Background 

Context

Ghor Province, located in central-western Afghanistan, remains one of the most underserved regions in terms of healthcare access. Geographic isolation, chronic poverty, climate-related disasters, and weak health infrastructure continue to limit service delivery, particularly in remote and mountainous districts.

In 2024, flash floods damaged or destroyed at least 27 health and nutrition facilities, further disrupting already fragile services. Poor road networks and seasonal access constraints severely restrict access to care, especially for women, newborns, and children.

Maternal and child health indicators remain critically high-risk. Limited availability of skilled female health workers and long distances to functioning facilities prevent timely access to antenatal, postnatal, and emergency obstetric care, increasing preventable maternal and neonatal mortality.

Malnutrition and communicable diseases such as acute watery diarrhoea, measles, and pneumonia are widespread, particularly among children under five and pregnant and lactating women, driven by food insecurity and inadequate WASH services.

Nationally, over 22.9 million people require humanitarian assistance, with 14.3 million in need of health services. Ongoing funding gaps threaten further reductions in health service coverage, disproportionately affecting hard-to-reach provinces like Ghor.

In response, the Afghanistan Green Crescent Organization (AGCO), in partnership with Amena Clinic and under AIMA oversight, implements an integrated fixed and mobile primary healthcare model aligned with national and UNICEF-supported service packages. Fixed clinics provide essential MNCH, outpatient care, nutrition, and preventive services, while mobile teams extend coverage to remote and underserved communities, ensuring continuity of care and strengthening referral linkages.

This combined approach has proven effective in increasing access, reducing delays in care, and improving early detection of complications. However, limited transportation and referral capacity remain critical gaps. A dedicated 4×4 ambulance is essential to ensure timely emergency referrals, expand outreach coverage, and strengthen the overall resilience of healthcare delivery in Ghor.

This intervention directly contributes to safeguarding the health and dignity of vulnerable populations, particularly mothers and children, while reinforcing a sustainable, community-trusted healthcare system aligned with national and international priorities.

About AGCO

The Afghanistan Green Crescent Organization (AGCO) is an officially registered Afghan non-governmental, non-political, and non-profit organization, established in 2017 as part of the International Green Crescent movement, which originated in Türkiye in 1920 and now operates in over 90 countries under the International Federation of Green Crescent (IGCF).

AGCO’s mission is to protect individuals, families, and communities from harmful practices and addictions—including tobacco, drugs, alcohol, gambling, and technology misuse—while promoting health, dignity, and resilience. In Afghanistan, AGCO has expanded its mandate to include primary healthcare services, mobile clinics, psychosocial support, disaster and emergency response, and community resilience programs.

Operating across Kabul, Kunar, and Helmand provinces, AGCO has reached tens of thousands of vulnerable families. Its emergency response capacity has been demonstrated through rapid interventions following earthquakes, natural disasters, and other crises. The organization also implements social support initiatives, including distribution of Eid toys and community outreach events, reinforcing social cohesion and providing relief and hope to affected populations. Through these integrated programs, AGCO has established itself as a trusted partner for international donors, government institutions, and local communities.

About Amena Mobile Clinic

Launched in November 2020, the Amena Mobile Clinic is a humanitarian health initiative designed to provide free, accessible, and quality healthcare to underserved populations in and around Kabul, as well as Kunar and Helmand provinces. Registered as a 501(c)(3) nonprofit organization in California, USA, Amena partners with Afghan institutions to deliver essential medical services to women, children, and the elderly who otherwise lack access to healthcare.

In collaboration with AGCO and the Afghanistan Islamic Medical Association (AIMA), Amena Mobile Clinic operates as a field-based mobile service, focusing on primary healthcare, maternal and child health (MNCH), preventive care, and psychosocial support. The Clinic also integrates public health awareness and addiction-prevention messaging in alignment with the Green Crescent mission.

Between 2020 and 2024, Amena Mobile Clinic delivered over 190,000 consultations, including thousands of maternal health visits. In February 2026 alone, the Clinic sustained high-impact outreach across multiple districts, attending to hundreds of patients daily and responding to emergency situations, including earthquake-affected communities. Social initiatives such as Eid Joy distributions have further strengthened community trust, ensuring that even during crises, vulnerable children and families receive care, support, and moments of hope.

 

Position Details

• Location: Ghor Province
• Reports to: Team Leader / Medical Supervisor
• Supervises: None directly (provides technical support to nurses, midwives, and CHWs as needed)
• Contract Type: Full-time
• Duration: 6 months with possible extension based on performance and funding
• Salary Grade: As per AGCO HR Policy

Purpose of Position

• To provide quality medical diagnosis, treatment, and preventive healthcare services to patients in both fixed and mobile clinic settings in Ghor Province.
• To support the Team Leader in ensuring adherence to national health protocols and international medical standards.

Key Responsibilities and Duties

Clinical Service Delivery

Provide high-quality, patient-centered clinical care to women, children, and men in both fixed and mobile clinic settings, in accordance with MoPH national treatment protocols (IMCI, TB-DOTs, Malaria, NCDs). Conduct consultations, examinations, diagnosis, and treatment while ensuring rational drug use and IPC compliance.

Maternal, Child Health & Preventive Services

Deliver essential maternal and reproductive health services, including ANC, PNC, family planning counseling, and identification of high-risk pregnancies for referral. Support immunization activities with EPI teams and promote preventive health practices.

Support to Mobile Health Team Operations

Work under the guidance of the Team Leader to support mobile health service delivery in hard-to-reach areas. Participate in outreach missions, ensure quality service provision, and collaborate with team members during field deployments.

Community Engagement & Outreach

Support community outreach activities, including health education sessions and supervision of CHWs during field visits. Promote community trust and encourage positive health-seeking behavior.

Referral and Case Management

Identify and refer complicated or high-risk cases to appropriate facilities, ensuring proper documentation and follow-up in coordination with the Team Leader.

Health Information Management & Reporting (HMIS)

Maintain accurate patient records and contribute to timely HMIS reporting. Ensure data quality, confidentiality, and proper documentation of services delivered.

Coordination & Teamwork

Work closely with the Team Leader, nurses, midwives, and other staff to ensure integrated and efficient service delivery. Participate in team meetings and case discussions.

Emergency Response

Provide first aid and support emergency case management during outreach or clinic operations. Assist in response to disease outbreaks or humanitarian emergencies as required.

Capacity Building

Support on-the-job learning of junior staff and CHWs through knowledge sharing and collaboration.

Compliance & Accountability

Adhere to AGCO policies, donor requirements, and MoPH guidelines. Maintain professional ethics, confidentiality, and accountability in all clinical practices.

Job Requirements

Education:

MD degree from a recognized university with valid MoPH license and Exit Exam certification.

Experience:

Minimum 2–3 years of relevant clinical experience, preferably in BPHS/EPHS or humanitarian settings. Mobile health experience is an advantage.

Languages:

Fluency in Dari and/or Pashto; English preferred.

Technical Skills:

Strong clinical skills, knowledge of national protocols, HMIS reporting, and basic MS Office.

Core Competencies:

Good communication, teamwork, ability to work in remote settings, and willingness to travel frequently. Commitment to serving vulnerable populations.

Working Conditions

• Duty Station: Ghor Province (with travel to remote districts)
• Schedule: Full-time (Saturday–Thursday), flexible for outreach
• Contract Type: Project-based (AGCO-supported health program)

Reporting and Deliverables

 Reporting:

• Reports to the Team Leader / Medical Supervisor
• Works collaboratively with nurses, midwives, pharmacist, and outreach staff

Deliverables:

• Daily and monthly patient consultation records
• Maternal and child health service reports
• Contributions to donor reports
• Compliance with clinical and IPC standards
• Participation in trainings, case reviews, and evaluations