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 Ghor 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 2025, 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

Position Details:

• Title: Ambulance Driver – Amena Fixed & Mobile Clinic
• Location: Ghor Province (fixed clinic with frequent field movement to remote districts)
• Reports to: Medical Doctor (Team Leader) / Clinic Coordinator
• Supervises: None
• Contract Type: Full-time
• Duration: One year, with possible extension based on performance and funding
• Salary Grade: As per AGCO HR Policy

Purpose of Position

• To provide safe, timely, and reliable ambulance services for both fixed and mobile clinic operations in Ghor Province.
• To support emergency referral of patients, particularly maternal, neonatal, and critical cases, from remote areas to higher-level health facilities.
• To ensure the ambulance is well-maintained, fully functional, and ready for deployment at all times, especially in challenging terrain and weather conditions.

Key Responsibilities

Driving & Transport Duties

• Safely operate the ambulance across mountainous, remote, and difficult terrain in Ghor Province.
• Transport medical teams, patients, and supplies between the fixed clinic and outreach locations.
• Provide emergency referral transport for critical cases, including obstetric and pediatric emergencies.
• Support mobile clinic outreach missions, ensuring timely deployment to hard-to-reach communities.
• Adhere to national traffic laws, safety standards, and AGCO protocols at all times.

Vehicle Maintenance & Care

• Conduct daily vehicle inspections (fuel, oil, tires, brakes, lights, battery, and safety equipment).
• Ensure the ambulance remains clean, roadworthy, and operational, even under harsh field conditions.
• Maintain sufficient fuel levels and plan refueling considering remote area constraints.
• Report mechanical issues immediately and coordinate repairs with Admin/Logistics.
• Maintain accurate logbooks for mileage, fuel consumption, and maintenance history.

Safety & Emergency Readiness

• Ensure the ambulance is always equipped with first aid kit, stretcher, fire extinguisher, and emergency tools.
• Assist medical staff in safe handling and transport of patients, especially during emergencies.
• Maintain confidentiality, dignity, and respectful treatment of all patients.
• Remain calm and responsive during emergency and high-pressure situations.

Mobile & Field Support

• Support logistics for mobile clinic operations, including loading and unloading medical supplies.
• Assist in setting up and closing outreach activities when required.
• Adapt to flexible schedules, including long-distance travel and extended field missions.

Administrative Support

• Maintain accurate records of daily trips, fuel usage, and vehicle condition.
• Support coordination between medical and logistics teams during field operations.

Required Qualifications, Skills, and Competencies

Education

• Minimum High School education (Grade 12 preferred)
• Valid Afghan Driving License (Light/Heavy)

Experience

• At least 3 years of professional driving experience, preferably with NGOs/INGOs
• Experience driving in rural, mountainous, and off-road conditions
• Prior experience with ambulance or emergency transport is highly desirable
• Familiarity with Ghor Province terrain and remote routes is a strong advantage

Skills

• Strong defensive and off-road driving skills
• Basic knowledge of vehicle maintenance and troubleshooting
• Ability to work under pressure, especially during emergencies
• Professional, respectful communication with staff and patients
• Fluency in Dari and/or Pashto; basic English is an asset

Reporting and Deliverables

Reporting

• Reports to the Medical Doctor (Team Leader) / Clinic Coordinator
• Works closely with medical, admin, and logistics teams

Deliverables

• Completed daily vehicle logbook with accurate records
• Monthly reports on fuel usage and vehicle condition
• Safe and timely transportation of patients, staff, and supplies
• Readiness of ambulance for emergency referrals and outreach missions
• Full compliance with AGCO safety and operational protocols