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

• Title: Nurse / Vaccinator / Nutrition Assistant (Male/Female)
• Location: Ghor Province (fixed clinic with regular mobile outreach to remote areas)
• Reports to: Medical Doctor (Team Leader) / Clinic Supervisor
• Supervises: None (supports CHWs during outreach activities)
• 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 integrated nursing, immunization, and basic nutrition services in both fixed and mobile clinic settings.
• To support delivery of primary healthcare services, with focus on children under five and pregnant/lactating women.
• To contribute to reducing preventable diseases, malnutrition, and child mortality in underserved communities of Ghor Province.

Key Responsibilities

Nursing & Clinical Support

• Provide basic nursing care including triage, vital signs measurement, wound care, and patient preparation.
• Assist the Medical Doctor and Midwife in clinical consultations and procedures.
• Ensure adherence to infection prevention and control (IPC) standards.

Immunization (EPI) Services

• Administer vaccines according to MoPH EPI schedule.
• Ensure proper vaccine handling, cold chain maintenance, and safe injection practices.
• Record and track immunization data accurately.
• Support outreach vaccination campaigns in remote areas.

Nutrition Services

• Conduct nutrition screening (MUAC, weight, height) for children under five and pregnant/lactating women.
• Identify and refer malnourished cases to appropriate services.
• Provide counseling on infant and young child feeding (IYCF) and maternal nutrition.
• Support follow-up of malnutrition cases in coordination with CHWs.

 

Mobile Outreach Support

• Participate in mobile clinic missions to hard-to-reach communities.
• Deliver integrated services including vaccination, nutrition screening, and basic care.
• Ensure proper preparation and management of outreach supplies and equipment.

Health Education & Community Engagement

• Provide health education on:
  • Immunization importance
  • Nutrition and breastfeeding
  • Hygiene and disease prevention
• Support CHWs and community sessions to improve health awareness and service uptake.

Reporting & HMIS

• Maintain accurate records of:
  • Vaccinations administered
  • Nutrition screening results
  • Nursing services provided
• Submit data for monthly HMIS reporting.
• Ensure data quality and confidentiality.

Coordination & Teamwork

• Work closely with MD, Midwife, Pharmacist, and CHWs for integrated service delivery.
• Participate in team meetings, trainings, and supervision sessions.

Compliance & Accountability

• Follow MoPH, WHO, donor, and AGCO guidelines.
• Ensure ethical, respectful, and patient-centered care at all times.

Required Qualifications, Skills, and Competencies

Education

• Diploma or degree in Nursing, Vaccination (EPI), or Nutrition
• Valid MoPH certification/license where applicable

Experience

• Minimum 2–3 years of relevant experience
• Experience in EPI, nutrition programs, or primary healthcare
• Experience in mobile or rural health services is an advantage

Skills

• Knowledge of EPI protocols and cold chain management
• Basic nutrition screening and counseling skills
• Strong communication and patient interaction skills
• Ability to work in remote and resource-limited settings
• Fluency in Dari and/or Pashto; English is an asset
• Basic computer skills (HMIS reporting)

Working Conditions

• Duty Station: Ghor Province with frequent travel to remote districts
• Schedule: Full-time (Saturday–Thursday), flexible for outreach
• Environment: Field-based, including mobile clinic operations in difficult terrain

Reporting and Deliverables

Reporting

• Reports to Medical Doctor (Team Leader) / Clinic Supervisor
• Works in coordination with full clinical team

Deliverables

• Daily and monthly records of vaccination, nutrition screening, and nursing services
• Accurate HMIS reports
• Outreach activity reports
• Compliance with IPC and service delivery standards