Healthcare on wheels

In Afghanistan, UNICEF mobile health and nutrition teams bring life-saving services to children and women in some of the most distant communities

Rebecca Phwitiko
On 3rd October 2022, Shukria Ahmadi, a nutrition screener with the UNICEF-supported mobile health and nutrition team, assesses a child in Safeedi-Mish village in Nili District in Daikundi Province, central Afghanistan.
UNICEF/UN0733554/Naftalin
30 July 2024

“My job is to screen children for signs of malnutrition. Sometimes all is well, but on a bad day, there may be three cases of severe acute malnutrition in the same family.” 

Shukria, a Nutrition Nurse, travels to some of the farthest flung communities in Afghanistan with a UNICEF-supported mobile health and nutrition team. This team is one of the only ways some people can access healthcare, as many communities are located far from static health facilities. 

In Afghanistan, 85 per cent of children do not receive the variety and quantity of foods they need for healthy growth and development. This leaves them vulnerable to micronutrient deficiencies and chronic malnutrition which can stunt children's growth. 

That is why roving nurses like Shukria are so important to reach remote communities with the health and nutrition services they need.

On June 25 2023, Gul Bibi receives ready-to-use therapeutic food (RUTF) for her 18-month-old son, Wajid, at UNICEF-supported mobile health and nutrition teams (MHNTs) in Samsagal village, Nari District, Kunar, Afghanistan.
UNICEF/UNI403553/Karimi
Gul Bibi receives ready-to-use therapeutic food, or RUTF, for her 18-month-old son, Wajid, at a UNICEF-supported mobile health and nutrition team.

For years, UNICEF has supported these mobile health and nutrition teams to provide healthcare in communities where there is no static health facility, or in areas difficult to access due to weather or geography.

The mobile teams include a doctor, a psychosocial counselor, a midwife, a nutrition counselor, and a vaccinator. These men and women provide a variety of health and nutrition services:

  • Preventive and curative services for common communicable diseases;
  • Antenatal and post-natal care for mothers and babies;
  • Routine immunizations for children and women, like measles and polio;
  • Nutrition services and screening for children under age five; 
  • Psychosocial support.

UNICEF ensures services provided are aligned with international quality standards, that the mobile teams have the resources they need to travel between communities, and that medicines and supplies are stocked and available in all seasons. 

On 3rd October 2022, a member of the UNICEF-supported mobile health and nutrition team walks to Safeedi-Mish village in Nili District in Daikundi Province, central Afghanistan.
UNICEF/UN0733551/Naftalin
In far flung communities, across hard terrain and amid harsh weather conditions, UNICEF mobile health and nutrition teams reached nearly one million people in Afghanistan last year.

UNICEF also supports training for health workers on the mobile health and nutrition teams, equipping them with skills to deliver life-saving services to children and families in need. 

In an emergency, these teams deploy quickly to communities affected by earthquakes, flash floods or other disasters. When local health facilities are damaged or destroyed, mobile teams and clinics are invaluable to help children and women get the care they need, such as first aid or psychological support.

In 2023, UNICEF-supported mobile health and nutrition teams provided healthcare to nearly 1 million people in remote, hard-to-reach communities.

On 3rd October 2022, mothers and babies listen to Naz Gul, a nutrition promoter with the UNICEF-supported mobile health and nutrition team, in Safeedi-Mish village, Nili District in Daikundi Province, central Afghanistan.
UNICEF/UN0733555/Naftalin
Mobile health and nutrition teams take time to educate mothers about preventive measures to keep their babies and the whole family healthy.

Health education sessions are a critical part of health care. 

Mobile health teams also lead these education sessions for parents, so mothers can learn important tips on breastfeeding techniques, preparing and feeding their children healthy and balanced meals, when to get vaccinated, and good hygiene practices like handwashing with soap. 

With these sessions, health and nutrition workers can better ensure families are equipped with knowledge to care for themselves when the mobile team must move on to the next community. 

UNICEF is grateful to all partners who supported mobile health and nutrition teams in Afghanistan in 2023, including the European Union, USAID Bureau for Humanitarian Assistance, the Japan Committee for UNICEF, the governments of Japan and Korea, the UK Foreign, Commonwealth and Development Office (FCDO), and countries contributing to flexible thematic funding, as well as the World Bank and Asian Development Bank in 2024.