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.

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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.

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Making ends meet in Burundi
In Gitega, province in the middle of Burundi, we try to make ends meet. Like all people do in this beautiful green region. Nature is overwhelming in its friendliness: it looks like there should be enough for everyone in such abundant fertility. Different from large parts of Afghanistan or the Middle East where natural surroundings make it almost natural for people to fight over meager resources. Burundi shows the other side of the continuum: the fertility of the land translated in such an abundance of people that conflict is just as harsh.

We went to the center of the country, in Gitega province, and met people with whom we are working to make ends meet - not only as a way to survive, but also in an operational way. This woman is one of them: she benefits from agricultural advice, while helping out to make health care more relevant. And at the same time she is one of the leaders of social networks that are created to integrate financial inclusion, agricultural development, and better health. Part of health is of course sexual and reproductive health & rights. Contraception, for example. Discussions with religious leaders on moral ideas and beliefs concerning child-spacing. How to improve daily life for all these people in this small country.

This happens among growing concerns about security. Rumor had it that the Imbonerakure, the youth wing of the Presidents party, are being armed and trained again in wake of next years’ elections. And today we hear that Paul Debbie, security chief at the UN office in Burundi, is ordered to leave the country. When the government connects this to a UN report containing "allegations of weapons distribution to members of the youth league of the ruling party", it raises more concerns than it may hope to quell. President Pierre Nkurunziza is expected to campaign for a third  term in office despite a two-term constitutional limit. 

And the strange thing is that most people like him. Nobody doubts that he will win the elections. The question is about institutional rule of law. Is a third term a democratic, constitutional option? Our colleague who is making ends meet couldn’t  care less. She asks, and so do I, can powerful men, ever, anywhere, resist the urge to play politics – even when it is not necessary? 
Opportunities and better health care for women
Together with the National Health Institute, HealthNet has piloted a training for community nurses in the province of Uruzgan. http://www.youtube.com/watch?v=qZOCG8Frwhc As it was a success, the Ministry of Public Health approved the curriculum and since 2013 this training is implemented all over Afghanistan. There is a huge shortage of female nurses, and thus less health care for women. In a project for the province of Khost and Nangarhar, HealthNet has trained 70 female nurses in 2013.

This week the Ministry of Health informed us that we are awarded two projects. One project to train 70 female nurses for the provinces of Kabul and Pansjir. And the other one to train 70 female nurses for Balkh and Kunduz province in the north of the country. A great opportunity to increase access to good health care for women and great job opportunities for women.

Resilient or stubborn? Afghan realities before the elections
The first thingI heard this morning was an almost triumphant story of how a British sniper killed six "insurgents" with a single bullet. He hit the pulling mechanism of a suidice-bomber – from a distance of 850 meters.  Strange story - and bad timing by the UK Telegraph. It happened last year in a southern province.

Today in Kabul, three days before the elections, it particularly striking how quiet it is on the streets. Many people stay at home or have left town. But you do not gain time by the absence of the endless traffic chaos that normally prevails here . On every street corner - and that's really almost literally - you will be stopped by soldiers and officers for security checks . Open the glove compartment and trunk , explain that no weapons are in the first aid kit, and move on. People seem pretty nervous before election day.

There is, also in our team, an enormous war weariness. It all takes too long, the insecurity lingers in all domains of life, and thirteen years after the fall of the Taliban not much has changed in terms of political development.  The continuous messages of gunfights and explosions in all provinces does not help either. That it will get worse before it finally gets better is clear to everyone.  

And yet there is, next to a certain cynicism and fatigue, the feeling of some iron perseverance, call it resilience in the aid lingo. Fatigue was easily ousted by enthusiasm today when the team went through the Annual Report 2013 and the new plans. More than 6 million patients were treated last year, psychiatric help given to 140,000 people , and nearly 2,000 people trained. This year we bring mosquito nets to 2 million families , and we will continue with the women's groups that started two hundred independent projects last year, on which they made ​​money .

Sometimes I ask myself where that resilience, perseverance comes from. It is certainly not hard to imagine how people may give up hope. The election posters show virtually no new faces: it's still the same old leaders, many of them war criminals, who have been busy to fill their pockets and chase each other for
more than thirty years. Might that perseverance have something to do with the famous Afghan 'pride'  and ‘honor’? In everyday life in Afghanistan I do not encounter much more ‘honor’ in behavior than in most
other countries , I must confess. But there is this certain perseverance, which borders on stubbornness , which plays across the various ethnic groups and age brackets .

The story of the British sharpshooter who scored his double hat trick from 850 meters away might tell us something – by way of comparison, strange as it may seem. The difference in materials at the hands of the two opponents is striking. One young man handles a L115A3 gun, the Army 's most powerful sniper weapon, from a distance; the other has a ragged coat with homemade explosives – only useful at such short range that suicide comes in the package.
The L115A3 gun  is hold by a soldier on the ground, and not joysticked by some anonymous at the other end of the world – but the difference in 'engagement’ is still huge. I've heard a lot of veterans from Afghanistan say that it is hard to tell whether the Afghan enemy that storms you so poorly prepared and poorly armed is brave, drugged, or just plain stupid. Here is the enormous difference between the real hard core Al Qaeda militants and the ordinary Afghan boys fighting for the Taliban. It is the latter that come with the stubbornness of the suicide bomber.

I suspect that the distance between the British and Afghan boys is as big in materials used as in motivation – emotional engagement.

That stubborn motivation is what I recognize in the perseverance of the people here that are trying to keep health care accessible and functioning, against all odds.  The Ministry of Public Health stated  said this morning in a specially convened meeting that clinics should not be used as polling stations . That begets
violence, and affects the impartiality of healthcare. But everyone knows that least 160 clinics have already been prepared to function as polling station.

The day after tomorrow the elections will be held. I hope that the perseverance of the young Taliban fighter does not have to come opposite of that the brave health workers.


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’.

  • 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.

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  • 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.

  • OConnell

    At O'Connell Executive Search we are inspired every day by the people we meet and their passion and drive to make a difference in the world. The PIF World initiative is a fantastic opportunity for us to join this movement and share our own successes by 'Paying it forward'. Every year we donate 10% of our net profit to charity and this year, in collaboration with PIF World, we have collectively chosen five projects that we're excited to support. We invite you to join us in empowering these inspiring leaders to make a difference where it really counts!


    At THSRS financial recruitment we understand the impact of corporate social responsibility and our role to support the community, charities, our employees and the environment we live in. That's why we started a dedicated partnership with Pifworld.com who support charities close to our hearts. Following each placement both the candidate and client receive a €250 voucher to donate to a project of their choice. We invite you to join us and Pifworld to strive for a better world.

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  • Home Refit

    Home Refit wil maatschappelijk verantwoord ondernemen. Daarom bouwen we niet alleen aan uw huis, maar ook aan dat van mensen die het minder hebben. Hoe? Door 1% van iedere opdracht die we uitvoeren te doneren aan Pifworld, een online platform dat over de hele wereld charitatieve projecten steunt. Zo dragen we bij aan een betere wereld, onder het motto do good, feel good.

  • Team Rob en Anja

    For all players who are part of team Rob or Anja

  • Team Rixt

    It's all about the kruuskes!

  • Team Mattie

    Aegon ccc team mattie

  • Team Tooske

    Will you join us?

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Stroomzicht supported HealthNet TPO with €50
Harmen van Doorn supported HealthNet TPO with €10
this is a great charity!
Sinterklaas supported HealthNet TPO with €5
Suzanne Wisse-Huiskes supported HealthNet TPO with €€€

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