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HealthNet TPO is a knowledge-driven aid agency that helps build health and community systems in fragile states. Our overall mission is to enhance the ability of communities in fragile countries to better manage and maintain their own health and wellbeing. Our vision is to do this by using “health” as both a goal and a means. The goal is to (re)build quality health systems, making health care accessible to everyone. By working with local communities, we use “health” as a means of uniting people, rebuilding community facilities and re-establishing community trust as a result.


Our map

Focus themes



Our goal is to (re)build quality health systems, making health care accessible to everyone. By working with local communities, we use “health” as a means of uniting people, rebuilding community facilities and re-establishing community trust as a result.

Contact persons

Willem Reussing

Regional Program Officer Afghanistan

Andre Stelder


Martijn Vink


Guido Noodelijk

Contact person

HealthNet Support

Contact person

Jeltsje de Blauw

Contact person

Inge Vollebregt

Community Staff

Nonprofit blog

André Stelder reporting from South Sudan

Yesterday I joined a large delegation with 3 State Ministers, the County Commissioner and a Member of Parliament, in a helicopter provided by UNMISS to Abyei Chok in Korok, an isolated area between the river Lol and river Kar. This populated area with over 20.000 inhabitants did not have a health center. There is no road going to the area and although during the dry season people can cross the dry river bed, there is no way out during the rainy season.

The community knows their needs and decided to construct their own health center. Then they requested the Ministry of Health for assistance with staffing and drugs supply. Minister Tong Deng Anei performed the formal opening of the Health Facility yesterday and brought the first supply of essential drugs. This Community initiative is a great example for other communities because the task at hand for the Ministry of Health is enormous and even with help of donors and NGOs they will not be able to do it without significant community participation.

Healthnet TPO is supporting the Ministry and County Health Department in bringing quality health services to the people. One of the issues in an isolated place like Abyei Chok, is the referral of cases with complications during child birth. The SHARP project, funded by the Dutch Government through the Royal Tropical Institute (KIT), is looking to address problems in the referral system. Healthnet TPO will discuss with the County Health Department how the referral can be improved, e.g. by providing the community with a decent boat to transport Women in Labor to the nearest Health-center with capacity to deal with complications. After all our main target is to reduce the extremely high levels of Maternal Mortality in South Sudan.

By Martijn Vink, Epidemiologist/Technical Advisor HealthNet TPO


Challenging times for Afghanistan

Afghanistan is facing challenging periods: For the first time since the 2004 elections (which followed the overthrow of the Taliban regime) the country will change presidents. President Karzai, who has served two full presidential terms, is not longer eligible for a new term. The first election round produced two clear winners (dr. Abdullah Abdullah and Ashraf Ghani Ahmadzai), but since none of them secured a majority of votes, a second election round took place on the 14th of June.

Next to that the US troops, which have been in Afghanistan since 2002, will withdraw much of their military capacity from the country in 2014. It remains to be seen if the newly-trained Afghan forces are able to take over the American military position in the fight against the Taliban in the country.

That is why it is not strange that many Afghans are worried about the future of their country. Can the democratic process and the improvements in the basic services be sustained and further improved? Or will the country slide back into a civil war, with devastating consequences for the Afghan civil population?


The ‘Truth Booth’

I was therefore very interested to read about the “Truth Booth” initiative that was initiated by the international artist collective Cause Collective, as part of their project “In search of the truth”.

In the summer of 2013 an inflatable studio (the “Truth booth”) travelled through Afghanistan. Ordinary Afghans were then invited to record their own video message, finishing the sentence “The truth is …”. The studio visited four different provinces (Kabul, Herat, Bamyan and Balkh) and more than 400 video messages were recorded (An extract of these video messages can be found at: http://ihearyou.me/#Videos).

 The video messages are recorded by Afghans from many different backgrounds: both males and females, children, adults and elderly people, people living in cities and in rural areas and people from different ethnic backgrounds and socioeconomic groups. The stories are often personal and very interesting to hear. People talk about their daily lives, the insecurity in the country, education, the role of women, their views on religion and their hopes for the future of Afghanistan.


Experiences after 10 years reconstruction

Some people express that after 10 years of reconstruction the country still struggles with absent infrastructure, fraudulent politicians and inaccessible health care. Other people are optimistic about the improvements made since 2002.

The story of a young man from Herat particularly strikes me (visible here: http://ihearyou.me/#Videos/167 ). He retells a tale of a king who wanted to change the world. After some time he found out that he was unable to do so and then he decided to change his city. When he also failed to do so, he turns to his family and tries to change them. This also proves impossible, so at the end the king decides the best thing he can do is to change himself.


A lesson for state-building

This story refers to an old wisdom (“Be the change you want to see in the world” -Mahatma Ghandi), but it also contains a lesson that is useful for state-building. When you want to ‘fix a broken state’ you have to create the conditions so that each citizen is willing to make his or her own contribution. This means that, as a government, you have to organize basic systems (like education, health care and a juridical system) but also the mechanisms through which local citizens can control these systems. Governments should stimulate their citizens to ‘work for their country’, but this works best when governments themselves give the good example!

This is what I wish for the future of Afghanistan: a government that is working hard for the interests of all Afghan people and that stimulates its citizens each to make their own contribution to the country. When this is the case, Afghanistan can face a better future.

Read more of Martijn's stories, follow him! Here's the link to his PIFworld account:

Tom is één van onze dam tot damloop renners! Wij vroegen hem wat zijn motivatie is om mee te doen en hoe hij zich optimaal voor gaat bereiden.

"Mijn motivatie om mee te doen is vooral om me alvast een beetje in conditie te brengen voor het volgende schaatsseizoen. Vorig jaar deed ik voor het eerst mee via HealthNet TPO. De eerlijkheid gebiedt te zeggen dat dit vooral kwam omdat de reguliere startplaatsen al snel weg waren. Maar ik vond het vorig jaar vooral erg leuk om in een groep mee te doen; vooraf 'de spanning' met elkaar delen en na afloop de ervaringen. Daar komt bij dat het voor een goed doel is en dat geeft ook een goed gevoel. De editie van 2014 wordt mijn vierde Damloop, dus ik weet inmiddels wel ongeveer wat ik kan verwachten. Toch blijft het elke keer wel weer spannend hoe het zal gaan. Dat hangt natuurlijk vooral van mijn voorbereiding af. Die zal denk ik uit een combinatie van lopen en fietsen bestaan. Gelukkig hebben we nog 4 maanden!"

wil je ook meedoen met de dam tot damloop namens HealthNet? Stuur dan een mailtje naar events@hntpo.org. 


HealthNet TPO is a knowledge-driven aid agency that helps build health and community systems in fragile states. Our overall mission is to enhance the ability of communities in fragile countries to better manage and maintain their own health and wellbeing. Our vision is to do this by using “health” as both a goal and a means. The goal is to (re)build quality health systems, making health care accessible to everyone. By working with local communities, we use “health” as a means of uniting people, rebuilding community facilities and re-establishing community trust as a result.

Focus themes



Our goal is to (re)build quality health systems, making health care accessible to everyone. By working with local communities, we use “health” as a means of uniting people, rebuilding community facilities and re-establishing community trust as a result.

Main activities

HealthNet TPO does not provide emergency or development aid. Instead we try to close the gap between the two by working on reconstruction. Our approach is simple: we apply a developmental approach in prolonged emergency situations. This work is focused around four main themes: • Community Systems Strengthening • Mental Health and Psychosocial Support • Disease control • Health finance


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  • A future for Gulchehra

    Gulchehra uit Tarin Kowt in Afghanistan is slachtoffer van huiselijk geweld, ze werd twee jaar geleden neergeschoten door haar echtgenoot en is sindsdien vanaf haar middel verlamd. Door gebrek aan geld en de achtergebleven medische voorzieningen in Uruzgan - een van de armste provincies van Afghanistan - kreeg ze geen toegang tot de zorg die ze nodig heeft. Sinds kort verblijft Gulchehra in een blijf-van-mijn-lijf huis in Kabul. Healthnet TPO faciliteert deze actie op initiatief van Targo Media. ---- Gulchehra from Tarin Kowt in Afghanistan is a victim of domestic violence. She was shot by her husband two years ago and is now paralyzed from her waist down. Due to a lack of money and the poor state of medical healthcare in Uruzgan - one of the poorest provinces of Afghanistan - she had no access to the specialized care that she needs. Gulchehra is now in a shelter for abused women in Kabul. Healthnet TPO facilitates this campaign at the initiative of Targo Media.

  • Hollen voor Healthnet Damloop 2014

    On Sunday 21 September 2014, the 30th “Dam tot Damloop” will take place in Amsterdam. Just like last year, HealthNet will be represented by a delegation of sporty people. This year we have 50 tickets available: sign up now and run for health! As a charity HealthNet already has early tickets available for the running event of the year. Together with 50 friends of HealthNet we will run the 16.1 kilometers track from Amsterdam to Zaandam. And there is an extra bonus to it as we will be running for the good cause: everybody has the right to health and HealthNet will run for this right. WHAT WE OFFER… Signing up as a runner for HealthNet is an excellent opportunity to contribute to “better health”. The practical advantage is that we take care of your registration, your starting ticket will be guaranteed, you’ll receive a running shirt and you can start from the charity take-off area. After the run you and your fellow runners are invited to join HealthNet for some drinks and snacks. WHAT WE WOULD LIKE TO ASK YOU… To make this event a success for everyone we depend on your enthusiasm, commitment and sportsmanship! Of course we also would like to raise as much money as possible for our work. We therefore request you to raise a minimum of €200 of sponsor money. Use this platform (PIF world) to raise money. You can make your own page, share photos and blogs to keep your donors informed about your progressions. You can also make a team to raise money together. If you want instructions contact the HealthNet Support which can be found on the HealthNet main page. SIGN UP The Damloop event tends to sell out in no time and HealthNet only has a limited number of tickets available. Make sure you sign up on time! Please send an email including your name, email address and phone number to: events@hntpo.org. Together we can build healthy communities!

  • Public Private Partnerships

    The Public-private partnership program (PPP) was initiated in 2009 in the Uruzgan province to strengthen the capacity of selected private practitioners in remote and insecure areas to provide quality health services, concentrating on reproductive health services, childhood vaccinations and basic health services. The program involves trainings for the selected private practitioners (PHPs), renovating and equipping their health facilities, supplying them with essential medicines, vaccines and other medical supplies, establishment of a Private Medical Association and support and supervision on all activities. The public-private partnership program is also initiated in the province of Paktia since 2012.

  • Midwifery Training

    Afghanistan has instituted a number of major initiatives to address serious deficiencies in health infrastructure and indicators following thirty years of armed conflict and civil unrest in the country. One initiative is the community midwifery education (CME) program. The CME program tries to identify and educate women from rural areas as midwives who will then work for at least five years in their districts of origin. This is important issue because 20% of the health facilities still doesn’t have a midwife. HealthNet TPO is proud to have introduced the CME initiative in Afghanistan with the aim to address the high neonatal and maternal mortality rates. The program, which trains and deploys qualified community midwives in far geographical locations of the provinces, later, became a national policy within the structure of the Ministry of Public Health. Health Net TPO has presented the idea of the Auxiliary midwife to the World Health Organization (WHO) and to local health authorities in Jalalabad since 2002. This idea was supported by the WHO and was discussed with Ministry of Public Health for implementation. The term ‘auxiliary midwife’ was later replaced by ‘community midwife’.

  • Sexual Reproductive Health and Rights

    Burundi is a fragile state, ranking number 7 on the Country Indicators for Foreign Policy (CIFP) and number 185 out of 187 on the Human Development Index. Between independence and the signing of the Peace Agreement in 2002, subsequent flare ups of ethnic conflict have resulted in a large exodus of mainly Hutu populations, reaching more than 500,000 refugees accommodated in neighbouring countries. In 2006 the only remaining rebel group (FNL) laid down its weapons and joined the political arena. From 2002 to July 2009, 496.047 people returned from exile. There are 240,089 refugees remaining, most of them in Tanzania. It is estimated that there are still some 100,000 IDPs (mainly Tutsi) in Burundi, who were displaced in the 1990s and early 2000s. Burundi is one of the most densely populated countries of the world, with an estimated population of over 9 million people and a population density of 310 persons per km2. Burundi is one of the 10 poorest countries in the world, with 68% of the population surviving on less than US$ 1 per person per day (compared with 36.4% in 1993). The private sector provides few employment opportunities due to years of war and inadequate policies that are obstructing investment. Agriculture is the major economic activity of 95% of the population. Due to land scarcity and uneven distribution of land most households possess small plots and the production of food crops is insufficient, leading to high levels of malnutrition and an estimated 63% of the population suffers from food insecurity. If Burundi continues its explosive population growth the expected agricultural productivity may not compensate for the increased population size. The need for an effective Family Planning policy is therefore widely acknowledged, though proactive actions are still lacking. The importance of the role of civil society in achieving this objective is widely acknowledged. In terms of existing countervailing power, numerous grassroots organisations have been established that intervene in various sectors and on various levels. Their voices however are seldom heard and they are not awarded sufficient support due to ambivalent relations with state actors. Damage to the social fabric is one of the root causes of the socio-economic adversity experienced by the population. Violations of Sexual and Reproductive Health Rights (SRHR) are widespread and are clear manifestations of this social disintegration. Coupled with pervasive state of impunity at all levels of society, it poses a serious threat to social recovery.

  • Sustainable and equitable Health Care

    South Sudan, independent since July 2011, is among the poorest countries in the world. The long civil war left the country with little or no infrastructure and impacted heavily the country’s ability to address its development needs. Despite the progresses made by the newly formed Republic, especially in establishing ministries and institutions, only modest development has taken place. From a health perspective the population outcomes score very low and South Sudan has some of the worst health indicators of the world: being born in South Sudan today means having an estimated life expectancy of 62 years. Children have more than 1 chance out of 10 of dying before the age of 5. There is an extremely high maternal mortality (estimated at over 2000/100.000 live births) and a lack of primary schools (a 15 years old South Sudanese girl has a higher chance of dying from a pregnancy related cause, than of completing school). Activities and results include: All health centres have improved their provision of preventive and curative primary health services. - Mobile antenatal care and vaccination outreaches are being carried out in the counties’ remote areas. - The referral system for emergencies is in the process of being strengthened - Most common diseases and health risks are better diagnosed and treated. - The health system is currently being strengthened under the stewardship of the County Health Departments. Key capacity building areas are human resources management, health management information systems, procurement of medical supplies, health financing and governance and leadership. - All facilities have functioning Health Committees. These are the link between communities and authorities and provide feedback on the quality of health services.

  • Project SHARP

    “One maternal death is one death too many”. Project Sharp stands for South Sudan Health Action and Research Plan. HealthNet is partner in a consortium that was awarded Eur 8,3 million by the Dutch Government to support the South Sudanese government in its efforts to reduce maternal mortality. The South Sudan Health Action and Research Plan aims to improve health services for mothers and children in South Sudan. The project is launched in three regions: Upper Nile, Northern Bahr El Ghazal and Western Bahr El Ghazal.

  • Health Insurance

    The name of this Health Insurance program is “My Family’s Health”. The objective of this project is to build a health insurance scheme that is embedded in the community. It should become a sustainable not-for-profit cooperative organization that is owned by its members. The scheme has been given the name My Family’s Health. HealthNet TPO together with its local implementing partner, the Reproductive and Child Health Alliance (RACHA), assists the community in building cooperative associations that will manage the scheme and reinforce social protection and economic empowerment. In addition, Achmea has committed itself to provide the technical input and know-how in order to reach the self-sustainability of the project. Key elements of the program are: a) Awareness and promotions campaigns b) Contracting local health centers to provide care c) Capacity building of staff d) Attract new members and premium collection

  • Improve Mental Health

    Since 2003, HealthNet TPO has worked to improve the health of the Congolese population, focusing on health system strengthening and emphasizing psychosocial support to prevent serious mental health problems. Several innovative psychosocial programmes were developed and have been implemented in collaboration with local authorities. The aim of the interventions is to stimulate self-organization initiatives to a point where psychosocial care is embedded in primary health care. Key elements: • Integration of mental health services into basic health care; • Strengthening the Health Management Information System (HMIS; • Strengthening community health center committees. Due to budget cuts of the Dutch government, other proposed activities such as improving the quality of care; strengthening community systems; and research on a possible health insurance have been postponed.

  • Project PRIME

    Consortium of specialists PRIME is a six-year research consortium of mental health experts and policy makers from around the world that aims to improve the coverage of treatment for the priority mental disorders by implementing and evaluating the WHO's mental health Gap Action Programme (mhGAP). The mhGAP provides a practical tool to empower health practitioners to deliver mental health services at the primary care level. The ultimate purpose is to generate benefits for mental and physical health and socio-economic outcomes. It will achieve these broad goals by addressing three major objectives in three phases across the programme. Key activities of the programme are: a) Developing care packages for mental disorders within both primary and maternal health care (Inception phase). b) Evaluating the feasibility, acceptability and impact of the care packages (Implementation phase). c) Scaling up and evaluating the integrated comprehensive mental health care plan at the level of administrative health units (Scaling Up phase).

  • Fanning the Spark

    “Fanning the Spark in Burundi” In recent years, HealthNet TPO and Achmea have been developing health insurance models that are applicable in fragile states, and provide access to health care for those in dire need. In this project the health insurance is part of a larger package of “income protection insurances”, including crop and cattle insurances. The objective of the interventions is to increase food production at a village level, by means of more investments in crop production and an insurance package that protects rural families against the financial consequences of catastrophic events (natural and health-related). The project is coordinated in Burundi within the context of the existing HealthNet TPO presence. On 1st of July 2013 it became clear that the Dutch government supports this project with additional funding. Key elements of the programme are: a) Rebuilding trust by bringing people together in a cooperative insurance system b) Introducing service components to remove barriers to get insurance c) Capacity building of staff and community d) Farmer research groups to increase food production e) Awareness and promotion campaigns to attract new members f) Contracting local health centres to improve qualitative care

  • Community RMM Project

    RMM stands for: Community Resource Mapping and Mobilization. This project enables people to restore social cohesion and build their capacity to take charge of their own health and well-being. It refers to people’s ability to “bounce back” and to manage the difficulties they face. Activities are therefore fully dependent on the involvement of the community: interventions will not start and cannot be maintained unless the community feels responsible for the changes. We therefore promote the development of informed, capable and coordinated communities and community based organisations, groups and structures. In cooperation with several partners, many (smaller) RMM initiatives are being implemented and/or facilitated. Key activities of the programme are: a) Operational research b) Training and education c) Capacity building d) Awareness raising

  • Medical check for kids

    Prevention and treatment of (infectious) diseases among disabled children that are displaced due to the December 2010/January 2011 flooding in Sri Lanka. In the Batticala District several day-care centers for disabled children and their families have been severely damaged due to the high water level. These day-care centers provide care by taking care of the children in their own communities, educate them and give medical support. By organizing medical check-ups and providing them with non-food emergency (sanitation) packages we can prevent diseases and help the children and their families to get back on their feet again.

  • Hospital in Jalalabad

    HealthNet has been responsible for the Jalalabad hospital since 2007. Jalalabad is the capital of the eastern province Nangarhar in Afghanistan. The hospital has a very important regional function. People from 3 other provinces come to Jalalabad to use the services of the hospital. Jalalabad is on the main road between Kabul and Pakistan, with daily traffic accidents and Nangarhar is experiencing the highest amount of armed clashes in the last year. The hospital has more than 500 beds.

  • Fight Malaria

    HealthNet has been combating malaria in Afghanistan since 1993. HealthNet is active within 29 of the 34 provinces of Afghanistan. The main objective of the project is to reduce morbidity and mortality associated with malaria. The disease is especially endemic in large areas below 2000 meters in elevation, and is highly prevalent in river valleys used for rice cultivation. Key elements of the programme are the distribution of “Long Lasting Insecticidal Nets” (LLINs), environmental malaria control, health education and training, and operational research.

  • Women Empowerment

    Between 2011 and 2013, the project supported over 3432 women and children. Through the establishment of supportive networks at different levels of society, some 150 female focal points were able to start up 191 micro-projects. These include tailoring, carpet weaving, cow keeping, farming, and providing English and holy Quran courses. These women act as mobilizers for their surroundings by encouraging others to start up similar activities. In each target province campaigns were organized to create a supportive environment about Women´s Rights. An evaluation of the project revealed that more than 90% of the participating women experienced social, psychological and economic growth from the micro-projects they were involved in. The community based organization acts as bridge between community and local unit and respond to local needs by community mobiliza¬tion. It develops partnerships and linkages with public, private and NGO sectors. The CBOs help in bringing the community’s problems and is¬sues to the local government and the agencies for help and it then helps the government in imple¬menting the projects. In 2013, HealthNet TPO supported the process for the establishment of three women lead CBOs in Ghor, Uruzgan, and Kapisa. HealthNet TPO organized a two days conference in collaboration with Ministry of Women Affairs for women from rural areas who implemented projects. The conference had participants from Ghor, Kunduz, Uruzgan, Daikundi, Kapisa, Lugar, Nangarhar, Laghman, and Kunar provinces participated in the conferences. EU, Cordaid, Oxfam, ACTED, SMO, and other EU funded NGOs which are working for women empowerment, participated in this conference as well. The objective of this conference was to create a platform where women from rural areas can share their experiences related to the projects implemented by several organizations funded under EU. The women spoke and shared their experiences to raise the awareness of the stakeholders and donor community regarding their approach and best way to move forward. Things that worked for them during the project and things that can be further enhanced. The village women from 9 provinces shared their success stories and the challenges they faced during the implementation of their personally initiated micro-projects. “Investing in women and providing them supportive platforms can facilitate in resolving conflict and promoting peace”, said another women who implemented a psychosocial education and holy Quran mi¬cro project. According to the participants of the conference the way forward for the promotion of women rights in Afghanistan is increasing wom¬en’s educational, social and economic opportuni¬ties and developing a clear roadmap for a more coordinated intervention strategy targeting not only women but communities at large.





  • Healthnet TPO

    HealthNet TPO is a knowledge driven, non-profit organization that works in areas disrupted by war, disasters and poverty. Working together with local populations we channel emergency aid into sustainable health care development. We train and encourage the local population to carry out initiatives that combat disease, provide psychosocial care, restore infrastructure and strengthen organizational systems. HealthNet TPO will offer innovative and unconventional solutions that foster self-reliance and promote sustainable health care that is accessible to all. HealthNet TPO was established by Medicins Sans Frontieres (Doctors without Borders) in 1992 to bridge the gap between emergency aid and structural healthcare development. Since 2002 HealthNet TPO is an independent agency that works in 12 countries worldwide with major programmes in Afghanistan, Cambodia and Central Africa.

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    Christmas Giving 2010: Mobitrans is excited to cooperate in creating a better world. Mobitrans is the number one mobile service provider in the Middle East, South Asia and Eastern Europe with 35 operator connections in 15 of the world's fastest emerging mobile markets.

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