Photo: Lennart Berggren/Axiom Film

Progress to date in Afghanistan

Real-time indicators provided by Smart Paper Technology Solution
Real-time indicators

Provided by Smart Paper Technology Solution

Children Registered


Children Fully Vaccinated


Children Followed-up with SMS


Currently, 217 health service delivery points* are using Smart Paper Technology Solution

*In health facilities and during outreach sessions

First implemented and evaluated in Mehterlam District, Smart Paper Technology Solution is currently scaled-up on a phase-based approach. All districts in Lagman Province will be using Smart Paper Technology by the end of 2019 followed by Wardak Province in 2020.

The following data use interventions have been integrated across the health care chain:

At the community level, families with children receive SMS messages one day before their visit reminding them about their due date to visit the facility.
Health workers receive their key performance indicators and develop strategies to improve in the underperfoming areas.
Medical stores provide supplies to each health facility based on system generated stock request forms.
Decision makers and planners at provincial level review the performance of each health facility using the integrated dashboard and follow up with the facilities based on their need.
More About Smart Paper Technology Solution
External evaluation results
The data quality assessment, based on WHO's data quality review toolkit, indicated high-quality data generated from the solution for all the metrics, namely: completeness (100%), timeliness (91,66%) and internal/external consistency (100%). Moreover, the ratio of the data recording error was low in the study, ranging from 0.05% to 1.7%.
A time efficiency evaluation, assessing how much time health workers spend on administrative tasks during and after delivery of care with Smart Paper Technology compared to the existing Health Management Information (HMIS) tools, showed that around 64% to 96% of time could be reduced in different stages of data administration.
A cost analysis comparing operational costs of the Smart Paper Technology (SPT) Solution and the existing HMIS forms concluded that, when factoring the value of reduced administration, the SPT Solution cost 316,436 USD (0.228 USD per child) which is less expensive than the cost of printing the existing HMIS forms which cost 873,253 USD (0.630 USD per child). When the administration time was excluded from the analysis, the SPT Solution (206,126 USD) was more expensive than HMIS forms (195,581 USD). However, it is noteworthy that the SPT Solution was only 5% more expensive than the current HMIS when excluding administration costs.
The results of the evaluation regarding the transfer of work processes to the existing health system, which is one of the key success metrics to evaluate sustainability of the programme and how well it can be managed by the local stakeholders in Afghanistan, indicated that 95% of the processes essential to the management of Smart Paper Technology had been transferred to the local stakeholders in Mehterlam District. In most cases, these processes have been transferred in a way that is both accurate and sustainable. The remaining processes are planned to be fully transferred by the end of 2018.


Voices from Afghanistan
Swedish Committee for Afghanistan
Health workers and families
Ministry of Public Health
Snapshots from the Field
Photo: Lennart Berggren/Axiom Film
Health innovators Programme at Shifo brought together our partners- Ministry of Public Health and Swedish Committee for Afghanistan. Working with dedicated partners is key.
Photo: Lennart Berggren/Axiom Film
Mothers waiting to immunise their young ones in Mehterlam Comprehensive Health Centre.
Photo: Lennart Berggren/Axiom Film
Enhanced interaction with parents: "Before vaccinators have been busy writing with their heads down, now they talk to us in comfortable and relaxed manner and not in a hurry".
Photo: Lennart Berggren/Axiom Film
Surrounded by snow-capped mountains, Mehterlam lies in the valley formed by the Alishing and Alingar Rivers of Laghman Province, an area known for its agricultural trade, and precious stones and minerals.
Photo: Shifo team
Vaccinators working on MyChild Card during a participatory training session exclaimed, "We've learned in five days of training how this programme makes things easier and how we as vaccinators can give more time to the patient".
Photo: Lennart Berggren/Axiom Film
MyChild Card is a context-driven solution which is always localised to the needs and requirements of respective countries to better empower end-users. In Afghanistan, it has been translated into the national languages Dari and Pashto.

Partners in Afghanistan

Coat of arms of Afghanistan Ministry of Public Health of Afghanistan

Contact Us

If you work to strengthen health systems and want to achieve better health outcomes by using reliable and relevant data, contact us to learn more about how we can partner together to implement Smart Paper Technology Solution in your region.
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