Improvement of Reproductive Health Care in Afghanistan

Team members: 
Kathia van Egmond, Patricia Claeys, Marleen Bosmans, Marleen Temmerman


  • IbnSina, Public Health Programme for Afghanistan


  • To give punctual policy advise to the Belgian Development Cooperation on how to improve reproductive health care in Afghanistan


  • KAP study (Knowledge, Attitudes and Practices), in order to contribute to a better understanding of what women actually want in regard to their reproductive health.
  • In total 468 Afghan women of reproductive age (15 to 49 years) have been interviewed in Kabul city


  • There was an important impact of socio-cultural elements and education on reproductive health parameters
  • The high desired family size reflected the importance and emphasis put on the reproductive role of women in the Afghan society
  • The main determinant for use and non-use of reproductive health services (such as emergency obstetrical care and family planning services) was the schooling of the women within the surveyed population
  • Socio-cultural factors such as young age at marriage, and lack of decision making power for women, appeared to be important barriers to reproductive health. These factors were strongly linked with the traditional attitudes still prevailing in the Afghan society.
  • Education, access to employment and women's social position were at least as important as medical factors in the overall reproductive health status of the women.
  • A report on the final analysis of the international approach regarding reproductive health care and the establishment of a framework regarding the "Possibilities for the improvement of reproductive health care in Afghanistan" has been submitted to the Belgian Development Cooperation. This report is useful for Belgian actors, and eventually for a bigger group of involved actors.
  • The results of the KAP survey were also published : Disasters. 2004 Sep;28(3):269-82
Belgian Development Cooperation
Consultancy type: