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5
HEALTH
Policy 2002-2007
The success of any programme predominantly vests with the commitment and leadership faculties of its leader. We are thankful to the Chief Minister for the high-level political and administrative support given to this forum. I am hopeful that it would help attract further interest of the donors, as well as the government agencies to forge an effective coordination strategy for working in priority areas to improve health care delivery system and to provide quality health services in Punjab. I am proud of the present leadership under the luminous guidance of Chaudhry Pervaiz Elahi and assure him full support from the health department for bringing health sector reforms and building new capacities for achieving efficiency and effectiveness in health services.
This is the time that we focus on the priority areas of donor’s support and assistance to ensure effective coordination in achieving the desired targets though multi-disciplinary approach.
In order to fill the funding gap, to improve the management capacity and to bring quality in health services delivery, the donor agencies like Asian Development Bank, DFID, the World Bank and other donor agencies are already extending valuable help through various programs that include Women Health Project, Global Alliance for Vaccine Initiatives, Control of Tuberculosis through TB DOTs, and Safe Mother hood program etc. The Health Department during the last decade had received significant inputs under various umbrella projects and the inputs have been institutionalized, and made a regular component of our system. Examples are provincial and District Health Development Centers, the Public Health Nursing Schools and the nursing schools in the districts and have been made operational and are instrumental in improving are human resource development capacity building. There are gaps and areas that need further investments partners to further improve service delivery.
Let me start with a selfish note and take this opportunity to present some of the achievements of the health development these achievements may be small in number, modest in level but are by no means less significant. I believe we are engaged in a vital enterprise of pivotal importance to society. This field of health is full of challenges and opportunities for planning, organizing, implementing and evaluating for making significant contributions to the health for mankind.
Before coming to the achievements and new initiatives, it would be worth while to have some basic information about the available resources. As we know, the Punjab in the largest province of Pakistan. It has a population of more than 83 million which forms more than 55% of the population of Pakistan. The Punjab has a total number of 35,869 health facilities. There are 287 Rural Health Centers, 2452 Basic Health Units, 1188 Dispensaries, 61 Tuberculosis Clines, 274 Sub-Health Centers, 492 Maternal & Child Health Centers, 678 EPI Centers and 22,000 Health Houses. There are 17 Teaching Hospitals, 31 District Headquarter Hospitals, 85 Tehsil Headquarters hospitals, 129 other hospitals and three special institutions. The total bed strength in the province is 39,389. While the bed strength of teaching hospitals is 10,890, there are only 5,548 beds available in the 31 DHQ hospitals and 3210 beds in 85 THQ Hospitals that provide medical services for the 70% of the population of the Punjab province that is mostly rural and relatively poor.
The existing staff strength of Health Departments is 130,692. It includes 1,103 of teaching Cadre, 9,609 of General Cadre, 1,135 of Specialist Cadre, 441 of Dental Cadre, 6,136 of Nursing Cadre, others (paramedics, etc.) 69,208 and 36,243 Family Planning & PHC Programme.
There are 116 teaching and training institutions in Punjab. There are 10 Medical College and 2 Postgraduate Medical Institutions, 46 Nursing Schools and 2 Colleges of Nursing, 9 Public Health Nursing Schools for training of Lady Health Visitors (LHVs) and 4 Paramedical Schools. There is also a Provincial Health Development Center (PHDC) and 30 Districts health development centers for health manpower and training. There is one university of health sciences at Lahore.
When the present political government took over, the medical community was on the streets. There was demoralization and frustration among the doctors and they were agitating against the autonomy to the medical institutions and the boards of governors. The Chief Minister immediately constituted Justice Mujadid Mirza Commission. The government held meetings with all the factions of PMA, MTA and other stake holders. In the light of recommendations of Justice Mujadid Mirza Commission had consultative meetings, the Punjab Medical and Health Institutions Act, 2003 was promulgated and rules were framed. The Boards of management comprising the eminent persons from the society were constituted. Administrative, financial and development were delegated and involvement of academia in decision in decision making was ensured.
The devaluation process has been extended all the districts, and under the devolution, the administrative/financial control of BHU/RHU/THQ/DHQ has been developed to the district governments. The approval of schemes up to Rs. 20 million is at the district level. The purchase of medicines/equipments has also been decentralized.
The strengthening of Emergency Medical Services (SEMS) in Punjab has been launched to revamp the emergency departments of the hospitals in Punjab. The Chief Minister was kind and generous to give a grant of Rs. 1 billion rupees for the purpose. In phase I, Emergency Departments of 14 Tertiary Hospitals will be up-graded. During tenders for purchase are being opened this week. The construction work is being started in coordination with the C&W Department.
The Punjab Emergency Ambulance Services (PEAS) has also been launched as a pilot project for Lahore. The total cost is Rs. 69.03 million. The Health Department has established centers at six identified sites of the metropolitan city of Lahore. A 250 bedded Multan Institute of Cardiology (MIC) is being established with a cost over Rs. 1 billion.
To reduce the incidence of blindness in the province and to provide trained mid-level eye care personnel the Punjab Institute of Preventive Ophthalmology has been established at Lahore with the total cost of the project Rs. 45.123 million. The international NGO had provided the equipment worth Rs. 24.029 million and Government of the Punjab had shared Rs. 21.049 million.
In order to ensure effective disposal of hospital waste in incinerator has been installed at Children’s Hospital, Lahore. The Government of the Punjab is establishing Jinnah Burn & Reconstructive Surgery Center at Lahore in collaboration with Pakistan Bait-ul-Mal. It will be the first of its kind in the public sector. The center shall be 65 bedded state of the art facilities. The total is Rs. 150 million. The ground breaking ceremony was performed by the Chief Minister.
The Government has established three new medical colleges (Sheikh Zayed Medical College, R.Y. Khan, Services Institutes of Medical Science (SIMS), Lahore and Sargodha Medical College, Sargodha 150 additional seats of self-finance basis have also been created in Medical colleges of the Punjab. The bank guarantee for medical students admitted on self finance basis has been waived off.
The B.Sc. Nursing classes at newly established college of Nursing at Jinnah Hospital, Lahore had commenced from 26th of March 2004. Regarding reforms in rural health care system, administrative financial management of 104 BHUs of Rahim Yar Khan was transferred to Punjab Rural support Programme. After the success of this project, this is being expanded to the other districts.
The government had enhanced fiscal allocation per bed for Tertiary Hospitals from Rs. 120 to Rs. 400 for DHQ Hospitals from Rs. 80 Rs. 250 and from Rs. 60 to Rs. 200 for THQ hospitals.
The government had also enhanced the monthly stipend for the post graduate trainees from Rs. 6,200/- to Rs. 10,000.
The university of Health science has been established and is functioning. This university is holding the examinations regularly.
To eradicate Polio, National Immunization Days are being observed in Punjab, which have remarkable reduction in the prevalence of AFP cases Health Department has been made lot of efforts to improve its surveillance system. So that the cases could not remain hidden. Sub-national immunization day in high risk areas is being observed, so that the target of Polio Eradication can be achieved on early date.
Some other initiatives include computerization and networking of Health Department, providing MRI facility at Lahore General Hospital, Lahore and providing state of the art new equipment in Punjab Institute of Cardiology Lahore.
The future plans include:-
- Revamping of Nursing sector with establishment of full fledged college of nursing at Lahore.
- Up-gradation of THQ in a phased manner.
- Up-gradation of cancer care facilities throughout Punjab.
- Strengthening of Blood Transfusion Services and ensuring mandatory screening of Blood for Hepatitis C, Hepatitis B and HIV AIDS Virus.
- To encourage Public-Private Partnership and rebuild donor confidence.
The success of any programme predominantly vests with the commitment and leadership faculties of its leader.
In 2002 the total budget of the Health Department was Rs. 9 billion whereas in 2007 it is 23 billion. The Development budget of the department in 2002 was only Rs. 850 million now the development budget of the health department is 6.5 billion. In addition to Rs. 6.5 billion for Health Sector Reforms Programme.
This is the time that we focus on the priority areas of donor’s support and assistance to ensure effective coordination in achieving the desired targets though multi-disciplinary approach.
In order to fill the funding gap, to improve the management capacity and to bring quality in health services delivery, the donor agencies like Asian Development Bank, DFID, the World Bank and other donor agencies are already extending valuable help through various programs that include Women Health Project, Global Alliance for Vaccine Initiatives, Control of Tuberculosis through TB DOTs, and Safe Mother hood program etc. The Health Department during the last decade had received significant inputs under various umbrella projects and the inputs have been institutionalized, and made a regular component of our system. Examples are provincial and District Health Development Centers, the Public Health Nursing Schools and the nursing schools in the districts and have been made operational and are instrumental in improving are human resource development capacity building. There are gaps and areas that need further investments partners to further improve service delivery.
Achievements of the health development these achievements may be small in number, modest in level but are by no means less significant This field of health is full of challenges and opportunities for planning, organizing, implementing and evaluating for making significant contributions to the health for mankind.
The Punjab in the largest province of Pakistan. It has a population of more than 83 million which forms more than 55% of the population of Pakistan. The Punjab has a total number of 35,869 health facilities. There are 295 Rural Health Centers, 2456 Basic Health Units, 1188 Dispensaries, 61 Tuberculosis Clines, 274 Sub-Health Centers, 492 Maternal & Child Health Centers, 678 EPI Centers and 22,000 Health Houses. There are 17 Teaching Hospitals, 31 District Headquarter Hospitals, 85 Tehsil Headquarters hospitals, 129 other hospitals and three special institutions. The total bed strength in the province is 39,389. While the bed strength of teaching hospitals is 10,890, there are only 5,548 beds available in the 31 DHQ hospitals and 3210 beds in 85 THQ Hospitals that provide medical services for the 70% of the population of the Punjab province that is mostly rural and relatively poor.
The existing staff strength of Health Departments is 130,692. It includes 1,103 of teaching Cadre, 9,609 of General Cadre, 1,135 of Specialist Cadre, 441 of Dental Cadre, 6,136 of Nursing Cadre, others (paramedics, etc.) 69,208 and 36,243 Family Planning & PHC Programme.
There are 116 teaching and training institutions in Punjab. There are 10 Medical College and 2 Postgraduate Medical Institutions, 46 Nursing Schools and 2 Colleges of Nursing, 9 Public Health Nursing Schools for training of Lady Health Visitors (LHVs) and 4 Paramedical Schools. There is also a Provincial Health Development Center (PHDC) and 30 Districts health development centers for health manpower and training. There is one university of health sciences at Lahore.
When the present political government took over, the medical community was on the streets. There was demoralization and frustration among the doctors and they were agitating against the autonomy to the medical institutions and the boards of governors. The Chief Minister immediately constituted Justice Mujadid Mirza Commission. The government held meetings with all the factions of PMA, MTA and other stake holders. In the light of recommendations of Justice Mujadid Mirza Commission had consultative meetings, the Punjab Medical and Health Institutions Act, 2003 was promulgated and rules were framed. The Boards of management comprising the eminent persons from the society were constituted. Administrative, financial and development were delegated and involvement of academia in decision in decision making was ensured.
The devaluation process has been extended all the districts, and under the devolution, the administrative/financial control of BHU/RHU/THQ/DHQ has been developed to the district governments. The approval of schemes up to Rs. 20 million is at the district level. The purchase of medicines/equipments has also been decentralized.
The strengthening of Emergency Medical Services (SEMS) in Punjab has been launched to revamp the emergency departments of the hospitals in Punjab. The Chief Minister was kind and generous to give a grant of Rs. 1 billion rupees for the purpose. In phase I, Emergency Departments of 14 Tertiary Hospitals have been up-graded with the cost of Rs. More than 2 billion. Free of cost treatment facilities including medicines, medical tests, operations are being provided to the patients in the emergency wards irrespective of their social status, it includes Rs. 6000 streptokinase injection. Now these facilities are being provided in DHQs also and later it would be provided in THQs, RHCs and BHUs also.
The Punjab Emergency Ambulance Services (PEAS) had also been launched as a pilot project for Lahore. (now this project has been shifted to P&D Department).
A 250 bedded Multan Institute of Cardiology (MIC) is being established with a cost over Rs. 1 billion. Faisalabad Institute of Cardiology is under completion whereas construction work on Wazirabad Institute of Cardiology is in progress.
To reduce the incidence of blindness in the province and to provide trained mid-level eye care personnel the Punjab Institute of Preventive Ophthalmology has been established at Lahore with the total cost of the project Rs. 45.123 million. The international NGO had provided the equipment worth Rs. 24.029 million and Government of the Punjab had shared Rs. 21.049 million.
In order to ensure effective disposal of hospital waste in incinerator has been installed at Children’s Hospital, Lahore. The Government of the Punjab is establishing Jinnah Burn & Reconstructive Surgery Center at Lahore in collaboration with Pakistan Bait-ul-Mal. It will be the first of its kind in the public sector. The center shall be 65 bedded state of the art facilities. The total is Rs. 150 million. The ground breaking ceremony was performed by the Chief Minister.
The Government has established three new medical colleges (Sheikh Zayed Medical College, R.Y. Khan, Services Institutes of Medical Science (SIMS), Lahore and Sargodha Medical College, Sargodha 150 additional seats of self-finance basis have also been created in Medical colleges of the Punjab. The bank guarantee for medical students admitted on self finance basis has been waived off.
The B.Sc. Nursing classes at established college of Nursing at Jinnah Hospital, Lahore had been commenced from 26th of March 2004. Regarding reforms in rural health care system, administrative financial management of 104 BHUs of Rahim Yar Khan was transferred to Punjab Rural support Programme. After the success of this project, this is being expanded to the other districts.
The government had enhanced fiscal allocation per bed for Tertiary Hospitals from Rs. 120 to Rs. 400 for DHQ Hospitals from Rs. 80 Rs. 250 and from Rs. 60 to Rs. 200 for THQ hospitals.
The government had also enhanced the monthly stipend for the post graduate trainees from Rs. 6,200/- to Rs. 10,000.
The university of Health science has been established and is functioning. This university is holding the examinations regularly.
To eradicate Polio, National Immunization Days are being observed in Punjab, which have remarkable reduction in the prevalence of AFP cases Health Department has been made lot of efforts to improve its surveillance system. So that the cases could not remain hidden. Sub-national immunization day in high risk areas is being observed, so that the target of Polio Eradication can be achieved on early date.
Some other initiatives include computerization and networking of Health Department, providing MRI facility at Lahore General Hospital, Lahore and providing state of the art new equipment in Punjab Institute of Cardiology Lahore.
The future plans include:-
- Revamping of nursing sector with establishment of full fledged college of nursing at Lahore.
- Up-gradation of THQ in a phased manner.
- Up-gradation of cancer care facilities throughout Punjab.
- Strengthening of Blood Transfusion Services and ensuring mandatory screening of Blood for Hepatitis C, Hepatitis B and HIV AIDS Virus.
- To encourage Public-Private Partnership and rebuild donor confidence.
NEW INITIATIVES
In 2002 the total budget of the Health Department was Rs. 9 billion whereas in 2007 it is 23 billion. The Development budget of the department in 2002 was only Rs. 850 million now the development budget of the health department is 6.5 billion. In addition to Rs. 6.5 billion for Health Sector Reforms Programme.
I. TERTIARY HEALTH CARE
Free Emergency Medical Services at Lahore
Free of cost treatment facilities are being provided to the patients in the emergency wards of the teaching hospitals throughout the province, it includes al the medicines required for the emergency treatment even Rs.6000 costly streptokinase injection.
On the directives of former Chief Minister Punjab, Trauma Center / emergency Ward of the Service Hospital has been expanded for the provision of state-of-the-art medical facilities to the patients at a cost of Rs.350 million. Three more operation theaters have been added and on the completion a 150 bedded emergency ward is available to the people for emergency medical treatment facilities.
Before the renovation / construction and expansion work of the trauma center only three operation theaters were available in the emergency ward, however, emergency ward has been expanded and now six operation theaters are functioning in the emergency wards, whereas, facilities of 16-Slice CT Scan machine and digital X-rays have been made available besides CC, ICU, Paleontology, blood bank and latest pathological labs facilities are also being provided to the patients free of cost irrespective of the patients’ social status. Emergency ward is centrally air-conditioned and active staff would be available 24 hours for emergency medical services and it could be compared with any emergency \ward of the European / developed countries hospital.
Emergency ward of Sir Ganga ram hospital has been completed at a cost of Rs.320 million and now 100 bedded emergency ward is available as compare to 12 bedded old emergency ward.
Emergency ward of Lahore General Hospital has been completed at a cost of Rs.340 million and now 110 bedded emergency ward is functioning at a the hospital.
Provision of Free Healthcare Facilities / Medical Services at the Teaching Hospital of the Province.
1) the strengthening of emergency Medical Services (SEMS) in Punjab had been launched to revamp the emergency departments of the teaching hospitals in Punjab. The former Chief Minister was kind and generous to give a grant of Rs.2 billion for the purpose. In phase-I, Emergency Departments of 14 Tertiary Hospitals have been upgraded with the cost of Rs. more than two billion. Free of cost treatment facilities including medicines, medical tests, operations are being provided to the patients in the emergency wards irrespective of their social status, it includes Rs.6000 sterptokynese injection. Now these facilities are being provided in DHQs also and later it would be provided in THQs, RHCs and BHUs also.
2) Free healthcare facilities to the admitted patients is also available to the deserving patients.
3) Necessary medicines have been provided at DHQs, THQs, RHCs and BHUs so that basic medical treatment can be provided to the people at their doorsteps.
II. PRIMARY HEALTH CARE
a) improvement of primary health care (PHC)
In order to improve the services delivery at PHC facilities (BHUs & RHCs), health sector reforms program has been initiated at a cost of Rs. 6.5 billion. Main focus of the program is to increase the efficiency of health delivery system by filling gaps and providing missing facilities contributing to poor utilization in terms of coverage and quality. Key areas of missing facilities being rectified include:
Civil works at BHUs & RHCs:
· approach road
· boundary wall
· repair of main building & residences
· water supply
· sewerage
· repair of electrification
· telephone facilities
· Sui Gas
Main Equipments:
a) At BHU
· Labour room equipment
· Hospital beds
· Sucker
· Oxygen cylinder
· Computer
· Glucometer
· Autoclave
· Safe delivery kit
b) At RHCs
· Ambulance
· X-Ray
· Dental Unit
· Dental X-Ray
· ECG Machine
· Hot Air Oven
· Auto Clave (Steam Sterilizer)
· Ultrasound
· School Van for Staff Children
· O.T. Ceiling Light.
· O.T. Table.
· General Surgery Instrument Set.
· Obstetric Instrument Set.
· Air-conditioner for Operation Theater.
· Fetal Heart Detector
· Computer
· Staff Shortage/absenteeism
· Up-dating yardsticks for staffing at RHCs &BHUs
· Special pay package for doctors (Helath Sector Reforms Allowance of Rs.12,000 for SMOs, DS, MOs,/WMOs at BHUs and RHCs in addition to BS-17 salary.
· 30 Extra marks in Punjab Public Service Commission for doctors completing two years of service at PHCs under this program
· Hire-Purchase of Cars/Motorcycles for MOs posted at BHUs
· School van of children of staff posted at RHCs.
· Supply of Quality Medicines
· Preparation of new formulary and facility specific drug list
· Pre-qualification of firms for supply of quality medicines
· Purchase through reate contracts
· Quality assurance of the medicines through Drug Testing Laboratory
Service Delivery
· Mandatory rural services for two years
· Midwifery Houses for community service
· Substittuion of Dias by midwives in RHCs / BHUs
· Monitoring & Supervision of BHUs & RHCs
· Baseline survey
· Regular Reporting on:
o Human & Physical Resources
o Service Delivery
· Administrative inspection
o DCO, EDO(F&P) & EDO (R) to inspect 50% RHCs, 25% BHUs once in a year
o Software to be developed
· Institutional framework for monitoring
o Project Management Unit
o DOH (HQ) as Regional Monitoring Officer (RMU)
o PD(DHDC to be District Monitoring Officer(BMU)
o RMUs and DMU’s to be part of Provincial Setup
· Regional District Monitoring Units to be paid 30% of the basic salary as Program Allowance.
III. SECONDARY HEALTHCARE
a. Up-gradation of DHQ/THQ Hospitals: HSRP phase II
DHQ and Hospitals are secondary level hospitals and play pivotal role in health services delivery. Health Department has planned to upgrade the services in these hospitals by:
· Baseline survey of human resource, infrastructure, equipment and patients turnover conducted during August-September 2006.
· Categorization of attractive and less attractive DHQs and THQs
· Standardized design plan for DHQs/THQs Hospitals.
· Special pay package for specialists at THQ/DHQ
· Increase in the number of specialties
· Master plan for each DHQH & THQH
· Phased up-gradation initiated
· Development of minimums service delivery standards / job description manuals
· Development of HMIS for DHQH & THQH
· Development of Monitoring & Evaluation system
2. PUNJAB EMERGENCY / AMBULANCE SERVCIES
· Project initially launched by the Health Department later on handed over to P&D Department.
· Independent pilot project titled “Punjab Emergency Ambulance Services” with Universal access code 1122.
· 14 purpose built ambulances with properly skilled manpower provided independent of hospital emergency services.
· One central and five sub-stations operational 24 hours a day, and linked with the ambulances through wireless network
· 2 recovery vehicles and equipment
· Response time is seven minutes
· Staff training facility established
· Project being expanded into other big cities
3. MULTAN INSTITUTE OF CARDIOLOGY MULTAN
· To provide critical coronary care facilities in central Punjab with a bed strength of 200 on the pattern of Punjab Institute of Cardiology, Lahore.
· Scheme completed at cost of Rs. 1.25 billion.
4. FAISALABAD INSTITTUE OF CARDIOLOGY
· Faisalabad institute of cardiology is under construction however, its OPD has been made functional.
4. WAZIR INSTITUTE OF CARDIOLOGY
· BUILDING OF Wazirabad Institute of Cardiology is under construction.
BURN HOSPITALS
Burn centers are under construction at Multan, Lahore and Faisalabad. This unique and latest healthcare facilities has been initiated on the directives of former Punjab Chief Minister.
· Multan (Nishtar Hospital)
The project cost is Rs.229 million. Rs.25 million were spent during 2005-06 and Rs.30 million have been allocated during CFY (2006-07)
7. CANCER HOSPITAL
· State of the art cancer hospital is being established.
· Site selected at Harbanspura
· TORs for hiring services of consultants sent to P&D for approval
· Staff for PMU has been finalized in consultation with Head of PMU, P&D
· Final PC-II will be submitted after approval of TORs by the P&D
IV. HUMAN RSOURCE DEVELOPMENT
1. UNIVERSITY STATUS TO KEMC
The oldest medical institution of the country has been given the status of University through an Act passed by the Provincial Assembly.
2. ESTABLISHMENT OF NEW MEDICAL COLLEGES
Government of the Punjab has established following new medical colleges in the Punjab after a lapse of 25 years.
· Sheikh Zayed Medical College Rahim Yar Khan (100 seats)
· Services Institute of Medical Sciences, Lahore. (150 seats)
These colleges have been established for admissions mainly on self-finance basis. Additionally, the government of Punjab has provided 160 seats on self-finance basis in the already existing seven medical colleges.
3. CREATION OF SEATS FOR THE UDNER-DEVELOPED DSITRICTS
The government has provided 21 additional seats for the under-developed districts of Punjab for admission in the medical colleges of Punjab from current session 92006-07), in addition to the 28 seats already provided in MBBS. Similarly, 12 such seats have been provided for BDS class in session 2006-07.
4. ENHANCING STIPEND FOR THE PG-TRAINING & NUMBER OF TRAINING SLOTS
The government has enhanced stipend for the post-graduate trainee doctors from Rs.6250 to Rs.10,000 per month. The government has also enhanced the number of training slots for the PG trainees from 1250 to 1625.
Health Department has proposed further enhancement in number of seats and the monthly stipend for the PG trainees and House Officers in Punjab.
5. BETTER NURSING EDUCATION IN PUNJAB
On pilot basis, BSc Nursing program has been initiated in the newly established College of Nursing, Jinnah Hospital / Allama Iqbal Medical College complex, Lahore, to bring quality in nursing education that would lead to better patent care. A similar programme is planned to start functioning in Multan as well.
V. ON GOING PREVENTIVE PROGRAMMES
A: | Expanded Program On Immunization & Polio Eradication. |
· Crash Program boosted up the routine coverage. · National Immunization Days observed for complete eradication of polio. · Strengthening of EPI through Global Alliance for Vaccine and Immunization (GAVI). · Immunization against Hepatitis B included in the regular schedule for children under one year of age. | |
B: | HIV/AIDS CONTROL PROGRAMME. The components included in the project as follow: |
· Increase prevalence of safe behavior & improved availability of STI services amng vulnerable population sub groups. · Improved knowledge an and practice of HIV preventive measures including use of high quality STI services by general public. · Reduced transmission of HIV/STIs through blood transmission. · Programme management and capacity building. | |
C: | ROLL-BACK MALARIA PROJECT |
· In order to reduce morbidity and eliminate deaths due to malaria, a project at a total cost of Rs.93.285 million titled Role Back Malaria Control Project started. | |
D: | CONTROL OF TUBERCULOSIS THROUGH DOTS |
· Tuberculoses is emerging threatening public health problem. In order to combat the situation, Health Department has planned to adopt the strategy of directly observing therapy short course as recommended by WHO. · According to this strategy, the medicines are administered through some supervisor, who may be a health worker, social worker, relative of the patient or some other community member, to ensure regular drug administrative to the TB patients. | |
E: | IMPLEMENTATION OF PHC SERVICES AT COMMUNITY LEVEL |
22 million out of 75 million population of the province has the services of community-bases LHW available. · All the urban and rural population is being provided: · Immunization of women and children, · Malaria surveillance and treatment, · ORT at their doorsteps, · One heath facility (BHU) is available in each union council having a medical officer and eight paramedics and other staff along with its outreach team (CDC supervisor and vaccinator) for ten villages of average 22,000 population. · The first referral facility is RHC covering 150 to 200,000 populations (covering on average eight BHUs/UC). Each RHC has services of two medical officers, one Women Medical Officer, one Dental Surgeon with Operation Theater, Laboratory, X-Rays & ambulance and 16 beds. | |
VI. | PUNJAB GOVERNMENT’S INITIATIVES FOR IMPROVEMENT OF WOMEN HEALTH |
A. | MCH SERVICES THROUGH PHC FACILITIES |
· Ante-natal, natal and post-natal services through BHUs, RHCs, THQ & DHQ hospitals. · Child Growth Monitoring · Family Planning services · Health Education to mothers · Nutrition guidance to mothers and children · Vaccination against tetanus and other communicable diseases · Improvement of gyne operation theatres and labour rooms. | |
B. | IMPLEMENTATION OF NATIONAL PROGRAMME FOR FAMILY PLANNING AND PRIMARY HEALTH CARE |
· The programme was launched in 1992-93 · Major objective of the program is to bridge the gap between community and health service provider by using lady health workers as a vehicle · Presently there are 48,000 LHWs working at grass root level providing PHC services with specific emphasis on MCH, family planning and improvement in nutrition status of mother and children · Are providing guidance to the community for referring the patient to the appropriate referral point · Collecting health related information in their catchments areas and leading to compiling at district provincial and national level for establishing a date base for evidence based healthcare interventions. | |
C. | WOMEN HEALTH PROJECT |
The project has been launched with ADB assistance with a total cost of Rs.1260 million, to increase access to reproductive health services, develop delivery health system for a comprehensive healtah care and initializing human resources capacity to start MCH/Family Planning services in eight districts i.e. Jhelum, Gujanwala, Sargodha, Multan, Bhakkar, Rajanpur, Hafizabad and Bahawalpur. The project will be completed by 31-12-2006. | |
D. | REPRODUCTIVE HEALTH PROJECT |
To reduce population growth rate from 2.22 to 1.8 during the five years, Health Department, Punjab has launched a project at a total cost of Rs.239.845 million with assistance of Asian Development Bank. This project is being implemented in ten districts of Punjab i.e. Pakpattan, Lodhran, Rahimyar Khan, layyah, Jhang, Muzaffargarh, Bahawalnagar, Vehari, M.B.Din and Narowal. |
hmmm great work done by chaudhry pervaiz elahi
there4 em leaving pmln and will join pmlq soon....
i love pervaiz elahi...
geo pervaiz elahi
rescue 1122 the biggest mega project ever in history of pakistan
dear pmln tum ne yeah tu bataya nahi ke watz ur name
awien hawa mae mat choroo ke u r leaving pmln
i accept ke health mae kafi kaam kiye hain q league government ne
but aajkal tu yeah loog ppp ke sath mil gaye hain
i wish ke jald se jald pmlq ppp se elehda ho ker apna wajood qaim rakhy...
As Chief Minister he really start very good project no doubt about that
but there was corruption and supporting mushy that cost him alot
kam tu ch sb ky bad koi nae kar saka ch sb Allah pak ap ko izat dy