Afghan Health Hero ,MD, Kabul Medical University (1996) Dr. Arwal Biography

Dr. Arwal Biography
Dr. Arwal ( Afghan Health Hero )
Said Habib ArwalNational Coordinator, Community Based Health Care Department, MoPHAfghanistan

MD, Kabul Medical University (1996)
1,Student of Future Generation Master Program
(Community Change and Conservation) Distance program
2,International Community health course, Oslo University, Norway
3,Community Based Social Development, AKDN University, Karachi Pakistan
4,Community Change and Conservation, India.
5,International Leadership Development Course, Asian Health Institute, Japan

Dr. Arwal established the first ever Community Midwifery Training (CMT) programme in Shinwar Health Cluster in the Eastern Province of Nangarhar in 1999 and established the Community Based Health Care Department within MoPH in 2003. So far MoPH has been able to establish around 20 more CMT in different provinces of Afghanistan.
1997 District Health Officer, Mohmandara, Nangarhar Afghanistan.
1998 Team Leader, Health Cluster Management, Shinwar, Nangarhar, Afghanistan
2003 National Coordinator, Community Based Health Care, MoPH Afghanistan

the third part of children memory 自叙——儿时记忆（第三部分）...

The 7th class had intersection role in my life. I have experienced a cold wave with heavily snowfall in winter following of my 6th class. I am a thin, pale and horrified tanager in one photo from the time.
My villagers cast eyes on the sky rather to any demonstration in modern agriculture sector. My father was jobless since several months. He used to act as a Mullah. Finally He was recruited in our school. He was supposed to teach us history and religion what was essential for my education. He pulled me out of disgraces and disappointments aftermath of constantly failure. He has counted on me all time even in peak of my failures I was not marked nil at all in his eyes. I have been witnessed of his whispers with teacher resulting to safer and kind attitude {even some time adulating one} of the teachers with me.But every thing was legal, logic and normal thanks to bitter competition between father and his competitor. Father’s enemies were treating me negatively whether by reducing my marks in examinations or disintegrating me in the class.
School’s administration had been changed to a battle ground what most of time the dilemma was brought to our classes. Every one was claiming themselves as servant of people while others were traitors. My breaths stop by remembering the disgrace in my school now.
…the bell range .Every one was trying to get out through columns of dusty air and noisy classes sooner. Suddenly I heard father scream insulting some one. I was chocked, anxious and pale completely. Father was trying to punish his rival. I was confused really on marking his treatment good or shameful event? Should I have done in favor of father or act as normal student? Stretched line of students was parted by shouting of head teacher as bedroll seeds. Having a strange condition, fathers shout “Be careful, I want my rights. Is it possible to ignore me? Can you do it? “
I was chocked. Honestly I got me as ashamed, weakened, lost figurine. I was confused whether I follow on my jealousy, bullring students, and dirty words of our teacher {specially my father}!Warm and natural relation ship of the Electrons, Atoms and their naturally balance was surprising, amusing, new, serious, and fascinating to me all time. I have the lessons still in my depth of my mind and heart.
Arabic dialects were too interesting to me especially as clue on discrimination of Arabs on women even in their literature. They have special conjugation on male and female case what was funny and interesting point at all. Mathematics was good enough now. I was learning the missed passages by time. But I was board with Math teacher always. He accustomed to be drowsy and always he was looking deeply on the earth for nothing. Father was teaching history. It was interesting to me: having journey in past civilizations of Babul, Younan and Humar, Binu nahrin , Mohanjodaru and historical Egypt . I was discovering myself as complex one in Biology classes.
I had a great time by abandoning my pre friends. My rest time was decreasing in favor of my studies. Not speaking of laughing at my father’s old and thick books I was going through some of them. It was very though to get them, which I could not help my laugh ting.Some time I used to laugh at leather covered books of father asking myself if such old things can lead us to new world! Any how they were father’s book and loved them all them even in respect of father.

Conquering of TB pentagon as dilemma in Afghanistan阿富汗的肺结核的状况举步维艰

Afghanistan: Conquering of TB pentagon as dilemma in Afghanistan

By:Najib Amiri and Sayed Baqir
25 March 2009

Having an ever expanding rate in poppy cultivation, vast poverty and huge stigmatizations towards Tuberculosis (TB), number of positive cases is soaring by time. On cue of the points in absence of enough therapeutic TB center , lack of TB experts and health workers can we count on Ministry of Public Health (MoPH) of Afghanistan declaration on increase of detection rate to 50% till 2011?
Najib Amiri and Sayed Baqir have tried to study the implementation of this declaration possibility in this report.

In isolated and humid room in center of Samangan north of Afghanistan, 12 years girl Zamarud‘s constantly coughing had a special music. Flinching while interview she was not able to hide ample of poverty and expressing her obligation to work here.
Her black, pale and thin body building was indications for TB smear positive cases. She was complaining from loss of appetite; constantly cough with blood, early getting up in the morning, night sweating as well. Her co-worker 20 years Nider who is under TB treatment process for 7 months cannot hide his anxious and recalls his bitter memo of his parents deaths and her last advice of his mother “ my son , go to doctor . But be care full that villager did not know that.”
He does not claim any one guilty in the adventure unless their self- stigmatization. He remembers his father strong negating on going to doctor and usual treatment of him by eating poppy directly.
According to experts smoke of poppy and cannabises affect lungs and branches and causes abnormality in follow of blood in body .Not speaking of carpet industry workers, but also addicts are in front line of the illness. Being 1.5 million edicts in the country can we count all edicts as TB positive cases? Dr.Abdullah Fahim spokesman of the MoPH certifies the clue indirectly saying most of the edicts are in a vulnerable condition Cancer, HIV/AIDS, Hepatitis, and TB.
Living with a group of edicts Ghulam Rasol expresses himself as lost and ill one .He is positive with TB and his doctor has refuted him thanks insufficient money. Currently Afghanistan ‘s health sector is run by private sector , free governmental hospitals and human train aids implemented by some medical None Governmental Organization in frame work of Basic Package Health based on Community (BPHS). The associations plus some special therapeutic centre on detection and treatment of TB are dealing in Direct Observation Treatment System (DOTS) outline.
According to the system every patient should spend two months under doctor in health facility and the rest will be supervised by one his/ her close person(Family member , friends ) calling support groups.
Referring to Dr.Friad TB program responsible of Aide Medicale Internationale (AMI) in Samangan province, though DOTS is effective on change of community thoughts and TB treatment, “still the problem is committed is a stigma.” But can we count on the MoPH assumptions on reducing of TB in presence of vast stigmatization, lack of drugs, health workers and experts and slapdash behaviors of men towards women – whom are the majority of TB victims-?
Khadija Haidari a midwife and psychosocial worker shakes hand in refusal by recalling one of her memories in Dahni Manjo special TB therapeutic center in Lal and Sari Jangal of Ghour province. She remembers a mother of 8 children fleeing home for the health center by night and aggressive attitude of her husband while expelling of the dying mother from the center ward.She admitted a huge gap in process of the mother TB case treatment and its changing to Multi Drug Resistant Tuberculosis (MDR-TB). This is one of the most problems on the way of anti TB campaign thanks to bulky amount of unqualified and even expired medications in black markets.
Mr.Safi the pharmacy of AMI NGO claims that “there was no efficiency and real quality in TB drugs like Septromicine and other drugs sold in black markets any longer.”
Not existing of any resettlement program here the rate of population growth is getting up rapidly. While there is not any national tightly done strategy on family planning and birth spacing and mostly populated families or sweet haunt of TB.
Malali (mother of 9 children) lives with her husband and her rival wife in one room. She says that she and her three children are TB affected. His husband is an addict framer in poppy framer of Zhili district of Kandahar in south of Afghanistan. He did not use poppy, cannabises, but by joining to the poppy farmers now he is addict and TB positive. Her home was bombarded in military operation getting them shifting to Kabul the capital of Afghanistan where the doctors admit her staying at least five months in clinic.
But Ghulam Ghus (her husband) negates the proposition thanks to their tight code of clans. He said “It was a shame to leave his wife there alone.” Doctors have diagnosed the mother as MDR-TB owner due to some delay in referral and constantly defaulter and stoppage in her treatment process.
Having eyes on the aforementioned cases the MoPH spokesman informs from 1031 TB therapeutic centers in all over country while the minister of MoPH demanded strengthened campaign against TB in Brazil on TB international seminar recently.
Anyhow , poverty , self – stigmatizations, low rate of medical information , lack of regular medications supply and scientific researches , poppy cultivation are angles of TB pentagon which bitterly break down speed of health sector in the country and remain them failed.