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PUNJAB GENDER PARITY REPORT 2021 / DEMOGRAPHICS PUNJAB GENDER PARITY REPORT 2021 / DEMOGRAPHICS 2.4.2 Registration of CNICs for Minors CNIC Registraon for Minors by Gender & District (2021) 500,000 In 2021 in Punjab, 63,30,308 CNICs were registered for minors of which 33,01,524 (52%) were for boys and 450,000 30,28,784 (48%) were for girls (Figure 2.37). 400,000 350,000 300,000 250,000 CNIC Registraon for Minors by Gender (2021) 200,000 150,000 100,000 50,000 - 3,301,524 3,028,784 52% 48% Source: Naonal Database and Registraon Authority Girls Boys Figure 2.39 Source: Naonal Database and Registraon Authority Girls Boys A yearly analysis between rural and urban Punjab (Figure 2.40) reveals that the registration of CNICs for minors fell for both boys and girls in rural Punjab while an upward trend was observed in figures for their urban counterparts. Figure 2.37 CNIC registration for girls in urban Punjab increased by 18 percent while in rural Punjab, it declined by a dismally grand 66.5 percent. 31 32 The registration of CNICs for minors increased by 0.8 percent for boys from 32,75,000 in 2020 to 33,01,524 in 2021 while that for girls increased by 1.7 percent from 29,78,000 to 30,28,784 (Figure 2.38). CNIC Registraon for Minors by Gender, Type of Area & Year 5,000 4,500 4,000 CNIC Registraon for Minors by Gender & Year 3,500 2,497 2,374 3,500 3,000 3,400 3,302 3,275 2,500 3,300 2,000 3,200 1,500 928 3,100 3,029 1,000 2,231 777 2,149 2,978 3,000 500 747 880 - 2,900 Rural Urban Rural Urban 2,800 2020 2021 2020 2021 Source: Naonal Database and Registraon Authority Girls Boys Source: Naonal Database and Registraon Authority Female Male Figure 2.38 Figure 2.40 A district-wise analysis, illustrated in Figure 2.39, reveals that the highest incidence of CNIC registration for girls was observed in Lahore while the lowest was observed in Chakwal. sdnasuohT sdnasuohT erohaL dabalasiaF nahK raY mihaR alawnarjuG natluM hragraffazuM lawenahK idniplawaR toklaiS nahK GD raganlawahaB arakO rusaK ruplawahaB iraheV arupuhkiehS gnahJ ahdograS lawihaS hayyaL hgniS TT tarjuG laworaN naapkaP rupnajaR rakkahB narhdoL bihaS anaknaN toinihC nidduahaB idnaM ilawnaiM kcoA dabazfiaH bahsuhK mulheJ lawkahC
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PUNJAB GENDER PARITY REPORT 2021 / DEMOGRAPHICS PUNJAB GENDER PARITY REPORT 2021 / DEMOGRAPHICS 2.4.3 Registration of CNICs with Disability Logo Figure 2.41 depicts the district-wise distribution of CNIC registration for girls in Punjab in 2021. In 2021 in Punjab, a total of 61,254 CNICs with the disability CNIC Registration with Disability Logo by Gender (2021) logo were registered. Of these, 42,622 (70%) were issued to men while 18,632 (30%) were issued to women. CNIC Registraon for Minors by District (2021) Overall, the registration of CNICs with the disability logo increased manifold for both men and women between 2020 and 2021 (Figure 2.43). The registration for men increased by 149.5 percent from 17,083 in 2020 while that for women 42,622 18,632 . increased by 225.7 percent This is a welcome observation as 70% 30% far as the plight of PWDs is concerned, given the official importance accorded to a valid ID for gaining access to Male services that may be meant for specific groups within Source: Naonal Database and Registraon Authority Female Attock society. Rawalpindi Figure 2.42 Chakwal Jhelum CNIC Registraon with Disability Logo by Gender & Year Mianwali Gujrat 60,000 Mandi Bahauddin Sialkot Khushab Narowal 50,000 42,622 Sargodha Gujranwala Hafizabad 40,000 Sheikhupura Bhakkar Chiniot 30,000 Nankana Sahib Lahore 17,083 18,632 Faisalabad 20,000 Jhang 33 Kasur 34 Layyah Toba Tek Singh 10,000 Okara 5,721 Sahiwal - Muzaffargarh Dera Ghazi Khan Khanewal 2020 2021 Pakpattan Source: Naonal Database and Registraon Authority Multan Female Male Vehari Bahawalnagar Lodhran Figure 2.43 A yearly comparison between statistics for urban and rural Punjab (Figure 2.44) reveals that the highest increase Rajanpur for both men and women was recorded in rural Punjab although a generally upward trend was observed for both genders in urban Punjab as well. Bahawalpur No. of Girls Rahim Yar Khan Up to 45000 CNIC Registraon with Disability Logo by Gender, Type of Area & Year Rahim Yar Khan Rahim Yar Khan 45001 - 90000 30,000 90001 - 135000 24,988 25,000 135001 - 180000 20,000 17,634 >180000 15,000 9,574 10,309 10,000 7,509 8,323 Source: Naonal Database and Registraon Authority, Punjab 5,000 2,924 2,797 - Rural Urban Rural Urban 2020 2021 Figure 2.41 Source: Naonal Database and Registraon Authority Female Male Figure 2.44
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PUNJAB GENDER PARITY REPORT 2021 / DEMOGRAPHICS PUNJAB GENDER PARITY REPORT 2021 / DEMOGRAPHICS 2.4.3 Registration of CNICs with Disability Logo Figure 2.41 depicts the district-wise distribution of CNIC registration for girls in Punjab in 2021. In 2021 in Punjab, a total of 61,254 CNICs with the disability CNIC Registration with Disability Logo by Gender (2021) logo were registered. Of these, 42,622 (70%) were issued to men while 18,632 (30%) were issued to women. CNIC Registraon for Minors by District (2021) Overall, the registration of CNICs with the disability logo increased manifold for both men and women between 2020 and 2021 (Figure 2.43). The registration for men increased by 149.5 percent from 17,083 in 2020 while that for women 42,622 18,632 . increased by 225.7 percent This is a welcome observation as 70% 30% far as the plight of PWDs is concerned, given the official importance accorded to a valid ID for gaining access to Male services that may be meant for specific groups within Source: Naonal Database and Registraon Authority Female Attock society. Rawalpindi Figure 2.42 Chakwal Jhelum CNIC Registraon with Disability Logo by Gender & Year Mianwali Gujrat 60,000 Mandi Bahauddin Sialkot Khushab Narowal 50,000 42,622 Sargodha Gujranwala Hafizabad 40,000 Sheikhupura Bhakkar Chiniot 30,000 Nankana Sahib Lahore 17,083 18,632 Faisalabad 20,000 Jhang 33 Kasur 34 Layyah Toba Tek Singh 10,000 Okara 5,721 Sahiwal - Muzaffargarh Dera Ghazi Khan Khanewal 2020 2021 Pakpattan Source: Naonal Database and Registraon Authority Multan Female Male Vehari Bahawalnagar Lodhran Figure 2.43 A yearly comparison between statistics for urban and rural Punjab (Figure 2.44) reveals that the highest increase Rajanpur for both men and women was recorded in rural Punjab although a generally upward trend was observed for both genders in urban Punjab as well. Bahawalpur No. of Girls Rahim Yar Khan Up to 45000 CNIC Registraon with Disability Logo by Gender, Type of Area & Year Rahim Yar Khan Rahim Yar Khan 45001 - 90000 30,000 90001 - 135000 24,988 25,000 135001 - 180000 20,000 17,634 >180000 15,000 9,574 10,309 10,000 7,509 8,323 Source: Naonal Database and Registraon Authority, Punjab 5,000 2,924 2,797 - Rural Urban Rural Urban 2020 2021 Figure 2.41 Source: Naonal Database and Registraon Authority Female Male Figure 2.44
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PUNJAB GENDER PARITY REPORT 2021 / DEMOGRAPHICS PUNJAB GENDER PARITY REPORT 2021 / DEMOGRAPHICS In terms of a district-wise analysis, the highest incidence of registration among women was observed in Lahore 2.5 Conclusion while the lowest was observed in Hafizabad. Figure 2.45 illustrates a detailed analysis. The management and welfare of a population must be rooted in evidence-based conclusions that can be drawn if CNIC Registraon with Disability Logo by Gender & District (2021) mechanisms for effective demographic data collection and analyses are in place. This is especially important as 6,000 the global community reaffirms its commitment to the 2030 Agenda for Sustainable Development; all goals tie 5,000 into one or another dimension of population management. 4,000 3,000 The demographic imperatives of Pakistan cannot be ignored and both the federal and provincial governments 2,000 have shifted focus towards realising the potential of its human capital such that it does not become a liability. For 1,000 Punjab, it is necessary to capitalise on the changing demographic structure by investing in urban space - management, provision of safe sanitation for all especially women and young girls, increasing contraceptive use and ensuring access to family planning services to reach a fertility rate that is a balance between the number of children and resources to care for them. Heartening strides have emerged in terms of increasing the birth registration for girls as well as enfranchising PWDs; such momentum must also be realised to ensure a safe passage for transgender persons as they strive to gain access to public services. Positioning gender sensitivity and Source: Naonal Database and Registraon Authority Female Male demographic needs at the core of policymaking is certain to help Punjab achieve a sustainable community. Figure 2.45 Figure 2.46 illustrates the district-wise distribution of the registration of CNICs with disability logo for women in I. 2.6 Recommendations 2021. II. 2.6.1 Policy CNIC Registraon with Disability Logo for Women by District (2021) III. Accountability of Nikkah Registrars • Compliance of Nikkah Registrars with the Muslim Family Laws Ordinance (MFLO), 1961 must be checked . periodically by relevant public offices, and their licenses must be renewed based upon satisfactory review. 35 36 Attock • Nikkah Registrars must hold an intermediate degree. Rawalpindi Chakwal Jhelum VI. Restraining Child Marriage Mianwali Gujrat Mandi Bahauddin Sialkot • Minimum age of marriage for girls must be increased to 18 by amending the Punjab Child Marriage Restraint Khushab Narowal Sargodha Hafizabad Gujranwala (Amendment) Act (CMRA), 2015. Sheikhupura Bhakkar Chiniot Nankana Sahib Lahore • Offenders must be held accountable through district-level task forces to track violations of CMRA. Faisalabad Jhang Kasur Layyah Toba Tek Singh 2.6.2 Procedural Okara Sahiwal Dera Ghazi KhanMuzaffargarh Khanewal Pakpattan Capacity Building of Enumerators Multan Vehari Lodhran Bahawalnagar • Enumerators must be sensitized to ensure maximum documentation of transgender persons and PWDs in the population and housing census and surveys. Rajanpur Bahawalpur Guarantee 100% birth registration Rahim Yar Khan Rahim Yar Khan Rahim Yar Khan No. of CNICs • Continued efficacy of digitized birth registration processes must be ensured to achieve 100% birth Up to 300 registration of all citizens. 301 - 600 601 - 900 Ensure 100% CNIC registration of women, girls, transgender persons and PWDS 901 - 1200 >1200 • Processes of CNIC registration must continue to be accessible for vulnerable communities to achieve 100% Source: Naonal Database and Registraon Authority, Punjab CNIC registration. Figure 2.46 Increase female ownership of housing units • Incentivise women's ownership of housing units through property tax rebates. erohaL idniplawaR dabalasiaF raganlawahaB hragraffazuM ahdograS ruplawahaB natluM nahK raY mihaR arakO alawnarjuG kcoA gnahJ rusaK lawenahK nahK GD lawkahC iraheV arupuhkiehS ilawnaiM rupnajaR hayyaL hgniS TT lawihaS tarjuG toklaiS bahsuhK naapkaP rakkahB mulheJ narhdoL laworaN toinihC nidduahaB idnaM bihaS anaknaN dabazifaH
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PUNJAB GENDER PARITY REPORT 2021 / DEMOGRAPHICS PUNJAB GENDER PARITY REPORT 2021 / DEMOGRAPHICS In terms of a district-wise analysis, the highest incidence of registration among women was observed in Lahore 2.5 Conclusion while the lowest was observed in Hafizabad. Figure 2.45 illustrates a detailed analysis. The management and welfare of a population must be rooted in evidence-based conclusions that can be drawn if CNIC Registraon with Disability Logo by Gender & District (2021) mechanisms for effective demographic data collection and analyses are in place. This is especially important as 6,000 the global community reaffirms its commitment to the 2030 Agenda for Sustainable Development; all goals tie 5,000 into one or another dimension of population management. 4,000 3,000 The demographic imperatives of Pakistan cannot be ignored and both the federal and provincial governments 2,000 have shifted focus towards realising the potential of its human capital such that it does not become a liability. For 1,000 Punjab, it is necessary to capitalise on the changing demographic structure by investing in urban space - management, provision of safe sanitation for all especially women and young girls, increasing contraceptive use and ensuring access to family planning services to reach a fertility rate that is a balance between the number of children and resources to care for them. Heartening strides have emerged in terms of increasing the birth registration for girls as well as enfranchising PWDs; such momentum must also be realised to ensure a safe passage for transgender persons as they strive to gain access to public services. Positioning gender sensitivity and Source: Naonal Database and Registraon Authority Female Male demographic needs at the core of policymaking is certain to help Punjab achieve a sustainable community. Figure 2.45 Figure 2.46 illustrates the district-wise distribution of the registration of CNICs with disability logo for women in I. 2.6 Recommendations 2021. II. 2.6.1 Policy CNIC Registraon with Disability Logo for Women by District (2021) III. Accountability of Nikkah Registrars • Compliance of Nikkah Registrars with the Muslim Family Laws Ordinance (MFLO), 1961 must be checked . periodically by relevant public offices, and their licenses must be renewed based upon satisfactory review. 35 36 Attock • Nikkah Registrars must hold an intermediate degree. Rawalpindi Chakwal Jhelum VI. Restraining Child Marriage Mianwali Gujrat Mandi Bahauddin Sialkot • Minimum age of marriage for girls must be increased to 18 by amending the Punjab Child Marriage Restraint Khushab Narowal Sargodha Hafizabad Gujranwala (Amendment) Act (CMRA), 2015. Sheikhupura Bhakkar Chiniot Nankana Sahib Lahore • Offenders must be held accountable through district-level task forces to track violations of CMRA. Faisalabad Jhang Kasur Layyah Toba Tek Singh 2.6.2 Procedural Okara Sahiwal Dera Ghazi KhanMuzaffargarh Khanewal Pakpattan Capacity Building of Enumerators Multan Vehari Lodhran Bahawalnagar • Enumerators must be sensitized to ensure maximum documentation of transgender persons and PWDs in the population and housing census and surveys. Rajanpur Bahawalpur Guarantee 100% birth registration Rahim Yar Khan Rahim Yar Khan Rahim Yar Khan No. of CNICs • Continued efficacy of digitized birth registration processes must be ensured to achieve 100% birth Up to 300 registration of all citizens. 301 - 600 601 - 900 Ensure 100% CNIC registration of women, girls, transgender persons and PWDS 901 - 1200 >1200 • Processes of CNIC registration must continue to be accessible for vulnerable communities to achieve 100% Source: Naonal Database and Registraon Authority, Punjab CNIC registration. Figure 2.46 Increase female ownership of housing units • Incentivise women's ownership of housing units through property tax rebates. erohaL idniplawaR dabalasiaF raganlawahaB hragraffazuM ahdograS ruplawahaB natluM nahK raY mihaR arakO alawnarjuG kcoA gnahJ rusaK lawenahK nahK GD lawkahC iraheV arupuhkiehS ilawnaiM rupnajaR hayyaL hgniS TT lawihaS tarjuG toklaiS bahsuhK naapkaP rakkahB mulheJ narhdoL laworaN toinihC nidduahaB idnaM bihaS anaknaN dabazifaH
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PUNJAB GENDER PARITY REPORT 2021 / DEMOGRAPHICS PUNJAB GENDER PARITY REPORT 2021 / DEMOGRAPHICS 37 38 GOVERNANCE
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PUNJAB GENDER PARITY REPORT 2021 / DEMOGRAPHICS PUNJAB GENDER PARITY REPORT 2021 / DEMOGRAPHICS 37 38 GOVERNANCE
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PUNJAB GENDER PARITY REPORT 2021 / GOVERNANCE 03 GOVERNANCE INTRODUCTION Governance is the process of decision-making and institutes in place and the extent of participation by social defining whether certain policies will be groups, such as minorities and women; it is a well-known implemented or not. This process includes formal notion that diverse groups make better decisions. This and informal stakeholders in the development and inclusion of civil society into decision-making acts as a implementation of decisions about administrative, representative force for marginalized groups and KEY FINDINGS political and financial affairs of a country. The legitimizes their voice. In fact, effective or ‘good’ process of governance allows citizens to express governance can address some of the deficiencies of the their interests, enjoy their legal rights, inform them state in provision of public goods, and curtail selfish Of 100 senators, 81% are men and 19% are women with a GPI of 0.235. Of the 23 Senators on seats of their obligations and provide an enabling behaviour to maximize public interest. allocated to Punjab, 19 (83%) are men and only 4 (17%) are women, with a GPI of 0.211. environment to mediate their differences. Women's interests form an important secon of this public The National Assembly of Pakistan consists of 341 members, of which 270 (79%) are men, and 71 (21%) Globally, governance can take different forms and interest, but polics remains a male-dominated field. Yet, are women, with a GPI of 0.262. Of these 71 women, 10 (4%) have been elected to general seats has been theorized in multiple ways. The definition true empowerment cannot happen ll the gendered compared to 261 (96%) men, while 60 are appointed on reserved seats for women and 1 on a seat expanded beyond the economic realm when the dichotomy of public and private spheres is mediated. reserved for minorities. World Bank used the phrase "crisis in governance" Women's empowerment is documented to hold at least to describe African political events in 1989. four dimensions; women's self-esteem, control over The Punjab Assembly consists of 371 members, of which 296 (80%) are men and 75 (20%) are women, Amongst at least five different theories of resources, mobility and parcipaon in decision-making. with a GPI of 0.253. 66 (88%) women were appointed on seats reserved for women, 8 women (11%) governance, all of which distinguish it from This laer component of parcipaon in decision-making were elected to the general seats while 1 woman was appointed to a seat reserved for minorities. ‘Government,’ is Stoker's theory which identifies refers to power not just in the household but also the governance as "the capacity to get things done public sphere. In 2021 in Punjab, at the provincial level, of all non-gazetted staffers, 92% were men while 8% were without relying on the power of the Government to women. Of all gazetted staffers, 70% were men while 30% were women. At the district level, of all non- command or use its authority." The equal participation of women and men in public life is gazetted staffers, 89% were men while 11% were women. Of all gazetted staffers therein, 75% were men 39 also one of the foundations of the Convention on the 40 while 25% were women. While government is made of public institutions Elimination of All Forms of Discrimination against Women whose authority is rooted in the State, governance (CEDAW) adopted by the United Nations (UN) General Data for Cantonment Board elections conducted across 12 districts of Punjab reveals that 7 out of 870 bodies can be public, private or a mixture. Assembly in 1979. The 2030 Agenda for Sustainable candidates who stood for cantonment elections in 2021, were female. Government is thus one of the actors in governance. Development also focuses on including women in Other actors involved in governance depend upon positions of governance; SDG target 5.5, emphasizes the Data obtained from the Provincial Election Commissioner reveals that of 69,049,301 registered voters in the level of governance. inclusion of women in politics and the decision-making Punjab, 54% are men while 46% are women. process. Moreover, SDG target 16.7 aims to "ensure For example, in rural areas, actors involved may responsive, inclusive, participatory and representative include landlords, farmers, religious leaders, and decision-making at all levels." These goals underscore the NGOs. Whereas, in urban areas, the situation is importance of women's contribution to public decision- more complex. Here, civil society, media, and making and governance. lobbying powers of multi-national corporations also play important roles in affecting policy making. Evidence suggests that women legislators perform better in terms of public goods provision and infrastructure Effective governance at all levels is mandatory for development. Moreover, the management of common efficient management of public and private affairs; natural resources is much more socially optimal when a indeed, these can function without a government mixed-gender group is governing them, as opposed to just but not without governance. The quality of one gender. This is truer when women's representation governance is determined by the nature of serves to be more than symbolic tokenism - if they are 62 Governance: ICPS, 2022 63 United Naons: Economic and Social Commission for Asia and the Pacific 64 Keping, 2018 65 Ibid. 66 Ibid. 67 Ibid. 68 United Naons: Economic and Social Commission for Asia and the Pacific 69 Keping, 2018 70 Organizaon for Economic Co-operaon and Development, 2021 71 Keping, 2018 72 Jabeen, 2020 73 Hussain and Jullandhry, 2020 74 The Impact of the CEDAW Convenon: Paths to Equality, 2012 75 United Naons, Department of Economic and Social Affairs 76 Ibid 77 Tusalem, 2022 78 Zhang et. Al., 2022
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PUNJAB GENDER PARITY REPORT 2021 / GOVERNANCE 03 GOVERNANCE INTRODUCTION Governance is the process of decision-making and institutes in place and the extent of participation by social defining whether certain policies will be groups, such as minorities and women; it is a well-known implemented or not. This process includes formal notion that diverse groups make better decisions. This and informal stakeholders in the development and inclusion of civil society into decision-making acts as a implementation of decisions about administrative, representative force for marginalized groups and KEY FINDINGS political and financial affairs of a country. The legitimizes their voice. In fact, effective or ‘good’ process of governance allows citizens to express governance can address some of the deficiencies of the their interests, enjoy their legal rights, inform them state in provision of public goods, and curtail selfish Of 100 senators, 81% are men and 19% are women with a GPI of 0.235. Of the 23 Senators on seats of their obligations and provide an enabling behaviour to maximize public interest. allocated to Punjab, 19 (83%) are men and only 4 (17%) are women, with a GPI of 0.211. environment to mediate their differences. Women's interests form an important secon of this public The National Assembly of Pakistan consists of 341 members, of which 270 (79%) are men, and 71 (21%) Globally, governance can take different forms and interest, but polics remains a male-dominated field. Yet, are women, with a GPI of 0.262. Of these 71 women, 10 (4%) have been elected to general seats has been theorized in multiple ways. The definition true empowerment cannot happen ll the gendered compared to 261 (96%) men, while 60 are appointed on reserved seats for women and 1 on a seat expanded beyond the economic realm when the dichotomy of public and private spheres is mediated. reserved for minorities. World Bank used the phrase "crisis in governance" Women's empowerment is documented to hold at least to describe African political events in 1989. four dimensions; women's self-esteem, control over The Punjab Assembly consists of 371 members, of which 296 (80%) are men and 75 (20%) are women, Amongst at least five different theories of resources, mobility and parcipaon in decision-making. with a GPI of 0.253. 66 (88%) women were appointed on seats reserved for women, 8 women (11%) governance, all of which distinguish it from This laer component of parcipaon in decision-making were elected to the general seats while 1 woman was appointed to a seat reserved for minorities. ‘Government,’ is Stoker's theory which identifies refers to power not just in the household but also the governance as "the capacity to get things done public sphere. In 2021 in Punjab, at the provincial level, of all non-gazetted staffers, 92% were men while 8% were without relying on the power of the Government to women. Of all gazetted staffers, 70% were men while 30% were women. At the district level, of all non- command or use its authority." The equal participation of women and men in public life is gazetted staffers, 89% were men while 11% were women. Of all gazetted staffers therein, 75% were men 39 also one of the foundations of the Convention on the 40 while 25% were women. While government is made of public institutions Elimination of All Forms of Discrimination against Women whose authority is rooted in the State, governance (CEDAW) adopted by the United Nations (UN) General Data for Cantonment Board elections conducted across 12 districts of Punjab reveals that 7 out of 870 bodies can be public, private or a mixture. Assembly in 1979. The 2030 Agenda for Sustainable candidates who stood for cantonment elections in 2021, were female. Government is thus one of the actors in governance. Development also focuses on including women in Other actors involved in governance depend upon positions of governance; SDG target 5.5, emphasizes the Data obtained from the Provincial Election Commissioner reveals that of 69,049,301 registered voters in the level of governance. inclusion of women in politics and the decision-making Punjab, 54% are men while 46% are women. process. Moreover, SDG target 16.7 aims to "ensure For example, in rural areas, actors involved may responsive, inclusive, participatory and representative include landlords, farmers, religious leaders, and decision-making at all levels." These goals underscore the NGOs. Whereas, in urban areas, the situation is importance of women's contribution to public decision- more complex. Here, civil society, media, and making and governance. lobbying powers of multi-national corporations also play important roles in affecting policy making. Evidence suggests that women legislators perform better in terms of public goods provision and infrastructure Effective governance at all levels is mandatory for development. Moreover, the management of common efficient management of public and private affairs; natural resources is much more socially optimal when a indeed, these can function without a government mixed-gender group is governing them, as opposed to just but not without governance. The quality of one gender. This is truer when women's representation governance is determined by the nature of serves to be more than symbolic tokenism - if they are 62 Governance: ICPS, 2022 63 United Naons: Economic and Social Commission for Asia and the Pacific 64 Keping, 2018 65 Ibid. 66 Ibid. 67 Ibid. 68 United Naons: Economic and Social Commission for Asia and the Pacific 69 Keping, 2018 70 Organizaon for Economic Co-operaon and Development, 2021 71 Keping, 2018 72 Jabeen, 2020 73 Hussain and Jullandhry, 2020 74 The Impact of the CEDAW Convenon: Paths to Equality, 2012 75 United Naons, Department of Economic and Social Affairs 76 Ibid 77 Tusalem, 2022 78 Zhang et. Al., 2022
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PUNJAB GENDER PARITY REPORT 2021 / GOVERNANCE PUNJAB GENDER PARITY REPORT 2021 / GOVERNANCE marginalised even as policy-makers unable to The public-private demarcation of gender roles as a 3.1 Federal develop influential linkages with high-level persisting dynamic means that women are acceptable in government officials, they may perform poorly. positions of power so long as they are perceived as "filling a These findings have important policy implications to political void" created by an absent, related male. 3.1.1 Head of State bolster female representation as well as agency at Patriarchal structures, therefore, use female leadership higher levels of decision-making. opportunities as means of self-aggrandizement as Since the creation of Pakistan in 1947, no female has ever served as the Head of State (or President). However, opposed to meaningful and sustainable women's among 26 Prime Ministers of Pakistan, Ms. Benazir Bhutto was the only woman political leader elected twice as Political Participation of Women in development. Prime Minister in the country's history of 70 years. She had served as Prime Minister from 1988 to 1990 and 1993 Pakistan and its Determinants to 1996. The World Economic Forum's Global Gender Gap Index 2022 ranks Pakistan 95 out of 146 countries in the thematic Women's participation in parliament has been area of women's political empowerment. This ranking is 3.1.2 Senate secured through quotas and the provision of several made on the basis of women in parliament, women in rules for public sector positions for women. The ministerial positions and years with female head of state There are 100 Senators in the Senate of Pakistan. Of these, 81 percent are men and 19 percent are women with a National Assembly of Pakistan consists of 342 over the last 50 years. In 2022, Pakistan's overall ranking GPI of 0.235. Of the 23 Senators on seats allocated to Punjab, 19 (83%) are men and only 4 (17%) are women, with members, out of which at least 60 must be women, in gender equality in political participation has improved a GPI of 0.211. based on the 17.5% quota for women in National slightly to 95 with 20.5 percent women in parliament while Assembly and 33% of seats at the local government the remaining indicators continued to stagnate, with only Table 3.1 depicts that while women's share of membership in the Senate is higher than the regional average, it is level must be reserved for women. 19 percent of the seats in the upper house being held by significantly lower than the global average of women's representation in upper houses of parliaments. women. On the voters’ end as well, as recent as 2018, a Pakistan has committed to increasing women's persisting gender gap in electoral participation in Pakistan political participation under CEDAW (Article 7) as is notable, with '11 million fewer women exercising their Table 3.1 well as its own National Plan of Action (1998) and its right to vote than men.' It remains to be investigated why The Proporon of Women in the Upper House of Parliament National Policy for Development and this is the case. Mobility and ability to navigate the political Empowerment of Women (2002) (Section 6). arena freely could be one factor. Thus, studies that explore Pakistan Regional Average Global Average the effect of policies on women's political participation and When quotas were first introduced to include more patterns of engaging with the electoral process investigate 19% 17.90% 25.10% women in governance, a positive wave was seen 41 the impact of various interventions on political 42 with rural women councillors performing well and participation and freedom. For example, one study looks at 55,000 women contested local government the effects of cash transfers on women's voting behaviours. elections in 2005. Yet the full realization of their 3.1.3 National Assembly Jamil and Ludice study the effects of BISP on three roles remains to be seen; a 2015 study of councillors dimensions of women's political participation: 1) voting in from Attock and Abbottabad revealed that while elections, 2) engaging with elected representatives and 3) The National Assembly of Pakistan consists of 341 members, of which 270 (79%) are men, and 71 (21%) are participation in these governance bodies remained accessing the local state. They find that unconditional women, with a GPI of 0.262. Of these 71 women, only 10 (4%) women have been elected to general seats good, women's influence over funds and policy cash transfers such as BISP can allow women to express compared to 261 (96%) men, with an extremely low GPI of 0.038. The remaining majority (60) is appointed on remained weak. While the quotas have been their political preferences more freely as they become seats reserved for women and 1 on a seat reserved for minorities. Table 3.2 compares women's representation in beneficial in giving more political space to women, more insulated from the grips of patron-client linkages the National Assembly of Pakistan against the regional and global averages for the lower houses as of December this has not come without challenges; for example, with landlords. Further, grassroots forums created by such 2021. women at the local tehsil and union council level programs allow women to engage with the state more face "hostile male attitudes, the lack of a Table 3.2 directly. This can be useful to mediate the constraints of constituency due to the process of indirect The Proporon of Women in the Lower House of Parliament mobility that women face. elections, and being at the mercy of the male councilors who elect them and often assign them to Pakistan Regional Average Global Average These findings all serve as useful entry points to assess the committees dealing only with women's issues. constraints that women face in making their voices heard When gauging the political empowerment of 21% 21.0% 26.1% at a government level. The sub-sections ahead describe women, it is therefore helpful to investigate the status of women's participation in the political process whether women are the subjects of change or more precisely, focusing on Punjab. agents of change. Seats in the National Assembly of Pakistan are distributed in tune with the constitutional guidelines. Reserved seats for women are allocated to each province through a proportional representation system, with the number of seats being determined based on the number of general seats won by each political party from that province. 79 Zhang and Gajwani, 2015 80 Jabeen, 2019 81 Mubasher and Jabeen, 2017 Figure 3.1 shows the province-wise distribution of women on general and reserved seats for women across 82 Jabeen, 2019 Punjab, Sindh, Balochistan and KP and Figure 3.2 illustrates the district-wise distribution of women on the 83 Shah et. al., 2015 84 Akhtar and Ali, 2012 reserved seats from Punjab. 85 Jabeen, 2019 86 Linda Richter (1990) 87 World Economic Forum, 2021 88 Ibid. 89 World Economic Forum, 2022 90 Cheema et. al., 2019 93 Data for Senate has been sourced from the official website of Pakistan Senate as of March 2022 91 Jamil and Ludice, 2021 94 Global and regional figures from Inter Parliamentary Union (IPU) as of December 2021. 92 Prillaman, 2017 95 Data for Naonal Assembly has been sourced from the official website of Pakistan Naonal Assembly as of March 2022
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PUNJAB GENDER PARITY REPORT 2021 / GOVERNANCE PUNJAB GENDER PARITY REPORT 2021 / GOVERNANCE marginalised even as policy-makers unable to The public-private demarcation of gender roles as a 3.1 Federal develop influential linkages with high-level persisting dynamic means that women are acceptable in government officials, they may perform poorly. positions of power so long as they are perceived as "filling a These findings have important policy implications to political void" created by an absent, related male. 3.1.1 Head of State bolster female representation as well as agency at Patriarchal structures, therefore, use female leadership higher levels of decision-making. opportunities as means of self-aggrandizement as Since the creation of Pakistan in 1947, no female has ever served as the Head of State (or President). However, opposed to meaningful and sustainable women's among 26 Prime Ministers of Pakistan, Ms. Benazir Bhutto was the only woman political leader elected twice as Political Participation of Women in development. Prime Minister in the country's history of 70 years. She had served as Prime Minister from 1988 to 1990 and 1993 Pakistan and its Determinants to 1996. The World Economic Forum's Global Gender Gap Index 2022 ranks Pakistan 95 out of 146 countries in the thematic Women's participation in parliament has been area of women's political empowerment. This ranking is 3.1.2 Senate secured through quotas and the provision of several made on the basis of women in parliament, women in rules for public sector positions for women. The ministerial positions and years with female head of state There are 100 Senators in the Senate of Pakistan. Of these, 81 percent are men and 19 percent are women with a National Assembly of Pakistan consists of 342 over the last 50 years. In 2022, Pakistan's overall ranking GPI of 0.235. Of the 23 Senators on seats allocated to Punjab, 19 (83%) are men and only 4 (17%) are women, with members, out of which at least 60 must be women, in gender equality in political participation has improved a GPI of 0.211. based on the 17.5% quota for women in National slightly to 95 with 20.5 percent women in parliament while Assembly and 33% of seats at the local government the remaining indicators continued to stagnate, with only Table 3.1 depicts that while women's share of membership in the Senate is higher than the regional average, it is level must be reserved for women. 19 percent of the seats in the upper house being held by significantly lower than the global average of women's representation in upper houses of parliaments. women. On the voters’ end as well, as recent as 2018, a Pakistan has committed to increasing women's persisting gender gap in electoral participation in Pakistan political participation under CEDAW (Article 7) as is notable, with '11 million fewer women exercising their Table 3.1 well as its own National Plan of Action (1998) and its right to vote than men.' It remains to be investigated why The Proporon of Women in the Upper House of Parliament National Policy for Development and this is the case. Mobility and ability to navigate the political Empowerment of Women (2002) (Section 6). arena freely could be one factor. Thus, studies that explore Pakistan Regional Average Global Average the effect of policies on women's political participation and When quotas were first introduced to include more patterns of engaging with the electoral process investigate 19% 17.90% 25.10% women in governance, a positive wave was seen 41 the impact of various interventions on political 42 with rural women councillors performing well and participation and freedom. For example, one study looks at 55,000 women contested local government the effects of cash transfers on women's voting behaviours. elections in 2005. Yet the full realization of their 3.1.3 National Assembly Jamil and Ludice study the effects of BISP on three roles remains to be seen; a 2015 study of councillors dimensions of women's political participation: 1) voting in from Attock and Abbottabad revealed that while elections, 2) engaging with elected representatives and 3) The National Assembly of Pakistan consists of 341 members, of which 270 (79%) are men, and 71 (21%) are participation in these governance bodies remained accessing the local state. They find that unconditional women, with a GPI of 0.262. Of these 71 women, only 10 (4%) women have been elected to general seats good, women's influence over funds and policy cash transfers such as BISP can allow women to express compared to 261 (96%) men, with an extremely low GPI of 0.038. The remaining majority (60) is appointed on remained weak. While the quotas have been their political preferences more freely as they become seats reserved for women and 1 on a seat reserved for minorities. Table 3.2 compares women's representation in beneficial in giving more political space to women, more insulated from the grips of patron-client linkages the National Assembly of Pakistan against the regional and global averages for the lower houses as of December this has not come without challenges; for example, with landlords. Further, grassroots forums created by such 2021. women at the local tehsil and union council level programs allow women to engage with the state more face "hostile male attitudes, the lack of a Table 3.2 directly. This can be useful to mediate the constraints of constituency due to the process of indirect The Proporon of Women in the Lower House of Parliament mobility that women face. elections, and being at the mercy of the male councilors who elect them and often assign them to Pakistan Regional Average Global Average These findings all serve as useful entry points to assess the committees dealing only with women's issues. constraints that women face in making their voices heard When gauging the political empowerment of 21% 21.0% 26.1% at a government level. The sub-sections ahead describe women, it is therefore helpful to investigate the status of women's participation in the political process whether women are the subjects of change or more precisely, focusing on Punjab. agents of change. Seats in the National Assembly of Pakistan are distributed in tune with the constitutional guidelines. Reserved seats for women are allocated to each province through a proportional representation system, with the number of seats being determined based on the number of general seats won by each political party from that province. 79 Zhang and Gajwani, 2015 80 Jabeen, 2019 81 Mubasher and Jabeen, 2017 Figure 3.1 shows the province-wise distribution of women on general and reserved seats for women across 82 Jabeen, 2019 Punjab, Sindh, Balochistan and KP and Figure 3.2 illustrates the district-wise distribution of women on the 83 Shah et. al., 2015 84 Akhtar and Ali, 2012 reserved seats from Punjab. 85 Jabeen, 2019 86 Linda Richter (1990) 87 World Economic Forum, 2021 88 Ibid. 89 World Economic Forum, 2022 90 Cheema et. al., 2019 93 Data for Senate has been sourced from the official website of Pakistan Senate as of March 2022 91 Jamil and Ludice, 2021 94 Global and regional figures from Inter Parliamentary Union (IPU) as of December 2021. 92 Prillaman, 2017 95 Data for Naonal Assembly has been sourced from the official website of Pakistan Naonal Assembly as of March 2022
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PUNJAB GENDER PARITY REPORT 2021 / GOVERNANCE PUNJAB GENDER PARITY REPORT 2021 / GOVERNANCE General and Reserved Seats for Women in the Naonal Assembly Members of Punjab Assembly by Gender Federal 00 Balochistan 1 4 Sindh 4 14 80% Punjab 5 33 (296) Khyber Pakhtunkhwa 0 9 20% (75) 0 5 10 15 20 25 30 35 40 Source: Naonal Assembly Website General Seats Reserved Seats Figure 3.1 Source: Punjab Assembly Website Figure 3.3 Women Members from Punjab on Reserved Seats in the Naonal Assembly Figure 3.4 depicts that an overwhelming majority of 66 (88%) women were appointed on seats reserved for women whereas, only 8 women (11%) were elected to the general seats with a GPI of 0.028. 1 woman was appointed to a seat reserved for minorities. Lahore 12 Rawalpindi 8 43 Rahim Yar Khan 2 44 Sialkot 2 Female Members in the Punjab Assembly (2021) Rajanpur 1 DG Khan 1 Lodhran 1 Faisalabad 1 Khushab 1 Sargodha 1 Gujranwala 1 Gujrat 1 66 8 1 Chakwal 1 Source: Naonal Assembly Website Reserved Seats Reserved Seats General seats for Women for Non–Muslims Figure 3.2 Source: Punjab Assembly Website 3.2 Provincial Figure 3.4 3.2.1 Punjab Assembly As depicted in Figure 3.3, the Punjab Assembly consists of 371 members, of which an overwhelming majority 296 (80%) are men and 75 (20%) are women, with a GPI of 0.253.
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PUNJAB GENDER PARITY REPORT 2021 / GOVERNANCE PUNJAB GENDER PARITY REPORT 2021 / GOVERNANCE General and Reserved Seats for Women in the Naonal Assembly Members of Punjab Assembly by Gender Federal 00 Balochistan 1 4 Sindh 4 14 80% Punjab 5 33 (296) Khyber Pakhtunkhwa 0 9 20% (75) 0 5 10 15 20 25 30 35 40 Source: Naonal Assembly Website General Seats Reserved Seats Figure 3.1 Source: Punjab Assembly Website Figure 3.3 Women Members from Punjab on Reserved Seats in the Naonal Assembly Figure 3.4 depicts that an overwhelming majority of 66 (88%) women were appointed on seats reserved for women whereas, only 8 women (11%) were elected to the general seats with a GPI of 0.028. 1 woman was appointed to a seat reserved for minorities. Lahore 12 Rawalpindi 8 43 Rahim Yar Khan 2 44 Sialkot 2 Female Members in the Punjab Assembly (2021) Rajanpur 1 DG Khan 1 Lodhran 1 Faisalabad 1 Khushab 1 Sargodha 1 Gujranwala 1 Gujrat 1 66 8 1 Chakwal 1 Source: Naonal Assembly Website Reserved Seats Reserved Seats General seats for Women for Non–Muslims Figure 3.2 Source: Punjab Assembly Website 3.2 Provincial Figure 3.4 3.2.1 Punjab Assembly As depicted in Figure 3.3, the Punjab Assembly consists of 371 members, of which an overwhelming majority 296 (80%) are men and 75 (20%) are women, with a GPI of 0.253.
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PUNJAB GENDER PARITY REPORT 2021 / GOVERNANCE PUNJAB GENDER PARITY REPORT 2021 / GOVERNANCE Figure 3.5 illustrates the district-wise breakdown of women's membership in the Punjab Assembly. 3.2.1.1 MPA Profiles This sub-section will analyse the profile of female MPAs of the Punjab Assembly in terms of their age, level of Punjab Assembly Female Membership by District education and level of political experience. 3.2.1.1.1 By Age The age of politicians can affect governance, rate of re-election and public finances; young politicians have a . longer career ahead so they may be more productive, may have a different time prospect as compared to their older counterparts and might favour long-term policies. Social psychological theories suggest that increased diversity in terms of age could result in more assorted opinions and critical thinking. This can help make decision- making more innovative and creative. Attock To be eligible for the membership of a seat in the Punjab Assembly, members must be 25 years old or above. Figure Rawalpindi 3.6 illustrates the age-wise breakdown of women MPs in the Assembly, sourced from the Punjab Assembly website. Data was available for 158 members, including 20 of the 75 women members. Of these 20 women, most, Chakwal Jhelum 12 (60%) fall in the age bracket of 51 years and above. 5 (25%) are aged between 41 to 50 years, whereas 3 fall in Mianwali Gujrat the age bracket of 31 to 40 years. It is worth noting that no woman MPA falls within the age bracket of 25 to 30 years as compared to their male counterparts, 2 of whom fall between the age of 25 to 30 years. Mandi Bahauddin Sialkot Khushab Narowal Sargodha Gujranwala Hafizabad Female Membership in the Punjab Assembly by Age Sheikhupura Bhakkar Chiniot Nankana SahibLahore 51 years & Above 12 Faisalabad Jhang Kasur 45 Layyah 46 Toba Tek Singh 41-50 years 5 Okara Muzaffargarh Sahiwal Khanewal 31-40 years 3 Pakpattan Dera Ghazi Khan Multan Vehari 25-30 years 0 Bahawalnagar Lodhran Source: Punjab Assembly Website Rajanpur Figure 3.6 Bahawalpur 3.2.1.1.2 By Level of Education The education of a legislator is one dimension of their identity. Empirical studies suggest that this identity affects Rahim Yar Khan Rahim Yar Khan their policies. Education of legislators is also known to have an impact on their development spending as Rahim Yar Khan compared to their uneducated/less-educated counterparts at national as well as constituency levels. No. of Female MPAs (General & Reserved Seats) Figure 3.7 depicts the academic qualification of women members of the Punjab Assembly. Data for academic 0 qualification was only available for 176 of 371 members of the Punjab Assembly. 1 Data was available for 153 male MPs of which, only 1 holds a Doctorate degree, 35 hold post-graduate degrees and 2 88 have completed graduation. 13 have completed matriculation and 13 hold intermediate degrees. 3 MPs do not have any formal education. 3 Source: Punjab Assembly Website >3 Of 23 women MPAs of Punjab Assembly, 8 are post-graduates, whereas 11 hold graduate degrees. 3 women MPAs have passed matriculation and 1 holds an intermediate degree (High School Certificate). Figure 3.5 96 Alberto F. Alesina, 2015 97 Carter, 2010 98 Neiman, 2017
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PUNJAB GENDER PARITY REPORT 2021 / GOVERNANCE PUNJAB GENDER PARITY REPORT 2021 / GOVERNANCE Figure 3.5 illustrates the district-wise breakdown of women's membership in the Punjab Assembly. 3.2.1.1 MPA Profiles This sub-section will analyse the profile of female MPAs of the Punjab Assembly in terms of their age, level of Punjab Assembly Female Membership by District education and level of political experience. 3.2.1.1.1 By Age The age of politicians can affect governance, rate of re-election and public finances; young politicians have a . longer career ahead so they may be more productive, may have a different time prospect as compared to their older counterparts and might favour long-term policies. Social psychological theories suggest that increased diversity in terms of age could result in more assorted opinions and critical thinking. This can help make decision- making more innovative and creative. Attock To be eligible for the membership of a seat in the Punjab Assembly, members must be 25 years old or above. Figure Rawalpindi 3.6 illustrates the age-wise breakdown of women MPs in the Assembly, sourced from the Punjab Assembly website. Data was available for 158 members, including 20 of the 75 women members. Of these 20 women, most, Chakwal Jhelum 12 (60%) fall in the age bracket of 51 years and above. 5 (25%) are aged between 41 to 50 years, whereas 3 fall in Mianwali Gujrat the age bracket of 31 to 40 years. It is worth noting that no woman MPA falls within the age bracket of 25 to 30 years as compared to their male counterparts, 2 of whom fall between the age of 25 to 30 years. Mandi Bahauddin Sialkot Khushab Narowal Sargodha Gujranwala Hafizabad Female Membership in the Punjab Assembly by Age Sheikhupura Bhakkar Chiniot Nankana SahibLahore 51 years & Above 12 Faisalabad Jhang Kasur 45 Layyah 46 Toba Tek Singh 41-50 years 5 Okara Muzaffargarh Sahiwal Khanewal 31-40 years 3 Pakpattan Dera Ghazi Khan Multan Vehari 25-30 years 0 Bahawalnagar Lodhran Source: Punjab Assembly Website Rajanpur Figure 3.6 Bahawalpur 3.2.1.1.2 By Level of Education The education of a legislator is one dimension of their identity. Empirical studies suggest that this identity affects Rahim Yar Khan Rahim Yar Khan their policies. Education of legislators is also known to have an impact on their development spending as Rahim Yar Khan compared to their uneducated/less-educated counterparts at national as well as constituency levels. No. of Female MPAs (General & Reserved Seats) Figure 3.7 depicts the academic qualification of women members of the Punjab Assembly. Data for academic 0 qualification was only available for 176 of 371 members of the Punjab Assembly. 1 Data was available for 153 male MPs of which, only 1 holds a Doctorate degree, 35 hold post-graduate degrees and 2 88 have completed graduation. 13 have completed matriculation and 13 hold intermediate degrees. 3 MPs do not have any formal education. 3 Source: Punjab Assembly Website >3 Of 23 women MPAs of Punjab Assembly, 8 are post-graduates, whereas 11 hold graduate degrees. 3 women MPAs have passed matriculation and 1 holds an intermediate degree (High School Certificate). Figure 3.5 96 Alberto F. Alesina, 2015 97 Carter, 2010 98 Neiman, 2017
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PUNJAB GENDER PARITY REPORT 2021 / GOVERNANCE PUNJAB GENDER PARITY REPORT 2021 / GOVERNANCE Participation of Women in the Punjab Assembly Women Members of Punjab Assembly (By Level of Educaon) As specified in the 18th Amendment to the Constitution of Pakistan, the core function of provincial assemblies is Matriculaon 3 making laws and policies for the province with respect to criminal law, procedure, evidence and any matter not enumerated in the Federal Legislative List. Intermediate 1 The introduction of a new legislation is an intuitive process, which goes through a long way of lobbying, vetting, debating, examining, and voting before its adoption. This process also exhibits the level of participation of male Graduate 11 and female members of the assembly. This part of the chapter will analyse the involvement of male and female members of the Punjab Assembly in the Postgraduate 8 process of provincial law-making. Source: Punjab Assembly Website 3.2.1.2 Decision-Making Positions in the Punjab Assembly Figure 3.7 Although women make up 20 percent of the Punjab Assembly, the number of women in decision-making positions is very few. Figure 3.9 illustrates a gendered breakdown of MPs as Chairs of Standing Committees, Ministers and 3.2.1.1.3 By Political Experience Parliamentary Secretaries. Around the globe, a number of commendable steps have been taken to open the doors for women for their participation in politics through legislation and a quota system to reserve seats for them. However, very little has MPAs in Decision - Making Posions in the Punjab Assembly by Gender been done yet about financing the political campaigns to have more women in office. 41 As shown in table 3.3, 37 of the women members of the Punjab Assembly are affiliated with Pakistan Tehreek-e- 35 Insaaf (PTI), 34 with Pakistan Muslim League Nawaz (PMLN), 2 with Pakistan Muslim League, 1 woman is affiliated with Pakistan People's Party (PPP) and 1 is an independent candidate. 47 Table 3.3 48 7 Women in the Punjab Assembly 10 2 3 PTI PML-N PML PPP IND Chairs of Standing Commiees Ministers Parliamentary Secretaries Source: Punjab Assembly Website Male Female 37 (49)% 34 (45%) 2 (3%) 1 (1%) 1 (1%) Figure 3.9 Source: Punjab Assembly Website 3.2.1.2.1 Provincial Ministers Figure 3.8 illustrates the gender and party-wise breakdown of Punjab Assembly's membership. There are 37 Ministers in the provincial assembly. Of these, 35 (95%) were men and only 2 (5%) were women, with a GPI of 0.057. A low GPI for positions of ministers is demonstrative and speaks to the challenges women may face Party Affilaon of the Punjab Assembly by Gender in being a part of successive governments in Punjab Table 3.5 provides a list of all ministerial portfolios currently 146 held by women. 131 Table 3.5 Provincial Ministries Led by Women Specialized Healthcare & Medical Educaon 37 34 Women Development 8 2 16 14 01 3.2.1.2.2 Parliamentary Secretaries Of 44 Parliamentary Secretaries, 41 (93%) are men and only 3 (7%) are women with a significantly low GPI of Pakistan Tehreek-e-Insaaf Pakistan Muslim League-Nawaz Pakistan Rah-e-Haq Independent Party Pakistan People’s Party (PPP) Pakistan Muslim League (PTI) (PMLN) 0.073. Table 3.6 provides a list of all secretarial portfolios currently held by women. Source: Punjab Assembly Website Male Female Figure 3.8 100 Punjab Assembly website as of March 2022 99 Electoral Financing to Advance Women's Polical Parcipaon, 2007 101 Ibid
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PUNJAB GENDER PARITY REPORT 2021 / GOVERNANCE PUNJAB GENDER PARITY REPORT 2021 / GOVERNANCE Participation of Women in the Punjab Assembly Women Members of Punjab Assembly (By Level of Educaon) As specified in the 18th Amendment to the Constitution of Pakistan, the core function of provincial assemblies is Matriculaon 3 making laws and policies for the province with respect to criminal law, procedure, evidence and any matter not enumerated in the Federal Legislative List. Intermediate 1 The introduction of a new legislation is an intuitive process, which goes through a long way of lobbying, vetting, debating, examining, and voting before its adoption. This process also exhibits the level of participation of male Graduate 11 and female members of the assembly. This part of the chapter will analyse the involvement of male and female members of the Punjab Assembly in the Postgraduate 8 process of provincial law-making. Source: Punjab Assembly Website 3.2.1.2 Decision-Making Positions in the Punjab Assembly Figure 3.7 Although women make up 20 percent of the Punjab Assembly, the number of women in decision-making positions is very few. Figure 3.9 illustrates a gendered breakdown of MPs as Chairs of Standing Committees, Ministers and 3.2.1.1.3 By Political Experience Parliamentary Secretaries. Around the globe, a number of commendable steps have been taken to open the doors for women for their participation in politics through legislation and a quota system to reserve seats for them. However, very little has MPAs in Decision - Making Posions in the Punjab Assembly by Gender been done yet about financing the political campaigns to have more women in office. 41 As shown in table 3.3, 37 of the women members of the Punjab Assembly are affiliated with Pakistan Tehreek-e- 35 Insaaf (PTI), 34 with Pakistan Muslim League Nawaz (PMLN), 2 with Pakistan Muslim League, 1 woman is affiliated with Pakistan People's Party (PPP) and 1 is an independent candidate. 47 Table 3.3 48 7 Women in the Punjab Assembly 10 2 3 PTI PML-N PML PPP IND Chairs of Standing Commiees Ministers Parliamentary Secretaries Source: Punjab Assembly Website Male Female 37 (49)% 34 (45%) 2 (3%) 1 (1%) 1 (1%) Figure 3.9 Source: Punjab Assembly Website 3.2.1.2.1 Provincial Ministers Figure 3.8 illustrates the gender and party-wise breakdown of Punjab Assembly's membership. There are 37 Ministers in the provincial assembly. Of these, 35 (95%) were men and only 2 (5%) were women, with a GPI of 0.057. A low GPI for positions of ministers is demonstrative and speaks to the challenges women may face Party Affilaon of the Punjab Assembly by Gender in being a part of successive governments in Punjab Table 3.5 provides a list of all ministerial portfolios currently 146 held by women. 131 Table 3.5 Provincial Ministries Led by Women Specialized Healthcare & Medical Educaon 37 34 Women Development 8 2 16 14 01 3.2.1.2.2 Parliamentary Secretaries Of 44 Parliamentary Secretaries, 41 (93%) are men and only 3 (7%) are women with a significantly low GPI of Pakistan Tehreek-e-Insaaf Pakistan Muslim League-Nawaz Pakistan Rah-e-Haq Independent Party Pakistan People’s Party (PPP) Pakistan Muslim League (PTI) (PMLN) 0.073. Table 3.6 provides a list of all secretarial portfolios currently held by women. Source: Punjab Assembly Website Male Female Figure 3.8 100 Punjab Assembly website as of March 2022 99 Electoral Financing to Advance Women's Polical Parcipaon, 2007 101 Ibid
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PUNJAB GENDER PARITY REPORT 2021 / GOVERNANCE PUNJAB GENDER PARITY REPORT 2021 / GOVERNANCE Table 3.6 Membership of Parliamentary Standing Commiees of the Punjab Assembly by Gender Secretarial Porolios in the Parliament Held by Women in Punjab GPI 3 Youth Affairs, Sports, Archaeology Zakat & Ushr 0.38 8 Appointed on: 28th June 2021 2 Specialized Healthcare and Medical Educaon 0.22 Women Development 9 Appointed on: 9th August 2021 School Educaon 4 0.57 7 Labour & Human Resource 2 Revenue, Relief and Consolidaon 0.22 Appointed on: 15th February 2022 9 2 Public Prosecuon 0.22 9 1 Public Accounts Commiee-II 0.06 16 4 Primary and Secondary Healthcare 0.57 7 3.2.1.2.3 Standing Committees 9 Populaon Welfare 4.50 2 Standing Committees play an important role in setting up the agenda of the parliament. Standing Committees Planning & Development 2 0.22 9 provide a platform for detailed examination of important bills, policies and other issues. Each Standing 2 Committee has 11 members with its relevant Minister and Parliamentary Secretary. Mines and Minerals 0.22 9 1 3.2.1.2.3.1 Chairpersons Local Government and Community Development 0.10 10 2 Law 0.22 There are 24 Parliamentary Standing Committees in the Punjab Assembly. Of these, 10 (59%) are chaired by 9 male chairpersons and 7 (41%) are headed by female chairpersons, with a GPI of 0.7. The position of Chairperson 2 Labour and Human Resource 0.22 is vacant in 7 Standing Committees as of March 2022. Table 3.7 provides the list of all Committees currently 9 49 50 chaired by women. 3 Industries, Commerce and Investment 0.38 8 7 Human Rights and Minories Affairs 2.33 3 Table 3.7 2 Housing, Urban Development and Public Health Engineering 0.22 9 2 Home 0.22 Standing Commiees in the Punjab Assembly Headed by Female Chairpersons 9 4 Higher Education 0.57 Higher Educaon 7 10 Environment Protecon Gender Mainstreaming (Women Development) 10.00 1 Law 0 Chief Ministers’ Inspecon Team Finance Commiee of the Assembly 0.00 9 School Educaon 2 Excise & Taxaon 0.22 Excise & Taxaon 9 5 Environment Protecon 0.83 6 1 Commiee on Privileges 0.06 16 3.2.1.2.3.2 Members 2 Chief Ministers’ Inspecon Team 0.22 9 Population Welfare, Gender Mainstreaming, and Human Rights and Minorities Affairs are the only three Committees with a higher number of female members as compared to male members. These committees have 9, Source: Punjab Assembly Website Female Male 10 and 7 women members, respectively. The Standing Committee on Gender Mainstreaming has the highest number of women members (10), whereas there are none in the Finance Committee of the Assembly. There are 3 Figure 3.10 standing committees with only one female member each. These include the Committee on Privileges, Committee on Local Government & Community Development, and the Public Accounts Committee-II. Figure 3.10 shows the number of men and women in all 24 Standing Committees as well as the GPI value for each Committee. 102 Punjab Assembly website as of 7th March 2022
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PUNJAB GENDER PARITY REPORT 2021 / GOVERNANCE PUNJAB GENDER PARITY REPORT 2021 / GOVERNANCE Table 3.6 Membership of Parliamentary Standing Commiees of the Punjab Assembly by Gender Secretarial Porolios in the Parliament Held by Women in Punjab GPI 3 Youth Affairs, Sports, Archaeology Zakat & Ushr 0.38 8 Appointed on: 28th June 2021 2 Specialized Healthcare and Medical Educaon 0.22 Women Development 9 Appointed on: 9th August 2021 School Educaon 4 0.57 7 Labour & Human Resource 2 Revenue, Relief and Consolidaon 0.22 Appointed on: 15th February 2022 9 2 Public Prosecuon 0.22 9 1 Public Accounts Commiee-II 0.06 16 4 Primary and Secondary Healthcare 0.57 7 3.2.1.2.3 Standing Committees 9 Populaon Welfare 4.50 2 Standing Committees play an important role in setting up the agenda of the parliament. Standing Committees Planning & Development 2 0.22 9 provide a platform for detailed examination of important bills, policies and other issues. Each Standing 2 Committee has 11 members with its relevant Minister and Parliamentary Secretary. Mines and Minerals 0.22 9 1 3.2.1.2.3.1 Chairpersons Local Government and Community Development 0.10 10 2 Law 0.22 There are 24 Parliamentary Standing Committees in the Punjab Assembly. Of these, 10 (59%) are chaired by 9 male chairpersons and 7 (41%) are headed by female chairpersons, with a GPI of 0.7. The position of Chairperson 2 Labour and Human Resource 0.22 is vacant in 7 Standing Committees as of March 2022. Table 3.7 provides the list of all Committees currently 9 49 50 chaired by women. 3 Industries, Commerce and Investment 0.38 8 7 Human Rights and Minories Affairs 2.33 3 Table 3.7 2 Housing, Urban Development and Public Health Engineering 0.22 9 2 Home 0.22 Standing Commiees in the Punjab Assembly Headed by Female Chairpersons 9 4 Higher Education 0.57 Higher Educaon 7 10 Environment Protecon Gender Mainstreaming (Women Development) 10.00 1 Law 0 Chief Ministers’ Inspecon Team Finance Commiee of the Assembly 0.00 9 School Educaon 2 Excise & Taxaon 0.22 Excise & Taxaon 9 5 Environment Protecon 0.83 6 1 Commiee on Privileges 0.06 16 3.2.1.2.3.2 Members 2 Chief Ministers’ Inspecon Team 0.22 9 Population Welfare, Gender Mainstreaming, and Human Rights and Minorities Affairs are the only three Committees with a higher number of female members as compared to male members. These committees have 9, Source: Punjab Assembly Website Female Male 10 and 7 women members, respectively. The Standing Committee on Gender Mainstreaming has the highest number of women members (10), whereas there are none in the Finance Committee of the Assembly. There are 3 Figure 3.10 standing committees with only one female member each. These include the Committee on Privileges, Committee on Local Government & Community Development, and the Public Accounts Committee-II. Figure 3.10 shows the number of men and women in all 24 Standing Committees as well as the GPI value for each Committee. 102 Punjab Assembly website as of 7th March 2022
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PUNJAB GENDER PARITY REPORT 2021 / GOVERNANCE PUNJAB GENDER PARITY REPORT 2021 / GOVERNANCE 3.3 Women & Local Governance protection of the constitutional rights of women, educating the public to cultivate local support and funding A global shift towards emphasising effective local governance instead of just national governance is a trend women at various levels of governance. endorsed by the 2030 Agenda for Sustainable Development. In doing so, it also sets targets to ensure women's equal participation at all levels of governance (SDG Target 5.5) and indicators like proportion of seats held by As a Temporary Special Measure (TSM), quotas must be monitored and their efficacy must be evaluated in robust women in local governments (Indicator 5.5.1b). The need for local governance to be representative and fashion to verify whether or not they are yielding desired results; this is relevant as every policy environment is participatory arises from a notion concluded by local governance practitioners and theorists which asserts that different in nature as well as structure. According to the Wilson Center's report titled Roadmap 50x50, Pakistan people's felt-needs are understood and taken care of best by 'like' representatives. This would mean falls in the category of countries ‘Pursuing Parity’ – a group of countries where groundwork still needs to be laid in representatives from similar ethnic, linguistic and socioeconomic lived experiences; gender as an important the sense that there are not many women leaders, nor are women able to move beyond traditional roles and factor cannot be discounted. functions. This also means that there is a vast window of opportunities for women to rise, provided an enabling environment is realised for them. The tussle in Punjab to actualize effective local governance is ongoing. After the dissolution of local governments in 2019, promises to install new and more empowered ones emerged resulting in the Punjab Local Government For the purposes of this report, the public sector includes all provincial departments attached to the Civil Act 2019 – a party-based, directly elected mayoral system well-established in the United States. This proportional Secretariat of Punjab, Statutory Bodies (autonomous/semi-autonomous/companies) and district government representation system vested power in a directly elected mayor who could help ground a strong local offices. These bodies work together for public service delivery as formulated by the Punjab Assembly. government, not intimidated by politics at the provincial level. The Act also notified council oversight that could help act as an internal check upon attempts of overreach by the mayor. After the Supreme Court restored the local governments under the Local Government Act 2013, they were allowed to complete their term. Meanwhile, the 3.4.1 Contingent Staff in the Public Sector Punjab Local Government Ordinance was promulgated in 2021, subsequently assented as an Act. This Act is a strong departure from the proportional representation, mayoral system introduced in the 2019 Act and grants the More men are employed in the public sector than women. In 2021, there were a total of 39,611 men and only winning mayor an absolute majority. It also allows provincial governments to exercise significant control over the 5,999 women in Punjab's Provincial Departments. 87 percent of the public sector employees in the Provincial local governments' heads opening room for misuse and subjugation. Departments comprised men, with a very low GPI of 0.14. Since 2020, this has been a negligible improvement with statistics showing men making up 87 percent of public sector employees. As far as district offices are While the PLGO 2021 incorporates reserved seats for women in different bodies of the local government, caveats concerned, in 2021, there were a total of 67,271 men and 11,215 women employed therein, rounding up a GPI of remain as to whether this representation is logical and effective. Some examples include how reserved seats for 0.16. women in Metropolitan Corporations and District Councils do not conform to a formula and may result in disproportional representation when viewed in conjunction with the population size. Technically, concerns 51 The nature of staff hired in public offices in Punjab also includes contractual employees for a short term, to 52 have arisen over smaller districts having over 31 percent representation of women in local government councils accomplish specific time sensitive tasks or projects. In 2021, only 14 percent of the contract-based staff in whereas only 23 percent of it is reserved for women in districts with a population size of over 10 million. It Provincial Departments and 20 percent of that in District Offices was female. This data is shown in Figure 3.11. remains to be seen whether these gaps will be filled in a subsequent parliamentary process to realise a truly socially inclusive local governance structure in Punjab. Evidence suggests that having women in local governance particularly helps female citizens rally for their rights related to community and family matters in a system that is otherwise often fraught by structural gender Contractual Based Employees in Public Sector in Punjab (2021) inequalities. In Punjab too, matters related to women's marriage, divorce, recovery of dower, property and inheritance all come under the purview of the local government as per the Muslim Family Law Ordinance, 1961. In light of this, it is imperative to installing a local government system in the province that empowers women leaders and citizens at the grassroots level. 488 1,489 14% 20% 3.4 Women in the Public Sector Worldwide, women's lack of participation in the public sector, administration and politics contribute significantly to gender inequality. Most western philosophy and cultural norms have marked the political and public domain 3,003 5,845 86% 80% as reserved for men. It is not surprising then that in South Asian countries like Pakistan, the presence of women is low in bureaucratic and political institutions where lucrative and powerful domains are controlled by men. Provincial District Departments Offices As far as what works is concerned, quotas have been found to enable women to get through the door however, /Instuons they do not necessarily guarantee a progressive future for female representatives and/or parliamentarians. Male Source: Provincial Departments / Instuons and District Offices Female Hence, a 'quota-plus' approach that calls upon governments, civil society organisations and other stakeholders to synergize efforts to strengthen women's place in the public sector is required. These efforts may include Figure 3.11 103 (Godwin, 2013) 104 (Centre for Peace and Development Iniaves, 2022) 105 Ibid 106 (Uganda Bureau of Stascs, UNWOMEN, UKAID, 2017) 107 Mastracci, 2017 108 (Ali, 2012) 109 Ibid 112 (Whitman & Gomez, 2009) 110 (Maguire, 2018) 113 (Dahlerup, 2021) 111 Ibid 114 (Wilson Center, 2018)
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PUNJAB GENDER PARITY REPORT 2021 / GOVERNANCE PUNJAB GENDER PARITY REPORT 2021 / GOVERNANCE 3.3 Women & Local Governance protection of the constitutional rights of women, educating the public to cultivate local support and funding A global shift towards emphasising effective local governance instead of just national governance is a trend women at various levels of governance. endorsed by the 2030 Agenda for Sustainable Development. In doing so, it also sets targets to ensure women's equal participation at all levels of governance (SDG Target 5.5) and indicators like proportion of seats held by As a Temporary Special Measure (TSM), quotas must be monitored and their efficacy must be evaluated in robust women in local governments (Indicator 5.5.1b). The need for local governance to be representative and fashion to verify whether or not they are yielding desired results; this is relevant as every policy environment is participatory arises from a notion concluded by local governance practitioners and theorists which asserts that different in nature as well as structure. According to the Wilson Center's report titled Roadmap 50x50, Pakistan people's felt-needs are understood and taken care of best by 'like' representatives. This would mean falls in the category of countries ‘Pursuing Parity’ – a group of countries where groundwork still needs to be laid in representatives from similar ethnic, linguistic and socioeconomic lived experiences; gender as an important the sense that there are not many women leaders, nor are women able to move beyond traditional roles and factor cannot be discounted. functions. This also means that there is a vast window of opportunities for women to rise, provided an enabling environment is realised for them. The tussle in Punjab to actualize effective local governance is ongoing. After the dissolution of local governments in 2019, promises to install new and more empowered ones emerged resulting in the Punjab Local Government For the purposes of this report, the public sector includes all provincial departments attached to the Civil Act 2019 – a party-based, directly elected mayoral system well-established in the United States. This proportional Secretariat of Punjab, Statutory Bodies (autonomous/semi-autonomous/companies) and district government representation system vested power in a directly elected mayor who could help ground a strong local offices. These bodies work together for public service delivery as formulated by the Punjab Assembly. government, not intimidated by politics at the provincial level. The Act also notified council oversight that could help act as an internal check upon attempts of overreach by the mayor. After the Supreme Court restored the local governments under the Local Government Act 2013, they were allowed to complete their term. Meanwhile, the 3.4.1 Contingent Staff in the Public Sector Punjab Local Government Ordinance was promulgated in 2021, subsequently assented as an Act. This Act is a strong departure from the proportional representation, mayoral system introduced in the 2019 Act and grants the More men are employed in the public sector than women. In 2021, there were a total of 39,611 men and only winning mayor an absolute majority. It also allows provincial governments to exercise significant control over the 5,999 women in Punjab's Provincial Departments. 87 percent of the public sector employees in the Provincial local governments' heads opening room for misuse and subjugation. Departments comprised men, with a very low GPI of 0.14. Since 2020, this has been a negligible improvement with statistics showing men making up 87 percent of public sector employees. As far as district offices are While the PLGO 2021 incorporates reserved seats for women in different bodies of the local government, caveats concerned, in 2021, there were a total of 67,271 men and 11,215 women employed therein, rounding up a GPI of remain as to whether this representation is logical and effective. Some examples include how reserved seats for 0.16. women in Metropolitan Corporations and District Councils do not conform to a formula and may result in disproportional representation when viewed in conjunction with the population size. Technically, concerns 51 The nature of staff hired in public offices in Punjab also includes contractual employees for a short term, to 52 have arisen over smaller districts having over 31 percent representation of women in local government councils accomplish specific time sensitive tasks or projects. In 2021, only 14 percent of the contract-based staff in whereas only 23 percent of it is reserved for women in districts with a population size of over 10 million. It Provincial Departments and 20 percent of that in District Offices was female. This data is shown in Figure 3.11. remains to be seen whether these gaps will be filled in a subsequent parliamentary process to realise a truly socially inclusive local governance structure in Punjab. Evidence suggests that having women in local governance particularly helps female citizens rally for their rights related to community and family matters in a system that is otherwise often fraught by structural gender Contractual Based Employees in Public Sector in Punjab (2021) inequalities. In Punjab too, matters related to women's marriage, divorce, recovery of dower, property and inheritance all come under the purview of the local government as per the Muslim Family Law Ordinance, 1961. In light of this, it is imperative to installing a local government system in the province that empowers women leaders and citizens at the grassroots level. 488 1,489 14% 20% 3.4 Women in the Public Sector Worldwide, women's lack of participation in the public sector, administration and politics contribute significantly to gender inequality. Most western philosophy and cultural norms have marked the political and public domain 3,003 5,845 86% 80% as reserved for men. It is not surprising then that in South Asian countries like Pakistan, the presence of women is low in bureaucratic and political institutions where lucrative and powerful domains are controlled by men. Provincial District Departments Offices As far as what works is concerned, quotas have been found to enable women to get through the door however, /Instuons they do not necessarily guarantee a progressive future for female representatives and/or parliamentarians. Male Source: Provincial Departments / Instuons and District Offices Female Hence, a 'quota-plus' approach that calls upon governments, civil society organisations and other stakeholders to synergize efforts to strengthen women's place in the public sector is required. These efforts may include Figure 3.11 103 (Godwin, 2013) 104 (Centre for Peace and Development Iniaves, 2022) 105 Ibid 106 (Uganda Bureau of Stascs, UNWOMEN, UKAID, 2017) 107 Mastracci, 2017 108 (Ali, 2012) 109 Ibid 112 (Whitman & Gomez, 2009) 110 (Maguire, 2018) 113 (Dahlerup, 2021) 111 Ibid 114 (Wilson Center, 2018)
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PUNJAB GENDER PARITY REPORT 2021 / GOVERNANCE PUNJAB GENDER PARITY REPORT 2021 / GOVERNANCE 3.4.2 Gazetted and Non-Gazetted Staff 3.4.3 Women in Selection & Recruitment Committees In 2021, gazetted posts in Punjab were dominated by men as were the non-gazetted ones, at both the district and It is compulsory to have at least one woman in all selection and recruitment committees for regular and provincial levels. At the provincial level, 92 percent of non-gazetted staffers and 70 percent of gazetted staffers contractual employment. In 2021, it is apparent through Figure 3.14 that this requirement, while not fully met, were male, while at the district level, 89 percent of non-gazetted staffers and 75 percent of gazetted staffers were was being followed by at least 60 percent of the departments and offices at both the provincial and district levels. male. The exact figures of this distribution are shown in Figure 3.12. Recruitment of at least 1 Woman in Selecon and Recruitment Gazetted and Non-Gazeed Staff by Gender & Level (2021) Commiees in Public Offices of Punjab (2021) Provincial Departments / District Offices 70,000 Instuons 11,727 60,000 50,000 7,293 29 52 66 121 40,000 36% 64% 35% 65% 30,000 49,699 20,000 29,315 3,900 3,053 10,000 2,458 5,826 In Compliance Source: Provincial Departments/Instituons and District Offices Not in Compliance - Male Female Male Female Provincial District Figure 3.14 53 54 Source: Provincial Departments / Instuons and District Offices Non-Gazeed Gazeed The PWEP 2012 mandates public sector boards, committees, and task forces to ensure a minimum of 33 percent representation of women. The Punjab Fair Representation of Women Act 2014 was built upon the provisions of Figure 3.12 this package to mandate 33 percent representation of women on Boards and Committees. Figure 3.15 shows that in 2021, only 27 percent of the provincial offices and 24 percent of the district offices had Comparatively since 2020, no significant improvement has been noticed in terms of gender parity. While 90 at least 33 percent women on their Selection and Recruitment Committees. percent of the non-gazetted staffers and 73 percent of gazetted staffers in 2020 were men, in 2021, 90.5 percent of the non-gazetted staffers and 73 percent of the gazetted ones were men. This is shown in Figure 3.13. 33% Representaon of Women in Selecon and Recruitment Commiees in Public Offices of Punjab (2021) Gazetted and Non-Gazeed Staff in Punjab by Gender & Year Province District 90,000 80,000 70,000 55 20 138 44 73% 27% 76% 24% 60,000 50,000 74,199 79,014 40,000 30,000 18,629 19,020 20,000 10,000 6,725 8,222 6,953 8,284 In Compliance - Source: Provincial Departments/Instuons and District Offices Not in Compliance Gazeed Non-Gazeed Gazeed Non-Gazeed 2020 2021 Source: Provincial Departments / Instuons and District Offices Female Male Figure 3.15 Figure 3.13 115 (Public Sector Employment) 116 (Public Sector Employment, n.d.)
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PUNJAB GENDER PARITY REPORT 2021 / GOVERNANCE PUNJAB GENDER PARITY REPORT 2021 / GOVERNANCE 3.4.2 Gazetted and Non-Gazetted Staff 3.4.3 Women in Selection & Recruitment Committees In 2021, gazetted posts in Punjab were dominated by men as were the non-gazetted ones, at both the district and It is compulsory to have at least one woman in all selection and recruitment committees for regular and provincial levels. At the provincial level, 92 percent of non-gazetted staffers and 70 percent of gazetted staffers contractual employment. In 2021, it is apparent through Figure 3.14 that this requirement, while not fully met, were male, while at the district level, 89 percent of non-gazetted staffers and 75 percent of gazetted staffers were was being followed by at least 60 percent of the departments and offices at both the provincial and district levels. male. The exact figures of this distribution are shown in Figure 3.12. Recruitment of at least 1 Woman in Selecon and Recruitment Gazetted and Non-Gazeed Staff by Gender & Level (2021) Commiees in Public Offices of Punjab (2021) Provincial Departments / District Offices 70,000 Instuons 11,727 60,000 50,000 7,293 29 52 66 121 40,000 36% 64% 35% 65% 30,000 49,699 20,000 29,315 3,900 3,053 10,000 2,458 5,826 In Compliance Source: Provincial Departments/Instituons and District Offices Not in Compliance - Male Female Male Female Provincial District Figure 3.14 53 54 Source: Provincial Departments / Instuons and District Offices Non-Gazeed Gazeed The PWEP 2012 mandates public sector boards, committees, and task forces to ensure a minimum of 33 percent representation of women. The Punjab Fair Representation of Women Act 2014 was built upon the provisions of Figure 3.12 this package to mandate 33 percent representation of women on Boards and Committees. Figure 3.15 shows that in 2021, only 27 percent of the provincial offices and 24 percent of the district offices had Comparatively since 2020, no significant improvement has been noticed in terms of gender parity. While 90 at least 33 percent women on their Selection and Recruitment Committees. percent of the non-gazetted staffers and 73 percent of gazetted staffers in 2020 were men, in 2021, 90.5 percent of the non-gazetted staffers and 73 percent of the gazetted ones were men. This is shown in Figure 3.13. 33% Representaon of Women in Selecon and Recruitment Commiees in Public Offices of Punjab (2021) Gazetted and Non-Gazeed Staff in Punjab by Gender & Year Province District 90,000 80,000 70,000 55 20 138 44 73% 27% 76% 24% 60,000 50,000 74,199 79,014 40,000 30,000 18,629 19,020 20,000 10,000 6,725 8,222 6,953 8,284 In Compliance - Source: Provincial Departments/Instuons and District Offices Not in Compliance Gazeed Non-Gazeed Gazeed Non-Gazeed 2020 2021 Source: Provincial Departments / Instuons and District Offices Female Male Figure 3.15 Figure 3.13 115 (Public Sector Employment) 116 (Public Sector Employment, n.d.)
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PUNJAB GENDER PARITY REPORT 2021 / GOVERNANCE PUNJAB GENDER PARITY REPORT 2021 / GOVERNANCE 3.4.4 15% Representation of Women in Public Offices Contesng Candidates in Cantonment Board Elections by Gender (2021) As per the 15 percent quota set out in the Punjab Women Empowerment Package (PWEP) 2012, public offices are mandated to have at least 15 percent of women employees. However, data shows that all public offices are not in compliance with this directive. At the district level, only 20 percent and at the provincial level, only 21 percent of the offices are in compliance. This data is presented in Figure 3.16. 870, 99% 7, 1% 15% Representaon of Women in Public Offices of Punjab (2021) Provincial Departments/Instuons District Offices Female Source: Provincial Elecon Commissioner, PEC Punjab Male Figure 3.17 A district-wise analysis reveals that barring Bahawalpur, Multan, Rawalpindi and Lahore, no other districts had any woman contesting the elections, as depicted in Figure 3.18. 88 19 % 12 91 % 3 87 07 % 29 02 % 377 89 Contesng Candidates in Cantonment Board Elections by District & Gender (2021) 300 273 265 250 In Compliance 200 Source: Provincial Departments / Instuons and District Offices Not in Compliance 150 95 100 58 Figure 3.16 50 3 36 2 33 1 1 6 10 18 13 38 25 55 0 56 3.5 Women in the Electoral Process The gender gap in political participation extends to the electoral process as well. As recently as 2018, 11 million fewer women than men voted in the national election. Not only do such gaps hinder the democratic process, Source: Provincial Elecon Commissioner, PEC Punjab Male Female but also prevent the welfare gains that women themselves can achieve as the work on suffrage extension has shown. Inequality in the electoral process in deeply entrenched not just in the normative sense but also Figure 3.18 structural. One example of this is the electoral form which is "doubly undemocratic first in giving male-dominated A review of logistical arrangements for voters reveals that through the Cantonment Board Elections process 2021, political parties direct control over their nominees, and then in giving male top power holders the right to choose there were a total of 15,35,677 polling stations, of which 52.4 percent were for men and 47.6 percent were for from the list. Women chosen under such a system cannot be called in any real sense representatives of the people women. Of a total of 3,332 polling booths, 52 percent were for men and 48 percent were designated for women. (let alone a women's constituency)." Overall, these statistics, illustrated in Figure 3.19, exhibit a positive picture as far as gender-sensitive arrangements for voting are concerned. In Pakistan, elections are administered by the Election Commission of Pakistan, a constitutionally established federal body led by the Chief Election Commissioner. This section uses data provided by the Election Commissioner of Punjab to analyze women's participation in voting and the polling infrastructure available. Total Number of Polling Staons/Booths by Gender (2021) 3.5.1 Cantonment Board Elections 2021 Polling Staons Polling Booths Cantonment Boards are local municipal and civic bodies that provide civil services to city cantonments. Data for Cantonment Board elections conducted across 12 districts of Punjab reveals that only 7 out of 870 candidates who stood for cantonment elections in 2021, were female. This amounts to only 1 percent of the share; a GPI of 0.01 is dismal and points to the structural and normative hindrances women may face in entering the electoral process. A district-wise analysis reveals that barring Bahawalpur, Multan, Rawalpindi and Lahore, no other districts had any 731,260 804,417 1,600 1,732 woman contesting the elections, as depicted in Figure 3.18. Source: Provincial Elecon Commissioner, PEC Punjab 117 (Cheema, 2021) 118 Ibid Figure 3.19 119 (Ali, 2012) Figure 3.17 idniplawaR natluM ruplawahaB erohaL kcoA alawnarjuG tarjuG gnahJ mulehJ arakO ahdograS toklaiS
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PUNJAB GENDER PARITY REPORT 2021 / GOVERNANCE PUNJAB GENDER PARITY REPORT 2021 / GOVERNANCE 3.4.4 15% Representation of Women in Public Offices Contesng Candidates in Cantonment Board Elections by Gender (2021) As per the 15 percent quota set out in the Punjab Women Empowerment Package (PWEP) 2012, public offices are mandated to have at least 15 percent of women employees. However, data shows that all public offices are not in compliance with this directive. At the district level, only 20 percent and at the provincial level, only 21 percent of the offices are in compliance. This data is presented in Figure 3.16. 870, 99% 7, 1% 15% Representaon of Women in Public Offices of Punjab (2021) Provincial Departments/Instuons District Offices Female Source: Provincial Elecon Commissioner, PEC Punjab Male Figure 3.17 A district-wise analysis reveals that barring Bahawalpur, Multan, Rawalpindi and Lahore, no other districts had any woman contesting the elections, as depicted in Figure 3.18. 88 19 % 12 91 % 3 87 07 % 29 02 % 377 89 Contesng Candidates in Cantonment Board Elections by District & Gender (2021) 300 273 265 250 In Compliance 200 Source: Provincial Departments / Instuons and District Offices Not in Compliance 150 95 100 58 Figure 3.16 50 3 36 2 33 1 1 6 10 18 13 38 25 55 0 56 3.5 Women in the Electoral Process The gender gap in political participation extends to the electoral process as well. As recently as 2018, 11 million fewer women than men voted in the national election. Not only do such gaps hinder the democratic process, Source: Provincial Elecon Commissioner, PEC Punjab Male Female but also prevent the welfare gains that women themselves can achieve as the work on suffrage extension has shown. Inequality in the electoral process in deeply entrenched not just in the normative sense but also Figure 3.18 structural. One example of this is the electoral form which is "doubly undemocratic first in giving male-dominated A review of logistical arrangements for voters reveals that through the Cantonment Board Elections process 2021, political parties direct control over their nominees, and then in giving male top power holders the right to choose there were a total of 15,35,677 polling stations, of which 52.4 percent were for men and 47.6 percent were for from the list. Women chosen under such a system cannot be called in any real sense representatives of the people women. Of a total of 3,332 polling booths, 52 percent were for men and 48 percent were designated for women. (let alone a women's constituency)." Overall, these statistics, illustrated in Figure 3.19, exhibit a positive picture as far as gender-sensitive arrangements for voting are concerned. In Pakistan, elections are administered by the Election Commission of Pakistan, a constitutionally established federal body led by the Chief Election Commissioner. This section uses data provided by the Election Commissioner of Punjab to analyze women's participation in voting and the polling infrastructure available. Total Number of Polling Staons/Booths by Gender (2021) 3.5.1 Cantonment Board Elections 2021 Polling Staons Polling Booths Cantonment Boards are local municipal and civic bodies that provide civil services to city cantonments. Data for Cantonment Board elections conducted across 12 districts of Punjab reveals that only 7 out of 870 candidates who stood for cantonment elections in 2021, were female. This amounts to only 1 percent of the share; a GPI of 0.01 is dismal and points to the structural and normative hindrances women may face in entering the electoral process. A district-wise analysis reveals that barring Bahawalpur, Multan, Rawalpindi and Lahore, no other districts had any 731,260 804,417 1,600 1,732 woman contesting the elections, as depicted in Figure 3.18. Source: Provincial Elecon Commissioner, PEC Punjab 117 (Cheema, 2021) 118 Ibid Figure 3.19 119 (Ali, 2012) Figure 3.17 idniplawaR natluM ruplawahaB erohaL kcoA alawnarjuG tarjuG gnahJ mulehJ arakO ahdograS toklaiS
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PUNJAB GENDER PARITY REPORT 2021 / GOVERNANCE PUNJAB GENDER PARITY REPORT 2021 / GOVERNANCE 3.5.2 Registered Voters Data from Punjab's Election Commissioner shows that in 2021, more men than women were registered to vote. At Registered Voters for Punjab Assembly by District & Gender (2021) least 6 million more men than women are registered to vote. While some of this discrepancy could be attributed 4,000,000 to the fact that there are more men than women in Pakistan, it is worth noting that a significant role is played by 3,500,000 the control of men in a household over the decision to vote. 3,000,000 2,500,000 2,000,000 1,500,000 37.6M 1,000,000 Between 2018 and 2021, the 33.7M 31.4M 500,000 number of female registered 27M voters increased by 16% while - that for men increased by 11.5% 2018 2021 Source: Provincial Elecon Commissioner, PEC Punjab Male Female Figure 3.21 Figure 3.20 shows that 54 percent of the registered voters are men and a breakdown based on age shows that most of the voters are between 26 to 35 years old. 3.5.3 District Voter Education Committees Members of DVECs by District & Gender (2021) Registered Voters by Age Group & Gender (2021) Coordinated by the District Election Commissioners (DECs) and 74, 15% supervised by the Regional Election Commissioners (RECs), the 57 58 formation of DVECs under the Voter Education Plan 2012-2013 Above 65 5.1% 5.2% serve as a forum for dialogue between stakeholders including women, minority and PWD groups to improve electoral processes and make them more inclusive. 408, 85% 56-65 4.4% 4.9% Data obtained from the Election Commissioner for 2021 shows that 46% 54% 85 percent of the membership in DVECs in Punjab was made up of 46-55 6.8% 7.6% 31,427,200 37,622,101 men while 15 percent was made up of women. Figure 3.22 Source: PEC Punjab Male Female illustrates these statistics. 36-45 10.2% 10.9% Figure 3.22 3.6 Women and Democracy 26-35 11.8% 14.1% The Elections Act 2017 mandated that all political parties give at least 5 percent of their tickets to women however, there was not even one female candidate in over 45 percent of parties that contested in the 2018 18-25 7.2% 11.8% General Elections. It is pertinent for women to have meritocratic pathways ensuring access to and space in democratic structures and processes. This must be evidenced through their meaningful participation when Source: Provincial Elecon Commissioner, PEC Punjab Male Female occupying democratic roles; introducing resolutions in the Punjab assembly is a relevant indicator covered in this section. Figure 3.20 3.6.1 Resolutions A district-wise analysis shows that in most cases, more men are registered voters than women, except in Chakwal where there appears to be parity. This data is presented in Figure 3.21. In 2021, the Punjab Assembly passed 35 Resolutions of which 16 (46%) were introduced by female MPAs and 19 (54%) were introduced by male MPAs. Table 3.4 shows the details of women-led resolutions in 2021. 120 (Cheema, 2021) 121 (Kamray, 2020) erohaL dabalasiaF idniplawaR alawnarjuG natluM nahK raY mihaR toklaiS ahdograS hragraffazuM ruplawahaB rusaK tarjuG arakO arupuhkiehS lawenahK iraheV raganlawahaB lawihaS gnahJ nahK GD hgniS TT kcoA lawkahC laworaN nidduahaB idnaM naapkaP narhdoL hayyaL rupnajaR mulheJ ilawnaiM rakkahB bahsuhK bihaS anaknaN toinihC dabazfiaH
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PUNJAB GENDER PARITY REPORT 2021 / GOVERNANCE PUNJAB GENDER PARITY REPORT 2021 / GOVERNANCE 3.5.2 Registered Voters Data from Punjab's Election Commissioner shows that in 2021, more men than women were registered to vote. At Registered Voters for Punjab Assembly by District & Gender (2021) least 6 million more men than women are registered to vote. While some of this discrepancy could be attributed 4,000,000 to the fact that there are more men than women in Pakistan, it is worth noting that a significant role is played by 3,500,000 the control of men in a household over the decision to vote. 3,000,000 2,500,000 2,000,000 1,500,000 37.6M 1,000,000 Between 2018 and 2021, the 33.7M 31.4M 500,000 number of female registered 27M voters increased by 16% while - that for men increased by 11.5% 2018 2021 Source: Provincial Elecon Commissioner, PEC Punjab Male Female Figure 3.21 Figure 3.20 shows that 54 percent of the registered voters are men and a breakdown based on age shows that most of the voters are between 26 to 35 years old. 3.5.3 District Voter Education Committees Members of DVECs by District & Gender (2021) Registered Voters by Age Group & Gender (2021) Coordinated by the District Election Commissioners (DECs) and 74, 15% supervised by the Regional Election Commissioners (RECs), the 57 58 formation of DVECs under the Voter Education Plan 2012-2013 Above 65 5.1% 5.2% serve as a forum for dialogue between stakeholders including women, minority and PWD groups to improve electoral processes and make them more inclusive. 408, 85% 56-65 4.4% 4.9% Data obtained from the Election Commissioner for 2021 shows that 46% 54% 85 percent of the membership in DVECs in Punjab was made up of 46-55 6.8% 7.6% 31,427,200 37,622,101 men while 15 percent was made up of women. Figure 3.22 Source: PEC Punjab Male Female illustrates these statistics. 36-45 10.2% 10.9% Figure 3.22 3.6 Women and Democracy 26-35 11.8% 14.1% The Elections Act 2017 mandated that all political parties give at least 5 percent of their tickets to women however, there was not even one female candidate in over 45 percent of parties that contested in the 2018 18-25 7.2% 11.8% General Elections. It is pertinent for women to have meritocratic pathways ensuring access to and space in democratic structures and processes. This must be evidenced through their meaningful participation when Source: Provincial Elecon Commissioner, PEC Punjab Male Female occupying democratic roles; introducing resolutions in the Punjab assembly is a relevant indicator covered in this section. Figure 3.20 3.6.1 Resolutions A district-wise analysis shows that in most cases, more men are registered voters than women, except in Chakwal where there appears to be parity. This data is presented in Figure 3.21. In 2021, the Punjab Assembly passed 35 Resolutions of which 16 (46%) were introduced by female MPAs and 19 (54%) were introduced by male MPAs. Table 3.4 shows the details of women-led resolutions in 2021. 120 (Cheema, 2021) 121 (Kamray, 2020) erohaL dabalasiaF idniplawaR alawnarjuG natluM nahK raY mihaR toklaiS ahdograS hragraffazuM ruplawahaB rusaK tarjuG arakO arupuhkiehS lawenahK iraheV raganlawahaB lawihaS gnahJ nahK GD hgniS TT kcoA lawkahC laworaN nidduahaB idnaM naapkaP narhdoL hayyaL rupnajaR mulheJ ilawnaiM rakkahB bahsuhK bihaS anaknaN toinihC dabazfiaH
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PUNJAB GENDER PARITY REPORT 2021 / GOVERNANCE PUNJAB GENDER PARITY REPORT 2021 / GOVERNANCE Table 3.4 3.8 Recommendations Resoluon No. Summary of Resoluon 3.8.1 Policy To demands from the Government to contact Google and Wikipedia RES. 82 management to recfy the informaon about the caliphs of Islam on Google as the name of Qadiani Mirza Masroor appears on Wikipedia as caliph of Islam Enhance & Facilitate Local Government RES.83 To declare the district Chakwal as Tourist Desnaon to promote historical places of the district • Speed up the formulation, implementation and continuity of local government legislation to enable consistent grassroots participation of women workers. To ask for, renaming the Kahuta to Azad Patan Road Rawalpindi District, RES.84 aer the bane of late MPA Sobia Sa in recognion of regional and parliamentary services Facilitate Women in the Public Sector To pay tribute to the Armed Forces of Pakistan for their dedicated efforts RES.85 to make the Pakistan Army one of the 10 most powerful forces in the world • The Planning and Development Board must issue directives to line departments for mainstreaming gender equality in their PSDP portfolios. Ensure that educaon is compulsory and free for children of ages RES.87 between 5-16 years under arcle 25-A • Public offices must be directed to ensure the provision of women-friendly amenities, ramp access, day-care To acknowledge the contribuon of women in all walks of life in Pakistan RES.89 centres and paternity and maternity leaves. and show solidarity with women in Kashmir and Palesne on Internaonal Women’s Day To carry out awareness campaigns for the proper collecon and handling RES.93 of sacred papers with Quranic Verses, hadiths, and Asma-ul-Husna, and to • Educational merit must be introduced to ensure the quality of female legislative membership. act for legislaon in this regard Facilitate Women in the Political Party Structures RES.96 Ensure the inclusion of women members in the Council of Islamic Ideology as per Arcle 228 (3)(d) of the Constuon of Pakistan • Election Commission of Pakistan must require political parties to ensure a minimum threshold of female RES.97 For the provision of toilet facilies in all educaonal instutes of Punjab representation in central leadership and membership. RES.103 Related to the development of a comprehensive plan for the educaon and training of transgender in the province • Introduce campaign finance regulations to ensure transparent pathways for women to participate in 59 60 To disnguish between Muslim and non-Muslim (Qadiani, Ahmadi etc.) in elections. RES. 104 Nikkah from, Passport and NADRA from there should be the addion of a declaraon related to the end of prophecy 3.8.2 Procedural To ensure that the morning assembly is being organised in all educaon RES.106 instutes and naonal anthem and recitaon of the Holy Quran should be compulsory in the assembly Ensure women's meaningful representation in political party candidature RES.107 To increase the daily allowance of MPAs according to the inflaon level • Ensure safeguards for the 5% rule for political party candidature. For the revitalisaon of hockey and take emergency measures to prevent the game of RES.113 hockey from sinking and regain lost ground in te game Facilitate Women's Parliamentary Role RES.114 To regulate the registraon process of housing sociees • Ensure expansion of women's role in parliament through Women's Parliamentary Caucuses and Source: Website of Punjab Assembly as of 27 March 2022 appointment to decision-making positions. Achieve 33% and 15% representation for women in all public offices (provincial and district) 3.7 Conclusion • Ensure implementation of provisions mandated by the Punjab Fair Representation of Women Act 2014 and PWEP 2012. Pakistan has scored its highest ranking, 95, across the political empowerment indicator in the Global Gender Enable women's meaningful participation in electoral processes Gap Report 2022 which speaks to its efforts in the area. However, realizing the unfettered, meaningful participation of women still remains a work in progress. This may be attributed to their lack of fair access, in comparison with men, to opportunities in the parliament and other public bodies, especially as decision-makers. • Initiate campaigns with support from the district NADRA offices for local female voter registration in districts Evidence explored in the sections above supports the notion that space for women is minimal or tokenistic in that have the largest numbers of unregistered female voters using mobile CNIC registration kiosks in colleges nature. Policy work should therefore focus not just on increasing the numbers of women in politics but also on and training centres. creating an environment enabling enough for women to venture into politics and public service without intimidation or financial dependence. Particularly in Punjab, there is room for enhancing women's representation • Use existing social welfare schemes such as vouchers, services and training etc. to incentive female voter across all levels of governance. This will ensure that aspects of governance are not selectively reserved for registration. women's entry instead, the system as a whole is rebranded as a gender-neutral space, free from efforts to demasculinize or effeminize it. • Provision of gender-sensitivity training to Presiding Officers, Returning Officers and other ECP personnel.
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PUNJAB GENDER PARITY REPORT 2021 / GOVERNANCE PUNJAB GENDER PARITY REPORT 2021 / GOVERNANCE Table 3.4 3.8 Recommendations Resoluon No. Summary of Resoluon 3.8.1 Policy To demands from the Government to contact Google and Wikipedia RES. 82 management to recfy the informaon about the caliphs of Islam on Google as the name of Qadiani Mirza Masroor appears on Wikipedia as caliph of Islam Enhance & Facilitate Local Government RES.83 To declare the district Chakwal as Tourist Desnaon to promote historical places of the district • Speed up the formulation, implementation and continuity of local government legislation to enable consistent grassroots participation of women workers. To ask for, renaming the Kahuta to Azad Patan Road Rawalpindi District, RES.84 aer the bane of late MPA Sobia Sa in recognion of regional and parliamentary services Facilitate Women in the Public Sector To pay tribute to the Armed Forces of Pakistan for their dedicated efforts RES.85 to make the Pakistan Army one of the 10 most powerful forces in the world • The Planning and Development Board must issue directives to line departments for mainstreaming gender equality in their PSDP portfolios. Ensure that educaon is compulsory and free for children of ages RES.87 between 5-16 years under arcle 25-A • Public offices must be directed to ensure the provision of women-friendly amenities, ramp access, day-care To acknowledge the contribuon of women in all walks of life in Pakistan RES.89 centres and paternity and maternity leaves. and show solidarity with women in Kashmir and Palesne on Internaonal Women’s Day To carry out awareness campaigns for the proper collecon and handling RES.93 of sacred papers with Quranic Verses, hadiths, and Asma-ul-Husna, and to • Educational merit must be introduced to ensure the quality of female legislative membership. act for legislaon in this regard Facilitate Women in the Political Party Structures RES.96 Ensure the inclusion of women members in the Council of Islamic Ideology as per Arcle 228 (3)(d) of the Constuon of Pakistan • Election Commission of Pakistan must require political parties to ensure a minimum threshold of female RES.97 For the provision of toilet facilies in all educaonal instutes of Punjab representation in central leadership and membership. RES.103 Related to the development of a comprehensive plan for the educaon and training of transgender in the province • Introduce campaign finance regulations to ensure transparent pathways for women to participate in 59 60 To disnguish between Muslim and non-Muslim (Qadiani, Ahmadi etc.) in elections. RES. 104 Nikkah from, Passport and NADRA from there should be the addion of a declaraon related to the end of prophecy 3.8.2 Procedural To ensure that the morning assembly is being organised in all educaon RES.106 instutes and naonal anthem and recitaon of the Holy Quran should be compulsory in the assembly Ensure women's meaningful representation in political party candidature RES.107 To increase the daily allowance of MPAs according to the inflaon level • Ensure safeguards for the 5% rule for political party candidature. For the revitalisaon of hockey and take emergency measures to prevent the game of RES.113 hockey from sinking and regain lost ground in te game Facilitate Women's Parliamentary Role RES.114 To regulate the registraon process of housing sociees • Ensure expansion of women's role in parliament through Women's Parliamentary Caucuses and Source: Website of Punjab Assembly as of 27 March 2022 appointment to decision-making positions. Achieve 33% and 15% representation for women in all public offices (provincial and district) 3.7 Conclusion • Ensure implementation of provisions mandated by the Punjab Fair Representation of Women Act 2014 and PWEP 2012. Pakistan has scored its highest ranking, 95, across the political empowerment indicator in the Global Gender Enable women's meaningful participation in electoral processes Gap Report 2022 which speaks to its efforts in the area. However, realizing the unfettered, meaningful participation of women still remains a work in progress. This may be attributed to their lack of fair access, in comparison with men, to opportunities in the parliament and other public bodies, especially as decision-makers. • Initiate campaigns with support from the district NADRA offices for local female voter registration in districts Evidence explored in the sections above supports the notion that space for women is minimal or tokenistic in that have the largest numbers of unregistered female voters using mobile CNIC registration kiosks in colleges nature. Policy work should therefore focus not just on increasing the numbers of women in politics but also on and training centres. creating an environment enabling enough for women to venture into politics and public service without intimidation or financial dependence. Particularly in Punjab, there is room for enhancing women's representation • Use existing social welfare schemes such as vouchers, services and training etc. to incentive female voter across all levels of governance. This will ensure that aspects of governance are not selectively reserved for registration. women's entry instead, the system as a whole is rebranded as a gender-neutral space, free from efforts to demasculinize or effeminize it. • Provision of gender-sensitivity training to Presiding Officers, Returning Officers and other ECP personnel.
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Health PUNJAB GENDER PARITY REPORT 2021 / HEALTH PUNJAB GENDER PARITY REPORT 2021 / HEALTH Introduction Demographics Governance Health Education HEALTH Economic Participation Justice Special Iniatives Legislation for women HEALTH
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Health PUNJAB GENDER PARITY REPORT 2021 / HEALTH PUNJAB GENDER PARITY REPORT 2021 / HEALTH Introduction Demographics Governance Health Education HEALTH Economic Participation Justice Special Iniatives Legislation for women HEALTH
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Health PUNJAB GENDER PARITY REPORT 2021 / HEALTH 04 HEALTH Of the 10,79,801 births recorded in Punjab in 2021, 10,69,553 (99%) were live-births whereas 10,248 (1%) were still-births. Of all live births, 28,331 (2.6%) were LBW babies. In 2021, a total of 9,84,111 post-natal care visits were made in facilities across 36 districts of Punjab. As per data obtained from the National Aids Control Programme Website, between May 2020 and April 2021, of 49,504 female AIDS patients at treatment centres in Punjab, 42,659 (86%) received ART. Of 4,919 KEY FINDINGS transgender AIDS patients, 3,827 (78%) received ART. As per data obtained from the Punjab Cancer Registry, the reported cases of breast cancer increased by 23 As of January 1st, 2020, there were 5,227 health facilities functioning across Punjab. Of these, 2,587 % from 3,129 in 2020 to 3,854 in 2021. The most vulnerable age group of women was 40-59 years, which (49.5%) were BHUs, 1,411 (27%) dispensaries, 390 (7.5%) hospitals, 358 (7%) RHCs, 280 (5%) MCHCs, formed 55% of all breast cancer patients reported in 2021. 186 (3.5%) SHCs and 15 (0.3%) were TB Clinics. As of January 1st 2020, there were a total of 72,130 beds in health facilities in Punjab. Of these, 59,574 were in hospitals, 89 in dispensaries, 7,182 in RHCs, 154 in TB Clinics and 5,131 were in BHUs. As of January 1st, 2020, there were 122,879 registered medical personnel in Punjab. Of these, 87,121 (71%) were MBBS doctors, 10,124 (8%) BDS dentists and 25,634 (21%) were specialist doctors. Of the specialist personnel, 24,596 (96%) were medical doctors while 1,038 (4%) were dental. The number of male patients admitted at Punjab Institute of Mental Health increased by 1.5% to 115,805 in 2021 while the number of female patients decreased by 3.9% to 61,281. As of December 2021, 2,343 Service Centres under the Population Welfare Department were operating 63 64 across Punjab. Of these, 2100 (89.6%) were Family Welfare Centres, 115 (5%) were Mobile Service Units and 128 (5.4%) were Family Health Centres. The number of male beneficiaries of Adolescent Health Centres under PWD increased by 67.3% to 1,010 in 2021 while that of female beneficiaries increased by 23% to 6,163. In 2021, there were 1,608 Integrated Reproductive Maternal, Newborn & Child Health facilities operational in Punjab of which, 1,234 (76.7%) were 24/7 BHUs, 316 (19.6%) were RHCs and 58 (3.6%) were stabilisation centres. In 2021, the total strength of human resources in IRMNCH facilities in Punjab was 47,216. Of these, 42,171 (89%) were Lady Health Workers (LHWs), 1,946 (4%) Lady Health Visitors (LHVs), 1,755 (4%) Lady Health Supervisors (LHSs), 1,292 (3%) Ayas and 52 (0.1%) were nurses. In 2021 in Punjab, the number of pregnant women who were successfully vaccinated against MNT in decreased by 7.3% to 21,35,963. The number of family planning visits in Punjab declined by 4.8% to 17,52,131 in 2021. As per the Annual Contraceptive Performance Report 2019-20, in Punjab, the CPR by using estimated modern method users increased by 1.5%, overall, between 2018-19 and 2019-20. In 2021, 75,55,646 ANC visits took place in Punjab of which 43,43,591 (57.4%) were ANC-1 visits and 32,12,055 (42.6%) were second ANC visits. 21.4% of the ANC-1 visitors had anaemia. The number of normal deliveries conducted in the province declined by 5% to 9,35,573 in 2021. The number of caesarean-section deliveries declined by 6% to 1,91,393 in 2021.
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Health PUNJAB GENDER PARITY REPORT 2021 / HEALTH 04 HEALTH Of the 10,79,801 births recorded in Punjab in 2021, 10,69,553 (99%) were live-births whereas 10,248 (1%) were still-births. Of all live births, 28,331 (2.6%) were LBW babies. In 2021, a total of 9,84,111 post-natal care visits were made in facilities across 36 districts of Punjab. As per data obtained from the National Aids Control Programme Website, between May 2020 and April 2021, of 49,504 female AIDS patients at treatment centres in Punjab, 42,659 (86%) received ART. Of 4,919 KEY FINDINGS transgender AIDS patients, 3,827 (78%) received ART. As per data obtained from the Punjab Cancer Registry, the reported cases of breast cancer increased by 23 As of January 1st, 2020, there were 5,227 health facilities functioning across Punjab. Of these, 2,587 % from 3,129 in 2020 to 3,854 in 2021. The most vulnerable age group of women was 40-59 years, which (49.5%) were BHUs, 1,411 (27%) dispensaries, 390 (7.5%) hospitals, 358 (7%) RHCs, 280 (5%) MCHCs, formed 55% of all breast cancer patients reported in 2021. 186 (3.5%) SHCs and 15 (0.3%) were TB Clinics. As of January 1st 2020, there were a total of 72,130 beds in health facilities in Punjab. Of these, 59,574 were in hospitals, 89 in dispensaries, 7,182 in RHCs, 154 in TB Clinics and 5,131 were in BHUs. As of January 1st, 2020, there were 122,879 registered medical personnel in Punjab. Of these, 87,121 (71%) were MBBS doctors, 10,124 (8%) BDS dentists and 25,634 (21%) were specialist doctors. Of the specialist personnel, 24,596 (96%) were medical doctors while 1,038 (4%) were dental. The number of male patients admitted at Punjab Institute of Mental Health increased by 1.5% to 115,805 in 2021 while the number of female patients decreased by 3.9% to 61,281. As of December 2021, 2,343 Service Centres under the Population Welfare Department were operating 63 64 across Punjab. Of these, 2100 (89.6%) were Family Welfare Centres, 115 (5%) were Mobile Service Units and 128 (5.4%) were Family Health Centres. The number of male beneficiaries of Adolescent Health Centres under PWD increased by 67.3% to 1,010 in 2021 while that of female beneficiaries increased by 23% to 6,163. In 2021, there were 1,608 Integrated Reproductive Maternal, Newborn & Child Health facilities operational in Punjab of which, 1,234 (76.7%) were 24/7 BHUs, 316 (19.6%) were RHCs and 58 (3.6%) were stabilisation centres. In 2021, the total strength of human resources in IRMNCH facilities in Punjab was 47,216. Of these, 42,171 (89%) were Lady Health Workers (LHWs), 1,946 (4%) Lady Health Visitors (LHVs), 1,755 (4%) Lady Health Supervisors (LHSs), 1,292 (3%) Ayas and 52 (0.1%) were nurses. In 2021 in Punjab, the number of pregnant women who were successfully vaccinated against MNT in decreased by 7.3% to 21,35,963. The number of family planning visits in Punjab declined by 4.8% to 17,52,131 in 2021. As per the Annual Contraceptive Performance Report 2019-20, in Punjab, the CPR by using estimated modern method users increased by 1.5%, overall, between 2018-19 and 2019-20. In 2021, 75,55,646 ANC visits took place in Punjab of which 43,43,591 (57.4%) were ANC-1 visits and 32,12,055 (42.6%) were second ANC visits. 21.4% of the ANC-1 visitors had anaemia. The number of normal deliveries conducted in the province declined by 5% to 9,35,573 in 2021. The number of caesarean-section deliveries declined by 6% to 1,91,393 in 2021.
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Health PUNJAB GENDER PARITY REPORT 2021 / HEALTH PUNJAB GENDER PARITY REPORT 2021 / HEALTH INTRODUCTION public health. In 2019, Pakistan's per capita spending on health amounted to USD 15 which, although a manifold improvement from decades past, still lags far behind in comparison with average spending of South Asian counterparts as well as WHO's recommended minimum of USD 44. The federal health budget for FY 2021-22 is The 2030 Agenda for Sustainable Development The salient health and wellbeing targets outlined in the slated at PKR. 28.3 billion as compared to PKR 25.5. billion in FY which emerged in 2015, has now become the Sustainable Development Agenda include reducing 2020-21; the health budget is still a mere 0.4 percent of the total centre of global development. Universal Health maternal mortality, ensuring UHC, access to reproductive federal budget for FY 2021-22. Vision Statement Coverage (UHC) corresponds to the third and family planning services as well as fighting Sustainable Development Goal in the agenda – this communicable diseases and reducing mortality from non- To improve the health of all Pakistanis, In terms of policy interventions, the federal government has evidences its significance as the world confronts communicable diseases like HIV/AIDS and Tuberculosis parcularly women and children by strengthened its work on its UHC initiative, Sehat Sahulat challenges pertaining to long-term well-being of (TB). When understood in conjunction with measurable providing universal access to affordable, Programme, by launching the Sehat Card – a health insurance facility quality, services which are delivered the human population. These challenges include indicators, these targets highlight the importance of afforded to permanent residents, including transgender persons, through a resilient and responsive but are not limited to ageing populations, a rising documenting key statistics like fertility rates, need for registered with NADRA. Possession of the Sehat Card allows citizens health system, capable of aaining the incidence of Non-Communicable Diseases (NCDs) contraception, gender and age-disaggregated incidence of to claim financial coverage of up to PKR 400,000 for indoor/IPD Sustainable Development Goals and leading to increased morbidity and mortality, the disease occurrence, access to immunization, reproductive treatment of any disease. This programme is a manifestation of fulfilling its other global health potential for global pandemics, natural disasters and mental healthcare. This importance stems from the Pakistan's National Health Vision 2016-2025 that prioritised UHC with Source: Naonal Health Vision, 2016-2025 and vulnerability to impacts of climate change. concept that these indicators are developed to drive a focus on equitable and gender-equal access to healthcare. evidence-based decision-making in public health The importance of ensuring equal access to eventually leading to a reduction in unjust and preventable The Sehat Card can prove to be an effective resource for women especially those in rural areas to access healthcare lies in the promotion of healthy lives and inequalities related to a population's wellbeing. reproductive, maternal and mental healthcare. However, it is noteworthy that having a valid CNIC as a prerequisite building prosperous societies. Good health is a to qualify for coverage means that universal CNIC registration of women and transgender persons by NADRA must fundamental human right and intrinsically linked to While the world, still reeling from the effects of COVID-19 be ensured – a factor that is reported to be limiting access for the group. the achievement of all other SDGs as it enables and unprecedented climate change, is committed to populations to physically and mentally participate achieving Goal 3, this commitment is faced with significant In a bid to prioritize improving reproductive health and welfare outcomes for women, the federal government has in academic, economic and political aspects of life. challenges that are then further exacerbated for intensified its Family Planning and Healthcare Programme (FP&HCP) through the Ehsaas Programme. Family The link between good health and the achievement vulnerable groups especially women and children, planning taskforces have been constituted to further efforts to increase the Contraceptive Prevalence Rate (CPR) to of key women's empowerment SDGs is illustrated particularly those living in low and middle-income 50 percent; public and private partnership has also been explored to ensure availability of a range of methods to the below. countries (LMICs). There is mounting global consensus masses including Intra Uterine Devices (IUDs) and implants. that health systems are not gender-neutral – the 65 intersectionality of gender with other social determinants 66 SDG 3 and health-related linkages with other SDGs The global awareness around increasing public health spending has found its way into the policy efforts of the SDG 3: Good Health and Well-Being | Ensure healthy such as class and disability status accentuates lives and promote well-being for all at all ages national and provincial governments of Pakistan as well. However, significant gaps remain as far as neonatal, compromised health outcomes for women in general and reproductive, mental healthcare, BOD and logistical and human resource requirements of healthcare facilities are exponentially for ones in poverty and/or with disability. Priorizing the health needs of the poor concerned. It is imperative for the government to work with all stakeholders in its mixed-delivery health system to The gender and class-based differentials in access to not only secure its international health-related commitments like the SDA but also to ensure gender-equal human healthcare infrastructure including medicines, vaccines development outcomes for its people. Addressing the causes and consequences and reproductive autonomy for instance, make up a of all forms of malnutrion common challenge prevalent in LMICs. Organization of Analysis Supporng high quality educaon for all to Pakistan, too is faced with similar challenges considering This section is structured as follows: improve health and health equity its own position as a developing economy. Evidence suggests that although Pakistan's key health indicators like III. Access to Healthcare Fighng gender inequality including VAW Maternal Mortality Ratio, Life Expectancy and Infant a. Healthcare Institutes in Punjab Mortality Rates have shown significantly positive trends in b. Beds in Institutes I. Naonal Health Profile c. Human Resource at Government Facilities recent years, causes of concern remain in other areas. a. National Disease Burden, d. Punjab Institute of Mental Health Prevenng disease through safe water and These causes of concern include stillbirth rates as high as Life Expectancy and Leading sanitaon for all Causes of Death IV. Reproducve Health Services 53.5 per 1000 births, a rising double Burden of Disease b. Maternal Mortality and Morbidity a. Services by Population Welfare Department (BOD) resulting from a compound of communicable and Promong sustainable energy for healthy b. Integrated Reproductive Maternal and houses and lives non-communicable illnesses and overall low levels of II. Punjab Health Profile Newborn Child Health and Nutrition Program (IRMNCH) health, nutrition, immunization and family planning a. Life Expectancy c. Tetanus Toxoid Immunization b. Infant and Under-5 Mortality Rates d. Births in Health Facilities coverage especially among low-income groups. Promong health employment as a driver c. Total Fertility Rate of inclusive economic growth d. Maternal Mortality and Morbidity V. HIV & AIDS Pakistan is also a victim of chronic under-investment in VI. Breast Cancer VI. Tuberculosis 122 (United Naons Organisaon, 2015) 123 (World Health Organisaon Regional Office for Europe, 2018) 124 (United Naons Organisaon, 2018) 125 (United Naons Organisaon, 2015) 126 (Pan American Health Organizaon, 2018) 133 (Joint Learning Network for Universal Health Coverage, Global Financing Facility, The World Bank Group, 2021) 127 (Morgan, et al., 2018) 134 Ibid 128 (World Health Organisaon, n.d.) 135 (Ministry of Finance, Government of Pakistan, 2016) 129 (Jayachandran, 2014) 136 (Finance Division, 2021) 130 (Ministry of Naonal Health Services, Regulaons & Coordinaon, 2016) 137 (Finance Division, 2020) 131 (Aziz, et al., 2020) 138 (Sehat Sahulat Programme, n.d.) 132 (Ministry of Naonal Health Services, Regulaons & Coordinaon, 2016) 139 (Morgan L. , 2019)
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Health PUNJAB GENDER PARITY REPORT 2021 / HEALTH PUNJAB GENDER PARITY REPORT 2021 / HEALTH INTRODUCTION public health. In 2019, Pakistan's per capita spending on health amounted to USD 15 which, although a manifold improvement from decades past, still lags far behind in comparison with average spending of South Asian counterparts as well as WHO's recommended minimum of USD 44. The federal health budget for FY 2021-22 is The 2030 Agenda for Sustainable Development The salient health and wellbeing targets outlined in the slated at PKR. 28.3 billion as compared to PKR 25.5. billion in FY which emerged in 2015, has now become the Sustainable Development Agenda include reducing 2020-21; the health budget is still a mere 0.4 percent of the total centre of global development. Universal Health maternal mortality, ensuring UHC, access to reproductive federal budget for FY 2021-22. Vision Statement Coverage (UHC) corresponds to the third and family planning services as well as fighting Sustainable Development Goal in the agenda – this communicable diseases and reducing mortality from non- To improve the health of all Pakistanis, In terms of policy interventions, the federal government has evidences its significance as the world confronts communicable diseases like HIV/AIDS and Tuberculosis parcularly women and children by strengthened its work on its UHC initiative, Sehat Sahulat challenges pertaining to long-term well-being of (TB). When understood in conjunction with measurable providing universal access to affordable, Programme, by launching the Sehat Card – a health insurance facility quality, services which are delivered the human population. These challenges include indicators, these targets highlight the importance of afforded to permanent residents, including transgender persons, through a resilient and responsive but are not limited to ageing populations, a rising documenting key statistics like fertility rates, need for registered with NADRA. Possession of the Sehat Card allows citizens health system, capable of aaining the incidence of Non-Communicable Diseases (NCDs) contraception, gender and age-disaggregated incidence of to claim financial coverage of up to PKR 400,000 for indoor/IPD Sustainable Development Goals and leading to increased morbidity and mortality, the disease occurrence, access to immunization, reproductive treatment of any disease. This programme is a manifestation of fulfilling its other global health potential for global pandemics, natural disasters and mental healthcare. This importance stems from the Pakistan's National Health Vision 2016-2025 that prioritised UHC with Source: Naonal Health Vision, 2016-2025 and vulnerability to impacts of climate change. concept that these indicators are developed to drive a focus on equitable and gender-equal access to healthcare. evidence-based decision-making in public health The importance of ensuring equal access to eventually leading to a reduction in unjust and preventable The Sehat Card can prove to be an effective resource for women especially those in rural areas to access healthcare lies in the promotion of healthy lives and inequalities related to a population's wellbeing. reproductive, maternal and mental healthcare. However, it is noteworthy that having a valid CNIC as a prerequisite building prosperous societies. Good health is a to qualify for coverage means that universal CNIC registration of women and transgender persons by NADRA must fundamental human right and intrinsically linked to While the world, still reeling from the effects of COVID-19 be ensured – a factor that is reported to be limiting access for the group. the achievement of all other SDGs as it enables and unprecedented climate change, is committed to populations to physically and mentally participate achieving Goal 3, this commitment is faced with significant In a bid to prioritize improving reproductive health and welfare outcomes for women, the federal government has in academic, economic and political aspects of life. challenges that are then further exacerbated for intensified its Family Planning and Healthcare Programme (FP&HCP) through the Ehsaas Programme. Family The link between good health and the achievement vulnerable groups especially women and children, planning taskforces have been constituted to further efforts to increase the Contraceptive Prevalence Rate (CPR) to of key women's empowerment SDGs is illustrated particularly those living in low and middle-income 50 percent; public and private partnership has also been explored to ensure availability of a range of methods to the below. countries (LMICs). There is mounting global consensus masses including Intra Uterine Devices (IUDs) and implants. that health systems are not gender-neutral – the 65 intersectionality of gender with other social determinants 66 SDG 3 and health-related linkages with other SDGs The global awareness around increasing public health spending has found its way into the policy efforts of the SDG 3: Good Health and Well-Being | Ensure healthy such as class and disability status accentuates lives and promote well-being for all at all ages national and provincial governments of Pakistan as well. However, significant gaps remain as far as neonatal, compromised health outcomes for women in general and reproductive, mental healthcare, BOD and logistical and human resource requirements of healthcare facilities are exponentially for ones in poverty and/or with disability. Priorizing the health needs of the poor concerned. It is imperative for the government to work with all stakeholders in its mixed-delivery health system to The gender and class-based differentials in access to not only secure its international health-related commitments like the SDA but also to ensure gender-equal human healthcare infrastructure including medicines, vaccines development outcomes for its people. Addressing the causes and consequences and reproductive autonomy for instance, make up a of all forms of malnutrion common challenge prevalent in LMICs. Organization of Analysis Supporng high quality educaon for all to Pakistan, too is faced with similar challenges considering This section is structured as follows: improve health and health equity its own position as a developing economy. Evidence suggests that although Pakistan's key health indicators like III. Access to Healthcare Fighng gender inequality including VAW Maternal Mortality Ratio, Life Expectancy and Infant a. Healthcare Institutes in Punjab Mortality Rates have shown significantly positive trends in b. Beds in Institutes I. Naonal Health Profile c. Human Resource at Government Facilities recent years, causes of concern remain in other areas. a. National Disease Burden, d. Punjab Institute of Mental Health Prevenng disease through safe water and These causes of concern include stillbirth rates as high as Life Expectancy and Leading sanitaon for all Causes of Death IV. Reproducve Health Services 53.5 per 1000 births, a rising double Burden of Disease b. Maternal Mortality and Morbidity a. Services by Population Welfare Department (BOD) resulting from a compound of communicable and Promong sustainable energy for healthy b. Integrated Reproductive Maternal and houses and lives non-communicable illnesses and overall low levels of II. Punjab Health Profile Newborn Child Health and Nutrition Program (IRMNCH) health, nutrition, immunization and family planning a. Life Expectancy c. Tetanus Toxoid Immunization b. Infant and Under-5 Mortality Rates d. Births in Health Facilities coverage especially among low-income groups. Promong health employment as a driver c. Total Fertility Rate of inclusive economic growth d. Maternal Mortality and Morbidity V. HIV & AIDS Pakistan is also a victim of chronic under-investment in VI. Breast Cancer VI. Tuberculosis 122 (United Naons Organisaon, 2015) 123 (World Health Organisaon Regional Office for Europe, 2018) 124 (United Naons Organisaon, 2018) 125 (United Naons Organisaon, 2015) 126 (Pan American Health Organizaon, 2018) 133 (Joint Learning Network for Universal Health Coverage, Global Financing Facility, The World Bank Group, 2021) 127 (Morgan, et al., 2018) 134 Ibid 128 (World Health Organisaon, n.d.) 135 (Ministry of Finance, Government of Pakistan, 2016) 129 (Jayachandran, 2014) 136 (Finance Division, 2021) 130 (Ministry of Naonal Health Services, Regulaons & Coordinaon, 2016) 137 (Finance Division, 2020) 131 (Aziz, et al., 2020) 138 (Sehat Sahulat Programme, n.d.) 132 (Ministry of Naonal Health Services, Regulaons & Coordinaon, 2016) 139 (Morgan L. , 2019)
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PUNJAB GENDER PARITY REPORT 2021 / HEALTH PUNJAB GENDER PARITY REPORT 2021 / HEALTH 4.1 Pakistan Health Profile 4.2 Punjab Health Profile Pakistan Punjab Health Health Profile Profile Maternal Mortality Rao Life Expectancy Life Expectancy in Punjab (2022-2025) (2020) (Forecast) 69.5 68.3 71.4 70.4 70.6 71 Years Years 186 Maternal Deaths 70.2 69.4 69.4 68.9 Per 100,000 live births 2022 2023 2024 2025 Infant Mortality and Under-5 Mortality are quanfied as the number of deaths for every 1,000 live births. 67 IMR & U-5MR 68 (2020) Infant & Under-5 Mortality Rates Most Common Issues Reported in Punjab (2022-2025) (Forecast) by Women During Their Last Pregnancy 68.70 66.30 65.30 62.10 Extreme Weakness 58% IMR U-5MR 50.80 49.30 53.7/1,000 73.3/1,000 48.60 46.60 Body Aches 44% Infant Mortality Rate Under-5 Mortality Rate 2022 2023 2024 2025 Lower Abdominal Pain 42% Total Ferlity Rate is quanfied as the average number of live births a woman would have by age 50 subject to age-specific ferlity rates, assuming no mortality. Severe Headache 42% Total Ferlity Rate in Punjab (2022-2025) Fever 39% (Forecast) TFR 2.4 2.3 2.3 Shortness of Breath 39% 2.5 live births/woman 2.2 (2020) Total Ferlity Rate 2022 2023 2024 2025 Source: Pakistan Maternal Mortality Survey (PMMS) 2019 Source: PGPR 2019 & 2020
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PUNJAB GENDER PARITY REPORT 2021 / HEALTH PUNJAB GENDER PARITY REPORT 2021 / HEALTH 4.1 Pakistan Health Profile 4.2 Punjab Health Profile Pakistan Punjab Health Health Profile Profile Maternal Mortality Rao Life Expectancy Life Expectancy in Punjab (2022-2025) (2020) (Forecast) 69.5 68.3 71.4 70.4 70.6 71 Years Years 186 Maternal Deaths 70.2 69.4 69.4 68.9 Per 100,000 live births 2022 2023 2024 2025 Infant Mortality and Under-5 Mortality are quanfied as the number of deaths for every 1,000 live births. 67 IMR & U-5MR 68 (2020) Infant & Under-5 Mortality Rates Most Common Issues Reported in Punjab (2022-2025) (Forecast) by Women During Their Last Pregnancy 68.70 66.30 65.30 62.10 Extreme Weakness 58% IMR U-5MR 50.80 49.30 53.7/1,000 73.3/1,000 48.60 46.60 Body Aches 44% Infant Mortality Rate Under-5 Mortality Rate 2022 2023 2024 2025 Lower Abdominal Pain 42% Total Ferlity Rate is quanfied as the average number of live births a woman would have by age 50 subject to age-specific ferlity rates, assuming no mortality. Severe Headache 42% Total Ferlity Rate in Punjab (2022-2025) Fever 39% (Forecast) TFR 2.4 2.3 2.3 Shortness of Breath 39% 2.5 live births/woman 2.2 (2020) Total Ferlity Rate 2022 2023 2024 2025 Source: Pakistan Maternal Mortality Survey (PMMS) 2019 Source: PGPR 2019 & 2020
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PUNJAB GENDER PARITY REPORT 2021 / HEALTH PUNJAB GENDER PARITY REPORT 2021 / HEALTH 4.3 Access to Healthcare Most health policy literature interprets access to healthcare as the opportunity and ease with which consumers and Punjab communities are able to use resources in proportion to their needs; in this sense, focus is centred upon a service, Health a provider and/or an institution. However, a more multidimensional approach to understanding access includes considering characteristics of both the supply and demand sides. Here, the interaction between supply side factors Profile like location, availability and cost and demand-side factors like BOD, attitudes and knowledge is most important. While barriers to care such as distance from health facilities and cost of care may affect both genders similarly, the sociocultural determinants of gender norms such as restricted mobility and financial dependence, make women Maternal Mortality Rao (MMR) is quanfied disproportionately vulnerable to inadequate access to healthcare. as the number of maternal deaths during a given me period per 100,000 live births during the same me period. Punjab's primary and secondary healthcare system overseen by the Primary & Secondary Health Department (P&SHD) comprises of hospitals, dispensaries, Basic Health Units (BHUs), Rural Health Centres (RHCs) and Mother and Child Health Centres (MCHCs). The Specialized Healthcare & Medical Education Department (SH&MED) corresponds to the tertiary level of healthcare provision whereby it oversees teaching hospitals and medical Maternal Mortality Rao education institutes. (MMR) (2019) 298 4.3.1 Healthcare Institutes in Punjab 224 165 157 Data in this subsection is sourced from Health Facilies in Punjab (As of January 1st, 2020) the Punjab Development Statistics 2021. Basic Health Units 2587 Dispensaries 50% 1411 As of January 1st, 2020, there were 5,227 27% Balochistan Sindh Khyber Punjab health facilities functioning across Pakhtunkhwa Punjab. Of these, 2,587 (49.5%) were BHUs, 1,411 (27%) dispensaries, 390 69 (7.5%) hospitals, 358 (7%) RHCs, 280 (5%) 70 Underlying Cause of Death for Women (aged 15-49) MCHCs, 186 (3.5%) SHCs and 15 (0.3%) in Punjab (%) (2019) were TB Clinics. Hospitals 390 7% T.B.Clinics Cir c Du il sa et ao sr ey 22.3% 01 .35 % Sub-Heal 1t 4h 8 % 6CentersMCH 2 5 8C %0enters Rural Hea 3lt 5h 8 Centers 7% Other Cause Source: Punjab Development Stascs (2020) (Classified) 14.9% Neoplasms 14.4% Figure 4.1 Infecons and Overall, the number of health facilities in Punjab have increased by roughly 6 percent from 4,937 facilities in 2019. 14.1% Parasc Disease This increase comes as a quick recovery from the downward trend recorded in 2019 amidst a generally upward Maternal Causes 10.3% trend in health facilities in Punjab through years past. Other External 9.6% Causes Nervous System 9.0% Health Institutes in Punjab by Year Digesve Respiratory Transport Accidents 4.6% 8,000 7,000 No Cause Determined 0.8% 5,178 4,937 5,227 6,000 5,000 4,000 3,000 Source: PGPR 2019 & 2020 2,000 1,000 - 2018 2019 2020 Source: Punjab Development Stascs (2020) Figure 4.2 140 (Levesque, Harris, & Russell, 2013) 141 (Azad, Charles, Ding, Trickey, & Wren, 2020) 142 (Punjab Commission on the Status of Women, 2021)
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PUNJAB GENDER PARITY REPORT 2021 / HEALTH PUNJAB GENDER PARITY REPORT 2021 / HEALTH 4.3 Access to Healthcare Most health policy literature interprets access to healthcare as the opportunity and ease with which consumers and Punjab communities are able to use resources in proportion to their needs; in this sense, focus is centred upon a service, Health a provider and/or an institution. However, a more multidimensional approach to understanding access includes considering characteristics of both the supply and demand sides. Here, the interaction between supply side factors Profile like location, availability and cost and demand-side factors like BOD, attitudes and knowledge is most important. While barriers to care such as distance from health facilities and cost of care may affect both genders similarly, the sociocultural determinants of gender norms such as restricted mobility and financial dependence, make women Maternal Mortality Rao (MMR) is quanfied disproportionately vulnerable to inadequate access to healthcare. as the number of maternal deaths during a given me period per 100,000 live births during the same me period. Punjab's primary and secondary healthcare system overseen by the Primary & Secondary Health Department (P&SHD) comprises of hospitals, dispensaries, Basic Health Units (BHUs), Rural Health Centres (RHCs) and Mother and Child Health Centres (MCHCs). The Specialized Healthcare & Medical Education Department (SH&MED) corresponds to the tertiary level of healthcare provision whereby it oversees teaching hospitals and medical Maternal Mortality Rao education institutes. (MMR) (2019) 298 4.3.1 Healthcare Institutes in Punjab 224 165 157 Data in this subsection is sourced from Health Facilies in Punjab (As of January 1st, 2020) the Punjab Development Statistics 2021. Basic Health Units 2587 Dispensaries 50% 1411 As of January 1st, 2020, there were 5,227 27% Balochistan Sindh Khyber Punjab health facilities functioning across Pakhtunkhwa Punjab. Of these, 2,587 (49.5%) were BHUs, 1,411 (27%) dispensaries, 390 69 (7.5%) hospitals, 358 (7%) RHCs, 280 (5%) 70 Underlying Cause of Death for Women (aged 15-49) MCHCs, 186 (3.5%) SHCs and 15 (0.3%) in Punjab (%) (2019) were TB Clinics. Hospitals 390 7% T.B.Clinics Cir c Du il sa et ao sr ey 22.3% 01 .35 % Sub-Heal 1t 4h 8 % 6CentersMCH 2 5 8C %0enters Rural Hea 3lt 5h 8 Centers 7% Other Cause Source: Punjab Development Stascs (2020) (Classified) 14.9% Neoplasms 14.4% Figure 4.1 Infecons and Overall, the number of health facilities in Punjab have increased by roughly 6 percent from 4,937 facilities in 2019. 14.1% Parasc Disease This increase comes as a quick recovery from the downward trend recorded in 2019 amidst a generally upward Maternal Causes 10.3% trend in health facilities in Punjab through years past. Other External 9.6% Causes Nervous System 9.0% Health Institutes in Punjab by Year Digesve Respiratory Transport Accidents 4.6% 8,000 7,000 No Cause Determined 0.8% 5,178 4,937 5,227 6,000 5,000 4,000 3,000 Source: PGPR 2019 & 2020 2,000 1,000 - 2018 2019 2020 Source: Punjab Development Stascs (2020) Figure 4.2 140 (Levesque, Harris, & Russell, 2013) 141 (Azad, Charles, Ding, Trickey, & Wren, 2020) 142 (Punjab Commission on the Status of Women, 2021)
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PUNJAB GENDER PARITY REPORT 2021 / HEALTH PUNJAB GENDER PARITY REPORT 2021 / HEALTH The numbers of all facilities have seen an increase except MCHCs which have remained the same and TB Clinics 4.3.2 Number of Beds which have declined, albeit marginally. Figure 4.3 illustrates a detailed comparison of the number of health facilities in Punjab between 2019 and 2020. As of January 1 2020, there were a total of 72,130 beds in health facilities in Punjab. Of these, 59,574 were in hospitals, 89 in dispensaries, 7,182 in RHCs, 154 in TB Clinics and 5,131 were in BHUs. An increase was observed in Health Facilies by Type & Year the number of beds in all health facilities except those in dispensaries, the number for which has dramatically declined to 89 in 2020 from 379 in 2019, marking a 76 percent decrease. T.B.Clinics Sub-Health Centers MCH Centers Beds in Health Facilities in Punjab Rural Health Centers 2018 2019 2020 Hospitals Hospitals Dispensaries 48,259 48,804 59,574 Basic Health Units Rural Health Centers 6,197 6,087 7,182 0 1000 2000 3000 4000 5000 6000 Source: Punjab Development Stacs (2020 -21) 2019 2020 Basic Health Units 4,966 4,948 5,131 Figure 4.3 In terms of a district-wise analysis, Faisalabad had the highest number of facilities overall (384) while Hafizabad Dispensaries had 61 health facilities functioning in the district. It is noteworthy that many districts reported no SHCs and TB 455 379 89 Clinics at all. T.B.Clinics 146 141 154 Health Facilies in Punjab by District (As of January 1,2020) 71 Faisalabad Source: Punjab Development Stascs (2021) 72 Lahore Rawalpindi Figure 4.5 Gujranwala Rahim Yar Khan Sargodha Bahawalnagar 4.3.3 Human Resource at Government Facilities Bahawalpur Multan Muzaffargarh The availability of skilled and adequate medical personnel is critical to the effective functioning of a healthcare Sialkot system. This is reaffirmed in the World Health Organisation's (WHO) Global Strategy on Human Resources for Jhang Sheikhupura Health: Workforce 2030 which is a policy guide outlining targets for member countries to ensure effective Sahiwal healthcare human resources. Okara Gujrat Kasur Although human resource shortage in healthcare is a global problem, Pakistan is one of the 57 Human Resource in Vehari TT Singh Health (HRH) crisis countries faced with myriad issues including shortages, rural-urban mal-distribution, quality Chakwal and skill-mix issues as well as obstacles to rural retention. Khanewal D.G.Khan Aock As of January 1, 2020, there were 122,879 registered medical personnel in Punjab. Of these, 87,121 (71%) were Mandi Bahauddin Hospitals (390) MBBS doctors, 10,124 (8%) BDS dentists and 25,634 (21%) were specialist doctors. Of the specialist personnel, Khushab Dispensaries (1,411) Bhakkar 24,596 (96%) were medical doctors while 1,038 (4%) were dental. Jehlum RHCs (358) Pakpaan Layyah BHUs (2,587) 4.3.4 Punjab Institute of Mental Health Nankana Sahib TBCs (15) Mianwali Narowal SHCs (186) Rajanpur Administrative data obtained from the Punjab Institute of Mental Health revealed that the number of male patients MCHCs (280) Lodhran at the facility increased while that of female patients decreased in 2021 as compared to 2020. Chiniot Hafizabad 0 50 100 150 200 250 300 350 400 450 Source: Punjab Development Stacs (2020-21) Figure 4.4 143 (World Health Organisaon, 2016) 144 (World Health Organizaon Regional Office for the Eastern Mediterranean, 2022)
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PUNJAB GENDER PARITY REPORT 2021 / HEALTH PUNJAB GENDER PARITY REPORT 2021 / HEALTH The numbers of all facilities have seen an increase except MCHCs which have remained the same and TB Clinics 4.3.2 Number of Beds which have declined, albeit marginally. Figure 4.3 illustrates a detailed comparison of the number of health facilities in Punjab between 2019 and 2020. As of January 1 2020, there were a total of 72,130 beds in health facilities in Punjab. Of these, 59,574 were in hospitals, 89 in dispensaries, 7,182 in RHCs, 154 in TB Clinics and 5,131 were in BHUs. An increase was observed in Health Facilies by Type & Year the number of beds in all health facilities except those in dispensaries, the number for which has dramatically declined to 89 in 2020 from 379 in 2019, marking a 76 percent decrease. T.B.Clinics Sub-Health Centers MCH Centers Beds in Health Facilities in Punjab Rural Health Centers 2018 2019 2020 Hospitals Hospitals Dispensaries 48,259 48,804 59,574 Basic Health Units Rural Health Centers 6,197 6,087 7,182 0 1000 2000 3000 4000 5000 6000 Source: Punjab Development Stacs (2020 -21) 2019 2020 Basic Health Units 4,966 4,948 5,131 Figure 4.3 In terms of a district-wise analysis, Faisalabad had the highest number of facilities overall (384) while Hafizabad Dispensaries had 61 health facilities functioning in the district. It is noteworthy that many districts reported no SHCs and TB 455 379 89 Clinics at all. T.B.Clinics 146 141 154 Health Facilies in Punjab by District (As of January 1,2020) 71 Faisalabad Source: Punjab Development Stascs (2021) 72 Lahore Rawalpindi Figure 4.5 Gujranwala Rahim Yar Khan Sargodha Bahawalnagar 4.3.3 Human Resource at Government Facilities Bahawalpur Multan Muzaffargarh The availability of skilled and adequate medical personnel is critical to the effective functioning of a healthcare Sialkot system. This is reaffirmed in the World Health Organisation's (WHO) Global Strategy on Human Resources for Jhang Sheikhupura Health: Workforce 2030 which is a policy guide outlining targets for member countries to ensure effective Sahiwal healthcare human resources. Okara Gujrat Kasur Although human resource shortage in healthcare is a global problem, Pakistan is one of the 57 Human Resource in Vehari TT Singh Health (HRH) crisis countries faced with myriad issues including shortages, rural-urban mal-distribution, quality Chakwal and skill-mix issues as well as obstacles to rural retention. Khanewal D.G.Khan Aock As of January 1, 2020, there were 122,879 registered medical personnel in Punjab. Of these, 87,121 (71%) were Mandi Bahauddin Hospitals (390) MBBS doctors, 10,124 (8%) BDS dentists and 25,634 (21%) were specialist doctors. Of the specialist personnel, Khushab Dispensaries (1,411) Bhakkar 24,596 (96%) were medical doctors while 1,038 (4%) were dental. Jehlum RHCs (358) Pakpaan Layyah BHUs (2,587) 4.3.4 Punjab Institute of Mental Health Nankana Sahib TBCs (15) Mianwali Narowal SHCs (186) Rajanpur Administrative data obtained from the Punjab Institute of Mental Health revealed that the number of male patients MCHCs (280) Lodhran at the facility increased while that of female patients decreased in 2021 as compared to 2020. Chiniot Hafizabad 0 50 100 150 200 250 300 350 400 450 Source: Punjab Development Stacs (2020-21) Figure 4.4 143 (World Health Organisaon, 2016) 144 (World Health Organizaon Regional Office for the Eastern Mediterranean, 2022)
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PUNJAB GENDER PARITY REPORT 2021 / HEALTH PUNJAB GENDER PARITY REPORT 2021 / HEALTH 115,805 male patients were admitted at PIMH in 2021, recording an increase of 1.5 percent from 114,100 4.4 Reproductive Health Services patients in 2020. On the other hand, 61,281 female patients were admitted in 2021 as compared to 63,746 in 2020, marking a 3.9 percent decrease. Figure 4.6 illustrates these statistics. The goal to achieve UHC by 2030 for communities around the world cannot be met without prioritizing the sexual and reproductive health rights (SRHR) of populations. This means accounting for the SRHR needs of an individual Paents at Punjab Instute of Mental Health by Gender & Year from infancy and childhood, through adolescence and into adulthood and old age. 115,805 The Guttmacher Institute has proposed a comprehensive definition and intervention model to ensure a robust SRH system. Figure 4.8 outlines this approach. 61,281 Counseling and Pa srervciicpeas foor n 114,100 conm trao cd ee pr n ves trP er ae tv men e no t n o fa Hnd IV and others STIs 63,746 Comprehensive sexuality Male Female educaon Safe aboron Source: Punjab Instute of Mental Health 2020 2021 services and treatment of unsafe aborons Figure 4.6 DEFINING Counseling and services for SRHR In terms of an analysis of the incidence of various types of mental illness for which data has been reported, the sexual health and well-being INTERVENTIONS narrowest gender gap was observed in patients of Dementia and Depression for OPD at PIMH in 2021. The widest Detecng and gender gap was observed in patients of Drug Addiction with men making up 78 percent of all drug addicts prevenng sexual and gender-based violence admitted at the facility. Detecng Among female indoor patients, the incidence of intellectual disability and depression respectively, were managing and prevenng 73 observed to be the highest in comparison with other mental illness types. No female patients of Drug Addiction rep cr ao nd cu ec r sve Antenatal, 74 childbirth and and Drug-Induced Psychosis were reported. postnatal care Counseling and services for inferlity The detailed OPD patients' analysis by gender is depicted in Figure 4.7. Source: The Gumacher-Lancet Commission, 2018 Paents in Punjab Instute of Mental Health (2021) Figure 4.8 (OPD) While access to reproductive healthcare is pertinent for all, it is especially crucial for women and adolescent girls as Others 69%, 3266 31%, 1466 they are more likely to experience gender-based violence, sexually transmitted infections (STIs) and poor access to O.C.D(F-42) 68%, 5644 32%, 2634 SRH services. Policy development and implementation is particularly lagging in LMICs with respect to enhanced SRH outcomes for women and adolescent girls. Studies have found that although the core idea has been G.A.D(F-41) 69%, 6185 31%, 2791 recognised, much remains to be done with regards to increasing age at marriage, reducing unintended pregnancies Demena 59%, 3955 41%, 2748 and early childbearing and ensuring that women and girls have access to necessary SRH information and services. Mental retard 66%, 7784 34%, 3965 Drug Addict 78%, 12114 22%, 3419 Dedicated interventions by the Population Welfare Department, Directorate General Health Services and the IRMNCH & Nutrition Program in Punjab are underway to address the SRH needs of the population. The following Drug Induced Psy (F-19) 75%, 5069 25%, 1694 subsections analyse data from the abovementioned sources as well as survey data to evaluate the status of Epilepsy 66%, 10488 34%, 5488 reproductive healthcare in the province. Schizophrenia(F-20) 61%, 21347 39%, 13472 B.A.D(F-31) 66%, 15034 34%, 7579 4.5 Services by Population Welfare Department (PWD) Depression 56%, 14913 44%, 11933 APE(F-23) 66%, 7671 34%, 3911 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% 4.5.1 Service Centers under PWD in Punjab Source: Punjab Instute of Mental Health, Lahore Male Female The three service centres under PWD are Family Health Clinics (FHCs), Mobile Service Units (MSUs) and Family Figure 4.7 145 (United Naons Populaon Fund, 2019) 146 (McGranahan, et al., 2021) 147 (Santhya & Jejeebhoy, 2015)
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PUNJAB GENDER PARITY REPORT 2021 / HEALTH PUNJAB GENDER PARITY REPORT 2021 / HEALTH 115,805 male patients were admitted at PIMH in 2021, recording an increase of 1.5 percent from 114,100 4.4 Reproductive Health Services patients in 2020. On the other hand, 61,281 female patients were admitted in 2021 as compared to 63,746 in 2020, marking a 3.9 percent decrease. Figure 4.6 illustrates these statistics. The goal to achieve UHC by 2030 for communities around the world cannot be met without prioritizing the sexual and reproductive health rights (SRHR) of populations. This means accounting for the SRHR needs of an individual Paents at Punjab Instute of Mental Health by Gender & Year from infancy and childhood, through adolescence and into adulthood and old age. 115,805 The Guttmacher Institute has proposed a comprehensive definition and intervention model to ensure a robust SRH system. Figure 4.8 outlines this approach. 61,281 Counseling and Pa srervciicpeas foor n 114,100 conm trao cd ee pr n ves trP er ae tv men e no t n o fa Hnd IV and others STIs 63,746 Comprehensive sexuality Male Female educaon Safe aboron Source: Punjab Instute of Mental Health 2020 2021 services and treatment of unsafe aborons Figure 4.6 DEFINING Counseling and services for SRHR In terms of an analysis of the incidence of various types of mental illness for which data has been reported, the sexual health and well-being INTERVENTIONS narrowest gender gap was observed in patients of Dementia and Depression for OPD at PIMH in 2021. The widest Detecng and gender gap was observed in patients of Drug Addiction with men making up 78 percent of all drug addicts prevenng sexual and gender-based violence admitted at the facility. Detecng Among female indoor patients, the incidence of intellectual disability and depression respectively, were managing and prevenng 73 observed to be the highest in comparison with other mental illness types. No female patients of Drug Addiction rep cr ao nd cu ec r sve Antenatal, 74 childbirth and and Drug-Induced Psychosis were reported. postnatal care Counseling and services for inferlity The detailed OPD patients' analysis by gender is depicted in Figure 4.7. Source: The Gumacher-Lancet Commission, 2018 Paents in Punjab Instute of Mental Health (2021) Figure 4.8 (OPD) While access to reproductive healthcare is pertinent for all, it is especially crucial for women and adolescent girls as Others 69%, 3266 31%, 1466 they are more likely to experience gender-based violence, sexually transmitted infections (STIs) and poor access to O.C.D(F-42) 68%, 5644 32%, 2634 SRH services. Policy development and implementation is particularly lagging in LMICs with respect to enhanced SRH outcomes for women and adolescent girls. Studies have found that although the core idea has been G.A.D(F-41) 69%, 6185 31%, 2791 recognised, much remains to be done with regards to increasing age at marriage, reducing unintended pregnancies Demena 59%, 3955 41%, 2748 and early childbearing and ensuring that women and girls have access to necessary SRH information and services. Mental retard 66%, 7784 34%, 3965 Drug Addict 78%, 12114 22%, 3419 Dedicated interventions by the Population Welfare Department, Directorate General Health Services and the IRMNCH & Nutrition Program in Punjab are underway to address the SRH needs of the population. The following Drug Induced Psy (F-19) 75%, 5069 25%, 1694 subsections analyse data from the abovementioned sources as well as survey data to evaluate the status of Epilepsy 66%, 10488 34%, 5488 reproductive healthcare in the province. Schizophrenia(F-20) 61%, 21347 39%, 13472 B.A.D(F-31) 66%, 15034 34%, 7579 4.5 Services by Population Welfare Department (PWD) Depression 56%, 14913 44%, 11933 APE(F-23) 66%, 7671 34%, 3911 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% 4.5.1 Service Centers under PWD in Punjab Source: Punjab Instute of Mental Health, Lahore Male Female The three service centres under PWD are Family Health Clinics (FHCs), Mobile Service Units (MSUs) and Family Figure 4.7 145 (United Naons Populaon Fund, 2019) 146 (McGranahan, et al., 2021) 147 (Santhya & Jejeebhoy, 2015)
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PUNJAB GENDER PARITY REPORT 2021 / HEALTH PUNJAB GENDER PARITY REPORT 2021 / HEALTH Welfare Centres (FWCs). Service Centres under Populaon Welfare Department by Type & Year A district-wise breakdown of the availability of these service centres is depicted in Figure 4.9. As of December 2021, 2100 FWCs, 115 MSUs and 128 FHCs were operating across 36 districts of Punjab. Sargodha reported the 2,100 2,100 highest number of FWCs (116) while Chiniot reported the lowest number (17). The distribution of MSUs and FHCs was observed to be roughly uniform across all districts ranging between 1 to 6 for MSUs and 1 to 7 for FHCs. 129 Service Centers under Populaon Welfare 128 115 115 Department by District (as of December 2021) Sargodha 4 5 116 MOBILE SERVICE UNITS FAMILY HEALTH CLINICS FAMILY WELFARE CENTRES Lahore 7 2 101 Source: Populaon Welfare Department As of June 2021 As of December 2021 Rahim Yar Khan 4 4 95 Bahawalnagar 5 5 88 Figure 4.10 Faisalabad 6 6 87 Kasur 3 3 86 Okara 3 3 85 4.5.2 Adolescent Health Centres under PWD Gujrat 3 3 84 Muzaffargarh 4 3 80 The numbers of both male and female beneficiaries of Adolescent Health Centres (AHCs) under PWD increased Bahawalpur 5 5 76 TT Singh 3 3 67 between 2020 and 2021. While the number of adolescent boys increased from 330 in 2020 to 1,010 in 2021, Rawalpindi 7 6 66 marking a significant increase of 67.3 percent, the number of adolescent girls benefiting from these AHCs increased Gujranwala 2 5 64 from 4,740 to 6,163, marking a 23 percent increase. Overall, female beneficiaries are observed to far outnumber Multan 4 4 62 their male counterparts which is an alarming gender gap requiring attention towards adolescent boys' health. At Narowal 2 2 56 this point, it may be worth noting that a high number of girls benefitting from AHCs may be understood in 75 Aock 5 5 56 conjunction with a possibly high rate of child marriage and/or adolescent pregnancies. 76 Sialkot 5 3 55 Mandi Bahauddin 3 3 51 Chakwal 3 2 51 Pakpaan 2 2 50 Beneficiaries of Adolescent Health Centres by Gender & Year DG Khan 3 2 50 Mianwali 3 3 49 6,163 Jehlum 3 3 47 Vehari 3 3 44 4,740 Khanewal 4 4 44 Sheikhupura 4 3 43 Rajanpur 4 3 43 Sahiwal 2 2 42 1,010 Layyah 3 3 39 330 Khushab 2 2 39 Bhakkar 4 4 38 Jhang 3 2 37 Family Health Clinics (128) 2020 2021 Hafizabad 2 2 37 Mobile Service Units (115) Lodhran 3 3 34 Source: Populaon Welfare Department Male Female Nankana Sahib 3 1 21 Family Welfare Centre (2100) Chiniot 2 1 17 Figure 4.11 Source: Populaon Welfare Department Data was obtained for AHCs present across 12 districts of Punjab namely Lahore, Sargodha, Gujrat, Sahiwal, Figure 4.9 Faisalabad, Rawalpindi, Gujranwala, Dera Ghazi Khan (DG Khan), Bahawalpur, Multan, Rahim Yar Khan (RY Khan) and Sialkot. While no beneficiaries were reported at all for Bahawalpur, Multan, RY Khan and Sialkot in 2021, significant numbers were reported for other districts. The highest number of beneficiaries was reported for Lahore The number of service centres under PWD has remained consistent for MSUs and FWCs between June 2021 and with 2,641 (78%) girls and 733 (22%) boys. The widest gender gap of 99 percent was observed in Sahiwal with only 4 December 2021 whereas the number of FHCs declined negligibly from 129 to 128. boys as compared to 611 girl beneficiaries of the AHC.
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PUNJAB GENDER PARITY REPORT 2021 / HEALTH PUNJAB GENDER PARITY REPORT 2021 / HEALTH Welfare Centres (FWCs). Service Centres under Populaon Welfare Department by Type & Year A district-wise breakdown of the availability of these service centres is depicted in Figure 4.9. As of December 2021, 2100 FWCs, 115 MSUs and 128 FHCs were operating across 36 districts of Punjab. Sargodha reported the 2,100 2,100 highest number of FWCs (116) while Chiniot reported the lowest number (17). The distribution of MSUs and FHCs was observed to be roughly uniform across all districts ranging between 1 to 6 for MSUs and 1 to 7 for FHCs. 129 Service Centers under Populaon Welfare 128 115 115 Department by District (as of December 2021) Sargodha 4 5 116 MOBILE SERVICE UNITS FAMILY HEALTH CLINICS FAMILY WELFARE CENTRES Lahore 7 2 101 Source: Populaon Welfare Department As of June 2021 As of December 2021 Rahim Yar Khan 4 4 95 Bahawalnagar 5 5 88 Figure 4.10 Faisalabad 6 6 87 Kasur 3 3 86 Okara 3 3 85 4.5.2 Adolescent Health Centres under PWD Gujrat 3 3 84 Muzaffargarh 4 3 80 The numbers of both male and female beneficiaries of Adolescent Health Centres (AHCs) under PWD increased Bahawalpur 5 5 76 TT Singh 3 3 67 between 2020 and 2021. While the number of adolescent boys increased from 330 in 2020 to 1,010 in 2021, Rawalpindi 7 6 66 marking a significant increase of 67.3 percent, the number of adolescent girls benefiting from these AHCs increased Gujranwala 2 5 64 from 4,740 to 6,163, marking a 23 percent increase. Overall, female beneficiaries are observed to far outnumber Multan 4 4 62 their male counterparts which is an alarming gender gap requiring attention towards adolescent boys' health. At Narowal 2 2 56 this point, it may be worth noting that a high number of girls benefitting from AHCs may be understood in 75 Aock 5 5 56 conjunction with a possibly high rate of child marriage and/or adolescent pregnancies. 76 Sialkot 5 3 55 Mandi Bahauddin 3 3 51 Chakwal 3 2 51 Pakpaan 2 2 50 Beneficiaries of Adolescent Health Centres by Gender & Year DG Khan 3 2 50 Mianwali 3 3 49 6,163 Jehlum 3 3 47 Vehari 3 3 44 4,740 Khanewal 4 4 44 Sheikhupura 4 3 43 Rajanpur 4 3 43 Sahiwal 2 2 42 1,010 Layyah 3 3 39 330 Khushab 2 2 39 Bhakkar 4 4 38 Jhang 3 2 37 Family Health Clinics (128) 2020 2021 Hafizabad 2 2 37 Mobile Service Units (115) Lodhran 3 3 34 Source: Populaon Welfare Department Male Female Nankana Sahib 3 1 21 Family Welfare Centre (2100) Chiniot 2 1 17 Figure 4.11 Source: Populaon Welfare Department Data was obtained for AHCs present across 12 districts of Punjab namely Lahore, Sargodha, Gujrat, Sahiwal, Figure 4.9 Faisalabad, Rawalpindi, Gujranwala, Dera Ghazi Khan (DG Khan), Bahawalpur, Multan, Rahim Yar Khan (RY Khan) and Sialkot. While no beneficiaries were reported at all for Bahawalpur, Multan, RY Khan and Sialkot in 2021, significant numbers were reported for other districts. The highest number of beneficiaries was reported for Lahore The number of service centres under PWD has remained consistent for MSUs and FWCs between June 2021 and with 2,641 (78%) girls and 733 (22%) boys. The widest gender gap of 99 percent was observed in Sahiwal with only 4 December 2021 whereas the number of FHCs declined negligibly from 129 to 128. boys as compared to 611 girl beneficiaries of the AHC.
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PUNJAB GENDER PARITY REPORT 2021 / HEALTH PUNJAB GENDER PARITY REPORT 2021 / HEALTH Beneficiaries of Adolescent Health Centres by Gender & District (2021) IRMNCH Facilies by Type & Year 100% 90% 1,194 1,196 1,234 80% 70% 60% Nobeneficiaries 50% 40% reported for these 30% districts in 2021 20% 10% 0% 313 315 316 58 58 58 Source: Populaon Welfare Department Male Female 2019 2020 2021 Figure 4.12 Source: IRMNCH & Nutrion Program, Punjab No. of 24/7 BHUs No. of RHCs Stabilizaon Centres 4.6 Integrated Reproductive Maternal, New-born & Child Health and Figure 4.15 Nutrition Program (IRMNCH) A district-wise analysis reveals that overall, the highest number of IRMNCH facilities were operational in Kasur with a total of 87, of which, 75 were 24/7 BHUs, 11 RHCs and 1 was a stabilisation centre. Hafizabad and Khushab twsgT huah o rgie n omg e uC ed a go s ht nn t sr o t a ti urn hc e tu t a ci tu o t e h m n h eiv e i n peo a rsf lm t e hC gta ca nit a mr e ae rr ne en( c lC da yyo l e , aC l dain v) en ed la idr vp c y ehp am rir yl po d u a p a shc nrteh o dea p h nl pt ra sh oius a; s r tttr e phe e ac e t he r ci tn ad a utt e r m l eaay Pregnancy B i rN theo 2n 8a dt aa yl sp eriod I nfan tBwre yHe pp Ur eo e s sr , t 2 o e 54 fd / w IR 7t e Mh B re eH N l RU Co Hw Hs, C e f7 ass ct aw inn le id tu r i em e1 s R wb oHe a pr C s es s a ro aa sf tn t iI a ndR b g M 1 i il niwN s a tC a htH s i eo a pf n a s r cc ot eai vl ni b it ntii le r ci ess ea . w it F ni ih o g 2e n u 0r r 2ce ee 1 o 4n . v .t 1e re 6ra , d l wl e, h p2 e i2 cr t ew sa ae s r die n e o tK ap h ie lu er s da ht di ao ib sn t,a ro il c. f t O 2 -w2f it f sh a ee c ai l2 nit2 aie li ysn s, H i1 s6 a of fwi z ta e hb r eea t d 2 h, 4 r 1 e/4 e7 77 pHmNTp h oe u eaer st ani ir o tli ii itn t fd vheit o. ee s n tg S Ma r eP ta Ncirt o to Cio n og Hn rr a o ao Sm f nf t d rtM hm a NteN a e u C y g tC H ryob it Ceu io2 n n0u ad 1n pe o9d pr u -e r ta 2o cr s 0 oas t 2i mcon h 8og e. dl se e ,T a m oI hR s ue p M t a h lP i N nap uC eso n iH dsl ji a ec i& nby s ve y ce ua drs o rp e ecnecA sedD A u lge 2 olea t 0 dit h nh y Aog eo a d r e s 1 g0 a y -e loar5 oC s h y hei cld a1 Srh y s o e o a d r sraey loohcserc P y Rahim F aY Dia s GarA J K lK K h aa h hbaos a an acu n ndk gr IRMNCH Facilities by District (2021) 78 Table 4.1 as its key objectives. A bed fo ol re es c pe rn ec ge n aa nn cd y Pregnancy Birth P (mos ot tn ha et ra )l Maternal health Bahawalnagar Lodhran (P no es wtn ba ot ra nl ) Infancy Childhood Bahawalpur Table 4.1 Multan Figure 4.13 Okara Maternal and Child Health (MNCH), Nutrion Objecves Mianwali Sargodha 1. Ensure mely and free access to MNCH services for all in Punjab Muzaffergarh Khanewal 2. To instuonalise quality of care in MNCH services delivery system Vehari 3. Ensure mely and free access to nutrion services for all in Punjab Gujranwala TT Singh 4. To instuonalise quality of care in nutrion services delivery system Chiniot Sialkot Source: Punjab Health Sector Strategy, 2019-2029 Rawalpindi Gujrat Layyah IRMNCH Facilies by Type (2021) Sheikhupura 4.6.1 IRMNCH Facilities in Punjab Sahiwal Rajanpur Pakpaan There was a total of 1,608 IRMNCH facilities in Punjab in 2021. Narowal 316 Of these, 1,234 were 24/7 BHUs, 316 RHCs and 58 were Nankana Sahib Mandi Bahauddin stabilisation centres. While the numbers of RHCs and 1,234 Bhakkar stabilization centres have seen negligible or no change at all over 58 Chakwal No. of 24/7 BHUs the last three years, the number of 24/7 BHUs has reported an Jhelum Khushab No. of RHCs increase of 3.3 percent. Figure 4.15 illustrates these statistics. No. of RHCs Hafizabad Stabilizaon Centres Source:IRMNCH & Nutrion Program, Punjab No. of 24/7 BHUs Lahore Stabilizaon Centres 0 10 20 30 40 50 60 70 80 90 100 Figure 4.14 Source: IRMNCH & Nutrion Program, Punjab Figure 4.16 148 (Shibanuma, et al., 2018) erohaL ahdograS tarjuG lawihaS dabalasiaF idniplawaR alawnarjuG nahK GD ruplawahaB natluM nahK YR toklaiS
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PUNJAB GENDER PARITY REPORT 2021 / HEALTH PUNJAB GENDER PARITY REPORT 2021 / HEALTH Beneficiaries of Adolescent Health Centres by Gender & District (2021) IRMNCH Facilies by Type & Year 100% 90% 1,194 1,196 1,234 80% 70% 60% Nobeneficiaries 50% 40% reported for these 30% districts in 2021 20% 10% 0% 313 315 316 58 58 58 Source: Populaon Welfare Department Male Female 2019 2020 2021 Figure 4.12 Source: IRMNCH & Nutrion Program, Punjab No. of 24/7 BHUs No. of RHCs Stabilizaon Centres 4.6 Integrated Reproductive Maternal, New-born & Child Health and Figure 4.15 Nutrition Program (IRMNCH) A district-wise analysis reveals that overall, the highest number of IRMNCH facilities were operational in Kasur with a total of 87, of which, 75 were 24/7 BHUs, 11 RHCs and 1 was a stabilisation centre. Hafizabad and Khushab twsgT huah o rgie n omg e uC ed a go s ht nn t sr o t a ti urn hc e tu t a ci tu o t e h m n h eiv e i n peo a rsf lm t e hC gta ca nit a mr e ae rr ne en( c lC da yyo l e , aC l dain v) en ed la idr vp c y ehp am rir yl po d u a p a shc nrteh o dea p h nl pt ra sh oius a; s r tttr e phe e ac e t he r ci tn ad a utt e r m l eaay Pregnancy B i rN theo 2n 8a dt aa yl sp eriod I nfan tBwre yHe pp Ur eo e s sr , t 2 o e 54 fd / w IR 7t e Mh B re eH N l RU Co Hw Hs, C e f7 ass ct aw inn le id tu r i em e1 s R wb oHe a pr C s es s a ro aa sf tn t iI a ndR b g M 1 i il niwN s a tC a htH s i eo a pf n a s r cc ot eai vl ni b it ntii le r ci ess ea . w it F ni ih o g 2e n u 0r r 2ce ee 1 o 4n . v .t 1e re 6ra , d l wl e, h p2 e i2 cr t ew sa ae s r die n e o tK ap h ie lu er s da ht di ao ib sn t,a ro il c. f t O 2 -w2f it f sh a ee c ai l2 nit2 aie li ysn s, H i1 s6 a of fwi z ta e hb r eea t d 2 h, 4 r 1 e/4 e7 77 pHmNTp h oe u eaer st ani ir o tli ii itn t fd vheit o. ee s n tg S Ma r eP ta Ncirt o to Cio n og Hn rr a o ao Sm f nf t d rtM hm a NteN a e u C y g tC H ryob it Ceu io2 n n0u ad 1n pe o9d pr u -e r ta 2o cr s 0 oas t 2i mcon h 8og e. dl se e ,T a m oI hR s ue p M t a h lP i N nap uC eso n iH dsl ji a ec i& nby s ve y ce ua drs o rp e ecnecA sedD A u lge 2 olea t 0 dit h nh y Aog eo a d r e s 1 g0 a y -e loar5 oC s h y hei cld a1 Srh y s o e o a d r sraey loohcserc P y Rahim F aY Dia s GarA J K lK K h aa h hbaos a an acu n ndk gr IRMNCH Facilities by District (2021) 78 Table 4.1 as its key objectives. A bed fo ol re es c pe rn ec ge n aa nn cd y Pregnancy Birth P (mos ot tn ha et ra )l Maternal health Bahawalnagar Lodhran (P no es wtn ba ot ra nl ) Infancy Childhood Bahawalpur Table 4.1 Multan Figure 4.13 Okara Maternal and Child Health (MNCH), Nutrion Objecves Mianwali Sargodha 1. Ensure mely and free access to MNCH services for all in Punjab Muzaffergarh Khanewal 2. To instuonalise quality of care in MNCH services delivery system Vehari 3. Ensure mely and free access to nutrion services for all in Punjab Gujranwala TT Singh 4. To instuonalise quality of care in nutrion services delivery system Chiniot Sialkot Source: Punjab Health Sector Strategy, 2019-2029 Rawalpindi Gujrat Layyah IRMNCH Facilies by Type (2021) Sheikhupura 4.6.1 IRMNCH Facilities in Punjab Sahiwal Rajanpur Pakpaan There was a total of 1,608 IRMNCH facilities in Punjab in 2021. Narowal 316 Of these, 1,234 were 24/7 BHUs, 316 RHCs and 58 were Nankana Sahib Mandi Bahauddin stabilisation centres. While the numbers of RHCs and 1,234 Bhakkar stabilization centres have seen negligible or no change at all over 58 Chakwal No. of 24/7 BHUs the last three years, the number of 24/7 BHUs has reported an Jhelum Khushab No. of RHCs increase of 3.3 percent. Figure 4.15 illustrates these statistics. No. of RHCs Hafizabad Stabilizaon Centres Source:IRMNCH & Nutrion Program, Punjab No. of 24/7 BHUs Lahore Stabilizaon Centres 0 10 20 30 40 50 60 70 80 90 100 Figure 4.14 Source: IRMNCH & Nutrion Program, Punjab Figure 4.16 148 (Shibanuma, et al., 2018) erohaL ahdograS tarjuG lawihaS dabalasiaF idniplawaR alawnarjuG nahK GD ruplawahaB natluM nahK YR toklaiS
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PUNJAB GENDER PARITY REPORT 2021 / HEALTH PUNJAB GENDER PARITY REPORT 2021 / HEALTH 4.6.2 Human Resources in IRMNCH Facilities in Punjab A detailed district-wise analysis is illustrated in Figure 4.19. The human resource strength in IRMNCH facilities in Punjab in 2021 was 47,216. Of these, 42,171 (89%) were Human Resources in IRMNCH by Type & District (2021) Lady Health Workers (LHWs), 1,946 (4%) Lady Health Visitors (LHVs), 1,755 (4%) Lady Health Supervisors (LHSs), 1,292 (3%) Ayas and 52 (0.1%) were nurses. Figure 4.17 illustrates these statistics. Faisalabad Multan Muzaffergarh Sialkot Human Resource in IRMNCH by Type (2021) Rahim Yar Khan Khanewal Lahore Sargodha Bhakkar Gujranwala Okara LHV, 1,946 , 4.1% Bahawalnagar LHWs, 42171, Gujrat 89.3% LHS, 1755, 3.7% Rawalpindi Aya, 1,292 , 2.7% Jhang Sahiwal Nurses, 52, 0.1% Kasur WMO, 0, 0% Vehari TT Singh DG Khan Mandi Bahauddin Narowal Source: IRMNCH & Nutrion Program, Punjab Sheikhupura Bahawalpur Mianwali Figure 4.17 Chakwal Lodhran A yearly comparison reveals that overall, the strength of IRMNCH human resource has decreased by 1.5 percent Layyah Pakpaan from 47,952 in 2020. Barring the number of LHSs, all types of human resources have recorded a decline between Khushab 2020 and 2021; the numbers of LHWs have declined by 1.4 percent, LHVs by 5 percent, Ayas by 1.5 percent, Aock Jhelum nurses by 12 percent and WMOs by 100 percent. This comparison is illustrated in Figure 4.18. Rajanpur 79 Nankana Sahib LHWs LHVs LHSs 80 Hafizabad Ayas Nurses WMOs Chiniot Human Resource in IRMNCH by Type & Year 0 500 1000 1500 2000 2500 3000 Source: IRMNCH & Nutrion Program, Punjab Figure 4.19 4.7 Tetanus Toxoid Immunization Among Pregnant Women Maternal and neonatal tetanus (MNT) develops as a result of both inadequate immunisation as well as unhygienic birth practices. MNT was recognised as a global public health concern in the late 1980s when WHO estimated the Tetanus Toxoid Immunizaon Amoung Pregnant Women by Year 3000 LHWs LHV LHS Aya Nurses WMO Source: IRMNCH & Nutrion Program, Punjab 2019 2020 2021 2500 2000 Figure 4.18 1500 Faisalabad had the highest number of human resources with a strength of 2,470 workers. Of these, 2,193 were LHWs, 101 LHVs, 95 LHSs, 79 Ayas and 2 were nurses. On the other hand, Chiniot posted a strength of 480 1000 IRMNCH workers, of which, 415 were LHWs, LHVs and LHSs were 22 each, 20 were Ayas and 1 was a nurse. 2020 2021 Source: DG Health Services Punjab Figure 4.20 149 (Iqbal, Ali, Ekmekcioglu, & Kundi, 2019) 65434 48724 17124 834,2 840,2 649,1 6671 6071 5571 263,1 213,1 292,1 36 95 25 75 34 0 sdnasuohT
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PUNJAB GENDER PARITY REPORT 2021 / HEALTH PUNJAB GENDER PARITY REPORT 2021 / HEALTH 4.6.2 Human Resources in IRMNCH Facilities in Punjab A detailed district-wise analysis is illustrated in Figure 4.19. The human resource strength in IRMNCH facilities in Punjab in 2021 was 47,216. Of these, 42,171 (89%) were Human Resources in IRMNCH by Type & District (2021) Lady Health Workers (LHWs), 1,946 (4%) Lady Health Visitors (LHVs), 1,755 (4%) Lady Health Supervisors (LHSs), 1,292 (3%) Ayas and 52 (0.1%) were nurses. Figure 4.17 illustrates these statistics. Faisalabad Multan Muzaffergarh Sialkot Human Resource in IRMNCH by Type (2021) Rahim Yar Khan Khanewal Lahore Sargodha Bhakkar Gujranwala Okara LHV, 1,946 , 4.1% Bahawalnagar LHWs, 42171, Gujrat 89.3% LHS, 1755, 3.7% Rawalpindi Aya, 1,292 , 2.7% Jhang Sahiwal Nurses, 52, 0.1% Kasur WMO, 0, 0% Vehari TT Singh DG Khan Mandi Bahauddin Narowal Source: IRMNCH & Nutrion Program, Punjab Sheikhupura Bahawalpur Mianwali Figure 4.17 Chakwal Lodhran A yearly comparison reveals that overall, the strength of IRMNCH human resource has decreased by 1.5 percent Layyah Pakpaan from 47,952 in 2020. Barring the number of LHSs, all types of human resources have recorded a decline between Khushab 2020 and 2021; the numbers of LHWs have declined by 1.4 percent, LHVs by 5 percent, Ayas by 1.5 percent, Aock Jhelum nurses by 12 percent and WMOs by 100 percent. This comparison is illustrated in Figure 4.18. Rajanpur 79 Nankana Sahib LHWs LHVs LHSs 80 Hafizabad Ayas Nurses WMOs Chiniot Human Resource in IRMNCH by Type & Year 0 500 1000 1500 2000 2500 3000 Source: IRMNCH & Nutrion Program, Punjab Figure 4.19 4.7 Tetanus Toxoid Immunization Among Pregnant Women Maternal and neonatal tetanus (MNT) develops as a result of both inadequate immunisation as well as unhygienic birth practices. MNT was recognised as a global public health concern in the late 1980s when WHO estimated the Tetanus Toxoid Immunizaon Amoung Pregnant Women by Year 3000 LHWs LHV LHS Aya Nurses WMO Source: IRMNCH & Nutrion Program, Punjab 2019 2020 2021 2500 2000 Figure 4.18 1500 Faisalabad had the highest number of human resources with a strength of 2,470 workers. Of these, 2,193 were LHWs, 101 LHVs, 95 LHSs, 79 Ayas and 2 were nurses. On the other hand, Chiniot posted a strength of 480 1000 IRMNCH workers, of which, 415 were LHWs, LHVs and LHSs were 22 each, 20 were Ayas and 1 was a nurse. 2020 2021 Source: DG Health Services Punjab Figure 4.20 149 (Iqbal, Ali, Ekmekcioglu, & Kundi, 2019) 65434 48724 17124 834,2 840,2 649,1 6671 6071 5571 263,1 213,1 292,1 36 95 25 75 34 0 sdnasuohT
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PUNJAB GENDER PARITY REPORT 2021 / HEALTH PUNJAB GENDER PARITY REPORT 2021 / HEALTH neonatal tetanus mortality rate to be 6.7 NT deaths per 1000 live births. Global target years for MNT Table 4.2 Elimination (MNTE) were pushed from 1995 to 2000 to 2005 to 2015! At present, 12 countries have still not been validated for MNTE including Pakistan however, it has achieved the status of partial elimination due to Province/Region PDHS 2017-18 Target 2025 Target 2030 satisfactory MNTE in Punjab. (%) Sindh 30.9 47 57 This section analyses administrative data for tetanus toxoid immunization among pregnant women in the Punjab 38.3 54 64 province. Khyber Pakhtunkhwa 30.9 46 56 Balochistan 19.8 36 46 The number of pregnant women who were successfully vaccinated against MNT in Punjab decreased by 7.3 Islamabad Capital Territory 45.7 62 72 percent from 23,06,196 in 2020 to 21,35,963 in 2021. Gilgit-Balstan 39.0 55 65 Source: Pakistan Family Planning 2030 commitment The highest incidence of vaccination against MNT in 2021 was observed in Gujranwala with 1,94,577 pregnant women receiving the TT-2 vaccine while Jhelum recorded the lowest incidence with only 12,718 pregnant LMICs have used household visits as a policy women receiving the said vaccine. It is noteworthy that in 2020, 36,273 pregnant women were immunised measure to generate acceptance and demand for against tetanus toxoid in Jehlum making its statistic for 2021 drop by 65 percent. Gujranwala's incidence has Family Planning Visits by Year family planning and contraception, for decades increased by 50 percent, from 1,29,614 in 2020. now. Sizeable evidence has confirmed the 3000000 success of this policy in developing countries Figure 4.21 illustrates a comparison of district-wise numbers for vaccination against MNT in the province in 2020 and 2021. where Community Health Workers (CHW)-led 2500000 1,841,372 1,752,131 interventions have helped increase the use of 2000000 modern contraception and improved knowledge Tetanus Toxoid Immunizaon Amoung Pregnant Women by District & Year and attitudes regarding FP as well. However, 1500000 350,000 gaps remain as researchers struggle to confirm 1000000 whether or not rural and urban settings, both are 300,000 500000 equally covered through CHW interventions, and 2020 2021 250,000 whether or not a good rate of non-users converts Source: DG Health Services Punjab 200,000 to using contraception instead of only existing 150,000 users shifting to modern methods. 81 Figure 4.22 82 100,000 The number of family planning visits in the province declined by 4.8 percent from 18,41,372 in 2020 to 17,52,131 in 50,000 2021 as illustrated in Figure 4.22. - A district-wise analysis reveals that the highest number of FP visits was observed in Faisalabad with a total of 1,44,690 visits whereas the lowest number was observed in Khushab with 13,520 visits. Comparatively, in 2020, the highest number was observed in Multan (1,20,203) where visits declined by 3.6 percent with 1,15,863 visits in 2021. FP visits in Faisalabad increased by a remarkable 34.6 percent to replace Multan as the top placeholder in Source: DG Health Services Punjab 2020 2021 2021. Khushab fared worst in 2020 as well where the number of visits declined by 23.5 percent from 17,684 in 2020. Figure 4.21 Figure 4.23 illustrates a comparison of FP visits in each of the 36 districts during 2020 and 2021. Family Planning Visits by District & Year 4.8 Family Planning & Contraceptive Use in Punjab 300000 250000 Global commitments to women's empowerment have reaffirmed the need to improve access to family planning 200000 services; this includes Article 16 of the Convention on the Elimination of All forms of Discrimination Against 150000 Women (CEDAW). 100000 Pakistan's vision stated in its Family Planning 2030 commitment is 50000 Women be accorded in comparison particularly in line with the abovementioned provision of CEDAW. As per with men, ‘’ the same rights to 0 the statement, Pakistan envisions a society where women and girls are decide freely and responsibly empowered and couples are able to exercise freely their right to decide on the number and informaon, the number of their children while striking a balance or "tawazun" educaon and means to enable between their resources and family size. The commitment also lays out them to exercise these rights. Source: DG Health Services Punjab 2020 2021 Contraceptive Prevalence Rate targets pledged by each province and " Arcle 16, CEDAW region, outlined in Table 4.2. Figure 4.23 150 (World Health Organisaon, n.d.) 153 (Hacke, et al., 2020) 151 (World Health Organisaon, n.d.) 154 Ibid 152 (Ministry of Naonal Health Services Regulaons & Coordinaon, Government of Pakistan, 2021) 155 (Hacke, et al., 2020) alawnarjuG dabalasiaF iraheV natluM lawihaS arupuhkiehS ahdograS lawenahK ruplawahaB nahK raY mihaR toklaiS tarjuG erohaL hgniS TT gnahJ hragraffazuM hayyaL rakkahB nidduahaB idnaM kcoA bihaS anaknaN bahsuhK laworaN rupnajaR idniplawaR ilawnaiM raganlawahaB narhdoL toinihC dabazfiaH nahK GD arakO lawkahC nattapkaP rusaK mulehJ dabalasiaF natluM iraheV arakO ahdograS erohaL idniplawaR toklaiS hragraffazuM hgniS TT alawnarjuG lawkahC nahK raY mihaR kcoA arupuhkiehS mulheJ lawihaS rusaK raganlawahaB gnahJ tarjuG narhdoL ilawnaiM bihaS anaknaN rupnajaR ruplawahaB nidduahaB idnaM rakkahB laworaN hayyaL toinihC dabazifaH nahK GD lawenahK naapkaP bahsuhK
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PUNJAB GENDER PARITY REPORT 2021 / HEALTH PUNJAB GENDER PARITY REPORT 2021 / HEALTH neonatal tetanus mortality rate to be 6.7 NT deaths per 1000 live births. Global target years for MNT Table 4.2 Elimination (MNTE) were pushed from 1995 to 2000 to 2005 to 2015! At present, 12 countries have still not been validated for MNTE including Pakistan however, it has achieved the status of partial elimination due to Province/Region PDHS 2017-18 Target 2025 Target 2030 satisfactory MNTE in Punjab. (%) Sindh 30.9 47 57 This section analyses administrative data for tetanus toxoid immunization among pregnant women in the Punjab 38.3 54 64 province. Khyber Pakhtunkhwa 30.9 46 56 Balochistan 19.8 36 46 The number of pregnant women who were successfully vaccinated against MNT in Punjab decreased by 7.3 Islamabad Capital Territory 45.7 62 72 percent from 23,06,196 in 2020 to 21,35,963 in 2021. Gilgit-Balstan 39.0 55 65 Source: Pakistan Family Planning 2030 commitment The highest incidence of vaccination against MNT in 2021 was observed in Gujranwala with 1,94,577 pregnant women receiving the TT-2 vaccine while Jhelum recorded the lowest incidence with only 12,718 pregnant LMICs have used household visits as a policy women receiving the said vaccine. It is noteworthy that in 2020, 36,273 pregnant women were immunised measure to generate acceptance and demand for against tetanus toxoid in Jehlum making its statistic for 2021 drop by 65 percent. Gujranwala's incidence has Family Planning Visits by Year family planning and contraception, for decades increased by 50 percent, from 1,29,614 in 2020. now. Sizeable evidence has confirmed the 3000000 success of this policy in developing countries Figure 4.21 illustrates a comparison of district-wise numbers for vaccination against MNT in the province in 2020 and 2021. where Community Health Workers (CHW)-led 2500000 1,841,372 1,752,131 interventions have helped increase the use of 2000000 modern contraception and improved knowledge Tetanus Toxoid Immunizaon Amoung Pregnant Women by District & Year and attitudes regarding FP as well. However, 1500000 350,000 gaps remain as researchers struggle to confirm 1000000 whether or not rural and urban settings, both are 300,000 500000 equally covered through CHW interventions, and 2020 2021 250,000 whether or not a good rate of non-users converts Source: DG Health Services Punjab 200,000 to using contraception instead of only existing 150,000 users shifting to modern methods. 81 Figure 4.22 82 100,000 The number of family planning visits in the province declined by 4.8 percent from 18,41,372 in 2020 to 17,52,131 in 50,000 2021 as illustrated in Figure 4.22. - A district-wise analysis reveals that the highest number of FP visits was observed in Faisalabad with a total of 1,44,690 visits whereas the lowest number was observed in Khushab with 13,520 visits. Comparatively, in 2020, the highest number was observed in Multan (1,20,203) where visits declined by 3.6 percent with 1,15,863 visits in 2021. FP visits in Faisalabad increased by a remarkable 34.6 percent to replace Multan as the top placeholder in Source: DG Health Services Punjab 2020 2021 2021. Khushab fared worst in 2020 as well where the number of visits declined by 23.5 percent from 17,684 in 2020. Figure 4.21 Figure 4.23 illustrates a comparison of FP visits in each of the 36 districts during 2020 and 2021. Family Planning Visits by District & Year 4.8 Family Planning & Contraceptive Use in Punjab 300000 250000 Global commitments to women's empowerment have reaffirmed the need to improve access to family planning 200000 services; this includes Article 16 of the Convention on the Elimination of All forms of Discrimination Against 150000 Women (CEDAW). 100000 Pakistan's vision stated in its Family Planning 2030 commitment is 50000 Women be accorded in comparison particularly in line with the abovementioned provision of CEDAW. As per with men, ‘’ the same rights to 0 the statement, Pakistan envisions a society where women and girls are decide freely and responsibly empowered and couples are able to exercise freely their right to decide on the number and informaon, the number of their children while striking a balance or "tawazun" educaon and means to enable between their resources and family size. The commitment also lays out them to exercise these rights. Source: DG Health Services Punjab 2020 2021 Contraceptive Prevalence Rate targets pledged by each province and " Arcle 16, CEDAW region, outlined in Table 4.2. Figure 4.23 150 (World Health Organisaon, n.d.) 153 (Hacke, et al., 2020) 151 (World Health Organisaon, n.d.) 154 Ibid 152 (Ministry of Naonal Health Services Regulaons & Coordinaon, Government of Pakistan, 2021) 155 (Hacke, et al., 2020) alawnarjuG dabalasiaF iraheV natluM lawihaS arupuhkiehS ahdograS lawenahK ruplawahaB nahK raY mihaR toklaiS tarjuG erohaL hgniS TT gnahJ hragraffazuM hayyaL rakkahB nidduahaB idnaM kcoA bihaS anaknaN bahsuhK laworaN rupnajaR idniplawaR ilawnaiM raganlawahaB narhdoL toinihC dabazfiaH nahK GD arakO lawkahC nattapkaP rusaK mulehJ dabalasiaF natluM iraheV arakO ahdograS erohaL idniplawaR toklaiS hragraffazuM hgniS TT alawnarjuG lawkahC nahK raY mihaR kcoA arupuhkiehS mulheJ lawihaS rusaK raganlawahaB gnahJ tarjuG narhdoL ilawnaiM bihaS anaknaN rupnajaR ruplawahaB nidduahaB idnaM rakkahB laworaN hayyaL toinihC dabazifaH nahK GD lawenahK naapkaP bahsuhK
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PUNJAB GENDER PARITY REPORT 2021 / HEALTH PUNJAB GENDER PARITY REPORT 2021 / HEALTH Figure 4.24 depicts the distribution of FP visits in the province in 2021. Most districts have recorded between Figure 4.25 summarises key features of the contraceptive profile of Punjab. It is noteworthy that the CPR by using 20,000 to 40,000 FP visits, while only 5 of 36 districts recorded more than 80,000 visits. estimated modern method users has registered a 1.5 percent increase overall between 2018-19 and 2019-20. FP Visits in Punjab by District (2021) Punjab Contracepve PerformanceProfile . Attock CPR in Punjab by using Rawalpindi Esmated Modern Method Users Chakwal Jhelum Mianwali Gujrat 1.5 % Mandi Bahauddin Sialkot Khushab Narowal 2018-19 2019-20 Sargodha Gujranwala Hafizabad 20.2 20.5 Sheikhupura Bhakkar Chiniot Nankana Sahib Lahore Faisalabad 83 84 Jhang Contraceptive Kasur Layyah Usage By Method Toba Tek Singh Okara Muzaffargarh Sahiwal Method 2018-19 2019-20 % Khanewal Pakpattan Dera Ghazi Khan Multan Vehari Condoms 88,893,840 66,329,576 25.4 Bahawalnagar Lodhran Pills 4,733,481 4,292,302 9.3 Injectables 1,655,084 1,216,196 26.5 Rajanpur IUCDs 904,395 656,143 27.4 Bahawalpur Sterilization/Surgery 105,559 87,626 17.0 1,751 1,041 40.5 Rahim Yar Khan 103,808 86,585 16.6 Rahim Yar Khan Rahim Yar Khan FP Visits Implants 47,350 39,149 17.3 Up to 20000 20001 - 40000 40001 - 60000 60001 - 80000 >80000 Source: DG Health Services Punjab Source: Annual Contracepve Performance Report (2019-20) Figure 4.24 Figure 4.25
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PUNJAB GENDER PARITY REPORT 2021 / HEALTH PUNJAB GENDER PARITY REPORT 2021 / HEALTH Figure 4.24 depicts the distribution of FP visits in the province in 2021. Most districts have recorded between Figure 4.25 summarises key features of the contraceptive profile of Punjab. It is noteworthy that the CPR by using 20,000 to 40,000 FP visits, while only 5 of 36 districts recorded more than 80,000 visits. estimated modern method users has registered a 1.5 percent increase overall between 2018-19 and 2019-20. FP Visits in Punjab by District (2021) Punjab Contracepve PerformanceProfile . Attock CPR in Punjab by using Rawalpindi Esmated Modern Method Users Chakwal Jhelum Mianwali Gujrat 1.5 % Mandi Bahauddin Sialkot Khushab Narowal 2018-19 2019-20 Sargodha Gujranwala Hafizabad 20.2 20.5 Sheikhupura Bhakkar Chiniot Nankana Sahib Lahore Faisalabad 83 84 Jhang Contraceptive Kasur Layyah Usage By Method Toba Tek Singh Okara Muzaffargarh Sahiwal Method 2018-19 2019-20 % Khanewal Pakpattan Dera Ghazi Khan Multan Vehari Condoms 88,893,840 66,329,576 25.4 Bahawalnagar Lodhran Pills 4,733,481 4,292,302 9.3 Injectables 1,655,084 1,216,196 26.5 Rajanpur IUCDs 904,395 656,143 27.4 Bahawalpur Sterilization/Surgery 105,559 87,626 17.0 1,751 1,041 40.5 Rahim Yar Khan 103,808 86,585 16.6 Rahim Yar Khan Rahim Yar Khan FP Visits Implants 47,350 39,149 17.3 Up to 20000 20001 - 40000 40001 - 60000 60001 - 80000 >80000 Source: DG Health Services Punjab Source: Annual Contracepve Performance Report (2019-20) Figure 4.24 Figure 4.25
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PUNJAB GENDER PARITY REPORT 2021 / HEALTH PUNJAB GENDER PARITY REPORT 2021 / HEALTH 4.9 Antenatal Care Anaemic Women within ANC-1 Visitors (2021) Antenatal care is crucial to a positive pregnancy experience which may be defined as "maintaining physical and sociocultural normality, maintaining a health pregnancy for mother and baby (including preventing or treating risks, illness and death), having an effective transition to positive motherhood (including maternal self-esteem, . competence and autonomy)." 4.9.1 Antenatal Care Visits Attock In 2021, 75,55,646 ANC visits took place in Punjab of which 43,43,591 (57.4%) were ANC-1 visits and 32,12,055 (42.6%) were second ANC visits, 21.4 percent of the ANC-1 visitors had anaemia. Figure 4.26 illustrates these Rawalpindi statistics. Chakwal Jhelum Mianwali Gujrat Antenatal Care Visits (2021) Mandi Bahauddin Sialkot Khushab Narowal Sargodha Gujranwala Hafizabad Sheikhupura Bhakkar Chiniot Nankana Sahib Lahore Faisalabad 4,343,591 3,212,055 Jhang Kasur Layyah Toba Tek Singh Women with Anaemia Okara 85 689,793 (21.4%) Muzaffargarh Khanewal Sahiwal 86 Pakpattan Dera Ghazi Khan Multan Vehari Source: DG Health Services Punjab ANC-1 ANC-2 Bahawalnagar Lodhran Figure 4.26 Rajanpur A district-wise analysis reveals that Lahore had the highest incidence of women making two ANC visits with a total 4,16,782 ANC-2 visits whereas Chiniot had the lowest incidence with 31,742 ANC-2 visitors. A complete Bahawalpur district-wise profile of ANC visits in Punjab in 2021 is depicted in Figure 4.27. Rahim Yar Khan Rahim Yar Khan Antenatal Care Visits by District (2021) Rahim Yar Khan 700,000 Anaemic Women 600,000 Up to 10000 500,000 10001 - 20000 400,000 300,000 20001 - 30000 200,000 30001 - 40000 Source: DG Health Services Punjab 100,000 > 40000 - Figure 4.28 Source: DG Health Services Punjab ANC-1 ANC-2 Figure 4.27 156 (Ministry of Health, Government of Zambia, 2019) erohaL dabalasiaF idniplawaR alawnarjuG ahdograS natluM toklaiS nahK raY mihaR tarjuG arupuhkiehS hragraffazuM kcoA mulheJ hayyaL gnahJ lawkahC iraheV hgniS TT ruplawahaB ilawnaiM laworaN naapkaP dabazfiaH arakO bahsuhK raganlawahaB rakkahB lawihaS lawenahK rusaK nahK GD bihaS anaknaN nidduahaB idnaM rupnajaR narhdoL toinihC
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PUNJAB GENDER PARITY REPORT 2021 / HEALTH PUNJAB GENDER PARITY REPORT 2021 / HEALTH 4.9 Antenatal Care Anaemic Women within ANC-1 Visitors (2021) Antenatal care is crucial to a positive pregnancy experience which may be defined as "maintaining physical and sociocultural normality, maintaining a health pregnancy for mother and baby (including preventing or treating risks, illness and death), having an effective transition to positive motherhood (including maternal self-esteem, . competence and autonomy)." 4.9.1 Antenatal Care Visits Attock In 2021, 75,55,646 ANC visits took place in Punjab of which 43,43,591 (57.4%) were ANC-1 visits and 32,12,055 (42.6%) were second ANC visits, 21.4 percent of the ANC-1 visitors had anaemia. Figure 4.26 illustrates these Rawalpindi statistics. Chakwal Jhelum Mianwali Gujrat Antenatal Care Visits (2021) Mandi Bahauddin Sialkot Khushab Narowal Sargodha Gujranwala Hafizabad Sheikhupura Bhakkar Chiniot Nankana Sahib Lahore Faisalabad 4,343,591 3,212,055 Jhang Kasur Layyah Toba Tek Singh Women with Anaemia Okara 85 689,793 (21.4%) Muzaffargarh Khanewal Sahiwal 86 Pakpattan Dera Ghazi Khan Multan Vehari Source: DG Health Services Punjab ANC-1 ANC-2 Bahawalnagar Lodhran Figure 4.26 Rajanpur A district-wise analysis reveals that Lahore had the highest incidence of women making two ANC visits with a total 4,16,782 ANC-2 visits whereas Chiniot had the lowest incidence with 31,742 ANC-2 visitors. A complete Bahawalpur district-wise profile of ANC visits in Punjab in 2021 is depicted in Figure 4.27. Rahim Yar Khan Rahim Yar Khan Antenatal Care Visits by District (2021) Rahim Yar Khan 700,000 Anaemic Women 600,000 Up to 10000 500,000 10001 - 20000 400,000 300,000 20001 - 30000 200,000 30001 - 40000 Source: DG Health Services Punjab 100,000 > 40000 - Figure 4.28 Source: DG Health Services Punjab ANC-1 ANC-2 Figure 4.27 156 (Ministry of Health, Government of Zambia, 2019) erohaL dabalasiaF idniplawaR alawnarjuG ahdograS natluM toklaiS nahK raY mihaR tarjuG arupuhkiehS hragraffazuM kcoA mulheJ hayyaL gnahJ lawkahC iraheV hgniS TT ruplawahaB ilawnaiM laworaN naapkaP dabazfiaH arakO bahsuhK raganlawahaB rakkahB lawihaS lawenahK rusaK nahK GD bihaS anaknaN nidduahaB idnaM rupnajaR narhdoL toinihC
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PUNJAB GENDER PARITY REPORT 2021 / HEALTH PUNJAB GENDER PARITY REPORT 2021 / HEALTH 4.10 Births in Health Facilities in Punjab Normal Deliveries Conducted by District & Year Vehari 10,79,801 deliveries were conducted in health facilities across Punjab in 2021. Of these, the highest number of TT Singh them was conducted in Attock (91,994), while the lowest in Khushab (12,511). Figure 4.29 illustrates a district- Sialkot wise trend of deliveries conducted in 2021. Sheikhupura Sargodha Sahiwal Rawalpindi Rajanpur Rahim Yar Khan Deliveries Conducted by District (2021) Pakpaan Okara 100,000 Narowal 90,000 Nankana Sahib 80,000 Muzaffargarh 70,000 Multan 60,000 Mianwali 50,000 Mandi Bahauddin 40,000 Lodhran 30,000 Layyah 20,000 Lahore 10,000 Khushab - Khanewal Kasur Jhelum Jhang Hafizabad Gujrat Source: DG Health Services Punjab Gujranwala Faisalabad Figure 4.29 DG Khan Chiniot 87 88 Chakwal Bhakkar 4.10.1 Normal Deliveries Bahawalpur Bahawalnagar The number of normal/vaginal deliveries conducted in the province declined starkly by 5 percent from 9,84,045 Aock in 2020 to 9,35,573 in 2021. 0 20000 40000 60000 80000 100000 120000 140000 Source: DG Health Services Punjab 2020 2021 Normal Deliveries Conducted by Year Figure 4.31 984,045 4.10.2 Caesarean Section 935,573 The C-section can be a life-saving intervention when medically indicated however, its short- and long-term adverse effects for the mother and child are crucial to consider when performed in the absence of obstetric indication. In a 1985 report, the WHO indicated 5-15 percent as the optimal range for C-section rates however, a global rise in caesarean deliveries overall, and particularly medically unindicated ones, has been observed. While high-income countries with their ability to mitigate associated risks have come to consider caesarean 2020 2021 deliveries as safe as vaginal ones, LMICs struggle with an increased risk of adverse short-term and long-term Source: DG Health Services Punjab maternal and neonatal outcomes. Short-term risks associated with C-section include altered immune development, an increased likelihood of allergy, asthma and atopy while long-term risks comprise increased risk of Figure 4.30 uterine rupture, abnormal placentation, still-birth or preterm birth and complications for future pregnancies. In terms of a district-wise analysis, in 2021, the highest number of normal deliveries were conducted in Lahore The C-section rate in Pakistan shot up from 3.2 percent in 1990 to 19.6 percent in 2018, which is a drastic increase. (56,348) followed narrowly by Multan (55,068). On the other hand, the lowest number of normal deliveries was A study has found that in Pakistan, a doctor's referral for a caesarean delivery takes precedence over the patient's conducted in Chakwal (11,940). A yearly comparison of normal deliveries conducted in each of the 36 districts is illustrated in Figure 4.31. 157 (Sandall, et al., 2018) 158 (Keag, Norman, & Stock, 2018) 159 Ibid 160 (Sandall, et al., 2018) 161 (Amjad, et al., 2020) 162 Ibid kcoA raganlawahaB ruplawahaB rakkahB lawkahC toinihC nahK GD dabalasiaF alawnarjuG tarjuG dabazfiaH mulheJ gnahJ rusaK lawenahK bahsuhK erohaL hayyaL narhdoL nidduahaB idnaM ilawnaiM natluM hragraffazuM bihaS anaknaN laworaN arakO naapkaP nahK raY mihaR rupnajaR idniplawaR lawihaS ahdograS arupuhkiehS toklaiS hgniS TT iraheV
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PUNJAB GENDER PARITY REPORT 2021 / HEALTH PUNJAB GENDER PARITY REPORT 2021 / HEALTH 4.10 Births in Health Facilities in Punjab Normal Deliveries Conducted by District & Year Vehari 10,79,801 deliveries were conducted in health facilities across Punjab in 2021. Of these, the highest number of TT Singh them was conducted in Attock (91,994), while the lowest in Khushab (12,511). Figure 4.29 illustrates a district- Sialkot wise trend of deliveries conducted in 2021. Sheikhupura Sargodha Sahiwal Rawalpindi Rajanpur Rahim Yar Khan Deliveries Conducted by District (2021) Pakpaan Okara 100,000 Narowal 90,000 Nankana Sahib 80,000 Muzaffargarh 70,000 Multan 60,000 Mianwali 50,000 Mandi Bahauddin 40,000 Lodhran 30,000 Layyah 20,000 Lahore 10,000 Khushab - Khanewal Kasur Jhelum Jhang Hafizabad Gujrat Source: DG Health Services Punjab Gujranwala Faisalabad Figure 4.29 DG Khan Chiniot 87 88 Chakwal Bhakkar 4.10.1 Normal Deliveries Bahawalpur Bahawalnagar The number of normal/vaginal deliveries conducted in the province declined starkly by 5 percent from 9,84,045 Aock in 2020 to 9,35,573 in 2021. 0 20000 40000 60000 80000 100000 120000 140000 Source: DG Health Services Punjab 2020 2021 Normal Deliveries Conducted by Year Figure 4.31 984,045 4.10.2 Caesarean Section 935,573 The C-section can be a life-saving intervention when medically indicated however, its short- and long-term adverse effects for the mother and child are crucial to consider when performed in the absence of obstetric indication. In a 1985 report, the WHO indicated 5-15 percent as the optimal range for C-section rates however, a global rise in caesarean deliveries overall, and particularly medically unindicated ones, has been observed. While high-income countries with their ability to mitigate associated risks have come to consider caesarean 2020 2021 deliveries as safe as vaginal ones, LMICs struggle with an increased risk of adverse short-term and long-term Source: DG Health Services Punjab maternal and neonatal outcomes. Short-term risks associated with C-section include altered immune development, an increased likelihood of allergy, asthma and atopy while long-term risks comprise increased risk of Figure 4.30 uterine rupture, abnormal placentation, still-birth or preterm birth and complications for future pregnancies. In terms of a district-wise analysis, in 2021, the highest number of normal deliveries were conducted in Lahore The C-section rate in Pakistan shot up from 3.2 percent in 1990 to 19.6 percent in 2018, which is a drastic increase. (56,348) followed narrowly by Multan (55,068). On the other hand, the lowest number of normal deliveries was A study has found that in Pakistan, a doctor's referral for a caesarean delivery takes precedence over the patient's conducted in Chakwal (11,940). A yearly comparison of normal deliveries conducted in each of the 36 districts is illustrated in Figure 4.31. 157 (Sandall, et al., 2018) 158 (Keag, Norman, & Stock, 2018) 159 Ibid 160 (Sandall, et al., 2018) 161 (Amjad, et al., 2020) 162 Ibid kcoA raganlawahaB ruplawahaB rakkahB lawkahC toinihC nahK GD dabalasiaF alawnarjuG tarjuG dabazfiaH mulheJ gnahJ rusaK lawenahK bahsuhK erohaL hayyaL narhdoL nidduahaB idnaM ilawnaiM natluM hragraffazuM bihaS anaknaN laworaN arakO naapkaP nahK raY mihaR rupnajaR idniplawaR lawihaS ahdograS arupuhkiehS toklaiS hgniS TT iraheV
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PUNJAB GENDER PARITY REPORT 2021 / HEALTH PUNJAB GENDER PARITY REPORT 2021 / HEALTH choice. This may not always be motivated by medical 4.10.3 Low Birth Weight Babies Caesarean Cases by Year indication instead, factors such as financial benefits, time convenience or gaining surgical experience 250,000 203,522 191,393 A new-born is considered a low-birth-weight (LBW) baby if they weigh less than 2.5kg at the time of birth (usually may be primary drivers of such referrals. It is hence recorded within the first few hours of birth). LMICs account for 95 percent of all LBW infants in the world and important to carefully monitor surges in C-section 200,000 tracking the incidence of LBW is valuable in assessing maternal health, nutrition, healthcare delivery and poverty; rates and ensure patients have access to information in this sense it focuses on women's access to quality SRH. regarding the risks associated with caesarean 150,000 delivery as well as the right to decide the choice of Of the 10,79,801 births recorded in Punjab in 2021, 10,69,553 (99%) were live-births whereas 10,248 (1%) were procedure, especially in case of no medical 100,000 still-births. Of all live births, 28,331 (2.6%) were LBW babies. indication. 50,000 In Punjab, the number of caesarean deliveries - Live and Sll-births (2021) declined by 6 percent from 2,03,522 in 2020 to 2020 2021 1,91,393 in 2021 (Figure 4.32). Source: DG Health Services Punjab Figure 4.32 A district-wise analysis reveals that in 2021, the highest number of caesarean deliveries was performed in Lahore (45,106) while the lowest was in Kasur (196). A comparative analysis, of figures from 2020 and 2021 depicted in <2.5kg Figure 4.33, reveals that Lahore had the highest number of C-section cases in 2020 as well, while the lowest was recorded in Kasur (862). 10,248 1,069,553 Live births with LBW Caesarean Cases by District & Year 28,331 (2.6%) Vehari Source: DG Health Services Punjab Live births Sll-births Toba Tek Singh Sialkot Sheikhupura Figure 4.34 Sargodha 89 Sahiwal 4.10.4 Neonatal Deaths 90 Rawalpindi Rajanpur Rahim Yar Khan Across the province in 2021, 299 cases of neonatal deaths were recorded. Although this statistic itself may be Pakpaan perceived as a low overall incidence, it is noteworthy that this figure is an alarming increase by 169 percent from Okara Narowal 111 neonatal deaths recorded in 2020 (Figure 4.35). Nankana Sahib Muzaffargarh Multan Neonatal Deaths by Year Mianwali Mandi Bahauddin 299 Lodhran 350 Layyah 300 Lahore Khushab 250 Khanewal Kasur 200 111 Jhelum Jhang 150 Hafizabad 100 Gujrat Gujranwala 50 Faisalabad DG Khan 0 Chiniot 2020 2021 Chakwal Source: DG Health Services Punjab Bhakkar Bahawalpur Figure 4.35 Bahawalnagar Aock In terms of a district-wise analysis, TT Singh recorded the highest number of neonatal deaths (189) while 11 districts 0 20000 40000 60000 80000 100000 recorded none. It is interesting to note that in the preceding year, TT Singh had only recorded one neonatal death while 8 of 36 districts had recorded none. Jhang, Narowal, Lahore, Jhelum and Sahiwal all reduced their neonatal Source: DG Health Services Punjab 2020 2021 death toll to 0 in 2021 as compared to their statistics in 2020. Figure 4.33 Figure 4.36 illustrates a yearly comparison of district-wise neonatal deaths recorded in the province. 163 (Cutland, et al., 2017) 164 (Cutland, et al., 2017)
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PUNJAB GENDER PARITY REPORT 2021 / HEALTH PUNJAB GENDER PARITY REPORT 2021 / HEALTH choice. This may not always be motivated by medical 4.10.3 Low Birth Weight Babies Caesarean Cases by Year indication instead, factors such as financial benefits, time convenience or gaining surgical experience 250,000 203,522 191,393 A new-born is considered a low-birth-weight (LBW) baby if they weigh less than 2.5kg at the time of birth (usually may be primary drivers of such referrals. It is hence recorded within the first few hours of birth). LMICs account for 95 percent of all LBW infants in the world and important to carefully monitor surges in C-section 200,000 tracking the incidence of LBW is valuable in assessing maternal health, nutrition, healthcare delivery and poverty; rates and ensure patients have access to information in this sense it focuses on women's access to quality SRH. regarding the risks associated with caesarean 150,000 delivery as well as the right to decide the choice of Of the 10,79,801 births recorded in Punjab in 2021, 10,69,553 (99%) were live-births whereas 10,248 (1%) were procedure, especially in case of no medical 100,000 still-births. Of all live births, 28,331 (2.6%) were LBW babies. indication. 50,000 In Punjab, the number of caesarean deliveries - Live and Sll-births (2021) declined by 6 percent from 2,03,522 in 2020 to 2020 2021 1,91,393 in 2021 (Figure 4.32). Source: DG Health Services Punjab Figure 4.32 A district-wise analysis reveals that in 2021, the highest number of caesarean deliveries was performed in Lahore (45,106) while the lowest was in Kasur (196). A comparative analysis, of figures from 2020 and 2021 depicted in <2.5kg Figure 4.33, reveals that Lahore had the highest number of C-section cases in 2020 as well, while the lowest was recorded in Kasur (862). 10,248 1,069,553 Live births with LBW Caesarean Cases by District & Year 28,331 (2.6%) Vehari Source: DG Health Services Punjab Live births Sll-births Toba Tek Singh Sialkot Sheikhupura Figure 4.34 Sargodha 89 Sahiwal 4.10.4 Neonatal Deaths 90 Rawalpindi Rajanpur Rahim Yar Khan Across the province in 2021, 299 cases of neonatal deaths were recorded. Although this statistic itself may be Pakpaan perceived as a low overall incidence, it is noteworthy that this figure is an alarming increase by 169 percent from Okara Narowal 111 neonatal deaths recorded in 2020 (Figure 4.35). Nankana Sahib Muzaffargarh Multan Neonatal Deaths by Year Mianwali Mandi Bahauddin 299 Lodhran 350 Layyah 300 Lahore Khushab 250 Khanewal Kasur 200 111 Jhelum Jhang 150 Hafizabad 100 Gujrat Gujranwala 50 Faisalabad DG Khan 0 Chiniot 2020 2021 Chakwal Source: DG Health Services Punjab Bhakkar Bahawalpur Figure 4.35 Bahawalnagar Aock In terms of a district-wise analysis, TT Singh recorded the highest number of neonatal deaths (189) while 11 districts 0 20000 40000 60000 80000 100000 recorded none. It is interesting to note that in the preceding year, TT Singh had only recorded one neonatal death while 8 of 36 districts had recorded none. Jhang, Narowal, Lahore, Jhelum and Sahiwal all reduced their neonatal Source: DG Health Services Punjab 2020 2021 death toll to 0 in 2021 as compared to their statistics in 2020. Figure 4.33 Figure 4.36 illustrates a yearly comparison of district-wise neonatal deaths recorded in the province. 163 (Cutland, et al., 2017) 164 (Cutland, et al., 2017)
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PUNJAB GENDER PARITY REPORT 2021 / HEALTH PUNJAB GENDER PARITY REPORT 2021 / HEALTH and those on ART were observed in the treatment centre in Lahore where 30 percent of the patients were not 120 Neonatal Deaths by District & Year receiving ART. 100 80 Did you Know?* Most maternal and infant deaths occur in the first month 60 aer birth: almost 1/2 of postnatal maternal deaths occur within the 40 first 24 hours, and 66% occur during the first week. 20 0 Transgender AIDS Paents by District & ART Status (as of April 2021) 2500 Source: DG Health Services Punjab 2020 2021 1919 2000 Figure 4.36 1500 1,073 997755 1057 1000 514 865 507 220 4.11 Postnatal Care Visits 500 0 29 83 12 0 2 11 19 8 58 197 12 0 29 71 12 0 2 11 19 8 46 12 0 The WHO guidelines on Postnatal Care (PNC) for the mother and new-born recommend ensuring provision of a total of four PNC visits for every mother and baby. The timeline of these four visits is marked across the first day, day 3, between days 7-14 and at six weeks. 91 92 Administrative data was available for the first PNC visit at health facilities in Punjab. In 2021, a total of 9,84,111 Source: Naonal AIDS Control Programe Website Paents Paents on ART visits were made in facilities across 36 districts of Punjab. The highest number of visits was recorded in RY Khan (53,191) while the lowest in Chiniot (11,962). Figure 4.37 Of 4,919 transgender AIDS patients reported at 14 centres (Bahawalnagar and Jhelum did not report any 4.12 HIV/AIDS transgender AIDS patient), 3,827 (78%) received ART. The widest gap in this case was also observed in Lahore where 44 percent of the transgender AIDS patients did not receive ART. The stigma around diseases like HIV/AIDS is an impetus to prioritize the integration of health services and human rights as a policy approach. The rollout of the antiretroviral treatment (ART) is a breakthrough both in terms of physical health as well as the creation of dignified space for patients. Female AIDS Paents by District & ART Status (as of April 2021) However, for the already vulnerable segments like women and girls, progress is likely to be obstructed by myriad 14,000 12,563 socioeconomic and cultural factors related to their entrenched position within a gender-unequal scheme of 12,000 circumstances. Their lack of bodily and reproductive autonomy in intimate relationships, financial dependence and disproportionate exposure and/or vulnerability to violence are some manifestations of this inequality. 10,000 7,927 8,168 8,845 8,000 7,338 7,265 6,135 5,116 It is hence important for policymakers to prioritize a gender-sensitive response to HIV/AIDS control and 6,000 4,140 3,369 treatment. 4,065 4,000 3,369 2,090 1,334 Figure 4.37 and 4.38 illustrate the respective statistics for female and transgender AIDS patients and their 2,000 1 17 74 4 8 89 98 8 12 80 65 22 56 90 7 64 7 1,724 7 77 76 4 1,201 6 646 81 77 33 00 treatment status as per data obtained for 16 treatment centres across Punjab from May 2020 to April 2021. - These centres are located in Bahawalnagar, Chiniot, DG Khan, Faisalabad, Gujrat, Jhelum, Lahore, Mianwali, Multan, Muzaffargarh, Nankana Sahib, Okara, RY Khan, Rawalpindi, Sargodha and Sheikhupura. Of 49,504 female AIDS patients, 42,659 (86%) received ART. The widest gap between the total number of patients Source: Naonal AIDS Control Programe Website Paents Paents on ART Figure 4.38 165 (World Health Organizaon, 2015) * (World Health Organizaon, 2015) 166 (Louy, Khosla, & Narasimhan, 2015) 167 (Louy, Khosla, & Narasimhan, 2015) kcoA raganlawahaB ruplawahaB rakkahB lawkahC toinihC nahK GD dabalasiaF alawnarjuG tarjuG dabazfiaH gnahJ mulehJ rusaK lawenahK bahsuhK erohaL hayyaL narhdoL nidduahaB idnaM ilawnaiM natluM hragraffazuM bihaS anaknaN laworaN arakO naapkaP nahK raY mihaR rupnajaR idniplawaR lawihaS ahdograS arupuhkiehS toklaiS hgniS TT iraheV raganlawahaB raganlawahaB toinihC toinihC nahK GD nahK GD dabalasiaF dabalasiaF tarjuG tarjuG mulheJ mulheJ erohaL erohaL ilawnaiM ilawnaiM natluM natluM hragraffazuM hragraffazuM bihaS anaknaN bihaS anaknaN arakO arakO nahK raY mihaR nahK raY mihaR idniplawaR idniplawaR ahdograS arupuhkiehS ahdograS arupuhkiehS
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PUNJAB GENDER PARITY REPORT 2021 / HEALTH PUNJAB GENDER PARITY REPORT 2021 / HEALTH and those on ART were observed in the treatment centre in Lahore where 30 percent of the patients were not 120 Neonatal Deaths by District & Year receiving ART. 100 80 Did you Know?* Most maternal and infant deaths occur in the first month 60 aer birth: almost 1/2 of postnatal maternal deaths occur within the 40 first 24 hours, and 66% occur during the first week. 20 0 Transgender AIDS Paents by District & ART Status (as of April 2021) 2500 Source: DG Health Services Punjab 2020 2021 1919 2000 Figure 4.36 1500 1,073 997755 1057 1000 514 865 507 220 4.11 Postnatal Care Visits 500 0 29 83 12 0 2 11 19 8 58 197 12 0 29 71 12 0 2 11 19 8 46 12 0 The WHO guidelines on Postnatal Care (PNC) for the mother and new-born recommend ensuring provision of a total of four PNC visits for every mother and baby. The timeline of these four visits is marked across the first day, day 3, between days 7-14 and at six weeks. 91 92 Administrative data was available for the first PNC visit at health facilities in Punjab. In 2021, a total of 9,84,111 Source: Naonal AIDS Control Programe Website Paents Paents on ART visits were made in facilities across 36 districts of Punjab. The highest number of visits was recorded in RY Khan (53,191) while the lowest in Chiniot (11,962). Figure 4.37 Of 4,919 transgender AIDS patients reported at 14 centres (Bahawalnagar and Jhelum did not report any 4.12 HIV/AIDS transgender AIDS patient), 3,827 (78%) received ART. The widest gap in this case was also observed in Lahore where 44 percent of the transgender AIDS patients did not receive ART. The stigma around diseases like HIV/AIDS is an impetus to prioritize the integration of health services and human rights as a policy approach. The rollout of the antiretroviral treatment (ART) is a breakthrough both in terms of physical health as well as the creation of dignified space for patients. Female AIDS Paents by District & ART Status (as of April 2021) However, for the already vulnerable segments like women and girls, progress is likely to be obstructed by myriad 14,000 12,563 socioeconomic and cultural factors related to their entrenched position within a gender-unequal scheme of 12,000 circumstances. Their lack of bodily and reproductive autonomy in intimate relationships, financial dependence and disproportionate exposure and/or vulnerability to violence are some manifestations of this inequality. 10,000 7,927 8,168 8,845 8,000 7,338 7,265 6,135 5,116 It is hence important for policymakers to prioritize a gender-sensitive response to HIV/AIDS control and 6,000 4,140 3,369 treatment. 4,065 4,000 3,369 2,090 1,334 Figure 4.37 and 4.38 illustrate the respective statistics for female and transgender AIDS patients and their 2,000 1 17 74 4 8 89 98 8 12 80 65 22 56 90 7 64 7 1,724 7 77 76 4 1,201 6 646 81 77 33 00 treatment status as per data obtained for 16 treatment centres across Punjab from May 2020 to April 2021. - These centres are located in Bahawalnagar, Chiniot, DG Khan, Faisalabad, Gujrat, Jhelum, Lahore, Mianwali, Multan, Muzaffargarh, Nankana Sahib, Okara, RY Khan, Rawalpindi, Sargodha and Sheikhupura. Of 49,504 female AIDS patients, 42,659 (86%) received ART. The widest gap between the total number of patients Source: Naonal AIDS Control Programe Website Paents Paents on ART Figure 4.38 165 (World Health Organizaon, 2015) * (World Health Organizaon, 2015) 166 (Louy, Khosla, & Narasimhan, 2015) 167 (Louy, Khosla, & Narasimhan, 2015) kcoA raganlawahaB ruplawahaB rakkahB lawkahC toinihC nahK GD dabalasiaF alawnarjuG tarjuG dabazfiaH gnahJ mulehJ rusaK lawenahK bahsuhK erohaL hayyaL narhdoL nidduahaB idnaM ilawnaiM natluM hragraffazuM bihaS anaknaN laworaN arakO naapkaP nahK raY mihaR rupnajaR idniplawaR lawihaS ahdograS arupuhkiehS toklaiS hgniS TT iraheV raganlawahaB raganlawahaB toinihC toinihC nahK GD nahK GD dabalasiaF dabalasiaF tarjuG tarjuG mulheJ mulheJ erohaL erohaL ilawnaiM ilawnaiM natluM natluM hragraffazuM hragraffazuM bihaS anaknaN bihaS anaknaN arakO arakO nahK raY mihaR nahK raY mihaR idniplawaR idniplawaR ahdograS arupuhkiehS ahdograS arupuhkiehS
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PUNJAB GENDER PARITY REPORT 2021 / HEALTH PUNJAB GENDER PARITY REPORT 2021 / HEALTH Figure 4.39 illustrates the distribution of female and transgender AIDS patients across the 16 treatment centres in 4.13 Breast Cancer Punjab between May 2020 and April 2021. As per the last available statistic on the incidence of breast cancer in Pakistan, the country fares worst among its Asian counterparts with every 1 in 9 women at the risk of developing the disease. Unfortunately, Pakistani women have low rates of early detection which may be attributed to an overall lack of awareness and self- examination. Transgender & Female AIDS Pae ts by District (as of April 2021) In order to effectively prevent and treat the disease, it is imperative to generate data that provides an accurate picture for public health policymaking and programming. While historically under-researched within the country. Breast cancer Breast Cancer Cases by Year research has witnessed an unprecedented surge in Pakistan where about two-thirds of all breast cancer research in Pakistan has been 3,854 conducted between 2015 and 2019. 3,129 The Punjab Cancer Registry is dedicated to tracking the population level cancer statistics within the province by maintaining data for 15 districts at the moment with a plan to eventually expand to the remaining ones as well. 2020 2021 Source: Punjab Cancer Registry The reported cases of breast cancer increased by 23 percent from Figure 4.40 3,129 in 2020 to 3,854 in 2021. An age-wise analysis (Figure 4.41) reveals that the most vulnerable age group of women was 40-59 years which formed almost 55 percent of all breast cancer patients reported in 2021. 93 94 Cancer Cases Among Women by Age Group (2021) 0-19 20-39 40-59 60+ AIDS Pae ts 3 832 (0.1%) 896 (21.6%) No Treatment Centres (23.2%) 2,123 Up to 2000 (55.1%) 2001 to 4000 Source: Punjab Cancer Registry 4001 to 6000 6001- 8000 Figure 4.41 > 8000 Source: Naonal AIDS Control Programme Website Figure 4.39 168 (Khan, Duan, Wu, & Ji, 2021) 169 Ibid 170 (Ahmad, et al., 2021) 171 (Punjab Cancer Registry, n.d.)
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PUNJAB GENDER PARITY REPORT 2021 / HEALTH PUNJAB GENDER PARITY REPORT 2021 / HEALTH Figure 4.39 illustrates the distribution of female and transgender AIDS patients across the 16 treatment centres in 4.13 Breast Cancer Punjab between May 2020 and April 2021. As per the last available statistic on the incidence of breast cancer in Pakistan, the country fares worst among its Asian counterparts with every 1 in 9 women at the risk of developing the disease. Unfortunately, Pakistani women have low rates of early detection which may be attributed to an overall lack of awareness and self- examination. Transgender & Female AIDS Pae ts by District (as of April 2021) In order to effectively prevent and treat the disease, it is imperative to generate data that provides an accurate picture for public health policymaking and programming. While historically under-researched within the country. Breast cancer Breast Cancer Cases by Year research has witnessed an unprecedented surge in Pakistan where about two-thirds of all breast cancer research in Pakistan has been 3,854 conducted between 2015 and 2019. 3,129 The Punjab Cancer Registry is dedicated to tracking the population level cancer statistics within the province by maintaining data for 15 districts at the moment with a plan to eventually expand to the remaining ones as well. 2020 2021 Source: Punjab Cancer Registry The reported cases of breast cancer increased by 23 percent from Figure 4.40 3,129 in 2020 to 3,854 in 2021. An age-wise analysis (Figure 4.41) reveals that the most vulnerable age group of women was 40-59 years which formed almost 55 percent of all breast cancer patients reported in 2021. 93 94 Cancer Cases Among Women by Age Group (2021) 0-19 20-39 40-59 60+ AIDS Pae ts 3 832 (0.1%) 896 (21.6%) No Treatment Centres (23.2%) 2,123 Up to 2000 (55.1%) 2001 to 4000 Source: Punjab Cancer Registry 4001 to 6000 6001- 8000 Figure 4.41 > 8000 Source: Naonal AIDS Control Programme Website Figure 4.39 168 (Khan, Duan, Wu, & Ji, 2021) 169 Ibid 170 (Ahmad, et al., 2021) 171 (Punjab Cancer Registry, n.d.)
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PUNJAB GENDER PARITY REPORT 2021 / HEALTH PUNJAB GENDER PARITY REPORT 2021 / HEALTH Figure 4.42 depicts the top 10 districts for breast cancer cases reported in Punjab in 2021. TB Cases by Gender & Year 250,000 212,481 200,000 152,503 Top 10 Districts Reporng Cancer Among Women (2021) 150,000 104,196 96,430 100,000 74,661 67,025 50,000 4,769 6,048 5,318 6,537 - M F M F M F M F Aock Rawalpindi Children Adult Total Children Adult Total 2020 2021 Chakwal Jhelum Source: TB Control Programe Mianwali Gujrat Figure 4.43 Mandi Bahauddin Khushab Sialkot Sargodha H a fiza b a d Gujranwala Narowal Lahore reported the highest incidence of TB cases among women in 2021 with more than 8000 cases, whereas Bhakkar Chiniot Sheikhupura Rajanpur, Pakpattan, Lodhran, Layyah, Nankana Sahib, Sheikhupura, Chiniot, Hafizabad, Gujrat, Narowal, Attock, Mianwali, Chakwal, TT Singh and Jhelum reported 2000 or fewer cases. Figure 4.44 illustrates the distribution of TB Jhang Faisala b a d Lahore cases in the province in 2021. Layyah Kasur Okara Incidence of TB Among Women by District (2021) Khanewal Pakpatan . Multan Vehari Lodhran Attock 95 96 Rajanpur Rawalpindi Bahawalpur Chakwal Jhelum Mianwali Gujrat Cancer Cases Mandi Bahauddin Sialkot Up to 880 Khushab Narowal Sargodha Hafizabad Gujranwala 881-1,661 Sheikhupura 1,662-2,442 Bhakkar Chiniot Nankana SahibLahore > 2,442 Faisalabad Source: Punjab Cancer Registry Jhang Kasur Layyah Toba Tek Singh Figure 4.42 Okara Muzaffargarh Sahiwal Khanewal Pakpattan Dera Ghazi Khan Multan Vehari 4.14 Tuberculosis (TB) Lodhran Bahawalnagar Pakistan is one of the high TB burden countries and in 2020, it was one of the eight countries that accounted for Rajanpur two-thirds of the new TB cases globally. Although men outnumber women as TB patients globally, women's TB Cases journey as TB patients is compounded with other factors that inflict them with disproportionate social and Bahawalpur economic suffering. Up to 2000 Rahim Yar Khan 2001 - 4000 Rahim Yar Khan Rahim Yar Khan In 2021, 2,12,481 cases of TB were recorded of which 49 percent were of men, 45 percent women, 2.5 percent 4001 - 6000 boys and 3 percent were girls. It is interesting to note that in the minor age group, the higher incidence is found in 6001 - 8000 girls whereas this trend is reversed in adulthood where more cases are reported for men. Figure 4.43 illustrates a > 8000 yearly comparison of reported cases of TB in the province for both genders in minors and adults. Source: Punjab TB Control Program Figure 4.44 172 (World Health Organizaon, 2021) 173 (Srivastava, Kant, Narain, & Bajpai, 2018)
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PUNJAB GENDER PARITY REPORT 2021 / HEALTH PUNJAB GENDER PARITY REPORT 2021 / HEALTH Figure 4.42 depicts the top 10 districts for breast cancer cases reported in Punjab in 2021. TB Cases by Gender & Year 250,000 212,481 200,000 152,503 Top 10 Districts Reporng Cancer Among Women (2021) 150,000 104,196 96,430 100,000 74,661 67,025 50,000 4,769 6,048 5,318 6,537 - M F M F M F M F Aock Rawalpindi Children Adult Total Children Adult Total 2020 2021 Chakwal Jhelum Source: TB Control Programe Mianwali Gujrat Figure 4.43 Mandi Bahauddin Khushab Sialkot Sargodha H a fiza b a d Gujranwala Narowal Lahore reported the highest incidence of TB cases among women in 2021 with more than 8000 cases, whereas Bhakkar Chiniot Sheikhupura Rajanpur, Pakpattan, Lodhran, Layyah, Nankana Sahib, Sheikhupura, Chiniot, Hafizabad, Gujrat, Narowal, Attock, Mianwali, Chakwal, TT Singh and Jhelum reported 2000 or fewer cases. Figure 4.44 illustrates the distribution of TB Jhang Faisala b a d Lahore cases in the province in 2021. Layyah Kasur Okara Incidence of TB Among Women by District (2021) Khanewal Pakpatan . Multan Vehari Lodhran Attock 95 96 Rajanpur Rawalpindi Bahawalpur Chakwal Jhelum Mianwali Gujrat Cancer Cases Mandi Bahauddin Sialkot Up to 880 Khushab Narowal Sargodha Hafizabad Gujranwala 881-1,661 Sheikhupura 1,662-2,442 Bhakkar Chiniot Nankana SahibLahore > 2,442 Faisalabad Source: Punjab Cancer Registry Jhang Kasur Layyah Toba Tek Singh Figure 4.42 Okara Muzaffargarh Sahiwal Khanewal Pakpattan Dera Ghazi Khan Multan Vehari 4.14 Tuberculosis (TB) Lodhran Bahawalnagar Pakistan is one of the high TB burden countries and in 2020, it was one of the eight countries that accounted for Rajanpur two-thirds of the new TB cases globally. Although men outnumber women as TB patients globally, women's TB Cases journey as TB patients is compounded with other factors that inflict them with disproportionate social and Bahawalpur economic suffering. Up to 2000 Rahim Yar Khan 2001 - 4000 Rahim Yar Khan Rahim Yar Khan In 2021, 2,12,481 cases of TB were recorded of which 49 percent were of men, 45 percent women, 2.5 percent 4001 - 6000 boys and 3 percent were girls. It is interesting to note that in the minor age group, the higher incidence is found in 6001 - 8000 girls whereas this trend is reversed in adulthood where more cases are reported for men. Figure 4.43 illustrates a > 8000 yearly comparison of reported cases of TB in the province for both genders in minors and adults. Source: Punjab TB Control Program Figure 4.44 172 (World Health Organizaon, 2021) 173 (Srivastava, Kant, Narain, & Bajpai, 2018)
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PUNJAB GENDER PARITY REPORT 2021 / HEALTH PUNJAB GENDER PARITY REPORT 2021 / HEALTH 4.15 Conclusion particularly those in underserved areas. Facilitate Family Planning and Contraceptive Use The status of public health in Punjab, despite some positive trends, remains subpar. This status is particularly dismal for women and children when assessed in light of low CPR, high child mortality rates and increased • Devise and scale up awareness campaigns to increase use of modern contraceptive methods. vulnerability to communicable diseases and NCDs vis a vis obstructive access to quality healthcare services. District-level analysis reveals variation in health outcomes across districts indicating the need to work towards • Devise strategies like expansion of coverage to address district-wise discrepancies between incidence of ensuring universal access and devoting a greater share of resources to underserved districts. As Punjab is childbirth and antenatal care including ANC visits and tetanus immunization forecasted to face a shortage of health-related HR, it is crucial to develop measures to increase and retain the workforce. The need for policy interventions to be implemented uniformly across all districts, particularly in adolescent healthcare, antenatal care and IRMNCH facilities, is also being on the deserving of priority agenda for • Increase targeted interventions in large districts with less than 20,000 family planning visits to strengthen all government departments. population welfare efforts. International best practices must be adopted to deepen progress earned on health outcomes in the province Public-private partnerships over the recent years as well as to innovate equitable solutions for current challenges such that the entire population benefits irrespective of gender, income and/or other social determinants. • Explore avenues for public-private partnerships in providing quality, low-cost primary healthcare, enhancing patient experience and medical staff remuneration. 4.16 Recommendations Address stigmatized Communicable and Non-Communicable Diseases • Initiate awareness campaigns to counter stigma around certain diseases and conditions such as HIV/AIDS, 4.16.1 Policy breast cancer and TB. This will improve attitudes towards prevention, control and treatment. Ensure maintenance of gender-disaggregated data Improve Infrastructure at Government Health Facilities • Establish standardised data-sharing protocols across all tiers of healthcare delivery relevant to health • Undertake systematic upgrade of health facilities across the province. services, surveillance and staffing. 97 • Conduct research to identify the reasons for consistent decrease in health facilities across Punjab and devise 98 • Ensure maximum documentation of women, adolescent girls, transgender persons and PWDs. remedial strategies accordingly. Increase focus on preventive healthcare Ensure continuity of effective service delivery by Lady Health Workers (LHWs) • Establish policy frameworks aimed at disease prevention, expansion of immunization and nutrition • Retire and replace LHWs in a clearly defined service structure, and institutionalize training programs to ensure well-trained and consistent healthcare human resources. programs as well as reproductive healthcare initiatives. Remove disparity in resource allocaon across districts Integrate healthcare education in formal schooling • Allocate more resources (facilies, beds, and HR) to underserved districts and rural areas. • Healthcare departments must collaborate with the School Education Department to incorporate life skills- based (LSB) educational module including reproductive health, nutrition and menstrual health. Decrease maternal and child mortality Gender-sensive planning of intervenons by the Punjab Mental Health Authority • Ensure that women, especially those in remote areas, have greater access to emergency obstetric care. • This may include behaviour change communicaon to encourage more women to seek medical help, hiring • Train more women at the community level as Lady Health Workers to disseminate key informaon on a greater number of female psychiatrists and psychologists, and designing women-friendly mental health reproducve health as well as shape community atudes towards healthy pregnancies and safe delivery facilies. pracces. 4.16.2 Procedural Facilitate Women's Mental Health • Establish support desks for mental health at gynaecology and obstetric care wards to detect and address pre- and post-natal depression. Increase and Retain Human Resources in Government Health Facilities • Devise strategies to ensure adequate medical personnel and healthcare staff across all health facilities
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PUNJAB GENDER PARITY REPORT 2021 / HEALTH PUNJAB GENDER PARITY REPORT 2021 / HEALTH 4.15 Conclusion particularly those in underserved areas. Facilitate Family Planning and Contraceptive Use The status of public health in Punjab, despite some positive trends, remains subpar. This status is particularly dismal for women and children when assessed in light of low CPR, high child mortality rates and increased • Devise and scale up awareness campaigns to increase use of modern contraceptive methods. vulnerability to communicable diseases and NCDs vis a vis obstructive access to quality healthcare services. District-level analysis reveals variation in health outcomes across districts indicating the need to work towards • Devise strategies like expansion of coverage to address district-wise discrepancies between incidence of ensuring universal access and devoting a greater share of resources to underserved districts. As Punjab is childbirth and antenatal care including ANC visits and tetanus immunization forecasted to face a shortage of health-related HR, it is crucial to develop measures to increase and retain the workforce. The need for policy interventions to be implemented uniformly across all districts, particularly in adolescent healthcare, antenatal care and IRMNCH facilities, is also being on the deserving of priority agenda for • Increase targeted interventions in large districts with less than 20,000 family planning visits to strengthen all government departments. population welfare efforts. International best practices must be adopted to deepen progress earned on health outcomes in the province Public-private partnerships over the recent years as well as to innovate equitable solutions for current challenges such that the entire population benefits irrespective of gender, income and/or other social determinants. • Explore avenues for public-private partnerships in providing quality, low-cost primary healthcare, enhancing patient experience and medical staff remuneration. 4.16 Recommendations Address stigmatized Communicable and Non-Communicable Diseases • Initiate awareness campaigns to counter stigma around certain diseases and conditions such as HIV/AIDS, 4.16.1 Policy breast cancer and TB. This will improve attitudes towards prevention, control and treatment. Ensure maintenance of gender-disaggregated data Improve Infrastructure at Government Health Facilities • Establish standardised data-sharing protocols across all tiers of healthcare delivery relevant to health • Undertake systematic upgrade of health facilities across the province. services, surveillance and staffing. 97 • Conduct research to identify the reasons for consistent decrease in health facilities across Punjab and devise 98 • Ensure maximum documentation of women, adolescent girls, transgender persons and PWDs. remedial strategies accordingly. Increase focus on preventive healthcare Ensure continuity of effective service delivery by Lady Health Workers (LHWs) • Establish policy frameworks aimed at disease prevention, expansion of immunization and nutrition • Retire and replace LHWs in a clearly defined service structure, and institutionalize training programs to ensure well-trained and consistent healthcare human resources. programs as well as reproductive healthcare initiatives. Remove disparity in resource allocaon across districts Integrate healthcare education in formal schooling • Allocate more resources (facilies, beds, and HR) to underserved districts and rural areas. • Healthcare departments must collaborate with the School Education Department to incorporate life skills- based (LSB) educational module including reproductive health, nutrition and menstrual health. Decrease maternal and child mortality Gender-sensive planning of intervenons by the Punjab Mental Health Authority • Ensure that women, especially those in remote areas, have greater access to emergency obstetric care. • This may include behaviour change communicaon to encourage more women to seek medical help, hiring • Train more women at the community level as Lady Health Workers to disseminate key informaon on a greater number of female psychiatrists and psychologists, and designing women-friendly mental health reproducve health as well as shape community atudes towards healthy pregnancies and safe delivery facilies. pracces. 4.16.2 Procedural Facilitate Women's Mental Health • Establish support desks for mental health at gynaecology and obstetric care wards to detect and address pre- and post-natal depression. Increase and Retain Human Resources in Government Health Facilities • Devise strategies to ensure adequate medical personnel and healthcare staff across all health facilities
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PUNJAB GENDER PARITY REPORT 2021 / HEALTH PUNJAB GENDER PARITY REPORT 2021 / HEALTH 99 99 100 EDUCATION
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PUNJAB GENDER PARITY REPORT 2021 / HEALTH PUNJAB GENDER PARITY REPORT 2021 / HEALTH 99 99 100 EDUCATION
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PUNJAB GENDER PARITY REPORT 2021 / EDUCATION 05 INTRODUCTION EDUCATION Education is a combination of aspects including effect, severe gender gaps remain a challenge throughout learning resources, technology, teaching global education. About one-third of the developing world methodology, co-curricular activities and has not yet achieved gender parity in primary education. performance rewards that engage learners in a Adult women still have less education than their male process of individual and collective self- counterparts in two-thirds of the world's countries. enlightenment. Education helps develop a Globally, 3 out of 4 students without access to remote KEY FINDINGS population's learning capabilities and enables them learning come from rural areas and/or belong to the to apply knowledge in daily life scenarios. In this poorest households. sense, quality education empowers people to live According to the Labour Force Survey 2020-21, the total Literacy Rate (LR) in Punjab increased by 0.3%, healthy and sustainable lives. These disparities have been exacerbated by the COVID-19 from 66.1% in 2018-19. The female literacy rate stood at 58.4% registering a 0.5% increase from 2018- pandemic and its mitigation measures like lockdowns and 19. Conversely, the male LR witnessed a downward trend, declining by 0.1% from 74.3% in 2018-19 to Having identified its significance, the United Nations the shift to digital learning. More than 460 million students 74.2% in 2020-21. Rural LR for women increased to 26.5% while that for men increased to 60%. Urban LR Sustainable Development Agenda 2030 posited around the globe do not have access to Internet, computers for women increased to 74.3% while that for men decreased marginally to 82.8%. access to quality education as its 4th Goal in 2015. or mobile phones to participate in virtual learning. Among The global community has since been involved in the ones that do, girls' safety online is a concern pushing The ALR for men in Punjab stood at 70% while the female ALR stood at 53% in 2019-20, posting higher renewed activism for fair and equal access to parents and caregivers to limit girl students' time spent figures than the national averages. In Pakistan, the ALR for men in 2019-20 stood at 68% as opposed to education for all. The agenda asserts that inclusive online, thus further jeopardising their access to 69% in 2018-19 while the female ALR stood at 46% recording a 2.2% increase from the year before. education matters multi-fold. It enables the education. Progress on women's and girls' education is achievement of many other Sustainable particularly threatened due to pre-existing higher drop-out For 2019-20, Punjab's Net Enrolment Rates (NER) for both boys and girls stood at 56% - significantly Development Goals (SDGs) by helping break the rates for girls, making them vulnerable to child marriage, lower than the national figures of 59% for boys and 60% for girls. cycle of poverty, reducing inequalities, reaching trafficking, sexual exploitation and other forms of Violence gender equality and contributing to peaceful Against Women and Girls (VAWG). UNICEF estimates that 24% of children aged between 5 and 16 years in Punjab were out-of-school in 2019-20, of which 22% societies fostering tolerance between people. 11 million girls may never return to school after the were boys and 26% were girls. Overall, Out of School Children (OOSC) in Punjab increased by 14% as 101 pandemic. 102 compared to 2018-19. A headline observation regarding the state of education in developing countries maintains that Set against this global backdrop, Pakistan struggles to find a The number of formal schools in Punjab increased marginally by 0.3% from 47,982 schools in FY 2019-20 although academic patterns are shaped by global footing in achieving universal education, enhancing access to 48,133 in the academic year 2021. Of these, 22,620 (47%) are boys' schools whereas 25,513 (53%) are structures, what plays out in practice is influenced and quality for women and girls and mitigating the risks girls' schools. Of the total, 32,157 (67%) are primary schools, 7,177 (15%) middle, 8,023 (16.6%) heavily by cultural factors. While enrolment in posed by COVID-19. Ranking 135 out of 146 countries in secondary and 776 (1.6%) are higher secondary schools. primary education in developing countries has the 'attainment of education' indicator of the Global reached 91 percent, significant barriers persist in Gender Gap Index 2022, Pakistan lags behind on most of all In the academic year 2020-21, 5.94 million boys and 5.92 million girls were enrolled in formal public making access to education inclusive and 10 targets of the SDG 4. schools of Punjab. sustainable. Certain population groups continue to struggle in gaining access to quality education; The Federal Government has devised new strategies to In 2021, 357,088 teachers were available in formal schools in Punjab. Of these, 198,517 (55.6%) were women and girls form a major segment of these overcome existing and novel challenges through innovative female and 158,571 (44.4%) were male. groups despite evidence supporting positive education. These include the Single National Curriculum correlations between female education and human which has entered its phased implementation nationwide. Overall, in 2021, girls' schools had more facilities than boys' schools. 89% of all schools had sewerage, development. Investing in girls' education has The Ministry of Education and Professional Training has also 98% had boundary walls and 995 had a building, main gate, water supply, toilet facility and electricity. historically been linked with high returns for female launched a pilot initiative focused on blended e-learning- educational attainment, maternal and children's a concept combining online teaching tools and In 2021, the overall PTR in formal schools in Punjab was 33.5 while the PTR for girls was 30 students per health, more sustainable families, democracy, methodologies with traditional place-based ones. This teacher and that for boys was 37 per teacher. income growth and productivity. program is tailored to address the digital gap in education which was accentuated due to the shift to e-classrooms Although heartening statistics have emerged to this during the pandemic. Overall, the Federal Government has 174 (Thangeta, Baraseng, & Mompa, 2016) 175 (United Naons, 2018) 176 Ibid 177 (Rowell, 2020) 178 (United Naons, 2018) 179 (Evans, Akmal, & Jakiela, 2020) 180 Ibid 181 (United Naons, 2018) 182 (Evans, Akmal, & Jakiela, 2020) 183 (UNICEF, 2020) 184 (Krywult-Albánska & Albánski, 2021) 185 (Varkey Foundaon, 2021) 186 (Krywult-Albánska & Albánski, 2021) 187 (UNICEF, 2022) 188 (Ministry of Federal Educaon & Professional Training, Government of Pakistan, 2021)
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PUNJAB GENDER PARITY REPORT 2021 / EDUCATION 05 INTRODUCTION EDUCATION Education is a combination of aspects including effect, severe gender gaps remain a challenge throughout learning resources, technology, teaching global education. About one-third of the developing world methodology, co-curricular activities and has not yet achieved gender parity in primary education. performance rewards that engage learners in a Adult women still have less education than their male process of individual and collective self- counterparts in two-thirds of the world's countries. enlightenment. Education helps develop a Globally, 3 out of 4 students without access to remote KEY FINDINGS population's learning capabilities and enables them learning come from rural areas and/or belong to the to apply knowledge in daily life scenarios. In this poorest households. sense, quality education empowers people to live According to the Labour Force Survey 2020-21, the total Literacy Rate (LR) in Punjab increased by 0.3%, healthy and sustainable lives. These disparities have been exacerbated by the COVID-19 from 66.1% in 2018-19. The female literacy rate stood at 58.4% registering a 0.5% increase from 2018- pandemic and its mitigation measures like lockdowns and 19. Conversely, the male LR witnessed a downward trend, declining by 0.1% from 74.3% in 2018-19 to Having identified its significance, the United Nations the shift to digital learning. More than 460 million students 74.2% in 2020-21. Rural LR for women increased to 26.5% while that for men increased to 60%. Urban LR Sustainable Development Agenda 2030 posited around the globe do not have access to Internet, computers for women increased to 74.3% while that for men decreased marginally to 82.8%. access to quality education as its 4th Goal in 2015. or mobile phones to participate in virtual learning. Among The global community has since been involved in the ones that do, girls' safety online is a concern pushing The ALR for men in Punjab stood at 70% while the female ALR stood at 53% in 2019-20, posting higher renewed activism for fair and equal access to parents and caregivers to limit girl students' time spent figures than the national averages. In Pakistan, the ALR for men in 2019-20 stood at 68% as opposed to education for all. The agenda asserts that inclusive online, thus further jeopardising their access to 69% in 2018-19 while the female ALR stood at 46% recording a 2.2% increase from the year before. education matters multi-fold. It enables the education. Progress on women's and girls' education is achievement of many other Sustainable particularly threatened due to pre-existing higher drop-out For 2019-20, Punjab's Net Enrolment Rates (NER) for both boys and girls stood at 56% - significantly Development Goals (SDGs) by helping break the rates for girls, making them vulnerable to child marriage, lower than the national figures of 59% for boys and 60% for girls. cycle of poverty, reducing inequalities, reaching trafficking, sexual exploitation and other forms of Violence gender equality and contributing to peaceful Against Women and Girls (VAWG). UNICEF estimates that 24% of children aged between 5 and 16 years in Punjab were out-of-school in 2019-20, of which 22% societies fostering tolerance between people. 11 million girls may never return to school after the were boys and 26% were girls. Overall, Out of School Children (OOSC) in Punjab increased by 14% as 101 pandemic. 102 compared to 2018-19. A headline observation regarding the state of education in developing countries maintains that Set against this global backdrop, Pakistan struggles to find a The number of formal schools in Punjab increased marginally by 0.3% from 47,982 schools in FY 2019-20 although academic patterns are shaped by global footing in achieving universal education, enhancing access to 48,133 in the academic year 2021. Of these, 22,620 (47%) are boys' schools whereas 25,513 (53%) are structures, what plays out in practice is influenced and quality for women and girls and mitigating the risks girls' schools. Of the total, 32,157 (67%) are primary schools, 7,177 (15%) middle, 8,023 (16.6%) heavily by cultural factors. While enrolment in posed by COVID-19. Ranking 135 out of 146 countries in secondary and 776 (1.6%) are higher secondary schools. primary education in developing countries has the 'attainment of education' indicator of the Global reached 91 percent, significant barriers persist in Gender Gap Index 2022, Pakistan lags behind on most of all In the academic year 2020-21, 5.94 million boys and 5.92 million girls were enrolled in formal public making access to education inclusive and 10 targets of the SDG 4. schools of Punjab. sustainable. Certain population groups continue to struggle in gaining access to quality education; The Federal Government has devised new strategies to In 2021, 357,088 teachers were available in formal schools in Punjab. Of these, 198,517 (55.6%) were women and girls form a major segment of these overcome existing and novel challenges through innovative female and 158,571 (44.4%) were male. groups despite evidence supporting positive education. These include the Single National Curriculum correlations between female education and human which has entered its phased implementation nationwide. Overall, in 2021, girls' schools had more facilities than boys' schools. 89% of all schools had sewerage, development. Investing in girls' education has The Ministry of Education and Professional Training has also 98% had boundary walls and 995 had a building, main gate, water supply, toilet facility and electricity. historically been linked with high returns for female launched a pilot initiative focused on blended e-learning- educational attainment, maternal and children's a concept combining online teaching tools and In 2021, the overall PTR in formal schools in Punjab was 33.5 while the PTR for girls was 30 students per health, more sustainable families, democracy, methodologies with traditional place-based ones. This teacher and that for boys was 37 per teacher. income growth and productivity. program is tailored to address the digital gap in education which was accentuated due to the shift to e-classrooms Although heartening statistics have emerged to this during the pandemic. Overall, the Federal Government has 174 (Thangeta, Baraseng, & Mompa, 2016) 175 (United Naons, 2018) 176 Ibid 177 (Rowell, 2020) 178 (United Naons, 2018) 179 (Evans, Akmal, & Jakiela, 2020) 180 Ibid 181 (United Naons, 2018) 182 (Evans, Akmal, & Jakiela, 2020) 183 (UNICEF, 2020) 184 (Krywult-Albánska & Albánski, 2021) 185 (Varkey Foundaon, 2021) 186 (Krywult-Albánska & Albánski, 2021) 187 (UNICEF, 2022) 188 (Ministry of Federal Educaon & Professional Training, Government of Pakistan, 2021)
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PUNJAB GENDER PARITY REPORT 2021 / EDUCATION PUNJAB GENDER PARITY REPORT 2021 / EDUCATION losses in learning levels, quality and access to education continue to obstruct the pathway to universal education, a right provided in the Constitution of Pakistan, 1973. The World Bank conducted a phone survey to assess the SDGs Implementation Plan effects of COVID-19 on the support for girls' education in Punjab. The survey revealed that 82 percent of the families are unaware of remote learning opportunities, 31 percent do not have access to the internet or TV and 21 percent of the parents of girls reported that their expectations for the highest grade their child will accomplish have fallen owing, predominantly, to fear that the child will not be able to catch up with learning. Although impediments like the pandemic may have marred educational progress on some accounts, the GoP took a remarkable leap in 2021 by launching the Transeducation pilot project in Multan spearheaded by the School Education Department, South Punjab. In an attempt to make education truly accessible and inclusive, transgender Policies Review National Implementation students are given formal education evening classes using an Accelerated Learning Programme module, the Plan for SDGs curriculum for which is a combined effort of the GoP's Literacy & Non-Formal Basic Education (NFBE) Department, Punjab Textbook Board and Japan International Cooperation Agency (JICA). This is an exceptional step to help enhance academic reach and impact. The impact of quality education trickles down and wide from the learner to the household and the society at large; this underscores the need for strengthening the education sector in Punjab. This strength must be derived from a holistic approach adopted by the Government of Punjab that addresses curriculum quality, gaps in learning infrastructure and the gender divide in access to and survival rate within the education system. National SDGs Framework Strategy for for Monitoring and Media Engagement Organization of Analysis Evaluation I. Naonal Educaonal Profile 103 II. Punjab’s Educaonal Profile 104 a. Literacy Rate Developing Private Sector Financing of SDGs b. Adult Literacy Rate Engagement Framework for c. Net Enrolment Rate SDGs d. Out Of School Children III. Access to Educaon a. Infrastructure & Enrolment in Formal Schools under PESRP b. Enrolment in Formal, Non-Formal, Special Educaon, Vocaonal and Higher Educaon Instutes c. Basic Facilies in Schools Developing Private Sector Development of University IV. Educaonal Iniaves Analysis of ADP/PSDP Engagement Framework a. Insaaf Aernoon Schools for Academia V. Quality of Educaon Source: Federal SDGs Support Unit, Ministry of Planning, Development and Refourm a. Teacher Availability b. Pupil-Teacher Rao Figure 5.1 laid out a comprehensive implementation plan, illustrated in Figure 5.1, applicable to SDG 4 and 5. Punjab, being the most populous province, must continuously endeavour to enhance its productive capacities to absorb the human development strain of its population and make access to education gender inclusive. In line with this purpose, the Government of Punjab (GoP) has earmarked a budgetary allocation of Rs. 442 billion for educational development in FY 2021-2022. The spending plan has taken into account laudable initiatives such as Insaaf Afternoon School Program and Taleem Ghar Program that were instituted during the pandemic to mitigate the challenges posed by e-learning. While these efforts are likely to cushion the damage, significant 190 (Hassan, Geven, & Tahir, 2021) 189 (Finance Department, Government of Punjab, 2021) 191 (School Educaon Department South Punjab, 2021)
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PUNJAB GENDER PARITY REPORT 2021 / EDUCATION PUNJAB GENDER PARITY REPORT 2021 / EDUCATION losses in learning levels, quality and access to education continue to obstruct the pathway to universal education, a right provided in the Constitution of Pakistan, 1973. The World Bank conducted a phone survey to assess the SDGs Implementation Plan effects of COVID-19 on the support for girls' education in Punjab. The survey revealed that 82 percent of the families are unaware of remote learning opportunities, 31 percent do not have access to the internet or TV and 21 percent of the parents of girls reported that their expectations for the highest grade their child will accomplish have fallen owing, predominantly, to fear that the child will not be able to catch up with learning. Although impediments like the pandemic may have marred educational progress on some accounts, the GoP took a remarkable leap in 2021 by launching the Transeducation pilot project in Multan spearheaded by the School Education Department, South Punjab. In an attempt to make education truly accessible and inclusive, transgender Policies Review National Implementation students are given formal education evening classes using an Accelerated Learning Programme module, the Plan for SDGs curriculum for which is a combined effort of the GoP's Literacy & Non-Formal Basic Education (NFBE) Department, Punjab Textbook Board and Japan International Cooperation Agency (JICA). This is an exceptional step to help enhance academic reach and impact. The impact of quality education trickles down and wide from the learner to the household and the society at large; this underscores the need for strengthening the education sector in Punjab. This strength must be derived from a holistic approach adopted by the Government of Punjab that addresses curriculum quality, gaps in learning infrastructure and the gender divide in access to and survival rate within the education system. National SDGs Framework Strategy for for Monitoring and Media Engagement Organization of Analysis Evaluation I. Naonal Educaonal Profile 103 II. Punjab’s Educaonal Profile 104 a. Literacy Rate Developing Private Sector Financing of SDGs b. Adult Literacy Rate Engagement Framework for c. Net Enrolment Rate SDGs d. Out Of School Children III. Access to Educaon a. Infrastructure & Enrolment in Formal Schools under PESRP b. Enrolment in Formal, Non-Formal, Special Educaon, Vocaonal and Higher Educaon Instutes c. Basic Facilies in Schools Developing Private Sector Development of University IV. Educaonal Iniaves Analysis of ADP/PSDP Engagement Framework a. Insaaf Aernoon Schools for Academia V. Quality of Educaon Source: Federal SDGs Support Unit, Ministry of Planning, Development and Refourm a. Teacher Availability b. Pupil-Teacher Rao Figure 5.1 laid out a comprehensive implementation plan, illustrated in Figure 5.1, applicable to SDG 4 and 5. Punjab, being the most populous province, must continuously endeavour to enhance its productive capacities to absorb the human development strain of its population and make access to education gender inclusive. In line with this purpose, the Government of Punjab (GoP) has earmarked a budgetary allocation of Rs. 442 billion for educational development in FY 2021-2022. The spending plan has taken into account laudable initiatives such as Insaaf Afternoon School Program and Taleem Ghar Program that were instituted during the pandemic to mitigate the challenges posed by e-learning. While these efforts are likely to cushion the damage, significant 190 (Hassan, Geven, & Tahir, 2021) 189 (Finance Department, Government of Punjab, 2021) 191 (School Educaon Department South Punjab, 2021)
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PUNJAB GENDER PARITY REPORT 2021 / EDUCATION PUNJAB GENDER PARITY REPORT 2021 / EDUCATION 5.1 National Profile 5.2 Punjab's Educational Profile As per the Human Development Report 2020, the average expected years of schooling in Pakistan are 8.3, and Data analysed in this section has been sourced from the Labour Force Survey 2020-21 and the Pakistan Social and this figure is still lesser for girls (7.6 years). Considering the ever-competitive global landscape, 8.3 years is grossly Living Standards Measurement Survey 2019-20. For this report, the overall values for Punjab include statistics for inadequate in comparison with 14 to 16 years of education – a common requirement for most employment Islamabad; however, the district-wise analysis omits the capital territory. opportunities. The mean years of schooling quoted by the report paint an even more dismal picture whereby boys attain 6.3 years of schooling and girls attain 3.8. The country also continues to hold the world's second- 5.2.1 Literacy Rate highest number of Out of School Children (OOSC), with roughly 23 million children between the ages of 5 and 16 not attending school, accounting for 44 percent of the total population in this age group. These statistics help understand the overall deficient quality of educational attainment in Pakistan today. According to the Labour Force Survey 2020-21, the total literacy rate (LR) in Punjab has increased by 0.3 percent, from 66.1 percent in 2018-19 to 66.3 percent in 2020-21. The sporadic pandemic waves that continued to suspend Impediments to educational attainment in Pakistan include but are not limited to uneven school access, long learning through the year may be identified as a reason for the marginality of this increase. home-to-school distances, geographical and gender disparities and insufficient public spending for the sector. Cultural limiting factors exist for girls, such as an anti-female education approach especially in poverty-stricken The female literacy rate in Punjab stood at 58.4 percent in 2020-21, registering a 0.5 percent increase from 58.1 households where spending on the male child's education is considered worthier than that on the girl child's. percent in 2018-19. Conversely, the male LR witnessed a downward trend, declining by 0.1 percent from 74.3 These, among other factors, are perhaps reasons for why Pakistan's Net Enrolment Rate (NER) has declined by 3 percent in 2018-19 to 74.2 percent in 2020-21. The figure below illustrates these statistics. percentage points over 5 years, from 67 percent in 2014-15 to 64 percent in 2019-20. Despite improvements brought about by past reform efforts mostly geared towards improving access at the primary level, Pakistan Total Literacy Rate in Punjab by Gender & Year remains far behind its regional counterparts including India, Bhutan, Bangladesh and Sri Lanka across 80 74.3 74.2 educational indicators like NER. Novel challenges like the pandemic-induced obstructions to student learning as 70 well as the health and psychological risks of COVID-19 continue to pose long-term threats to learning quality and 58.1 58.4 60 levels. 50 It is important, now more than ever in the wake of worsening indicators, to address the urgency to close the 40 gender gap persisting in education in Pakistan. Concerted government initiatives are required to ensure that 30 enrolment and survival rates experience a positive trend on a sustainable trajectory. Evidence-based 20 propositions suggest the prioritisation of universal education as a policy agenda by not only increasing fiscal 10 105 106 space for the subject but also enhancing budget absorption capacity, exploring public-private partnerships and 0 2018-19 2020-21 making learning environments conducive for girls with provision of safe sanitation facilities and trained female teaching staff. Expanding conditional cash transfer programs such as Zewar-e-Taleem for low-income families Source: Labour Force Survey Male Female is also likely to reap positive results. Figure 5.3 A region-wise analysis reveals that, between 2018-19 and 2020-21, rural LRs for both men and women have The Structure of Public Sector Educaon in Pakistan increased dramatically. On the other hand, while the urban LR for men has declined from 82.8 percent to 82.5 percent, the urban female LR has pleasantly increased by 9.7 percent from 67.7 percent in 2018-19 to 74.3 percent in 2020-21. This is noteworthy and corroborates the findings of global data and development theories which suggest that urban LRs are often higher than their rural counterparts. Figures 5.4 and 5.5 below depict the change in rural and urban LRs respectively between 2018-19 and 2020-21 Rural Literacy Rate in Punjab by Gender & Year 80 69 70 (Age Group 3-4) (Age Group 5-9) (Age Group 10-12) (Age Group 13-14) (Age Group 15-16) 60 60 48.9 1-5 6-8 9-10 11-12 50 Preschool (Grade) (Grade) (Grade) (Grade) 40 26.5 30 Primary Educaon Secondary Educaon 20 Figure 5.2 10 0 2018-19 2020-21 192 (UNDP, 2020) 193 (Rizwan, Hiraoka, & Taniguchi, 2022) Source: Labour Force Survey Male Female 194 Ibid 195 (Saleem, 2020) Figure 5.4 196 (Pakistan Bureau of Stascs, 2016) 197 (Pakistan Bureau of Stascs, 2021) 198 (Rizwan, Hiraoka, & Taniguchi, 2022) 199 Ibid 200 (Punjab Social Protecon Authority, n.d.) 201 (Kowsar P, 1995)
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PUNJAB GENDER PARITY REPORT 2021 / EDUCATION PUNJAB GENDER PARITY REPORT 2021 / EDUCATION 5.1 National Profile 5.2 Punjab's Educational Profile As per the Human Development Report 2020, the average expected years of schooling in Pakistan are 8.3, and Data analysed in this section has been sourced from the Labour Force Survey 2020-21 and the Pakistan Social and this figure is still lesser for girls (7.6 years). Considering the ever-competitive global landscape, 8.3 years is grossly Living Standards Measurement Survey 2019-20. For this report, the overall values for Punjab include statistics for inadequate in comparison with 14 to 16 years of education – a common requirement for most employment Islamabad; however, the district-wise analysis omits the capital territory. opportunities. The mean years of schooling quoted by the report paint an even more dismal picture whereby boys attain 6.3 years of schooling and girls attain 3.8. The country also continues to hold the world's second- 5.2.1 Literacy Rate highest number of Out of School Children (OOSC), with roughly 23 million children between the ages of 5 and 16 not attending school, accounting for 44 percent of the total population in this age group. These statistics help understand the overall deficient quality of educational attainment in Pakistan today. According to the Labour Force Survey 2020-21, the total literacy rate (LR) in Punjab has increased by 0.3 percent, from 66.1 percent in 2018-19 to 66.3 percent in 2020-21. The sporadic pandemic waves that continued to suspend Impediments to educational attainment in Pakistan include but are not limited to uneven school access, long learning through the year may be identified as a reason for the marginality of this increase. home-to-school distances, geographical and gender disparities and insufficient public spending for the sector. Cultural limiting factors exist for girls, such as an anti-female education approach especially in poverty-stricken The female literacy rate in Punjab stood at 58.4 percent in 2020-21, registering a 0.5 percent increase from 58.1 households where spending on the male child's education is considered worthier than that on the girl child's. percent in 2018-19. Conversely, the male LR witnessed a downward trend, declining by 0.1 percent from 74.3 These, among other factors, are perhaps reasons for why Pakistan's Net Enrolment Rate (NER) has declined by 3 percent in 2018-19 to 74.2 percent in 2020-21. The figure below illustrates these statistics. percentage points over 5 years, from 67 percent in 2014-15 to 64 percent in 2019-20. Despite improvements brought about by past reform efforts mostly geared towards improving access at the primary level, Pakistan Total Literacy Rate in Punjab by Gender & Year remains far behind its regional counterparts including India, Bhutan, Bangladesh and Sri Lanka across 80 74.3 74.2 educational indicators like NER. Novel challenges like the pandemic-induced obstructions to student learning as 70 well as the health and psychological risks of COVID-19 continue to pose long-term threats to learning quality and 58.1 58.4 60 levels. 50 It is important, now more than ever in the wake of worsening indicators, to address the urgency to close the 40 gender gap persisting in education in Pakistan. Concerted government initiatives are required to ensure that 30 enrolment and survival rates experience a positive trend on a sustainable trajectory. Evidence-based 20 propositions suggest the prioritisation of universal education as a policy agenda by not only increasing fiscal 10 105 106 space for the subject but also enhancing budget absorption capacity, exploring public-private partnerships and 0 2018-19 2020-21 making learning environments conducive for girls with provision of safe sanitation facilities and trained female teaching staff. Expanding conditional cash transfer programs such as Zewar-e-Taleem for low-income families Source: Labour Force Survey Male Female is also likely to reap positive results. Figure 5.3 A region-wise analysis reveals that, between 2018-19 and 2020-21, rural LRs for both men and women have The Structure of Public Sector Educaon in Pakistan increased dramatically. On the other hand, while the urban LR for men has declined from 82.8 percent to 82.5 percent, the urban female LR has pleasantly increased by 9.7 percent from 67.7 percent in 2018-19 to 74.3 percent in 2020-21. This is noteworthy and corroborates the findings of global data and development theories which suggest that urban LRs are often higher than their rural counterparts. Figures 5.4 and 5.5 below depict the change in rural and urban LRs respectively between 2018-19 and 2020-21 Rural Literacy Rate in Punjab by Gender & Year 80 69 70 (Age Group 3-4) (Age Group 5-9) (Age Group 10-12) (Age Group 13-14) (Age Group 15-16) 60 60 48.9 1-5 6-8 9-10 11-12 50 Preschool (Grade) (Grade) (Grade) (Grade) 40 26.5 30 Primary Educaon Secondary Educaon 20 Figure 5.2 10 0 2018-19 2020-21 192 (UNDP, 2020) 193 (Rizwan, Hiraoka, & Taniguchi, 2022) Source: Labour Force Survey Male Female 194 Ibid 195 (Saleem, 2020) Figure 5.4 196 (Pakistan Bureau of Stascs, 2016) 197 (Pakistan Bureau of Stascs, 2021) 198 (Rizwan, Hiraoka, & Taniguchi, 2022) 199 Ibid 200 (Punjab Social Protecon Authority, n.d.) 201 (Kowsar P, 1995)
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PUNJAB GENDER PARITY REPORT 2021 / EDUCATION PUNJAB GENDER PARITY REPORT 2021 / EDUCATION As per the PSLM publications, in Pakistan, the ALR for men in 2019-20 stood at 68 percent as opposed to Urban Literacy Rate in Punjab by Gender & Year 69 percent in 2018-19 while the female ALR stood at 46 percent recording a 1 percent increase from the year before. The ALR for men in Punjab stood at 70 percent, while the female ALR stood at 53 percent. 90 82.8 82.5 80 70 74.3 Overall, Punjab continued to register higher figures than the national counterparts across gender and 60 67.7 urban-rural divides as illustrated below. 50 40 30 20 10 Adult Literacy Rate (aged 15 years and above) in 0 Punjab and Pakistan by Gender & Area (2019-20) 2018-19 2020-21 90 79 79 Source: Labour Force Survey Male Female 80 72 69 74 70 62 65 64 Figure 5.5 60 48 53 50 43 40 34 30 5.2.2.1 Literacy Rate by Age Cohorts 20 10 0 As per PSLM 2019-20, the LR for youth aged 15-24 years is high at 70 percent followed by that of 10 years and Rural Urban Rural Urban older at 64 percent and finally, the LR for those aged 15 years and older stands at 61 percent. Figure 5.6 illustrates Pakistan Punjab these statistics. Source: PSLM Male Female Total Figure 5.7 Literacy Rate in Punjab by Age Cohort Interestingly, in comparison with 2018-19, the urban literacy rate in Punjab has fallen by 1 percentage point to 74 percent in 2019-20. On the other hand, a positive trend has been observed in the rural literacy rate, which increased 15-24 years (youth) by 1 percentage point, from 52 percent in 2018-19 to 53 percent in 2019-20. 107 This may be attributed to the provincial government's interventions to uplift the literacy profile of underperforming 108 districts and ones with a greater rural population than urban. The Ilm-o-Hunar Project, for instance, was piloted 15 years & older by the Government of Punjab as an adult literacy program concerned with imparting educational and vocational expertise to the population aged 15-24 years in Rajanpur, Muzaffargarh, Faisalabad and Rawalpindi. 10 years & older A district-wise analysis reveals that in 2019-20, Sialkot replaced Lahore to post the highest female ALR at 75 percent whereas Rajanpur continued to post the lowest at 23 percent. The largest gender gap was observed in Mianwali 0 10 20 30 40 50 60 70 80 90 with the male ALR being 75 percent as opposed to the female ALR which lagged 36 percentage points behind at 39 percent. Overall Total Overall Male Overall Female Figure 5.6 Adult Literacy Rate (aged 15 Years and above) by Gender & District (2019-20) 100 5.2.2 Adult Literacy Rate 88 90 83 78 79 79 79 80 80 plT ith oee pr uaS c lau y t.s i t oTa nhin e aa gb a el de du D l 1t 5 e l v i yte e el ro aap rc sm y a e r nn a dt t e oG v(o A ea rLl R t4 ) h,. a 6 d t. 2 e c f aic n no e r rdr ee abs dp y o atn nhd des wpto e ri r tcy eeo , nu istt a h mg eo e r ao sa f u d t ru ehl det R h ni au g r ha oel n rw aLo lR cm o(4e u3n n% to e)f r tP phu aa rn n tj ’ a stb h a e vh i ea r rv ae g a e 5678 0000 75 73 72 7074 69 68 66 6371 6170 6072 5770 5565 5569 54 5374 5367 4965 4965 4863 4668 4670 4572 4574 75 59 56 54 58 64 60 54 62 59 56 51 (34%). However, rural women according to the ability to comprehend a short, simple statement on have a significantly lower 40 39 39 37 36 36 36 34 34 33 32 31 everyday life and includes numeracy which is measured against a simple 30 25 23 LR than urban women (69%) arithmetic ability assessment. 20 in Punjab. 10 Adult learning gained traction globally especially once the International 0 Adult Literacy Survey (IALS), conducted from 1994 through 1998, assessed the qualitative and quantitative literacy levels of the working-age population across 22 countries and found that many of them were performing at a 'below functional' level. This expanded concern from just improvement in primary enrolment to enhancing developmental education for learners who have missed out on primary education or those who need literate Source: PSLM MALE FEMALE skills to access higher education and productive opportunities. Figure 5.8 202 (UNESCO, n.d.) 203 (Culligan, 2005) 204 (Weber, 2021) 205 (Planning & Development Board Government of Punjab, 2021) toklaiS idniplawaR erohaL tarjuG alawnarjuG laworaN mulheJ lawkahC nidduhaB idnaM dabalasiaF hgniS.T.T bihaS anaknaN arupuhkiehS dabazfiaH kcoA ahdograS natluM arakO lawihaS rusaK lawenahK gnahJ hayyaL bahsuhK ilawnaiM iraheV reganlawahaB ruplawahaB neapkaP rahkahB narhdoL nahK raY mihaR nahk.G.D toinihC hraG raffazuM rupnajaR
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PUNJAB GENDER PARITY REPORT 2021 / EDUCATION PUNJAB GENDER PARITY REPORT 2021 / EDUCATION As per the PSLM publications, in Pakistan, the ALR for men in 2019-20 stood at 68 percent as opposed to Urban Literacy Rate in Punjab by Gender & Year 69 percent in 2018-19 while the female ALR stood at 46 percent recording a 1 percent increase from the year before. The ALR for men in Punjab stood at 70 percent, while the female ALR stood at 53 percent. 90 82.8 82.5 80 70 74.3 Overall, Punjab continued to register higher figures than the national counterparts across gender and 60 67.7 urban-rural divides as illustrated below. 50 40 30 20 10 Adult Literacy Rate (aged 15 years and above) in 0 Punjab and Pakistan by Gender & Area (2019-20) 2018-19 2020-21 90 79 79 Source: Labour Force Survey Male Female 80 72 69 74 70 62 65 64 Figure 5.5 60 48 53 50 43 40 34 30 5.2.2.1 Literacy Rate by Age Cohorts 20 10 0 As per PSLM 2019-20, the LR for youth aged 15-24 years is high at 70 percent followed by that of 10 years and Rural Urban Rural Urban older at 64 percent and finally, the LR for those aged 15 years and older stands at 61 percent. Figure 5.6 illustrates Pakistan Punjab these statistics. Source: PSLM Male Female Total Figure 5.7 Literacy Rate in Punjab by Age Cohort Interestingly, in comparison with 2018-19, the urban literacy rate in Punjab has fallen by 1 percentage point to 74 percent in 2019-20. On the other hand, a positive trend has been observed in the rural literacy rate, which increased 15-24 years (youth) by 1 percentage point, from 52 percent in 2018-19 to 53 percent in 2019-20. 107 This may be attributed to the provincial government's interventions to uplift the literacy profile of underperforming 108 districts and ones with a greater rural population than urban. The Ilm-o-Hunar Project, for instance, was piloted 15 years & older by the Government of Punjab as an adult literacy program concerned with imparting educational and vocational expertise to the population aged 15-24 years in Rajanpur, Muzaffargarh, Faisalabad and Rawalpindi. 10 years & older A district-wise analysis reveals that in 2019-20, Sialkot replaced Lahore to post the highest female ALR at 75 percent whereas Rajanpur continued to post the lowest at 23 percent. The largest gender gap was observed in Mianwali 0 10 20 30 40 50 60 70 80 90 with the male ALR being 75 percent as opposed to the female ALR which lagged 36 percentage points behind at 39 percent. Overall Total Overall Male Overall Female Figure 5.6 Adult Literacy Rate (aged 15 Years and above) by Gender & District (2019-20) 100 5.2.2 Adult Literacy Rate 88 90 83 78 79 79 79 80 80 plT ith oee pr uaS c lau y t.s i t oTa nhin e aa gb a el de du D l 1t 5 e l v i yte e el ro aap rc sm y a e r nn a dt t e oG v(o A ea rLl R t4 ) h,. a 6 d t. 2 e c f aic n no e r rdr ee abs dp y o atn nhd des wpto e ri r tcy eeo , nu istt a h mg eo e r ao sa f u d t ru ehl det R h ni au g r ha oel n rw aLo lR cm o(4e u3n n% to e)f r tP phu aa rn n tj ’ a stb h a e vh i ea r rv ae g a e 5678 0000 75 73 72 7074 69 68 66 6371 6170 6072 5770 5565 5569 54 5374 5367 4965 4965 4863 4668 4670 4572 4574 75 59 56 54 58 64 60 54 62 59 56 51 (34%). However, rural women according to the ability to comprehend a short, simple statement on have a significantly lower 40 39 39 37 36 36 36 34 34 33 32 31 everyday life and includes numeracy which is measured against a simple 30 25 23 LR than urban women (69%) arithmetic ability assessment. 20 in Punjab. 10 Adult learning gained traction globally especially once the International 0 Adult Literacy Survey (IALS), conducted from 1994 through 1998, assessed the qualitative and quantitative literacy levels of the working-age population across 22 countries and found that many of them were performing at a 'below functional' level. This expanded concern from just improvement in primary enrolment to enhancing developmental education for learners who have missed out on primary education or those who need literate Source: PSLM MALE FEMALE skills to access higher education and productive opportunities. Figure 5.8 202 (UNESCO, n.d.) 203 (Culligan, 2005) 204 (Weber, 2021) 205 (Planning & Development Board Government of Punjab, 2021) toklaiS idniplawaR erohaL tarjuG alawnarjuG laworaN mulheJ lawkahC nidduhaB idnaM dabalasiaF hgniS.T.T bihaS anaknaN arupuhkiehS dabazfiaH kcoA ahdograS natluM arakO lawihaS rusaK lawenahK gnahJ hayyaL bahsuhK ilawnaiM iraheV reganlawahaB ruplawahaB neapkaP rahkahB narhdoL nahK raY mihaR nahk.G.D toinihC hraG raffazuM rupnajaR
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PUNJAB GENDER PARITY REPORT 2021 / EDUCATION PUNJAB GENDER PARITY REPORT 2021 / EDUCATION 5.2.3 Net Enrolment Rates Net Enrolment Rate (aged 5-9 years) by Gender & District (2019-20) 140 The net enrolment rate (NER) is a key global indicator in assessing the education coverage in a specific level of a 120 73 ltc eho veu e n t lo t er t dy a u' ls c c e h ad til iu d oc r nea ,t n ii t o o in f s ts phy as e rt toe if cm f ui. c l aI it a r i l ls ys t c sh h ige o n or ia fl-t icaio ag neo tdf i t p nh o e ep vn u au l la um t aib o tie n nr , g o e cf x h s p ic r lh deo rs eso e nl- d 'a s ag ase c d a ce pc sh e si r l tcd oer e n fon ta u e g nn e dr . ao tl il oe Ad ns a i Nn l E sp cRr h i rm oe ola a lr it ny e ge s d t lyou i nc pa grt i amio ta n tr h t yo e- 1 80 00 72 70 68 67 65 65 64 64 62 62 62 62 61 60 60 60 59 59 59 57 56 55 55 54 53 52 51 48 48 47 46 39 60 43 42 36 very entry point of the academic system. For 2019-20, Pakistan's NER for boys stood at 54 percent and the NER for girls at 48 percent. While the national 24 00 77 73 65 73 68 67 58 64 63 64 63 64 60 59 60 54 55 58 61 54 51 52 53 55 55 57 56 49 48 53 59 58 43 42 51 42 figures register a gender gap of 6 percentage points, Punjab registered equal figures with a NER of 56 percent for 0 both boys and girls. Net Enrollment Rate at the Primary Level (aged 5 - 9 years) in Pakistan and Source: PSLM MALE FEMALE Punjab by Gender (2019-20) Figure 5.11 58 As opposed to NER, which assesses age-specific enrolment within a given level of education, the Gross Enrolment 56 56 56 Ratio (GER) is the number of students enrolled in a certain level of education regardless of age, expressed as a 54 54 percentage of the official school-age population corresponding to that level of education. The discrepancies 52 between NER and GER help assess age-appropriate enrolment within total enrolment in primary level education. Sharp discrepancies, for instance, may point towards possible inefficiencies in the academic system, over-age or 50 48 late entry into the primary grades which is likely to induce undue developmental pressure upon learners thereby 48 increasing risk of underperformance or dropping out. 46 44 Figure 5.12 illustrates the gap between NER and GER in each of Punjab's 36 districts. The widest gap, depicted at the Pakistan Punjab base of the graph, is observed in Jehlum followed by Sialkot and Narowal whereas the narrowest gap is observed in Source: PSLM Male Female Rajanpur. Figure 5.9 109 110 Female NER and GER by District (2019-20) However, in comparison with figures from 2018-19, the NERs for both boys and girls in the province have fallen Rajanpur 36 51 significantly; by 5 percent for boys and 6.6 percent for girls, respectively. Figure 5.10 illustrates these statistics. Muzaffar Garh 39 59 Lodhran 42 65 Rahim Yar Khan 43 67 DG Khan 46 75 Mianwali 47 76 Net Enrollment Rate at the Primary Level (aged 5-9 years) in Punjab by Multan 48 77 Gender & Year Bahawalpur 48 78 Vehari 51 80 61 Sahiwal 52 81 60 60 Chiniot 53 85 59 Khanewal 54 87 59 Kasur 55 88 Bahawalnager 55 90 58 Lahore 56 90 57 Sheikhupura 57 90 56 56 Mandi Bahauddin 59 94 56 Jhang 59 94 Bhakhar 59 94 55 Hafizabad 60 95 54 Gujranwala 60 96 2018-19 2019-20 Faisalabad 60 96 Nankana Sahib 61 98 Source: PSLM TT Singh 62 99 Male Female Rawalpindi 62 100 Pakpaen 62 101 Figure 5.10 Khushab 62 101 Sargodha 64 102 Okara 64 102 The highest NER for girls was recorded in Jhelum at 73 percent and the lowest was recorded in Rajanpur at a Gujrat 65 102 meagre 36 percent. The widest gender gap in NER amounting to 12 percentage points was observed in districts Chakwal 65 102 Aock 67 103 Mianwali, DG Khan and Muzaffargarh. A positive revelation is the absence of a gender gap in NER altogether Layyah 68 106 which was observed in districts Bahawalpur and Rahim Yar Khan. Narowal 70 108 Sialkot 72 115 Jehlum 73 115 A complete district-wise snapshot of the status of girls' and boys' NER across the province is illustrated in Figure 0 20 40 60 80 100 120 140 160 180 200 5.11. Source: PSLM Net Enrolment Rao Gross Enrolment Rao Figure 5.12 206 (UN Economic Commission for Europe, 2012) 207 (UNICEF, 2017) mulheJ toklaiS laworaN hayyaL kcoA lawkahC tarjuG arakO ahdograS bahsuhK neapkaP idniplawaR hgniS.T.T bihaS anaknaN dabalasiaF alawnarjuG dabazfiaH rahkahB gnahJ nidduhaB idnaM arupuhkiehS erohaL reganlawahaB rusaK lawenahK toinihC lawihaS iraheV ruplawahaB natluM ilawnaiM nahk.G.D nahK raY mihaR narhdoL hraG raffazuM rupnajaR
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PUNJAB GENDER PARITY REPORT 2021 / EDUCATION PUNJAB GENDER PARITY REPORT 2021 / EDUCATION 5.2.3 Net Enrolment Rates Net Enrolment Rate (aged 5-9 years) by Gender & District (2019-20) 140 The net enrolment rate (NER) is a key global indicator in assessing the education coverage in a specific level of a 120 73 ltc eho veu e n t lo t er t dy a u' ls c c e h ad til iu d oc r nea ,t n ii t o o in f s ts phy as e rt toe if cm f ui. c l aI it a r i l ls ys t c sh h ige o n or ia fl-t icaio ag neo tdf i t p nh o e ep vn u au l la um t aib o tie n nr , g o e cf x h s p ic r lh deo rs eso e nl- d 'a s ag ase c d a ce pc sh e si r l tcd oer e n fon ta u e g nn e dr . ao tl il oe Ad ns a i Nn l E sp cRr h i rm oe ola a lr it ny e ge s d t lyou i nc pa grt i amio ta n tr h t yo e- 1 80 00 72 70 68 67 65 65 64 64 62 62 62 62 61 60 60 60 59 59 59 57 56 55 55 54 53 52 51 48 48 47 46 39 60 43 42 36 very entry point of the academic system. For 2019-20, Pakistan's NER for boys stood at 54 percent and the NER for girls at 48 percent. While the national 24 00 77 73 65 73 68 67 58 64 63 64 63 64 60 59 60 54 55 58 61 54 51 52 53 55 55 57 56 49 48 53 59 58 43 42 51 42 figures register a gender gap of 6 percentage points, Punjab registered equal figures with a NER of 56 percent for 0 both boys and girls. Net Enrollment Rate at the Primary Level (aged 5 - 9 years) in Pakistan and Source: PSLM MALE FEMALE Punjab by Gender (2019-20) Figure 5.11 58 As opposed to NER, which assesses age-specific enrolment within a given level of education, the Gross Enrolment 56 56 56 Ratio (GER) is the number of students enrolled in a certain level of education regardless of age, expressed as a 54 54 percentage of the official school-age population corresponding to that level of education. The discrepancies 52 between NER and GER help assess age-appropriate enrolment within total enrolment in primary level education. Sharp discrepancies, for instance, may point towards possible inefficiencies in the academic system, over-age or 50 48 late entry into the primary grades which is likely to induce undue developmental pressure upon learners thereby 48 increasing risk of underperformance or dropping out. 46 44 Figure 5.12 illustrates the gap between NER and GER in each of Punjab's 36 districts. The widest gap, depicted at the Pakistan Punjab base of the graph, is observed in Jehlum followed by Sialkot and Narowal whereas the narrowest gap is observed in Source: PSLM Male Female Rajanpur. Figure 5.9 109 110 Female NER and GER by District (2019-20) However, in comparison with figures from 2018-19, the NERs for both boys and girls in the province have fallen Rajanpur 36 51 significantly; by 5 percent for boys and 6.6 percent for girls, respectively. Figure 5.10 illustrates these statistics. Muzaffar Garh 39 59 Lodhran 42 65 Rahim Yar Khan 43 67 DG Khan 46 75 Mianwali 47 76 Net Enrollment Rate at the Primary Level (aged 5-9 years) in Punjab by Multan 48 77 Gender & Year Bahawalpur 48 78 Vehari 51 80 61 Sahiwal 52 81 60 60 Chiniot 53 85 59 Khanewal 54 87 59 Kasur 55 88 Bahawalnager 55 90 58 Lahore 56 90 57 Sheikhupura 57 90 56 56 Mandi Bahauddin 59 94 56 Jhang 59 94 Bhakhar 59 94 55 Hafizabad 60 95 54 Gujranwala 60 96 2018-19 2019-20 Faisalabad 60 96 Nankana Sahib 61 98 Source: PSLM TT Singh 62 99 Male Female Rawalpindi 62 100 Pakpaen 62 101 Figure 5.10 Khushab 62 101 Sargodha 64 102 Okara 64 102 The highest NER for girls was recorded in Jhelum at 73 percent and the lowest was recorded in Rajanpur at a Gujrat 65 102 meagre 36 percent. The widest gender gap in NER amounting to 12 percentage points was observed in districts Chakwal 65 102 Aock 67 103 Mianwali, DG Khan and Muzaffargarh. A positive revelation is the absence of a gender gap in NER altogether Layyah 68 106 which was observed in districts Bahawalpur and Rahim Yar Khan. Narowal 70 108 Sialkot 72 115 Jehlum 73 115 A complete district-wise snapshot of the status of girls' and boys' NER across the province is illustrated in Figure 0 20 40 60 80 100 120 140 160 180 200 5.11. Source: PSLM Net Enrolment Rao Gross Enrolment Rao Figure 5.12 206 (UN Economic Commission for Europe, 2012) 207 (UNICEF, 2017) mulheJ toklaiS laworaN hayyaL kcoA lawkahC tarjuG arakO ahdograS bahsuhK neapkaP idniplawaR hgniS.T.T bihaS anaknaN dabalasiaF alawnarjuG dabazfiaH rahkahB gnahJ nidduhaB idnaM arupuhkiehS erohaL reganlawahaB rusaK lawenahK toinihC lawihaS iraheV ruplawahaB natluM ilawnaiM nahk.G.D nahK raY mihaR narhdoL hraG raffazuM rupnajaR
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PUNJAB GENDER PARITY REPORT 2021 / EDUCATION PUNJAB GENDER PARITY REPORT 2021 / EDUCATION 5.2.4 Out of School Children Children of primary school age who do not OOSC (aged 5-16 years) in Pakistan and Punjab by Gender participate in education programmes equivalent (%) (2019-20) Funconing educaonal instutes to the International Standard Classification of 40 37 and programmes to be available 35 in sufficient number through a Education (ISCE) levels 1 or 2 are considered out- 30 27 26 public educaonal system, of-school. 25 22 allowing private pares to establish non-public 20 schools 15 PSLM 2019-20 reports that in Pakistan, 32 10 percent of children aged between 5 to 16 years 5 0 are out of school, of which 27 percent are boys Pakistan Punjab Educaon has to be flexible so it can adapt Educaonal instutes have to be and 37 percent are girls. On the provincial level, Source: PSLM Male Female to the needs of changing communies accessible to everyone without and sociees, including the evolving discriminaon, also including 24 percent of the same cohort in Punjab is out of Figure 5.13 capacies of the child physical and economic accessibility school, of which 22 percent are boys and 26 percent are girls. Figure 5.13 illustrates these statistics. Overall, OOSC in Punjab have increased by 3 percentage points from 21 percent in 2018-19. OOS girls and boys have also both increased by 3 percentage points as compared to 2018-19. Substance of educaon, including curricula and teaching methods, has to be relevant and culturally appropriate, in accordance with the best interests Barring 9 districts, the proportion of OOS girls is greater than that of boys across the province. The highest of the child; this includes proportion of OOSC was observed in Rajanpur at 48 percent and the lowest in Narowal at 9 percent. Figure 5.14 a safe and healthy environment illustrates the OOSC trends across 36 districts in Punjab. Figure 5.15 OOSC (aged 5-16 years) by District and Gender (%) (2019-20) This section analyses the status of enrolment, infrastructure and educational initiatives in the province. In so doing, 48 the section covers essential aspects of the 4-A scheme with a focus on the plight of girls within the provincial 43 38 41 40 education system. This focus is necessitated by the disproportionate vulnerability of girls to the multiple 111 45 35 34 79 34 17 34 66 34 81 182 37 6 3 33 02 5 23 832 5 22 3 28 4 23 730 4 23 730 3 22 3 126 33 3 12 2 22 3 58 1 22 437 0 12 923 7 12 2 852 22 122 3 202 21 2 192 221 22 2 100 22 221 0 171 28 0 191 18 8 131 16 8 11 718 8 11 1 86 5 11 1 86 5 1 11 3 8 1 1 15 2 8 11 1 42 1 19 0 9 1 100 9 1 1 10 0 0 1 111 20 17 19 Tamad cs his a c eta n eh d si se f cv sei ha r ts o on tg ot ae ta lh dn sg e od de m le i p e sr cssh - ucebe el san v n ss eo ete sm dhd i e ie n nd an i tm lso t ha hn y ed c; r sv aif a uao rd en br t se awa ex ng qa a dem y u us eip s , n n l i pce tno a s, c m eig l dui cr p ld tl a is o i obn f u nor gno su d tm rh ae o r edp er o ib c ln ao ay c ir r dit edh h o-eo we unu i tor cs iree p nkh o Fo ao v if t gel d he urs ot a r y ei mrn l a 5y er n - .u . 1ad r g 6a er l u l mo rac ala rlt o ri io c aan gts ei oa , nr se a. fl e e a tD ys i t s a l ai nk d de v l a my n t oto a b b g ilee its i y n f o is src s h g uo i ero sls ,l 112 SC91801 H711 62 O15243 OL IN THIS SECTION MALE FEMALE OVERALL Source: PSLM Formal Public Schools, Colleges and Universies Figure 5.14 Punjab Educaon Foundaon Schools 5.3 Access to Education Non-Formal Educaon Instutes Naonal Commission for Human Development Schools The importance of access to education lies in its ability to realise the universal right to education. In this sense, elements of access to education become the pathway to human development. This may be understood by Technical Educaon and Vocaonal Training Authority Instutes considering the absence of education within a society; lack of education and the skills and knowledge it can develop is what it means to be poor. On the other hand, ensuring continued access to quality education and Punjab Vocaonal Training Council Instute learning is linked to long-term improvements in development outcomes, including a reduction in inter- Punjab Workers Welfare Board Schools generational poverty, demographic transition, productivity and empowerment of women. Punjab Daanish Schools and Centres of Excellence For the purposes of this report, access to education may be understood as a holistic concept consisting of those elements that enable and sustain education. Such elements may be identified in the '4-A Scheme' first used by Special Educaon Schools the then UN Special Rapporteur on the right to education, Katarina Tomasevski in her preliminary report submitted in 1999. This scheme is outlined in Figure 5.15. Figure 5.16 208 (Ministry of Educaon & Training Viet Nam, UNICEF, 2017) 209 (UNESCO IIEP, 2015) 210 (UNESCO IIEP, 2015) 211 (Coomans, 2007) 212 (Habib, 2013) rupnajaR hragraffazuM nahk GD nahK raY mihaR narhdoL ilawnaiM reganlawahaB ruplawahaB toinihC natluM lawenahK rahkahB iraheV naapkaP lawihaS gnahJ bahsuhK arakO dabalasiaF bihaS anaknaN rusaK arupuhkiehS hgniS TT dabazfiaH hayyaL ahdograS erohaL nidduahaB idnaM kcoA alawnarjuG tarjuG lawkahC mulheJ idniplawaR toklaiS laworaN
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PUNJAB GENDER PARITY REPORT 2021 / EDUCATION PUNJAB GENDER PARITY REPORT 2021 / EDUCATION 5.2.4 Out of School Children Children of primary school age who do not OOSC (aged 5-16 years) in Pakistan and Punjab by Gender participate in education programmes equivalent (%) (2019-20) Funconing educaonal instutes to the International Standard Classification of 40 37 and programmes to be available 35 in sufficient number through a Education (ISCE) levels 1 or 2 are considered out- 30 27 26 public educaonal system, of-school. 25 22 allowing private pares to establish non-public 20 schools 15 PSLM 2019-20 reports that in Pakistan, 32 10 percent of children aged between 5 to 16 years 5 0 are out of school, of which 27 percent are boys Pakistan Punjab Educaon has to be flexible so it can adapt Educaonal instutes have to be and 37 percent are girls. On the provincial level, Source: PSLM Male Female to the needs of changing communies accessible to everyone without and sociees, including the evolving discriminaon, also including 24 percent of the same cohort in Punjab is out of Figure 5.13 capacies of the child physical and economic accessibility school, of which 22 percent are boys and 26 percent are girls. Figure 5.13 illustrates these statistics. Overall, OOSC in Punjab have increased by 3 percentage points from 21 percent in 2018-19. OOS girls and boys have also both increased by 3 percentage points as compared to 2018-19. Substance of educaon, including curricula and teaching methods, has to be relevant and culturally appropriate, in accordance with the best interests Barring 9 districts, the proportion of OOS girls is greater than that of boys across the province. The highest of the child; this includes proportion of OOSC was observed in Rajanpur at 48 percent and the lowest in Narowal at 9 percent. Figure 5.14 a safe and healthy environment illustrates the OOSC trends across 36 districts in Punjab. Figure 5.15 OOSC (aged 5-16 years) by District and Gender (%) (2019-20) This section analyses the status of enrolment, infrastructure and educational initiatives in the province. In so doing, 48 the section covers essential aspects of the 4-A scheme with a focus on the plight of girls within the provincial 43 38 41 40 education system. This focus is necessitated by the disproportionate vulnerability of girls to the multiple 111 45 35 34 79 34 17 34 66 34 81 182 37 6 3 33 02 5 23 832 5 22 3 28 4 23 730 4 23 730 3 22 3 126 33 3 12 2 22 3 58 1 22 437 0 12 923 7 12 2 852 22 122 3 202 21 2 192 221 22 2 100 22 221 0 171 28 0 191 18 8 131 16 8 11 718 8 11 1 86 5 11 1 86 5 1 11 3 8 1 1 15 2 8 11 1 42 1 19 0 9 1 100 9 1 1 10 0 0 1 111 20 17 19 Tamad cs his a c eta n eh d si se f cv sei ha r ts o on tg ot ae ta lh dn sg e od de m le i p e sr cssh - ucebe el san v n ss eo ete sm dhd i e ie n nd an i tm lso t ha hn y ed c; r sv aif a uao rd en br t se awa ex ng qa a dem y u us eip s , n n l i pce tno a s, c m eig l dui cr p ld tl a is o i obn f u nor gno su d tm rh ae o r edp er o ib c ln ao ay c ir r dit edh h o-eo we unu i tor cs iree p nkh o Fo ao v if t gel d he urs ot a r y ei mrn l a 5y er n - .u . 1ad r g 6a er l u l mo rac ala rlt o ri io c aan gts ei oa , nr se a. fl e e a tD ys i t s a l ai nk d de v l a my n t oto a b b g ilee its i y n f o is src s h g uo i ero sls ,l 112 SC91801 H711 62 O15243 OL IN THIS SECTION MALE FEMALE OVERALL Source: PSLM Formal Public Schools, Colleges and Universies Figure 5.14 Punjab Educaon Foundaon Schools 5.3 Access to Education Non-Formal Educaon Instutes Naonal Commission for Human Development Schools The importance of access to education lies in its ability to realise the universal right to education. In this sense, elements of access to education become the pathway to human development. This may be understood by Technical Educaon and Vocaonal Training Authority Instutes considering the absence of education within a society; lack of education and the skills and knowledge it can develop is what it means to be poor. On the other hand, ensuring continued access to quality education and Punjab Vocaonal Training Council Instute learning is linked to long-term improvements in development outcomes, including a reduction in inter- Punjab Workers Welfare Board Schools generational poverty, demographic transition, productivity and empowerment of women. Punjab Daanish Schools and Centres of Excellence For the purposes of this report, access to education may be understood as a holistic concept consisting of those elements that enable and sustain education. Such elements may be identified in the '4-A Scheme' first used by Special Educaon Schools the then UN Special Rapporteur on the right to education, Katarina Tomasevski in her preliminary report submitted in 1999. This scheme is outlined in Figure 5.15. Figure 5.16 208 (Ministry of Educaon & Training Viet Nam, UNICEF, 2017) 209 (UNESCO IIEP, 2015) 210 (UNESCO IIEP, 2015) 211 (Coomans, 2007) 212 (Habib, 2013) rupnajaR hragraffazuM nahk GD nahK raY mihaR narhdoL ilawnaiM reganlawahaB ruplawahaB toinihC natluM lawenahK rahkahB iraheV naapkaP lawihaS gnahJ bahsuhK arakO dabalasiaF bihaS anaknaN rusaK arupuhkiehS hgniS TT dabazfiaH hayyaL ahdograS erohaL nidduahaB idnaM kcoA alawnarjuG tarjuG lawkahC mulheJ idniplawaR toklaiS laworaN
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PUNJAB GENDER PARITY REPORT 2021 / EDUCATION PUNJAB GENDER PARITY REPORT 2021 / EDUCATION 5.3.1 Infrastructure and Enrolment Figure 5.17 shows availability of public sector schools for girls in Punjab. The availability trends reflect that girls have better access than boys with respect to availability of schools. The only level where the percentage of girls' schools is less than 50, is secondary level of education, where 48.4 percent of the schools are for girls. Enrolment is a basic indicator to ascertain coverage, access and learning gaps within an education system. It also helps policymakers address discrepancies that are especially common to developing countries, such as increased Figures 5.18 and 5.19 depict the number of schools by academic stage available to boys and girls across 36 districts enrolment but stagnating attainment – a scenario rooted in low levels of completion. of Punjab. 5.3.1.1 Formal Public Schools Formal Secondary Schools under Punjab Educaon Sector Reform Program (2021)* The key features of formal education that set it apart from its non-formal or informal counterparts mainly Secondary School include its intentional and organized nature of learning, imparted through recognized public and private educational institutes. This intentionality and organization support pre-determined learning outcomes District Female Male embedded in guided course syllabi assessed periodically through systematic testing. Faisalabad 301 233 Rawalpindi 227 232 For this report, formal schools have been restricted to public schools falling under the purview of the Punjab Sargodha 209 181 Education Sector Reform Programme (PESRP). The number of formal schools in Punjab increased marginally by Lahore 208 174 0.3 percent from 47,982 schools in FY 2019-20 to 48,133 in academic year 2021. Of these, 22,620 (47%) are boys' Sialkot 184 123 schools whereas 25,513 (53%) are girls' schools. Gujranwala 164 140 Gujrat 163 155 Formal Schools in Punjab (2021)* TT Singh 147 107 Chakwal 141 146 Sahiwal 133 128 H.Sec. Secondary Middle Primary 2,942 4,235 15,163 16,994 Rahim yar Khan 118 185 41% 59% 47% 53% Kasur 112 121 Bahawalnagar 111 121 7,177 32,157 Vehari 108 106 113 114 8,023 Aock 106 133 776 Okara 106 141 Khanewal 103 130 Narowal 99 84 4,140 3,883 375 401 52% 48% 48% 52% Mandi Bahauddin 94 82 Layyah 92 90 Bahawalpur 89 107 Source: Punjab Educaon Sector Reform Programme (PESRP) Jehlum 89 94 * Academic Year Jhang 87 114 Figure 5.17 Sheikhupura 83 85 Multan 76 135 In 2021, the number of primary schools for boys continued to record a decline, consistent with the trend Khushab 69 79 reported in 2019-20; the number fell by 0.5 percent from 15,250 in FY 2019-20 to 15,163 in 2021. On the other Muzaffargarh 68 110 hand, the number of primary schools for girls continued to increase, reflecting a 0.6 percent change from 16,888 Mianwali 59 95 in FY 2019-20 to 16,994 in 2021. DG Khan 55 90 Nankana Sahib 53 54 Middle schools for both boys and girls declined by 17 percent and 11 percent, respectively. The number for boys' middle schools fell from 1,550 in FY 2019-20 to 2,942 in 2021, whereas the number of girls' middle schools fell Bhakkar 50 84 from 4,777 to 4,235 over the same time period. Lodhran 45 64 Pakpaan 44 76 The numbers of secondary and higher secondary schools increased for both boys and girls in the province Chiniot 31 47 between FY 2019-20 and 2021; this statistic may be understood as a commitment to ensuring access to higher Hafizabad 31 40 secondary level education. Boys' secondary schools increased from 3,513 to 4,140 and higher secondary schools Rajanpur 28 54 increased from 368 to 375 between FY 2019-20 and 2021. Girls' secondary schools increased from 3,244 to 3,883 and higher secondary schools increased from 392 to 401. Figure 5.18 213 (The Brookings Instuon, 2015) 214 (UNESCO Instute for Stascs, 2016)
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PUNJAB GENDER PARITY REPORT 2021 / EDUCATION PUNJAB GENDER PARITY REPORT 2021 / EDUCATION 5.3.1 Infrastructure and Enrolment Figure 5.17 shows availability of public sector schools for girls in Punjab. The availability trends reflect that girls have better access than boys with respect to availability of schools. The only level where the percentage of girls' schools is less than 50, is secondary level of education, where 48.4 percent of the schools are for girls. Enrolment is a basic indicator to ascertain coverage, access and learning gaps within an education system. It also helps policymakers address discrepancies that are especially common to developing countries, such as increased Figures 5.18 and 5.19 depict the number of schools by academic stage available to boys and girls across 36 districts enrolment but stagnating attainment – a scenario rooted in low levels of completion. of Punjab. 5.3.1.1 Formal Public Schools Formal Secondary Schools under Punjab Educaon Sector Reform Program (2021)* The key features of formal education that set it apart from its non-formal or informal counterparts mainly Secondary School include its intentional and organized nature of learning, imparted through recognized public and private educational institutes. This intentionality and organization support pre-determined learning outcomes District Female Male embedded in guided course syllabi assessed periodically through systematic testing. Faisalabad 301 233 Rawalpindi 227 232 For this report, formal schools have been restricted to public schools falling under the purview of the Punjab Sargodha 209 181 Education Sector Reform Programme (PESRP). The number of formal schools in Punjab increased marginally by Lahore 208 174 0.3 percent from 47,982 schools in FY 2019-20 to 48,133 in academic year 2021. Of these, 22,620 (47%) are boys' Sialkot 184 123 schools whereas 25,513 (53%) are girls' schools. Gujranwala 164 140 Gujrat 163 155 Formal Schools in Punjab (2021)* TT Singh 147 107 Chakwal 141 146 Sahiwal 133 128 H.Sec. Secondary Middle Primary 2,942 4,235 15,163 16,994 Rahim yar Khan 118 185 41% 59% 47% 53% Kasur 112 121 Bahawalnagar 111 121 7,177 32,157 Vehari 108 106 113 114 8,023 Aock 106 133 776 Okara 106 141 Khanewal 103 130 Narowal 99 84 4,140 3,883 375 401 52% 48% 48% 52% Mandi Bahauddin 94 82 Layyah 92 90 Bahawalpur 89 107 Source: Punjab Educaon Sector Reform Programme (PESRP) Jehlum 89 94 * Academic Year Jhang 87 114 Figure 5.17 Sheikhupura 83 85 Multan 76 135 In 2021, the number of primary schools for boys continued to record a decline, consistent with the trend Khushab 69 79 reported in 2019-20; the number fell by 0.5 percent from 15,250 in FY 2019-20 to 15,163 in 2021. On the other Muzaffargarh 68 110 hand, the number of primary schools for girls continued to increase, reflecting a 0.6 percent change from 16,888 Mianwali 59 95 in FY 2019-20 to 16,994 in 2021. DG Khan 55 90 Nankana Sahib 53 54 Middle schools for both boys and girls declined by 17 percent and 11 percent, respectively. The number for boys' middle schools fell from 1,550 in FY 2019-20 to 2,942 in 2021, whereas the number of girls' middle schools fell Bhakkar 50 84 from 4,777 to 4,235 over the same time period. Lodhran 45 64 Pakpaan 44 76 The numbers of secondary and higher secondary schools increased for both boys and girls in the province Chiniot 31 47 between FY 2019-20 and 2021; this statistic may be understood as a commitment to ensuring access to higher Hafizabad 31 40 secondary level education. Boys' secondary schools increased from 3,513 to 4,140 and higher secondary schools Rajanpur 28 54 increased from 368 to 375 between FY 2019-20 and 2021. Girls' secondary schools increased from 3,244 to 3,883 and higher secondary schools increased from 392 to 401. Figure 5.18 213 (The Brookings Instuon, 2015) 214 (UNESCO Instute for Stascs, 2016)
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PUNJAB GENDER PARITY REPORT 2021 / EDUCATION PUNJAB GENDER PARITY REPORT 2021 / EDUCATION Formal Higher Secondary Schools under Punjab Educaon Sector Reform Program (2021)* Girls' Formal Schools by District (2021) Higher Secondary School District Female Male Faisalabad 37 27 Sargodha 22 21 . Sialkot 22 11 Sahiwal 21 13 Rawalpindi 20 22 Attock Lahore 20 10 Khanewal 17 14 Rawalpindi Bahawalpur 15 13 Gujrat 14 13 Chakwal Jhelum Rahim yar Khan 13 11 Mianwali Gujrat TT Singh 12 5 Mandi Bahauddin Sialkot Chakwal 12 13 Khushab Narowal Vehari 12 13 Sargodha Gujranwala Hafizabad Sheikhupura 11 7 Multan 11 19 Bhakkar Chiniot Sheikhupura Bahawalnagar 10 8 Nankana SahibLahore Aock 10 12 Faisalabad Jhang Mandi Bahauddin 10 6 Kasur Gujranwala 9 11 Layyah Toba Tek Singh Lodhran 9 6 Okara Narowal 8 13 Muzaffargarh Sahiwal Jhang 8 10 Khanewal Pakpattan Kasur 7 8 Dera Ghazi Khan Multan Jehlum 7 5 Vehari 115 116 DG Khan 7 10 Bahawalnagar Lodhran Hafizabad 7 7 Okara 6 7 Khushab 6 7 Rajanpur Bhakkar 6 6 Muzaffargarh 5 11 Bahawalpur Mianwali 5 9 Nankana Sahib 5 4 Rahim Yar Khan Rahim Yar Khan Rajanpur 5 8 Rahim Yar Khan Layyah 4 6 Formal Schools Pakpaan 4 6 Up to 400 Chiniot 4 3 401 - 600 Source: Punjab Educaon Sector Reform Programme (PESRP) 601 - 800 * Academic Year 801 - 1000 Figure 5.19 Source: : Punjab Educaon Sector Reform Programme (PESRP) >1000 District Rahim Yar Khan recorded the highest number of girls' primary schools at 1,065, whereas Nanakana Sahib Figure 5.20 recorded the lowest number at 223. With 280 schools available, Faisalabad recorded the highest number of girls' middle schools as opposed to Rajanpur which recorded the lowest number at 32. Faisalabad also posted the Enrolment in Formal Public Schools highest numbers of girls' high and higher secondary schools at 301 and 37, respectively. Contrarily, Rajanpur posted the lowest total for girls' high schools at 28. Pakpattan, Layyah and Chiniot all registered the lowest In academic year 2021, 5.94 million boys and 5.92 million girls were enrolled in formal public schools of Punjab. The number for girls’ higher secondary schools with only 4 of them in each of these districts. figure for boys reflects a negligible fluctuation, however, girls' enrolment has shown a welcome increase of 2 percent compared with the last reported figures of 5.76 million in FY 2019-20. Overall, districts Rahim Yar Khan, Bahawalnagar, Faisalabad, Sargodha, Sialkot and Rawalpindi have more than 1000 formal schools for girls whereas interventions are required in Khushab, Chiniot, Hafizabad and Nankana A GPI analysis of enrolment across Punjab's districts, illustrated in Figure 5.21, reveals that as opposed to 15 districts Sahib, all of which have 400 or fewer girls' schools. Figure 5.20 illustrates this scenario. in FY 2019-20, 17 districts reflect a female-dominated enrolment trend in 2021. Sahiwal and Hafizabad exhibit perfect parity in enrolment which is a laudable feat considering that disproportionate enrolment of either gender is undesirable.
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PUNJAB GENDER PARITY REPORT 2021 / EDUCATION PUNJAB GENDER PARITY REPORT 2021 / EDUCATION Formal Higher Secondary Schools under Punjab Educaon Sector Reform Program (2021)* Girls' Formal Schools by District (2021) Higher Secondary School District Female Male Faisalabad 37 27 Sargodha 22 21 . Sialkot 22 11 Sahiwal 21 13 Rawalpindi 20 22 Attock Lahore 20 10 Khanewal 17 14 Rawalpindi Bahawalpur 15 13 Gujrat 14 13 Chakwal Jhelum Rahim yar Khan 13 11 Mianwali Gujrat TT Singh 12 5 Mandi Bahauddin Sialkot Chakwal 12 13 Khushab Narowal Vehari 12 13 Sargodha Gujranwala Hafizabad Sheikhupura 11 7 Multan 11 19 Bhakkar Chiniot Sheikhupura Bahawalnagar 10 8 Nankana SahibLahore Aock 10 12 Faisalabad Jhang Mandi Bahauddin 10 6 Kasur Gujranwala 9 11 Layyah Toba Tek Singh Lodhran 9 6 Okara Narowal 8 13 Muzaffargarh Sahiwal Jhang 8 10 Khanewal Pakpattan Kasur 7 8 Dera Ghazi Khan Multan Jehlum 7 5 Vehari 115 116 DG Khan 7 10 Bahawalnagar Lodhran Hafizabad 7 7 Okara 6 7 Khushab 6 7 Rajanpur Bhakkar 6 6 Muzaffargarh 5 11 Bahawalpur Mianwali 5 9 Nankana Sahib 5 4 Rahim Yar Khan Rahim Yar Khan Rajanpur 5 8 Rahim Yar Khan Layyah 4 6 Formal Schools Pakpaan 4 6 Up to 400 Chiniot 4 3 401 - 600 Source: Punjab Educaon Sector Reform Programme (PESRP) 601 - 800 * Academic Year 801 - 1000 Figure 5.19 Source: : Punjab Educaon Sector Reform Programme (PESRP) >1000 District Rahim Yar Khan recorded the highest number of girls' primary schools at 1,065, whereas Nanakana Sahib Figure 5.20 recorded the lowest number at 223. With 280 schools available, Faisalabad recorded the highest number of girls' middle schools as opposed to Rajanpur which recorded the lowest number at 32. Faisalabad also posted the Enrolment in Formal Public Schools highest numbers of girls' high and higher secondary schools at 301 and 37, respectively. Contrarily, Rajanpur posted the lowest total for girls' high schools at 28. Pakpattan, Layyah and Chiniot all registered the lowest In academic year 2021, 5.94 million boys and 5.92 million girls were enrolled in formal public schools of Punjab. The number for girls’ higher secondary schools with only 4 of them in each of these districts. figure for boys reflects a negligible fluctuation, however, girls' enrolment has shown a welcome increase of 2 percent compared with the last reported figures of 5.76 million in FY 2019-20. Overall, districts Rahim Yar Khan, Bahawalnagar, Faisalabad, Sargodha, Sialkot and Rawalpindi have more than 1000 formal schools for girls whereas interventions are required in Khushab, Chiniot, Hafizabad and Nankana A GPI analysis of enrolment across Punjab's districts, illustrated in Figure 5.21, reveals that as opposed to 15 districts Sahib, all of which have 400 or fewer girls' schools. Figure 5.20 illustrates this scenario. in FY 2019-20, 17 districts reflect a female-dominated enrolment trend in 2021. Sahiwal and Hafizabad exhibit perfect parity in enrolment which is a laudable feat considering that disproportionate enrolment of either gender is undesirable.
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PUNJAB GENDER PARITY REPORT 2021 / EDUCATION PUNJAB GENDER PARITY REPORT 2021 / EDUCATION 5.3.1.2 Punjab Education Foundation Schools GPI for Enrolment in Formal Schools by District (2021)* Punjab Educaon Foundaon Schools SSCCHHOOOOLL Foundaon New Educaon Assisted Schools School program Voucher Scheme (FAS) (NSP) (EVS) Source: Punjab Educaon Sector Reform Programme (PESRP) Perfect Parity Male Dominated Female Dominated New * Academic Year Figure 5.21 FAS is a flagship program The NSP engages private The EVS aims to provide Enrolment by Academic Stage of Punjab Educaon sector entrepreneurs quality educaon to out Foundaon under which to set up new schools in of school children financial and technical remote, distant and in slums. An analysis of enrolment trends across the four academic stages of primary, middle, secondary and higher support is provided to under -served areas secondary education reveals that while more boys enrolled in primary education, girls outdid boys in enrolment partner schools in rural of the province. in the higher secondary level. This is so despite enrolment for boys and girls in secondary schooling having been and urban Punjab. 117 The FAS program has 118 roughly equal. Figure 5.22 illustrates a complete picture of enrolment of boys and girls in formal schools across been extended to all academic stages. 36 districts in Punjab. Figure 5.23 Enrolment in Formal Schools by Academic Stage (In Thousands) (2021)* In 2021, 7,308 schools under PEF were functional in Punjab as opposed to 7,376 in 2020; the number of schools registered a 0.9 percent decline. All three categories of schools posted a declining trend. Figure 5.24 illustrates a Higher Secondary 502 392 detailed analysis. 50% 50% 5,923,446 5,940,899 Middle 1,077 949 Schools under Punjab Educaon Foundation by Year & Type 3,646 3,625 Primary 1,922 2,149 2,165 2,129 Secondary 2,422 2,451 3,000 2,000 1,000 0 1,000 2,000 3,000 1,565 1,554 Thousands Source: Punjab Educaon Sector Reform Programme (PESRP) Boys Girls 2020 2021 * Academic Year Source: Punjab Educaon Foundaon EVS FAS NSP Figure 5.22 Figure 5.24 62.1 erohaL 42.1 idniplawaR 12.1 toklaiS 81.1 alawnarjuG 81.1 tarjuG 41.1 mulheJ 11.1 arupuhkiehS 11.1 nidduahaB idnaM 01.1 laworaN 80.1 dabalasiaF 60.1 lawkahC 60.1 hgniS T T 50.1 ahdograS 50.1 kcoA 30.1 rusaK 00.1 lawihaS 00.1 dabazfiaH 89.0 arakO 69.0 natluM 69.0 iraheV 69.0 bihaS anaknaN 49.0 raganlawahaB 39.0 lawenahK 29.0 hayyaL 19.0 ruplawahaB 09.0 naapkaP 78.0 gnahJ 68.0 narhdoL 58.0 bahsuhK 58.0 nahK ray mihaR 48.0 toinihC 28.0 hragraffazuM 08.0 nahK GD 87.0 ilawnaiM 87.0 rakkahB 26.0 rupnajaR
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PUNJAB GENDER PARITY REPORT 2021 / EDUCATION PUNJAB GENDER PARITY REPORT 2021 / EDUCATION 5.3.1.2 Punjab Education Foundation Schools GPI for Enrolment in Formal Schools by District (2021)* Punjab Educaon Foundaon Schools SSCCHHOOOOLL Foundaon New Educaon Assisted Schools School program Voucher Scheme (FAS) (NSP) (EVS) Source: Punjab Educaon Sector Reform Programme (PESRP) Perfect Parity Male Dominated Female Dominated New * Academic Year Figure 5.21 FAS is a flagship program The NSP engages private The EVS aims to provide Enrolment by Academic Stage of Punjab Educaon sector entrepreneurs quality educaon to out Foundaon under which to set up new schools in of school children financial and technical remote, distant and in slums. An analysis of enrolment trends across the four academic stages of primary, middle, secondary and higher support is provided to under -served areas secondary education reveals that while more boys enrolled in primary education, girls outdid boys in enrolment partner schools in rural of the province. in the higher secondary level. This is so despite enrolment for boys and girls in secondary schooling having been and urban Punjab. 117 The FAS program has 118 roughly equal. Figure 5.22 illustrates a complete picture of enrolment of boys and girls in formal schools across been extended to all academic stages. 36 districts in Punjab. Figure 5.23 Enrolment in Formal Schools by Academic Stage (In Thousands) (2021)* In 2021, 7,308 schools under PEF were functional in Punjab as opposed to 7,376 in 2020; the number of schools registered a 0.9 percent decline. All three categories of schools posted a declining trend. Figure 5.24 illustrates a Higher Secondary 502 392 detailed analysis. 50% 50% 5,923,446 5,940,899 Middle 1,077 949 Schools under Punjab Educaon Foundation by Year & Type 3,646 3,625 Primary 1,922 2,149 2,165 2,129 Secondary 2,422 2,451 3,000 2,000 1,000 0 1,000 2,000 3,000 1,565 1,554 Thousands Source: Punjab Educaon Sector Reform Programme (PESRP) Boys Girls 2020 2021 * Academic Year Source: Punjab Educaon Foundaon EVS FAS NSP Figure 5.22 Figure 5.24 62.1 erohaL 42.1 idniplawaR 12.1 toklaiS 81.1 alawnarjuG 81.1 tarjuG 41.1 mulheJ 11.1 arupuhkiehS 11.1 nidduahaB idnaM 01.1 laworaN 80.1 dabalasiaF 60.1 lawkahC 60.1 hgniS T T 50.1 ahdograS 50.1 kcoA 30.1 rusaK 00.1 lawihaS 00.1 dabazfiaH 89.0 arakO 69.0 natluM 69.0 iraheV 69.0 bihaS anaknaN 49.0 raganlawahaB 39.0 lawenahK 29.0 hayyaL 19.0 ruplawahaB 09.0 naapkaP 78.0 gnahJ 68.0 narhdoL 58.0 bahsuhK 58.0 nahK ray mihaR 48.0 toinihC 28.0 hragraffazuM 08.0 nahK GD 87.0 ilawnaiM 87.0 rakkahB 26.0 rupnajaR
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PUNJAB GENDER PARITY REPORT 2021 / EDUCATION PUNJAB GENDER PARITY REPORT 2021 / EDUCATION Overall, the highest number of schools was observed in Muzaffargarh (1,142 schools) and the lowest was upskilling learners to help them lead effectual lives; lessons are often tailored to address ethics and primary recorded in Jehlum, having only 6 schools. skillsets. Studies suggest that as developing countries struggle to make formal education universally available, non-formal literacy programmes help them further the cause of education for all. Enrolment in PEF Schools The Literacy and Non-Formal Basic Education (NFBE) Department in Punjab has prioritized provision of primary- In 2021, a total of 27,02,687 students were enrolled across the three PEF institutes (FAS, NSP and EVS). Of these, level education to OOSC and imparting basic literacy through its Non-Formal Basic Education Schools (NFEFSs), 14,30,734 (53%) were boys and 12,71,953 (47%) were girls. The highest number of girls were enrolled in FASs Non-Formal Education Feeder Schools (NFEFSs) and Accelerated Education Programmes (AEPs). The AEP which is (903,716) and the lowest were in NSPs (136,578). In comparison with the year before, enrolment in PEF schools a condensed, accelerated (fast-track) and flexible equivalent to the formal national curriculum is particularly viable increased by 14 percent from 23,68,672 in 2020. The detailed enrolment statistics are illustrated in Figure 5.25. for OOS girls faced with accessibility challenges owing to socio-cultural constraints. Based on administrative data, 26,964 schools under the Literacy & NFBE Department were functional in Punjab in 2021. Of these, 23,977 were NFBEs, 2,507 were NFEFSs and 480 were AEPs, as illustrated in Figure 5.27. Enrolment in Punjab Educaon Foundaon Schools by Year & Type (In Thousands) 1,200 Non-Formal Schools by Category (2021) 1,003 1,000 890 904 810 800 600 NFEFS 2,507 400 NFBES 9% 200 195 115 226 133 232 137 270 158 23 8, 99 %77 A 48E 0P 2% - Girls Boys Girls Boys AEP NFBES 2020 2021 Source: Literacy & Non-Formal Basic Educaon Department NFEFS Source: Punjab Educaon Foundaon EVS FAS NSP Figure 5.27 Figure 5.25 This is a 0.9 percent increase from 26,718 schools in 2020; the highest increase was observed in the number of The highest incidence of female enrolment was observed in Muzaffargarh where 178,339 girls were enrolled NFBESs which rose from 23,744 in 2020 to 23,977 in 2021. 119 making up 14 percent of all girls enrolled in PEF schools across Punjab. The lowest incidence of female enrolment 120 was observed in Jhelum where 992 girls were enrolled. In terms of GPI, perfect parity in student enrolment was observed in districts Okara, Chakwal and Sargodha and the lowest GPIs were scored by districts DG Khan (0.67) and Rajanpur (0.61). Figure 5.26 provides a district-wise analysis of student enrolment in PEF schools. Schools under Literacy & NFBE by Year & Category 50,000 40,000 23,744 23,977 Enrollment under Punjab Educaon Foundaon Schools by District & Gender (2021) 450,000 400,000 30,000 350,000 26,718 26,964 300,000 250,000 20,000 200,000 479 2,495 480 2,507 150,000 10,000 100,000 50,000 - - 2020 2021 Source: Literacy & Non-Formal Basic Educaon Department Total AEP NFBES NFEFS Source: Punjab Educaon Foundaon Figure 5.28 Girls Boys Figure 5.26 Enrolment in Non-Formal Education 5.3.1.3 Non-Formal Education Institutes Enrolment in non-formal schools in Punjab increased marginally by 1 percent from 425,802 students in 2020 to 430,355 in 2021. Of all enrolled students in 2021, 47 percent were boys and 53 percent were girls. The number of Non-formal education is primarily targeted at the vulnerable and underclass groups within a society. This boys enrolled increased by 1.6 percent from 197,375 in 2020 to 200,640 in 2021 while girls' enrolment increased by vulnerability may be multidimensional and involve limitations relevant to gender, age, finances or simply missed 0.6 percent from 228,427 girl students in 2020 to 229,715 in 2021. These statistics are illustrated in Figure 5.29 . enrolment opportunities. Another key aspect of this type of education is that it is inherently focused on 215 (Kapur, 2019) 217 (Latchem, 2018) 216 Ibid 218 (Planning & Development Board, Government of the Punjab, 2020) hragraffazuM natluM ruplawahaB raganlawahaB nahK GD narhdoL gnahJ iraheV erohaL nahK raY mihaR ruP najaR arakO hayyaL naapkaP rakkahB rusaK dabalasiaF lawenahK ilawnaiM toklaiS bahsuhK arupuhkiehS ruplawahaB ahdograS laworaN lawkahC tarjuG toinihC bihaS anaknaN lawihaS alawnarjuG idniplawaR hgniS TT nidduahaB idnaM kcoA dabazfiaH mulheJ
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PUNJAB GENDER PARITY REPORT 2021 / EDUCATION PUNJAB GENDER PARITY REPORT 2021 / EDUCATION Overall, the highest number of schools was observed in Muzaffargarh (1,142 schools) and the lowest was upskilling learners to help them lead effectual lives; lessons are often tailored to address ethics and primary recorded in Jehlum, having only 6 schools. skillsets. Studies suggest that as developing countries struggle to make formal education universally available, non-formal literacy programmes help them further the cause of education for all. Enrolment in PEF Schools The Literacy and Non-Formal Basic Education (NFBE) Department in Punjab has prioritized provision of primary- In 2021, a total of 27,02,687 students were enrolled across the three PEF institutes (FAS, NSP and EVS). Of these, level education to OOSC and imparting basic literacy through its Non-Formal Basic Education Schools (NFEFSs), 14,30,734 (53%) were boys and 12,71,953 (47%) were girls. The highest number of girls were enrolled in FASs Non-Formal Education Feeder Schools (NFEFSs) and Accelerated Education Programmes (AEPs). The AEP which is (903,716) and the lowest were in NSPs (136,578). In comparison with the year before, enrolment in PEF schools a condensed, accelerated (fast-track) and flexible equivalent to the formal national curriculum is particularly viable increased by 14 percent from 23,68,672 in 2020. The detailed enrolment statistics are illustrated in Figure 5.25. for OOS girls faced with accessibility challenges owing to socio-cultural constraints. Based on administrative data, 26,964 schools under the Literacy & NFBE Department were functional in Punjab in 2021. Of these, 23,977 were NFBEs, 2,507 were NFEFSs and 480 were AEPs, as illustrated in Figure 5.27. Enrolment in Punjab Educaon Foundaon Schools by Year & Type (In Thousands) 1,200 Non-Formal Schools by Category (2021) 1,003 1,000 890 904 810 800 600 NFEFS 2,507 400 NFBES 9% 200 195 115 226 133 232 137 270 158 23 8, 99 %77 A 48E 0P 2% - Girls Boys Girls Boys AEP NFBES 2020 2021 Source: Literacy & Non-Formal Basic Educaon Department NFEFS Source: Punjab Educaon Foundaon EVS FAS NSP Figure 5.27 Figure 5.25 This is a 0.9 percent increase from 26,718 schools in 2020; the highest increase was observed in the number of The highest incidence of female enrolment was observed in Muzaffargarh where 178,339 girls were enrolled NFBESs which rose from 23,744 in 2020 to 23,977 in 2021. 119 making up 14 percent of all girls enrolled in PEF schools across Punjab. The lowest incidence of female enrolment 120 was observed in Jhelum where 992 girls were enrolled. In terms of GPI, perfect parity in student enrolment was observed in districts Okara, Chakwal and Sargodha and the lowest GPIs were scored by districts DG Khan (0.67) and Rajanpur (0.61). Figure 5.26 provides a district-wise analysis of student enrolment in PEF schools. Schools under Literacy & NFBE by Year & Category 50,000 40,000 23,744 23,977 Enrollment under Punjab Educaon Foundaon Schools by District & Gender (2021) 450,000 400,000 30,000 350,000 26,718 26,964 300,000 250,000 20,000 200,000 479 2,495 480 2,507 150,000 10,000 100,000 50,000 - - 2020 2021 Source: Literacy & Non-Formal Basic Educaon Department Total AEP NFBES NFEFS Source: Punjab Educaon Foundaon Figure 5.28 Girls Boys Figure 5.26 Enrolment in Non-Formal Education 5.3.1.3 Non-Formal Education Institutes Enrolment in non-formal schools in Punjab increased marginally by 1 percent from 425,802 students in 2020 to 430,355 in 2021. Of all enrolled students in 2021, 47 percent were boys and 53 percent were girls. The number of Non-formal education is primarily targeted at the vulnerable and underclass groups within a society. This boys enrolled increased by 1.6 percent from 197,375 in 2020 to 200,640 in 2021 while girls' enrolment increased by vulnerability may be multidimensional and involve limitations relevant to gender, age, finances or simply missed 0.6 percent from 228,427 girl students in 2020 to 229,715 in 2021. These statistics are illustrated in Figure 5.29 . enrolment opportunities. Another key aspect of this type of education is that it is inherently focused on 215 (Kapur, 2019) 217 (Latchem, 2018) 216 Ibid 218 (Planning & Development Board, Government of the Punjab, 2020) hragraffazuM natluM ruplawahaB raganlawahaB nahK GD narhdoL gnahJ iraheV erohaL nahK raY mihaR ruP najaR arakO hayyaL naapkaP rakkahB rusaK dabalasiaF lawenahK ilawnaiM toklaiS bahsuhK arupuhkiehS ruplawahaB ahdograS laworaN lawkahC tarjuG toinihC bihaS anaknaN lawihaS alawnarjuG idniplawaR hgniS TT nidduahaB idnaM kcoA dabazfiaH mulheJ
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PUNJAB GENDER PARITY REPORT 2021 / EDUCATION PUNJAB GENDER PARITY REPORT 2021 / EDUCATION Focusing on 5-7 years of schooling age, one of Enrollment in Non Formal Schools by Year & Gender Number of Schools under NCHD (2021) NCHD's strategy components for its Universal Primary Education program is the setting up of 700,000 community-based feeder schools in areas where 600,000 the population does not have access to public 228,427 229,715 primary schools. The Commission has established 500,000 more than 17,000 such facilities across Pakistan. 684 425,802 430,355 400,000 Based on administrative data received, 1,662 978 300,000 197,375 200,640 Community Feeder Schools were operating in 34 41% 59% districts of Punjab in 2021. Of these, 684 (41%) 200,000 were boys' schools and 978 were girls' schools. No change in the number of schools was observed 100,000 Source: NCHD Girls Boys since 2020. - Figure 5.31 2020 2021 A district-wise analysis, depicted in Figure 5.32, reveals that the largest number of CFSs were located in Rahim Yar Khan which had a total strength of 406 schools, of which 219 (54%) were boys' schools and 187 (46%) were for girls. Source: Literacy & NFBE Department Total Female Male Rawalpindi had only 2 CFSs, both of which were girls' schools, making it the district with the lowest overall number of schools under NCHD. Figure 5.29 A district-wise analysis reveals that the highest number of girls enrolled in non-formal schools in Rahim Yar Khan Community Feeder Schools by Gender & District (2021) (9,268) where girls made up 51 percent of all students enrolled. The lowest number of girls enrolled in non- formal schools in Chakwal (3,344). However, it is worth noting that in 35 out of 36 districts, the number of girls 450 enrolled was more than their male counterparts; Mianwali was found to be the only district where girls made up 400 45 percent of all students enrolled. Figure 5.30 illustrates the district profile of enrolment in non-formal schools 350 in Punjab. 300 250 200 121 122 150 100 50 Enrolment in Non Formal Schools by District & Gender (2021) 0 20,000 18,000 16,000 14,000 12,000 10,000 8,000 6,000 4,000 Source: NCHD Female Male 2,000 0 Figure 5.32 It is worth noting that in addition to Rawalpindi, 7 other districts including Lahore, Narowal, Gujrat, Hafizabad, Sialkot, Nankana Sahib and Gujranwala, also do not have any CFSs for boys. Source: Literacy & NFBE Department Girls Boys Enrolment in Community Feeder Schools of NCHD Figure 5.30 Enrolment in CFSs increased by 0.7 percent, from 76,138 students in 2021 to 76,699 in 2021. Statistics for both boys and girls rose at a roughly equal rate whereby 0.7 percent more boys were enrolled in 2021 (40,351) than 2020 5.3.1.4 Schools Under National Commission for Human Development (NCHD) (40,072) and 0.8 percent more girls were enrolled in 2021 (36,348) than there were in 2020 (36,066). Set up in 2002, the National Commission for Human Development is a not-for-profit entity tasked with uplifting the lives of vulnerable communities across Pakistan. The NCHD is involved in the education sector through two primary goals namely increasing access to universal primary education across the country and enhancing adult literacy particularly among the female population. 219 (Naonal Commission on Human Development, n.d.) 220 (Naonal Commission on Human Development, n.d.) nahK raY mihaR ahdograS lawenahK raganlawahaB nahK izahG areD ruplawahaB natluM rupnajaR arakO iraheV hayyaL hragraffazuM narhdoL alawnarjuG lawihaS erohaL gnahJ dabalasiaF nattapkaP bahsuhK rakkahB rusaK arupuhkiehS toinihC dabazfiaH idniplawaR hgniS keT aboT bihaS anaknaN kcoA ilawnaiM toklaiS nidduahaB idnaM tarjuG mulehJ laworaN lawkahC nahK raY mihaR ruP lawahaB hragraffazuM nahK GD raganlawahaB rupnajaR rusaK rakkahB gnahJ natluM kcoA hayyaL ahdograS toinnihC naapkaP lawihaS lawenahK arupuhkiehS iraheV arakO narhdoL laworaN ilawnaiM dabalasiaF nidduahaB idnaM bahsuhK erohal hgniS TT dabazfiaH alawnarjuG toklaiS tarjuG bihaS anaknaN idniplawaR
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PUNJAB GENDER PARITY REPORT 2021 / EDUCATION PUNJAB GENDER PARITY REPORT 2021 / EDUCATION Focusing on 5-7 years of schooling age, one of Enrollment in Non Formal Schools by Year & Gender Number of Schools under NCHD (2021) NCHD's strategy components for its Universal Primary Education program is the setting up of 700,000 community-based feeder schools in areas where 600,000 the population does not have access to public 228,427 229,715 primary schools. The Commission has established 500,000 more than 17,000 such facilities across Pakistan. 684 425,802 430,355 400,000 Based on administrative data received, 1,662 978 300,000 197,375 200,640 Community Feeder Schools were operating in 34 41% 59% districts of Punjab in 2021. Of these, 684 (41%) 200,000 were boys' schools and 978 were girls' schools. No change in the number of schools was observed 100,000 Source: NCHD Girls Boys since 2020. - Figure 5.31 2020 2021 A district-wise analysis, depicted in Figure 5.32, reveals that the largest number of CFSs were located in Rahim Yar Khan which had a total strength of 406 schools, of which 219 (54%) were boys' schools and 187 (46%) were for girls. Source: Literacy & NFBE Department Total Female Male Rawalpindi had only 2 CFSs, both of which were girls' schools, making it the district with the lowest overall number of schools under NCHD. Figure 5.29 A district-wise analysis reveals that the highest number of girls enrolled in non-formal schools in Rahim Yar Khan Community Feeder Schools by Gender & District (2021) (9,268) where girls made up 51 percent of all students enrolled. The lowest number of girls enrolled in non- formal schools in Chakwal (3,344). However, it is worth noting that in 35 out of 36 districts, the number of girls 450 enrolled was more than their male counterparts; Mianwali was found to be the only district where girls made up 400 45 percent of all students enrolled. Figure 5.30 illustrates the district profile of enrolment in non-formal schools 350 in Punjab. 300 250 200 121 122 150 100 50 Enrolment in Non Formal Schools by District & Gender (2021) 0 20,000 18,000 16,000 14,000 12,000 10,000 8,000 6,000 4,000 Source: NCHD Female Male 2,000 0 Figure 5.32 It is worth noting that in addition to Rawalpindi, 7 other districts including Lahore, Narowal, Gujrat, Hafizabad, Sialkot, Nankana Sahib and Gujranwala, also do not have any CFSs for boys. Source: Literacy & NFBE Department Girls Boys Enrolment in Community Feeder Schools of NCHD Figure 5.30 Enrolment in CFSs increased by 0.7 percent, from 76,138 students in 2021 to 76,699 in 2021. Statistics for both boys and girls rose at a roughly equal rate whereby 0.7 percent more boys were enrolled in 2021 (40,351) than 2020 5.3.1.4 Schools Under National Commission for Human Development (NCHD) (40,072) and 0.8 percent more girls were enrolled in 2021 (36,348) than there were in 2020 (36,066). Set up in 2002, the National Commission for Human Development is a not-for-profit entity tasked with uplifting the lives of vulnerable communities across Pakistan. The NCHD is involved in the education sector through two primary goals namely increasing access to universal primary education across the country and enhancing adult literacy particularly among the female population. 219 (Naonal Commission on Human Development, n.d.) 220 (Naonal Commission on Human Development, n.d.) nahK raY mihaR ahdograS lawenahK raganlawahaB nahK izahG areD ruplawahaB natluM rupnajaR arakO iraheV hayyaL hragraffazuM narhdoL alawnarjuG lawihaS erohaL gnahJ dabalasiaF nattapkaP bahsuhK rakkahB rusaK arupuhkiehS toinihC dabazfiaH idniplawaR hgniS keT aboT bihaS anaknaN kcoA ilawnaiM toklaiS nidduahaB idnaM tarjuG mulehJ laworaN lawkahC nahK raY mihaR ruP lawahaB hragraffazuM nahK GD raganlawahaB rupnajaR rusaK rakkahB gnahJ natluM kcoA hayyaL ahdograS toinnihC naapkaP lawihaS lawenahK arupuhkiehS iraheV arakO narhdoL laworaN ilawnaiM dabalasiaF nidduahaB idnaM bahsuhK erohal hgniS TT dabazfiaH alawnarjuG toklaiS tarjuG bihaS anaknaN idniplawaR
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PUNJAB GENDER PARITY REPORT 2021 / EDUCATION PUNJAB GENDER PARITY REPORT 2021 / EDUCATION 5.3.1.5 Technical and Vocational Schools by Technical Education and Vocational Training Students Enrolled in Schools under NCHD by Gender & Year Authority (TEVTA) 76,699 TEVTA is the largest skill-providing institute in Punjab that came into existence in 1999 and its functions were enhanced through an Act in 2010. In line with its Vision 2023, TEVTA is attempting to bridge the disconnect between skill provision and market demand. The salient tenants of TEVTA's Vision 2023 are illustrated in Figure x. 40,351 36,348 5 76,138 Pillars of TEVTA Vision 2023 40,072 36,066 2020 2021 Source: NCHD Total Girl Boy Figure 5.33 Access to Quality Demand Economic Innovaon Skills Educaon Assurance Driven Skills Opportunies The highest average number of students enrolled per school was posted by Jhang at 65 students and the lowest by Rawalpindi at 17 students. In terms of a district-wise analysis of the average enrolment of girls per school, 6 out of 34 districts recorded 22 female students making it the most commonly observed average figure. Enrolment in Adult Literacy Centers of NCHD 123 124 Data obtained from NCHD reveals that its functioning Adult Literacy Centres are targeted specifically at female Source: TEVTA Vision 2023 learners. Figure 5.35 400 ALCs were established across 8 districts in Punjab in 2020. This number rose to 830 as 430 additional centres across 32 districts were established in the 2021-2022 academic cycle. 10,718 students enrolled for 2021-2022. In 2021, 403 TEVTA institutes were functional across 36 districts of Punjab; 227 (56.4%) were for men and 176 (43.6%) for women. Lahore had the highest number of female institutes (17) and Pakpattan reported no female A district-wise analysis reveals that the highest number of ALCs were established in Bahawalnagar and Jhang (80 TEVTA institutes. Lahore also had the highest number of TEVTA institutes overall (29) whereas, Pakpattan had the each) in 2020. In 2021-2022, the highest number of ALCs was established in DG Khan (30), (Figure 5.34). lowest - only 2 institutes. Figure 5.36 presents a district-wise picture of TEVTA institutes by gender of students. Instutes of TEVTA by District & Gender of Students (2021) 35 Adult Literacy Centers established by District (2021)* 30 25 35 30 20 30 15 25 20 20 20 20 20 20 20 20 20 10 20 17 11 05 10 10 10 10 10 10 10 10 10 10 10 10 10 10 10 10 10 10 10 10 10 10 05 12 10 8 7 7 6 6 6 6 6 5 5 5 4 4 4 4 4 4 4 4 4 3 3 3 3 3 3 3 3 3 3 2 2 0 5 0 Source: Technical Educaon & Vocaonal Training Authority (TEVTA) Female Male Source: NCHD Figure 5.36 *Academic Year Figure 5.34 221 (Technical Educaonal and Vocaonal Training Authority Punjab, n.d.) nahK GD raganlawahaB ruplawahaB gnahJ narhdoL hraG M arakO naapkaP rupnajaR iraheV kcoA rakkahB dabalasiaF alawnarjuG tarjuG dabazfiaH rusaK lawenahK bahsuhK erohaL hayyaL niD BM ilawnaiM natluM anaknaN laworaN nahK YR lawihaS ahdograS arupuhkiehS toklaiS hgniS keT aboT erohaL idniplawaR dabalasiaF natluM raganlawahaB ruplawahaB lawkahC nahK GD rusaK hragraffazuM ahdograS kcoA lawenahK ilawnaiM rakkahB alawnarjuG tarjuG mulheJ hayyaL nahK raY mihaR rupnajaR arupuhkiehS toklaiS gnahJ bahsuhK narhdoL nidduahaB idnaM bihaS anaknaN laworaN arakO lawihaS hgniS TT iraheV toinihC dabazfiaH nattapkaP
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PUNJAB GENDER PARITY REPORT 2021 / EDUCATION PUNJAB GENDER PARITY REPORT 2021 / EDUCATION 5.3.1.5 Technical and Vocational Schools by Technical Education and Vocational Training Students Enrolled in Schools under NCHD by Gender & Year Authority (TEVTA) 76,699 TEVTA is the largest skill-providing institute in Punjab that came into existence in 1999 and its functions were enhanced through an Act in 2010. In line with its Vision 2023, TEVTA is attempting to bridge the disconnect between skill provision and market demand. The salient tenants of TEVTA's Vision 2023 are illustrated in Figure x. 40,351 36,348 5 76,138 Pillars of TEVTA Vision 2023 40,072 36,066 2020 2021 Source: NCHD Total Girl Boy Figure 5.33 Access to Quality Demand Economic Innovaon Skills Educaon Assurance Driven Skills Opportunies The highest average number of students enrolled per school was posted by Jhang at 65 students and the lowest by Rawalpindi at 17 students. In terms of a district-wise analysis of the average enrolment of girls per school, 6 out of 34 districts recorded 22 female students making it the most commonly observed average figure. Enrolment in Adult Literacy Centers of NCHD 123 124 Data obtained from NCHD reveals that its functioning Adult Literacy Centres are targeted specifically at female Source: TEVTA Vision 2023 learners. Figure 5.35 400 ALCs were established across 8 districts in Punjab in 2020. This number rose to 830 as 430 additional centres across 32 districts were established in the 2021-2022 academic cycle. 10,718 students enrolled for 2021-2022. In 2021, 403 TEVTA institutes were functional across 36 districts of Punjab; 227 (56.4%) were for men and 176 (43.6%) for women. Lahore had the highest number of female institutes (17) and Pakpattan reported no female A district-wise analysis reveals that the highest number of ALCs were established in Bahawalnagar and Jhang (80 TEVTA institutes. Lahore also had the highest number of TEVTA institutes overall (29) whereas, Pakpattan had the each) in 2020. In 2021-2022, the highest number of ALCs was established in DG Khan (30), (Figure 5.34). lowest - only 2 institutes. Figure 5.36 presents a district-wise picture of TEVTA institutes by gender of students. Instutes of TEVTA by District & Gender of Students (2021) 35 Adult Literacy Centers established by District (2021)* 30 25 35 30 20 30 15 25 20 20 20 20 20 20 20 20 20 10 20 17 11 05 10 10 10 10 10 10 10 10 10 10 10 10 10 10 10 10 10 10 10 10 10 10 05 12 10 8 7 7 6 6 6 6 6 5 5 5 4 4 4 4 4 4 4 4 4 3 3 3 3 3 3 3 3 3 3 2 2 0 5 0 Source: Technical Educaon & Vocaonal Training Authority (TEVTA) Female Male Source: NCHD Figure 5.36 *Academic Year Figure 5.34 221 (Technical Educaonal and Vocaonal Training Authority Punjab, n.d.) nahK GD raganlawahaB ruplawahaB gnahJ narhdoL hraG M arakO naapkaP rupnajaR iraheV kcoA rakkahB dabalasiaF alawnarjuG tarjuG dabazfiaH rusaK lawenahK bahsuhK erohaL hayyaL niD BM ilawnaiM natluM anaknaN laworaN nahK YR lawihaS ahdograS arupuhkiehS toklaiS hgniS keT aboT erohaL idniplawaR dabalasiaF natluM raganlawahaB ruplawahaB lawkahC nahK GD rusaK hragraffazuM ahdograS kcoA lawenahK ilawnaiM rakkahB alawnarjuG tarjuG mulheJ hayyaL nahK raY mihaR rupnajaR arupuhkiehS toklaiS gnahJ bahsuhK narhdoL nidduahaB idnaM bihaS anaknaN laworaN arakO lawihaS hgniS TT iraheV toinihC dabazfiaH nattapkaP
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PUNJAB GENDER PARITY REPORT 2021 / EDUCATION PUNJAB GENDER PARITY REPORT 2021 / EDUCATION Enrolment in TEVTA In 2021, there were 128 Vocational Training Institutes (VTIs) operational under PVTC across Punjab. Lahore was observed to be the most populous in terms of VTIs with 12 of them in the district whereas Chiniot was the least 83,596 students were enrolled in TEVTA institutes across Punjab in academic year 2020-21. Of these, 28,772 populous with just 1 institute. VTIs under PVTC are responsible for imparting skills-based education relevant to were women and 54,824 were men; it is noteworthy that female enrolment has jumped exponentially from more than 90 trades including competency based and city and guild courses compatible with industry needs. 2,476 in 2019-20. Figure 5.37 illustrates year- and gender-wise enrolment in TEVTA institutes. Vocaonal Training Instutes under PVTC by District (2021) Enrolment in TEVTA Instutes by Gender & Year 12 38,467 7 6 6 6 6 26,296 5 4 4 4 4 4 3 3 3 3 3 3 3 3 3 3 3 3 3 2 2 2 2 2 2 2 2 2 2 16,357 1 2,476 2019-20 2020-21 Source: Punjab Vocaonal Training Council Source: Technical Educaon & Vocaonal Training Authority (TEVTA) Female Male Figure 5.39 Figure 5.37 Enrolment in PVTC The highest incidence of female enrolment was observed in Lahore where 3,952 women were enrolled in TEVTA institutes, whereas no female students were enrolled in Pakpattan given the lack of TEVTA institutes for them in In 2021, 13,490 students enrolled in 128 VTIs of which, 3,559 (26.4%) were men and 9,931 (73.6%) were women. 125 the district. 126 The highest incidence of female enrolment was observed in district Rahim Yar Khan with 1,072 women enrolling in 2021 and the lowest was observed in Narowal with only 25 women. It is worth noting that at least 1 woman enrolled in each district however, the same was not true for men. 6 out of 36 districts did not have any male enrolment in Enrollment in TEVTA Instutes by Gender & District (2021) 2021. Figure 5.40 illustrates these statistics. 9000 8000 7000 Students Enrolled in PVTC VTIs by Gender & District (2021) 6000 1600 5000 1400 4000 1200 3000 1000 800 2000 600 1000 400 0 200 0 Source: Technical Educaon & Vocaonal Training Authority (TEVTA) Female Male Figure 5.18 Source: Punjab Vocaonal Traning Council Women Men Figure 5.40 5.3.1.6 Technical and Vocational Schools by Punjab Vocational Training Council 5,641 women graduated from PVTC VTIs in 2021 as compared to 5,756 graduates in 2020. The highest number of The PVTC is a dedicated body providing vocational training to the people, especially youth, of Punjab. The graduates, 736, was observed in Rahim Yar Khan whereas the lowest, 18, was observed in Mianwali. The incidence organization utilizes a unique model of using Zakat funds for the purpose and also thrives on its collaborations of women completing their courses at PVTC VTIs by district is depicted in Figure 5.41. with leading international development donors. 222 (Punjab Vocaonal Training Council, n.d.) 223 (Punjab Vocaonal Training Council, n.d.) erohaL dabalasiaF idniplawaR natluM alawnarjuG lawihaS ahdograS ruplawahaB gnahJ toklaiS nahK raY mihaR nahK GD tarjuG mulehJ hgniS TT hragraffazuM kcoA lawkahC rakkahB hayyaL arupuhkiehS raganlawahaB bahsuhK bihaS anaknaN rusaK lawenahK ilawnaiM nidduahaB idnaM toinihC iraheV arakO laworaN dabazfiaH narhdoL rupnajaR naapkaP erohaL dabalasiaF nahK raY mihaR nahK raY mihaR idniplawaR erohaL lawihaS hragraffazuM ahdograS dabalasiaF arupuhkiehS ahdograS raganlawahaB toklaiS ruplawahaB arupuhkiehS bahsuhK ruplawahaB ilawnaiM alawnarjuG bihaS anaknaN kcoA kcoA bahsuhK lawkahC rusaK rakkahB alawnarjuG idniplawaR gnahJ natluM rusaK bihaS anaknaN hayyaL nahK izahG areD natluM rupnajaR hragraffazuM hayyaL arakO hgniS keT aboT rupnajaR lawihaS toklaiS lawkahC hgniS TT mulehJ iraheV toinihC tarjuG rakkahB nidduahaB idnaM nahK GD gnahJ tarjuG iraheV dabazifaH naapkaP mulheJ narhdoL lawenahK dabazfiaH narhdoL arakO nidduahaB idnaM lawenahK laworaN raganlawahaB naapkaP ilawnaiM toinihC
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PUNJAB GENDER PARITY REPORT 2021 / EDUCATION PUNJAB GENDER PARITY REPORT 2021 / EDUCATION Enrolment in TEVTA In 2021, there were 128 Vocational Training Institutes (VTIs) operational under PVTC across Punjab. Lahore was observed to be the most populous in terms of VTIs with 12 of them in the district whereas Chiniot was the least 83,596 students were enrolled in TEVTA institutes across Punjab in academic year 2020-21. Of these, 28,772 populous with just 1 institute. VTIs under PVTC are responsible for imparting skills-based education relevant to were women and 54,824 were men; it is noteworthy that female enrolment has jumped exponentially from more than 90 trades including competency based and city and guild courses compatible with industry needs. 2,476 in 2019-20. Figure 5.37 illustrates year- and gender-wise enrolment in TEVTA institutes. Vocaonal Training Instutes under PVTC by District (2021) Enrolment in TEVTA Instutes by Gender & Year 12 38,467 7 6 6 6 6 26,296 5 4 4 4 4 4 3 3 3 3 3 3 3 3 3 3 3 3 3 2 2 2 2 2 2 2 2 2 2 16,357 1 2,476 2019-20 2020-21 Source: Punjab Vocaonal Training Council Source: Technical Educaon & Vocaonal Training Authority (TEVTA) Female Male Figure 5.39 Figure 5.37 Enrolment in PVTC The highest incidence of female enrolment was observed in Lahore where 3,952 women were enrolled in TEVTA institutes, whereas no female students were enrolled in Pakpattan given the lack of TEVTA institutes for them in In 2021, 13,490 students enrolled in 128 VTIs of which, 3,559 (26.4%) were men and 9,931 (73.6%) were women. 125 the district. 126 The highest incidence of female enrolment was observed in district Rahim Yar Khan with 1,072 women enrolling in 2021 and the lowest was observed in Narowal with only 25 women. It is worth noting that at least 1 woman enrolled in each district however, the same was not true for men. 6 out of 36 districts did not have any male enrolment in Enrollment in TEVTA Instutes by Gender & District (2021) 2021. Figure 5.40 illustrates these statistics. 9000 8000 7000 Students Enrolled in PVTC VTIs by Gender & District (2021) 6000 1600 5000 1400 4000 1200 3000 1000 800 2000 600 1000 400 0 200 0 Source: Technical Educaon & Vocaonal Training Authority (TEVTA) Female Male Figure 5.18 Source: Punjab Vocaonal Traning Council Women Men Figure 5.40 5.3.1.6 Technical and Vocational Schools by Punjab Vocational Training Council 5,641 women graduated from PVTC VTIs in 2021 as compared to 5,756 graduates in 2020. The highest number of The PVTC is a dedicated body providing vocational training to the people, especially youth, of Punjab. The graduates, 736, was observed in Rahim Yar Khan whereas the lowest, 18, was observed in Mianwali. The incidence organization utilizes a unique model of using Zakat funds for the purpose and also thrives on its collaborations of women completing their courses at PVTC VTIs by district is depicted in Figure 5.41. with leading international development donors. 222 (Punjab Vocaonal Training Council, n.d.) 223 (Punjab Vocaonal Training Council, n.d.) erohaL dabalasiaF idniplawaR natluM alawnarjuG lawihaS ahdograS ruplawahaB gnahJ toklaiS nahK raY mihaR nahK GD tarjuG mulehJ hgniS TT hragraffazuM kcoA lawkahC rakkahB hayyaL arupuhkiehS raganlawahaB bahsuhK bihaS anaknaN rusaK lawenahK ilawnaiM nidduahaB idnaM toinihC iraheV arakO laworaN dabazfiaH narhdoL rupnajaR naapkaP erohaL dabalasiaF nahK raY mihaR nahK raY mihaR idniplawaR erohaL lawihaS hragraffazuM ahdograS dabalasiaF arupuhkiehS ahdograS raganlawahaB toklaiS ruplawahaB arupuhkiehS bahsuhK ruplawahaB ilawnaiM alawnarjuG bihaS anaknaN kcoA kcoA bahsuhK lawkahC rusaK rakkahB alawnarjuG idniplawaR gnahJ natluM rusaK bihaS anaknaN hayyaL nahK izahG areD natluM rupnajaR hragraffazuM hayyaL arakO hgniS keT aboT rupnajaR lawihaS toklaiS lawkahC hgniS TT mulehJ iraheV toinihC tarjuG rakkahB nidduahaB idnaM nahK GD gnahJ tarjuG iraheV dabazifaH naapkaP mulheJ narhdoL lawenahK dabazfiaH narhdoL arakO nidduahaB idnaM lawenahK laworaN raganlawahaB naapkaP ilawnaiM toinihC
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PUNJAB GENDER PARITY REPORT 2021 / EDUCATION PUNJAB GENDER PARITY REPORT 2021 / EDUCATION An analysis by academic level of the Special Education schools depicted in Figure 5.43 reveals that the highest Female Graduates by District (2021) number of schools were primary and middle in nature while the number of vocational and higher secondary schools was observed to be the lowest. . Special Education Schools by Level (2021) Attock Rawalpindi 106 109 Chakwal Jhelum Mianwali Gujrat Mandi Bahauddin Sialkot Khushab Narowal Sargodha Hafizabad Gujranwala 41 Sheikhupura Bhakkar Chiniot Nankana SahibLahore Jhang Faisalabad 10 14 12 Kasur 2 4 1 1 3 Layyah Toba Tek Singh Okara Muzaffargarh Sahiwal Degree college High High Secondary Middle Primary Vocaonal Khanewal Pakpattan Dera Ghazi Khan Multan Vehari Lodhran Bahawalnagar Source: Special Educaon Department Boys’ Co-Educaon Girls’ Figure 5.43 Rajanpur Bahawalpur It is worth noting that 25 out of 36 districts do not have any girls- or boys- only Special Education schools which Rahim Yar Khan Rahim Yar Khan could mean that several needy students may be left at the margins of the system, especially girls who face cultural Rahim Yar Khan No. of Female pressure against studying in co-educational environments. 127 Up to 100 128 101 - 200 Overall, the highest number of Special Education schools was observed in Lahore (22) whereas the lowest was 201 - 300 observed in Hafizabad which only had 3 schools. The district-wise analysis is depicted in Figure 5.44. 301 - 400 Source: Punjab Vocaonal Training Council > 400 Figure 5.41 Special Educaon Schools by District (2021) Boys',Girls’ and Co-Ed Schools Only Co-Ed Schools 5.3.1.7 Special Education The Special Education Department of Punjab is responsible for realising the Government of Punjab's Special Education Schools (2021) vision for consolidating academic services for persons with disabilities. The department oversees its schools and institutions for the provision of quality teaching and 14 instructional facilities for PWDs with an aim to enhance 5% enrolment and increase functional literacy of the students. The schools under the department currently 273 16 90% 5% address the needs of persons with hearing, visual, intellectual and physical disabilities as well as those who are slow learners. Source:Special Educaon Department Boys’ Co-Educaon Girls’ Source: Special Educaon Department Boys’ Co-Educaon Girls’ Figure 5.44 In 2021, 332 Special Education schools (Figure 5.42) were operational in Punjab, of which 273 (90%) were co- Figure 5.42 education schools, 16 (5%) were girls' schools and 14 (5%) were boys' schools, respectively. 224 (Special Educaon Department, Government of Punjab, n.d.) 225 (Khan, 2014) 1 01 1 ruplawahaB 1 41 2 dabalasiaF 1 31 1 alawnarjuG 1 6 1 tarjuG 1 6 1 lawenahK 2 71 3 erohaL 1 5 1 ilawnaiM 1 21 1 natluM 2 21 2 idniplawaR 1 6 1 lawihaS 2 11 2 ahdograS 01 kcoA 6 raganlawahaB 6 rakkahB 9 lawkahC 5 toinihC 9 nahK GD 3 dabazfiaH 7 mulheJ 8 gnahJ 6 rusaK 6 bahsuhK 7 hayyaL 4 narhdoL 4 nidduahaB idnaM 8 hragraffazuM 4 bihaS anaknaN 4 laworaN 8 arakO 4 nattapkaP 7 nahK raY mihaR 6 rupnajaR 9 arupuhkiehS 8 toklaiS 7 hgniS TT 6 iraheV
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PUNJAB GENDER PARITY REPORT 2021 / EDUCATION PUNJAB GENDER PARITY REPORT 2021 / EDUCATION An analysis by academic level of the Special Education schools depicted in Figure 5.43 reveals that the highest Female Graduates by District (2021) number of schools were primary and middle in nature while the number of vocational and higher secondary schools was observed to be the lowest. . Special Education Schools by Level (2021) Attock Rawalpindi 106 109 Chakwal Jhelum Mianwali Gujrat Mandi Bahauddin Sialkot Khushab Narowal Sargodha Hafizabad Gujranwala 41 Sheikhupura Bhakkar Chiniot Nankana SahibLahore Jhang Faisalabad 10 14 12 Kasur 2 4 1 1 3 Layyah Toba Tek Singh Okara Muzaffargarh Sahiwal Degree college High High Secondary Middle Primary Vocaonal Khanewal Pakpattan Dera Ghazi Khan Multan Vehari Lodhran Bahawalnagar Source: Special Educaon Department Boys’ Co-Educaon Girls’ Figure 5.43 Rajanpur Bahawalpur It is worth noting that 25 out of 36 districts do not have any girls- or boys- only Special Education schools which Rahim Yar Khan Rahim Yar Khan could mean that several needy students may be left at the margins of the system, especially girls who face cultural Rahim Yar Khan No. of Female pressure against studying in co-educational environments. 127 Up to 100 128 101 - 200 Overall, the highest number of Special Education schools was observed in Lahore (22) whereas the lowest was 201 - 300 observed in Hafizabad which only had 3 schools. The district-wise analysis is depicted in Figure 5.44. 301 - 400 Source: Punjab Vocaonal Training Council > 400 Figure 5.41 Special Educaon Schools by District (2021) Boys',Girls’ and Co-Ed Schools Only Co-Ed Schools 5.3.1.7 Special Education The Special Education Department of Punjab is responsible for realising the Government of Punjab's Special Education Schools (2021) vision for consolidating academic services for persons with disabilities. The department oversees its schools and institutions for the provision of quality teaching and 14 instructional facilities for PWDs with an aim to enhance 5% enrolment and increase functional literacy of the students. The schools under the department currently 273 16 90% 5% address the needs of persons with hearing, visual, intellectual and physical disabilities as well as those who are slow learners. Source:Special Educaon Department Boys’ Co-Educaon Girls’ Source: Special Educaon Department Boys’ Co-Educaon Girls’ Figure 5.44 In 2021, 332 Special Education schools (Figure 5.42) were operational in Punjab, of which 273 (90%) were co- Figure 5.42 education schools, 16 (5%) were girls' schools and 14 (5%) were boys' schools, respectively. 224 (Special Educaon Department, Government of Punjab, n.d.) 225 (Khan, 2014) 1 01 1 ruplawahaB 1 41 2 dabalasiaF 1 31 1 alawnarjuG 1 6 1 tarjuG 1 6 1 lawenahK 2 71 3 erohaL 1 5 1 ilawnaiM 1 21 1 natluM 2 21 2 idniplawaR 1 6 1 lawihaS 2 11 2 ahdograS 01 kcoA 6 raganlawahaB 6 rakkahB 9 lawkahC 5 toinihC 9 nahK GD 3 dabazfiaH 7 mulheJ 8 gnahJ 6 rusaK 6 bahsuhK 7 hayyaL 4 narhdoL 4 nidduahaB idnaM 8 hragraffazuM 4 bihaS anaknaN 4 laworaN 8 arakO 4 nattapkaP 7 nahK raY mihaR 6 rupnajaR 9 arupuhkiehS 8 toklaiS 7 hgniS TT 6 iraheV
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PUNJAB GENDER PARITY REPORT 2021 / EDUCATION PUNJAB GENDER PARITY REPORT 2021 / EDUCATION Enrolment in Special Educaon by Gender & Year Girls' Special Educaon Schools (2021) 23,390 21,417 . 13,698 Attock 12,377 Rawalpindi Chakwal Jhelum 2020 2021 Mianwali Gujrat Source: Special Educaon Department Boys Girls Mandi Bahauddin Sialkot Khushab Narowal Figure 5.46 Sargodha Gujranwala Hafizabad Bhakkar Chiniot Sheikhupura Figure 5.47 reveals a picture of enrolment in Special Education schools with respect to the type of disability Nankana SahibLahore addressed at the institute. The highest number of enrolments for both boys and girls were made for hearing- Faisalabad impaired students; of 20,931 hearing-impaired enrolments, 12,505 (60%) were boys and 8,426 (40%) were girls. Jhang Kasur The overall lowest number of enrolment was observed for the physically disabled category; 2,857 students enrolled Layyah Toba Tek Singh in 2021 of which 2,057 (22%) were boys and 800 (28%) were girls. Okara Muzaffargarh Sahiwal Khanewal Pakpattan Enrolment in Special Educaon by Gender & Type of Disability (2021) Dera Ghazi Khan Multan Vehari 129 130 Bahawalnagar 12,505 Lodhran 8,426 Rajanpur Bahawalpur 5,036 Rahim Yar Khan 2,065 2,057 1,914 1,878 RaR ha imhi m Ya Y r a Kr h K ah nan 800 1,416 991 No. of Schools Up to 4 5 - 8 9 - 12 Source: Special Educaon Department Hearing Impairment Intellectual Disability Physical Disability Slow Learners Visual Impairment 13 - 16 >16 Source: Special Educaon Department Boys Girls Figure 5.45 Figure 5.47 Enrolment in Special Education From a district-wise standpoint, Lahore had the highest number (1,368) of female enrolment in Special Education in 2021 which correlates to the fact that Lahore also had the most amount of Special Education schools. Rajanpur had In 2021, enrolments in Special Education increased for both boys and girls from the year before. 37,088 students the lowest number of female enrolment in Special Education. enrolled in Special Education in 2021 of which, 23,390 (63%) were boys and 13,698 (37%) were girls. These statistics are illustrated in Figure 5.46.
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PUNJAB GENDER PARITY REPORT 2021 / EDUCATION PUNJAB GENDER PARITY REPORT 2021 / EDUCATION Enrolment in Special Educaon by Gender & Year Girls' Special Educaon Schools (2021) 23,390 21,417 . 13,698 Attock 12,377 Rawalpindi Chakwal Jhelum 2020 2021 Mianwali Gujrat Source: Special Educaon Department Boys Girls Mandi Bahauddin Sialkot Khushab Narowal Figure 5.46 Sargodha Gujranwala Hafizabad Bhakkar Chiniot Sheikhupura Figure 5.47 reveals a picture of enrolment in Special Education schools with respect to the type of disability Nankana SahibLahore addressed at the institute. The highest number of enrolments for both boys and girls were made for hearing- Faisalabad impaired students; of 20,931 hearing-impaired enrolments, 12,505 (60%) were boys and 8,426 (40%) were girls. Jhang Kasur The overall lowest number of enrolment was observed for the physically disabled category; 2,857 students enrolled Layyah Toba Tek Singh in 2021 of which 2,057 (22%) were boys and 800 (28%) were girls. Okara Muzaffargarh Sahiwal Khanewal Pakpattan Enrolment in Special Educaon by Gender & Type of Disability (2021) Dera Ghazi Khan Multan Vehari 129 130 Bahawalnagar 12,505 Lodhran 8,426 Rajanpur Bahawalpur 5,036 Rahim Yar Khan 2,065 2,057 1,914 1,878 RaR ha imhi m Ya Y r a Kr h K ah nan 800 1,416 991 No. of Schools Up to 4 5 - 8 9 - 12 Source: Special Educaon Department Hearing Impairment Intellectual Disability Physical Disability Slow Learners Visual Impairment 13 - 16 >16 Source: Special Educaon Department Boys Girls Figure 5.45 Figure 5.47 Enrolment in Special Education From a district-wise standpoint, Lahore had the highest number (1,368) of female enrolment in Special Education in 2021 which correlates to the fact that Lahore also had the most amount of Special Education schools. Rajanpur had In 2021, enrolments in Special Education increased for both boys and girls from the year before. 37,088 students the lowest number of female enrolment in Special Education. enrolled in Special Education in 2021 of which, 23,390 (63%) were boys and 13,698 (37%) were girls. These statistics are illustrated in Figure 5.46.
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PUNJAB GENDER PARITY REPORT 2021 / EDUCATION PUNJAB GENDER PARITY REPORT 2021 / EDUCATION Enrolment in Special Educaon by Gender & District (2021) Schools under Punjab Workers Welfare Fund by Level 30 27 20 20 18 17 1 1 2020 2021 Source: Special Educaon Department Boys Girls Higher Secondary Middle Source: Punjab Workers Welfare Fund Primary Secondary Figure 5.48 Figure 5.50 5.3.1.8 Punjab Workers Welfare Board Schools In 2021, the number of co-education, boys' and girls' schools under the Punjab Workers Welfare Fund all increased in comparison with the year before. The proportions of increase for all categories were roughly equal. Schools under Punjab Workers Welfare Fund are located in 20 out of 36 districts of Punjab of which only Lahore and In 2021, 3 co-education schools, 35 boys' schools and 31 girls' schools were operational in Punjab. These statistics Sheikhupura have co-education schools as well. The remaining 18 districts only have segregated schools. The are illustrated in Figure 5.49. overall highest number of these schools were operating in Gujranwala (9) and the lowest in Layyah where only 1 boys' school was operational in 2021. 131 132 Schools under Punjab Workers Welfare Fund by Year & Gender of Students Schools under Punjab Workers Welfare Fund by District & Gender of Students (2021) 31 30 35 33 4 4 2 2 3 3 3 2 2 2 2020 2021 5 1 1 1 3 1 1 3 1 3 1 1 1 1 2 2 2 2 2 2 Source: Punjab Workers Welfare Fund 1 1 1 1 1 1 1 1 1 1 1 Boys & Girls Both Boys Girls Figure 5.49 In terms of academic level, the highest frequency of schools was observed for secondary schools with a total of 30 of those operational in 2021. Alarmingly, only 1 middle school under Punjab Workers Welfare Fund was functioning in 2020 and no increase in the number of middle schools was observed in 2021; this middle school is located in DG Khan. Figure 5.50 depicts a clear picture of the change in the number of these schools. Source: Punjab Workers Welfare Fund Co Educaon Boys' Girls' Figure 5.51 863,1 760,2 erohaL 288 114,1 dabalasiaF 937 810,1 ahdograS 836 811,1 idniplawaR 065 750,1 ruplawahaB 055 410,1 natluM 425 738 arupuhkiehS 615 958 alawnarjuG 684 697 arakO 654 197 kcoA 193 396 gnahJ 093 776 iraheV 583 136 nahK raY mihaR 563 956 rusaK 833 606 hgniS TT 133 406 lawenahK 123 446 raganlawahaB 003 205 toklaiS 792 564 tarjuG 592 515 nahK GD 392 694 lawihaS 572 524 lawkahC 562 945 rakkahB 852 054 narhdoL 052 365 hragraffazuM 832 834 hayyaL 432 463 laworaN 622 533 nidduahaB idnaM 622 683 bihaS anaknaN 512 793 bahsuhK 212 623 naapkaP 491 083 mulheJ 981 773 ilawnaiM 081 003 dabazfiaH 761 392 toinihC 441 743 rupnajaR ruplawahaB nahK GD dabalasiaF alawnarjuG tarjuG mulheJ rusaK lawenahK bahsuhK erohaL hayyaL natluM hragraffazuM bihaS anaknaN idniplawaR nahK raY mihaR lawihaS ahdograS arupuhkiehS toklaiS