these photographers into the room, and there-Da det stilnede affore he subsequently threwmed patienter sidst påElisabeth i færd med at hjælpe en afghansk pigethem out.dagen blev flere læger,sammen med de afghanske ansatte.When the number oftekniske assistenter ogElisabeth is helping an Afghan girl together with thepatients decreased later inElin enige om at køre såAfghan employees.the afternoon, several doc-langt, de kunne komme,tors, technical assistantsfor at afløse DAC’s efter-and Elin agreed on driv-ladte chauffør. Den sid-ing as close to DAC’s aban-ste strækning måtte dedoned driver as possible ingå til fods. De ville, omorder to relieve him. Theymuligt, forsøge at reeta-had to walk the final milesblere vejen, så bil ogto the car. If possible, theychauffør kunne kommewanted to try to rebuild themed tilbage.road, so the driver and theDet lykkedes demcar could return to Obeh.faktisk med hjælp fraBy the help of locallokale mennesker atpeople they actually suc-rulle store sten ned fraceeded in rolling big rocksbjergsiden i flodlejet ogdown the mountain slopefylde huller op med min-into the river bed and indre sten, grus og oprevnefilling holes with rocks,træer, således at dengravel and wood, so thestorefirehjulstrækkerdriver finally was abletil sidst langsomt kunneto drive the car slowlykøre igennem de reeta-through the reestablishedblerede flodlejer og op påriver bed and back ontointakt vej igen. Det varthe undamaged road. Ourstolte og glade kollegaercolleagues returned happyder vendte hjem med enand satisfied to the centerlettet chauffør!with a relieved driver!
17
DEN DANSKE AFGHANISTAN KOMITÉ
2009-2010
THE DANISH AFGHANISTAN COMMITTEE
Afghanistan– et land hvorhjælpen nytterLene Ingvartsen, Kasserer for DACAfghanistan har en særlig duft. Det gik op for mig ibilen, netop som vi havde krydset grænsen og tagethul på den sidste bid af rejsen til Herat. Landska-bet var stort set det samme som på den iranske sideaf grænsen og vejen lige så jævn og pæn, alligevelvar noget forandret. De grønlige, forunderligt blødtbuede bjerge, der overalt omkransede horisonten.Den brunligt mudrede flod omgivet af grønt græs,DAC’s kassererLene Ingvart-sen underprojekttilsynet imaj 2010.DAC’sTreasurer LeneIngvartsenduring theproject visit inMay 2010.
Afghanistan– A Country Where AidMakes a DifferenceLene Ingvartsen, Treasurer of DACAfghanistan has a peculiar smell. I realized this factin the car just as we crossed the Afghan border on ourway to Herat. The scenery still looked the same as onthe Iranian side of the border, and the road was just assmooth, but still something had changed. The green-ish, softly curved mountains that encircle the hori-zon. The brownish, muddy flood surrounded by greengrass, green trees and green bushes with bunches of
18
DEN DANSKE AFGHANISTAN KOMITÉ
2009-2010
THE DANISH AFGHANISTAN COMMITTEE
Jeg glædermig overethverttiltag, derkan forbedrekvindernesog pigerneslivsvilkår.
I feel pleasedwith everysingle initia-tive that canimprove thegirls’ andwomen’slivingconditions.
grønne træer og grønne buske med klaser af lysenderøde blomster. De støvede, sandfarvede klynger afhuse her og der pyntet med en farvestrålende porteller et bulet metalskilt. Alt sammen virkede det påen eller anden måde mere hjemligt. Og da slog detmig: Afghanistan har en særlig duft.Måske er det det, der gør, at de fleste, der éngang har besøgt Afghanistan, bliver så fascineret ogindtaget i landet – og derfor, at det er så svært atforklare denne fascination til dem, der kun kenderAfghanistan fra medierne.Indrømmet, det var med blandede følelser, jegpakkede min kuffert. Der var gået tre år, siden jegsidst besøgte Afghanistan. Hvordan ville det væreat se det igen? De mange nedslående historier i me-dierne om manglende sikkerhed og korruption, omafbrændte skoler, trusler mod skolepiger og overfaldpå afghanere, som arbejder på at genopbygge landet,havde selvfølgelig gjort indtryk. Jeg slog det ud afhovedet ved i stedet at fokusere på de positive histo-rier, som man – om end mere sjældent – også hørerfra Afghanistan. Som for eksempel den opløftendehistorie om DAC’s sundhedssystem, og den forskeldet gør for godt 600.000 mennesker. Eller den opløf-tende historie om indsamlingen via Politiken, somforeløbigt har resulteret i 25 brønde, der sikrer rentvand til flere tusinde mennesker i 25 landsbyer.Som altid, når jeg besøger Afghanistan, er detde afghanske kvinder og piger og deres urimeligelivsvilkår, der berører mig dybest. Når jeg ser enkvinde indhyllet i den karakteristiske dueblå burka,tænker jeg over, hvordan den definitivt udsletter et-hvert kendetegn, enhver personlighed og omdannerkvinderne til én blågrå, flagrende masse. Burkaenhæmmer udsynet og gør det sværere at gå og bevægesig. Desuden udgør den en potentiel smittekilde tilalverdens sygdomme, da flere kvinder ofte må delesom den samme. Jeg har talt med afghanske kvinder;mange hader at gå med burka, og gør det kun, fordide føler sig tvunget til det.Jeg tænker på disse kvinder og deres manglendemuligheder, når jeg ser en kvinde i burka. Jeg ermeget vel klar over det traditionsbundne i lands-byerne, men er ked af, at byernes kvinder, der førhavde frihed til at vælge beklædning, fortsat de flestesteder ikke kan færdes trygt i det offentlige rum medmindre de er tilhyllet. Jeg harmes over det kvinde-syn, der legitimerer denne ulighed mellem kønnene.Lad dog de afghanske kvinder selv bestemme!Modsat glæder jeg mig over ethvert tiltag, derkan forbedre kvindernes og pigernes livsvilkår ogforhåbentligt give dem bedre forudsætninger og mereoverskud til at tage vare på sig selv – og på længeresigt forbedre deres egne livsvilkår. Det sker f.eks.,når sundhedsklinikkerne tilbyder undersøgelser un-der graviditet og efter fødsel, når flere kvinder fårmulighed for at føde med hjælp fra andre kvinder,der har fået træning i, hvordan man gør, når flerepiger og kvinder får undervisning i hygiejne og fami-lieplanlægning, og når flere kvinder får mulighed forat gå i skole og uddanne sig. Det er vigtigt at bliveved med at støtte disse tiltag i Afghanistan – et landhvor hjælpen nytter.
luminously red flowers. The dusty, sand colored clu-sters of houses here and there decorated with colorfuldoors or dented metal plates. It all somehow seemedmore homelike. And then it struck me – Afghanistanhas a peculiar smell. Maybe this is why most peoplewho visit Afghanistan become so fascinated and in-fatuated with the country, and why it is so difficultto explain this fascination to people who only knowAfghanistan from the media.I must admit that I packed my suitcase withmixed feelings before this trip to Herat. It had beenthree years since the last time I visited Afghanistan.How would it be to see it again? The many depres-sing stories from the media about corruption, lack ofsafety and security, burnt-off schools, threats againstschool girls, and attacks on the Afghan people who tryto rebuild their country had of course impacted medeeply. However, I put it out of my mind, and insteadI tried to focus on the positive stories which one - eventhough more rarely – also hears from Afghanistan.One example is the heartening story about DAC’shealth care system, and the difference it makes for600,000 Afghan people. Or the inspiring story aboutDAC and the Danish newspaper Politiken’s collec-tion, which so far has resulted in 25 wells that provideclean and safe drinking water for thousands of peoplein 25 villages.When I visit Afghanistan it is always the Afghangirls and women and their unfair living conditionsthat affect me the most. When I see a woman wrappedin the characteristic, pigeon-blue burka, I think abouthow it categorically erases distinctive features andpersonality, and how it turns the women into a face-less, blue-grey, fluttering crowd. The burka restrictsvisibility and freedom of movement, and is a potentialsource of infection with all sorts of diseases, as manywomen often share the same one. I have talked to theAfghan women; most of them hate wearing burka,and they only do it, because they feel pressured.When I look at a woman wearing burka, I cannotstop thinking about their lack of possibilities. I amacutely aware that the Afghans have a tradition-boundvillage culture, but I am sad to see that the womenin the cities, who previously were free to choose theirclothing, no longer are able to move around safely andfreely in public, unless they are completely covered.I feel indignant at the now dominant male view onwomen that justifies this gender inequality. Please,let the Afghan women decide for themselves!Conversely, I feel pleased with every single ini-tiative that can improve the girls’ and women’s liv-ing conditions and hopefully give them strength totake care of themselves – and in the longer term toimprove their own living conditions. For instance, thishappens when health centers offer medical examina-tions in relation to pregnancy and births, when morewomen get the opportunity to deliver by help of otherwomen who have been trained and educated, whenmore girls and women learn about family planningand hygiene procedures, and when more women canattend school and get an education. It is highly impor-tant to continue the support of these initiatives in Af-ghanistan – because they actually make a difference.
19
DEN DANSKE AFGHANISTAN KOMITÉ
2009-2010
THE DANISH AFGHANISTAN COMMITTEE
Mit job hos DACDr. Abdul Jabber Sohail, DAC’s leder af den samledeoutreach-indsats i HeratMit navn er Dr. Abdul Jabber Sohail – familienavn:Ghulam Nabi.Jeg blev født i Zendajan distriktet, 40 km fraHerat by, hvor jeg også gik i folkeskole og gymnasi-um. Efter gymnasiet startede jeg på det medicinskefakultet i Kabul.Under min afsluttende eksamen på det medicin-ske fakultet, arbejdede jeg et år på Herats provins-hospitals forskellige afdelinger. Herefter tog jegtil Pashtoon Zarghoon (PZ) for at arbejde som di-striktsdirektør. Da jeg var i PZ, var det kun Goza-rah Distriktshospital der blev drevet af DAC, menefterfølgende kom DAC til både PZ og Obeh. Jeghar arbejdet som direktør for DAC i adskillige år –mere end otte år i PZ og fire år i Obeh.Siden 13. februar 2010 har jeg været ansatpå DAC’s hovedkontor i Herat som leder for densamlede outreach-indsats.Her følger en beskrivelse af mit job:Overordnede ansvarsområder:1. Overordnet ansvar for ledelse af outreach-ind-satsen i samarbejde med DAC’s medarbejdere påhovedkontoret som har det medicinske ansvar (detmedicinske hold).2. Medansvar for udvikling af nye ideer i forbin-delse med vores outreach-personale.3. Medansvar for implementering af lokalinvolve-ring i forbindelse med udvikling.4. Planlægning, supervision og implementering afalle aktiviteter inden for lokalinvolvering i samar-bejde med det medicinske hold og mine samarbejds-partnere Solehi og Ehsan.5. Ansvar for kommunikationen til samarbejdspartnere.6. Ansvar for planlægning og budgetering.7. Hovedkoordinator og supervisor for uddannelsenaf supervisorer, sundhedsarbejdere og landsbyud-viklingshold.8. Ansvar for fortsat uddannelse, implementering,supervision og evaluering.9. Deltagelse i det medicinske holds møder.10. Kommunikation på alle niveauer for at gøresundhedssystemet så gennemskueligt som muligt11. Medlem af det medicinske hold samt ledelses-holdet på DAC’s hovedkontor.Specifikke arbejdsopgaver:1. Deltagelse i rekruttering af personale til out-reach-indsatsen.2. Ansættelse og uddannelse af undervisere, derskal undervise og supervisere outreach-personalet.3. Planlægning og forberedelse af uddannelse.4. Vurdering af behovet for videreuddannelse og op-gradering.5. Supervision af undervisere under deres teo-retiske periode.6. Supervision af undervisere under deres praktiskeperiode.
My job at DACDr. Abdul Jabber Sohail, DAC’s community basedhealth care manager in HeratMy name is Dr. Abdul Jabber Sohail – family name:Ghulam Nabi.I was born in the Zendajan District, 40 km westof Herat city, where I also went to post-primary- ,mid- and high school. After finishing my high schoolexam, I started at the medical faculty in Kabul.During my graduation from the medical faculty,I worked at the Herat Regional Hospital’s diffe-rent sections for one year. Then I went to PashtoonZarghoon (PZ) to work as a District Director. WhileI was in PZ, it was only Gozarah District Hospitalthat was run by DAC, but then the DAC missioncame to PZ and Obeh. I have worked as a Directorfor DAC for a long time - more than eight years inPZ and four years in Obeh.Since 13 February 2010, I have worked at DAC’sMain office as Community Based Health Care Man-ager.Here is a description of my job:General responsibility:1. Overall responsibility of the outreach manage-ment in cooperation with the medical team atDAC.2. Joint responsibility for developing new ideas forour outreach employees.3. Joint responsibility for implementation of com-munity involvement in relation to development.4. Planning, supervision and implementation of allthe activities related to community involvement incoordination with DAC Medical Team and delega-tion to my direct co-workers Solehi and Ehsan.5. Responsibility for communication to collabora-tors.6. Responsibility for planning and budget.7. Master coordinator and supervisor for the train-ing of supervisors, CHWs, and VHDTs.8. Responsibility for continuous training, imple-mentation, evaluation, and supervision.9. Participation in medical coordination meetings.10. Communication on all levels to make the healthsystem transparent.11. Member of the medical team work at DAC’s of-fice and part of the management group.Specific duties:1. Participation in recruitment of staff for publichealth and fieldwork.2. Recruitment and education of teachers for thetraining and supervision of the field workers.3. Locating, arranging, and preparing training venues.4. Estimation and planning of further training oftrainers and level of upgrading.5. Supervision of teachers during theoretic periods.6. Supervision of teachers during practical periods.7. Preparation of curriculum for VHDTs and otherfield workers.
20
DEN DANSKE AFGHANISTAN KOMITÉ
2009-2010
THE DANISH AFGHANISTAN COMMITTEE
En sygeplejerske hjælper en mor og hendes barn på GDH’s Baby Well Clinic.A nurse helps a mother and her child at GDH’s Baby Well Clinic.
21
DEN DANSKE AFGHANISTAN KOMITÉ
2009-2010
THE DANISH AFGHANISTAN COMMITTEE
7. Forbederelse af ud-dannelsesforløbforlandsbyudviklingshol-dene og andet out-reach-personale.8. Forberedelse af ud-dannelsesmateriale tiloutreach-personalet,og deltagelse i bådeden teoretiske og prak-tiske undervisning afdem.9. Ledelse og ansvarfor al evaluering afoutreach-personalet.
8. Preparation of trai-ning material for thetrainees and take partin the training of thosefield workers bothpractically and theo-retically.9. Management of theevaluation of all fieldworkers.Here is a little storyfrom my daily work:
While I was in PZ asa director, there wasEn lille historiea Sub Health Centerfra mit job:(SHC) in Taqcha inthe mountain areaMens jeg var direktørsouth east of Pash-tooni PZ var der en under-Zarghoon. A medicalklinik i byen Taqchaassistant, who workedsom ligger i bjergområ-at the center, tolddet sydøst for PZ. Dérme that there werevar der en læge, somsome cases of Pertus-fortalte mig, at der varsis (whooping cough) inudbrudt kighoste. EnTaqcha. Therefore, aassisterende overlæge,medical assistant, aen vagt, en chauffør ogguard, a driver and Iundertegnede tog der-immediately went tofor straks til Taqcha.Taqcha. It was in theDet var vinter, og viwinter, and we werekørte i bilen i snevejr.Dr. Sohail, DAC’s trofaste medarbejder gennem meremoving by car in theEfter ca. en time gikend 12 år, arbejder nu som leder af DAC’s samledesnow. After driving forbilen i stå på grund afoutreach-indsats i Herat.an hour in the moun-det forfærdelige sne-tain, the car was notog frostvejr. Vi forlodDr. Sohail, DAC’s faithful employee for more thanable to move any longerbilen og gik resten af12 years, now works as community based health carebecause the weathervejen gennem de storemanager for DAC.was too icy and cold.snedriver i vores storeWe left the car on thevinterstøvler. Vi havde heldigvis tæpper og skovleroad and walked with high boots in the snow. For-med. Efter halvanden time ankom vi til klinikken itunately, we had shovels and blankets with us. Af-Taqcha omkring midnat. På klinikken var der intetter 1 ½ hour we reached the SHC in Taqcha aroundat spise, men vi blev der alligevel i tre dage for atmidnight. In the SHC there was no food to eat, butbehandle kighostepatienterne.we stayed there for three days after all to treat thePertussis patients.Mange hilsner fra,Dr. Abdul Jabber SohailBest regards,Dr. Abdul Jabber Sohail
22
DEN DANSKE AFGHANISTAN KOMITÉ
2009-2010
THE DANISH AFGHANISTAN COMMITTEE
Status forDAC’s vandprojekti HeratAbdul Basir Tukhy, DAC’s ingeniørog koordinator for vandprojektet.For to år siden udbrød der koleraepidemi på grund afmanglende adgang til rent drikkevand, hvilket øje-blikkeligt fik DAC til at søge midler til et vandpro-jekt, der kunne give de nødlidende i Herat adgang tilrent drikkevand.I 2009 besøgte Anders Jerichow fra PolitikenDAC i Herat og tilbød efter sit besøg, at avisen villeforsøge at skaffe midler til bygningen af brønde iHerat. I slutningen af 2009 lykkedes det DAC sam-men med Anders Jerichow og Politiken at indsamlegodt 1.000.000 kr. gennem bidrag fra mange gene-røse danskere og private danske firmaer.Straks efter indsamlingen begyndte vi at byggede første 10 brønde i Gozarah-distriktet. I forbin-delse med beslutningen om hvor brøndene skalbygges, samarbejder vi med det afghanske mini-sterium for landsbyudvikling og rehabilitering, somvi får en liste fra overde landsbyer der harstørst behov for rentdrikkevand. Det er udfra denne liste, at DACbesøgerlandsbyerneog undersøge deresforhold, for herefterat udvælge hvilkenlandsby, der har detmest presserende be-hov for en brønd. Nårbeslutningen er truffet,informeres ministeriettil officiel godkend-else.Indtil videre har vibygget 25 brønde (ogfem er lige nu under op-bygning) hvilket inklu-derer 22 håndpumper,en solenergibrønd samtto små el-pumper.LandsbyenShahrakMohamadia i Gozaraher et godt eksempel på,hvordan vandprojek-tet nytter. I byen borprimært Hazara-ind-byggere, en afghanskminoritet som hverkenhar økonomiske res-sourcer eller forbindel-ser til regeringen ellerandre indflydelsesrigepersoner. DAC er denførste NGO, der har
Status ofDAC’s Water SupplyProject in HeratAbdul Basir Tukhy, DAC’s engineer andcoordinator of the water supply projectThere was an outbreak of Cholera almost two yearsago due to the lack of access to safe and clean drink-ing water. This made DAC determined to find fundsto provide water for the needy people in Herat.In 2009, Mr. Anders Jerichow from the Danishnewspaper Politiken visited DAC in Herat, and hecommitted to find funds to establish clean watersources for the communities. At the end of 2009, DACCopenhagen, together with Mr. Jerichow and Poli-tiken, had raised around 1,000,000 DKK (170,000USD) through the contributions of many generousDanish individuals and Danish private companies.Soon hereafter, we started digging the first 10wells in the Gozarah district. When deciding onwhere to dig wells, we are collaborating with theAfghan Ministry of Rural Rehabilitation and Develop-ment (MRRD). From the MRRD we get a list of needyvillages, and on the ba-sis of the list, we selectthe right villages afterproper surveys andvisits to the locations.Then we officially in-form MRRD.Till now, we havefinished 25 wells (an-other five in progress)including22handpumps, one solar ener-gy well, and two smallelectric pumps.The Shahrak Mohama-dia village in Gozarahis one of the very goodexamples of how thewater supply projecthas benefitted needyvillages, as this is avillage with a Hazarapopulation, who nei-ther has any resourcesnor connections to thegovernment and in-fluential leaders. DAChas been the first NGOto dig a well for them,which has benefittedaround 100 families,most of whom are re-fugees from Iran whohave recently resettledin this village.When we visited thevillage, we only met
Børnenehujede ogmændenedansede fordide for førstegang så at detkunne lade siggøre at få rentvand i deresegen landsby!
The childrenwere shouting,and the menwere dancingbecause it wasthe first timethey saw thatthey easilycould get waterin their ovnvillage!
DAC’s ingeniør Abdul Basir Tukhy er koordinator forvandprojektet i Herat.DAC’s engineer Abdul Basir Tukhy is coordinator ofthe water supply project in Herat.
23
DEN DANSKE AFGHANISTAN KOMITÉ
2009-2010
THE DANISH AFGHANISTAN COMMITTEE
24
DEN DANSKE AFGHANISTAN KOMITÉ
2009-2010
THE DANISH AFGHANISTAN COMMITTEE
Nybygget brøndi landsbyenKariz Sultan. Ibaggrunden sesDAC’s ingeniørog koordinatorfor vandpro-jektet, AbdulBasir Tukhy.A newly builtwell in theKariz Sultanvillage. In thebackground isDAC’s engineerand coordina-tor of the watersupply project,Abdul BasirTukhy.
bygget en brønd til dem, og det har gavnet ca. 100familier, der primært er Hazara-flygtninge fra Iran,som for nylig har bosat sig i landsbyen. Da vi besøgtelandsbyen, mødte vi stort set kun børn, kvinder ogældre mænd, eftersom de unge mænd arbejder i stor-byen eller i Iran.Folkene i byen er meget fattige. De har ingen jordtil at dyrke afgrøder, og den eneste indtægt kommerfra de unge mænd, der arbejder som daglejere. Defortalte mig, at de ikke stolede på os, fordi de troede,at DAC ikke ville hjælpe dem, fordi de var Hazara.Men efter at de så brønden, blev de meget glade!Samudzaihaa-landsbyen i Pashtoon Zarghoon er etandet godt eksempel på, hvordan vandprojektet hargavnet befolkningen.Landsbyen er semi-Kutchi, dvs. befolket af af-ghanske semi-nomader. Adskillige gange har bebo-erne efterspurgt en brønd hos regeringen og andreNGO’er, men har på grund af en vandstand, derligger mere end 70 m nede i jorden, hele tiden fåetafslag og dermed ingen hjælp. Det har resulteret i,at beboerne har måttet hente vand fra en flod, derkrydser adskillige landsbyer, hvilket gør vandetmeget beskidt. Derfor har landsbyens børn værettvunget til at gå tre-fire timer til andre landsbyer forat hente vand.Efter at vi havde besøgt Samudzaihaa-landsby-en, fortalte vi indbyggerne, at vi ville hjælpe dem.Ligesom med indbyggerne i Shahrak Mohamadiastolede de først ikke på os, men efter at have byggetbrønden til dem, kunne de ikke tro deres egne øjne!Den dag, brønden blev indviet, husker jeg somnoget helt specielt. Børnene hujede og mændene dan-sede, fordi de for første gang så, at det kunne lade siggøre at få rent vand i deres egen landsby! De indså,at børnene nu kunne komme i skole, fordi de ikkelængere behøvede at gå tre-fire timer om dagen forat skaffe rent vand, og det gjorde dem meget glade.Brøndene har uden tvivl ændret folks liv, men pågrund af forskellige udfordringer samt en svagregering, kan vi desværre ikke udvikle hele landetpå en gang.Mit forslag er, at vi i fremtiden skal forsøge atrense Karez-systemet (underjordiske vandkanaler)samt kilderne, for at sikre rent vand til landsbyerne.På denne måde kan vi forebygge vandbårne sygdom-me og redde liv.
children, women, and old men because the youngmen are working in the city or in Iran.They are very poor people. They do not have anyland for agriculture, and the only income comes fromyoung men who work as hired laborers. They toldme that they did not trust us at first because theythought that DAC would not do anything for thembecause they are Hazara. However, after digging thewell, they have become very happy!The Samudzaihaa village in Pashtoon Zarghoon isanother positive example of the water supply projectbenefits.The village is populated by semi-Kutchi people(Afghan semi-nomads), and several times they haverequested the government and other NGOs to dig awell for them, but as the level of water is more than70 meters down, nobody has wanted to help them.Therefore, they have been obliged to bring waterfrom the stream which crosses hundreds of villagesbefore them and as a result brings very dirty water.In addition, the children from the village have beenobliged to go to other villages for water – villagesthat are three to four hours away.After visiting the Samudzaihaa village, we toldthem that we would help them. As with the people inShahrak Mohamadia, they did not trust us at first,but after installing the solar pump for them, they couldnot believe that the clean water was finally there intheir village! The inauguration day was a very specialday for me. The children were shouting, and the menwere dancing because it was the first time they sawthat they easily could get water in their ovn village!They realized that the children now could attendschool, because they no longer had to go three-fourhours a day to get clean water, which made themvery delighted.The wells have definitely changed people’s lives.However, due to some difficulties and also a weekgovernment, we unfortunately cannot develop allparts of the country at the same level.For future, my suggestion is that we try to cleanthe Karez system (underground water tunnels) andthe springs to bring clean water to the villages. Here-by, we can prevent waterborne diseases and savemany lives.
25
DEN DANSKE AFGHANISTAN KOMITÉ
2009-2010
THE DANISH AFGHANISTAN COMMITTEE
UDSNIT
HeratBasale sundhedsklinikkerBasic Health Centers (BHC)Sundhedsklinik+/ComprehensiveHealth Center+ (CHC+)Distriktshospital/District HospitalDAC kontor/DAC Office
HeratOBEHGOZARAHPASHTOONZARGHOON
MAP BY: DACAAR WSP-GIS UNIT
Kort om DACDAC er en upolitisk medlemsforening, stiftet i 1984,som har til formål at “yde aktiv humanitær hjælp tilofrene for krigshandlingerne i Afghanistan og til lan-dets genopbygning”. Siden 1998 har DAC arbejdetmed primær sundhed i distrikterne Gozarah, Obehog Pashtoon Zarghoon i Herat-provinsen.Provinsen ligger i den nordvestlige del af Afghani-stan og grænser op til Iran i vest og Turkmenistani nord. Provinsen er præget af et bjergrigt landskab,men nær den iranske grænse flader landskabet ud ogbliver til ørken.Provinsen har omkring 1,8 mio. indbyggere, hvor-af hovedparten er tadjikker, som taler dari (persisk).Herat by er provinsens hovedstad og har omkring400.000 indbyggere. Byen er et vigtig administrativtog transportmæssigt knudepunkt, og DAC har sit Af-ghanistankontor i den gamle del af Herat by.
DAC in ShortDAC is a non-political, Danish NGO founded in 1984 withthe objective to “provide humanitarian aid to the war vic-tims of Afghanistan and support the building up of thecountry”. Since 1998, DAC is running a primary healthproject in the districts of Gozarah, Obeh and PashtoonZarghoon in the Herat Province.The province is located in north-west Afghanistanand borders on Iran in the west and Turkmenistanin the north. It is characterized by a mountainouslandscape, but near the Iranian border, the land-scape flattens and changes into desert.The province has approx. 1,8 mio. inhabitants, ofwhom many are Tajiks who speak Dari (Persian).The city of Herat is the province capital and hasabout 400,000 inhabitants. The city is an importantcenter for administration and transport, and DAChas its Afghanistan office in the ancient part of theHerat City.
26
