The document provides an overview of health and nutrition policies in Punjab, Pakistan. It discusses key developments including the establishment of the Integrated Reproductive Maternal Newborns and Child Health Program, notification of the Essential Package of Health Services, and formation of the Punjab Health Care Commission. For nutrition, it outlines the creation of inter-sectoral committees and technical working groups, as well as approval of the Multi-Sectoral Nutrition Strategy. However, it notes that implementation of policies faces challenges including lack of understanding of constitutional reforms, insufficient resources and capacity, and compartmentalization within the health department.
Policy Landscape_Nutrition_RMNCH in Punjab by Laila Rubab Jaskani 20112014DUNYA NEWS
The document provides an overview of health and nutrition policies in Punjab, Pakistan. It discusses several key policies and recent developments, including the Integrated Reproductive Maternal Newborns and Child Health program, Essential Package of Health Services, Minimum Health Services Delivery Standards, and the Punjab Health Care Commission. For nutrition policies, it outlines the establishment of inter-sectoral committees and technical working groups, as well as the approval of the Multi-sectoral Nutrition Strategy. The document concludes there are gaps in implementing these policies due to a lack of integration, limited human and financial resources, and insufficient understanding of constitutional reforms devolving more power to provinces.
The document provides an overview of ARC's role in implementing the Health Pooled Fund 2 (HPF2) program in Kapoeta East and North Counties of South Sudan from November 2016 to February 2018. It discusses ARC's background in South Sudan, the objectives of HPF2 to increase access to and quality of health services, strengthen the health system, and increase access to nutrition services. It also identifies challenges faced under the previous HPF1 and plans to address gaps to improve health services, facilities, and programs under HPF2.
This document summarizes a project in Uganda aimed at improving maternal health through increased access to postpartum family planning services. The project trained over 600 health workers across 160 facilities in 15 districts, as well as 118 tutors and preceptors from 18 midwifery institutions. It equipped these facilities and institutions with tools to provide long-acting reversible contraceptives like IUDs. Additionally, 154 village health workers were trained to promote family planning options in communities. As a result of these efforts, over 80,000 couple years of protection were achieved and 694 postpartum IUDs were inserted. The document highlights the importance of expanding access to family planning, especially long-acting reversible methods, for empowering women
The document provides an organizational strategic plan for the Abilene-Taylor County Public Health District (ATCPHD) for 2015. It outlines the strategic planning process undertaken, which included re-evaluating the organization's mission, vision, and values. An environmental analysis was conducted through a SWOT analysis to understand internal strengths and weaknesses as well as external opportunities and threats. Key opportunities identified include potential funding sources and partnerships, while threats include inadequate community health education and limited resources. The plan establishes four strategic priorities and goals to guide ATCPHD's work over the coming period.
The document discusses India's Reproductive and Child Health (RCH) programme. It was launched in 1997 to ensure safe motherhood, family planning services, and child survival. The key components are family planning, safe motherhood, client-centered healthcare, and prevention of reproductive tract infections.
RCH Phase II began in 2005 with a focus on reducing maternal and child mortality through essential obstetric care, emergency obstetric care at First Referral Units, and strengthening the referral system. New initiatives under RCH Phase II include training doctors in emergency obstetric procedures, establishing blood banks, and the Janani Suraksha Yojana cash incentive program for institutional deliveries.
The child health strategy aims
Essential Package of Health Services Country Snapshot: PakistanHFG Project
This country snapshot is one in a series of 24 snapshots as part of an activity looking at the Governance Dimensions of Essential Packages of Health Services in the Ending Preventable Child and Maternal Death priority countries. The snapshot explores several important dimensions of the EPHS in the country, such as how government policies contribute to the service coverage, population coverage, and financial coverage of the package. Each country snapshot includes annexes that contain further information about the EPHS.
The National Health Training Center (NHTC) was established in 1993 to coordinate and conduct all health training activities in Nepal. It aims to build technical and managerial capacity of health providers. NHTC oversees 7 provincial training centers and 49 clinical training sites. It develops training materials, provides pre-service training, and conducts various in-service competency courses. Issues include a lack of strategic training approach and inadequate follow-up. Recommendations are to consolidate training needs, improve quality, and establish regulatory bodies to ensure training standards.
Policy Landscape_Nutrition_RMNCH in Punjab by Laila Rubab Jaskani 20112014DUNYA NEWS
The document provides an overview of health and nutrition policies in Punjab, Pakistan. It discusses several key policies and recent developments, including the Integrated Reproductive Maternal Newborns and Child Health program, Essential Package of Health Services, Minimum Health Services Delivery Standards, and the Punjab Health Care Commission. For nutrition policies, it outlines the establishment of inter-sectoral committees and technical working groups, as well as the approval of the Multi-sectoral Nutrition Strategy. The document concludes there are gaps in implementing these policies due to a lack of integration, limited human and financial resources, and insufficient understanding of constitutional reforms devolving more power to provinces.
The document provides an overview of ARC's role in implementing the Health Pooled Fund 2 (HPF2) program in Kapoeta East and North Counties of South Sudan from November 2016 to February 2018. It discusses ARC's background in South Sudan, the objectives of HPF2 to increase access to and quality of health services, strengthen the health system, and increase access to nutrition services. It also identifies challenges faced under the previous HPF1 and plans to address gaps to improve health services, facilities, and programs under HPF2.
This document summarizes a project in Uganda aimed at improving maternal health through increased access to postpartum family planning services. The project trained over 600 health workers across 160 facilities in 15 districts, as well as 118 tutors and preceptors from 18 midwifery institutions. It equipped these facilities and institutions with tools to provide long-acting reversible contraceptives like IUDs. Additionally, 154 village health workers were trained to promote family planning options in communities. As a result of these efforts, over 80,000 couple years of protection were achieved and 694 postpartum IUDs were inserted. The document highlights the importance of expanding access to family planning, especially long-acting reversible methods, for empowering women
The document provides an organizational strategic plan for the Abilene-Taylor County Public Health District (ATCPHD) for 2015. It outlines the strategic planning process undertaken, which included re-evaluating the organization's mission, vision, and values. An environmental analysis was conducted through a SWOT analysis to understand internal strengths and weaknesses as well as external opportunities and threats. Key opportunities identified include potential funding sources and partnerships, while threats include inadequate community health education and limited resources. The plan establishes four strategic priorities and goals to guide ATCPHD's work over the coming period.
The document discusses India's Reproductive and Child Health (RCH) programme. It was launched in 1997 to ensure safe motherhood, family planning services, and child survival. The key components are family planning, safe motherhood, client-centered healthcare, and prevention of reproductive tract infections.
RCH Phase II began in 2005 with a focus on reducing maternal and child mortality through essential obstetric care, emergency obstetric care at First Referral Units, and strengthening the referral system. New initiatives under RCH Phase II include training doctors in emergency obstetric procedures, establishing blood banks, and the Janani Suraksha Yojana cash incentive program for institutional deliveries.
The child health strategy aims
Essential Package of Health Services Country Snapshot: PakistanHFG Project
This country snapshot is one in a series of 24 snapshots as part of an activity looking at the Governance Dimensions of Essential Packages of Health Services in the Ending Preventable Child and Maternal Death priority countries. The snapshot explores several important dimensions of the EPHS in the country, such as how government policies contribute to the service coverage, population coverage, and financial coverage of the package. Each country snapshot includes annexes that contain further information about the EPHS.
The National Health Training Center (NHTC) was established in 1993 to coordinate and conduct all health training activities in Nepal. It aims to build technical and managerial capacity of health providers. NHTC oversees 7 provincial training centers and 49 clinical training sites. It develops training materials, provides pre-service training, and conducts various in-service competency courses. Issues include a lack of strategic training approach and inadequate follow-up. Recommendations are to consolidate training needs, improve quality, and establish regulatory bodies to ensure training standards.
The National Family Welfare Programme was launched in 1952 in India to promote family planning. It aims to improve quality of life through various components like administration, training, health education, and family planning services. The Reproductive and Child Health Programme was launched in 1997 to further the objectives of reducing infant and maternal mortality rates. It provides maternal and child healthcare services, family planning, and prevention of HIV/AIDS. The various methods of family planning discussed are natural methods, mechanical methods, hormonal methods, and surgical methods.
USAID's new Maternal and Child Health Program in Pakistan comprises five major components that work through public and private partnerships to improve maternal, newborn, and child health outcomes. The components are: 1) family planning and reproductive health services, 2) maternal, newborn, and child health services, 3) health communications, 4) health commodities and supplies, and 5) health systems strengthening. The program aims to increase modern contraceptive use, decrease maternal and newborn mortality, decrease infant mortality, and increase skilled birth attendance. Activities include family planning and reproductive health services, maternal, newborn and child health interventions, behavior change communications, procuring health commodities, and health systems strengthening.
The document outlines Nepal's Safe Motherhood Programme which aims to reduce maternal and neonatal morbidity and mortality through various strategies and activities. The major strategies include promoting birth preparedness, expanding 24-hour birthing facilities, and emergency obstetric care services. Key activities involve community-level maternal and newborn interventions, expanding service delivery sites, emergency referral funds, and programs to provide free delivery services and newborn supplies. The goals are to address delays in seeking and receiving care and improve access to institutional deliveries and emergency obstetric services.
Family planning Association of Nepal, practicum sirjana Tiwari
FPAN Kaski follows the managerial processes of the central FPAN office including planning, organizing, staffing, directing, coordinating, recording and reporting, budgeting, supervision and evaluation. Key aspects include an annual planning process with branch input and central approval, hierarchical management structure, participatory leadership style, vertical and horizontal coordination, clinical management information system for recording, and regular central supervision and evaluation. Logistics are primarily dependent on the central office with some local medicine and clinic funds.
Tanzania: Governing for Quality Improvement in the Context of UHCHFG Project
Since gaining independence in 1961, the United Republic of Tanzania has been politically stable and seen economic growth. In 2003, GDP per capita was 277 USD. It has increased to 955 USD. Tanzania has invested greatly in the public sector, including health reforms that embrace and encourage public-private partnerships and the decentralization of the public sector. The United Republic of Tanzania is composed of Tanzania Mainland and the State of Zanzibar, both of which have separate Ministries of Health, each with a cabinet minister. Tanzania has made progress in integrating quality improvement in their national strategic plan.
The document outlines key strategies for improving maternal health in India, including using the Mother and Child Tracking System (MCTS) to ensure early registration of pregnancy and full antenatal care, detecting and line listing high-risk pregnancies like severely anemic mothers to ensure management, and equipping delivery points with facilities for basic and comprehensive obstetric and newborn care available 24/7. It also discusses reviews of maternal, perinatal and child deaths to understand gaps in health services and strategies to strengthen health infrastructure for maternal and newborn care.
Practicum presentation on Safe Motherhood Program (SMP) and Maternal and Peri...Mohammad Aslam Shaiekh
Practicum presentation on Safe Motherhood Program (SMP) and Maternal and Perinatal Death Surveillance and Response (MPDSR) Program in MNH Section of Family Welfare Division..
The Ministry of Health and Family Welfare published the first Annual Report to the People on Health in September 2010. The report’s objective was to examine critical macro-level issues related to health, in particular, the constraints faced by the government in providing universal healthcare, and the challenges in the organisation, financing and governance of health services.
The report provides information about key health indicators such as life expectancy at birth, infant mortality and maternal mortality, and explains the variation in their numbers in different states. It also provides an overview of the National Rural Health Mission (NRHM), which was launched in 2005 to revitalise and scale up basic health services in rural areas. Besides this, it discusses the non-availability of skilled healthcare providers and their uneven distribution across the country, and suggests remedies for this problem.
Lastly, the report lists key policy issues related to health that, according to the ministry, need to be debated widely and drafted into a new health policy. Some of these issues are increased public investment in healthcare, public-private partnerships in the health sector, access to safe drinking water and sanitation, good quality education for healthcare providers, use of modern technology and technological audits of the sector, rising out-of-pocket expenditure on drugs, reduced emphasis on preventive healthcare, limited participation of community organisations, and investment of the states in primary healthcare.
The national health policies of Nepal from 1991 and 2015 aim to improve health services and promote public health. The 1991 policy focused on expanding primary health care and establishing services like preventive, curative, and traditional medicine across the country. It also addressed issues like human resources, community participation, and decentralization. The 2015 policy updated these areas and added new priorities around domestic resources, nutrition, environment, quality assurance, and financial security for treatment. Both policies seek to make basic health services accessible and establish an effective healthcare system with essential resources.
2. Handbook on Improving Maternal and Child HealthDr. Rajesh Singh
The document provides a handbook on improving maternal and child health in India through the RMNCH+A approach. It summarizes the key activities and interventions across the continuum of care from adolescence to motherhood to childhood. The goal is to reduce mortality and improve health outcomes for women and children by prioritizing high burden districts and vulnerable populations. The handbook serves as a guide for program managers to plan, implement, and monitor new and existing RMNCH+A programs and interventions.
The document discusses India's family welfare program, including its history, aims, strategies and the role of community health nurses. It was started in 1951 to promote small family norms and total family health. The program was renamed in 1977 to focus on overall family welfare through health services, education and raising living standards. Community health nurses play an important role through surveys, education, clinic services, record keeping and coordinating with other organizations. Counseling methods like BRAIDED are used to help clients choose appropriate contraceptive methods.
- India has a large population that impacts both its own and global health indicators. It launched its National Family Planning Programme in 1952 with goals of population stabilization.
- The current family planning programme in India provides a wide range of temporary and permanent contraceptive methods at various health facilities through trained personnel with a focus on increasing access and reducing gaps in knowledge and use.
- National initiatives like Family Planning 2020 aim to expand voluntary family planning services and coverage to meet targets by strengthening existing strategies and addressing socio-cultural barriers.
This document provides guidelines for implementing performance-based incentives (PBIs) for health workers in India's 184 high priority districts. It aims to motivate health workers to improve performance and retain staff in remote areas. The PBIs are designed to maximize outputs and outcomes for key maternal and child health interventions. Implementing PBIs is intended to address issues like absenteeism and lack of performance monitoring. The guidelines were developed through discussions between various departments of India's health ministry with support from partners like the Bill and Melinda Gates Foundation. PBIs focus on critical services like emergency obstetric and newborn care to reduce maternal and infant mortality, especially in underserved areas. States are encouraged to use the framework but tailor incentives to local
The document provides operational guidelines for Rashtriya Bal Swasthya Karyakram (RBSK), a new initiative in India aimed at screening over 27 crore children from 0 to 18 years for birth defects, diseases, deficiencies, and developmental delays including disabilities. The program will be implemented through mobile health teams that conduct screenings and refer children for treatment. The guidelines describe the target populations, health conditions to be screened for, implementation mechanisms, and reporting and monitoring procedures. The overall goal is to improve child health through early detection and management of health issues.
At the 2016 CCIH Annual Conference, Dr. Tonny Tumwesigye of the Uganda Protestant Medical Bureau discusses how UPMB incorporated fertility awareness methods into its Family Planning services to expand options for families.
The document discusses micro birth planning, which structures events and actions related to pregnancy and delivery. It includes registering for the Janani Suraksha Yojana (JSY) program and filling out the JSY card, calculating the expected due date of delivery, informing dates for three essential checkups, identifying the health facility where delivery will take place, and identifying transportation means. Key aspects of micro birth planning are registration under JSY, calculating the due date, scheduling checkups, choosing a health facility for delivery, and arranging transportation to ensure safe delivery and access to care.
RBSK is a government initiative that aims to screen and manage children from birth to 18 years of age for Defects at Birth, Deficiencies, Diseases and Developmental Delays including disabilities.
The document summarizes the Pradhan Mantri Surakshit Matritva Abhiyan (PMSMA), a program launched by the Indian government to provide free and comprehensive antenatal care to pregnant women. The key goals of PMSMA are to improve antenatal care quality and coverage, and reduce maternal and neonatal mortality rates. On the 9th of every month, the program provides services like diagnostic tests, screenings, management of conditions, and counseling at designated public health centers supplemented by private healthcare practitioners. Identification of high-risk pregnancies and improving care for at-risk groups are emphasized.
This document analyzes the Janani Suraksha Yojana (JSY) scheme among educated married women in rural Jammu and Kashmir, particularly the district of Kulgam. It summarizes the findings of a field study of 40 women beneficiaries in the villages of Shahoo and Sachen. The study found that the majority of beneficiaries were between 25-30 years old, from an above poverty line economic status, and made aware of JSY by ASHAs. All beneficiaries received antenatal care, institutional deliveries, and immunizations for their children. While most arranged their own transportation, some utilized transportation arranged by ASHAs. Suggestions included increasing ASHA remuneration and addressing delays in financial assistance
Essential Package of Health Services Country Snapshot: NepalHFG Project
This country snapshot is one in a series of 24 snapshots as part of an activity looking at the Governance Dimensions of Essential Packages of Health Services in the Ending Preventable Child and Maternal Death priority countries. The snapshot explores several important dimensions of the EPHS in the country, such as how government policies contribute to the service coverage, population coverage, and financial coverage of the package. Each country snapshot includes annexes that contain further information about the EPHS.
This document summarizes a term paper on critically analyzing Nepal's 2006 National Policy on Skilled Birth Attendance. It includes a recommendation letter, approval sheet, acknowledgements, and table of contents sections. The introduction provides background on Nepal's high maternal and neonatal mortality rates and the goal of the policy to increase skilled attendance at birth. It defines skilled birth attendants and outlines the policy's objectives, strategies, and institutional arrangements to strengthen training, deployment, and support for skilled birth attendants to improve health outcomes.
The National Family Welfare Programme was launched in 1952 in India to promote family planning. It aims to improve quality of life through various components like administration, training, health education, and family planning services. The Reproductive and Child Health Programme was launched in 1997 to further the objectives of reducing infant and maternal mortality rates. It provides maternal and child healthcare services, family planning, and prevention of HIV/AIDS. The various methods of family planning discussed are natural methods, mechanical methods, hormonal methods, and surgical methods.
USAID's new Maternal and Child Health Program in Pakistan comprises five major components that work through public and private partnerships to improve maternal, newborn, and child health outcomes. The components are: 1) family planning and reproductive health services, 2) maternal, newborn, and child health services, 3) health communications, 4) health commodities and supplies, and 5) health systems strengthening. The program aims to increase modern contraceptive use, decrease maternal and newborn mortality, decrease infant mortality, and increase skilled birth attendance. Activities include family planning and reproductive health services, maternal, newborn and child health interventions, behavior change communications, procuring health commodities, and health systems strengthening.
The document outlines Nepal's Safe Motherhood Programme which aims to reduce maternal and neonatal morbidity and mortality through various strategies and activities. The major strategies include promoting birth preparedness, expanding 24-hour birthing facilities, and emergency obstetric care services. Key activities involve community-level maternal and newborn interventions, expanding service delivery sites, emergency referral funds, and programs to provide free delivery services and newborn supplies. The goals are to address delays in seeking and receiving care and improve access to institutional deliveries and emergency obstetric services.
Family planning Association of Nepal, practicum sirjana Tiwari
FPAN Kaski follows the managerial processes of the central FPAN office including planning, organizing, staffing, directing, coordinating, recording and reporting, budgeting, supervision and evaluation. Key aspects include an annual planning process with branch input and central approval, hierarchical management structure, participatory leadership style, vertical and horizontal coordination, clinical management information system for recording, and regular central supervision and evaluation. Logistics are primarily dependent on the central office with some local medicine and clinic funds.
Tanzania: Governing for Quality Improvement in the Context of UHCHFG Project
Since gaining independence in 1961, the United Republic of Tanzania has been politically stable and seen economic growth. In 2003, GDP per capita was 277 USD. It has increased to 955 USD. Tanzania has invested greatly in the public sector, including health reforms that embrace and encourage public-private partnerships and the decentralization of the public sector. The United Republic of Tanzania is composed of Tanzania Mainland and the State of Zanzibar, both of which have separate Ministries of Health, each with a cabinet minister. Tanzania has made progress in integrating quality improvement in their national strategic plan.
The document outlines key strategies for improving maternal health in India, including using the Mother and Child Tracking System (MCTS) to ensure early registration of pregnancy and full antenatal care, detecting and line listing high-risk pregnancies like severely anemic mothers to ensure management, and equipping delivery points with facilities for basic and comprehensive obstetric and newborn care available 24/7. It also discusses reviews of maternal, perinatal and child deaths to understand gaps in health services and strategies to strengthen health infrastructure for maternal and newborn care.
Practicum presentation on Safe Motherhood Program (SMP) and Maternal and Peri...Mohammad Aslam Shaiekh
Practicum presentation on Safe Motherhood Program (SMP) and Maternal and Perinatal Death Surveillance and Response (MPDSR) Program in MNH Section of Family Welfare Division..
The Ministry of Health and Family Welfare published the first Annual Report to the People on Health in September 2010. The report’s objective was to examine critical macro-level issues related to health, in particular, the constraints faced by the government in providing universal healthcare, and the challenges in the organisation, financing and governance of health services.
The report provides information about key health indicators such as life expectancy at birth, infant mortality and maternal mortality, and explains the variation in their numbers in different states. It also provides an overview of the National Rural Health Mission (NRHM), which was launched in 2005 to revitalise and scale up basic health services in rural areas. Besides this, it discusses the non-availability of skilled healthcare providers and their uneven distribution across the country, and suggests remedies for this problem.
Lastly, the report lists key policy issues related to health that, according to the ministry, need to be debated widely and drafted into a new health policy. Some of these issues are increased public investment in healthcare, public-private partnerships in the health sector, access to safe drinking water and sanitation, good quality education for healthcare providers, use of modern technology and technological audits of the sector, rising out-of-pocket expenditure on drugs, reduced emphasis on preventive healthcare, limited participation of community organisations, and investment of the states in primary healthcare.
The national health policies of Nepal from 1991 and 2015 aim to improve health services and promote public health. The 1991 policy focused on expanding primary health care and establishing services like preventive, curative, and traditional medicine across the country. It also addressed issues like human resources, community participation, and decentralization. The 2015 policy updated these areas and added new priorities around domestic resources, nutrition, environment, quality assurance, and financial security for treatment. Both policies seek to make basic health services accessible and establish an effective healthcare system with essential resources.
2. Handbook on Improving Maternal and Child HealthDr. Rajesh Singh
The document provides a handbook on improving maternal and child health in India through the RMNCH+A approach. It summarizes the key activities and interventions across the continuum of care from adolescence to motherhood to childhood. The goal is to reduce mortality and improve health outcomes for women and children by prioritizing high burden districts and vulnerable populations. The handbook serves as a guide for program managers to plan, implement, and monitor new and existing RMNCH+A programs and interventions.
The document discusses India's family welfare program, including its history, aims, strategies and the role of community health nurses. It was started in 1951 to promote small family norms and total family health. The program was renamed in 1977 to focus on overall family welfare through health services, education and raising living standards. Community health nurses play an important role through surveys, education, clinic services, record keeping and coordinating with other organizations. Counseling methods like BRAIDED are used to help clients choose appropriate contraceptive methods.
- India has a large population that impacts both its own and global health indicators. It launched its National Family Planning Programme in 1952 with goals of population stabilization.
- The current family planning programme in India provides a wide range of temporary and permanent contraceptive methods at various health facilities through trained personnel with a focus on increasing access and reducing gaps in knowledge and use.
- National initiatives like Family Planning 2020 aim to expand voluntary family planning services and coverage to meet targets by strengthening existing strategies and addressing socio-cultural barriers.
This document provides guidelines for implementing performance-based incentives (PBIs) for health workers in India's 184 high priority districts. It aims to motivate health workers to improve performance and retain staff in remote areas. The PBIs are designed to maximize outputs and outcomes for key maternal and child health interventions. Implementing PBIs is intended to address issues like absenteeism and lack of performance monitoring. The guidelines were developed through discussions between various departments of India's health ministry with support from partners like the Bill and Melinda Gates Foundation. PBIs focus on critical services like emergency obstetric and newborn care to reduce maternal and infant mortality, especially in underserved areas. States are encouraged to use the framework but tailor incentives to local
The document provides operational guidelines for Rashtriya Bal Swasthya Karyakram (RBSK), a new initiative in India aimed at screening over 27 crore children from 0 to 18 years for birth defects, diseases, deficiencies, and developmental delays including disabilities. The program will be implemented through mobile health teams that conduct screenings and refer children for treatment. The guidelines describe the target populations, health conditions to be screened for, implementation mechanisms, and reporting and monitoring procedures. The overall goal is to improve child health through early detection and management of health issues.
At the 2016 CCIH Annual Conference, Dr. Tonny Tumwesigye of the Uganda Protestant Medical Bureau discusses how UPMB incorporated fertility awareness methods into its Family Planning services to expand options for families.
The document discusses micro birth planning, which structures events and actions related to pregnancy and delivery. It includes registering for the Janani Suraksha Yojana (JSY) program and filling out the JSY card, calculating the expected due date of delivery, informing dates for three essential checkups, identifying the health facility where delivery will take place, and identifying transportation means. Key aspects of micro birth planning are registration under JSY, calculating the due date, scheduling checkups, choosing a health facility for delivery, and arranging transportation to ensure safe delivery and access to care.
RBSK is a government initiative that aims to screen and manage children from birth to 18 years of age for Defects at Birth, Deficiencies, Diseases and Developmental Delays including disabilities.
The document summarizes the Pradhan Mantri Surakshit Matritva Abhiyan (PMSMA), a program launched by the Indian government to provide free and comprehensive antenatal care to pregnant women. The key goals of PMSMA are to improve antenatal care quality and coverage, and reduce maternal and neonatal mortality rates. On the 9th of every month, the program provides services like diagnostic tests, screenings, management of conditions, and counseling at designated public health centers supplemented by private healthcare practitioners. Identification of high-risk pregnancies and improving care for at-risk groups are emphasized.
This document analyzes the Janani Suraksha Yojana (JSY) scheme among educated married women in rural Jammu and Kashmir, particularly the district of Kulgam. It summarizes the findings of a field study of 40 women beneficiaries in the villages of Shahoo and Sachen. The study found that the majority of beneficiaries were between 25-30 years old, from an above poverty line economic status, and made aware of JSY by ASHAs. All beneficiaries received antenatal care, institutional deliveries, and immunizations for their children. While most arranged their own transportation, some utilized transportation arranged by ASHAs. Suggestions included increasing ASHA remuneration and addressing delays in financial assistance
Essential Package of Health Services Country Snapshot: NepalHFG Project
This country snapshot is one in a series of 24 snapshots as part of an activity looking at the Governance Dimensions of Essential Packages of Health Services in the Ending Preventable Child and Maternal Death priority countries. The snapshot explores several important dimensions of the EPHS in the country, such as how government policies contribute to the service coverage, population coverage, and financial coverage of the package. Each country snapshot includes annexes that contain further information about the EPHS.
This document summarizes a term paper on critically analyzing Nepal's 2006 National Policy on Skilled Birth Attendance. It includes a recommendation letter, approval sheet, acknowledgements, and table of contents sections. The introduction provides background on Nepal's high maternal and neonatal mortality rates and the goal of the policy to increase skilled attendance at birth. It defines skilled birth attendants and outlines the policy's objectives, strategies, and institutional arrangements to strengthen training, deployment, and support for skilled birth attendants to improve health outcomes.
Essential Package of Health Services Country Snapshot: MozambiqueHFG Project
This country snapshot is one in a series of 24 snapshots as part of an activity looking at the Governance Dimensions of Essential Packages of Health Services in the Ending Preventable Child and Maternal Death priority countries. The snapshot explores several important dimensions of the EPHS in the country, such as how government policies contribute to the service coverage, population coverage, and financial coverage of the package. Each country snapshot includes annexes that contain further information about the EPHS.
Essential Package of Health Services Country Snapshot: BangladeshHFG Project
Resource Type: Brief
Authors: Jenna Wright
Published: July 2015
Resource Description:
An Essential Package of Health Services (EPHS) can be defined as the package of services that the government is providing or is aspiring to provide to its citizens in an equitable manner. Essential packages are often expected to achieve multiple goals: improved efficiency, equity, political empowerment, accountability, and altogether more effective care. There is no universal essential package of health services that applies to every country in the world.
This country snapshot is one in a series of 24 snapshots as part of an activity looking at the Governance Dimensions of Essential Packages of Health Services in the Ending Preventable Child and Maternal Death priority countries. The snapshot explores several important dimensions of the EPHS in the country, such as how government policies contribute to the service coverage, population coverage, and financial coverage of the package. Each country snapshot includes annexes that contain further information about the EPHS.
The government of Bangladesh first defined an “Essential Service Package” in 1998, then updated it in 2003 and renamed it the “Essential Service Delivery” Package. This package is defined at a high level, and includes: child health care, safe motherhood, family planning, menstrual regulation, post-abortion care, and management of sexually transmitted infections; communicable diseases (including tuberculosis, malaria, others); emerging noncommunicable diseases (diabetes, mental health conditions, cardiovascular diseases); limited curative care and behavior change communication; and nutrition.
In Pakistan, community health workers known as Lady Health Workers and Community Midwives provide 29 out of 38 recommended nutrition services across different life stages according to government policies. These services include counseling on breastfeeding, complementary feeding, and micronutrient supplementation. However, policies do not always specify the exact services community health workers are expected to perform. While community health workers play an important role in nutrition, their responsibilities may need to be prioritized to avoid overburdening them.
In Pakistan, community health workers known as Lady Health Workers and Community Midwives provide 29 out of 38 recommended nutrition services across different life stages according to government policies. These services include counseling on breastfeeding, complementary feeding, and micronutrient supplementation as well as assessing and supporting nutrition interventions. However, policies do not always specify all actions community health workers are expected to perform or reflect actual practices. The data provided are meant to inform efforts to strengthen community nutrition programs and support for community health workers.
In Pakistan, community health workers known as Lady Health Workers and Community Midwives provide 29 out of 38 recommended nutrition services across different life stages according to government policies. These services include counseling on breastfeeding, complementary feeding, and micronutrient supplementation. However, policies do not always specify the exact services community health workers are expected to perform. While community health workers play an important role in nutrition, their responsibilities may need to be prioritized to avoid overburdening them.
The Policy Process in DoH GoP By LRJ 28032015DUNYA NEWS
The document discusses the policy making process in the Department of Health Government of Punjab. It notes that after the 18th constitutional amendment, health became a provincial subject, but Punjab currently lacks an overarching health sector policy. It outlines some key health sector strategies and reforms underway in Punjab. It also describes the various bodies and actors involved in health policy making in Punjab, including the Director General of Health Services, Secretary of Health, Secretary of Planning and Development, Chief Minister, and the Planning and Development Department, which approves development projects and PC1s. Finally, it briefly discusses the roles and functions of the Policy and Strategic Planning Unit within the Department of Health.
The policy process in DoH GoP by lrj 28032015DUNYA NEWS
The document discusses the policy making process in the Department of Health Government of Punjab. It outlines several key health sector reforms and strategies undertaken by the Department of Health, including the Punjab Health Reforms Roadmap and the Integrated Reproductive Maternal Child Health & Nutrition Programme. However, it notes that despite health becoming a provincial subject after the 18th constitutional amendment, there is still no overarching Punjab Health Sector Policy. It then describes the various bodies and actors involved in health policy making in Punjab, including the Director General of Health Services, Secretary of Health, Secretary of Planning and Development, Secretary of Finance, and Chief Minister. It provides an overview of the roles of the Department of Health, Planning and Development Department Punjab
This document outlines India's strategic approach to reproductive, maternal, newborn, child and adolescent health (RMNCH+A). It recognizes that these areas are interlinked and cannot be addressed in isolation. The approach aims to provide integrated services across the lifecycle from adolescence through pregnancy and childbirth. It seeks to strengthen health systems, accelerate progress towards national health goals, and guide state implementation plans to improve maternal and child health outcomes, especially in high-focus districts and vulnerable populations.
This document outlines India's strategic approach to reproductive, maternal, newborn, child and adolescent health (RMNCH+A). It recognizes that these areas are interlinked and cannot be addressed in isolation. The approach aims to provide integrated services across the lifecycle from adolescence through pregnancy and childbirth. It emphasizes establishing continuity of care between community and health facilities to improve outcomes and achieve national health goals and Millennium Development Goals 4 and 5 on maternal and child health.
Essential Package of Health Services Country Snapshot: GhanaHFG Project
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Policy Landscape_Nutrition_RMNCH in Punjab by Laila Rubab Jaskani 20112014
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Punjab Policy Environment Analysis
A Brief Review of Health and Nutrition Policy Landscape in Punjab
7 September 2015
By:Laila Rubab Jaskani
Punjab Pakistan
Empowerment, Voice and Accountability for Better Health and
Nutrition Project Pakistan
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Table of Contents
1. Health Policies and Strategies in Punjab....................................................................................3
1.1 Background ..........................................................................................................................3
1.2 Most recent Developments in this context in Punjab ..........................................................3
2. Nutrition Policies and Strategies in Punjab ...............................................................................4
2.1 Background ..........................................................................................................................4
2.2 Most recent Developments in this context in Punjab .........................................................4
3. A Critical Gap Analysis of Policies in Punjab contexts .................................................................
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Acronym:
MI Micronutrients Initiative
SUN Scaling up Nutrition Movement in Pakistan (Pakistan is signatory of SUN)
MSNA
IRMNCH Integrated Reproductive Maternal Newborns and Child Health
GAIN Global Alliance for Integrated Nutrition
BHN Better Health and Nutrition
EVA Empowerment, Voice and Accountability
PHC Punjab Health Care Commission
EPHS Essential Package for Health Services
MSDS Minimum Service Delivery Standards
PHSS Punjab Health Sector Strategy
CMIT Chief Minister Inspection Team
PITB Punjab Information Technology Board
WB World Bank
NNS National Nutrition Strategy
PINS Pakistan Integrated Nutrition Strategy
SUN Scaling Up Nutrition
NWG Nutrition Working Group
MNCH Maternal Newborn Child Health
MTDF Medium Term Development Framework
NNSP National Nutrition Strategic Plan
TWG Technical Working Group
SC Steering Committee
P&D Planning and Development Department Punjab
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Health Policies and Strategies in Punjab
General Objective:
To describe the overall health and Nutrition policy environment in Punjab health sector.
Specific Objective:
1) To review the health and nutrition policies environment and new developments in Health
sector Punjab
Background:
Health and particularly reproductive maternal newborns and child health is top priority PML-N
government in Punjab. Therefore, Muhammad Shahbaz Sharif, Chief Minister Punjab is monitoring
the efforts and the steps being taken for the Road Map project and PHSS. Top priority of the Chief
Minister Muhammad Shahbaz Sharif is to provide best health services and facilities to the citizens of
the province and prevention of diseases. For this purpose a new policy is being prepared to remove
the gaps in the Health sector, strengthening of primary healthcare system and more focus on
prevention of diseases.
The National Programs, Lady Health Workers’ Program (LHWP), National Maternal, Newborn and
Child Health (MNCH) Program and Nutrition Program, are included in the Ten-Year Perspective
Development Plan 2001-11 and Medium Term Development Framework 2005-10.1
Pakistan’s Expanded Program on Immunization (EPI) has aimed to significantly improve child and
maternal health through immunization against tuberculosis (TB), measles, tetanus, diphtheria,
pertussis, hepatitis B, and poliomyelitis. The report released named “Pakistan’s Polio programme is
a disaster”. We analyse that this report highlighted the most crucial gaps in the achieving the EPI and
routine immunization targets in Pakistan.2As per the report, 80% of the polio cases emerged
worldwide in 2014 are from Pakistan.
1
IRMNCH PC1
2
Pakistan's polio program a 'disaster': Report retrieved on 04 December,2014
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Lady Health Workers and the Primary Health Care National Program; 3LHWs can provide preventive,
curative and rehabilitative services to the community. Lady health workers work also aimed at to
educate and provide Family Planning methods and MCH services. We EVA-BHN project analysed that
LHWs program plays pivotal role in reaching the vulnerable and marginalised communities as they
have to go door-to-door for the provision of community outreach activities. Lady health workers have
their catchment population within the union council level. LHWs can work under the specified and
allocated catchment population named at “LHWs covered areas” while at the same time they cannot
reach at the uncovered population. Now it is serious concerns and a question mark for us regarding
the uncovered population for the provision and access to services being provided by LHWs. Chief
Minister’s Health Attainment Program towards Reproductive Maternal (CHARM) is also one of the
health initiatives by the government of Punjab.
Family Welfare Program through department of family planning;4The Population Welfare
Programme is a social development activity aimed at reducing population growth rate which is a
necessity for developing countries like Pakistan(The Population Welfare Program Pakistan).
Women Health Project was funded by DFID department of health of government of Punjab in 2005;
safe motherhood and newborns babies care. The project was good initiative contribution towards
MDGs 4 and 5.It is noteworthy that DFID the UKAID is largely potential donor regarding RMNCH and
Nutrition in Punjab
Most Recent Developments in this Context in Punjab:
The Integrated Reproductive Maternal Newborns and Child health program which is funded by
Government of Punjab, UNICEF and WFP. Nutrition activities are undertaken by LHWs, CMWs It is
somehow addressing nutrition sector needs and undertaking activities. Nutrition Officers are
appointed in all 36 districts of Punjab but they are not utilizing for undertaking nutrition activities at
the facility level.
3
Lady Health Worker Program-Punjab;data retrieved on 04 December,2014
4
The Population Welfare Programme; retrieved on 04 December,2014
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It is noteworthy that Punjab Health sector strategy is key to health sector reforms in department of
health government of Punjab. The PHSS 2012-2020 was developed under the guideness and direct
supervision of Punjab Health Sector Reforms Program. Currently the PHSRP is shifted or converted
into Policy Strategic and Planning Unit (PSPU).
5The Punjab strategy emphasizes RMNCH and Nutrition by proposing a number of initiatives
including:
I. Integrate MNCH, family planning and nutrition activities in the Essential Primary Health
Services Package Ensure availability of 24/7 EmONC services, strengthen linkages between
outreach workers (LHWs, CMWs etc.) and primary health units
II. Upgrade BHUs, RHCs, THQs, and DHQs to provide 24/7 Comprehensive EmONC services
III. Integrate nutritional services in pregnancy and child care in both health facilities and outreach
workers
This is in the light of consultations with different stakeholders; we now analyse the followings
important developments in Punjab health sector regarding achieving the MDGs 4 and 5.Followings
are the key health sector developments in Punjab Health sector so far;
Integrated Reproductive Maternal Newborns and Child Health Program (IRMNCH) is started by
government of Punjab; in 2013.The project aimed at addressing the reproductive maternal and
newborns child health and nutrition in the province of Punjab for contributing towards meeting the
MDGs targets towards reducing maternal and infant and child death rates.
Health department of Punjab has notified the Essential Package of Health Services for Primary Health
Care in Punjab. This is under the Essential Package of Health Services (EPHS); government of Punjab
has committed and commissioned for the provision of EPHS to the citizens of Punjab. EPHS contains
all the basic and necessary provisions of services. This is important policy strategic action towards
achieving MDGs targets 4 and 5. Minimum Health Services Delivery Standards (MHSD) are also
5
Punjab Health Sector Strategy 2012-2020
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important initiative by the government of Punjab. It is liability at each health facility BHU/RHCs to
implement the MHSD for the health wellbeing of citizen of Punjab.
Establishment of Punjab Health Care Commission has been established with respect to ensuring
health regularities within the Punjab health care facilities.6PHCC aimed at improving the quality,
safety and efficiency of healthcare service delivery for all Public and Private Healthcare
Establishments (HCEs) including Allopath, Homeopaths and Tibbs in the province of Punjab. Punjab
Health Care commission take actions on grievances redress mechanisms in Punjab.
Establishment of Policy Strategic and Planning Unit (PSPU) at Lahore. The purpose of PSPU is to give
strategic directions to department of health for policy formulations. Secondly, to harmonize
coordination among development partners and government for joint venture of improving health
services.
Donors funding for health and nutrition;7among the multilateral donors, the World Bank and the
Asian Development Bank are the two largest donors to the health sector, with other smaller
multilateral donors providing additional funding. In terms of bilateral donors, DFID has been and
continues to be the most important donor by a large margin. DFID has supported to the Government
of Punjab through dozen of projects on RMNCH.
Provincial Health and Nutrition Program is the biggest one which is supported by DFID in two
provinces Punjab and KPK of Pakistan. It is relevant with PHNP that DFID has supported to TR+ and
EVA-BHN for facilitating to government of Punjab in perspectives of supply side technical support and
demand creation through the grass rout level. PHNP aimed at contributing towards achievement of
MDGs targets 4 and 5 particularly reducing maternal and infant death rates, improving malnutrition,
reducing and unwanted pregnancies.
Nutrition Policies and Strategies in Punjab
6
Punjab Health Care Commission; retrieved at 04 December,2014
7
A JPMA Research Study Report: Public Sector health financing in Pakistan: A retrospective study
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Background:
Punjab has faced high floods in Aug, 2010.The poor and marginalised communities faced destructions
of their assets and lives. Since that time; Sector based clusters emerged for addressing the unmet
needs of flood affectees. Nutrition cluster is also one of the important platform which highlighted
malnutrition and under nutrition issues from district to provincial and then national to global level.
According to UNDP report on progress to Millennium Development Goals; Punjab is off track in
achieving the targets MDGs 4 and 5.In MDG 4, targets related to mortality rates, immunization
against measles and lady health workers’ coverage of target population are likely not to be achieved.
In MDG 5, with the current progress, targets for the maternal mortality ratio, proportion of births
attended by skilled birth attendants, contraceptive prevalence rate and total fertility rate are unlikely
to be met. International donor community and United Nations is also focusing on “Post 2015 MDGs
agenda “if in case Pakistan is unable to meeting the MDGs target 4 and 5 than what will be the
strategic guidelines and directions and dimensions for meeting MDGs targets. These are all questions
In 2002, the Ministry of Health established a Nutrition Wing in 2002, but the wing had no direct
presence at the districts level for implementing and monitoring health-related nutrition activities. A
National Nutrition Strategic Plan was approved that same year but was never implemented. The
Ministry of Health also initiated a development programme proposal called the “Enhanced Nutrition
Programme” but its approval by the Planning Commission was stalled by constitutional changes in
2009. Nutrition has thus received little attention from policymakers and it has historically been dealt
with through a “project-based approach under Planning Commissions documents”.
It is important to understand that nutrition is not a standalone subject and needs to be addressed
through multi-sectoral approach. Inter-sectoral coordination committee was formed under the
umbrella of planning & development department that assisted the Punjab government in developing
multi-sectoral policy notes for addressing malnutrition.18th amendment gave provinces a big
opportunity and provinces started work on their nutrition guiding notes and strategies.
Most Recent Developments in this Context in Punjab:
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The department of health of the government of Punjab started to pay attention to nutrition. This is
due to pressure from international community/donors agencies specifically World Bank and DFID and
ECHO/EU and as mentioned earlier this is due to the impacts of disasters on poor populations.
Resultantly; Coordination is slowly improving and Donors funding are now available to develop
various, coordinated inter-sectoral interventions.
In Punjab, “Inter-Sectoral Nutrition Committees and Technical Working Groups” have been set up,
with support and lobbying from UNICEF and the World Bank and UN agencies .However, the
ownership and capacity of Punjab government to tackle malnutrition yet remain to be
comprehended.
In September 2011, the federal government presented the results of the National Nutrition Survey
(NNS), the largest nutrition survey in the history of the country. This NNS survey reported alarming
issues of malnutrition, under nutrition, wasting, stunting and acute malnutrition in Punjab. After the
2010-2011 monsoon floods, a “Nutrition Working Group” was established to coordinate nutrition-
related programmes and establish the way for inter-sectoral action by the government in order to
eliminate malnutrition.
The Nutrition Working Group has proposed a “Pakistan Inter-sectoral Nutrition Strategy (PINS)”,
which frames malnutrition as a multi-dimensional issue that encompasses many faces, such as the
consumption of food, childcare practices, household food insecurity, income, water and sanitation,
high fertility rate, low levels of literacy and natural disasters and emergencies.
It is come to know during the consultation meetings with key health experts and practitioners within
the department of health that PINS after passing the review stages from technical working group and
sectoral technical working groups now it is currently in the preliminary stages of approvals of steering
committee in Planning and development department Punjab. Currently only Technical working group
for nutrition is headed by secretary health Punjab for reviewing the overall progress in nutrition
sector Punjab.
Planning & Development Department Punjab, while realizing its role in tackling the grave issue of
malnutrition in Punjab, constituted a Steering Committee (SC) with representation of relevant sectors
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including government departments and international development partners. This committee was
given the mandate to develop Nutrition Policy Guiding Notes (NPGN), Punjab. The Steering
Committee constituted a Technical Working Group (TWG) in August 2012 and the TWG subsequently
notified six sectoral technical groups namely Agriculture Sector, Food Sector, Health Sector,
Education Sector, Social Protection Sector and WASH Sector.8
The sectoral groups were comprised of representatives of relevant Government departments,
development partners, academia and civil society. These sectoral groups, through meetings and
consultative process, developed their respective nutrition policy guidance notes. These notes were
refined through a series of meetings at the provincial and national level and were then approved by
Steering Committee in its meeting held on 07 Feb, 2014.
It is on 6th January, 2015 that Planning and Development Department Punjab has approved Multi-
sectoral Nutrition Strategy for implementation at all levels.
In April 2013, Pakistan joined the Scaling up Nutrition (SUN) a global initiative. SUN is an opportunity
for the national and provincial governments to draw on the support of international donors, UN
agencies, and civil society to make progress against malnutrition. Developments partners meetings
helds in Islamabad where all NGOs, INGOs, UN Agencies, Planning and Development department,
Donor agencies participate for discussing Nutrition issues in Pakistan with the technical and financial
support of Work Bank.
A Critical Gaps Analysis of Policies in Punjab Contexts:
There is no health and nutrition policy in Punjab although drafting of various health and nutrition
strategies have been developed. Ad-hoc plans are available which are time to time executed based
on different circumstances and emergency. National plans and program are there. Most of these are
donors driven and mainly dependent on external resources both financial and technical.
8
Nutrition Policy Guidance Notes;29th
December,2012
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18th amendments understanding is not understood in the light of constitutions shift. Although; 18th
constitutional amendment does not provide recipe for provincial autonomy for health sector. Largely,
the devolved functions of some of the national programs are partially shifted to the provinces and to
division and districts. No-one accepted and understood in the true letter and spirit to this
constitutional shift to provinces, divisions and districts. Within the country policies and frameworks
and provincial strategies are formulated for addressing the citizen’s needs but in the true sense.
All the prevailing laws on health are mostly national in nature but now the provinces has started
developing their own laws rules and regulations. Without realising to the national laws and policies
the provincial laws might contravene to the federal laws.
Multi-sector nutrition guiding notes and then Multi-sector nutrition strategy is in place meeting the
processes of necessary approvals from planning and development department Punjab; inter-sectoral
plans are in place but their implementation is like a fantasy. It is noteworthy, that all the outreach
interventions including in the Nutrition interventions are undertaken through LHWs and CMWs. Now
there is question mark of “capacity building” of LHWs and CMWs for undertaking the quality of
outreach interventions of nutrition is interrogative in sense.
As we have already mentioned that all the programs and initiatives in the department of health
Punjab are separated into segmentations which is losting the integration of interventions for meeting
the citizens driven needs and addressing the grievances launched by the citizens is again
interrogatives.
It is for the implementation of policy to be needed to technical man-power/human resources,
realistic budgeting and funds transfer flow from provinces to districts is largely needs to be advocated
and focused for the true implementation of programs in department of health government of Punjab.
Laws, rules and regulations and policies are necessary to develop in the citizens’ needs of health
perspectives. There is too much compartmentization within the department of health. Policy is the
dimension which provide systematic approach to address the issues and challenges in the cadre
of needs in the best interest of citizens.
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Policies are normally approved by nontechnical bureaucrats. Unfortunately the political systems is
neither well equipped and nor knowledgeable on policies development process broadly in Pakistan
and specifically in Punjab Provinces which is the reason of poor, non-democratic and gender biased
programs have been formulated for addressing the citizens’ needs.