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Islamic Republic of Afghanistan Ministry of Public Health National Child and Adolescent Health Strategy 2009 - 2013

Opportunities for play, throughout childhood, contribute to children’s life chances and development and active toddlers who grow up enjoying physically active play, especially in natural environments, may be laying the foundations for better health and a longer life than sedentary children (Pretty and others 2009). Active play is the most common type of physical activity children take part in outside of school, and outdoor and unstructured play may be one of the best forms of physical activity for children (BHF 2009). Brady and others (2008) found that physical activity in early years settings was influenced by a number of factors,. | Islamic Republic of Afghanistan Ministry of Public Health National Child and Adolescent Health Strategy 2009 - 2013 July 2009 CAH Strategy I Table of Contents Foreword.II List of Acronyms.III 1. Introduction.1 1.1 Strategy overview.2 1. 2 Guiding principles.2 1.3 Background.3 1.4 Strategic framework for implementation.3 2. Priority Strategic Interventions - Components of an Integrated Package.4 2.1 Skilled or improved attendance during pregnancy delivery and immediate post-partum.4 2.2 Care of the newborn.5 2.3 Breastfeeding and complementary feeding.6 2.4 Micronutrient supplementation.7 2.5 Immunization of children and mothers.8 2.6 Integrated management of sick children.9 2.7 Use of insecticide-treated bednets.11 2.8 Avoid early pregnancies and promote of birth spacing.11 3. Actions that strengthen the package.12 3.1 Improve water sanitation and environment.12 3.2 Prevent accidental injury.12 3.3 Health at schools.12 3.4 Adolescent Health Considerations.13 3.5 Changing priorities.13 4. Supportive Health System Strategies.14 4.1 Improve efficiency and quality of care.14 3.1.1 Mobilizing resources at community level.14 4.1.2 Support and supervision of CHWs.14 4.1.3 Sub Basic and Comprehensive Health Centers.14 4.1.5 Hospital pediatric services.15 4.1.6 Strategic Interventions by Level of Care.16 4.2 Human resources training and supervision.23 4.3 Engaging families and communities.23 4.4 Monitoring and Evaluation of CAH strategy.24 5. Financing for child health.24 6. Improving leadership and governance and consolidating partnerships.25 6.1 National Maternal Child Health Committee.25 6.2 Existing coordination mechanisms in the MOPH.25 6.3 Institutional strategies for child health.26 6.4 Cross-sectoral coordination and collaboration.29 6.5 International initiatives and commitments.29 6.6 Partnerships of MOPH.29 7. Operations research in support of child survival.30 Annex 1 MOPH Collaboration with other Ministries.32 Annex 2 MOPH Collaboration with Donor agencies.33 .