Columbia International Affairs Online: Policy Briefs

CIAO DATE: 05/2010

Health Initiatives and Counterinsurgency Strategy in Afghanistan

Leonard Rubenstein

March 2010

United States Institute of Peace

Abstract

An initiative by the Ministry of Public Health in Afghanistan to expand health services throughout the country, including rural communities, and supported by donors including USAID, has vastly expanded access to primary health care services, significantly reduced child mortality, and increased the capacity of the Afghan government to provide an essential service to its people. The program is based on principles of equity, national ownership, community engagement, and women's equality, and it warrants continued development. Many challenges remain, not least expanding services in insecure areas, and a more stable environment could better enable the Ministry of Public Health to achieve its goals.