Healthcare system in Pakistan

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A brief overview of the demographics, epidemiology, nutrition status, general healthcare and oral healthcare system of Pakistan

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Healthcare system in Pakistan

  1. 1. HEALTHCARE INPAKISTAN Sanaa Aslam Msc. DPH Student Kings’ College London Nov2012
  2. 2. COUNTRY PROFILEU.S. CENSUS BEAUREU . International database [online] . Available.http://www.census.gov/population/international/data/idb/region.php?N=%20Results%20&T=13&A=separate&RT=0&Y=2012&R=-1&C=PK[Accessed].
  3. 3. COUNTRY PROFILEWHO 2007. Health Systems Profile-Pakistan. World Health Organisation-Regional Office for the Eastern Mediterranean (WHO/EMRO).
  4. 4. ORAL HEALTH• Mean DMFT score- National Age (yrs) Decayed Missing Filled ( F ) DMFT (D) (M) 12 1.01 0.18 0.04 1.23 15 1.44 0.36 0.14 1.94 35-44 4.64 2.93 0.45 8.02 65+ 4.44 12.85 0.44 17.73 • 50% of children 12-15 years are caries free, 97% of all carious lesions remain untreated BILLIE,K., ASLAM, M. Oral Health in Pakistan: A situation analysis [online]. Available: http://www.fdiworldental.org [Accessed].
  5. 5. ORAL HEALTH • Poor periodontal condition • Percentage of individuals with CPITN score-NationalAge Healthy Bleeding Calculus Periodontal Periodontal Excluded(yrs) (score0) (score1) (score2) Pocket 4- Pocket> 6mm 5mm (score4) (score3)12 28.10% 33.70% 20.90% 0.60% 0.10% 16.60%15 26.50% 27.60% 28.70% 1.60% 1.10% 14.50%35-44 16.80% 22.50% 33.90% 10.20% 6.70% 9.90%65+ 6.20% 6.30% 31.40% 17.90% 17% 20.40% BILLIE,K., ASLAM, M. Oral Health in Pakistan: A situation analysis [online]. Available: http://www.fdiworldental.org [Accessed].
  6. 6. ORAL HEALTH• Prosthesis requirementsAge 65+, 65% require a prosthesisAge35-44,30% require a prosthesis• Enamel fluorosis69% of examined population had no fluorosis• Oral CancerTobacco use, men 34% and women 12%Oral cancer 5 year prevalance: men 17133, women 19556
  7. 7. HEALTHCARE SYSTEM: ORGANISATION TERTIARY FACILITIES SECONDARY CARE: Tertiary health quarters, District health quarters PRIMARY CARE: first level healthcare facilities e.g. basichealth units, rural health units, dispensaries
  8. 8. HEALTHCARE SYSTEM: DELIVERY
  9. 9. RESOURCES & FINANCING• 1978, primary health care was integrated in the entire system• 972 hospitals, 4842 dispensaries, 5374 basic health units, 909 maternity and child health care centers• 149,201 doctors, 10,958 dentists, 73,244 nurses• Population and health facilities ratio: 1,206 persons per doctor, 16,426 persons per dentist and 1,665 persons per hospital bed• Two principle modes of financing – Out of pocket fee based – General taxation
  10. 10. ORAL HEALTHCARE SYSTEM• Public and private• Public oral healthcare system is integrated in the general health care system• Financing and fee structure:Public: govt. taxation and fee per itemPrivate: out of pocket, private insurancearrangements, fee per item and/or fee per hour
  11. 11. DENTAL CARE PROFESSIONALS Number of dental surgeons in Pakistan PROVINCE MALE FEMALE TOTAL PUNJAB/FEDERA 1167 806 1973 L AREA SINDH 902 837 1739 KPK 548 256 804 BALOCHISTAN 109 31 140 AZAD KASHMIR 105 43 148 FOREIGN 237 67 304 NATIONALS TOTAL 3068 2040 5108• 15-20 Dental hygienists in two institutes• 800 Lab. Technicians• 40,000 + un-qualified dental practitioners (quacks)• 0 Dental nurses and therapists
  12. 12. FUNCTIONS & TARGET POPULATIONS• Preventive programs• Community outreach programs• Restorative services• Surgical services• Public oral healthcare system:basic and cost effective interventions, for everyone• Private oral healthcare system:high quality delivery of cost effective interventions foreveryone

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