The Afghanistan health system has made considerable progress backed by the strong evidence of improved health indicators over the years. The key enablers for the improvements in the health system include strong local stewardship, development of sound and stable policy frameworks, continuous prioritization of investments in BPHS and EPHS. The BPHS and EPHS have been implemented through the Service Providers (SPs) in 31 provinces and the Strengthening Mechanism of the Ministry of Public Health (MoPH) in remaining 3 provinces. As the Sehatmandi project fund centers around the BPHS and EPHS implementation, it attempts to bring in a new approach of performance management for more transparent and systematic management of the SPs. To optimize the performance management system, the MoPH has developed the Performance Management Standard Operating Procedure (SOP) and establishes a new office titled the Performance Management Office (PMO).
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