Hospital management Mazar-e Sharif

Project description

Title: Hospital management Mazar-e Sharif
Commissioned by: German Federal Foreign Office
Country: Afghanistan
Lead executing agency: Afghan Ministry of Public Health
Overall term: 2009 to 2014


Basic medical care for Afghans is not guaranteed. There are too few qualified doctors, and the few hospitals that exist are poorly equipped. Medical care is inadequate, particularly in the provinces. That has consequences: Afghans have a life expectancy of only 44 years. The maternal mortality rate is very high. Afghanistan also has the second-highest infant mortality rate in the world, with one in five children dying before the age of five. One in ten children suffers from malnutrition.


Afghanistan develops an efficient health system. A modern management team organises the hospitals. The staff are well trained. The regional hospital in Mazar-e-Sharif plays a pioneering role, serving as an example of reform for other hospitals in northern Afghanistan.


The provincial hospital in Balkh was gutted by fire in 2006 and has been rebuilt with German assistance as the regional hospital of Mazar-e Sharif. On behalf of the German Federal Foreign Office, GIZ is supporting the start of operations at the new hospital, strengthening it in its role as a training, reference and model hospital. It is the only referral hospital in northern Afghanistan, serving seven provinces with a population of nearly five million. It is now being modernised with assistance from GIZ. The reforms affect every area, ranging from organisation and finances to technology and storage. The hospital is also introducing a quality assurance system.

All hospital staff, from the physicians to the nurses, technicians and administrative personnel, as well as the cleaners, laundry workers and security guards, are receiving further training. The focus is on practical training measures accompanying routine work.

Results achieved so far

GIZ experts are training staff at Mazar-e-Sharif hospital. Each stage in the workflow is being documented in a hospital handbook as part of the new quality management system. Management planning is guided by economic data. Medical students, young doctors and trainee nursing staff are given thorough training that seamlessly combines theoretical and practical skills. Specialists have a command of advanced operation and diagnosis techniques and work in accordance with recognised standards, leading to improved health care for the population. There has been a steady increase in the number of patients, with some departments seeing a threefold increase since the new hospital opened.