Wednesday, October 14, 2026

What’s Working

For readers looking for what’s still working in the world

ResilienceReasons to be Cheerful

How Afghan Women Are Rebuilding Reproductive Health Care

In a landscape fraught with challenges, Afghan women are spearheading a quiet revolution in healthcare through the establishment of Family Health Houses (FHHs). These facilities, born from a 2009 initiative by the United Nations Population Fund (UNFPA), provide essential maternal and newborn care in some of the most remote and inaccessible regions of Afghanistan. Midwives like Marzia, Laila Amini, and Monika Rahmati are at the forefront, delivering life-saving services to women who would otherwise face immense barriers to healthcare access. The story of Ram Bibi and Manawara, who received timely and expert care at their local FHHs, underscores the critical role these centers play in a country where healthcare access is severely limited.

Despite the heavy patient loads and resource constraints, the FHHs have achieved significant successes, including a reported zero maternal death rate in some villages over several years. The introduction of the Safe Delivery App further empowers midwives by providing them with vital information and support, even in the absence of internet connectivity. This initiative not only addresses immediate healthcare needs but also fosters hope and resilience in communities that face ongoing socio-political challenges. The dedication of these healthcare workers, coupled with innovative solutions like the app, illustrates a powerful model of community-driven healthcare that others might emulate.

Constructive analysis

The constructive-journalism lens: not just what happened, but what works.

The problem
The challenge is the lack of accessible reproductive healthcare in Afghanistan, exacerbated by a deteriorating public health system and restrictions on women's movement.
The actions
The establishment of over 450 Family Health Houses by UNFPA, staffed by trained local midwives, and the introduction of the Safe Delivery App to aid in emergency obstetric care.
Evidence of progress
The IPPF assessment shows that nearly three-quarters of women live within a kilometer of an FHH, with significant reductions in maternal deaths reported in serviced areas.
What we can learn
Community-driven healthcare models, leveraging local resources and technology like mobile apps, can significantly improve healthcare access and outcomes in remote areas.
PERMA profile of this story

How this story scores across the PERMA dimensions.

Positive Emotion
8
Engagement
9
Relationships
8
Meaning
9
Accomplishment
8
PERMA

Character strengths in play

Top VIA strengths this story embodies.

  • Courage

    Midwives like Marzia, Laila Amini, and Monika Rahmati continue to work under challenging conditions, with Laila monitoring the health of women and children after witnessing a young girl's tragic death.

  • Perseverance

    Despite patient loads that far exceed capacity and periodic shortages of medicines, the midwives remain committed to providing care, with some managing up to 70 patients a day.

  • Hope

    Rahmati's statement, 'a new, healthy life always brings hope and joy,' captures the uplifting impact of their work amidst adversity.

Try this today

Reflect on a local challenge in your community and identify a small, concrete action you could take to contribute to a solution. Consider what resources or technologies might support your efforts, drawing inspiration from the innovative use of mobile apps in Afghan healthcare.