In 1998 DAC started to work with primary health care in the Gozarah district in the Herat province in western Afghanistan. The goal was to give the population outside Herat city access to health care professionals. We started so to say from scratch by taking over the operation of a couple of badly maintained clinics. Nearly no information existed about the population size and demographic structure or about the health problems. This project – phase 1 – continued from 1998 to 2001. DAC received so called quick-impact support from the British ministry of development.
In 2001 we expanded our activities to the districts Obei and Pashtoon Zarghoon which are adjacent to Gozarah. Approximately 300.000 inhabitants had no possibility of help in case of disease so we started to open to open two health clinics. Phase 2 ran from 2001 – 2005. After a bridging period of six month we continued with phase 3, 2006 – 2010.
Phase 3 was extended until 2015 when the project was entrusted to the local NGO BDN (Bakhtar Development Network) chosen by the Afghan health ministry to operate the complete health care sector in Herat province.