1. Health Facility Assessment
NATIONAL MATERNAL NEWBORN AND CHILD
HEALTH PROGRAMME
PAKISTAN

2. Health Facility Assessment
Aims & Objectives
 Monitoring and Evaluation (M&E) Framework of the
National Maternal Newborn and Child Health
Programme (NMNCHP).
 To assess the availability, functioning, and quality of
health care services in the public sector health facilities.
 To ascertain gaps in availability of infrastructure, human
resource (HR), drugs and supplies; equipment; and level-
specific support services; as well as management basics
 The information provided will be used to improve
services

3. Health Facility Assessment
Specific objectives :
 To assess the health facility status and quality of MNCH
services (Comprehensive and Basic EmONC, Preventive
MNCH and Family Planning) at district level;
 To assess clients’ satisfaction and perception of MNCH
services;
 To provide information for systematic planning for
procurement and supply of goods and commodities
(listing the medical equipment and instruments which
needs to be replaced or purchased); and
 To update and assess the contributions made by the
development partners for improving MNCH and FP
services in the selected districts

4. Health Facility Assessment: Progress
 2,018 health facilities assessed across the country.
Provision of 24/7 CEmONC services;
 108 District Headquarter (DHQ) and Agency
Headquarter (AHQ) Hospitals and 280 Tehsil
Headquarter (THQ) and Civil hospitals
24/7 Basic EmONC services
 638 Rural Health Centres (RHCs) DHQ, THQ and
Civil Hospitals
8/6 Preventive MNCH services
 992 sampled Basic Health Units (BHUs)

5. Health Facility Assessment
MNCHP Analytical Framework
Support Service Inputs:
 infrastructure,
 human resource,
 equipment,
 Drugs & Supplies
 Level specific support services

6. Health Facility Assessment
Assessment Criterion for Support services :
 Meeting 100% - all required inputs are available in
the HF,
 Meeting 75% - overall availability of more than 75%
of required inputs, and minimum of 70% for each
input criteria

7. SERVICE PACKAGES
BHUs: Facility RHCs: Facility DHQ/THQ
available for available for Hospitals: Facility
available for
8/6 Preventive 24/7 Basic EmONC 24/7 Comprehensive
MNCH Services Services EmONC services
∙Parenteral
∙Antenatal antibiotics
checkup ∙Parenteral oxytocic
∙Surgery (C-
drugs section)
∙Lab (Anemia, ∙Blood transfusion
∙Parenteral
Malaria, pregnancy anticonvulsants for ∙Newborn care
test, urine test for pregnancy induced (resuscitation &
sugar & Protein) convulsions (due to incubator)
∙Normal delivery hypertension) +
∙Family planning ∙Manual removal of ∙Gynaecologic
services (at least 3 placenta
al care
methods) ∙Removal of retained
products
∙Comprehensive
∙TT immunization family planning
∙Assisted vaginal
∙EPI vaccination services including
delivery (vacuum
∙Growth monitoring extraction, forceps) sterilisation
∙Nutrition counseling ∙Newborn resuscitation ∙ HR (skilled staff for
∙HR (at least one LHV + conducting, C-section,
or Doctor) ∙ Post abortion blood transfusion and
care anaesthesia),
∙HR (skilled female
and
providers-WMO and
LHVs), and
∙Preventive
∙Preventive MNCH MNCH and
Basic
EmONC

8. RESULTS

9. RESULTS

10. RESULTS

11. RESULTS

12. RESULTS

13. RESULTS
Punjab 84 0 0% 0 0%
Sindh 56 0 0% 0 0%

14. Re-Evaluation
Assumption based on Provision of Services
1. Preventive MNCH services, available for 8 hours a
day, 6 days a week – BHUs
2. Basic EmONC services (including 1. above), available for
24 hours a day, 7 days a week - RHCs, THQ, CH,
DHQs
3. Comprehensive EmONC services (including 1. & 2.
above), available for 24 hours a day, 7 days a week -
DHQ, THQ and Civil Hospitals

15. Components of Services Package
8/6 Preventive MNCH 24/7 Basic EmONC 24/7 Comprehensive
Services Services EmONC Services
•Antenatal checkup •Parenteral antibiotics •Surgery (C-section)
•Lab (Anemia, Malaria, •Parenteral oxytocic drugs •Blood transfusion
pregnancy test, urine test for •Parenteral anticonvulsants •Newborn care (resuscitation
sugar & Protein) •Manual removal of placenta & incubator)
•Normal delivery •Removal of retained •+
•Family planning services (at products •Gynaecological care
least 3 methods) •Assisted vaginal delivery •Comprehensive family
•TT immunization (vacuum extraction, forceps) planning services including
•EPI vaccination •Newborn resuscitation sterilisation
•Growth monitoring •+ • HR (skilled staff for
•Nutrition counseling • Post abortion care conducting, C-section, blood
•HR (at least one LHV or •HR (skilled female transfusion and anaesthesia),
Doctor) providers-WMO and LHVs), •and
and •Preventive MNCH and Basic
•Preventive MNCH EmONC
•

16. Re-Evaluation: Progress
 Health Facility Tabulations ; Region, District , and
Facility-Wise.
 Punjab HFA Report Edited and Restructured.
 Facility Wise Analysis

17. HEALTH FACILITY ANALYSIS

18. HEALTH FACILITY ANALYSIS