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Increased Access To AndIncreased Access To And

Quality Of Education AndQuality Of Education AndHealth ServicesHealth Services

Increased Access To AndIncreased Access To And

Quality Of Education AndQuality Of Education AndHealth ServicesHealth Services

($1.5billion)($1.5billion)

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Increased Access To AndQuality Of Education

Education forneglected

groups

(esp. girls)

Adopt newtechnologies

Develop

teacher andadministrative

skills.

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OBJECTIVE

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Increased Access To And

Quality of Health Services

improvedhealth care

for mothersand children

family

planningservices

combat

infectiousdiseases such ashepatitis, polio

and tuberculosis.

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Millennium development goals

Reduce under five mortality by two

third b/t 1990&2015 Reduce by three quarters the

maternal mortality ratio.

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Achieve universal access toreproductive health

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FOCUSES

Geographic areas where servicedelivery is poor

Geographic areas where there is

demonstrated susceptibility to

extremist organizations

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Health and Education

Assistance

provincial government

institutions

Districtgovernmentinstitutions

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Target District Chakwal, Punjab

Social Setting Municipal and Peri-urban

Social Setting Mixed Rural and Urban

Geography: Agricultural land

Temperature: Moderate

About District Chakwal

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BUDGETING

Allocated budget Rs.100M:

Salaried TBAs Trainers 10x12x10,000 = 1.2M

Salaried LHVs for M & S 10x12x10,000 = 1.2M

Salaries doctors = 10MDrugs:

Iron and folic acid = 2M

Food supplements = 1M

Anti malarial = 1.5M

Anti tuberculosis = 1.5M

TT inject = I LAKHTB Screening program = 2 M

De-worming drugs = .5M

Health education material = 1,M

:Laboratory equipment = 10,M

Laboratory equipment = 30,M

Hospital equipment = 10,MUltrasound machines x 20 = 30,M

Safe delivery kits x 5000 = 1,M

Weighting machines x 30 = 60,000

Fetoscopes = 5000

BP setsx30 = 60,000

Utilities = 1,M

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3 MAJOR INTERVENTIONS

PREVENTING PREGNANCY

More abundant family planning services & easily available

PREVENTING COMPLICATIONS OF PREGNANCYImprove health status

Improve nutrition & micro nutrient

De-worming

Anti malarial treatment

Anti tuberculosis treatmentProtection from violence

TREATMENT ONCE A COMPLICATION ARISES

At the referrals

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SWOT ANALYSIS

Strengths S.Input WMOs & U/S available, paramedics trained Sufficient Budget available

S.distribution FLCFs location

MCH available

M&O Drugs, Reffral at a RHC

S.Output Reffrals to THQ&DHQ

Weakness S.I Not enough RHCs & bhus

Not enough WMOs

S.D 1 W,P fpr 3 BHUs

M.O Free ambulance (3) in papers UNFPA-

Free phones (LHWs) om [a[ers

S.O BHUs have less OPD in the absence of doctor

Opportunities Com verb Community is well aware of the problem,

Comprehensive EMCO services at DHQ

S.I PGts from HFH go on rotation for 3 m to DHQ

S.D Each MO is managing 3 BHUs

M&O UNFPA for ambulances and mobile phones

Threat Com.part Majority is rural so may pose resistance to interventions

System factors Difficult for MOs to manage 3 BHUs at alternate day

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Evaluation every 3 months

% of pregnant received antenatal checkup

% of women received TT vaccines

% of women received iron and folic acid

% of population received de-worming drugs

Health education material provided

Anti-malarial provided

TB screening tests performed

Family planning materials provided

Transport provided to emergency obstetric casesReduction in malaria prevalence

Reduction in maternal deaths

IMPACT EVALUATION

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THANKS