health concerns in Pakistan and health care system of Punjab

1. HEALTH CONDITION IN PAKISTAN
Submitted by: Aysha Zubaid
CMCS BS6TH
UOG

2. WHAT IS HEALTH??
 According to WHO
 “Health is a state of complete physical,
mental and social well-being and not merely
the absence of disease or infirmity”

3. HEALTH CARE IN PAKISTAN:
 Health is one of major indicator for the
development of any country but unfortunately
the condition of healthcare is still not
satisfactory in Pakistan.

4. SOME MAJOR HEALTH CRISIS IN PAKISTAN
 Dengue epidemic
 Polio crisis
 Thalassemia
 Breast cancer
 Maternal and infant health
 Infectious Diseases

5. THALLASAEMIA BREAST CANCER
 Thalassaemia is on the
rise in Pakistan and
statistics indicate that
about 3,000 to 4,000
children are born with
the more virulent form of
the disease, called
Thalassaemia- major
every year.
 Approximately one in
every 9 Pakistani women
is likely to suffer from
breast cancer which is one
of the highest incidence
rates in Asia.

6. DENGUE FEVER
 Dengue fever is endemic in Pakistan with
seasonal rise in cases.
 Deaths reported from 2006-11 by dengue
fever
year deaths
2006 41
2007 18
2008 17
2009 13
2010 40
2011 210

7. POLIO
 Pakistan is one of the few countries in
which poliomyelitis have not been
eradicated.

8. MATERNAL AND CHILD HEALTH
 The 2010 maternal mortality rate per 100,000
births for Pakistan is 260. This is compared with
376.5 in 2008 and 541.2 in 1990.
 The under 5 mortality rate, per 1,000 births is 89
and the neonatal mortality as a percentage of
under 5's mortality is 48.
 In Pakistan the number of midwives per 1,000
live births is 10 and the lifetime risk of death for
pregnant women is 1 in 93.
 The sad reality is that 80 per cent of maternal
deaths are preventable.

9. COMMON INFECTIOUS DISEASES
 Acute respiratory infection
 Viral hepatitis
 Malaria
 Diarrhea
 Dysentery
 Scabies

10. HEALTH CARE
 Healthcare in Pakistan is administered mainly in
the private sector which accounts for
approximately 80% of all outpatient visits. The
public sector was until recently led by
the Ministry of Health, however the Ministry was
abolished in June 2011 and all health
responsibilities (mainly planning and fund
allocation) were devolved to provincial Health
Departments which had until now been the main
implementers of public sector health programs.

11. HEALTH SERVICES IN PUNJAB:
 Health Department is the key department entrusted
by the people of Punjab with the fundamental
responsibility for the health of communities and the
entire population. The services for Punjab are
provided through a well designed infrastructure.
 Health Department across the province is divided
into:
 2,461 Basic Health Units (BHUs)
 293 Rural Health Centers (RHCs)
 88 Tehsil Headquarters Hospitals (THQs)
 34 District Headquarter Hospitals (DHQs)
 23 Teaching/ tertiary Care Hospitals

12. HEALTH CARE SERVICES IN PUNJAB
 Preventive Care Services
Preventive care refers to measures taken to prevent diseases, (or
injuries) rather than curing them or treating their symptoms.
 Primitive Services
These services are defined as "The process of enabling people to
increase control over their health and its determinants, and thereby
improve their health".
 Curative Care Services
Curative care is the kind of health care traditionally oriented towards
seeking a cure for an existent disease or a medical condition.
 Rehabilitation Services
Rehabilitative services can help people, with disabilities, to get gainfully
employed and do away with reliance on others. This includes meeting
the physical, psychosocial, emotional and spiritual needs of patients and
their families while incorporating the nursing and rehabilitative
processes. Such Services should be provided to all patients in both
inpatient and outpatient settings at all levels of care.

13. HEALTH CARE DELIVERY SYSTEM
1. Outreach and community-based services,
2. which focus on immunization, sanitation, malaria control,
maternal and child health and family planning.
3. Primary Health Care
the primary care facilities include Basic Health Units (BHUs)
and Rural Health centers (RHCs) mainly preventive, outpatient
and basic inpatient care.
4. Secondary Health Care
Tehsil Headquarters Hospital (THQ) and District Headquarters
Hospital(DHQ) for outpatient, inpatient and also specialist care.
5. Tertiary Care
Tertiary care hospitals located in the major cities for more
specialized inpatient care.

14. PUNJAB HEALTH PROFILE
Health Indicator Value
Infant mortality rate/1000 births 77
Maternal mortality rate/10,000
births
300
Under 5 mortality rate/1000 births 112
% under nutrition(>5) 34
Total fertility rate 4.7
Life Expectancy At birth 64
No. of Hospitals 151
Dispensaries 194
RHCs 293
BHUs 2461
Number of beds 37,272

15. Thank You!