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October 2004, Vol 94, No. 10 | American Journal of Public Health 1686-1688
© 2004 American Public Health Association

RURAL HEALTH AND HEALTH CARE DISPARITIES

Provision of Health Care in Rural Afghanistan: Needs and Challenges

Brigg Reilley, MPH, Thorsten Frank, MD, Thomas Prochnow, RN, Gloria Puertas, MD, MPH and Joost van der Meer, MD, PhD

The authors are with Doctors Without Borders/Médecins Sans Frontières, New York, NY, and Amsterdam, The Netherlands.

Correspondence: Requests for reprints should be sent to Brigg Reilley, MPH, 333 7th Ave, 2nd Floor, New York, NY 10001 (e-mail: brig. reilley{at}newyork.msf.org).

Afghanistan’s health system is severely limited in terms of preventive and curative services, referral systems, and human resources. Most of the country’s citizens reside in rural areas, a majority of which are served by "basic health units" (small and simple facilities that provide primary care), and these rural residents face additional challenges regarding timely access to quality health care.

The analysis described in this article, which focuses on data derived from 2 rural health units during a 1-year period, revealed that infectious diseases, mainly acute respiratory infections, were a primary concern and that there is a clear need for increasing access to health services. In addition, our results showed that women are underrepresented as patients and appear to be at higher risk than men of tuberculosis.




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